Pain on the right side of the stomach. Biliary dyskinesia and colic

Pain in the right hypochondrium in front can cause such important human organs as the lung, gallbladder, pancreas, liver, intestines and diaphragm, behind kidney is located.
In addition, pain can occur due to problems of the nervous system, irradiate with, pelvic organs, heart.

Therefore, if pain begins to be felt on the right side under the ribs, you need to consult a doctor for an examination to determine whether this is the beginning of the development of a serious disease.

Causes that can cause pain under the ribs on the right

Most often, discomfort in the right hypochondrium is caused by diseases of such organs as the lung, gallbladder, and heart.

Constant pain can be signs of the following diseases:

  1. Liver
    • cirrhosis
    • Hepatitis
    • Tumor
    • Pancreatitis
  3. gallbladder
    • Cholecystitis
    • Cholelithiasis
  4. Right lung
    • Cancer
    • Pleurisy
    • Pneumonia
  5. Intestines
    • Appendicitis
    • Peptic ulcer of the 12 duodenal ulcer
  6. Diaphragm
    • Hernia
    • Tumor
    • Diaphragmatitis
  7. Heart
    • angina pectoris
    • myocardial infarction
  8. Right kidney
    • Urolithiasis disease
    • Pyelonephritis
  9. Tumors of the above organs
  10. Osteocondritis of the spine
  11. Injuries to the ribs or organs located in the abdomen
  12. Shingles

If you experience a sharp (not associated with trauma, and lasting more than 30 minutes) or aching pain in the right side under the ribs (lasting more than an hour), aggravated by walking, you should immediately call ambulance.

Pain in the right hypochondrium, appearing from time to time

Such pain can appear in almost all people, even in the absence of any pathologies. In adolescents, it is associated with the growth of the body and its development.

Such "healthy pains" can be caused by:

  1. Physical loads. Most often this happens in untrained people who do not play sports, and who have had to perform intense physical activity. In this case, adrenaline is released, blood flow increases in the body, which expands the vena cava, located on the right under the ribs. It is a large vessel that expands and puts pressure on the liver.
  2. Pregnancy. Periodically, the right side hurts during pregnancy in the second trimester, due to the fact that the fetus grows quite quickly and presses on the internal organs of the expectant mother.
  3. Premenstrual syndrome (PMS). In women whose body produces a large amount of sex hormones - estrogen, a couple of days before menstruation, there is pain in the abdomen. The reason is a spasm in the biliary tract under the influence of this hormone. To eliminate such pain, you need to contact a gynecologist.

Pain localization

To make a correct diagnosis, the patient must accurately determine the place where the pain is felt. Many take pain in the right hypochondrium on the side with symptoms of osteochondrosis.

Most often this is due to the pathology of the right kidney - pyelonephritis (chronic or acute).

  • At acute pyelonephritis intense dull pain that occurs in the lumbar region is observed. With this disease, there is an increase in pain from tapping on the lower rib located behind
  • Chronic pyelonephritis causes mild pain aching character, aggravated in cool and damp weather.

Retroperitoneal hematoma

Pain under the ribs can occur when a back injury occurs as a result of a fall or blow, in which a vessel ruptures in the tissues deep behind the peritoneum, and an accumulation of blood (hematoma) is formed. There is compression of nearby organs and tissues, pain appears. The nature of the pain depends on the size of the hemorrhage, increases during movement.

Urolithiasis disease

Pain depends on the size of the formed stone and its location in the urinary tract. At the same time, pain under the ribs, felt from behind, can be both constant and periodic, most often of a dull nature. It can intensify during movement (running, jumping), traveling by transport, drinking large amounts of liquid.

Acute pancreatitis

This disease is characterized by pain sensations of a “girdle” nature, i.e. acute pain occurs under the ribs on both sides, in the lower back, accompanied by vomiting and nausea. IN lying position the pain becomes stronger, when sitting it weakens.

The nature of pain intensity

For a correct diagnosis, it is important to correctly convey the intensity and nature of the pain that occurs in the hypochondrium.

Aching pain in right side

  • Weak nature of pain is characteristic chronic pyelonephritis, treatment is carried out in stationary conditions.
  • Constant, sometimes becoming acute pain in the right side, occurs with osteochondrosis. Standing or sitting can be very painful, to relieve the sensations, it is recommended to take a semi-sitting position of the body, leaning forward.

Sharp pain in right side

A similar symptom is the most dangerous, and occurs in the following cases:
  1. Inflammation of the appendix.
  2. Stitching pain, which is acute in nature, is a sign of:
    • Rupture, hematoma of the liver
    • Kidney rupture
    • Rupture of the gallbladder
    • Kidney prolapse
    • Rib fracture

Acute pain is possible with the following pathologies:

Dull pain in the right hypochondrium

  1. Acute pyelonephritis. The pain becomes stronger when hit on the back in the region of the lower rib.
  2. If the intensity of pain is low, the cause is chronic diseases (pancreatitis) or cancer (last stage)
  3. Inflammation in the body, most often of the following organs:
    • gallbladder
    • Right lung
    • Pancreas
    • Spleen
    • Appendages of the uterus

With the simultaneous occurrence of acute, pulling pain, with bouts of stabbing, wandering around the right rib with different intensity, lasting not long, this is psychosomatic pain. For its treatment, you should contact a psychiatrist or neurologist.

Treatment

The ribs located on the right are protection for the following organs:

  • Intestines
  • gallbladder
  • Liver
  • Pancreas

These organs are so tightly adjacent to each other that it is almost impossible to independently diagnose the cause of pain in the right side. Therefore, the main rule is to consult a doctor in time, first of all, to a therapist.

If it hurts on the right under the ribs, the therapist usually appoints a consultation with the following specialists:

  • Gastroenterologist
  • Surgeon
  • Traumatologist
  • Infectionist
  • Cardiologist
  • Gynecologist
  • Endocrinologist
  • Neurologist

Without an accurate diagnosis in medical institution, it is forbidden to self-medicate, warm up the sore spot with hot compresses.


If acute pain occurs, it is recommended to call an ambulance, apply cold (if this helps to relieve pain). IN this case you can not take painkillers, so as not to distort the clinical symptoms and not make it difficult to make a correct diagnosis.

In the future, the following antispasmodic drugs can be used to relieve pain:

  • Nitroglycerin (dissolving one tablet under the tongue or putting 3 drops on a piece of sugar)
  • No-shpa (two tablets up to three times a day are allowed)

After diagnosis, in addition to drug treatment, we can recommend the following means from traditional medicine:

  • Potato decoction for the treatment of the gallbladder. To prepare the broth, it is necessary to boil the potatoes “in uniform”, and then crush them together with water. Let it brew, then drink two tablespoons three times a day.
  • Pain in the spleen. Drink rosehip broth, royal milk (1 g per day)
  • Pain in the liver. Mix ½ liter of honey with ground cinnamon (2 tablespoons). Take a spoonful before / after a meal.

How to prevent pain in the right hypochondrium?

  • Do not abuse alcohol
  • Try not to eat too often fatty, heavy foods, with great content salt
  • Annually undergo a medical examination, ultrasound, to be aware of existing chronic diseases, to know their condition, methods of treatment
  • If pain symptoms appear under the ribs, seek medical help immediately.

If the right side hurts, then the causes of unpleasant feelings can be diverse. Many internal organs are located in this part of the body.

It is difficult to immediately say which of them gives a person these unpleasant sensations. And even one organ can have various diseases that have just this one among their symptoms.

Pain as a symptom

Side pain can vary in intensity.

It is not necessary in such a situation to let everything take its course or to prescribe treatment yourself. It is best to contact a specialist at the first sign of anxiety. This advice is especially relevant if the pain in the side is in the nature of a strong cramp.

Such a patient most often requires immediate medical attention. This pain may be due to the fact that in the hollow organs (stomach, intestines, gallbladder) is not functioning properly.

It can become clogged or burst, and then a fatal outcome is possible if the patient was not provided with timely medical care. But even the usual aching pain should not be endured for more than half an hour.

In this situation, the best way out is to call an ambulance. It is quite possible that this will save a person's life.

Sensation of pain at the top, in the right side of the abdomen, under the ribs

The cause of discomfort may be:

  • consequences of injury,
  • Diseases of the abdominal organs,
  • Diseases of the nervous system,
  • Diseases of the muscles and bones of the body.

What diseases of the abdominal organs are accompanied by similar symptom. The most severe pain occurs if a person's normal functioning of the gallbladder is disrupted.

Also, similar discomfort is caused by cholelithiasis, especially with complications; cholecystitis in acute and chronic form; diseases of the biliary tract; pancreatitis in acute form; diseases of Vater's nipple. It is these diseases that are characterized by pain at the top, in the right side of the abdominal cavity, under the ribs.

With cholecystitis, a taste of bitterness in the oral cavity, a high temperature, and begins to feel sick are added to these sensations. Many people think that cholecystitis changes color skin to icteric, however, this is not true.

All this is true only in the situation if this pathology in functioning proceeds in an acute form. If the disease is chronic, then with an exacerbation of its manifestations, they resemble inflammation, which occurs in a complicated form:

  1. The pain is felt at the top, right side of the abdominal cavity, under the ribs.
  2. At first, a person experiences bouts of pain, which become more frequent, and it becomes constant,
  3. Pain becomes more difficult to endure with any increase in intra-abdominal pressure. Even simple processes such as Czech, coughing and breathing exacerbate this condition.
  4. Gallstone disease can pass without this symptom. The presence of stones in the gallbladder can be hidden from the patient for many years. Sometimes they are discovered by chance during an ultrasound scan or when visiting a doctor for another disease.

What hurts on the right side, the doctor will figure it out

If this disease in a particular case is accompanied by pain, then it is very difficult to bear and has a stabbing character. Sometimes it can be given to other parts of the body: to the region of the heart, right arm and shoulder blade, to the lumbar region.

The pain, when an attack is in full swing, is so unbearable that a person is ready to agree to anything, if only such sensations would stop. The pain is accompanied by severe vomiting, which can be repeated many times.

In this state, the person rolls on the bed, trying futilely to find a position in which the pain will become more bearable. A person can have the same symptoms if he has a swollen nipple.

This is the name of the place where the duodenum and bile ducts meet. It is not the tumor itself that causes discomfort, but the inflammation that accompanies this disease.

It occurs in the pathways that excrete bile and is called cholangitis. Unpleasant sensations are localized on the left, at the top of the abdomen, under the ribs. A high temperature is added to the pain, and the chills associated with this, the skin becomes yellow in color.

If a person has dyskinesia of the ways to remove bile, then the pain is concentrated in the right side. The duration of the attacks and the nature of the sensations are individual. They depend on the type of violation.

If the disease has hypertonic type. the pain is concentrated in the area of ​​the liver. She rolls acute attacks cutting character. If the disease has a hypokinetic form, then it can proceed without pain.

If this symptom present, it is expressed by aching non-ceasing pain. The disease may be similar to biliary colic. Then the pain is just as strong and unbearable. The symptoms are added to the failure of the heart, and the fear caused by this condition.

These same symptoms are characteristic of myocardial infarction. Therefore, it is worth additional research to rule out the possibility medical error, which can lead to improper treatment of the disease. Usually, tests and an ECG are done to clarify.

In acute pancreatitis, pain is concentrated in the upper abdomen around the entire perimeter. Even back and sides hurt. The cause of this disease is alcohol and not healthy eating. If you do not change your lifestyle and start treatment, then soon a fatal outcome may occur.

Traumatism - the cause of pain in the right side

Pain can be a symptom of a dangerous disease

Mechanical damage to the body in this part, in particular, a fracture of the ribs or a bruise, can also cause unpleasant feelings in this area.

When moving, the pain gets worse. The aggravation occurs even when coughing, Czech and breathing. First, after the injury, the pain covers the entire area, later the sensations focus on the injured area.

What exactly is damaged during an injury, the external area or internal organs, is found out during the examination. For this, ultrasound and x-rays are done.

Right side pain due to shingles

This disease is caused by the herpes virus. Symptoms of pain in shingles are similar to feelings in pancreatitis, which occurs in a complicated form. At initial disease a person experiences discomfort on the left, but they can sometimes be localized on the right.

The pain is constant and has a strong cutting character. Like pancreatitis, there is often nausea leading to vomiting. This makes it very difficult to diagnose and, as a result, treat. However, soon with shingles, a rash appears on the abdomen.

It is so characteristic that any doctor can determine the disease. The rashes look like bubbles arranged in a ribbon, hence the name of this pathology.

Pain in the right side of the abdomen

Pain is relieved with analgesics

In the middle of the abdomen on the right is small intestine and the ascending colon.

Consequently, abdominal pain can cause disruption of the normal functioning of precisely these parts of the human body.

These pains do not occur when eating, and are quite strong. Such a violation is characterized by the following features:

  1. Violation of the process of defecation.
  2. Bloating.
  3. Frequent nausea and vomiting.
  4. Sustained weight loss for the patient.
  5. Blood or mucus in stool. They may be present at the same time.
  6. Anorexia.
  7. Pain in the right side of the abdomen, localized below.

This symptom is characteristic of a wide variety of pathologies. Many of these diseases are similar in other ways.

Diseases whose characteristic symptom is a painful sensation in the right side of the lower abdomen.
A very common cause similar condition is acute appendicitis.

First, a person begins to hurt the upper abdomen or the area of ​​\u200b\u200bthe center, where the navel is. Through certain time it flows into the iliac region, located on the right. It is located slightly above the crease of the groin.

The symptom may be accompanied by nausea, diarrhea. There may also be a small temperature, lack of appetite and vomiting. This disease is easily diagnosed by a medical examination by palpation.
Crohn's disease can also cause pain in this area.

If this disease passes by the type of terminal ileitis, then the epicenter of pain is located in the iliac region, located on the right. The nature of the sensations resembles those experienced during acute appendicitis.

It makes it difficult to determine the disease and the similarity of other signs. Sometimes the exact diagnosis is determined only when the patient is on the operating table. Appendicitis is normal, and inflammatory processes are visible at the end of the small intestine.

In women, this type of pain can be caused by gynecological diseases. Unpleasant feelings in the lower abdomen, on the right or left, or in the area above the pubis are often symptoms of a violation of the normal functioning of the appendages:

  • Salpingoophoritis,
  • ovarian apoplexy,
  • Torsion of the pedicle of a tumor located on the ovary,
  • Ectopic pregnancy.

In diseases of these organs, painful sensations in this area are observed constantly. Often these diseases are the next sign: fluid is secreted from the genitals. It can have a different character and consistency. Often patients feel a strong fever.

All diseases of this sulfur are dangerous. With delayed or improper treatment, the following pathologies develop:

  1. Infertility,
  2. Bleeding,
  3. Pelvioperitonitis.

With unpleasant sensations in this part of the body, especially if they are accompanied by discharge, women who are pregnant urgently need medical help, or a miscarriage may occur.

How to treat pain in the right abdomen

The pain can be very intense

Pain in the side is not a separate disease, but the cause of pathological processes taking place in the body. This means that treatment must be comprehensive. Self-treatment in such a situation is irresponsible.

Often doctors scold patients that they let themselves go and did not come to the appointment on time. After all, early treatment is more effective and easier to implement.

  1. Exclusion of fried, spicy and fatty foods- with problems in the gallbladder,
  2. Therapeutic starvation - with pancreatitis, which is acute in nature,
  3. Refusal of foods containing coarse fiber, and spicy dishes- in violation of the intestinal tract.

Medication treatment

  • Inflammation of all organs - antibiotics,
  • Shingles - drugs against viruses. Any other treatment will only exacerbate the problem and is quackery,
  • Oncological diseases - radiation, radio- and chemotherapy,
  • Analgesics and antispasmodics are painkillers with comprehensive treatment.

Surgical care for some diseases is the only way to save a person's health, and even life. Applies to:

  1. ectopic pregnancy,
  2. Tumor located on the nipple of Vater,
  3. appendicitis,
  4. gallstone disease,
  5. Crohn's disease, occurring in some types,
  6. Twist the legs of the tumor on the ovary,
  7. Apoplexy of the ovary.

Any pain is a malfunction in the body. Self-medication, thoughtlessly swallowing pills that can dull the pain, can be dangerous for normal well-being and life.

In a neglected state, even the medical care provided may not be effective, and it is not possible to save the patient. It is better to play it safe and contact in time medical institution.

What does the pain in the right side say? The answers are in the video:

Abdominal pain is perhaps the most common type of pain that can appear as an independent symptom or one of the signs of another disease. Unpleasant sensations can occur both in the sides and in the lower abdomen, in the abdominal or epigastric region. Not so often pain occurs near the navel, namely with right side From him. The pain that appears in the right umbilical region is a very dangerous phenomenon. After all, this can be a sign of a serious illness, for example, inflammation of the appendix.

Reasons for the appearance

In the right side of the abdomen there are some areas of the intestine, such as the hepatic angle of the large intestine in the right hypochondrium, the ascending colon on the right flank, the blind with the appendix in the right iliac region, and the small intestine is located in the entire paraumbilical region, the appendix is ​​also located there. The right and left iliac areas, as well as the suprapubic area, are occupied by the appendages of the uterus - the internal organs of the reproductive system. If the stomach hurts to the right of the navel, then this may be the result of impaired functioning of one of the above organs.

Intestinal pathologies

Half of all cases when a patient has a stomach ache to the right of the navel is the result of problems with the work of the intestines. The cause may be diseases such as:

  • irritable bowel syndrome is a functional bowel disorder that periodically worsens, then goes into remission, and then takes a chronic form (a disease is diagnosed if the intestines do not function as they should for more than 3 months, and this is not accompanied by infectious or organic causes) ;
  • colitis - an inflammatory process of the outer epithelial layer of the intestinal wall;
  • intestinal obstruction - a condition that is characterized by a violation of the transport of food through the digestive tract due to the fact that the intestinal walls stop contracting;
  • enteritis - a pathology in which absorption is impaired nutrients the walls of the small intestine, and the cellular layer of the mucous membranes atrophies;
  • diverticulitis - inflammatory pathology in the intestine, which is characterized by the appearance in the cavity of the organ of special sac-like formations, similar to hernias. For all these reasons, the abdomen to the right of the navel may hurt.

Improper diet, a large amount of salt and harmful chemical additives in the daily menu, smoking, drinking large amounts of ethanol, disturbed intestinal microflora - all this also greatly contributes to the occurrence of discomfort in this area. In some cases, if the patient has recently received a long course of treatment with antibiotics and other antibacterial drugs Pain can be a side effect of medication.

It is also worth mentioning that in women who regularly torment themselves with various diets and significant dietary restrictions, abdominal pain becomes a chronic phenomenon. To avoid this, you need to properly plan your diet. Daily menu should include products such as meat, poultry, fish, chicken or quail eggs, milk, berries, fruits, nuts and greens.

Impaired circulation

Due to impaired blood circulation, the abdomen to the right of the navel may also hurt. In most cases, this occurs due to clamping of the mesenteric vessels. The mesentery is a type of ligament that connects back abdominal cavity with different areas of the intestinal tube. With the help of this fold, the intestine passes into vertical position, and does not "slide" into the lower abdomen. If the movement of blood through the vessels that are on the surface of the mesentery is disturbed, the stomach may hurt to the right of the navel in a child or adult. This may be accompanied by the following symptoms:

  • pain in the intestinal area;
  • difficulty with bowel movements;
  • irregular stool.

This pathology can be diagnosed only after ultrasound diagnostics.

Appendicitis

If an adult or a child has a stomach ache to the right of the navel for a long time (more than 12 hours), intensifying with every movement and change in body position, then appendicitis should be suspected. This is a complex pathology of the surgical type, which is associated with inflammation of the appendix - the appendix, which is an appendage of the caecum.

The clinical picture of appendicitis is pronounced, but it is not any specific, different from other diseases of the abdominal cavity. That is why doctors do not recommend self-medicating and giving the patient some drugs, even painkillers, because this can change the symptoms, and therefore harm the diagnosis.

Symptoms of appendicitis in acute form are expressed by such signs as:

  • the rapid development of hypotension, including a decrease in blood pressure;
  • increased headache;
  • an attack of severe nausea and even vomiting;
  • chills, cold sweat;
  • pain on the right in the abdomen at the level of the navel, which can then spread throughout the abdominal cavity;
  • tension in the abdominal muscles.

Remember: you can get rid of the pain of appendicitis only with the help of surgery. If the inflamed appendix is ​​not removed in a timely manner, pus can spread into the abdominal cavity and then enter the bloodstream, which can later cause the development of peritonitis - inflammation of the tissues and organs of the peritoneum, and sepsis.

Intestinal hernia

Chronic pain in the right abdomen at the level of the navel may indicate a hernial protrusion. Unpleasant sensations can occur both to the left and to the right of the umbilical ring. A hernia is a protrusion of the intestine that goes beyond the boundaries of its location, while the mucous membranes that line inner surface intestines are intact.

Sometimes pain can be the result of a hernia of the umbilical ring. However, this pathology practically does not occur in adults, since it is typical mainly for children aged 5 to 7 years. If you are wondering why the stomach hurts to the right of the navel in a child, then this disease may be the answer to your question.

Other reasons

If your stomach hurts in the navel on the right, then this may be due to diseases of the gallbladder, pancreas or kidneys. Tingling in this area is the primary sign of inflammation of the gallbladder (cholecystitis), which precedes other symptoms of the disease. Among the pathologies that can manifest themselves in this way, the following can be distinguished:

  • violations of the functioning of the liver;
  • ulcer of the intestinal walls or stomach;
  • impaired functioning of the diaphragm;
  • cholelithiasis - the appearance of stones in the gallbladder.

It is important to know that malignant diseases of the small intestine can also be accompanied by pain in the right umbilical zone. Painful sensations in such pathologies are characterized as aching, pulling. Moreover, they are chronic and intensify if you press on the umbilical ring. If your stomach hurts above the navel on the right, visit an oncologist immediately to immediately rule out the possibility of developing cancer.

Pain in women

If a woman has a stomach ache at the bottom of the navel on the right, then this may indicate gynecological diseases and inflammatory processes that have begun in the genitourinary system. The most common pathology of the endometrium. Experts are sure that this is a chronic disease, which cannot be completely eliminated, you can only stop its development and division of connective tissue cells. A characteristic feature of the disease is an increase in the inner layer of the uterus and its exit beyond the boundaries of the organ.

The key reason for the development of endometriosis, according to doctors, is a violation in hormonal background that occur during puberty.

Endometrial hyperplasia can also be attributed to pathologies of the hormonal type. This disease is characterized by enlargement and thickening of the tissue. This pathology has specific symptoms so it's not hard to find it. Hyperplasia of the endometrium manifests itself:

  • uterine bleeding that does not go away for more than a week;
  • pale skin;
  • painful sensations in the lower abdomen and near the navel on the right or below;
  • elevated temperature;
  • anemic symptoms;
  • general malaise and poor health;
  • dizziness and headaches;
  • reduced blood pressure.

Stopping bleeding with a similar pathology is carried out mainly only by scraping. This method can also be used to diagnose the disease. special surgical instrument- with a curette, or with the help of a vacuum, the specialist removes the endometrium completely and sends it for histological analysis.

In addition to the above reasons, a stomach ache on the right below the navel can be due to the development of the following diseases:

  • cervical erosion;
  • cystitis;
  • glomerulonephritis;
  • fibroma (myoma) of the uterus;
  • inflammation of the appendages or ovaries;
  • pyelonephritis.

Be careful and pay attention, if even after the treatment of the pathology the pain is present or intensifies, urgently visit an oncologist to prevent or exclude cancerous gynecological diseases.

Cramping pains

Pain is far from often sharp, cutting, stabbing or pulling. In some cases, it is similar to muscle spasms, which are mostly the result of narrowing of the intestinal walls.

This symptom may accompany such pathologies as:

  • nonspecific ulcerative colitis with signs of scarring;
  • the appearance of adhesions in the intestine;
  • enlargement and hardening of the walls of the colon (megacolon);
  • Crohn's disease - pathology chronic type characterized by granulomatous inflammation individual sections GIT (gastrointestinal tract).

Flatulence, bloating, and other dyspeptic-type disorders that occur with overeating or impaired functioning digestive organs, can also cause cramping pain. It disappears after the factors that caused it are eliminated.

Pain in men

Most often, men have a stomachache near the navel on the right due to prostatitis. Moreover, this problem can occur at any age. This disease is characterized by the development of an inflammatory process that affects the tissues of the prostate gland. Pathology can be infectious and non-infectious. Most often, prostatitis becomes chronic, periodically exacerbating.

Symptoms of the disease are expressed by such signs as:

  • regular urge to urinate;
  • pain during urination and sexual intercourse;
  • significantly elevated temperature;
  • swelling and swelling of prostate tissue.

A disease associated with prostatitis can be prostate adenoma - a pathology of the prostate gland. If the disease is not complicated, then the treatment may consist of conservative methods, but if the pathology becomes more severe, surgical intervention may be required.

Diagnostic measures

If your stomach hurts near the navel on the right for a long time, and the discomfort regularly intensifies, then you should visit doctors such as:

  • proctologist;
  • gastroenterologist;
  • surgeon;
  • gynecologist;
  • oncologist.

If there are no serious symptoms that could indicate dangerous diseases, then the examination can begin with a visit to the therapist. He will conduct a visual examination, probe the abdominal cavity and collect all the data on the general well-being of the patient.

After the primary information about the disease is collected, the patient must undergo other diagnostic examinations. Here are some of them:

  • ultrasonography;
  • abdominal x-ray;
  • colposcopy or biopsy in women;
  • Magnetic resonance imaging;
  • biochemical analysis of urine and blood;
  • if cancer is suspected, tests for tumor markers.

First aid for pain

Do not take any medication before visiting the doctor. If the painful sensations are not pronounced and tolerable, then one-time antispasmodic drugs can be used: No-shpa, Drotaverin, Papaverin.

If after some time your stomach hurts to the right of the navel when pressed, you should seek help from a medical institution. If the pain is caused by an unhealthy diet, such as an addiction to excessive fatty foods or overeating, eliminate unpleasant symptom possible with special digestive enzymes. This is the drug "Mezim". Two tablets for an adult will be enough.

There are really many causes of pain that occurs in the right paraumbilical region: from simple overeating to serious diseases, such as appendicitis or even oncology. So, do not ignore the unpleasant symptom or self-medicate. It is better to consult a doctor in time, undergo a complete examination for an accurate diagnosis and immediately begin competent and effective treatment. So you can timely eliminate the consequences of the disease and prevent possible complications.

From this article, we can conclude that pain near the navel can be a symptom of very serious diseases that are life-threatening. Therefore, this phenomenon should not be taken lightly.

Aching pain in the lower abdomen on the right is the first sign of damage to the abdominal organs. As a rule, painful sensations occur against the background of gynecological diseases, pathologies of the small and large intestines, inflammation of the appendix and kidneys, but the main reason is damage to the digestive system and the digestive tract.

Group of organs of the digestive tract

The digestive system deals with the digestion of food.

The main function of the digestive system is the digestion of food through chemical and physical processing.

This is a large and complex system that starts from the oral cavity and ends with the anus exit. Group digestive tract consists of 30 organs, but only 13 can be accompanied by aching pain in the right side.

These are the liver, gallbladder, stomach, pancreas, small intestine, common bile duct, small intestine, duodenum, appendix, small intestine, caecum, transverse colon, and rectum.

Inflammatory processes in the abdominal cavity and digestive system- dangerous to health, as they are accompanied in 90% of cases by pain, ruptures and impaired functionality. For example, the stomach is gastric juice, which includes acid that breaks down proteins and enzymes.

They serve to digest and break down food into useful substances, minerals and vitamins. Violation of functionality entails inflammation of the pancreas, which is responsible for the chemical processing of incoming food.

As a rule, any failure in the digestive system leads to a complete breakdown of the organs, affecting each of them in a chain.

Diseases of the large and small intestines

Diseases of the large and small intestines can cause pain in the lower abdomen.

Most often aching, stabbing and nagging pain occurs against the background of diseases of the small and large intestines. The list of diseases (from common to rare) can be listed endlessly, but here are some of them:

  • Crohn's disease. Chronic disease that only affects gastrointestinal tract especially the intestines. The main symptoms are: pulling pain on the right side of the abdominal cavity, diarrhea, sudden weight loss, fever and fever, problems with defecation (pain in anus, crack). At the moment, the cause of the disease is not known, but there are three factors that causing pathology Crown: heredity, immunological diseases and bacteria.
  • Intestinal tumor (cancer). May be asymptomatic. Cancer and tumor are the development of pathogenic cells, which eventually kill and fill the space of useful ones, thereby increasing the area of ​​damage. To stop the growth and development of such cells in the intestinal tract is a rare case (1 person per 1,000,000). The appearance of cancer is caused by polyps on the walls of the intestines, hereditary predisposition, Crohn's disease ( chronic stage), intestinal adenomatosis and abscess.
  • Mesadenitis is an inflammatory process that affects The lymph nodes in the abdominal cavity, namely in the mesentery (a fold that supports the small intestine at the back of the abdomen). Lymphatic currents and nodes are a filter and protective barrier that prevent infection from entering the body. Lymph currents "drive" the fluid in the human body, thereby capturing everything pathogenic microorganisms and excreting them through sweat and the genitourinary system. If a failure occurs, then the infection begins to spread rapidly through organs and tissues, causing suppuration and inflammation. Mesadenitis may be asymptomatic, but the pain appears abruptly. Often accompanied by complications such as peritonitis (inflammation of the abdominal cavity) and intestinal obstruction.
  • Diverticulitis is an abnormal pathology, which in 90% of cases is detected by chance using an x-ray. This pathology is accompanied by inflammation of the diverticulum, associated with the delay and formation of fecal stones, food debris and the development of bacterial infections. As a rule, diverticulitis is accompanied by the formation of an abscess and peritonitis.

Diseases of the pancreas, gallbladder and liver

Aching pain in the lower abdomen on the right is a symptom of pancreatic disease.

Aching pain in the lower abdomen on the right may appear against the background of pathologies of other abdominal organs.

For example, the liver, gallbladder and pancreas. What causes pain?

Stones in the kidneys and gallbladder. A person may not be aware of the presence of stones while they are in the organs. But as soon as they exit through the ducts, unpleasant pains immediately appear (cutting, aching and stabbing).

Often the pain radiates to the right side and is accompanied by symptoms, as with appendicitis. The presence of stones can be determined only through an x-ray machine.

  • Hepatitis A is a disease that appears against the background of bacteria and infections when minimal hygiene standards are not observed. Bacteria can be found in food, in water, on any surface. Like all types, hepatitis affects the liver.
  • Hepatitis B is transmitted through blood and sexual contact. Usually through close contact. It develops asymptomatically, affecting and killing liver cells.
  • Hepatitis C is a disease that is 100% transmitted through the blood (contaminated needles, blood and product transfusions).

Inflammation of the pancreas. This pathology is not independent disease. Inflammation appears against the background of peritonitis, gastric and duodenal ulcers, with pathologies of the liver and kidneys, with intestinal obstruction and diseases of the stomach.

Appendicitis is an inflammatory process that affects the appendix (vermiform appendix). The appendix serves to collect small debris that enters the body through the esophagus (nails, hair).

For some people, the appendix may not bother throughout life, while others experience inflammation even at school age. As a rule, affect the development of appendicitis can foreign bodies(swallowed) such as small fruit and animal pits, seed husks and other items.

Symptoms that accompany aching pain

In diseases of the digestive system, an elevated temperature is observed.

At the first warning signs, it is very important to pay attention to the symptoms of diseases. This will help specialists soberly assess your condition and prescribe competent treatment at the same time.

  1. Pain. Aching pain in the lower right abdomen. It can be accompanied by pulling, cutting and stabbing sensations. It can give pain not only to the right side, but also to the leg, under the ribs, to the navel and lower back. For example, with appendicitis, the pain is pulling and aching, giving only to the leg, while all the sensations are long and do not stop. With diverticulitis, pain both appears and disappears suddenly.
  2. Temperature. The defeat of the abdominal organs is accompanied by an increased body temperature (from 38 to 42 degrees). Fever, chills, and fever may occur. Often there is a cold and clammy sweat, and the person is in a delusional state.
  3. Weakness. Loss of appetite, apathy and depression, sudden weight loss, diarrhea and nausea lead to a weakening of the body. Fatigue also appears, a change in skin color from healthy to painfully pale.
  4. Muscle pain. Aching pain provokes tension in the muscles of the legs, arms and abdomen.

Pain is of two types: acute and chronic. In any case, you need to contact a general practitioner for an initial examination, who will refer you for examination to a surgeon, gastroenterologist, proctologist and urologist.

Please note that pain can often occur against the background of urolithiasis and due to the accumulation of gases in the intestines. If there is pain, then it is not recommended to eat fatty and fried foods, as well as alcohol and cigarettes, until you have passed a complete examination.

It is not recommended to self-medicate and use painkillers without the advice of specialists. Your best bet is to call an ambulance. Aching pain in the lower abdomen on the right is a good reason to consult a specialist.

Any warning signs, no matter how weightless they may seem, they can become pathogenic for your body and lead to irreversible consequences. Do not ignore the signals of the body when it really needs medical help.

What is inflammation of the intestine and diverticulosis, the video will tell:

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

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

Right-sided anatomical structures of the abdominal cavity

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

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

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

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

Pain can be caused by:

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

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

The kidney capsule is made up of dense connective tissue.

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

How to assess the nature of pain?

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

Right stomach hurts when running and walking

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

Various diseases in the latent (latent) stage manifest themselves when moving. IN similar cases You can't force yourself to go and endure. Pain on the right side of the abdomen indicates the activation of the pathology, can quickly lead to complications.

Pain occurs after a trip in transport

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

Stomach hurts only when pressed

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


Palpation is safe, performed in a gentle technique

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

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

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

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

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

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

Aching in the stomach on the right

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

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


Neurasthenia is one of the causes of abdominal pain syndrome

Cramping pains

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

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

Something pulsates and twitches

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

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

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

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

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

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


It happens that patients endure stupid constant pain, come for help only when strengthened

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

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

Liver disease

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

With inflammation, hemorrhage into the parenchyma, the size of the organ increases, which causes stretching of the surface membrane. The capsule can become inflamed when the infection passes from neighboring organs. Then the pains are different high intensity.

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

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

Develop rapidly, accompanied by strong sharp pains on the right in the hypochondrium, nausea, vomiting, yellowing of the skin and sclera. Viral hepatitis - have chronic course with periods of exacerbations and enlargement of the liver. Constantly patients feel heaviness, dull "pain in the right side of the abdomen", discomfort along the intestines, loss of appetite.

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

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

The general symptoms are:

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

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


Abscess and cyst can be detected on computed tomography

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

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

Diseases of the biliary organs

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

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

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

Cholecystitis (bladder inflammation) is caused by pathogenic microorganisms. Most prone to illness plump women who are not involved physical activity. Inflammation of the inner lining contributes to the production of mucus, thickening of bile, changes the acid-base balance and creates conditions for the precipitation of salts bile acids(cholelithiasis).

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

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

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

Appendicitis

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

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

Bowel disease

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

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

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

Renal pathology

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

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


Stones are located along the urinary tract

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

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

When they talk about pain in the right side, they often mean different states and diseases associated with a particular localization and cause. The problem may be due to trauma, acute inflammation, exacerbation chronic disease and some other reasons. In any case, when the patient is worried about aching pain in the right side, the doctor will definitely diagnostic measures to exclude pathologies that require immediate medical care. There are a number of signs that make it possible to understand the nature of the changes in the body that led to the state when the patient has pain in the right side.

Causes of pain in the right side

One of key points in the diagnosis of a disease is a description of the nature of the pain syndrome and its accompanying complaints. Pain in the right side is often associated with diseases of the digestive tract: liver, biliary tract, intestines, appendix. Another cause of the problem may be inflammation of the organs. urinary system, urolithiasis disease. Pain may be a consequence of the pathology of the respiratory system, in particular, right-sided pneumonia, pleurisy, pneumothorax. In women, aching pain in the right side may occur due to inflammation of the appendages, the presence of apoplexy, cysts or tumors of the ovary, or in the case of an ectopic pregnancy. Such pain is localized in the hypogastrium.

Pain in the side can be sharp or aching, constant or intermittent, disappearing on its own, or persisting for a long time, despite the measures taken. The pain can change its character: dull suddenly become aggravated and become sharp and strong, and, on the contrary, acute pain turns into aching low intensity. All this should be told to the doctor. Since the situation when the right side aches can turn out to be critical, it is impossible to postpone a visit to the hospital, and if sharp pains, especially in the case of an increase in body temperature, general weakness, lowering blood pressure, increased heart rate, you must seek medical help immediately.
The cause of pain can also be associated with other pathologies: a hernia of the anterior abdominal wall, herpes zoster, Crohn's disease, pancreatic diseases, vertebrogenic radiculopathy and some other diseases and their complications. Therefore, in the presence of pain, an accurate diagnosis can only be established by a doctor with the help of various methods and methods of diagnostic search, including laboratory and instrumental ones.

Pain in diseases of the liver and biliary tract

The following pathologies can lead to pain:

  • Cholelithiasis;
  • Biliary dyskinesia;
  • Cholangitis;
  • Hepatitis of various etiologies;
  • cirrhosis;
  • liver abscess;
  • congested liver;
  • Tumors, metastases.

The pain in these diseases is localized in the right hypochondrium, often aggravated by the intake of fatty, fried foods. Acute cholecystitis, cholangitis, hepatic colic accompanied by severe pain. Such pathologies require immediate medical attention. Aching pain in chronic inflammatory processes, tumors, dyskinesia can radiate to the back, under the shoulder blade, in some cases there is bitterness in the mouth, bouts of nausea, vomiting. With hepatitis and obstruction of the biliary tract, jaundice develops. Ultrasound is helpful in diagnosis computer diagnostics, determination of biochemical and clinical parameters of blood.

Pain caused by pancreatic disease

At acute pancreatitis worried about the pain upper divisions abdomen and back, in many cases taking on a girdle character. The disease usually develops due to the intake of alcohol in combination with the use of fatty, fried foods. The course is severe, death is possible, in some cases surgical treatment is required.

Tumors of the head of the pancreas and Vater's nipple are manifested by pain in the right hypochondrium, jaundice, itching of the skin, hepatomegaly.

Pain in the lower abdomen

Down in the right side, pain occurs with acute appendicitis, gynecological pathology, and intestinal diseases. Appendicitis, in addition to pain, is accompanied by a moderate increase in temperature, nausea, vomiting, and a single diarrhea are possible. Often the pain begins in the epigastrium, then descends into groin. There are a number of symptoms that help diagnose the disease. In the diagnosis, changes in the blood test, characteristic of inflammation, help. Similar symptoms may develop with terminal ileitis- inflammation of the terminal portion of the ileum.

For gynecological pathology, in addition to aching pain in the suprapubic and iliac region, vaginal discharge, symptoms of intoxication, fever are characteristic.

During the diagnosis, one of the following diseases can be detected:

  • adnexitis,
  • salpingoophoritis,
  • ectopic pregnancy,
  • ovarian cysts,
  • adnexal tumors,
  • ovarian apoplexy.

Shingles

The disease is infectious in nature and is caused by a virus, which also leads to the development chickenpox. The disease is characterized by intense pain along the affected nerve trunk. A few days after the onset of pain in the zone of innervation, a bubble rash appears, often of a shingles character. Pain usually lasts up to a month, but occasionally postherpetic neuralgia lasts for months and even several years.

Help and treatment for pain in the right side

Acute intense pain always requires urgent medical attention. It is also necessary to undergo an examination in a situation where the pain is aching and does not go away within a few hours. Many pathologies that manifest as pain in the side can have serious and even dangerous health consequences: peritonitis, bleeding, the transition of the process to chronic, infertility, and others.

It is far from always possible to use painkillers in the presence of pain in the side. In a number of pathologies, this can distort clinical picture disease, making it difficult to diagnose, or delay seeking medical attention, significantly reducing the chances of successful treatment.
Treatment depends on the nosology. In some diseases, the emphasis is on diet therapy, in others on medications, and in the most difficult situations can not do without surgical treatment.

  • Diet therapy is effective in chronic diseases of the biliary tract, liver. In such a situation, you can not eat fatty, fried and spicy. At persistent problems with the intestines, excess should be discarded coarse fiber, spices, products that promote gas formation. Nutrition is of particular importance in acute pancreatitis - the first few days the patient must starve, then he is transferred to a strict diet, gradually expanding it as the condition improves.
  • In the treatment of inflammatory processes caused by bacterial infection use drugs from the group of antibiotics, shingles is treated antiviral agents, in the presence of oncopathology, it is prescribed complex treatment including chemotherapy and radiation therapy. As symptomatic treatment prescribe drugs with analgesic and antispasmodic action.
  • Surgery is necessary for appendicitis, ovarian apoplexy, ectopic pregnancy, internal bleeding, as a radical treatment of tumors of different localization.

If the pain is localized in the right upper abdomen (right hypochondrium), liver disease may be the cause. As a rule, such diseases are accompanied by yellowing of the skin and eye proteins. Often the cause of the pain is problems with the gallbladder.

In the event that the lower right part abdomen, we can talk about an attack of appendicitis - inflammation of the appendix of the caecum. In most cases, the pain in this disease is severe, paroxysmal, and can noticeably subside when walking or choosing a comfortable position. Some people vomit. If the inflamed one is not removed in time, it can break through and infection of the abdominal cavity will occur - peritonitis. And this disease threatens lethal outcome. Therefore, with pain in the lower right side of the abdomen, it is imperative to consult a doctor, undergo an examination and pass everything necessary tests. When confirming the diagnosis of appendicitis, it is not necessary to refuse surgery. It is relatively simple and in the vast majority of cases does not give any complications.

Pain in the right side of the abdomen can also be caused by a number of diseases of the genitourinary system: renal colic, inflammation of the right kidney or, as well as inflammation of the right and some others. gynecological diseases. At renal colic, especially severe, the pain is not localized only in the lumbar region, but can spread to the entire lower abdomen and even to the groin area.

Finally, pain in the right side of the abdomen can begin due to intestinal inflammation - enterocolitis. This disease is usually accompanied by abdominal swelling, diarrhea, nausea and even vomiting.

Which doctors should be consulted for pain in the right side of the abdomen

To make an accurate diagnosis, it is necessary to consult a surgeon and a gastroenterologist. Men also need to visit a urologist, and women - a gynecologist. If necessary, the patient will be referred for additional examinations - for example, ultrasound.

It is advisable not to self-medicate. If the pain is very severe, you can take any analgesic before consulting a doctor. In no case should you apply a heating pad to a sore spot or take hot bath! This can lead to rupture of the inflamed process. It is best to call an ambulance and keep calm.