Pain in right colon. Pain in the intestines on the right side. What diseases are indicated by painful symptoms in the right side of the abdomen? Features of the structure of the walls of the large intestine

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Questions and answers on: pain in the intestines on the right lower abdomen

2013-11-23 12:34:22

Olga asks:

Hello, Doctor. Please help me understand my situation. I am 31 years old. Height is 152 cm, weight is 46 kg. In January 2011, I had to soar legs with a child in hot water with mustard. At night, the stomach ached a lot, there was a chill. Within an hour, the pain subsided and was localized on the right lower abdomen at one point. In the morning, the pain became barely noticeable. The next menstruation began with a delay, therefore, at the end of them, she immediately turned to a gynecologist. The doctor at the examination claimed that the problem was in the intestines, an ultrasound was not prescribed. The temperature was 37.2. The blood test was within normal limits. The surgeon ruled out appendicitis. The next day, she underwent an ultrasound of the pelvic organs on her own. Diagnosis: right-sided inflammation of the ovary. It was enlarged to 5.5 cm. Has passed or has taken place course of treatment though all smears were pure or clean. Pain and fever persisted for another 2 weeks. The course of treatment was extended. For insurance, I turned to another clinic, where, after an ultrasound, they told me that I had a serious ovarian tumor, they scared me to death. But the diagnosis was not confirmed, it turned out to be a cyst of the corpus luteum. She gave blood for CA125. Everything is normal. After this shock, the temperature rose to 37.2 again and lasted for 4 months. After treatment, hormonal OK was prescribed for 3 months. The pain gradually subsided. Since then, after any nervous stress, the temperature rises. I go to an ultrasound and a gynecologist's appointment every 1.5-2 months. Diagnosis: chronic (previously I already had inflammation of the right ovary several times) oophoritis in remission. Adhesions between the ovary, intestines and uterus. I am periodically disturbed by pains in my right side, quite strong, sometimes pulling, sometimes spastic, baking .... Several times during an ultrasound scan, gynecologists said that the intestines were very swollen. Did an ultrasound abdominal cavity 2 times with an interval of 6 months, the gastroenterologist puts IBS, strong emotional stress, abdominal pain on the right. I don’t remember constipation and diarrhea for the last 5 years in general. A chair a normal morning daily. I am very worried about these pains, I did an MRI of the lumbosacral region. There are Schmorl's nodes, no hernias. The kidneys are normal, not omitted. The pain is aggravated in cold weather and in a sitting position. During these 2 years I visited the surgeon several times. The appendicitis was rejected. I took a blood test every 2 months, everything is also normal. Donated blood to the liver panel - everything is fine too. The gastroenterologist took me to a psychologist, she said she could not suspect any problems, except for a spasmodic intestine. Then she sent me home ..... and the pain again arises and very much! torments me. Please, tell me how should I be???

Responsible Vasquez Estuardo Eduardovich:

Good afternoon, Olga!
Such chronic problems unfortunately tend to give exacerbations of the most unpredictable nature. As already aggravated chronic process, then stabilization can take several months.
In our opinion we are talking first of all about chronic bilateral adnexitis, probably complicated from time to time spastic colitis(which is why gas sometimes builds up).
Periodic planned consultations with a gynecologist are needed, and if necessary, you will be assigned examinations and additional specialized consultations, which have been done to a satisfactory extent so far.

2013-03-25 10:39:58

Lily asks:

Hello, my problems started in November 2012, pain in the right lower abdomen (appendicitis was removed in 2011, and the right ovary was removed in 2010), a hernia was not found, the gynecologist also prescribed nothing but adhesions and prescribed Unidoxsolutab and fibronase. It was hard to go to the toilet with hard sheep feces, I started to exclude products one by one and ate almost very little, lost 10 kg in 4 months, in January she had a sigmoidoscopy - no pathologies, irrigoscopy - dolichosigma colonoptosis, dyskinesia of the large intestine, feces for the eggworm negative, for the presence of blood negative, ultrasound internal organs normal except for biliary dyskinesia, ultrasound of the thyroid gland diffuse colloid goiter 0 degree euthyroidism. fibrogastroscopy - gastropathy with focal hyperemia, bulbopathy with focal hyperemia HB (-) on this moment I have a lump in my throat, especially on the left and it is uncomfortable to swallow, a burning sensation in the stomach and a little lower. stool daily but in the form of ribbons and unformed and often a feeling that you want to go to the toilet and there is nothing often flatulence rumbling but the gases go away with difficulty, if I drink normase 25 ml, then after rumbling and flatulence, the gases begin to go away easily and with a smell, and now there is no smell, now I try to eat everything except spicy and fried, but there is no appetite and sometimes there is a burp in the throat, the gastroenterologist naz ezolong20 misid trimspa wobenzim, I am at a loss I don’t know what to do next, a colonoscopy is prescribed, but can it be carried out with intestinal pubescence all blood tests in normal, only hemoglobin 109 after my 3-month diet (I drank only herbs and honey and a little porridge on the water) and that this is pubescence of the intestine, disability, but 3 days later quiet pains appeared where the appendix was operated on, thanks to me 50 years old height 158 ​​weight now 52 kg

Responsible Lukashevich Ilona Viktorovna:

Dear Lilia, you can do a colonoscopy with an elongated and drooping colon, you need to exclude a tumor of the colon. Further, it is desirable to carry out a passage of barium through the large intestine and find out at what level and how long the contrast in the intestine lingers, it is also desirable to conduct functional tests rectum and only after that it will be possible to say which diet is right for you, whether rectal stimulation or other medical measures. Better explore in public clinics or institutions. For Russia, this is the Institute of Proctology, Moscow, st. Salama Adil 2; in Ukraine - this is the Ukrainian coloproctological center, Kyiv, b-r Shevchenko 17.

2010-05-17 22:25:17

Light asks:

Which specialist should I contact? Aching pains in the right lower abdomen with food intake are not associated with a stool once a day or every two days, did a colonoscopy, they barely went to the hepatic angle, which they looked at - catarrhal colitis, chronic hemorrhoids. On palpation of the caecum, there is a sloshing sound when pressed. Seven years ago, she went to the emergency room with suspected appendicitis, the surgeon said that the intestines or gynecology. Analysis blood is the norm, blood biochemistry - norm, urinalysis - for culture - str. faecolis 3 * 10 in the 3 degree, citrobacter freundii less than 10 in the 3 degree, leukocytes are normal. Ultrasound of gynecology-cyst on the right (7 years already), ovl. nabt. in sowing gynaecs. smear-str.ovalae 5 * 10 in the 4th degree, lactobacillus acidophilus less than 10 in the 3rd degree. The norms in the forms are not indicated. The cytology is normal. cholecystitis, hron. pyelonephritis, nephroptosis on the right, cyst on the right. FGDS - erosive gastritis, catarrhal duodenitis. Blood on helicobacter is normal. I beg you to give good advice or advice.

Responsible Tkachenko Fedot Gennadievich:

Hello Svetlana. In this situation, you need to consult a proctologist with an adequate proctological examination.
I would recommend doing the following:
1) fibrocolonoscopy - it is necessary to examine the entire large intestine,
it is even possible to perform an examination under general anesthesia for this purpose.
2) irrigography;
3) study of the passage of barium sulfate through the alimentary canal;
4) CT scan of the abdominal cavity and small pelvis.
5) consultation of a gynecologist and a gastroenterologist.
6) If necessary, it is possible to perform a diagnostic laparoscopy.

2016-05-26 12:41:18

Victoria asks:

Hello! I am 24 years old. Weight 47 kg. for 4 years none of the doctors can help me.
07/17/2012 - gave birth to a boy 2950kg, labor with stimulation, several breaks.
After giving birth, she could not walk and stand for a long time, for a maximum of 10 minutes (there was severe pain in the pelvis). After 2 months, everything went away.
She fed the child for 2 months. Then the milk disappeared. Menstruation began immediately after the cessation of lactation. Regular, like a clock.
Every month in the middle of the cycle I had severe pain on one side of the lower abdomen, the temperature rose, and sometimes there was vomiting. No painkillers helped.
Doctors shrugged and pointed to the intestines.
Soon the doctor ordered tests for hormones. Prolactin turned out to be elevated. I drank dostinex and prolactin decreased. The pain remained. Ultrasound reveals a follicular cyst or a corpus luteum cyst (always from 3-5 cm), when on the right. when on the left. When a cyst forms, the stomach is very disturbing , severe pain on the other side, constipation or diarrhea, frequent urination. I am very thin and associate pain with this. I was prescribed Klaira, cysts periodically appeared on her and resolved with menstruation. But each time it caused a lot of inconvenience in the form of prolonged pain. taking Klaira, I felt the middle of the cycle. I took a break and the doctor prescribed Dufaston, but ovulation was also painful, and sometimes a cyst appeared again. Now I was prescribed Diana 35, everything was Clean before taking the ultrasound. and they didn’t start. And there were also severe pains and daubing in the middle of the cycle. On ultrasound, they again found a cyst of the corpus luteum measuring 3 cm. Now I am worried about the temperature of 37.3 aches in the lower body. Pain in the lower abdomen, especially in the evening. Tell me what could be the reason for constant cysts? Why such painful ovulation? What other examinations do I need to undergo?

Responsible Palyga Igor Evgenievich:

Hello Victoria! What is your height with a weight of 47 kg? Pain in the middle of the cycle is uniquely associated with the passage of ovulation because you are very thin. Have you had your thyroid function checked? Pain is not related to the level of sex hormones. It is also rational to be examined for the presence of endometriosis, which theoretically gives pain, temperature increase, etc. If endometriosis is not detected, then the only option for correction is some weight gain.

2015-04-21 10:55:45

Natalia asks:

Hello! 1 month ago, I started having problems with the intestines, constipation, (I usually go to the toilet every two days, but if I endure it then I have to push), well, I changed my diet, but there were bursting pains in the lower abdomen, either on the left or on the right, rumbling after eating I drank hilak forte and bifidum bacterin, the rumbling disappeared, the stool seemed to recover, but then constipation again, in the morning I feel in the lower abdomen in the middle, but closer to the right side, the seal seems to be stuffed without pain, but then when I get up I go to the toilet, it disappears, the therapist put the diagnosis of IBS and spastic colitis, urine, feces, blood biochemistry is normal, a general blood test showed low hemoglobin 100, but it’s always lower for me, maybe due to the fact that the monthly periods are very plentiful for 5 6 days, I prescribed bifiform and mezim, the pain in my stomach as such did not bother me, I still drink dufalac, it helps, but sometimes I have to push anyway, and there are pains in the anus, but not strong, let alone pain, and after defecation, there remains some kind of discomfort, a feeling of fullness, as if I had a balloon there or didn’t go to the toilet completely, read about it on the internet and read that it could be cancer, these thoughts are now with me all the time, I feel good only in the evening and in the morning when I fall asleep and then thoughts dive into my head and away it already seems that the perineum is pressing, it’s kind of terrible, I also don’t like feces that are not uniform with white streaks and with pieces of undigested food sometimes it happens, I didn’t observe blood and mucus, there is no pain during defecation, there is no temperature, there is no belching of heartburn, there is no nausea, but this feeling of fullness in the anus does not leave me from morning to evening, that’s when I forget about things oh, and I forget that something hurts me, but as soon as it happens right away, what can happen to me?

2014-06-24 20:10:22

Julia asks:

Help, please, to understand. Pain in the lower abdomen, alternately on the right and left, above the pubis in the middle, the pains are arching, sometimes they radiate to the right leg, the feeling of a foreign body is in the area of ​​the rectum and the entire abdomen, as if pressing on the lower abdomen, rumbling in the abdomen, sometimes the pain radiates to back area, to the side, there are pains under the left rib. Sometimes the temperature rises to 37.1. The pain is intermittent and lasts for about a year. The last week the pain has intensified, but there is no fever. Of the examinations carried out - ultrasound of the pelvic organs - no pathologies, no echostructural changes were detected, ultrasound of the kidneys and bladder - single microliths of both kidneys, the last ultrasound of the gastrointestinal tract showed signs of chronic pancreatopathy, an inflection of the bile duct, there had previously been bile stasis, which was already done by FGDs 6 for last years- usually gastritis, reflux esophagitis, did an MRI of the pelvic organs - no pathologies, changes, did a colonoscopy - the diagnosis was irritable bowel syndrome, according to tests for dysbacteriosis and coprogram, intestinal dysbacteriosis was diagnosed, but it was treated more than once. With the back - MRI screening showed protrusions in the spine, 10 sessions of massage and manual therapy took place, the doctor assures that the stomach should not hurt from the back, there is nothing special. Yesterday I did a general and blood analysis of urine, urine is completely normal, oak - neutrophils are slightly lowered (39.7%, not abs.) and lymphocytes and monocytes are slightly increased (also 44.8% and 11.8, respectively, not absolute values), and erythrocytes are slightly higher than normal - 4.89. Such indicators are not the first time, almost identical, but doctors do not respond to them at all. The rest of the indicators are normal, I did blood biochemistry a month ago - liver, kidney indicators are all normal. Now I take lactovite forte, pangrol with food and drink decitel, because I connected an exacerbation like IBS with an error in the diet - pain began to increase after cherries and peaches, but nothing helps. I am very tired of these pains and the temperature that I feel when it rises. Tell me, what can hurt so much in the lower abdomen? I even woke up at night with pain, what else to examine, where to go?

2013-01-20 18:49:22

Irina asks:

Hello! I would like to know if my symptoms can be associated with mental disorders, since I was already tormented by treatment and examination. a little more than a year ago I found out that I had polyps in my gallbladder, when I came home and read all the information I was just in shock, I couldn’t sleep normally for about a month after that, or rather I didn’t sleep, I was tormented by panic, I had nightmares. A month later, pain in the lower abdomen on the right began. was examined by a gynecologist, like nothing, the treatment helped a little, but the pain appeared again. then I went to gynecology 2 times, they treated inflammatory, but each time nothing helped me, and gynecological tests seemed to be normal, then I did an MRI of the spine, there were hernias, they began to treat them, then I examined the intestines, they found something there , but then it was not confirmed during another examination, but I also treated him for 2 months, I was at a bunch of doctors, gynecologists, no one could help me with anything, they gave me so many diagnoses during this time and so many antibiotic pills, contraceptives were shoved, which is just awful , as a result, I was told to treat my back again, having treated with a bunch of everything, it became a little easier, but the pain resumed again, for this period it became easier for me for a maximum of 1-2 weeks, I was just exhausted. By the way, the pain also reduced right hand and the leg, they are very thrilled, it’s simply impossible, the pain radiates to the groin, coccyx, buttock, always, when the pain resumes, my temperature stays at 37-38, I don’t know what to do. whether my pain can be caused by mental disorders. I also need to do an operation to remove the gallbladder, but because of constant pain, I can’t do it in any way. what would you recommend in my situation? I just can’t get out of the vicious circle of diseases, and I’m only 25 years old, I want to start a family and children, but the world around is not nice

Responsible Tkachenko Fedot Gennadievich:

Hello LM. The pain syndrome described by you can be caused by many reasons. For example, adhesive disease of the abdominal cavity, irritable bowel syndrome, dysbacteriotic changes in the microbial flora of the intestine, Crohn's disease of the small intestine, urolithiasis, pathology of the urinary system, osteochondrosis of the spine, etc. Taking into account the fact that you have already been examined by a proctologist, gastroenterologist and gynecologist and no serious diseases have been identified and pathological changes internal organs of the abdominal cavity, it is most likely that the pain syndrome may be due to adhesive process after a previous appendectomy. But these are just my guesses. To clarify the diagnosis, I would recommend the following examinations:
1) CT with intravenous amplification of the abdominal organs.
2) Fibrocolonoscopy with a mandatory examination of the terminal part of the small intestine.
3) General analysis urine with a consultation with a urologist and determining the need for additional urological studies.
4) Study of the passage of barium sulfate through the small and large intestine.
5) MRI of the spine with a consultation of a neurologist.
6) Capsule endoscopy of the intestine (small intestine) and diagnostic laparoscopy - studies of the reserve, the need for which remains in question.
The results of the studies should be evaluated by the surgeon, proctologist and gastroenterologist. I hope that my recommendations will help you and your attending physicians to understand the current situation. Sincerely, Tkachenko Fedot Gennadievich.

2010-10-19 17:44:12

Svetlana asks:

Please tell me where in Kyiv you can make an x-ray of the intestine for a fee and whether the x-ray will allow you to see cracks, wounds, blood, etc. what happens to the large intestine? ( severe flatulence, intermittent blood, pain in the lower abdomen on the right)

Responsible Lukashevich Ilona Viktorovna:

Dear Svetlana!

Before examining the colon, you need to without fail consult a proctologist, and not engage self-diagnosis. In any study of the colon, there is a certain algorithm that is important to follow.

1. consultation with a proctologist, proctological examination, sigmoidoscopy (endoscopic examination of the rectum and part of the sigmoid colon).
2. General clinical examinations of blood and urine, examination of feces for eggs of worms.
3. Ultrasound of the abdominal organs.
4. Fibrocolonoscopy (endoscopic examination of the entire colon) and (or) irrigoscopy (intestinal X-ray).
Irrigoscopy allows to reveal the pathology of the colon (tumors, narrowings, diverticula, large polyps, inflammatory changes intestines). But the method is less informative than fibrocolonoscopy.

Regarding the release of blood, the source of bleeding can be not only the large intestine, but also the anal canal, but bleeding from the small intestine and upper sections is not excluded gastrointestinal tract.

You need to consult a proctologist who will determine the research program and advise where these studies can be done in a quality and affordable way.

soreness with right side intestines are a sign of a considerable number of diseases. Therefore, if the intensity of this pain has not subsided for an hour, you should call ambulance.

It should be noted that the first thought that visits ordinary person if unpleasant sensations are found in the right side of the intestine, this is appendicitis. But nothing can be done, it is, however, the most recognizable pathology among ordinary inhabitants. But this is not the only possible cause of pain. The intestine hurts on the right and in other circumstances, which, it is important to remember, are not always associated with pathology. That's why it's so important not to panic. Nevertheless, if the pain is very strong or has become permanent, it is not worth ignoring it, it can be very dangerous.

Possible causes of such pain

For relatively innocuous causes pain syndrome covering the intestines on the right, then they can include, for example, ordinary overeating or food poisoning.

Spasms and pain in the intestines are possible due to adhesions of its loops, which were formed after surgery or due to the inflammatory process. Often, the provocative moment in such a pathology is nutritional errors, intense physical overload, or abrupt shifts poses.

In addition, do not forget that a short pain in the intestines can be a retribution for stress. If the intestine hurts on the right, and this is a pain of a aching nature, then it is possible that gases are concentrated in this part of the intestine.

Nevertheless, similar symptoms in the intestine on the right can be caused by such a serious illness as its obstruction, which can be provoked by a neoplasm, a tangle of worms or a bowel knot that has formed during its volvulus. But such pain is much longer and aching in nature.

Other pathologies that can cause pain in the intestines include:

• colitis;
• tumors;
• tuberculosis;
• appendicitis;
• Crohn's disease;
• ischemic colitis;
• intestinal infections;
• nonspecific ulcerative colitis;
• irritable bowel syndrome;
• dyskinesia and diverticulosis of the colon;
• dysbacteriosis, covering the large intestine.

Appendicitis is commonly referred to as inflammation of the appendix. This is perhaps the most common pathology in the intestines to the right of the navel and it needs immediate surgical intervention. It is not uncommon for the initial pain syndrome in the intestines, which signals a pathology, to be mistaken for stomach pain. It should be noted that pain can occur not only in the intestine on the right, but also in the navel area. In addition, it tends to move, for example, pain can go down from the navel and radiate to the leg.

Pain with appendicitis is permanent, but its intensity is moderate. In the process of the development of the disease and the migration of pain from the navel to the area on the right or down the abdomen, it intensifies. Nevertheless, the pain can fade and the reason for this is the death of the nerve cells of the process. But it is worth remembering that usually with appendicitis, the intestines hurt more when changing positions, walking or coughing. In addition, the disease is also accompanied by symptoms such as fever, nausea and even vomiting.

Colitis

Colitis is an inflammation of the colon due to infection. Pain to the right of the navel in the intestines is the main symptom of such an ailment. The disease can affect both the small and large intestines. It is in the latter case that the pain is concentrated on the side (on the right). other symptoms acute colitis are:

• nausea and vomiting;
• elevated temperature;
• flatulence;
• loss of strength and pain in the head and muscles;
• systematic urge to defecate;
• diarrhea (characterized by the application of mucus and blood).

In the acute form of the disease, it lasts for longer than a week. If it is not given due attention, without curing it, then it flows into an ongoing process. With such a course, the intestines do not hurt so much, the symptoms of the disease are not so pronounced, but it has a permanent character.

Separately, it should be said about ischemic colitis, which is an inflammation of the intestine caused by obstruction of the vessels of the zone. Its main symptom is abdominal pain. At first, it has a cramping appearance and makes itself felt either on the right or on the left. As the disease progresses, the pain becomes permanent. This is a very dangerous disease, ignoring the signs of which is fraught with serious complications further.

Crohn's disease

This disease is a chronic form. inflammatory disease intestines that
also accompanied by damage to blood vessels and lymph nodes. Usually all layers of the intestinal tube are affected, and not just its mucosa. A distinctive feature of the disease is the formation of ulcers and scars on the walls of the intestine, as well as damage to other organs and systems outside the intestine. Other signs of the disease are:

• undulating rise in temperature;
• the intestines hurt, as in an acute form of appendicitis;
• loss of appetite and body weight;
• flatulence and diarrhea;
• prostration.

irritable bowel syndrome

IBS is called a functional pathology, in which the intestines permanently hurt in the apparent absence of physiological disorders. The pains are often aching and are usually localized to the right of the navel. In addition, this disease is characterized by such symptoms:

• frequent or, conversely, infrequent bowel movements;
• flatulence;
• failures in the consistency of the stool;
• feeling of incomplete bowel cleansing;
• permanent desire to empty it;
• mucus in stool;
• constant fatigue;
• pain in the muscles and head.

Dysbacteriosis

This is a violation of the quantity and composition of the intestinal microflora. The main signs of this disease include pain in the abdominal area, its "bursting" and diarrhea. Defecation is frequent, and the stool has green tint, liquid consistency and characteristic pungent odor. Moreover, over time, its wateriness begins to predominate. Particularly noticeable in patients with flatulence, with a characteristic rumbling in the abdomen. In addition, there is a noticeable decrease in appetite and severe weakness.

diverticulitis

A diverticulum is a protrusion of the intestinal wall. In its uncomplicated form, the disease
is almost asymptomatic. Vivid manifestations of the symptoms of the disease are noted only with the development of complications, in other words, diverticulitis (inflammation). The symptomatology of the disease is reduced to the fact that the temperature rises, the intestines unbearably hurt to the right of the navel and diarrhea appears (with blood and mucus). A neglected ailment flows into a permanent form, which means that the intestines systematically hurt to the right of the navel.

Tumors

Among these intestinal ailments, the most common are polyps ( benign education) and colon cancer. With such a pathology, the pains are not particularly intense and do not have a clear localization, that is, the pain syndrome can manifest itself on the right, on the left, or in the navel area.

Further, with the development of education, it gets the opportunity to block the lumen of the intestinal tube, which leads to the occurrence of intestinal obstruction. one more hallmark tumor formation are frequent constipation, which is not corrected either by diet or by drug therapy.

Tuberculosis

This is a special group of intestinal lesions that usually affect the caecum. At first, the disease is not accompanied by certain symptoms and is characterized by more common features, such as:

• weakness;
• appetite problems;
• low temperature;
• sweating;
• flatulence;
• nausea;
• heaviness in the abdominal area after eating;
• chair instability;
• not particularly pronounced pain in the intestines.

With the progression of the disease, pain in the intestines becomes an integral part of human life and it is often localized on the right.

When intestinal pain and colic occur, you must immediately lie down and take a comfortable position. Eating, using heating pads and applying ice in this case should be completely excluded. However, if after an hour the pain has not stopped, then, most likely, without an emergency medical care can't get by. Competently answer the question of why there was pain to the right of the intestine, only a specialist can. He is authorized to appoint the necessary.

It is important to remember that there are a number of symptoms that are a signal for an immediate call for an ambulance. Such signs include:

• sharp and very severe pain in the intestines;
• debilitating vomiting;
• incredibly high temperature.

In such cases, one cannot really hope for own forces and delay seeking medical attention.

It is often difficult for a person to determine the source of pain in the intestines. Since there are a large number of organs in the abdomen, there are a lot of options for the appearance of uncomfortable sensations. One of the most common causes of colic in the right side in the intestinal area is deservedly considered inflammation of the mucous membranes in the intestines under the influence of developing infection. Inflammation can occur in the small and large intestines, sigmoid colon and appendix. Painful signs occur in the right and left areas of the abdominal cavity.

Pain in the intestines in the lower abdomen on the right, what to do?

Abdominal pain, which causes various intestinal disorders, affects a large number of people. Many of them mistakenly believe that bowel diseases, like stomach diseases, are associated with food intake. However, only one disease characterizes the deviation of bowel function due to digestive problems - these are inflammatory lesions. transverse colon. A distinctive feature of this disease is the appearance of colic, pain in the lower abdomen in a patient after eating. This is due to the launch of reflex contractions of the intestine after moving from the esophagus to the stomach of the food eaten. Pain in the abdomen on the right continues until the patient has emptied the intestines. This indicator is also found in other diseases, so you do not need to try to find out the causes of the ailment on your own. For an accurate diagnosis, you should go to the hospital.

Intestinal pain in the abdomen is conditionally divided into types - aching, acute, and cramping intestinal colic. Aching pain in the intestinal region is expressed softly, long in time and increases significantly with sudden movements, forceful efforts, coughing and sneezing. Intestinal colic can be recognized by its short duration, they are more like seizures. In its turn, sharp pain in the abdomen in the intestinal region - intense and pronounced, most often occurs in acute appendicitis. Regardless of what type of abdominal pain a person encounters, one should always keep in mind that pain symptoms do not appear just like that, they always indicate any deviations in the work of a well-coordinated system called the human body, and in case of spasms in the intestines - on the inflammation occurring in it.

In view of the easily recognizable indicators of appendicitis, patients often perceive for it any pain on the right side of the intestine. This is the most common disease, so the symptoms characteristic of it often mislead even advanced individuals in terms of anatomy. Unpleasant and pain, pain in the right side can also provoke other inflammatory processes in the intestines that are not pathological. It is premature to exaggerate the significance of such pain. Feeling it, you should, first of all, determine exactly where the epicenter of pain in the abdomen is located and what actions should be taken in this case. An absolute case in which you should not hesitate to go to the hospital is chronic severe pain in the lower abdomen in the intestines. It is also necessary to call an ambulance or a doctor at home if the colic is so severe that it cannot be tolerated. Feeling unwell, if there is severe pain in the abdomen on the right or left, where the intestines are located, do not panic, but seek help from a qualified specialist for diagnosis and receive recommendations for the prevention of such a condition or prescriptions for treatment.

It is always important to remember that if there is acute pain, aching pain, cramping pain in the intestines on the right or left of the abdomen, you should not endure such painful symptoms should seek medical attention as soon as possible.

Pain in the intestines on the right side, causes of pain in the intestines

start intestinal spasms and pain in the abdomen contribute to the adhesions of the loops of the intestines, which appear subsequently surgical operations. Spasms in the right area of ​​the intestine appear even as a result of severe stress and emotional upheaval. It is important to remember that abdominal pain often appears as a result of intestinal colic (with inflammation), but not acute appendicitis. Since the sensations of abdominal pain in the patient in both cases can be very similar to each other, it is better to consult a doctor to identify the cause of the deterioration in well-being.

Why does the intestine hurt on the right, what other reasons could there be?

Aching pain can cause accumulated gases. This is the most innocuous factor influencing the appearance of malaise, which, as a rule, appears much more often than any other. More serious culprits of feeling unwell, when there is pain in the lower abdomen on the right, on the left of the abdomen, of a aching nature, can be considered intestinal obstruction, intestinal volvulus, helminthic tangle or tumor. The first signal of the development of intestinal obstruction is acute colic, acute pain in the lower abdomen, supplemented by recurring aching pain in the right side. The occurrence of colic is due to the frequent intense contraction of the intestinal fibers over the area affected by the blockage.

The inflammatory process in the caecum can be recognized by a dull pain in the abdomen, shifted to the right of the abdomen, to the ileum. The described pain in the lower abdomen often, after a couple of hours after the patient eats, is replaced by colic, severe and unbearable pain in the abdomen may appear. A long stay on the legs and strong physical exertion can serve as a catalyst for pain or an impetus for a new spasm. Nausea with belching, a feeling of fullness, sudden rumbling are added to unpleasant symptoms.

With inflammation of the appendix, the pain is localized in the lower abdomen on the right, in some cases radiating to the leg. In this case, such pain occurs in the abdomen closer to the umbilical region, and moves to the right and down in stages. Secondary signs of appendicitis are nausea and vomiting, rarely - fluctuations in the patient's body temperature. Colic in the right side of the abdomen in the lower abdominal cavity may indicate the occurrence of intestinal obstruction.

Causes of pain in the intestines - enteritis

The inflammatory process in the small intestine is called enteritis. Localization of inflammation makes it possible to divide the malaise into several types. Thus, if the disease occurs in duodenum, it is called duodenitis, skinny - jeunitis, ileum - ileitis. Inflammation of any of the segments of the small intestine proceeds, both generalized and in combination with gastritis or colitis. Sudden spasms indicate an acute course of enteritis. Development acute enteritis occurs on the basis of infectious diseases, allergic reactions, ingestion of toxic substances, etc. The symptoms of enteritis are as follows:

- sudden severe pain

- pain on palpation of the abdomen in the epigastric region;

- vomiting and liquid stool;

- an increase in body temperature.

Especially severe cases are accompanied by signs of general intoxication, dehydration. Some patients suffer from cardiovascular abnormalities. Attacks of pain are pronounced and proceed with high intensity. They are not associated with the time of eating, occurring at any part of the day and regardless of the fullness of the stomach. In this case, enteritis is often provoked severe stress and nervous tension. In acute course, inflammation thin department intestines, which appeared for the first time, ends with self-healing within a week. Recurrence of attacks or untimely initiation of treatment lead to the transformation of the course of the disease into a chronic course. The lack of therapy also naturally ends with complications, including intestinal bleeding, perforation of the intestinal walls and pancreatitis.

Chronic enteritis is accompanied by aching colic. It is provoked by various factors, among which malnutrition, food and chemical poisoning, the consequences of self-treatment are more common than others. medicines. Patients with chronic duodenitis complain of persistent aching or dull pain in the epigastrium. Along with this, there may be rumbling in the abdomen, fullness and fullness in it. upper divisions after a meal, nausea, up to vomiting. The patient's appetite is disturbed, palpation leads to pain emanating from the depth of the epigastric region, weakness and loose stools appear. Due to the deterioration of intestinal absorption of nutrients, it may be subjected to various disorders and manifestations of vitamin deficiency.

Causes of pain in the intestines - Crohn's disease

A particularly severe case of enteritis is Crohn's disease, or chronic inflammation of the digestive system. Pathology can lead to disruption of the entire gastrointestinal tract at once, including the oral cavity and rectum, but in practice it is most often diagnosed in the area ileum. This disease affects not only the mucous membranes, but also the lymph nodes. Under its influence, ulcers and scars form on the walls of the intestine. The clinical picture of Crohn's disease is heterogeneous. The patient's condition directly depends on the frequency of exacerbations, the severity of the pathology, and its duration. On the part of the intestine, the disease manifests itself through painful attacks in the abdomen, often stimulating acute appendicitis, nausea with vomiting, bloating, diarrhea, loss of appetite and weight loss. The body as a whole manifests it through rapid fatigue, a wave-like change in body temperature, and general weakness.

The disease causes inflammation in organs and systems that are not directly related to digestion. Extraintestinal echoes of this pathology are found in the form of stomatitis in the mouth; in the eyes - conjunctivitis, uveitis and keratitis; in articular joints - arthritis and spondelitis; on the skin - angina, nodular erythema or pyoderma gangrenosum. The liver reacts to such influence with lipid degeneration and cirrhosis; gallbladder- inflammation of the bile ducts and the formation of stones; kidneys - pyelonephritis, cystitis, amyloidosis.

Duodenal ulcer and pain in the lower abdomen on the right

Ulcerative processes in the duodenum, as a rule, manifest themselves through pain. Discomfort is observed alternately or simultaneously in the epigastric and epigastric regions of the abdomen. It is noteworthy that about half of the patients suffer from a pain syndrome of low intensity, while about a third of patients suffer from intolerable sharp pain of a stabbing, cramping or sucking nature. If the ulcerative process occurs in the duodenum, soreness in the intestine will begin to appear in the time interval from one and a half to two hours after eating. Often the pain worsens at night, which is why they are called "hungry".

The sensations of the patient after eating sour or spicy foods help to recognize the pain of a duodenal ulcer. long periods between meals, well-being after physical activity or playing sports, drinking alcohol. Exacerbation of the ulcer appears seasonally, especially often it reminds of itself in autumn and spring. An important role in the manifestations and course of the disease is played by the quality and value of food consumed.

Pain attacks are facilitated by the intake of certain foods: roughage plant origin, black bread, canned food, vegetable marinades. If the food is rich in alkaline components and has an enveloping effect, pain can be significantly reduced, and sometimes completely eliminated. Among these dishes: boiled potato puree, liquid cereals cooked in milk, boiled minced meat and fish, soda, some types of mineral water. A dangerous sign ulcer, localized in the duodenum, is a dagger-sharp pain in the epidermis. This can serve as a signal of perforation of the ulcer. It appears unexpectedly, the patient's skin turns pale sharply, sweating increases, which occasionally leads to loss of consciousness. With such an attack, a person needs immediate hospitalization in a hospital.

Pain in the intestines on the right - intestinal obstruction

Intestinal obstruction is a syndrome of complete or fragmentary disturbance of peristalsis, in which passage through it is difficult. food bolus resulting in improper absorption of food. Pathology occurs due to mechanical obstacles to the movement of food or incorrect performance of motor functions by the intestines. If the obstruction is diagnosed in the small intestine, it is called high. A sign of high obstruction, which manifests itself almost immediately after the onset of malaise, is abdominal pain. It appears at any time of the day, is not associated with the use of food and does not depend on any other prerequisites.

Initially, the pain is cramp-like. They are repeated with an interval of 10-15 minutes, the attacks become aggravated in waves, reacting to peristatic contractions of the intestine. When the energy capacity of the muscles dries up, the pain becomes more constant. With the development of the disease, without taking therapeutic measures, acute pain subsides significantly after 2-3 days, since the peristatic activity of the intestinal muscles decreases. When determining the prognosis, such a sign is considered unfavorable. pain symptom in patients with high obstruction, it is complemented by asymmetry and swelling. At the beginning of the disease, multiple stools occur, as they are rapidly released lower divisions intestines behind the obstruction. Many patients experience recurrent vomiting, often preceded by severe nausea. The speed of the appearance of the gag reflex is directly related to the location of the obstacle: the higher it is, the faster the person begins to feel sick. In the initial stages, vomiting occurs reflexively, according to mechanical reasons, later - as a result of poisoning the body with toxins.

Pain in the lower right abdomen in the intestines - irritable bowel syndrome

Irritable bowel syndrome is a functional pathology accompanied by permanent pain in the intestines. Other visible physiological disorders are not detected. The pain is aching, bringing discomfort to the right of the navel. The patient also suffers from unpleasant symptoms: increased stool or long breaks between trips to the toilet, heterogeneous fecal masses and the presence of mucous inclusions in them, increased gas formation, a feeling of incomplete bowel cleansing, the desire to defecate, constant feeling fatigue, headache and muscle weakness.

Diverticulitis, as the cause of pain on the right side of the intestine

Diverticulitis is a protrusion of the intestinal wall. In a mild form, the disease is asymptomatic. In the absence of diagnosis and treatment, the disease manifests itself only after the appearance of a complication - inflammation, or diverticulum. A person has severe colic on the right side of the abdomen, diarrhea with impurities of blood and mucus. An advanced form of malaise translates to his chronic course. After that, pain to the right of the navel accompanies the patient regularly.

Pain treatment, what to do if the intestine hurts on the right lower abdomen?

In case of malaise, clearly defined by the patient as intestinal colic, if there is no significant discomfort and an increase in discomfort when walking or sudden movements, it is allowed to independently take measures to eliminate the spasm. The first thing to do is to take the most comfortable position. To reduce painful symptoms, you can take an antispasmodic. It is strictly forbidden to eat or put on sore spot compresses, both hot and cold. If the pain has been relieved, you can proceed to the next stage of normalization of well-being.

First of all, in the event of the appearance of painful symptoms, an exacerbation of appendicitis should be excluded. This disease develops rapidly and poses a great danger to the health and life of the patient. When identifying its signs, you should immediately call an ambulance or take the patient to a medical facility for examination by a surgeon. Appendicitis is treated exclusively through surgery.

If there is severe pain in the abdomen in the intestinal area on the right and the person does not know what to do, how to treat, how to get rid of such a strong and unbearable pain on the right side of the abdomen, you must definitely seek medical help, because. there is a whole list of diseases that can threaten not only human health, but also, if timely medical care is not provided, lead to lethal outcome. Such dangerous diseases include inflammation of the appendix - appendicitis. Severe pains in the right side from below, especially if their appearance is supplemented by nausea and vomiting, weakness and dizziness, pallor of the skin and fever, require an immediate call for an ambulance. In this case, one should act very quickly, in particular, if the patient's condition deteriorates rapidly, and the pain in the lower abdomen increases.

With the onset of intestinal discomfort, it is not superfluous to ask about when the patient performed the previous act of defecation. With bloating, the best solution would be to take smecta or activated charcoal or its analogues. It is important to remember that the prevention and treatment of many intestinal diseases is a healthy diet and sufficient use clean drinking water (about two liters daily). To stimulate intestinal motility, it is necessary to exercise regularly and devote time to physical activity.

A number of serious intestinal diseases cause helminthic invasions. Therefore, to exclude certain diseases, patients are advised to take a stool test. In addition, intestinal discomfort is caused by dysbacteriosis due to antibiotic treatment. To check and maintain the normal state of the gastrointestinal tract, you can consult with a gastroenterologist. In the event of a disruption in the functioning of the elements of the digestive system, such a consultation, in combination with special procedures, will help to find the cause of the disease and begin to eliminate it.

Pain treatment, what to do if the intestine hurts?

It is important to always remember that discomfort in the intestine is a direct evidence of the course of pathological processes. Before taking any treatment measures, you should make sure that your assumptions about the source of the ailment are correct. The only right solution for this is consultation with qualified specialist and, if necessary, medical examination. The treatment of intestinal disorders has several stages. First of all, etiotherapy is carried out, aimed at eliminating the cause of discomfort. The patient is prescribed a course of antibiotics designed to eliminate intestinal infection; taking probiotics for dysbiosis; immunosuppressive drugs that suppress the immune system, when non-specific ulcerative colitis. If during the examination were diagnosed acute obstruction intestines or appendicitis, the only way out of the situation is surgery.

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 occurs 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.

The gastroenterologist prescribes an endoscopic examination of the stomach and intestines. To determine the exact diagnosis, the following studies can be offered:

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

To exclude the possibility of inflammatory and infectious diseases, reproductive organs are prescribed 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 there is recurrent abdominal pain or discomfort 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 malnutrition, 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. An important distinguishing feature is the absence of pain in IBS 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 may experience headache, trembling, back pain, lumbar region, muscle and joint pain. It is also characterized by sleep disturbance and depression.

Important! With a psychogenic cause of the 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 give up harmful products. Special preparations for the restoration of intestinal microflora must be used throughout the course of treatment.

With 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 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. The pain is localized in the right iliac region, but at first the 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, you need to seek 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 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 eating 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 until the ambulance arrives, 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. Painkillers may be prescribed to relieve pain. It is very important to follow the diet during the entire course of treatment.

Diseases of the pelvic organs

When ingested pathogenic microorganisms 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 number alcohol causes intoxication. 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 serious illness requiring an operation. 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 tension of the muscles of the abdominal wall, positive symptoms of 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.

Occurs due to various pathologies that make bowel movements impossible. Mechanical occurs due to blockage of the intestine by foreign bodies, for example, 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.

In severe cases, intestinal obstruction can be fatal. Do not use laxatives or self-medicate. It is very important to visit a specialist at the first symptoms of the disease.

Important! Treatment for intestinal obstruction 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 first initial stage may be missing. In the future, there is a dull It's a dull pain in the area of ​​the intestine. 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, it is necessary to visit a qualified specialist, undergo necessary research. Only then can you choose an effective treatment regimen for a particular disease.

Colic in the abdomen, if they are located in the lower parts of the abdominal space, may be a sign of intestinal disorders or inflammatory processes in various organs located in the right lower quadrant. These are certain sections of the large and small intestines, as well as the mesentery, which connects the small intestine to the posterior part of the peritoneal space. In women, a similar symptom may indicate sluggish inflammatory processes in the right appendage, which includes the ovary and fallopian tube, located on the right side of the body of the uterus. Sometimes a tingling sensation can be a sign of an obstruction. urinary tract and diseases of the bladder, kidneys and ureters (cystitis, glomerulonephritis).

To determine what exactly caused the pain, you need to contact the local therapist. The doctor will collect a complete medical history, find out the nature of the pain, its localization, intensity, conduct an initial examination, based on the results of which the patient will be assigned a further examination. If the pain is of high intensity and is accompanied by other pathological symptoms (fever, vomiting, spotting), you need to call an ambulance, since such symptoms can occur with inflammation of the appendix, rupture and torsion of the cystic formation of the ovary and other diseases in which the patient urgent surgical care is needed.

Stitching pain, which has a right-sided localization, in women may be associated with inflammation of the right appendage. With this pathology, a woman complains of severe pain on the right side, which appear in the lower back, sacrococcygeal region and lower abdomen. In acute infectious inflammation, the pain syndrome can be so intense that it completely limits the patient's mobility.

Others clinical manifestations salpingoophoritis (as well as its isolated forms - salpingitis and oophoritis), which together allow diagnosing disorders in the functioning of the appendages, are:

• painful sensations of an acute or stabbing nature from the side of the abdominal zone;
• fever (usually within subfebrile condition);
• nausea (very rarely - vomiting);
• weakness;
• severe headaches, similar in intensity to a migraine attack;
• signs of general intoxication (headache, chills).

Treatment of salpingo-oophoritis is carried out in a hospital. A woman is prescribed antibacterial and anti-inflammatory drugs in injectable form, physiotherapy, pain medications. The duration of treatment is usually 7-10 days, but in severe cases, hospitalization can be delayed for up to three weeks.

Hydronephrosis and kidney problems

Painful sensations of a stabbing nature can be a symptom of hydronephrosis - a pathological expansion of the pelvis and calyces of the renal system, which develops against the background of obstruction of the urinary tract and poor blood supply to the organ. With this pathology, patients may complain of unpleasant sensations of a stabbing nature in the lower part of the abdominal space, lumbar region, less often in the thighs and buttocks.

Pain in hydronephrosis always has a pronounced intensity, and the clinical picture is complemented by others. characteristic symptoms, among which:

• tension of the muscles of the peritoneum;
• sharp sharp pain at the beginning of urination;
• frequent urge to empty the bladder, accompanied by pressure and bursting;
• painful and infrequent bowel movements (constipation).

The temperature with hydronephrosis remains within the normal range, in rare cases, a woman may experience a single, mild vomiting.

Stitching pain on the right side can also indicate inflammation of the renal glomeruli (glomerulonephritis), pyelonephritis, obstruction of the ureters.

Treatment for these diseases includes taking antibacterial agents, diuretics to remove excess fluid and eliminate swelling, diuretic fees to improve urine outflow and herbal supplements, anti-inflammatory drugs.

Inflammation of the appendage of the caecum

To recognize an appendicitis attack, it is important to know its typical symptoms. These include:

• profuse vomiting (usually single) without admixture bile acids and putrid smell;
• an increase in temperature to the upper limits of subfebrile condition (38 °);
• relief of pain when lying on the right side;
• increased pain during any movements associated with tension in the abdominal muscles;
• fever;
• loose stool.

Important! Appendicitis is not always accompanied by fever, so you need to see a doctor for any pain in the lower abdomen, especially if they have right-sided localization.

Treatment for appendicitis

The only treatment for an inflamed appendix is ​​to remove it. The operation is performed immediately after the patient is taken to the surgical hospital. Before the doctors arrive, you should not eat or drink water, as this can cause complications during surgery if it is performed under general anesthesia. It is also forbidden to take analgesics - they can dull the pain for a while, and the doctor will not be able to make a correct diagnosis, which will lead to a deterioration in well-being.

After the operation, the patient will be prescribed a sparing diet and prophylactic administration of antibacterial drugs, for example, Metronidazole.

Pathologies of the gastrointestinal tract

Disorders in the work of the intestines, inflammatory processes of the intestinal walls - the most common causes intestinal colic on the right side. In order for the doctor to make a correct diagnosis, the patient must accurately describe the nature of the pain and its localization. Acute colic on the right side, recurring regularly, may be a sign serious illnesses requiring urgent hospitalization: Crohn's disease and diverticulitis. Not less than dangerous reasons similar pain syndrome - intestinal infections, colitis and duodenitis.

Food poisoning and poisoning

intestinal infections, food poisoning usually accompanied by cramping or pulling pains in the lower abdomen, but with a moderate lesion, the pain syndrome may resemble intestinal colic. Bacteria (Salmonella, Staphylococcus, Haemophilus influenzae) and viruses can cause intestinal infections. The most common viral infection is intestinal flu caused by rotaviruses.

Infections of any type are always accompanied by pronounced symptoms, manifested by the following symptoms:

• severe intoxication;
• refusal to eat;
• heat;
• chills;
• frequent, copious loose stools;
• change in the consistency of feces (they become liquid and foamy);
• vomit.

To suspect an intestinal infection with a stabbing character of pain can only experienced doctor, therefore, it is not worth delaying going to the hospital - this threatens with severe dehydration and deterioration of well-being.

For the treatment of most infectious diseases of the intestine, a standard treatment regimen presented in the table below.

Important! In some cases, food poisoning and intestinal infections need to be treated in a hospital, so you should not refuse hospitalization if your doctor insists on it.

Granulomatous colitis

It's heavy systemic pathology ileum, which usually develops over a long time (up to several years). An exacerbation attack in this disease is very similar in symptoms to inflammation of the appendix, but there are signs that allow it to be differentiated from acute appendicitis Therefore, the collection of anamnesis is of great importance for diagnosis.

What is the difference between granulomatous colitis (enteritis) and appendicitis?

Important! If you do not stop the attack on time, perforation of the ileum may occur - a deadly pathology that requires emergency surgical care. Treatment of Crohn's disease in most cases is also surgical.

Video - Why does the right side of the lower abdomen hurt?

Mezadenitis

In about 8-9% of cases, acute stabbing pain in the lower abdomen on the right is a sign of mesadenitis. Pathology is an inflammation of the lymphoid tissue located in the fold of the peritoneum connecting the small intestine and back wall abdominal space (mesentery). The disease belongs to chronic pathologies and may occur without significant symptoms.

A patient with mesadenitis feels constant weakness, losing weight. He periodically has mood swings, disturbing thoughts arise. A general blood test in this pathology always reveals an increase in the erythrocyte sedimentation rate (ESR). The temperature can periodically rise to 37.3°-37.6°.

Important! About 80% of mesadenitis develop against the background of tuberculous lesions of the intestine, so it is important to identify the disease at an early stage. Similar symptoms may also indicate the growth of tumors in the thick or small intestine therefore, with symptoms of mesadenitis, the patient is required to consult an oncologist.

Video - Why does it hurt in the right lower abdomen?

Pathologies of the bile ducts

At hepatic colic pain first occurs in the right hypochondrium, gradually descending into the lower abdomen. Pathology is characteristic of cholelithiasis and appears at the time of passage of stones through the bile ducts. In some cases, this symptom indicates atresia of the biliary tract - a severe pathology in which the outflow of bile is disturbed due to obstruction of the ducts, and concentrated bile accumulates in the liver. Signs of atresia of the biliary tract are:

• constantly high temperature;
• increase in the volume of the abdomen;
• yellowness of the skin;
• periodic vomiting;
• yellowing of the eye sclera;
• hardening and soreness of the liver;
• lack of appetite.

Important! Obstruction bile ducts and cholelithiasis diseases in which the patient needs surgery followed by maintenance therapy and observation in a hospital setting. 1 0