Pain in the intestines on the right side. Video - Why does the right side of the lower abdomen hurt? The intestine hurts on the right: causes

Pain in the bowel may be a symptom various diseases, and some of them are not related to it. In order to determine true reason pain and prescribe appropriate treatment, it is necessary to pay attention to concomitant symptoms. May be required full examination organism so that the specialist can make an accurate diagnosis.

Pain in the intestinal area

Pain in the abdomen in the intestinal region can be dull, stabbing, sharp, cramping, throbbing, aching and sharp. Sometimes it is a consequence chronic diseases gastrointestinal tract or one of the symptoms of acute inflammation of the peritoneum. Not always the cause of pain is problems with the intestines.

Often pain in the intestines occur after eating. The feeling of discomfort is especially manifested after fatty, smoked and salty foods, which irritate the intestinal walls. Such pain is most often dull cramping in nature, but can also be stabbing. Drinking alcohol and drinking too much coffee can also cause pain.

Various pathologies of the intestine, its colonization with helminths or stretching with gases cause pain. With colitis, pain occurs due to intestinal spasm. The appearance of adhesions, volvulus and tumors can provoke acute pain and problems with intestinal patency. Accompanying symptoms play an important role in determining pain.

Important! In order for the specialist to be able to prescribe studies and tests, it is necessary to clearly characterize the nature of the pain, additional symptoms and the duration of the onset of discomfort.

If you experience pain in the intestines, you should contact the following specialists:

1. Gastroenterologist.
2. Surgeon.
3. Proctologist.
4. Gynecologist.

Gastroenterologist prescribes endoscopy stomach and intestines. To determine the exact diagnosis, the following studies can be offered:

1. Fecal analysis.
2. Colonoscopy.
3. ultrasound abdominal cavity.
4. Fibrogastroduodenoscopy.
5. Blood tests, etc.

To exclude the possibility of inflammatory and infectious diseases, reproductive organs order a urinalysis and PCR diagnostics. Women need an examination by a gynecologist, men - by a urologist.

Treatment of pain is to eliminate the cause that caused discomfort. In case of infectious diseases, antibacterial drugs are prescribed. If the pain is due to a violation of the intestinal microflora - probiotics. With severe acute pain, antispasmodics and painkillers are prescribed.

irritable bowel syndrome

According to the Roman criteria III, IBS is diagnosed if recurring abdominal pain or discomfort occurs for at least 3 days per month in the past 3 months with total duration symptoms for at least 6 months, while:

• pain decreases after defecation;
• combined with a change in stool frequency;
• combined with a change in the consistency of the stool.

With this pathology, there is bloating, impaired stool (constipation or diarrhea) and pain. Most commonly affected by the disease emotional people with unstable mentality. Only in rare cases it occurs due to not proper nutrition, after transferred infections and lack or excess of fiber in the diet.

Symptoms

The main signs of pathology:

1. Abdominal pain. The patient may characterize the pain as vague, burning, dull, aching, constant, dagger, twisting. Localization is predominantly in the iliac regions, more often on the left. The pain usually increases after eating, decreases after the act of defecation, gas discharge, application antispasmodic drugs. In women, it increases during menstruation. Important distinctive feature Consider the absence of IBS pain at night.
2. Bloating. Less pronounced in the morning, increases during the day, increases after eating.
3. Chair disorder. Diarrhea usually occurs in the morning after eating. The frequency of stool fluctuates from 2 to 4 or more times per short span time. The urge to defecate usually occurs after every meal. Pieces of undigested food can be observed in the stool. With constipation, it is possible to excrete "sheep" feces, stool in the form of a "pencil", as well as the presence of a cork-like stool (discharge of dense, formed feces at the beginning of defecation, then mushy or even watery feces).

Against the background of IBS, nausea and vomiting, significant weight loss, dry mouth and general weakness can occur. The person can feel headache, trembling, pain in the back, in the lumbar region, muscle and joint pain. It is also characterized by sleep disturbance and depression.

Important! At psychogenic cause disease, it is very important for a person to visit a psychotherapist and treat problems of the nervous system.

Treatment

Treatment of irritable bowel syndrome is quite long. First of all, a person needs to adhere to proper nutrition and refuse harmful products. Special preparations for the restoration of intestinal microflora must be used throughout the course of treatment.

In case of malfunctions of the nervous system, increased emotionality, depression and anxiety disorders it is very important to visit a psychotherapist. In some cases, it was possible to get rid of irritable bowel syndrome only after a course of sedatives, which must be prescribed by the attending physician.

Normalization of the intestinal microflora is carried out with the help of probiotics and prebiotics:

Appendicitis

It is an inflammation of the process of the caecum. Pain is localized in the right iliac region, but first a person feels pain in the epigastric region, which gradually shifts.

Symptoms

Other symptoms of inflammation of the appendix are:

1. Vomiting.
2. Chills.
3. Defecation disorders.
4. High body temperature.

At the first sign of appendicitis, seek medical attention qualified help. Otherwise, the walls of the appendix may burst, and its contents will be released into the abdominal cavity, causing serious inflammation and peritonitis - this is a direct threat to human life.

Important! Appendicitis can only be treated with surgery.

Treatment

There are several methods for removing the appendix. In case of complications, the operation is the removal of the appendix through an incision. More modern type treatment is laparoscopic surgery. It is performed using special optical equipment and small punctures in the abdominal cavity through which instruments are inserted.

intestinal colic

The pain comes on suddenly and is caused by intestinal spasms. It has an acute character and is accompanied by stool disorder, nausea, flatulence, mucus secretion from anus. Intestinal colic may occur after stressful situations and nervous shocks.

Provoke pathology can:

1. Ulcers.
2. Gastritis.
3. Pathology of the gallbladder and liver.
4. Failure of the pancreas.

Sometimes acute pain occurs after taking too cold or hot food, food poisoning and intestinal infections. Lead to spasms of the intestine can helminthic invasion, viral and infectious diseases of the body.

Treatment of the disease is reduced to the elimination of the cause that caused the pathology. To do this, you need to visit a specialist who, depending on the symptoms, will prescribe the necessary types of tests and studies. During acute pain before the arrival of the ambulance, you can alleviate the condition with the help of No-shpy or Smekty.

Important! If colic occurs after a nervous shock, sedatives are recommended.

Gastritis

Pain appears both in the stomach and in the location of the intestine. Other symptoms:

1. Nausea and vomiting.
2. Paleness of the skin.
3. Heaviness and pain in the stomach.
4. Chair disorder.

Treatment of gastritis takes about 2 weeks and depends on the type of stomach acidity. For removal pain syndrome painkillers may be prescribed. It is very important to follow the diet during the entire course of treatment.

Diseases of the pelvic organs

When pathogenic microorganisms enter the body sexually, inflammatory processes of the reproductive organs occur. They can cause sharp and pulling pains in the lower abdomen. Pain can be localized on the right or left side, depending on the organs affected by the infection. Occurs when:

1. Chlamydia.
2. Gonorrhea.
3. Trichomoniasis.
4. Mycoplasma.

Some sexually transmitted infections may be asymptomatic and manifest only with pain, but in most cases there are:

1. Nonspecific discharge from the vagina or urethra.
2. Itching and burning of the genitals.
3. Frequent urge to urinate.
4. Bad smell from the genitals.

Treatment is carried out only after passing the tests and identifying the microorganisms that caused the disease. In most cases, antibacterial drugs are prescribed, the course of treatment of which is about 14 days:

1. Metronidazole.
2. Trichopolum.
3. Azithromycin.
4. Tetracycline.
5. Ofloxacin.

Poisoning

In case of ingestion of poor-quality food, chemical substances and a large amount of alcohol intoxication occurs. In addition to pain in the intestines, there is a disorder of the stool, general weakness, chills. Treatment consists in taking sorbents that remove toxic substances. In severe poisoning, gastric lavage and antibiotics may be required.

Peritonitis

Peritonitis, or inflammation of the peritoneum, is a serious condition that requires surgery. It develops due to many reasons (common infectious process in the body, tuberculosis as a complication of injuries and operations, etc.). With this disease, there is constant pain, tonic muscle tension abdominal wall, positive symptoms peritoneal irritation.

Peritonitis is complicated by the addition of abdominal sepsis. The patient has pale skin and an exhausted appearance. Body temperature over 38° or below 36°, heart rate 90 or more per minute, respiratory rate over 20 per minute. Intestinal obstruction may develop.

Every hour the condition of a person worsens, and in the absence of medical care, death may occur. Treatment is surgical.

It occurs due to various pathologies that make bowel movement impossible. Mechanical occurs due to blockage of the intestine foreign bodies such as helminths or undigested food. Dynamic obstruction is a consequence of intestinal spasm. In most cases, the cause of obstruction is adhesions, which in turn can provoke intestinal volvulus.

The pain is acute. It can be so strong that the patient is in a state of shock. As the disease progresses, the following symptoms are observed:

1. Bloating.
2. Cardiopalmus.
3. Dry mouth.
4. Violation of bowel emptying.

AT severe cases intestinal obstruction can lead to lethal outcome. Do not use laxatives or self-medicate. It is very important to visit a specialist at the first symptoms of the disease.

Important! Treatment intestinal obstruction held surgically.

Video - Bowel obstruction

Intestinal tumors

Most often, the tumor is in the blind or rectum. Cancer is caused by:

1. Wrong nutrition.
2. Frequent constipation.
3. Colitis.
4. hereditary predisposition.
5. Infectious diseases of the intestine.

Symptoms oncological diseases may not be present at the initial stage. In the future, there is a dull aching pain in the intestines. As the tumor progresses, blood may be seen in the stool. The patient loses weight, the skin becomes pale, there is no appetite. Bowel cancer has similar symptoms with other diseases and in order to make an accurate diagnosis, the doctor gives a referral to:

1. Irrigoscopy.
2. Colonoscopy.
3. Biopsy.
4. Analysis of feces for occult blood.

Cancer is treated with surgery. In addition, it can be assigned radiation therapy. The prognosis of the disease depends on the size of the tumor and its location.

Pain in the intestinal area is one of the signs of a malfunction in the body. In no case should you ignore this symptom or self-medicate. In order to eliminate discomfort, you need to visit qualified specialist, pass the necessary research. Only then can you choose an effective treatment regimen for a particular disease.

Thanks

Thin intestines is a part digestive tract which is located between the stomach and large intestine. The main processes of digestion of food occur in it. The small intestine is divided into the following sections:

• Duodenum- the initial part of the small intestine, which follows immediately after the stomach. This name is due to the fact that its length is approximately twelve finger widths. Anatomically and functionally, it is closely associated with the digestive glands - the pancreas and the liver with the gallbladder.
• Jejunum- this is middle part small intestine, located between the duodenum and ileum. Its name is due to the fact that during autopsies, doctors usually find it empty. Loops of the jejunum are located in the left upper area belly, so pain in the intestines on the left are often associated with the pathology of this particular department.
• Ileum- this Bottom part small intestine, following after the jejunum, and in front of the blind, from which it is separated by the Bauhinian damper (ileocecal valve). The ileum, in comparison with the jejunum, has a thicker wall, a larger diameter, and is richer supplied with blood vessels. It is located in the right lower abdomen, respectively, pain in the intestines on the right can be a manifestation of diseases of the ileum.

Causes of pain in the intestines in pathologies of the small intestine

• enteritis;
• Crohn's disease;
• peptic ulcer of the duodenum;
• intestinal obstruction;
• intestinal dyskinesia;
• intestinal diverticula, or volvulus;
• intestinal dysbacteriosis;
• malabsorption syndrome;
• maldigestion syndrome;
• celiac disease;
• ischemia and infarction of the intestine;
• tumors of the small intestine.

Pain in the intestines with enteritis

Sharp pains in the intestines with acute enteritis

• sudden sharp pains;
• pain on palpation epigastric region;
• often vomiting and diarrhea;
• in severe cases, symptoms of general intoxication of the body are observed, cardiovascular disorders and dehydration.

In chronic duodenitis, patients complain of:

• constant unsharp pain in the epigastric region, which is dull, aching in nature;
• rumbling in the intestines;
• feeling of fullness and fullness upper divisions stomach that occurs after eating;
• nausea and sometimes vomiting;
• pain on palpation, which is determined deep in the epigastric region;
• weakness and diarrhea.

Intestinal pain in Crohn's disease

The clinical picture in this pathology is very diverse, and strongly depends on the severity and duration of the course, as well as on the frequency of exacerbations.
"Intestinal symptoms" of Crohn's disease:

• abdominal pain, which often mimics acute appendicitis;
• nausea and vomiting;
• diarrhea, bloating;
• loss of appetite and weight.

• increased fatigue;
• weakness;
• an increase in body temperature, often undulating in nature.

• stomatitis in the oral cavity;
• uveitis, keratitis and conjunctivitis in the organs of vision;
• arthritis and spondylitis in the joints;
• pyoderma gangrenosum, angiitis and nodular erythema on the skin;
• fatty degeneration and cirrhosis of the liver;
• inflammation of the excretory ducts and the formation of stones in the gallbladder;
• pyelonephritis, cystitis, amyloidosis of the kidneys in the urinary system.

Pain in the intestines - a symptom of duodenal ulcer

In case of location ulcer defect in the duodenum, pain in the intestine appears no earlier than one and a half to two hours after eating. In addition, pain attacks in such patients often develop at night. They are called "hunger pains".

Often the development of acute ischemic lesions intestines are preceded by chronic circulatory disorders in the abdominal cavity, which are called abdominal toads, by analogy with angina pectoris with angina pectoris. Just like with angina pectoris, with abdominal toad pain occurs with an increase in functional loads on the digestive system. Patients complain of cramping pains in the intestines after eating, which do not subside for several hours. This pain can cause fear of meals - patients try to eat less, or refuse to eat at all.

At chronic ischemia Intestinal patients complain of cramping abdominal pain, usually occurring half an hour to an hour after eating. The pain is localized in the epigastric region, but can spread throughout the abdomen. Pain sensations decrease, or disappear completely after taking analgesics, antispasmodics, vasodilators. At the onset of the disease, constipation is usually observed due to a decrease in the amount of food taken. Subsequently, constipation is replaced by diarrhea, which is caused by a violation of the absorption of fats.

Pain in bowel cancer and other tumor processes

• increased fatigue;
• weakness;
• loss of appetite;
• general depletion of the body.

The first thing most people think about when they feel unpleasant pain in the right half of the intestine is what it is. This is perhaps the most famous disease among the entire population of all surgical nosology. However, inflammation of the appendix is ​​not the only cause of pain in the right side of the abdomen. Other conditions can also cause them, while not always pathological. Therefore, you should not immediately panic, as well as feverishly think:

the intestine hurts on the right, what to do and how quickly. This does not apply to conditions when the pain is very strong or has become permanent.

The intestine hurts on the right: causes

In the intestine on the right, resulting from a sharp contraction of the intestine and called intestinal colic, may be the result of an inflammatory process (colitis,) or the presence of helminthic invasion. Colic can also be caused by poisoning or banal overeating. Often the cause of intestinal spasms are adhesions between intestinal loops, formed as a result of inflammation or after surgical intervention. In this case, the provoking factor may be nutritional errors (severe, spicy food, alcohol), significant physical activity or sudden changes in body position. short intestinal spasms you can pay for a stressful situation.

If the pains in the intestines on the right are aching in nature, it is possible that gases have simply accumulated in this part of the intestine. However, the reason for such pain it could be like that dangerous state, as intestinal obstruction caused by a tumor, a tangle of helminths, a knot from the intestine itself or as a result of its volvulus. Pains of this nature are aching, long-lasting.

Against the backdrop of constant aching pains in the right side of the intestine may be a sign of intestinal obstruction. In this case, colic is caused by increased contraction of the muscle fibers of the intestine above the blockage.

Dull pain in the right iliac region may signal inflammation of the caecum. It can be replaced by intestinal colic and manifest itself 5-6 hours after eating. A spasm or increased pain can be provoked by prolonged standing or physical activity. In this case, the pain is often accompanied by a feeling of fullness in the abdomen, rumbling, nausea and flatulence.

sign acute appendicitis is pain in the intestines on the right in the lower abdomen. It can occur in the navel and move down and to the right, it can give to the leg. In addition, the disease can be manifested by symptoms such as nausea, fever.

The intestine hurts on the right: what to do

When intestinal colic lie down, take a comfortable position. Eating, heating pads and cold on the stomach are excluded. You can alleviate the condition by taking an antispasmodic. If within an hour the pain has not gone away, you can’t do without an ambulance.

In any case, to answer the question as accurately as possible: the intestine hurts on the right, what to do, only a doctor can do it for you. He will also prescribe the correct and appropriate treatment for you. Recall that the reason for the urgent appeal for medical care are sharp, severe pain in the intestines, vomiting, high fever, as well as prolonged, not passing pain.

Pain in the intestines on the right side are an important diagnostic symptom. As a rule, abdominal pain is associated with a violation of the work of one or another department. digestive system. And if you are worried about constant discomfort in the same place, this is already a reason to contact a specialist. It is almost impossible to determine the cause of pain on your own.

Pain in the intestines on the right side can indicate completely different diseases:

You can see that there are actually a lot of reasons. That is why it is worth seeking help from a specialist. Only after complete diagnosis doctor can put correct diagnosis and prescribe treatment.

Pain in right side, lower abdomen

• Pain in the right hypochondrium
• Pain in the right side during pregnancy
• Pain in the right side from behind, from the back

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

Causes of pain in the right side, lower abdomen

Despite the obviousness of sensations, this is a difficult problem of diagnosis, acute and chronic pain pelvic area.

It is manifested by unpleasant sensations in the lower abdomen, including the right side of the body, can be combined with pain in the projections of the body located in:

suprapubic, inguinal zone;

Pain in the intestines on the right side

Side pain is often a symptom certain diseases and if discomfort in a particular place can be traced for a long time, then you should seek help from a specialist and in no case self-medicate. Such pains can be symptoms of serious infectious diseases that require not only immediate treatment but also hospitalizations. Pain can be felt in both sides, but if it is the right side, then most often we refer to diseases of the intestines.

Pain in the intestines on the right side may indicate the development ulcerative colitis, ileitis, Crohn's disease and even helminthic infections. With these diseases, the intestinal walls become inflamed, scars form on them, which thicken over time and cause painful passage of food through the intestines.

Ulcerative colitis is the most common disease among people mainly young age and those living in urban areas. The most common causes of this serious disease are unhealthy diet and adverse factors environment, lowered immune system, less often heredity.

Crohn's disease is an inflammatory disease of the gastrointestinal tract in its various places of localization. Ileitis is often referred to as a peculiar variety of Crohn's disease, which is an inflammation of a certain part of the intestine.

Ulcerative colitis and Crohn's disease are common symptoms, which can be expressed in both diseases. it chronic diarrhea, which occurs as a result of a violation of the absorption function of the intestine, pain and spasms in the intestine, blood in the stool as a result of bleeding of intestinal cells, decreased appetite and, as a result, weight loss, which also indicates a violation in the intestine and its inability to absorb nutrients from food, fever, as a clear symptom of ongoing inflammatory diseases in the human body.

There are no specific drugs for the treatment of these diseases. If the diseases have been confirmed by clinical and laboratory studies, then in each individual case the doctor prescribes a certain treatment, including not only the use of anti-inflammatory drugs, suppressors immune system, antibiotics, antidiarrheal and pain medications, vitamins and iron preparations, but also lifestyle changes, especially diet. If a person feels pain in the intestines on the right side, then most often he is prescribed a special type of diet, which excludes the use of certain foods and involves, first of all, healthy, good nutrition, very often only boiled dishes and rubbed into a pulp.

Worm infections are determined only after laboratory research, are treated with the use of certain anthelmintic drugs prescribed by the doctor, and further personal hygiene.

Pain in the right lower abdomen

to the doctor! it's better to make sure you don't have appendicitis there than to get peritonitis!

Alexander Naprashny Student (152) 1 year ago

Maybe it's just gases.

Paranoia Syndrome Master (1434) 1 year ago

With pain on the right side of the abdomen without making an appropriate diagnosis, in no case should you self-medicate. It is strictly forbidden to apply a heating pad with ice or hot water to the sore spot.

In case of pain, you can take an anesthetic drug. It can be drotaverine or no-shpa. In the presence of an ongoing severe pain best to call ambulance and see a surgeon. And it's just general recommendations in the presence of pain in the right side of the abdomen. Considering specific diseases, you can understand where this pain arises, and answer the question: “So for what reasons does the stomach hurt on the right”?

To answer this question, it is necessary, first of all, to figure out what organs a person has on the right side of the abdomen. Of course, this is the liver, pancreas, part of the intestine and genitourinary system, gallbladder and right part diaphragm. Abdominal pain on the right, can occur both with a disease and injury of the listed organs. So, consider the most common causes of these pains.

Pain in the right lower abdomen - this is the appendix

The stomach hurts on the right. If the pain sensations on the right side of the abdomen, in its lower part, continue for 12 hours and do not subside, and you can point the place of pain with one finger, then most likely these are signs of appendicitis. Similar symptoms can also appear in the navel, which also indicates the presence of appendicitis. In such cases, it is necessary to consult a surgeon as soon as possible. Once the diagnosis is confirmed, surgery will be required.

Drawing pains in the right lower abdomen - this is an "acute abdomen"

The term " acute abdomen» unites many painful conditions arising from acute pancreatitis(inflammation of the pancreas). peritonitis of various genesis. It is in these states that a person is observed drawing pains right lower abdomen. Characteristic symptoms- high temperature, sharp pulling pain all over the lower abdomen (closer to right side). severe attacks vomiting, general bad feeling. On palpation, muscle tension in the region of the anterior wall of the peritoneum is traced. In this situation, emergency hospitalization in a surgical hospital is required. You need to know that before the arrival of an ambulance, a sick person should not take painkillers in order to avoid making an incorrect diagnosis.

Aching pain in the lower abdomen on the right

The cause of aching pain in the lower abdomen on the right in men can be

bowel related problems. It often manifests itself in this way chronic prostatitis. Necessary comprehensive examination at a gastroenterologist and a visit to an appointment with a urologist.

Aching pains in the lower abdomen on the right in women, as a rule, are associated with the presence of diseases of the urinary-genital system. The pain is often accompanied by increased fatigue, general weakness and secretions from the genitals.

Sasha Lektor Sage (11113) 1 year ago

Drawing pains and distension in the right side of the abdomen

Posts: 1

Registration: 26.8.2011

User #: 18889

Hello, I came to this forum for advice.

I am 26 years old and generally healthy. It's been three weeks now severe discomfort(I won’t call pain, rather unpleasant sensations different kind) on the right side, from the ribs to the groin. I went to the doctor, they said that it was just bloating and prescribed an anti-spasmodic. Does not help. They did an echo - everything is normal. But everything goes on, my strength is gone. I live in France, here, as long as you can crawl and do not scream from pain, they don’t look for the cause, but treat the symptoms by poking.

I will try to describe as accurately as possible.

A year ago, I already had something similar - a feeling of discomfort, as if something was superfluous, begins with mild pain in the liver + pulsation there, then goes down, pulls and ache on the right side, the stomach is slightly swollen to the right of the navel.

A year ago, an ultrasound and a scanner were made,

Ruled out appendicitis

Found a stone in right kidney, 3mm like

Found a functional cyst of the right ovary

They decided that it was a cyst or another pebble that had already come out. It went away by itself in a couple of weeks, the year did not bother.

Now I have the same symptoms for three weeks (strange sensations all over my right side):

It started again from the liver area, at first the lower ribs on the right and under the right shoulder blade hurt terribly, then it also began to hurt in the liver area (?), Just below the ribs, a little to the right of the sternum

After 3-4 days, everything moved lower, my stomach began to swell to the right of the navel, then for a couple of days I felt quite sick in the morning after morning coffee and after eating, then I went to the doctor

The doctor did not feel anything, but I still asked for an ultrasound to rule out or confirm a cyst. Ultrasound showed nothing abnormal internal organs normal, no cysts

After the weekend, spent mainly in the supine position, it became easier, I was delighted, worked, went in for sports

And now again - a constant bulge to the right of the navel, something is constantly gurgling there, pulling sensations down.

When walking, it seems as if there is something superfluous on the right side just below the ribs (above the navel), as if a melon was thrust into me and it dangles there. I sit with difficulty, the melon already interferes with breathing + the stomach swells even more. I can’t run, the “melon” interferes.

I also found that when I tighten the press, only the left half appears, the right (= problem side) does not tense, it turns out asymmetrically.

Here, I even took a photo. On the left in the photo is mine. left-hand side, which strains normally; the right side remains in a relaxed position. Isn't that okay?#33;

Periodically - pulling pains in the very bottom of the abdomen, below the navel to the groin. Not strong. Almost constantly - what I call discomfort, such mild pain, sort of like with PMS (I don’t know how to describe it more precisely), but on one, right, side. For men - smile.gif - as if slightly twisting the stomach. And a feeling of cold on the right below. The cold is constant. He was there a year ago.

What could it even be? There is no temperature and there was not, sharp pains too. There is swelling to the right of the navel and something that “dangles” inside when moving, plus discomfort.

Tomorrow again to the doctor, I'm not sure that my symptoms will impress him. smile.gif And I stop liking it all.

I will be grateful for the competent opinions.

Sources: skoraya-03.ru, www.ayzdorov.ru, medinote.ru, otvet.mail.ru, medcanal.ru

The human gastrointestinal tract, part of which is represented by the large intestine, is distinguished by a variety of departments and features of their functioning. At the same time, it is the digestive system, due to regular contact with various stimuli, is most susceptible to the development of various pathologies. However, it is quite difficult to establish what exactly caused the malaise. To identify dysfunction in each section of the intestine, a certain research methodology is used. This significantly reduces the effectiveness of diagnosing digestive disorders. Often, patients also do not pay attention to discomfort in the abdominal cavity, which leads to late detection of intestinal diseases. To avoid the development of complications, you should seek medical help when the first symptoms of the pathology appear.

The large intestine is large hollow organ digestive tract. It performs many important functions, while constantly in contact with food masses. As a result, the colon is constantly exposed to various harmful factors that can cause a deterioration in its functioning. Diseases of this department of the digestive system, according to medical statistics, are the most common today.

The large intestine is the last section of the gastrointestinal tract. The length of this section is from 1.1 to 2-2.7 meters, and the diameter reaches 5-6 cm. It is much wider than the small intestine, about 2.5 times. The lumen of the large intestine narrows closer to the exit from the rectum, which ends with a sphincter, allowing for normal voluntary defecation.

Features of the structure of the walls of the large intestine

The walls of the large intestine are made up of four layers:

• mucous;
• submucosal;
• muscular;
• seroses.

All these sections of the intestinal wall provide normal operation organ and its peristalsis. Normally, the large intestine produces enough a large number of mucus that promotes the movement of chyme through the digestive tract.

Attention! Chyme is a lump formed by food masses, desquamated epithelial cells, acids and enzymes. Chyme is formed in the stomach, changing its consistency as it moves through the gastrointestinal tract.

Bowel functions

The large intestine ensures the completion of the movement of chyme through the digestive tract. It communicates with the external environment, which determines the specifics of its functions:

1. excretory. The main function of the large intestine. It is aimed at removing various pathogens and unprocessed substances from the body. This process should occur regularly and not have failures, otherwise, due to the abundance of toxins in the digestive tract, poisoning of the body develops. It is in the large intestine that the stool is finally formed, which is then excreted from the rectum. Excretory function stimulates next move food. After a person eats food, his brain receives a signal that increases intestinal motility and accelerates the movement of chyme towards the anus.

1. digestive. Most of nutrients absorbed in the small intestine, however, some of the components of the chyme enter the body from the large intestine: salts, amino acids, fatty acid, monosaccharides, etc.
2. Protective. The large intestine contains about three kilograms of beneficial microflora, which not only ensures normal digestion, but also contributes to the functioning of the immune system. Bacterial imbalance leads to a decrease in protective function organism, increased susceptibility infectious diseases etc.
3. Suction. Exactly at this department of the digestive system, the main part of the liquid is removed from the feces - more than 50%, which prevents dehydration of the body. Due to this, feces acquire a characteristic texture and shape.

The large intestine has general functions, while each of its departments also performs its own tasks, due to the peculiarities of physiology.

Sections of the large intestine

The large intestine has a rather complex structure and consists of several sections:

• the caecum, which has an appendage - the appendix;
• colon: ascending colon, transverse part colon, descending colon, sigmoid colon;
• rectum.

Attention! The lumen of all sections of the large intestine contains a large number of various microorganisms. They form normal microflora intestines. Bacteria break down various components of chyme and provide the production of vitamins and enzymes. The optimal functioning of all parts of the intestine is the key to proper digestion.

Cecum

The large intestine begins with a blind section, which is localized in the right iliac region. Its shape resembles a bag delimited by two sphincters: the ileocecal valve separates the small intestine, and the Gerlach valve prevents digestion from entering the appendix.

Attention! The appendix is ​​an appendage of the caecum. Its diameter does not exceed 0.6 cm, and the length varies from 2.7 to 12-13 cm.

It is the caecum that is the site of development most various diseases of the large intestine. This is due to both morphological and physiological features of this department. Pain in diseases of the caecum is localized in the right paraumbilical region or above the ilium.

Colon

The main part of the large intestine is represented by the colon. Its length reaches 1.7 meters, and its diameter is about 5-7 cm. The colon is separated from the blind fragment of the intestine by the Busi valve.

The colon is divided into four sections:

• ascending colon;
• transverse;
• descending;
• sigma.

The ascending section is not involved in the main process of digestion of food, however, it provides absorption of fluid from the chyme. It is in this fragment of the digestive tract that up to 30-50% of water is removed from the feces. ascending colon is a continuation of the blind, while its length varies from 11 to 20 cm. This area is located at rear wall abdominal cavity on the right. If any pathology affects the ascending intestine, then the pain syndrome is localized in the area from ilium to the hypochondrium.

The ascending section passes into the transverse, starting in the hypochondrium on the right. The length of this fragment can be from 40 to 50 cm. transverse colon the absorption of fluid from the chyme also occurs, as well as the production of the enzyme necessary for the formation of fecal masses. In addition, it is in this department that pathogenic microorganisms. With the defeat of the transverse section, discomfort occurs in the area 2-4 cm above the navel.

The descending colon has a length of about 20 cm and is located downward from the left hypochondrium. This section of the intestine is involved in the breakdown of fiber and contributes to the further formation of feces. In the left iliac fossa, the descending section passes into the sigmoid. Sigma has a length of up to 55 cm. Due to the peculiarities of the topography of pain in the course of various pathologies this body can be localized both in the abdomen on the left, and radiate to the lower back or sacrum.

Rectum

The rectum is the terminal, that is, the final, section of both the large intestine and the entire digestive tract. This part of the digestive tract is distinguished by the specific structure and functioning.

The rectum is located in the pelvic cavity. Its length does not exceed 15-16 cm, and the distal end ends with a sphincter that communicates with the external environment.

Attention! In this section of the intestine, the final formation and accumulation of feces occurs immediately before defecation. Due to the peculiarities of physiology, it is the rectum that is most susceptible to various mechanical damage: scratches, cracks, irritation.

Pain in violation of the rectum is localized in the perineum and anus, can radiate to the pubic area and genitals.

Video - Three tests for bowel disease

Pain syndrome in the lesion of the large intestine

Many different diseases can provoke pain in the large intestine. A number of factors lead to the development of such violations:

• sedentary lifestyle;
• violation eating behavior, including frequent overeating or following a strict diet;
• abuse of spicy, fatty, smoked foods;
• disruption of the digestive system in patients due to advanced or senile age;
• chronic constipation;
• hypotension, accompanied by impaired peristalsis;
• constant use of pharmacological drugs.

These factors can cause disturbances in the work of both the entire digestive tract and the large intestine separately. At the same time, it is usually quite difficult to establish the cause of the appearance of a pain syndrome, and it is almost impossible on your own. In general, dysfunctions of the digestive system can be divided into two main groups:

• inflammatory nature: colitis, diverticulitis, Crohn's disease, etc.;
• non-inflammatory disorders: atonic constipation, tumor processes, endometriosis, etc.

Colon diseases can significantly impair a patient's quality of life. In order to prevent the development of complications, it is necessary to pay attention in a timely manner to the appearance warning signs pathology.

Ulcerative colitis is an inflammatory disease of the large intestine. The disease has a chronic course and differs quite frequent relapses. To date, it has not been possible to accurately determine the cause of the development of pathology, but it is classified as a disorder of autoimmune origin.

Attention! Colitis occurs most frequently in people of two age groups: patients 25-45 years old and patients over 55-60 years old.

• acute colitis;
• chronic with periodic exacerbations;
• chronic continuous, in which remission is not observed for 6 months or more.

The clinical picture of ulcerative colitis is generally synonymous with other diseases of the large intestine and is manifested by the following symptoms:

1. Intense, long-lasting pain in the abdomen. Their localization largely depends on which part of the colon was affected by the pathological process.
2. Diarrhea or constipation. In this case, bloody inclusions may be noted in the feces.
3. Signs of intoxication of the body: nausea, cephalgia, dizziness, drowsiness and lethargy.

Attention! Lack of therapy for colitis can lead to perforation of the intestinal wall and, as a result, massive intestinal bleeding. Similar state dangerous to the life of the patient.

Colitis therapy should be carried out in a complex manner, taking into account the severity and form of the disease. With a radical lesion of the intestine, the patient is hospitalized.

Therapy for ulcerative colitis

Name of the drug	Image	pharmachologic effect
		Anti-inflammatory and antimicrobial agent
		Anti-inflammatory and cytoprotective action
		Anti-inflammatory, immunosuppressive effect
		Immunosuppressive agent

Crohn's disease

Crohn's disease is also an inflammatory disease. Pathology is manifested by the development of granulomatosis.

Attention! Granulomatosis - the formation of granulomas, that is, nodular neoplasms. Such growths can occur on the skin, mucous membranes, vascular walls etc.

Unlike nonspecific colitis, Crohn's disease can affect not only the walls of the large intestine, but also the tissues of the small intestine, stomach and esophagus. Depending on the severity of the pathological process, the number of foci of inflammation varies from one to several dozen.

Modern medicine has not yet established the cause of development this disease. It has been determined that drugs with antibiotic action have positive effect, so it is assumed bacterial origin pathology.

Allocate acute and recurrent forms of the disease. The chronic course is observed only in patients with impaired functioning of the immune system or severe dysfunction of the digestive tract.

The disease is manifested by a variety of symptoms:

• intense sharp or cutting pain, localized in the area of ​​​​inflammation;
• the appearance of rashes on the skin;
• rapid weight loss of the patient;
• bloating;
• violation of the chair;
• pain during bowel movements, the appearance of fistulas around the anus.

Patients with Crohn's disease are advised to follow a diet with high content proteins and the exclusion of milk and dairy products. Besides, obligatory part therapy is drug treatment.

Therapy for Crohn's disease

Name of the drug	Image	pharmachologic effect
		Anti-inflammatory, antibacterial effect
		Decongestant, antihistamine action - corticosteroid
		Immunosuppressive drug
		Antidiarrheal agent
		Pain relief effect

diverticular disease

Diverticular disease is manifested by two characteristic conditions:

• diverticulosis is a pathological process in which numerous small protrusions form on the walls of the large intestine, which are called diverticula;
• diverticulitis - inflammation of diverticula as a result of infection.

A similar pathology occurs as a result of excessive pressure on the intestinal wall of its contents. Due to the weakness of the intestinal tissues, sagging and protrusions are formed, which may not cause any inconvenience to the patient for a long period of time. Main clinical symptoms develops only in case of infection of the diverticulum.

Attention! The main cause of diverticular disease is constipation. Constipation leads to permanent excessive load on the colon. It was revealed that the vast majority of patients suffering from diverticulosis consume insufficient amounts of vegetable fiber and suffer from regular stool disorders.

Diverticulitis is manifested by the following symptoms:

• intense pain;
• nausea;
• persistent violations of defecation;
• bad breath;
• feces with undigested food.

It is worth noting the specificity of the pain syndrome in diverticulitis:

• pain syndrome is localized in the lower third of the abdomen on the left;
• pain can persist for 4-7 days or more;
• on palpation, the pain increases sharply.

Drug treatment of diverticulitis includes several groups of drugs for complex impact to the pathological process.

Therapy for diverticular disease

Name of the drug	Image	pharmachologic effect
		Antibacterial action
		Prebiotic with laxative effect
		Stimulation of gastrointestinal motility
		Antispasmodic effect
		Analgesic action

With no effect from conservative therapy the patient needs surgery.

Malignant neoplasms

Neoplasms of the large intestine can be both malignant and benign. At the same time, the first group of tumors is characterized by slow growth and does not cause a pronounced deterioration in the quality of life of the patient.

Carcinomas develop more aggressively, resulting in a characteristic clinical picture cancer disease:

• bouts of vomiting, admixture of feces in vomit;
• loss of appetite leading to cachexia;
• lethargy, drowsiness, weakness;
• subfebrile fever;
• stool disorders;
• melena - black feces with an admixture of blood;
• cutting and tearing pains in the area of ​​tumor formation.

The thick gastrointestinal tract is an important part of the digestive system. Pain in this part of the gastrointestinal tract may indicate the development serious pathologies and require urgent consultation with a specialist.