Constant aching pain in right side. Why does my right side hurt?

Pain in the right side can occur with various diseases and injuries. In case of acute pain in the right side, an ambulance should be called immediately, as this may be a symptom of appendicitis.

If the right side under the ribs hurts a lot

Strong under the ribs can indicate both acute or chronic diseases, as well as injuries or physical overload. Most often, this symptom indicates the presence of the following problems:

• Diseases of the liver. Frequent pains in the right side under the ribs most often indicate problems with the liver. These can be viral liver diseases, for example, B, C and others. Lifestyle can also negatively affect the health of this organ. So, for example, the abuse of alcoholic beverages contributes to impaired liver function. In this case, the development of alcoholic hepatitis is possible. The liver can also hurt with the abuse of fatty foods, as well as with smoking. Another cause of liver pain is drug poisoning. Most often, these are antibiotics and other drugs that have a toxic effect on the liver tissue. If a person has heart problems, then the liver can also suffer. Due to the fact that the heart cannot cope with its functions, stagnation of blood forms in the liver, which leads to the appearance of painful sensations.
• Diseases of the gallbladder. For the digestion of food, bile, which is produced by liver cells, plays a huge role. The main role of bile is the breakdown of fats, which then enter the intestines, and in this state can be absorbed into the blood. Excess bile enters the gallbladder. If a person consumes too much, then additional portions of bile come out of the gallbladder, since the bile produced by the liver may not be enough. In this case, if there is an infection or stones in the gallbladder, then the release of bile when eating fatty foods (or other choleretic products) may be accompanied by severe pain in the right hypochondrium.
• Diseases of the pancreas. This organ is located in the abdominal cavity and performs a number of important functions, in particular, it is responsible for the production of certain hormones and digestive enzymes. Severe pain in the right side, which is accompanied by nausea, vomiting and profuse sweating, can signal pancreatitis - inflammation of the pancreas. Inflammation of the pancreas can occur with excessive alcohol consumption, complications of gallbladder disease, complications of stomach surgery, and various abdominal injuries.
• Diaphragm diseases. Diaphragm disease is quite rare. Pain in the right side under the ribs can occur with diseases of the internal organs that press on the diaphragm. Diaphragm enlargement is also noted during pregnancy. Other causes of diaphragmatic pain can be tumors of the diaphragm, hernia of the diaphragm, thinning of the right dome of the diaphragm (very rare), abdominal trauma, in which diaphragm ruptures are possible.
• Intestinal diseases. Often, with severe pain in the right hypochondrium, doctors suspect appendicitis. As a rule, this suspicion is not removed until other causes of such a symptom are discovered. With sharp pains in the right side, you should immediately seek medical help, because if the appendix ruptures, a person can die.

If the right side of the lower abdomen hurts a lot

Pain in the right side in the lower abdomen can occur due to the following reasons:

• Acute appendicitis . This is one of the most common causes of severe pain in the right side of the lower abdomen. As a rule, with acute appendicitis, pain is first felt in the pit of the stomach. At first, it is quite tolerable, but over time it constantly intensifies and passes to the iliac region. Then the pains begin to spread to the rectum, which makes it painful for a person to stand and walk. In addition to pain, a person with acute appendicitis also has a fever and nausea. With such symptoms, you should immediately consult a doctor.
• Acute pancreatitis. Attacks of acute pancreatitis are often accompanied by severe pain in the right side of the lower abdomen. In this case, the patient may have moving pain throughout the lower abdomen. As with appendicitis, an attack of acute pancreatitis can be accompanied by severe bouts of vomiting and high fever.
• Infectious and inflammatory bowel diseases. Pain in the right side of the lower abdomen is possible with some infectious and inflammatory bowel diseases. In particular, such a picture is given by ulcerative colitis, ileitis, Crohn's disease, diarrhea provoked by worms or infection.
• Compression of nerve endings. In some cases, pain in the right side is caused by compression of the nerve fibers passing in this area.
• Diseases of the urinary organs. may be associated with bladder or kidney disease. Acute pain may indicate the progress of the stone, which descends into the bladder along the ureter.

If the right side hurts a lot during pregnancy

During pregnancy, pain in the right side can occur due to the above diseases. Pregnant women may also have problems with the liver, appendix, pancreas and genitourinary system, which gives these symptoms.

But most often, pain in the right side during pregnancy is associated with pressure from the uterus on the diaphragm, which causes aching pain and a feeling of heaviness.

In some cases, pain in the right side during pregnancy may indicate an ectopic pregnancy.

In late pregnancy, a woman is often worried about dyskinesia of the gallbladder and biliary tract. This violation can contribute to the appearance of the inflammatory process and the formation of stones. On the other hand, dyskinesia itself can be one of the manifestations of cholelithiasis.

As a rule, pains in the right side during pregnancy are aching and dull. Pain may be aggravated by fetal movements. In this case, the nature of the pain will largely depend on the position of the fetus in the uterus.

What to do if the right side hurts

If you are concerned about pain in your right side, then you should definitely consult a doctor to find out the causes of such a symptom. Acute pain with high fever and nausea may indicate appendicitis or an attack of acute pancreatitis. In such a situation, you should immediately call an ambulance.

If you call an ambulance, then doctors do not recommend drinking analgesics, as they can distort the symptoms of the underlying disease and mislead doctors.

Depending on the symptoms and suspicions of the cause of pain in the right side, a person may need the help of a gastroenterologist, infectious disease specialist, urologist, gynecologist, surgeon and other specialists.

Pain in the right hypochondrium, acute or intermittent, manifests itself in some form in about a third of the population of our planet. Very often, patients are interested in what is on the right side of a person and why it presses, pulls, aches or hurts in the area of ​​​​the right hypochondrium. According to medical statistics, in about ninety percent of cases, pain is the result of pathological changes in the internal organs. So, most often these symptoms cause diseases biliary tract and gallbladder , and the second most common place is occupied by liver pathologies and the development liver edema in case of circulatory disorders.

What is under the right rib?

To determine what is under the ribs on the right side of a person, one should turn to topographic anatomy. The right hypochondrium is a part of the anterior abdominal wall, which is limited by:

Extending the lower border of this area to the back, we see that it runs along the 12th rib and the third lumbar vertebra.

You can practically determine where the right hypochondrium is located in the following way: the palm of the right hand should be placed horizontally on the ribs, making it so that the wrist is in the middle of the side, while the edge of the little finger should coincide with the edge of the ribs from below. If you leave your wrist in the same position and clasp your back with your palm, you can get a posterior projection of the right hypochondrium.

In this area, pain may occur due to damage to such organs:

• gallbladder, liver;
• right kidney (upper part);
• large intestine (its part is the bend of the colon);
• peritoneal part of the right half of the diaphragm;
• adrenal.

In addition, in this area, tingling and pain can be reflected from the duodenum, pancreas, inferior vena cava, bile ducts.

Why does pain appear in the right hypochondrium in healthy people

Sometimes discomfort and pulling pain on the side, behind, as well as pain on the right under the ribs in front can be felt even by a completely healthy person. Such manifestations are associated with certain physiological conditions.

Pain during and due to physical exertion

People who are not accustomed to undergoing heavy physical exertion, after hard work or playing sports, may notice that they have a severe stabbing pain in the right side under the ribs in front. The reason for such manifestations is associated with the following process: when ejecting the tone of the bile ducts decreases, their stagnant stretching occurs. Meanwhile, the liver is actively filled with blood, its capsule is stretched, and tingling occurs. There may even be sharp pain in the back from the back and in front.

Pain after eating, especially dense, manifests itself in the hypochondrium during physical exertion almost always. If it hurts in the right side under the ribs in front, you should pay attention to the fact that after eating it is especially not recommended to run and do push-ups.

In addition, it is known that it can cause dull pain in the right hypochondrium in front and spasm of the diaphragm. A person feels it when inhaling, sometimes when inhaling and exhaling. The same sensations can be manifested when coughing. But such pain is usually short-lived. Sometimes it dulls when pressed. As a rule, if breathing evens out after exercise, this symptom disappears.

However, explanations of why the ribs on the right side hurt do not always correspond to the truth. Sometimes why aching pain appears during exercise, some sources explain the expansion of the inferior vena cava due to the influence of adrenaline and its pressure on the liver. Before determining what hurts in the right side under the ribs, it should be taken into account that under the influence of adrenaline, vasoconstriction occurs, and there are no pain receptors in the liver.

pain in women

In the last days of the monthly cycle, a certain part of women may develop a sharp hormonal imbalance . As a result, a spasm of the biliary tract develops, and a sharp pain appears, radiating to the back in some cases. Therefore, the explanation of what hurts in the right hypochondrium is sometimes precisely the characteristics of the female body.

In some cases, the course premenstrual syndrome worsens when taken hormonal contraceptives . In this case, both stabbing and dull pains, as well as burning, are manifested due to a violation of the passage of bile.

During pregnancy

What hurts under the right rib in front, explain the features of the physiology of the body of the expectant mother.

At and Crohn's disease spasmodic pain develops not only in the hypochondrium, but also in all lower abdomen. There is also bloating in the abdomen. People with this diagnosis may develop bleeding, mucus and pus are determined in the stool, the condition is sometimes complicated by intestinal obstruction, bowel necrosis .

In the case of tumor development, intestinal obstruction is most often noted, there is a picture of an acute abdomen, signs of peritoneal irritation, pressure drops, pallor and cold sweat are observed.

At attack of appendicitis pain begins to develop in the epigastrium, after which it gradually spreads to the right hypochondrium and descends to the iliac region on the right.

Manifestation of pain in the right hypochondrium behind

If the patient complains that it hurts behind the right shoulder blade, the causes of this phenomenon may be associated with injuries of the lower ribs, damage to the intercostal nerves. There are pains behind the right shoulder blade from the back and with lesions of the right kidney, adrenal gland. The causes of back pain can also be associated with diseases of the inferior vena cava.

With urolithiasis

Burning and severe pain can bother people with urolithiasis . When moving, stones or sand scratch the renal pelvis, later the ureter. Consequently, with renal colic, it hurts both in the lateral abdomen and in the lower back. Pain attacks are noted, spasms radiate to the genitals, to the thigh, and are felt in the groin. If the edge of the palm is slightly beaten on the lower back, it hurts even more, and blood may appear in the urine. Sometimes there is vomiting.

With pyelonephritis

Development acute infectious inflammation of the kidney accompanied by pain in the kidneys, intoxication, fever. It also hurts when urinating, periodic false urges are noted, swelling appears on the face.

With apostematous pyelonephritis, purulent inflammation develops in the kidneys. Long-term pulling pain is disturbing, the temperature increases, the amount of urine excreted per day decreases.

With necrosis of the renal papillae

This phenomenon becomes a consequence of oxygen starvation of the kidney tissue if the vessels become clogged. Constant pain is accompanied by the appearance of blood in the urine. There is a possibility of death from septic shock.

With acute upper paranephritis

The inflammatory process of fatty tissue in the region of the upper part of the kidney manifests itself as a result of infection from carious teeth, tonsils, etc. First, the patient has a fever, there is moderate pain in the lower back. A few days later, it already hurts in the right hypochondrium, the pain intensifies with a deep breath, the condition and physical effort worsen - pain is noted when moving, walking, sharply straightening the body.

For kidney cancer

This condition may not appear for a long time. Slight pain and bleeding appear already in the last stages of the disease. Sometimes the tumor interferes with the outflow of urine, then there is acute pain.

Soreness in the hypochondrium is also manifested with tumors of the right adrenal gland provided that the tumor is large.

With intercostal neuralgia

The reason that a person pulls the right side, becomes numb in the hypochondrium, may be intercostal neuralgia . In this state, sometimes it pulls from the back, the ribs hurt on both sides in front. With neuralgia, it tingles strongly in different areas, up to restriction of mobility. The pain gets worse when bending or turning. Also, the reason that suddenly stabbed in the stomach or twitches on both sides may be when a person has inflamed muscles.

For bruised ribs

Severe aching pains, aggravated by coughing, pressing, bending over, sighing, appear with bruises of the posterior segments of the ribs. At rib fractures a characteristic crunch is felt.

With osteochondrosis of the lumbar

If there is muscle stiffness, limited mobility, signs of tension, the right shoulder hurts, in the arm, then the causes of this condition may be associated with lumbar . Pain sensations can have different intensity, have both aching and shooting character, appear from above and below.

With shingles

In this case, there are herpetic eruptions along the nerve in the form of bubbles with a cloudy liquid, the skin turns red. Itching, burning, pain develops at the site of the lesion. This means that you need to see a dermatologist.

With thrombosis of the vena cava

If a thrombus comes from the iliac veins, after which it clogs the trunk of the vein, it hurts in the lower back on the right side of the back. The clinic is similar to a kidney tumor in the late stage. If it happens thrombosis of the hepatic segment , arching intense pain occurs in front in the right hypochondrium and gives under the scapula on the right. Jaundice also develops, fluid accumulates in the abdominal cavity.

Acute pain

The sensation of acute pain in the right lobe of the hypochondrium is associated with the development of acute surgical conditions - the so-called "acute abdomen". In particular, strong cramps are noted in such diseases and conditions:

• damaged internal organs (injury to the kidney, colon, kidney, damage to the gallbladder, hematoma of the kidney, liver);
• bowel perforation, diverticulum rupture ;
• acute inflammatory processes of the gallbladder, acute pancreatitis ;
• initial stage appendicitis ;
• blockage of the bile ducts , bowel obstruction ;
• thrombosis of veins and arteries through which the internal organs are nourished.

In such conditions, very intense pain develops, which leads to the development of a painful shock, loss of consciousness, a decrease in pressure, and a disruption in the functioning of internal organs.

With an acute abdomen, the muscles of the peritoneum are tense, sometimes the pain is girdle, sometimes it is pinpoint, but very often unbearable.

Sharp, compressive pain sensations also appear with abdominal form of myocardial infarction , renal colic , sometimes with nonspecific ulcerative colitis , rib fractures .

dull pains

Dull pains very often indicate the development of the inflammatory process. They appear in such pathologies:

Heaviness in the right side

Heaviness in the right side and lower abdomen, as well as in the upper abdomen develops with various diseases. Often, heaviness in the right side under the ribs in front develops with an edematous liver. In addition, the causes of heaviness in the right hypochondrium may be associated with the development hepatitis A , fatty hepatosis , chronic cholecystitis , hypomotor biliary dyskinesia .

After meal

Many people note that they have a prickle in their right side after eating, heaviness develops in the epigastrium, rumbling. Often, expectant mothers are also interested in why it pricks in the right side during pregnancy. After eating food in the body, the process of excretion and promotion of bile is accelerated, the liver is filled with blood, peristalsis is activated. Therefore, in chronic diseases of the liver, intestines, gallbladder, pain is often manifested in the lower and upper abdomen after eating. Such manifestations can have a different character: a person feels sick, belching, diarrhea appears, rumbles in the stomach.

Dull pain after eating is noted with cholecystitis , sharp - at colitis and dysbacteriosis , piercing - at cholelithiasis and biliary dyskinesia . Often the pain becomes more intense after hard drinking, persistent smoking.

After loading

Unpleasant sensations in the form of pulling or stabbing pain occur after physical exertion in people with hepatitis , cirrhosis , congestive liver . After shaking, physical exertion, an attack may occur calculous cholecystitis . Also, periodic pain during exercise appears in patients myositis , intercostal neuralgia , osteochondrosis , rib fracture , thrombosis of the vena cava .

How to act?

About what to do if the gallbladder hurts, the liver pricks and other diseases appear that provoke pain in the right side, you need to ask a specialist. In no case should you make a decision on your own about what to drink for pain in the liver, or seek advice on the forum. After all, even mild pain requires the attention of a doctor. Self-treatment with pain relievers can improve the overall picture of symptoms in both the adult and the child. As a result, the doctor will not be able to make a correct diagnosis.

Pain under right rib after exercise

Therefore, it should be remembered that it is not necessary to take medicines and folk remedies for pain in the liver before consulting a doctor. You can not give painkillers injections to relieve soreness.

The use of non-steroidal anti-inflammatory drugs, the use of a heating pad is contraindicated, as these methods can provoke bleeding inside.

Do not give painkillers to children. With colic in infants, it is recommended to breastfeed the babies - sometimes this is enough for the baby to calm down.

If a person initially stabbed in his side, but later a sharp pain appeared, you should immediately call an ambulance. After all, only a doctor can adequately assess the entire spectrum of symptoms in this case and make the right decision. It is important to immediately consult a doctor if a seal or bump appears on the right under the ribs.

In the clinic, initially with complaints of such a symptom, you should contact the therapist, who will determine which specialist the patient should go to next.

If a person often has pain, heaviness, pulsates and bursts in the hypochondrium, gives to the shoulder blade, forearm, back, then this condition should not be tolerated in any case. Both men and women should be aware that a timely visit to a doctor will help prevent serious problems.

Pain in the right side of the lower abdomen can signal a whole range of diseases. In this article, we will tell you how to correctly determine what exactly provokes pain in the lower part of the side, what is happening in the body at this moment, and which doctor should be consulted in such cases.

What causes pain in the right side of the lower abdomen?

The following disorders in the body can provoke this symptom:

damage to the pelvic organs (sharp and dull pain, comes from the organs of the reproductive system); damage to the right hip joint, accompanied by infringement of the nerve roots (severe dull pain, comes from the lower back, thigh, where the limb is attached to the pelvis through the joint); malfunctions of the gastrointestinal tract (acute or dull pain, radiating from the stomach, duodenum, small or large intestine); an infectious lesion of the urethra or urolithiasis (the work of the kidneys is disturbed. With inflammation, there is a dull pain and frequent urge to urinate, in the presence of stones - cutting); inflammation or prolapse of the kidneys (severe dull pain in the right hypochondrium. It spreads below only in advanced cases); dysfunction of the ureters (cutting pain during urination. It comes from the kidneys, bladder - these are the organs that are associated with the urinary system); diseases of the bones of the lower back with the pathogenesis of bone, cartilage tissue or the nerve fibers themselves (severe dull pain. It can radiate to the back. It mainly comes from below, from the perineum); a problem of a neuralgic nature, when the brain receives a signal of a pain impulse, although physiologically no disturbances in the functioning of the organs are detected.

You need to understand that pain can radiate from other parts of the body. This happens when the nerve roots in the region of the ribs and back are infringed. Why does it hurt in the lower abdomen? Because these parts of the body are connected at the neuralgic level. But it is the excitation of neurons that causes the same feeling of pain.

The main diseases that may indicate pain in the right side of the lower abdomen

It should be borne in mind that in the peritoneal region there are both paired organs and single ones. The former include the kidneys, adrenal glands, ureters (urethra), ovaries (in women). They can hurt both separately and simultaneously (for example, during exacerbation of certain infectious diseases), respectively, pain can be felt on the right, left, or both sides. To the second - the stomach, pancreas, gallbladder, liver, prostate gland (in men), uterus (in women), despite the fact that these organs are displaced to the right or left side, pain can also be felt in the right and in left side, because it has the ability to irradiate.

In the article “Pain in the left side of the lower abdomen”, we considered a large list of pathologies, so we will not dwell on their variations that have the same symptoms and are treated in the same way, but have right-sided localization of pain.

Diseases of the large and small intestines

It is logical that if the stomach hurts on the right, then this may indicate diseases of the gastrointestinal tract, in particular, the large or small intestine.

Among the most common diseases of this etiology are:

appendicitis; duodenitis; intestinal obstruction.

Appendicitis

It is a consequence of inflammation of the appendix, which is provoked by systemic vasculitis, closing the entrance to the caecum (for example, by hard feces), and certain types of infections (typhoid fever, tuberculosis).

Acute cutting pain in this case occurs in the lower abdomen on the right, but can even radiate to the legs. It increases with pressure on the appendix area (10-15 centimeters to the right of the navel), as well as when walking.

Palpation is the primary diagnosis.

Other symptoms of appendicitis are:

prolonged nausea, bouts of vomiting (due to reflex excitation); delayed defecation; the temperature rises slightly - up to 38 degrees; diarrhea. The color of feces is normal, there may be a slight admixture of mucus (due to intoxication); plaque on the tongue of a yellowish tint (in acute form - dry).

The general condition of the patient is excited. The patient feels the urge to defecate, but he does not have overcrowded bowels. So, even a long visit to the toilet does not bring relief.

Appendicitis is classified according to the nature of the course into acute and chronic, as well as according to the clinical and morphological form into:

superficial (simple); destructive; complicated (with the inclusion of abdominal abscesses); recurrent (chronic); residual (sometimes called phantom, occurs after surgery).

The classical treatment is the removal of the appendix, but in some cases this is not possible for medical reasons, it is then that the chronic form occurs. After removal, during the rehabilitation period, or at the time of the next inflammation, antibiotics may be prescribed.

If you refuse to treat acute appendicitis, then the appendix will rupture and its contents will fall into the peritoneum. And this already promises a fatal outcome! Therefore, if you suspect appendicitis, you should immediately contact the surgeon, and not treat the disease with folk remedies.

Duodenitis

If the pain is localized in the upper abdomen (stomach area), then it may be duodenitis. From a medical point of view, this is inflammation of the duodenum. It happens:

catarrhal; erosive and ulcerative (complication of stomach ulcers); phlegmonous.

Why does it appear? More often it is a consequence of infectious or toxicological damage to the gastrointestinal tract. Such a disease occurs if a large amount of gastric acid enters the duodenal region. And this already indicates a dysfunction of the sphincter that separates the intestine and stomach itself. At the same time, the disease itself is initially caused by an infection.

Symptoms - a strong sharp pain in the epigastric region on the right, twisting, pulsating (aggravated by periods). Increases after eating, may radiate to the left hypochondrium or take on a shingles character. The temperature is normal, but the color of the feces becomes too dark. This indicates the appearance of a small amount of blood in it.

Diagnosis most often involves palpation, gastroscopy, radiography and coprogram.

Treatment is fasting, a strict diet, and bed rest for several days. In the future, you should contact a nutritionist and gastroenterologist to optimize the diet. If you ignore duodenitis, then it can lead to the formation of ulcers. Those, in turn, are eliminated only by surgery.

Intestinal obstruction

Intestinal obstruction (constipation) is a deterioration in the process of pushing feces or a complete blockage of the intestines with hard feces.

May be accompanied by the following symptoms:

lack of appetite; nausea (due to the fullness of the duodenum); urge to vomit, because the body can no longer take food; frequent intestinal contractions. Outwardly, this manifests itself as a frequent and prolonged "rumbling"; gas retention and defecation; possible asymmetrical bloating; the general condition deteriorates rapidly, the skin acquires a pale shade, the so-called "cold" sweat appears.

The temperature in intestinal obstruction is normal. In rare cases, there is diarrhea and liquid emptying with a slight admixture of blood.

It hurts most in the hypochondrium, the person feels the urge to defecate, but going to the toilet does not solve the problem. Further, after 2-3 hours, the pain spreads throughout the abdomen, mainly in its lower part. And so on until defecation occurs. If at the same time you strain a lot, then there is a possibility of getting cracks in the rectal area.

Diagnosis includes an x-ray examination of the abdominal cavity (determine the level of gas and liquid in the loops of the intestines), ultrasound.

Treatment is an enema or a laxative. It is worth considering that even after a successful bowel movement there is a high probability of relapse, so a laxative should be “keep ready”. Why does this occur? It is mainly associated with the accumulation of toxins in the large intestine or the deterioration of peristalsis (for example, due to the use of painkillers). With intestinal obstruction, you should contact your local doctor.

Diseases of the liver and gallbladder

cholecystitis (inflammation of the walls of the gallbladder); cholelithiasis; cirrhosis; oncology (benign and malignant tumors); fatty degeneration of the liver; hepatitis.

With a disease of these organs, there is a violation in the bile circulation system, which leads to a malfunction of the whole organism, since the absorption of fats and a number of vitamins, such as A, D, E, K, worsens, salts of heavy metals are retained in the body, intestinal motility worsens.

There are pains localized in the region of the right hypochondrium, which can radiate to the back, right shoulder, with the most neglected radiate to the perineum, pelvis. Their strengthening occurs after fatty, fried, spicy, spicy foods, as well as heavy physical exertion and strong vibrations (horse riding, driving a car along rural roads, etc.).

Sudden, paroxysmal pains most often speak of cholelithiasis, dull, painful - about the development of one of the forms of hepatitis.

In this case, pain may be accompanied by:

skin itching; yellowing of the skin and sclera; nausea, vomiting; bitter eructation; intestinal disorder.

If these symptoms appear, it is necessary to contact a therapist who will conduct an initial examination, write out directions for the delivery of general blood and urine tests, the results of which will give further instructions. This is usually a referral to a gastroenterologist or hepatologist. A narrow specialist will already prescribe extensive diagnostic measures, including a biochemical blood test, abdominal ultrasound, endoscopic or X-ray examination using a contrast agent, and after a course of treatment, including both drug therapy and the normalization of lifestyle and nutrition.

Diseases of the reproductive (genital) system

In men, pain in the lower part of the right side most often indicates:

inflammation of the prostate gland (dull squeezing pain, the focus is just below the navel, can radiate to the right or left side, perineum. Temperatures up to 38 degrees occur only with an infectious form of the disease); priapism (pain occurs due to prolonged erection, squeezing, dull. It comes from the area of ​​the penis and perineum, radiating to the area of ​​the prostate gland).

Pain in the right side below in women can cause the following diseases:

inflammation of the appendages (pain is dull, squeezing, may be supplemented by fever and mucous discharge from the vagina); thrush (pain only at the initial stage of the disease, curdled discharge from the vagina with an unpleasant odor, the temperature may rise slightly, burning pain occurs when urinating due to urine entering the inflamed areas of the vaginal mucosa); rupture of the ovary (acute, squeezing pain in the appendix, may radiate to the right hypochondrium, the general condition of the patient deteriorates sharply, the temperature is up to 38 degrees, bloody discharge from the vagina appears, nausea).

These are the most common diseases of the reproductive system. Women for the initial examination should contact a gynecologist, men - a urologist. They prescribe further diagnostics and treatment.

In addition, in both men and women, dull, aching pains above the pubis or slightly shifted to the right can be caused by diseases of the bladder and / or ureters, while the urine becomes cloudy, with an unpleasant odor, sometimes with an admixture of blood.

Diseases of the musculoskeletal system

Pain on the right, in the lower abdomen, can also be caused by diseases of the right hip joint.

These include:

arthrosis of the hip joint; bursitis (inflammation of the periarticular bag); joint inflammation in autoimmune disease; dislocation and fracture (pain can occur even many years after the injury).

The pain is dull, aggravated if you stay in the cold for a long time or there is an exercise stress on the entire hip joint. May spread throughout the leg.

Diagnosis involves an X-ray examination. In the future, symptomatic treatment is prescribed, including drug therapy and exercise therapy, in some cases it may be necessary to fix the joint in one position or completely replace it.

Other diseases

Adhesive disease in the abdominal cavity

Another pain in the right side from below may indicate adhesive syndrome. This is when the peritoneum sticks to the intestines, interferes with normal peristalsis and provokes its blockage. Most often it is a consequence of previous operations, fibrin prolapse, inflammation of the pelvic organs, hemorrhage in the abdominal cavity. The pain in this case is localized throughout the abdomen, but it hurts the most in the right side, since it is there that the bends of the large intestine (for the most part) are located, which are pressed against the very peritoneum. Patients themselves claim that the pain is throbbing, squeezing, as if something is being squeezed inside.

Diagnostic methods:

radiography of the peritoneum, incl. passage of barium along the gastrointestinal tract (tracking with the help of X-ray how the contrast agent moves), ultrasound of the abdominal cavity; colonoscopy (study of the intestinal mucosa by inserting a probe).

The problem is eliminated by surgery or removal of part of the intestine. Traditional medicine does not offer any alternative means to eliminate adhesions.

When assistance is not provided in a timely manner. there is a possibility of death, incl. as a result of mechanical rupture of the intestine.

Inguinal hernia

It is often a congenital disease, usually diagnosed in boys, and appears on the right side 3 times more often than on the left.

The reasons for the development of a hernia can be:

the birth of a baby ahead of schedule; heredity; groin injuries; overweight or vice versa severe thinness; constant strong physical activity; chronic constipation; sedentary lifestyle; pregnancy.

Why does pain occur on the right side with an inguinal hernia? Because it stretches the peritoneum. More precisely - there is a gap between the muscle plates. The worst scenario is the infringement of a hernia, when the muscle plates return to their original position and squeeze the soft tissues, the intestines. This will definitely happen if the patient refuses the operation. With the hernia itself without infringement, there is no pain. If the contents of the peritoneum are squeezed out through the hernia, and it is subsequently compressed, the patient experiences a sharp throbbing pain with tension in the abdominal muscles.

It is diagnosed by the following methods:

general examination by a surgeon; irrigoscopy; radiography with the introduction of a contrast agent; Ultrasound of the inguinal canals, scrotum (in men).

Doctors insist that an inguinal hernia can be eliminated only by surgery and transplantation of the mesh layer between the “parted” muscles. It is worth noting that the risk of recurrence remains at a high level.

What can and cannot be done?

For pain on the right, in the lower abdomen, it is better to take the following measures:

drink anti-inflammatory; refuse water and food; try to move less prepare a saline solution and drink if there was vomiting or diarrhea; if necessary, artificially induce vomiting.

Under no circumstances should you:

take painkillers, drink enzymes; apply heat.

Self-medication without establishing the exact cause is a high risk of only exacerbating the problem. So, it is better to wait for the arrival of the ambulance. The most important thing is the correct diagnosis. And this task should be entrusted to doctors!

Do you still think that curing the stomach and intestines is difficult?

Judging by the fact that you are now reading these lines, victory in the fight against diseases of the gastrointestinal tract is not on your side yet ...

Have you thought about surgery yet? It is understandable, because the stomach is a very important organ, and its proper functioning is the key to health and well-being. Frequent pains in the abdomen, heartburn, bloating, belching, nausea, impaired stool ... All these symptoms are familiar to you firsthand.

But perhaps it is more correct to treat not the consequence, but the cause? Here is the story of Galina Savina, about how she got rid of all these unpleasant symptoms... Read the article >>>

Determining the causes of nonspecific pain is a serious task for neurologists, surgeons, obstetricians, gynecologists, traumatologists, orthopedists and other medical specialists. Diseases accompanied by pain in the lower abdomen are difficult to diagnose and can pose a serious danger to the patient's health.

Causes of pain in the right side Diagnosis of pain in the right side Types of pain Temperature, nausea, burning sensation What to do if there is pain?

Causes of pain in the right side of the lower abdomen

Despite the obviousness of sensations, this is a difficult problem in diagnosing acute and chronic diseases in the pelvic area.

The pain is manifested by unpleasant sensations in the lower abdomen (including on the right side) and can be combined with pain in the projections of the body located in:

suprapubic, inguinal zone;

male genital organ;

clitoris, vagina, uterus;

urethra;

back, lower back;

buttocks, intestines.

The complexity of the problem is that a chronic pain impulse under the influence of various causes can be formed in the central nervous system in the absence of a focus in the internal organs. Therefore, even the most modern medical research often does not reveal pathological changes.

However, let's leave the doctors the right to solve complex problems of diagnosing nonspecific pain. Instead, we will focus on the obvious causes of pain in an amount that is useful for the use of knowledge by a wide range of readers in order to prevent the causes of pain and timely access to a medical institution.

Common causes of pain in the lower abdomen are associated with irritation of sensitive receptors:

internal organs of the small pelvis of the right half of the body;

right hip joint, as well as bones, vessels and lymph nodes of the right leg.

Organs partially or completely located in the pelvic area, including departments:

digestion (part of the small intestine, liver, its ducts, pancreas, large intestine, including the appendix and anal area);

urinary system, paired organs (kidneys, ureters), unpaired (bladder, urethra);

female reproductive system (uterus, ovaries, oviducts, birth canal, vulva, clitoris);

male reproductive system (testicles enclosed in the scrotum, spermatic cord, male genital organ).

Outside the human abdominal cavity, pain in the right side of the lower abdomen can be caused by diseases:

the right hip joint, including the involvement of bone, cartilage tissue, blood vessels, nerve fibers, ligaments and muscles in the pathogenesis;

bones of the lower back, sacrum, coccyx, right femur, including involvement in the pathogenesis of nerves, vessels, ligaments and muscles surrounding the bone tissue.

Pain radiating or reflected to the right side and to the lower abdomen from organs that are not anatomically related to the pelvic organs are not considered in this article.

Diagnosis of pain in the right side of the lower abdomen

Such pains, always non-specific, accompany numerous diseases and physiological abnormalities. They are usually combined with other symptoms indicating the underlying cause of the disease.

Intestinal diseases Diseases of the kidneys and bladder Diseases of the genital organs in men Gynecology and cycle disorders Vascular and lymphatic diseases

Bowel disease

The most obvious pain in the lower right side, and more precisely, in the iliac region, in the groin and in the navel region, is the pain of appendicitis. Details (see here).

The main diseases that can be combined with pain in the right side of the lower abdomen:

Intestinal diverticulosis is a protrusion of the intestinal wall. The symptoms are similar to those of appendicitis. Therefore, during an operation on the appendix, an audit of the intestine is usually performed to exclude this pathology. In the pocket of the diverticulum, the contents of the intestine accumulate, irritating the nerve endings and causing pain in the lower right abdomen. In severe cases, pathology is combined with intoxication. In addition to pain, weakness, fever, constipation or diarrhea, vomiting are detected.

Intestinal blockage. With volvulus of the intestines, the pathogenesis is characterized by rapid development. This is due to a stop in blood flow and a violation of the innervation of the intestinal walls. With mechanical blockage of the intestine (foreign bodies), peristalsis stops and severe pain is observed, radiating to the right side of the groin. It can be combined with vomiting after eating, with the absence of peristaltic noises and with the expansion of the lumen of the intestinal loops.

Duodenitis. Inflammation of the duodenum and small intestine is accompanied by pain that radiates, including to the right side. Pain is projected onto the lower abdomen with a predominant lesion of the intestinal loops located closer to the right side of the body. The pain is combined with signs of indigestion.

Inguinal hernia. Pathology is classified as a surgical disease. A hernia is a combination of two factors: rupture of the inner layers of the abdominal wall and prolapse of the omentum and intestinal loops into the subcutaneous space. The integrity of the skin with hernias is not broken. A hernia is manifested by a saccular protrusion of the skin in the groin. If during palpation it is possible to set the contents of the hernial sac inward, this is a reducible hernia. If it is impossible to set - strangulated hernia. It is a strangulated hernia that is dangerous. The intestinal loops, omentum with vessels and nerve fibers swell and swell. Their volume exceeds the diameter of the hernial ring. The pain is aggravated by physical activity. Diagnosis is not difficult. Treatment is a surgical operation to close the hernial ring.

Liver diseases. For the early stages of hepatitis is not typical pain reaction. Pain develops in the later stages of inflammation. In severe cases, excruciating pains appear on the right lower abdomen, the pathogenesis is accompanied by a total lesion of the organ (cirrhosis of the liver) and biliary tract (cholecystitis). The pain may go down to the groin area on the right side.

Pancreatitis is inflammation of the pancreas. Characterized by girdle, descending pain.

Rectal lesions are manifested by pain radiating to the groin.

Adhesions of serous membranes of internal organs. In case of damage to the nerve fibers in the lower abdomen on the right, pain in the indicated area is manifested. The causes of adhesions are postoperative complications, congenital or acquired pathologies without prior surgical intervention.

Diseases of the kidneys and bladder

Pain in different parts of the body, including the right (with right-sided lesion) in the lower abdomen.

Pain in violation of the formation of urine

Pain occurs when the kidneys lose their ability to form urine, filter and absorb purified blood back into the bloodstream. Pain syndrome accompanies inflammation of the parenchyma, renal glomeruli, pelvis and cavities, as well as degenerative, dystrophic and oncological diseases of the kidneys. The pain develops within a short time and often cannot be relieved even with strong painkillers.

Pain due to urinary incontinence

Pain develops when an obstruction is formed along the urethra and when it is impossible to excrete urine outside the body. Pathological processes are more difficult in men because of the narrow and long urethra. However, diseases in the ureters are more often detected in women due to the greater likelihood of inflammation of the female genital organs.

Painful urge to urinate is characteristic of the following diseases:

Acute dilatation of the bladder. The reason is blockage of the urethral canal by urinary stones or an inflamed prostate (in men). Manifested by ineffectual urge to urinate.

Blockage and inflammation of the ureter. Paired ureters connect the kidneys to the bladder. Pain in the groin on the right should be expected when urine stops in the distal (lower) section of the right ureter. The pain appears suddenly and very quickly increases with stagnation of urine. Various methods are used for treatment, including crushing stones with ultrasound and their surgical removal.

Inflammation of the urethra - urethritis. Both men and women get sick. In men, the disease occurs with more serious consequences. Initially, the pathology is manifested by burning and pain during urination. Pain on the right in the groin area occurs when the right inguinal lymph node is involved in the inflammatory process.

Diseases of the genital organs in men

The pain is caused by inflammatory processes, injuries or infections of the genital organs. Common symptoms of pain syndrome are pulling pains in the scrotum, radiating to the groin.

When the right lymph node is involved in the pathogenesis, the pain shifts to the corresponding area of ​​the body:

Orchitis - inflammation of the testicles;

Inflammation of the male penis, including balanitis - inflammation of the head, and fasting - inflammation of the foreskin;

Vesiculitis - damage to the seminal vesicles. The testicles are paired organs that are located above the prostate;

Epididymitis - inflammation of the appendages of the testes;

Cavernitis - inflammation of the cavernous bodies of the male penis;

Prostatitis - inflammation of the prostate gland;

Colliculitis is an inflammation of the seminal tubercle.

Cycle disorders in women and gynecological diseases

Women have a more complex structure of the genital organs than men, and a special physiology. This determines the frequent manifestation of pain in the pelvic area in the lower abdomen, including on the right. Cycle disorders are also almost always accompanied by pain.

Pain in violation of the cycle

Pain is not always associated with obvious pathologies. Painful cycles are typical for girls and young nulliparous women. In some cases, pain is the result of infections and colds of the pelvic organs.

Menstrual pain - algomenorrhea. There is an increased blood flow to the pelvic organs, then stagnation and accumulation of blood in the uterine cavity. Pain in the absence of signs of inflammation is the primary algomenorrhea. Menstrual pain may be the result of gynecological inflammation and genital infections (secondary algomenorrhea). If spotting is irregular and accompanied by pain, this condition is called algomenorrhea. Pain in the lower abdomen often radiates to the groin and thigh, accompanied by dizziness and blurred vision, aggravated during intercourse. When layering gynecological pathologies, pain is accompanied by pathological vaginal discharge.

Obstetric pathologies

In some cases, pain is the cause of serious problems that threaten the bearing of the fetus and the health of the woman:

Pain during pregnancy. Physiological pains that occur for a short time during intense hormonal changes, increased blood flow to the uterus, fetal growth and sprains that hold the uterus in the abdominal cavity. Such pains, as a rule, are not intense and occur periodically. But pathological obstetric pain can be a sign of spontaneous abortion or ectopic pregnancy.

Pain in spontaneous abortion. Pathology develops in the early stages of pregnancy. There are several stages of spontaneous abortion: the threat of abortion and the actual abortion (complete, partial). The pain is combined with vaginal bleeding of varying intensity. Cramping pains in the lower abdomen can radiate to the right when the corresponding pain receptors are irritated. With large blood loss and infection of the birth canal with pathogenic microflora, a state of intoxication develops that threatens the life of the mother and fetus.

Pain during preterm labor. Occurs in late pregnancy in the period from 28 to 37 weeks of gestation. Pain is combined with manifestations of toxicosis in a pregnant woman. In order to avoid complications, you should urgently contact a medical institution to provide qualified obstetric care.

Pain in an ectopic pregnancy. This is a condition where a fertilized egg is implanted outside the uterine cavity. With the development of the embryo outside the uterus, the vessels and walls of the fallopian tubes are squeezed, there is a threat of rupture of the walls of the fallopian tubes and vessels, on which the fertilized egg is fixed. Requires emergency surgery.

Pain in gynecological diseases

Characteristic for young women during or after previous sexual infections or hypothermia.

In old age, diseases occur with hormonal disorders:

Salpingitis. In the context of our article, this is inflammation of the right fallopian (uterine) tube. There are mechanical causes of inflammation (injuries after the consequences of abortions, childbirth and other medical procedures) and microbial causes (genital infections). Pain in the lower abdomen on the right is usually accompanied by fever. The pain syndrome is aggravated by urination, physical activity and sexual intercourse.

Adnexitis - inflammation of the ovaries and fallopian tubes. The disease usually occurs in girls and young women, sometimes it is unilateral (right-sided and left-sided adnexitis). This disease is also called "salpingoophoritis".

An ovarian cyst is a protrusion of the ovary. A bubble is formed on the ovary, filled with transparent or translucent contents, as a result, the ovary enlarges. The causes of cyst formation are hormonal disorders. Ovarian cysts are manifested by unilateral pains in the lower abdomen. Some types of cysts disappear on their own. In severe cases, surgery is indicated.

Apoplexy of the ovary. Rupture of an ovarian cyst - apoplexy, accompanied by internal bleeding. Occurs when a cyst is formed of a very large size, with excessive stretching of the walls of the ovary, after exercise. It presents with pain similar to that of appendicitis. Sometimes the pain radiates to the anus, to the right side of the lower abdomen or to the thigh. Apoplexy usually occurs during ovulation. Urgent operation indicated.

Endometriosis. Gynecological disease of a non-inflammatory nature, which is characterized by increased growth of the mucous membranes of the uterus. Pathology is accompanied by changes in the hormonal background and increased bleeding. Endometriosis can develop in the genital area or outside of it, such as in the intestines. The disease is manifested by pelvic pain in the lower abdomen on the right side, accompanied by a prolongation of menstrual bleeding and pain during intercourse.

Endometritis. Inflammation of the superficial layers of the walls of the uterus. In some cases, deep layers are involved in the pathological process - endomyometritis. The main causes are sexual infections, hypothermia, hormonal disorders. In severe cases, endometritis may result in purulent inflammation and accumulation of exudate in the uterus (pyometra). Endometritis is manifested by pain in the lower abdomen, sometimes on the right. Additional symptoms - fever, signs of intoxication, vaginal discharge.

Diseases of the blood vessels and lymph nodes

The blood vessels and lymphatic system permeate the human body and nourish, including the abdominal organs and legs.

Pain in diseases of the lymph nodes

Lymph nodes are formed in the places where blood vessels join. The submandibular lymph nodes, which are enlarged and react with pain during inflammation in the throat and oral cavity, are best known to the average reader.

Accordingly, the inguinal lymph nodes increase with inflammation of the pelvic organs. There is right-sided inguinal lymphadenitis. The lymphatic system performs protective functions in the body. Pathogens recognized by lymphocytes are attacked, neutralized and removed from the body. With a massive attack, lymphocytes do not cope with their functions, and inflammation of the lymph nodes occurs.

Lymphadenitis is an inflammation of the lymph node, in this case, the inguinal. It can develop on one or both sides, for example, on the right side. Right-sided inflammation of the node is accompanied by its increase, manifests itself in the form of a painful, strictly limited swelling, and is often accompanied by pain on the right side of the lower abdomen. Sometimes the phenomena of intoxication and an increase in body temperature are superimposed on this.

Pain in diseases of the veins

The pain syndrome accompanies the pathological expansion of the veins in the small pelvis. As a result, the outflow of blood from the tissues of the abdominal wall and the pelvic organs is disturbed.

Varicose veins of the small pelvis are typical for young women and girls. The main reason is the stagnation of blood in the vessels of the small pelvis, which develops during hormonal changes in the body, including during puberty and pregnancy. In the first stages, the disease can be asymptomatic or with periodic pain before or after menstruation. In the future, a persistent pain syndrome develops, usually in the lower abdomen, maybe on the right. Differential diagnosis is based on the use of methods of instrumental visualization of the blood vessels of the small pelvis.

Pain in lesions of the femoral artery

(aneurysm, thrombosis of the femoral artery, vasculitis - inflammation). The femoral artery supplies blood to the anterior abdominal wall, genital area and groin, muscles of the lower extremities:

Aneurysm - stratification of the inner walls of the artery and the formation of a saccular protrusion on it. Below the site of the aneurysm, signs of blood supply deficiency develop, and above - blood stasis. Characterized by severe pain, including in the groin area on the right.

vascular thrombosis. Similar phenomena occur after stenosis - narrowing or thrombosis of the lumen of the artery or its branches at the site of formation of cholesterol plaques.

Pain in diseases of the hip joint

Pain often radiates to the groin.

The main diseases of the hip joint, in which unilateral pain is possible:

Coxarthrosis - arthrosis of the hip joint (right side of the body). This is a disease of a degenerative-dystrophic nature, which affects people mainly of the older age group. The disease is very common, since the hip joint bears the main load when a person moves. Inflammation is a secondary process and develops when the microbial factor is involved in the pathogenesis. One of the symptoms of coxarthrosis is pain radiating to the groin, which is necessarily combined with lameness and reduced joint mobility. The causes of coxarthrosis are stress on the joint, vascular diseases, autoimmune diseases and processes, metabolic disorders, injuries and congenital pathologies. In the later stages, the treatment is only surgical, the joint must be replaced with an implant.

Aseptic necrosis of the right hip joint. Manifested by necrosis of bone and cartilage tissue of the joint. The pain radiates to the groin from the side of the affected surface. The differential diagnosis of the disease is based on the results of an X-ray study.

Perthes disease. It is characterized by a decrease in the blood supply to the tissue area around the femoral head and necrosis of the head of the hip joint. Boys under 15 years of age are more commonly affected. Joint pain radiates to the lower abdomen. The formation of joint deformity and the development of lameness are possible.

Inflammatory diseases of the hip joint on the right side. This group includes rheumatoid, purulent, gouty and infectious diseases. Common symptoms for all pathologies are inflammatory edema in the joint area, an increase in local temperature, pain in the joints (initially in small ones), with damage to the hip joint, radiating to the inguinal region on the right side.

Pain in diseases of the lower back, radiating to the groin on the right side (see here).

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Types of pain

Pain is a protective reaction of the body that occurs in response to various types of irritation of nerve endings in almost all parts of the body. Pain in the right side of the lower abdomen is part of the pathogenesis of diseases. The correct characterization of the types of pain is important during the early diagnosis of diseases of the pelvic organs, bones, joints and blood vessels.

According to the description of pain, it is difficult to draw a final conclusion about the pathological focus. But it is very important to tell the doctor the nature of the pain and its localization for an objective study using abdominal ultrasound, MRI and CT.

Dull aching pain in right side

It is defined as a feeling of fullness of the abdominal wall from the inside with a blunt object. Dull pain of low intensity, debilitating, aching and tedious, is a reflection of the involvement in the pathogenesis of a large number of small sensitive receptors responsible for the pain of internal organs. Pain emanating from the area of ​​the right side, from below, dull - a frequent sign of appendicitis, intestinal diverticulum, hepatitis, cirrhosis of the liver, and tumors.

A dangerous sign is a sharp spontaneous cessation of dull pain. This may mean necrotic processes in the internal organs and disturbances in the conduction of the pain impulse. Dull pains are sometimes combined with yellowness of the mucous membranes, nausea, general malaise and increased irritability.

Drawing pain in right side

It is defined as a feeling of pulling the internal organs to the abdominal wall or vice versa, pulling away from it. May be exacerbated by physical activity. The patient takes forced postures. As in the first case, pain is a reflection of the involvement of small surface receptors of the abdominal wall in the pathogenesis. It develops in athletes with sprains in the groin. Pain can be the result of pathologies of the abdominal cavity (adhesions, hepatitis, inflammation of the kidneys, appendicitis, inflammation of the adrenal gland, duodenum) and pathologies of the pelvic organs (uterus, ovaries).

Specific pulling pains are detected in women at all stages of pregnancy and during menstruation. Rarely, pulling pain in the right side may accompany the movement of a small stone in the ureter or osteochondrosis of the lumbar region.

Sharp pain in right side

Defined as acute, sudden and severe. The sensation is similar to running a dull knife along the inside of the abdominal wall. Pain is usually formed in a small pathological focus, less often in a large one. The most likely causes: gynecology, diseases of the urinary system and intestines, pinched nerves.

Rezi in the right side can be a manifestation of inflammation of the ovary, apoplexy, torsion of the ovary, pinching of the nerve in the lumbar skeleton, volvulus of the intestines, acute expansion of the bladder, movement of a large stone in the right ureter and intestinal overflow with gases. It can be aggravated by straining, bending, trying to turn the body. It is combined with headache, fainting, blurred vision.

Stitching pain in right side

It is defined as a tingling of the abdominal wall in the right side from the inside with a blunt thin object. Usually occurs periodically and is formed in a small pathological focus with inflammation of the gallbladder, with appendicitis, with the movement of a stone in the left kidney. The stabbing pain can intensify on sighing, when bending and turning, during physical exertion, during coughing.

Other symptoms of pain in the right side

Pain is not a specific and far from the only symptom of diseases of the internal organs, joints and bones of the lower girdle of the human body. The most common symptoms that accompany pain are a burning sensation, fever, and nausea, turning into vomiting. The correct interpretation of the signs of the disease accompanying pain is possible only by a specialist.

Temperature. A decrease in temperature is evidence of the extinction of vital functions. An increase in temperature, fever is an adaptive reaction of the body to the action of an infectious or non-infectious, internal or external pathogen. An increase in temperature and pain in the right half of the body in the lower abdomen is often combined with gynecological diseases, inflammation of the kidneys and liver. One of the important indicators of fever is its type.

Constantly high temperature at the level of one to two degrees Celsius above normal is a sign of common inflammatory diseases.

Temperature fluctuations during the day by more than two degrees are frequent companions of purulent processes in the internal organs.

Exhausting temperature (prolonged hyperthermia with drops of more than two degrees) is evidence of septic processes in the internal organs.

The lack of regularity in temperature changes is a sign of rheumatic processes in the lower back.

Nausea, vomiting. These symptoms, combined with pain in the lower abdomen on the right, occur with completely different diseases, including lesions of the digestive, genitourinary, nervous system and gynecological diseases. All these pathologies are characterized by the presence of symptoms of intoxication and / or excitation of pain receptors.

Burning. It is noted in diseases of the pelvic organs, including inflammatory processes in the urogenital area. Burning occurs during urination, during intercourse, is a sign of irritation of the mucous membranes of the urethra and external genitalia. Burning can be an independent symptom and / or be combined with pain in the lower abdomen.

What to do if there is pain in the right side?

Remember to be careful with anesthesia. The removal of the pain syndrome can hide the true causes of the pathology during the diagnosis period.

At the first sign of pain in the right side, you should:

Assess the nature of the pain against the background of additional factors, including the presence of:

pregnancy in women;

concomitant chronic diseases (mentioned above);

additional symptoms (vomiting, diarrhea, fever, chills, weakness, duration, nature and type of pain).

For any type of pain that has not previously been observed in a person, you need to call an ambulance and truthfully describe the signs of the disease found. If there are suspicions of serious causes of pain, voice them in a conversation with your doctor!

If the nature of the pain is familiar, the advisability of calling an ambulance should be determined depending on the severity of the patient's condition, including:

if you feel unwell, immediately call an ambulance;

with a stable condition of the patient - call the local doctor at home;

in case of a short-term attack of pain, contact the district clinic for a referral for examination.

Before the ambulance arrives, you need to prepare the documents necessary for the patient to register in a medical institution (see here).

If possible, it is necessary to accompany the patient to the emergency room of the medical institution.

Vital internal organs are located in the human body. They provide all the necessary functions of the human body - breathing, nutrition, reproduction, excretion. Heart - pushes blood through the vessels to provide cells with oxygen. Liver - cleanses the blood of toxins and supplies bile for digestion. Intestine - digests food, makes it available for cell nutrition. Kidneys - separate and remove excess fluid. Pain, tingling, numbness, heaviness, any other discomfort occurs when there are violations in their work.

What can hurt in the right side above (under the ribs) and below (behind the pelvic bones)?

What is in the right side: organs and zones

Pain in the right side is formed due to pathological processes that occur in the internal organs. Let's turn to anatomy. There are two cavities in the human body (abdominal, thoracic). The diaphragm separates them.

The right side is part of the abdominal cavity, in which the organs of digestion, excretion, reproductive (genital) and endocrine systems are located.

Let us conditionally single out the lower and upper (subcostal and pelvic) zones in the right side of the body. Top right - hypochondrium area. Here are the liver and gallbladder, the diaphragm and the right kidney with the adrenal gland, as well as the final segment of the small intestine (ileum). Above the right hypochondrium, the lungs begin, so sometimes pain can be associated with inflammation of the lower lobe of the right lung.

Bottom right is the pelvic area. Here is part of the intestine (caecum with appendix and ascending colon), and in women - the right ovary.

On a note: the human stomach is displaced to the left side of the body (behind the left lobe of the liver), so it does not form pain in the right hypochondrium. Also rarely gives the pancreas to the right side. It is located in the center of the body and often hurts around the navel and to the left of it.

Localization of pain and pathology of internal organs

If a person has a pain in the right side, in most cases this is due to the pathology of the organs of the right hypochondrium or pelvis. Therefore, let us consider in more detail what nature of uncomfortable sensations corresponds to each of the listed organs.

Liver - heaviness and discomfort in the right hypochondrium

Heaviness and discomfort in the right hypochondrium are often associated with stagnation of bile, inflammation. They form pain in the right side under the ribs in front.

Liver pains are accompanied by a taste of bitterness in the mouth. Yellowness of the skin and various rashes are also possible. Their reason is insufficiently effective blood purification during its passage through the liver, in which the existing toxic components are removed from the blood through the skin.

Also, a hallmark of hepatic pains is their intensification during sudden movements and weakening at rest (especially when lying on the right side).

Inflammation of the liver can proceed painlessly (only a feeling of heaviness) or be accompanied by weak pulling sensations. With the deterioration of the condition, the formation of stones in the bladder and bile ducts, strong pain sensations are formed. Strong, sharp, stabbing sensations accompany the movement of stones along the ducts. If the duct is completely blocked and the outflow of bile is blocked, severe arching pain is formed.

The movement of stones forms bouts of contractions. The peak of soreness comes at a time when the duct is blocked by a stone. As soon as the stone moves and partially frees the duct, the attack decreases. Thus, cramping pains indicate gallstone disease.

Pancreas - sometimes pain in right side at waist level

The pancreas is one of the most important human organs, performing both digestive and endocrine functions. It is located in the center and on the left, but in pathology it can form heavy sensations throughout the abdominal cavity. There may be pain in the right side at waist level. However, more often the pancreas forms discomfort with localization on the left side (to the left of the navel) or girdle pain in the upper abdomen.

On a note: the hallmarks of inflammation of the pancreas are severe nausea and empty urge to vomit (when there is nothing to vomit, and bouts of vomiting appear again and again).

Ovaries - pain in the right side of the lower abdomen

The ovary is a female reproductive organ where the female sex cells (eggs) mature. Two ovaries are located to the right and left of the uterus and are connected to it by the fallopian tubes. When infected, inflammation of one or two ovaries (appendages) is possible.

With inflammation of the ovary, edema is formed, fluid accumulates. At the same time, it forms pain in the right side of the lower abdomen (near the iliac bones) and above the pubic bone. Also, the inflamed ovary "gives" to the lower back on the right (from the side of the back below the waist).

In addition to inflammatory processes caused by infection, discomfort can occur due to internal pathology. For example, if it hurts in the right side of the lower abdomen, a cyst may have formed. During its formation, discomfort is felt constantly and intensifies during menstruation.

Also, increased pain during menstruation occurs with endometriosis. In this disease, the mucous epithelium grows outside the uterus. It compresses other tissues and forms aching pain with irrigation (return of discomfort) to the perineum.

Another reason that the right side of the lower abdomen of a woman aches and hurts is an ectopic pregnancy. If this is the case, then urgent medical attention is needed to prevent a rupture of the fallopian tube. With the development of pregnancy outside the uterus, the pain will intensify and spread to neighboring areas (rectum, under the shoulder blade).

On a note: as a rule, pain in the right side in men is not associated with the genitals. With inflammation of the testicle in men, the scrotum and perineum hurt, sometimes the lower back.

Soreness in the lower abdomen is not always associated with the genitals. It can be a consequence of intestinal disorders (dysbacteriosis, constipation). Pain in the right side at the bottom right can be formed in the caecum or colon (departments of the large intestine) or with acute appendicitis.

Appendicitis - sharp pain in the right lower abdomen

The appendix is ​​a small branch of the intestine that is lined with lymphoid tissue. With the accumulation of toxins, it can become inflamed and hurt. It is located on the right lower abdomen, therefore it forms pain sensations on the right below and around the navel. The exact location of the appendix can be determined as follows: in the middle between the right iliac bone and the navel. It is here that the maximum pain is localized during acute appendicitis. As a rule, inflammation is acute and requires surgical treatment (removal).

In 17% of people, the caecum of the appendix is ​​located differently. It can be turned up (then pain occurs in the liver area), lowered into the lower pelvic area (then the pain resembles inflammation of the ovaries, appendages or bladder) or wrapped towards the kidney (such pain radiates to the lower back, groin).

Appendicitis can be recognized by the localization and increase in soreness, as well as by the deterioration of the condition. Every hour the pain increases, nausea becomes stronger, the general condition worsens.

In addition, the diagnosis of appendicitis uses light pressure in the areas of pain localization. If, with light pressure on the abdomen, there is a strong stabbing or cutting sensation, urgently see a doctor. A ruptured appendix is ​​life threatening.

Another variant of differential diagnosis is also used (to distinguish appendicitis from intestinal colic). You should lightly tap your finger on the protrusion of the right iliac bone. If this is appendicitis, the pain will noticeably increase. If you tap on the left bone, there will be no increase in discomfort.

On a note: in pregnant women in the late stage of pregnancy, the internal organs are displaced. Therefore, appendicitis can hurt not only on the lower right, but also in other areas of the abdominal cavity. Also, the classic symptoms of appendicitis are absent in children and obese people. Therefore, if the right side hurts a lot under the ribs or in the pelvic area, call the doctor and go to the outpatient clinic.

Intestine - cramping pain in the lower abdomen on the right

The human intestine is a factory for breaking down and digesting food. It is more than 10 m long and is a series of tubular cavities inside which food moves. The inner surface of the various sections of the intestine is lined with mucous epithelium. When it is irritated, lesions appear - erosion and ulcers. They cause pain.

Also, the cause of pain in the intestinal area is spasm of the intestinal walls, dysbacteriosis and flatulence. They are the result of unhealthy diet and stress. The pain is migrating. At first - the right side hurts below, after - the discomfort migrates to the pubic bone or to the left side.

The ileum is located on the right side of the lower abdomen. If its mucous surface becomes inflamed, then the right side of the abdomen hurts. The cause of inflammation is malnutrition.

If colitis is in the right side, there may be a spasm of the intestinal walls or its obstruction is formed. Often, with obstruction, pain is localized around the navel and in the lower abdomen on the right. It is characterized by cramping attacks - a sharp pain in the right side is replaced by weaker painful sensations.

Kidneys - pain on the right back, gives to the lower back

Excretory organs (kidneys) - in case of violations, they form soreness in the lower back or back. Kidney pain almost always bothers only on one side - on the right or left. For example, the right side hurts from the back, or it aches in the right side at the level of the lower back.

Kidney pain descends below the ribs. It often spreads to neighboring areas - the groin, inner thighs. Dull pain in the lower back in the right side accompanies chronic inflammation of the kidneys (pyelonephritis) and gromerulonephritis. Constant pain is a sign of kidney failure. Acute, stabbing pain occurs when the urinary ducts are blocked (mucus clots, stone, sand).

A distinctive feature of renal pain is that it is accompanied by urination disorders (a decrease or increase in the volume of urine, the appearance of blood clots in the urine, bags under the eyes).

Pain during pregnancy

Pain in the right side during pregnancy is not always a sign of pathology. In the middle of pregnancy, it is associated with stretching of the ligaments holding the uterus. In the later stages - with compression of internal organs. So, heaviness is felt and the right side hurts during pregnancy, if a woman has problems with her gallbladder. And below - it hurts in the center and on the right with insufficient bowel movement.

What happens and what determines the nature of pain

The nature of painful sensations (discomfort, tingling, burning, aching or sharp pain, undulating or even) depends on the processes occurring inside. Pain is a signal of disturbance, it is formed with a lack of oxygen, the accumulation of toxins and the development of edema and inflammation.

Do you want something interesting?

Often pain is the result of stagnant processes that form in the internal organs.

Therefore, to eliminate pain, it is enough to speed up blood circulation, improve blood flow, remove toxins, and provide cells with nutrition and oxygen.

Feeling of heaviness

Feelings of heaviness are the first signal of the accumulation of toxins. Often, heaviness in the right side is associated with the liver and is a sign of a chronic violation of its work. If bile stasis or inflammation has formed, then the feeling of heaviness intensifies after abundant fried and fatty foods.

Heaviness in the lower abdomen may be a signal of stagnation of feces inside the intestines. This severity is accompanied by chronic constipation.

Nagging pain

With the development of pathology, heaviness turns into pulling pain. When pulls in the right side?

Drawing pain in the right side is formed during inflammatory processes inside the liver. It also pulls the right side with viral infections - hepatitis. It can pull at the bottom right during an ectopic pregnancy (attachment of an egg in the fallopian tube to the right ovary). Pulling sensations during pregnancy are formed during the contraction of the smooth muscles of the uterus. In this case, the muscles become hard (to the touch). Prolonged pulling pains disrupt the blood supply to the fetus and can cause pathologies in its brain.

Aching pains

Aching pain is a long lasting pain. Aching pains often accompany a sluggish chronic process (inflammation). They also occur during cell intoxication (their poisoning with waste products of their own life).

When aching uncomfortable sensations form:

Aching pain in the right side is formed with cholecystitis (inflammation of the gallbladder). The right side also aches below with inflammation of the walls of the large intestine (colitis). Dull aching pains in the right side of the abdomen in women are formed with chronic ovarian diseases (inflammations). In this case, painful sensations often spread to neighboring zones - to the fold between the leg and the body, to the lower back or sacrum. Aching pain in the right side behind is formed with inflammation of the kidneys.

Severe cutting and stabbing pains

Pain is accompanied by inflammation and pathology. They often occur when the channels or blood flow are thrombosed. Stitching cramping sensations are called colic.

There are intestinal, hepatic and renal colic:

If the right side under the ribs colitis, then this is hepatic colic. It can spread to the right shoulder blade, shoulder. Be sure to form a taste of bitterness in the mouth. If it hurts in the lower abdomen, then this is intestinal colic. It is accompanied by flatulence, bloating and is often observed in infants during the first three months of life. In addition, there is the so-called rectal colic (cramping stabbing sensations inside the rectum). Renal colic has extensive areas of manifestation - the lower back, groin, genitals. It is accompanied by a violation of urine output (a decrease in its quantity, a change in color, the appearance of a strong odor). Appendicular colic - is formed with an acute manifestation of appendicitis.

The question of why the right side hurts does not have a definite answer. There are many reasons for this phenomenon - from disorders of the gallbladder, intestines and liver, to inflammation of the genital organs. A complete examination and diagnosis will help to make a diagnosis accurately.

Pain in the right side is one of the most common symptoms with which patients come to the abdominal ultrasound. This is due to the fact that several of the most important internal organs related to the gastrointestinal tract and the reproductive system are concentrated in this area.

Complex ultrasound of the abdominal cavity - 1000 rubles. Ultrasound of the small pelvis - 1000 rubles. Consultation on the results of diagnostics (optional) - 500 rubles.

What is in the right side of the abdomen

The abdominal cavity contains many internal organs, the stomach, intestines, pancreas, kidneys, adrenal gland, spleen, liver, pancreas, gallbladder. They are not protected, unlike the heart or lungs, by the ribs. They are protected only by the muscles of the abdominal wall (press).

Problems with any of the organs manifest themselves in the form of tingling, pulling pains and discomfort in various areas of the abdomen. If it periodically hurts in the right side, you should consult a doctor to determine which organ has problems.

The abdominal cavity consists of 9 parts and is divided into 3 sections:

1. Epigastrium. The epigastrium itself is directly above navel. On the right is the subcostal region.
2. Mesogastrium. Consists of the umbilical region, as well as the right lateral region.
3. Hypogastrium. Includes suprapubic and right iliac region.

Due to the different anatomical structure, the same nature and intensity of pain, localized in the same place, in men and women indicate different diseases.

The following organs are located in the region of the right hypochondrium:

• bending of the colon of the large intestine;
• right kidney (from the back);
• liver;
• gallbladder;
• right adrenal gland;
• the right half of the diaphragm (the muscle that separates the peritoneum from the sternum).

Sometimes the pain syndrome radiates from organs located elsewhere, for example, from the pancreas or the inferior vena cava. In this case, it seems to the person that it hurts on the right, but in fact the true cause of the pain is in another area.

Causes of pain in the right hypochondrium

Pain in the right side of the abdomen does not always indicate any disease. At times they are caused by physiological changes that happen to perfectly healthy people.

1. Stitches in the side after a runor other physical activity. This is typical for untrained people who are not used to playing sports. Physical activity is stressful for their body, and it reacts with a sharp release of adrenaline. The hormone provokes a spasm of the bile ducts, which stretch from the bile that overflows them. At the same time, the liver fills with blood, increases in size, and the organs press against each other, causing pinpoint pain and tingling.
2. Tingling in the right sideafter a big meal. On a full stomach, you do not want to move or move. Under the influence of adrenaline, the inferior vena cava expands and presses on the liver, which is also pressed by a full stomach. That's why you can't exercise right after eating.
3. Sharp pain in right sidegiving in the back. This happens in women shortly before the onset of menstruation. Hormonal imbalance causes spasm of the bile ducts, resulting in a sharp pain that radiates to the back. It passes by itself, but gives the woman significant discomfort.
4. Pain in the right side during pregnancy. The uterus, stretched under the influence of a growing fetus, presses on neighboring organs. Also the hormone progesterone, which is released to relax smooth muscles and prevent , provokes stagnation of bile ( ). Many pregnant women experience pain in right hypochondrium, which are aggravated by movement. Therefore, women need to limit the load and walk more at a slow pace.
5. Cramps in the lower abdomen (not menstrual). Hepatic, renal, intestinal colic are characterized by irradiation - the reflection of a pain signal to another part of the body.

Pain in the right side, not related to the internal organs

Abdominal pain with depression. Depression is accompanied by increased anxiety and increased levels of norepinephrine and cortisol. They cause spasms of smooth muscles, including the intestines. Man feels symptoms characteristic of indigestion. And it has nothing to do with poor quality food. Pain in the abdomen is not relieved by drugs, because they are psychosomatic in nature.

A strong and lingering cough also causes abdominal pain.. This is due to the increased load on the abdominal press, which is not everyone is trained and strong. Often coughing, the patient strains the muscles, they stretch and press on the diaphragm, causing dull pain. It goes away on its own after the cough is cured.

What can hurt in the stomach on the right

The causes of pain under the right rib can be diseases in various organs:

Often lower abdominal pain in womenassociated with the onset of menstruation. They are caused by the fact that the uterus these days is poorly supplied with blood, and a situation arises similar to a myocardial infarction. Only in this case there is a spasm of the uterine muscle.

The intensity of the pain is similar to heart pain during a heart attack. These sensations were experienced at least once in a lifetime by every sexually mature woman, and she will not confuse them with anything. The focus of pain is localized above the pubic bone, sometimes it radiates to the side. This should not cause concern, but pain cannot be tolerated either. It is better to take an antispasmodic, and be sure to go for an ultrasound. In some cases, too much pain, accompanied by nausea and loss of creation, indicate pathologies of the uterus and ovaries, and require a mandatory consultation with a gynecologist.

• Pain to the right of the umbilicusindicates a possible appendicitis (inflammation of the appendix - an appendage of the caecum).
• Sharp cramping pain on the right sidejust below the navel speaks of inflammation of the fallopian tubes and ovaries () or inflammation of the ovaries (oophoritis), rupture of an ovarian cyst, torsion of a cyst, ectopic pregnancy, urolithiasis and cholelithiasis. The same symptoms indicate a pinched inguinal hernia (protrusion of the peritoneum in the inguinal canal). If there is a predisposition to the disease (it occurs in 3% of women and 27% of men), you should immediately call an ambulance. There is a danger of necrosis of the hernial sac.
• Pain in the right side at the level of the navel aching speaks of inflammation of the small intestine (enteritis), appendicitis, and in the projection of the navel from the back indicates pleurisy - inflammation of the pleura (serous membrane covering the diaphragm).

What to do if it hurts in the right side

For pain in the side, if the doctor cannot determine the cause of the ailment “by eye”, he sends the patient to an ultrasound of the abdominal cavity, or . Ultrasonic waves with a frequency of over 20,000 Hz penetrate the skin into the abdominal cavity, where they are either absorbed by the internal organs or reflected back. Special sensors (for ) analyze the reflected sound, and from it conclusions are drawn about the patient's condition.

1. With inflammation tissues soften, they absorb ultrasound more than healthy areas.
2. Various seals, tumors, stones reflect radiation better, and it can be reliably stated that the cause of pain is a stone or neoplasm.
3. allows you to assess the speed of blood flow in order to exclude the clamping of the inferior vena cava.

Deciphering: the results of ultrasound diagnostics and diseases in the pictures

If abdominal pain is accompanied by flatulence, ultrasound becomes ineffective.

If inflammation is suspected, the patient takes blood tests, and the level of platelets and eosinophils can determine whether there is an inflammatory process in the body.

Where to get an ultrasound and take tests in St. Petersburg if the stomach hurts in the right side

You can go through all types of diagnostics in St. Petersburg inexpensively, quickly and without a queue, at on Zanevsky avenue, 10. A transcript of the results is handed out.

Pain in the right side of the abdomen is a fairly common complaint of patients. It is this zone that includes the innervation of many organs that can cause pain in the event of a malfunction.

If a child or an adult has a stomach ache on the right, then even non-physicians suspect an attack of appendicitis. However, this is not the only disease requiring attention. We will consider diseases that cause pain to patients, according to the role of internal organs.

Right-sided anatomical structures of the abdominal cavity

If you divide the stomach vertically in half, some of the organs fall on both sides, because they occupy a central position:

• stomach (antrum and pyloric) and duodenum (bend);
• pancreas (head and body);
• small intestine;
• bladder;
• large intestine (cecum, ascending colon and half of the transverse colon).

Therefore, when studying pathological changes, it is difficult to separate the right-sided and left-sided positions. Sometimes the source of pain is not located where it hurts, there are migrating sensations when a person is not able to pinpoint a specific place and talks about "pains all over the stomach."

Some diseases have a "favorite" localization. The liver of the left lobe enters the zone of the left half and is capable of causing pain throughout the upper abdominal cavity. Directly in the right region of the abdomen lie the gallbladder with ducts, the right kidney and ureter, and the appendix.

Pain can be caused by:

• abdominal wall;
• vessels;
• right lower ribs.

Knowledge of the structure of organs made it possible to identify the features of the pain syndrome:

• parenchymal organs (liver, kidneys) have a dense protective capsule with an abundance of nerve receptors, any undesirable effects, such as trauma, inflammation, swelling, cause tension in the capsule and send pain signals to the brain;
• hollow organs (stomach, gallbladder, ureter) are supplied with receptors only in the submucosal layer, so they respond to muscle spasm, stretching, perforation by an ulcer, rupture, but rarely contribute to pain with mild catarrh.

The kidney capsule is made up of dense connective tissue.

This mechanism must be taken into account by doctors in the diagnosis. It is difficult to find out why the stomach hurts on the right, since a violation of the function of one organ leads to a failure of the overall digestive process.

How to assess the nature of pain?

Patients describe their pain in different ways. The doctor has to analyze subjective information, ask additional questions about the conditions for the occurrence of right-sided pain in the abdomen, their change, limitation, connection with food. We will give an evaluation algorithm for the nature of pain in accordance with the formulation of complaints.

Right stomach hurts when running and walking

The movement of the legs is accompanied by intense work of the muscular apparatus of the abdominal press, a change in intra-abdominal pressure, a massaging effect on the intestines, so atony occurs in the absence of physical activity.

Various diseases in the latent (latent) stage manifest themselves when moving. In such cases, you can not force yourself to walk and endure. Pain on the right side of the abdomen indicates the activation of the pathology, can quickly lead to complications.

Pain occurs after a trip in transport

Any movement in a vehicle, whether sitting or standing, causes body shaking. This effect promotes the movement of stones, salt conglomerates through the gallbladder, passages, ureter. Patients with cholelithiasis and urolithiasis often associate the onset of an attack with sudden jerky movements of the body. In addition to traveling in transport, jumping and running have a similar effect.

Stomach hurts only when pressed

This is what patients say when the doctor palpates the abdomen. They hope that if they don't touch, they won't get sick.

Palpation is safe, performed in a gentle technique

The method of palpation makes it possible to determine the localization of pain, to identify the patient's reaction. Any pressure on the abdomen contributes to an increase in intra-abdominal pressure. It provokes hidden pains.

In addition, the outer sheet of the peritoneum is pressed against the area of ​​​​inflammation, which causes local pain in the right half of the abdomen and helps to distinguish local inflammation from reflected pain (with myocardial infarction, lobar pneumonia, pleurisy).

Pain on palpation of the lower abdomen on the right suggests acute appendicitis. In women, gynecological diseases (adnexitis, ovarian cyst) should always be excluded. With the upper subcostal localization of pain with pressure on the right, one should think about inflammation of the gallbladder, hepatitis, less often duodenal ulcer manifests itself. The symptoms of peritoneal irritation are based on this principle.

A woman has a pain in the lower right abdomen during menstruation

Pain in the lower abdomen before menstruation and during menstruation is a common complaint of girls and women. Usually it is located above the pubis, radiating to the groin, to the navel. Gynecologists associate them with hormonal disorders.

If you are concerned about pain in the abdomen on the right, then right-sided adnexitis (inflammation of the appendages) is assumed. Severe pain occurs during an ectopic pregnancy, with torsion and rupture of the cyst, gives to the lower back. The nature of the pain can be confused with an attack of appendicitis.

Aching in the stomach on the right

Aching pain in the abdomen on the right indicates an inflammatory process of moderate intensity. It often accompanies peptic ulcer disease. It starts 1.5-2 hours after eating and lasts all night.

Dull pains in the abdomen are characteristic of the hypotonic form of dyskinesia of the gallbladder and intestines. Caused by overflow, stretching of the muscle layer and impaired emptying. The most predisposed are people with neurasthenia, emotionally unstable, school-age children. Accordingly, they are localized in the right hypochondrium and near the navel.

Neurasthenia is one of the causes of abdominal pain syndrome

Cramping pains

Acute sudden pains in the abdomen on the right are characterized by patients as "sharp", inconsistent, in the form of contractions. Such complaints accompany intestinal obstruction, are caused by peristaltic movements of intestinal loops. May appear with a rupture of the intestinal wall (perforation with an ulcer, Crohn's disease), capsules of internal organs, thromboembolism of the vessels of the mesentery.

They are not characteristic of the inflammatory process, in which pain in the right side of the abdomen increases gradually. Here, a significant area of ​​\u200b\u200bthe peritoneum is immediately irritated, the tissues of the organs are destroyed. "Cutting" sensations are typical of intestinal diseases caused by infection or food poisoning.

Something pulsates and twitches

Pulsating pain accompanies vascular damage. In older people with a widespread atherosclerotic process, an aneurysm of the abdominal aorta occurs. The vessel becomes thinner and expands, since the pressure it receives is quite high, the pulsation spreads evenly in all directions. It can be felt by palpation of the area just above the navel and compared with the pulse.

The formation of an aneurysm is accompanied by constant pain around the navel and in the lower abdomen.

For the "pulling" type of pain, the development of purulent inflammation is characteristic. In the lower part of the abdomen on the right, phlegmonous and gangrenous appendicitis manifests itself in a similar way. Pain indicates a running process. The process can rupture and cause inflammation of the peritoneum (peritonitis).

For experienced doctors, the definition of the nature of pain is included in the signs of the disease, but is not considered in isolation. The diagnosis is made only after analyzing the entire complex of symptoms and examination results.

How to treat constant and periodic pain in the abdomen on the right?

The duration of pain over time is important in diagnosis. If the stomach constantly hurts on the right side, then the pain is usually moderate, dull. A similar course is characterized by chronic appendicitis, cholecystitis, gastritis, hepatitis. Sometimes the pain subsides completely, patients mistakenly rejoice at recovery and break the diet. But the symptom reappears.

It happens that patients endure dull constant pain for a long time, they come for help only when

Periodic pain, recurring after a few days, weeks, months and even years, should be explained by the favorable course of chronic diseases with long periods of remission. Exacerbations appear only under certain conditions: violation of the regimen, alcohol intake, stressful situations, in spring and autumn (peptic ulcer).

Long periods of remission are characteristic of Crohn's disease, ulcerative colitis. They are considered a positive result of treatment. It is not customary to talk about recovery yet, since the final causes of diseases are unclear and modern therapy does not solve all problems. We will consider additional signs of diseases of the right half of the abdomen according to the symptoms of the most common pathology.

Liver disease

Liver disease causes pain in the right hypochondrium with irradiation to the lower back. Patients say that "the right side of the abdomen hurts." The cause is the stretching of the capsule or rupture due to injury.

With inflammation, hemorrhage into the parenchyma, the size of the organ increases, which causes stretching of the surface membrane. The capsule can become inflamed when the infection passes from neighboring organs. Then the pain is very intense.

Hepatitis (inflammatory liver disease) is divided by origin. In addition to pain, they differ in clinical manifestations.

Toxic hepatitis - formed in response to the use of alcohol, certain drugs, poisoning with chemicals, household fluids, poisonous products (mushrooms).

They develop quickly, accompanied by severe acute pain in the right hypochondrium, nausea, vomiting, yellowing of the skin and sclera. Viral hepatitis - have a chronic course with periods of exacerbations and enlargement of the liver. Constantly patients feel heaviness, dull "pain in the right side of the abdomen", discomfort along the intestines, loss of appetite.

It is known that viral hepatitis significantly increases the likelihood of transformation of the disease into a cancerous tumor. At the same time, the nature of pain changes to intense, constant. Hepatitis associated with infectious diseases (hemorrhagic fevers, rubella, Epstein-Barr virus) do not cause severe pain. The diagnosis is made on the basis of other signs of the lesion.

Hepatitis is caused by autoimmune processes in the body, radiation exposure, hypersensitivity to drugs.

The general symptoms are:

• increased pain during physical activity;
• nausea and vomiting;
• temperature increase is not higher than 37.5;
• loss of appetite;
• bleeding gums;
• yellowness of the skin and sclera;
• light stool and dark urine;
• stool disorders.

Abscess - a cavity containing pus, can be located both in the liver itself and in the subhepatic angle between the ligaments, the right dome of the diaphragm and intestinal loops. The patient has, in addition to jerking pains in the hypochondrium, high fever with chills, pouring sweat, general intoxication (headaches, muscle pains, dizziness, nausea).

Abscess and cyst can be detected on computed tomography

Cirrhosis of the liver - the outcome of hepatitis, chronic alcoholism. Parenchyma tissue is replaced by scar tissue. The organ shrinks and decreases in size. Since the capsule cannot stretch, there is no severe pain. Dull aching - rather associated with simultaneous dyskinesia of the biliary tract, damage to the pancreas.

Malignant neoplasms in the liver occur during the transformation of hepatocytes or the arrival of metastases from other organs with blood. Gradually, all functions of the organ are violated. The pain becomes very intense.

Diseases of the biliary organs

Bile synthesized in the liver enters and accumulates in the gallbladder. Then, with the help of muscle contractions, it moves through special ducts into the duodenum. The path passes next to the pancreatic duct. Together they secrete a secret through the sphincter of Oddi.

Acute cramping pains are caused by spastic contraction of the muscle layer. They are called "colic". Localized in the right hypochondrium, spread to the center of the abdomen, in the right side zone.

Removed with antispasmodic drugs. At the same time, the patient has belching, bitter vomiting, epigastric pain (biliary gastritis). Pathology is caused by dyskinesia (dysmotility of the bladder), inflammation, movement of stones.

Cholecystitis (bladder inflammation) is caused by pathogenic microorganisms. The most prone to the disease are obese women who do not engage in physical activity. Inflammation of the inner membrane contributes to the production of mucus, thickening of bile, changes the acid-base balance and creates conditions for the precipitation of bile salts (cholelithiasis).

The resulting calculi subsequently stick together to a stony density and are the cause of cholelithiasis. While there are no stones, the pain is dull in nature, but the movement of the calculus along the bile ducts causes irritation and local spasm. This is manifested by an intense pain attack in the right half of the abdomen at the top, radiating to the collarbone, shoulder blade, lower back, and shoulder. The attack lasts up to several hours.

Cholangitis is an inflammation of the bile ducts. It is rarely isolated without cholecystitis. It almost always accompanies gallstone disease. At the same time, pain in the epigastrium and right hypochondrium is very strong, cramping with high fever, jaundice.

Gallbladder neoplasms are rare. People with a long course of cholecystitis and cholelithiasis have the greatest risk. The pain syndrome acquires a stubborn character, becomes permanent. For pathology, a tendency to rupture of the bladder and peritonitis is typical.

Appendicitis

Inflammation of the appendix is ​​the most frequently operated pathology in surgery. In the classical course, pains are first located in the epigastric region, accompanied by vomiting, fever, and weakness. After a few hours, they move to the right iliac zone. So, the disease looks like half of the patients.

Other part of patients needs serious differential diagnostics. This is due to the atypical location of the inflamed process and the manifestation of pain in the navel, in the right hypochondrium, in the back, in the lower abdomen. Running inflammation is manifested by jerking pains, a significant increase in temperature, chills.

Intestinal diseases

Diseases of the small and large intestines are rarely localized only in the right half of the abdomen, more often spread to the central part. The nature of the pain is diffuse, does not have a clear localization.

With diverticulosis, enterocolitis, Crohn's disease, pain is accompanied by diarrhea or constipation, intestinal bleeding is possible (in case of wall ulceration), bouts of "intestinal colic", weight loss, dehydration is typical for children.

For tumors, the location in the left section is more characteristic. Intestinal obstruction is associated with the blockage of the intestinal lumen by adhesions, tumors, and fecal stones. The pain is very strong, vomiting is possible, the absence of peristalsis.

Renal pathology

The right kidney is anatomically located slightly lower than the left. She often suffers from omission during weight loss, after childbirth. At the same time, patients feel pain in the right side and abdomen, being upright. The reduction occurs in the supine position.

Right-sided pyelonephritis in acute course is accompanied by intense pain in the lower back, frequent urination, cramps, chills with high fever. A chronic disease gradually passes from the pelvis to the parenchyma of the organ and disrupts the function of the nephrons. The pains are dull, but intoxication is accompanied by an increase in renal failure.

Stones are located along the urinary tract

Kidney stone disease with right-sided attacks of colic is activated after shaking, jumping. The pain syndrome is very intense. Irradiation along the ureter to the groin, scrotum in men, genitals in women. After an attack, there is blood in the urine.

Right-sided pain in the abdomen is possible with injury to the liver, kidney and intestines, gastritis, peptic ulcer, pancreatitis. A full examination is necessary to identify the exact cause. Only then can a diagnosis be made and treatment prescribed.