When pain appears in the right side of the abdomen, you must first make sure that this is not an attack of acute appendicitis. It is very dangerous for human health and life, therefore, it requires urgent surgical intervention. If the pain is localized in one place and does not subside for 12 or more hours, the likelihood of appendicitis is high.
To clarify the diagnosis, one should diagnostic procedures and get a conclusion qualified specialist. Treatment depends on the stage of the disease and individual characteristics the patient's body. Although Crohn's disease does not show its most dangerous consequences as fast as appendicitis, its complications are no less serious.
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The main symptoms of appendicitis include nausea and vomiting, as well as fever.
Often people do not understand why the intestines hurt. One of the most common causes of pain in the intestines, on the right or left side, is the formation of inflammation in the intestinal mucosa, which may appear due to negative effect infections in the body. The inflammatory process can develop in the appendix, sigmoid colon, large intestine, small intestine and cause the formation of severe pain in the intestines, both on the right and on the left.
Crohn's disease is characterized chronic diarrhea. If during the last few weeks or months before the start pain attacks if you have regular bowel problems, Crohn's disease should be suspected. Unlike appendicitis, this disease is not accompanied by nausea and vomiting, as well as the movement of pain from the center of the abdomen to the right iliac region.
root cause intestinal obstruction intestinal colic is considered, accompanied by chronic aching pains on the right side. In this situation, intestinal colic occurs with increased contraction of the muscle fibers of the intestine over the clogged area of the intestine.
In order to exclude serious intestinal diseases, the patient must be tested for the presence of helminth eggs, as well as stool analysis. The cause of the pain may be dysbacteriosis caused by the frequent use of antibiotics. In addition, a consultation with a gastroenterologist will not hurt the patient, who will prescribe some procedures to check the health of the digestive tract and, if necessary, diagnose the disease.
What to do when the intestine hurts on the right side?
Pain in the right intestine? Causes of pain in the intestines on the right side. Diseases that can cause pain in the intestines.
From intestinal ailments, and, as a result, pain in the intestines, quite a lot of people suffer. Intestinal diseases differ from stomach diseases in that they are not associated with the absorption food products. The only exception is inflammation of the transverse colon. Feature this disease is that the patient begins to experience pain after eating. This kind of sensation occurs due to reflex contractions of the intestines that occur when food enters the stomach. Often, the pain lasts until the patient has a bowel movement.
Dull pains on the right in the iliac region usually signal an inflammatory process in the caecum. Similar pains can change to intestinal colic and appear 5 to 6 hours after the patient has eaten. In addition, if the patient was on his feet for a long time or subjected the body to heavy loads, then these factors could cause spasm or increase pain.
Common Causes pain in the right side of the lower abdomen, these are intestinal colic. A problem such as intestinal colic causes cramping pains in the intestines on the right, which appear due to inflammatory process.
Appendicitis should be treated surgically.
Often the appearance of aching pain in the intestines on the right side most likely signal large cluster gases.
First, it is very important to remember when the patient last had a bowel movement. If the patient has bloating, it is necessary to take activated charcoal or smectite. Very important fact in the treatment and prevention intestinal diseases is proper nutrition, so follow a diet and drink at least two liters of water a day.
The only exception is when severe pain in the intestines, lower abdomen becomes chronic and begins to disturb the patient constantly.
In women, such pain often indicates the development ectopic pregnancy. If the pain occurred before menstruation and it is stronger than usual, the likelihood of endometriosis is high.
The intestine hurts on the right - causes.
Causes of pain in the intestines on the right side.
In any case, only a doctor will be able to say what causes pain in the intestinal area, on the right or left side. Therefore, even if the pain passed quickly and no longer bothers you, do not be too lazy to consult a specialist.
With obstruction, pain in the right side is constant and aching, localized above the site of blockage. With inflammation of the mucous membrane of the caecum, the pain is dull, a few hours after eating it turns into intestinal colic.
Under any circumstances, with the appearance of pain in the right side, an attack of appendicitis should be excluded. The malaise begins near the navel, moving to the right side and moving down. Over time, the pain intensifies and may radiate to the leg.
In addition, the patient should perform a series exercise that stimulate intestinal peristalsis.
Why does the intestine hurt on the right, causes, symptoms of what diseases, what to do if the pain in the intestine on the right side
Do not panic if the intestines on the right are very sore, you should seek help from a doctor as soon as possible and find out the cause of abdominal pain. You should not endure pain in the intestines if it is very strong and unbearable, if the condition worsens, others appear painful symptoms better call an ambulance.
The human stomach has various bodies: intestines, appendix, ureters and kidneys, and in women also ovaries. The range of diseases that can cause pain in this area is quite wide.
Factors favorable for the onset of pain are irregular or malnutrition alcohol consumption, excessive exercise. Discomfort in the intestines is also provoked by nervous strain and stress.
During an attack of acute appendicitis, pain occurs in the intestines on the right lower side of the abdomen. Pain appears in umbilical region and gradually moves to the lower right side. Sometimes the pain can radiate to the leg.
Sometimes pain in the area you specified occurs due to the formation of adhesions between intestinal loops after surgical operations.
Is pain in the intestine on the right dangerous? When
Lower abdominal pain on the right may indicate damage to organs located directly in the right iliac region. This is the end section. small intestine(ileum) and the initial sections of the large intestine (caecum, appendix ascending colon).In women, pain in the lower right abdomen can occur with gynecological pathology (right-sided lesion of the uterine appendages - ovary and / or fallopian tube).
In addition, pain radiates to this area in diseases of the urinary system (renal colic).
The first sign of the beginning purulent process is the appearance of chills with a rise in temperature to high numbers, and then a decrease to subfebrile (37-38 o). Then symptoms of intoxication develop (earthy complexion, weakness, rapid pulse, low blood pressure, cold sweat).
In such cases, emergency surgery is indicated to avoid sepsis (blood poisoning) and death of the patient.
Pulling, aching or stabbing pain in the lower abdomen on the right with lesions
intestines
Pulling, aching or stabbing pain in the lower abdomen on the right is characteristic of lesions of the final section of the small intestine (ileum) and the initial sections of the large intestine (caecum and ascending colon). Repeated stabbing pain in the lower abdomen on the right with diverticulitis
Diverticula are called sac-like formations of the intestinal wall, communicating with its lumen. Due to structural features, intestinal contents often stagnate in diverticula, which contributes to the development of inflammation. Repeated stabbing pain in the lower abdomen on the right occurs with inflammation of the diverticula of the final section small intestine(Meckel's diverticulum), as well as diverticulitis of the blind and ascending colon. Diverticula in these departments, as a rule, are single, and the clinical picture of their inflammation largely coincides with the clinic of acute appendicitis.
A characteristic feature of diverticulitis is a chronic relapsing course. Exacerbations often begin with constipation, which are replaced by diarrhea.
If acute or chronic diverticulitis is suspected, a thorough examination and conservative treatment are indicated.
Left untreated, diverticulitis can lead to serious complications such as: suppuration and perforation with the development of peritonitis, the formation of fistulas.
Therefore, if an attack of severe pain in the lower abdomen on the right is accompanied by symptoms of local peritonitis, such as tension in the muscles of the anterior abdominal wall, pain on percussion (tapping), a positive symptom of Shchetkin-Blumberg (increased pain when the hand is taken away after light pressure) - an emergency admission to the hospital is recommended to address the issue of surgical treatment.
Severe pain in the lower abdomen on the right with Crohn's disease
Chronic inflammatory bowel disease - Crohn's disease - in 20% of cases is detected during surgery for acute appendicitis. Cause common mistakes in the diagnosis - the similarity of the clinical picture of these diseases.The fact is that the inflammatory process in Crohn's disease is most often localized in the terminal section. ileum, and is manifested by a sharp pain in the lower abdomen on the right, similar in nature to the pain syndrome in appendicitis.
An anamnesis may help in the diagnosis. Typically, the first sign of Crohn's disease is diarrhea with a tendency to chronic course. So an attack of severe pain in the lower abdomen on the right in this case is preceded by a fairly long (from several weeks to several months, and even years) period of unstable stool with a tendency to diarrhea.
In addition, for Crohn's disease, such signs of appendicitis as vomiting and migration of pain from the central regions of the abdomen to the right iliac region are uncharacteristic.
Without adequate treatment, Crohn's disease leads to serious complications, up to intestinal perforation, so the symptoms of peritonitis are an indication for emergency surgical treatment this pathology.
Drawing, aching and stabbing pains in the lower abdomen on the right with intestinal tumors
Drawing pains in the lower abdomen on the right can occur both with benign and with malignant tumors the final section of the small intestine and the initial sections of the large intestine. The mechanism of pain is most often associated with the pressure of a growing tumor on the surrounding tissues. The wealthy are especially sensitive to such pressure. nerve endings mesentery of the intestine.
With predominantly endophytic growth (growth into the intestinal lumen), pain occurs when inflammation develops, the tumor is destroyed, or it grows through the intestinal wall into the surrounding tissues (observed on late stages malignant growth).
In addition to the pain syndrome, tumors of the right side of the intestine are prone to bleeding, and eventually lead to the development of chronic anemia.
Malignant growth is often accompanied by symptoms of cancer intoxication (exhaustion, increasing weakness, impaired mood, sleep and appetite).
If a tumor of the intestine is suspected, a thorough examination in a hospital is necessary. both malignant and benign tumors subject to surgical removal.
Repeated pains in the lower abdomen on the right with acute mesadenitis
Mesadenitis - inflammation of the lymph nodes of the mesentery of the intestine. Pain syndrome with this disease can be of varying intensity. The pain in this case is most often localized in the lower abdomen on the right.The clinical picture of acute mesadenitis consists of local manifestations of inflammation. lymph nodes(periodic bouts of pain in the lower abdomen on the right) and common symptoms the disease that caused mesadenitis.
Most often, mesadenitis is of tuberculous origin, and develops already with a detailed picture of the disease.
To diagnose tuberculous mesadenitis will help such characteristic symptoms, How:
- exhaustion;
- weakness;
- emotional lability;
- frequent rise in temperature to subfebrile figures;
- high ESR.
Paroxysmal stabbing pains in the lower abdomen on the right side with diseases
upper urinary tract
Paroxysmal stabbing pains in the lower abdomen on the right are often found in diseases of the upper urinary tract. They are especially characteristic of the so-called renal colic, which most often accompanies urolithiasis. Even experienced surgeons often find it difficult to differential diagnosis renal colic and appendicitis.
The fact is that in some cases, pain in appendicitis is paroxysmal in nature, and in renal colic often radiates along the ureters to the right iliac region.
Help in diagnosing diseases urinary system may have irradiation of pain in the groin. Another characteristic feature pain syndrome in renal colic is constant anxiety a patient who cannot find a gentle position in which pain would be felt least of all. One gets the impression that a change in body position brings some relief to a patient with renal colic, while in the case of acute appendicitis, the patient tries to lie motionless on the sore side, since excessive movements bring additional suffering.
In addition, pain syndrome in renal colic is accompanied by various violations urination (increased frequency and / or painful urination, sometimes visible blood in the urine).
And finally, an attack of renal colic is stopped by antispasmodics and analgesics, which are practically useless in case of acute appendicitis.
Suspicion of renal colic is an indication for hospitalization in a urological hospital for additional examination, the results of which will depend medical tactics. In most cases, conservative treatment is indicated.
Dull periodic pain in the lower abdomen on the right during pregnancy
Dull periodic pain in the lower abdomen on the right during pregnancy can be caused physiological reasons.In the first trimester, pulling or It's a dull pain right lower abdomen is associated with functioning corpus luteum pregnancy in the right ovary.
Subsequently, periodically appearing pains in the lower abdomen on the right and left are caused by an increase in the uterus and stretching of its ligamentous apparatus.
This kind of pain always has a pulling or aching character, they are more pronounced during the first pregnancy, and never reach high degree intensity.
In addition, pain caused by physiological causes does not have a characteristic irradiation, and is not accompanied by any symptoms indicating a violation of the functions of the digestive and/or urinary systems. At the same time, the general condition of the woman does not suffer.
Cramping pains during pregnancy always indicate a pathology, so in such cases it is necessary to seek medical attention. medical assistance. In the initial period, severe cramping pain may indicate an ectopic pregnancy.
Sharp pain in the lower abdomen on the right may indicate surgical pathology digestive tract(acute appendicitis, diverticulitis, inflammatory or voluminous processes in the terminal part of the small intestine or primary departments colon), gynecological problems (right-sided inflammation of the appendages or torsion of the legs of a cyst of the right ovary), or damage to the urinary system (renal colic).
Diagnosis of acute pathological processes during pregnancy, it is especially difficult in the second half, due to the displacement of organs. Therefore, with the appearance of a sharp pain in the lower abdomen on the right, an urgent appeal to the hospital is necessary.
Which doctor should I contact for pain in the right lower abdomen?
Pain in the lower abdomen on the right side may be due to various reasons Therefore, when they occur, it is necessary to contact doctors of different specialties. Moreover, you need to contact a doctor whose competence includes the diagnosis and treatment of the disease that provoked the appearance of pain in the right lower abdomen. The choice of a specialist to whom one should go for pain in the lower abdomen on the right is carried out depending on the nature of the pain syndrome and the accompanying symptoms, since it is these characteristics that suggest the disease that provoked the pain.First, you should know that with acute severe pain in the lower abdomen on the right, which does not subside with time, but remains or intensifies, is combined with elevated temperature body, sharp deterioration general well-being, strong weakness, vomiting that does not bring relief, headache , decreased blood pressure or fainting, you should immediately call an ambulance and be hospitalized in a hospital. This must be done because such a symptom complex indicates an acute emergency, which requires a specialized health care V as soon as possible because without treatment, a person can die.
And see a doctor at planned with pain in the lower abdomen on the right, it is necessary in cases where the pain syndrome is provoked by diseases, not life threatening person.
With intense, cramping pain in the lower abdomen on the right, which does not radiate to other parts of the body, but can be simultaneously felt in the lower abdomen on the left or in the navel, is combined with constipation, diarrhea, frequent bowel movements with soft feces, bloating, flatulence, nausea, rumbling in stomach - see a doctor gastroenterologist () or therapist (), because similar symptoms indicates bowel diseases (colitis, enterocolitis, Crohn's disease, ulcerative colitis, diverticulitis, celiac disease, irritable bowel syndrome).
If a pulling-aching pain appears in the lower abdomen on the right side of a man or woman, which increases with sudden movements, stress or physical exertion, becomes sharp, stabbing, but not combined with digestive disorders, general weakness, elevated temperature, which are actually isolated pains, then you should consult a doctor- surgeon (make an appointment), since such symptoms indicate the formation of adhesions in abdominal cavity, which may form after transferred operations or inflammatory diseases stomach, intestines, pancreas, gallbladder, etc.
With the appearance of constant, dull, moderate pain in the lower abdomen on the right, in the middle of the abdomen or at the top of the abdomen (it hurts in all areas at the same time, the pain does not radiate to them), which does not subside with time, is combined with vomiting, dry mouth, loss of appetite , jumps in blood pressure, rapid heartbeat (up to 100 beats per minute) and breathing (40 breaths per minute) and increased body temperature - you should consult a surgeon, as the symptom complex corresponds to mesadenitis (inflammation of the lymph nodes of the mesentery of the intestine).
With the appearance of paroxysmal pains in the lower abdomen on the right, radiating to the groin and lower part lower back, combined with urination disorders (blood in the urine, painful, frequent urination, etc.), forcing a person to constantly move, walk, looking for a position in which the pain will not be so strong - should be in urgently contact a surgeon or urologist (make an appointment), since we are talking about renal colic due to urolithiasis. Also see a urologist nephrologist (make an appointment) you need to contact if severe pain is localized in the center of the lower abdomen, radiates to the right in the lower abdomen, is combined with frequent and painful urination, an admixture of blood in the urine, since in this case we can talk about cystitis.
If a person has pain in the lower abdomen, mainly on the left or right, combined with frequent, liquid and scanty stools, rumbling, bloating, painful defecation, lack of relief after defecation and possibly vomiting, then he needs to see a doctor - infectious disease specialist (sign up), since, most likely, we are talking about an intestinal infection.
Periodic pulling, dull, aching pains in the lower abdomen on the right, radiating to the groin, combined with a protrusion in the region of the right inguinal fold, aggravated by physical exertion, not combined with any other symptoms, require an appointment with a surgeon, since the symptom complex indicates inguinal hernia.
If a woman has a sudden severe, paroxysmal pain in the lower abdomen on the right and left, after a while shifting to the right, or a dull, aching pain develops in right half lower abdomen after stress, hypothermia, physical activity, then you need to consult a doctor- gynecologist (make an appointment), since most likely we are talking about inflammation of the uterine appendages (ovary and fallopian tubes) - adnexitis or salpingo-oophoritis. Concomitant symptoms of inflammation of the uterine appendages is the spread of pain in the region of the sacrum, lower back, groin or rectum, as well as pain when urinating, irregular menstruation, irascibility, irritability, fatigue, inflammatory discharge (greenish, yellowish, grayish, with bubbles, flakes, pus, mucus, etc.) or fever.
If a woman periodically has pulling-aching pains in the lower abdomen on the right, often provoked by sexual intercourse, combined with intermenstrual bleeding or lengthening menstrual cycle, then you should contact a gynecologist, since such symptoms lead the doctor to think about the presence of a cyst or ovarian cystoma.
In women, pulling, aching, dull pains in the lower abdomen on the right, aggravated by menstruation, spreading to the lower back, coccyx, sacrum or rectum, combined with periodic bleeding, frequent trips to the toilet to urinate, the presence of clots in menstrual blood, require a visit to a gynecologist, so how similar symptoms indicate the presence of neoplasms of the genital organs (myoma, polyp, etc.).
When pain appears in a man in the lower abdomen on the right, if it radiates to the right side, perineum, lower back, it is combined with difficulty urinating ( slow urination, frequent trips to the toilet, etc.) and erectile dysfunction, possibly with blood in the urine, you should consult a urologist, since such symptoms indicate the presence of prostatitis or prostate adenoma.
If the pains in the lower abdomen on the right do not stubbornly go away, are present almost constantly, are combined with a sharp deterioration in well-being, causeless weight loss, taste perversion, persistent constipation, unpleasant discomfort in the abdomen, bloating and flatulence that are not amenable to therapy, then you should consult a doctor - oncologist (make an appointment).
What studies can doctors prescribe for pain in the lower abdomen on the right?
Since the pains in the lower abdomen on the right are provoked various diseases, then the doctor with this syndrome can prescribe various tests and examinations necessary to identify the pathology that provokes the pain syndrome. The list of tests and examinations is determined by the nature of pain and accompanying symptoms that suggest a disease that provokes pain.When a man or woman periodically has pains in the lower abdomen on the right, which do not radiate to other parts of the body, but can be simultaneously felt in the left lower abdomen, in the navel, combined with constipation, diarrhea, frequent defecation with soft feces, bloating, flatulence, nausea, rumbling in the stomach, the doctor may prescribe the following tests and surveys:
- General blood analysis ;
- Coprological analysis feces;
- Analysis of feces for dysbacteriosis;
- A stool culture or blood test for Clostridium;
- Ultrasound of the abdominal organs (make an appointment);
- Colonoscopy (make an appointment)/sigmoidoscopy (make an appointment);
- Irrigoscopy ( X-ray intestines with contrast) (sign up);
- Computer or magnetic resonance imaging (make an appointment);
- Analysis of feces for calprotectin;
- Blood test for the presence of antineutrophil cytoplasmic antibodies;
- Blood test for the presence of antibodies to saccharomycetes.
If a person has dull moderate pain, localized simultaneously in the lower right, lower left abdomen or in the navel (or in any one of these areas), which does not subside over time, combined with vomiting, dry mouth, loss of appetite, jumps in blood pressure, heart palpitations (up to 100 beats per minute) and breathing (40 breaths per minute) and increased body temperature, the doctor prescribes the following tests and examinations to identify and distinguish mesadenitis from other diseases of the abdominal organs:
- General blood analysis;
- General urine analysis;
- Biochemical blood test (bilirubin, urea, creatinine, total protein, amylase, AST, AlAT, alkaline phosphatase, LDH);
- Analysis of feces for occult blood;
- Coprological analysis of feces;
- Mantoux test, diaskintest or blood test for the presence of mycobacterium tuberculosis;
- Blood test for antibodies to hepatitis A, B, C viruses (by ELISA method);
- Blood culture for sterility;
- Blood test for the presence of Epstein-Barr virus, enteroviruses, Yersinia, streptococci, staphylococci, campylobacter, salmonella (sign up), Escherichia coli by PCR;
- Analyzes for ascariasis, enterobiasis, opisthorchiasis, giardiasis;
- Ultrasound of the abdominal organs;
- Abdominal x-ray (book now);
- colonoscopy;
- Computed or magnetic resonance imaging;
- Diagnostic laparoscopy (make an appointment) with the collection of pieces of tissue from inflamed lymph nodes for histological examination.
If a person has paroxysmal pains in the lower abdomen on the right, radiating to the groin and lower back, combined with urination disorders (blood in the urine, pain when urinating, frequent trips to the toilet, etc.), forcing a person to move stubbornly, as he cannot find a position in which the pain subsides a little, then the doctor prescribes the following tests and examinations:
- General urine analysis;
- General blood analysis;
- Ultrasound of the kidneys (make an appointment) And Bladder;
- Cystoscopy (make an appointment);
- Urography (X-ray of the organs of the urinary system with the introduction contrast medium) (sign up);
- Renal scintigraphy (book now) and urinary tract;
When in the lower right part of the abdomen there are periodically occurring pulling-aching pains that increase or appear with sudden movements, stress or physical exertion, at moments of intensification they become sharp and stabbing, but not combined with digestive disorders, fever and, as it were, isolated from other symptoms , the doctor prescribes a general blood test, a general urinalysis, an ultrasound of the abdominal organs, an x-ray with contrast or a tomography. Other studies, as a rule, are not prescribed, since these are quite enough to identify adhesions formed in the abdominal cavity after operations or inflammatory processes.
When a woman has severe paroxysmal pain in the lower abdomen on the right, which arose suddenly, and at first it was localized both on the right and on the left, and then shifted to the right, or if after stress, hypothermia, physical activity, a dull, aching pain appeared in the right half of the lower abdomen ( moreover, both variants of pain can be combined with the spread of pain in the sacrum, lower back, groin or rectum, as well as pain during urination, irregular menstrual cycle, irascibility, increased fatigue or elevated body temperature), the doctor may prescribe the following tests and examinations to identify the causes of inflammation of the uterine appendages:
- General blood analysis;
- General urine analysis;
- A smear for the flora from the vagina (enroll);
- Analysis of blood, vaginal discharge and scraping from the urethra for genital infections (for chlamydia, mycoplasma, gardnerella, ureaplasma, Trichomonas, gonococci, fungi
When a woman has a nagging pain in the lower abdomen on the right, which occurs sporadically, especially often provoked by sexual intercourse, combined with intermenstrual bleeding or lengthening of the cycle, the doctor usually prescribes an ultrasound of the pelvic organs and a vaginal smear on the flora, as it suspects an ovarian cyst. In addition, for ovarian cysts, the doctor may prescribe a blood test for the concentration of luteinizing hormone (LH), follicle-stimulating hormone (FSH), testosterone and prolactin (sign up).If a woman has pulling, aching, dull pains in the lower abdomen on the right, which are aggravated by menstruation or physical exertion, radiate to the lower back, coccyx, sacrum or rectum, are combined with episodic bleeding, frequent urination, clots in menstrual blood - the doctor prescribes an ultrasound of the pelvic organs, hysteroscopy (make an appointment), and if possible, computed or magnetic resonance imaging. Additional for evaluation general condition of the body, a general and biochemical blood test, a general urinalysis, a coagulogram, a blood test for sex hormones (LH, FSH, testosterone, etc.) can be prescribed.
If a man has pain in the lower abdomen on the right, combined with pain in the perineum, radiating to the right side and lower back, which is accompanied by difficulty urinating, erectile dysfunction, then the doctor prescribes the following tests and examinations:
- General urine analysis;
- General blood analysis;
- Palpation of the prostate through anus finger;
- ultrasound prostate(sign up);
- Microscopy of prostate secretion;
- Bacteriological culture of urine, prostate secretion and urethral swab to identify the pathogen and its sensitivity to antibiotics;
- Prostate secretion analysis (enroll), a smear from the urethra or blood for genital infections (chlamydia, candidiasis, ureaplasmosis, mycoplasmosis, trichomoniasis, gonorrhea, bacteroids);
- Blood test for syphilis;
- A blood test for the content of sex hormones and tumor markers (globulin that binds sex hormones, testosterone, prostate-specific antigen).
If a person has persistent persistent pain down the abdomen on the right, which is combined with a sharp deterioration in health, causeless weight loss, taste perversion, persistent constipation, bloating and flatulence, then the doctor prescribes wide range surveys - x-ray (book) and ultrasound of the abdominal organs, computed or magnetic resonance imaging, general and biochemical analyzes blood and urine, colonoscopy, sigmoidoscopy, etc. If a tumor is detected using these methods, the oncologist may prescribe blood test for tumor markers (sign up), the list of which will be selected by a specialist depending on the type of neoplasm and the affected organ.
Before use, you should consult with a specialist.
Weight loss is a sign of colon pathology.
Pain in the pathology of the colon has a peculiar localization. Often they are felt on the side of the abdomen and near the anus.
Less common discomfort in the epigastric region, as well as above.
Even in the absence of pain, there will be pain on palpation of the zone in the iliac region on the right and left.
They become more intense if a person drank milk, ate a lot of vegetables or coarse cereals. The main character of the pain is aching, accompanied by a feeling of fullness.
If the intestines are freed from, stool the pain subsides. However, immediately before the act of defecation, the pain may become stronger. Sometimes they are of a convulsive nature.
- weight loss;
- metabolic disease;
- hypovitaminosis.
However, signs general malaise are also present. Patients quickly get tired, feel weakness, irritability, tearfulness, their sleep is disturbed. In general, there are signs of intoxication, which is often provoked.
Ulcerative colitis starts in the rectum.
Among diseases of the large intestine, perhaps the only pathology leading to sharp decline weight.
Ulcerative colitis develops inflammation of the mucous membrane. Most often affected, here the disease originates.
And only then, in the absence of adequate treatment, it quickly spreads further through the large intestine. The disease is chronic, with exacerbations occurring quite often.
Analyzing the causes ulcerative colitis, the researchers concluded that the hereditary factor was involved. After all, the disease begins in the case of a genetic defect in the immune system.
The disease manifests itself in the appearance of ulceration, erosive surfaces, foci of hemorrhages directly in the intestine itself. May be accompanied by the formation of other neoplasms.
Local signs of manifestations of colitis include. In this case, patients find blood in the stool almost constantly. Even without an exacerbation, blood may be present. Another important local sign, which has already been discussed above, is a violation of the chair.
As a rule, such treatment is sufficient. However, the process is lengthy, and drugs have many side effects. Therefore, in order to avoid negative consequences therapy should be carried out under the supervision of a physician.
Ischemic colitis
atherosclerosis is the cause ischemic colitis.
This disease is caused by a pathological narrowing of the vessels responsible for the blood supply to the colon.
The disease begins with the appearance of inflammation in areas that receive less useful material. Then ulceration begins in these places.
At the end, the intestinal lumen narrows, leading to obstruction. The main causes of ischemic colitis are serious illness, the consequence of which is a violation of the blood supply:
- atherosclerosis;
- vein diseases.
These pathologies lead to ischemic colitis after long time. Therefore, the main age group patients - the elderly, the elderly.
It is necessary to think about the possibility of developing ischemic colitis if after eating (after 15 minutes) pains are felt in the abdomen on the left, there are blood impurities in the stool. As the disease progresses, these two symptoms will become more pronounced.
It was noted that the likelihood of the disease is increased in those who took drugs orally, while combining them with others.
For example, with laxatives. Due to the ingestion of substances dangerous to microorganisms, mass destruction of the useful occurs, it is washed out (as is the case with laxatives).
Under such conditions, Clostridium begins to multiply actively. This is a dangerous microbe, the secretions of which adversely affect the condition of the intestinal wall. Its toxic secretions lead to the destruction of the intestinal mucosa and can even cause perforation.
The hallmark of this disease is considered to be plaques that can be found on the mucosa everywhere. They are called membranes in a different way, and colitis itself is called.
Depending on the severity of the patient's condition, 3 stages of the disease are distinguished: mild, moderate, severe.
- The mild form is manifested only by diarrhea. It continues as long as antibiotics enter the body. After the end of the course, the symptoms disappear.
- Moderate severity is characterized by the continuation of the manifestation of symptoms even after the abolition of antibiotics. Pain before defecation is added to frequent watery diarrhea. Gradually, signs of intoxication increase. There is a feeling of weakness, which can develop into vomiting.
- Severe form. Signs specific to the condition moderate get worse. There are problems with the heart: the pulse quickens, and the pressure can drop significantly.
In order not to bring the condition to a critical one, it is better to stop taking them when diarrhea occurs during antibiotic treatment, consult a doctor. This will prevent the development of the disease.
If it is necessary to continue treatment, drugs that kill clostridia are prescribed. For example, metronidazole, vancomycin. If the situation cannot be normalized, the patient is hospitalized.
The first thing most people think about when they feel unpleasant pain in the right half of the intestine is what it is. This is perhaps the most famous disease among the entire population of all surgical nosology. However, inflammation of the appendix is not the only cause of pain in the right side of the abdomen. Other conditions can also cause them, while not always pathological. Therefore, you should not immediately panic, as well as feverishly think:
the intestine hurts on the right, what to do and how quickly. This does not apply to conditions when the pain is very strong or has become permanent.
The intestine hurts on the right: causes
In the intestine on the right, resulting from a sharp contraction of the intestine and called intestinal colic, may be the result of an inflammatory process (colitis,) or the presence helminthic invasion. Colic can also be caused by poisoning or banal overeating. Often the cause of intestinal spasms are adhesions between intestinal loops, formed as a result of inflammation or after surgical intervention. In this case, the provoking factor may be nutritional errors (severe, spicy food, alcohol), significant physical activity or abrupt shifts body position. Short intestinal spasms can pay for a stressful situation.
If the pains in the intestines on the right are aching in nature, it is possible that gases have simply accumulated in this part of the intestine. However, the cause of such pain may be such dangerous state, as intestinal obstruction caused by a tumor, a tangle of helminths, a knot from the intestine itself or as a result of its volvulus. Pains of this nature are aching, long-lasting.
Against the background of constant aching pain in the right side of the intestine, it can be a sign of intestinal obstruction. In this case, colic is caused by increased contraction of the muscle fibers of the intestine above the blockage.
Dull pain in the right iliac region may signal inflammation of the caecum. It can be replaced by intestinal colic and manifest itself 5-6 hours after eating. A spasm or increased pain can be provoked by prolonged standing or physical activity. In this case, the pain is often accompanied by a feeling of fullness in the abdomen, rumbling, nausea and flatulence.
A symptom of acute appendicitis is pain in the intestines on the right in the lower abdomen. It can occur in the navel and move down and to the right, it can give to the leg. In addition, the disease can be manifested by symptoms such as nausea, fever.
The intestine hurts on the right: what to do
When intestinal colic lie down, take a comfortable position. Eating, heating pads and cold on the stomach are excluded. You can alleviate the condition by taking an antispasmodic. If within an hour the pain has not gone away, you can’t do without an ambulance.
In any case, to answer the question as accurately as possible: the intestine hurts on the right, what to do, only a doctor can do it for you. He will also prescribe the correct and appropriate treatment for you. Recall that the reason for urgent appeal for medical help are sharp, severe pain in the intestines, vomiting, heat, as well as prolonged, not passing pain.
Pain in the intestines is unpleasant symptom. What to do in this case? First of all, you need to consult an experienced gastroenterologist. There is a possibility that this sign is the "call" of the body.
Why does the intestine hurt in the lower abdomen? Not everyone wants to understand the problem and start to swallow various pills that relieve spasms or pain.
It should be understood that drugs can remove the symptom itself, but this is only a temporary help that will only work for a while.
If the cause is more serious, then some debilitating drugs are not enough. Otherwise, it will lead to further severe flow.
Have you ever heard the expression "guts hurt"? Indeed, with impulsive pains, it seems that everything inside hurts. This serious symptom and needs to be dealt with as soon as possible.
Before finding out the reason, it is necessary to draw up clinical picture.
Discomfort in the lower abdomen: a clinical picture
Pain can be determined by the degree of intensity and location. It is these basic data on the initial diagnosis that will help the doctor narrow the circle of suspicions.
First of all, you need to deal with the nature of the discomfort. She may be:
- Stab.
- Cutting.
- Strong.
- Dull.
- Pressing.
- Bursting.
Possible problems according to the classification of pain are distributed as follows:
First you need to determine the location of the pain: on the right, in the left or in the central part. In this case, the diseases are distributed as follows:
You should always listen to your body. The patient must describe the problem in great detail.
It will also be important to determine the time of onset of pain. It is possible that there are situations that provoke discomfort in the abdomen.
For example, if abdominal pain occurs after eating, then the problem is most likely associated with inflammation of the large intestine or with fermentation.
When discomfort occurs after an enema, movement, or exercise, adhesions may have appeared in the intestines.
Pain during defecation is caused by neoplasms, anal fissure or hemorrhoids. Sharp pain on the right is often caused by the appendix.
Let's try to deal with all possible pathologies.
Pain syndrome in the lower abdomen
Pain in the lower intestine can cause many organs. These include:
- Appendix. Located on the right. The pain syndrome is also localized there.
- Intestines.
- Stomach.
- Urogenital system.
- Reproductive organs in a woman.
- Spleen.
Depending on the location and severity of abdominal pain, one can judge the likelihood of a particular disease.
irritable bowel syndrome
The nature of the pain is sharp and cutting, and the degree of intensity can vary from mild to acute. Usually the time of appearance of discomfort begins immediately after eating.
And, if before eating it was tolerable, then after it it can become unbearable. Additional signs:
- Nausea.
- Bloating.
- Feeling of incomplete defecation.
- Constipation may be replaced by diarrhea.
- Flatulence.
- Muscle pain.
- There is a lump in the throat when swallowing.
Colon obstruction
Such a disease occurs due to a failure to promote content. In this case, there is a cramping pain, which has a time interval of 15 minutes.
Additional symptoms:
- Bloating.
- Constipation.
- Lack of appetite.
- Vomit.
This disease is characterized by the fact that when the symptoms are treated, they can actually stop after 3 days.
But this alone does not mean that the treatment helped. Actually, this is bad sign the course of the disease.
The fact is that by this time, intestinal peristalsis can stop its activity and the body begins to poison itself. As a result, such intoxication can lead to death.
Why does pain discomfort occur on the right. What is the reason?
Most likely, this is a manifestation of inflammation of the appendix and hospitalization is urgently required. Pain does not begin immediately on the right.
First, their place of localization is the central part of the stomach, and only then does it begin to change its position.
Pain in the intestines will manifest itself to a greater extent after any movement. Even coughing can provoke sharp pain on right.
With such a disease, one should not hesitate. Medical attention will be required as soon as possible. Accompanying symptoms:
- Heat.
- Diarrhea or constipation.
- Increased blood pressure.
- Appetite disturbance.
If after a certain time the entire concentration of pain has accumulated in the lower abdomen, then immediate surgical intervention is required.
Starts to hurt on the left side of the abdomen. What is the reason?
There are several options, in which the pain is localized precisely on the left side of the abdomen, and not on the right. This:
- Irritable Bowel Syndrome. It occurs in people of different sex and age, but according to statistics, it was noticed that women over 30 years of age suffer from this pathology to a greater extent. The cause of the disease has not yet been clarified to this day, but nevertheless, doctors are inclined to believe that stress is to blame. Associated symptoms: diarrhea is replaced by constipation, flatulence.
- Crohn's disease. This is an inflammation of the gastrointestinal tract in the descending intestine.
- Hirschsprung disease. Boys are especially affected. You need to know that this pathology is inherited. It cannot arise by itself.
Diagnostics
You can not speak and determine the exact circle diagnostic methods applied in this case. First of all, the doctor will establish the clinical picture, and only after that you can move in one direction or another.
Already according to established data experienced doctor will make an exemplary provisional diagnosis. Further research will depend on which organ is affected and inflamed.
At constant pain in the intestines, you should immediately contact a gastroenterologist. He is the one who specializes in these issues.
Exemplary diagnostic methods that are used in this area:
- Collection of anamnesis.
- Visual examination of the patient.
- Physical examination
- Laboratory research: analysis of blood, urine and feces.
- Ultrasound, X-ray of the abdominal organs.
- Fibrogastroduodenoscopy - the stomach and upper sections in the intestine are examined.
- Colonoscopy - the lower sections are diagnosed.
- Irrigoscopy - examination of the large intestine.
Treatment of pain in the lower intestine
Only a doctor is able to prescribe the correct and suitable treatment. In some cases, when the pain has a single case, you can use the available tools that are in any first aid kit.
The usual antispasmodics will help to remove the symptom. Medicines containing enzymes should be taken before or after meals. In order not to treat pain, you need to try not to allow problems.
What to do to prevent pain in the lower intestine? Some basic recommendations:
- Departments intestinal tract can often get sick if a person abuses enemas or laxatives.
- Intestine frequent use laxative drugs is able to get used to the fact that drugs work for him. In this case, he begins to be lazy and stops functioning at the right pace. To prevent this from happening, experts advise changing laxatives.
- What to do with frequent problems in the intestines? Be sure to such people are advised to include vegetables and fruits rich in fiber in their diet. With flatulence, it is allowed to use nutritional supplements instead.
- The intestines will work like a "clock" if it does not need liquid. How more water the better peristalsis becomes.
- Citrus fruits contain essential substance- pectin. Main digestive organ needs these fruits.
- The intestines and stomach will be less irritated and inflamed if you monitor your intake. quality food. It is advisable to exclude: spicy, fried foods, coffee and other foods that can harm the mucous membrane of these organs.
Lower abdomen hurts: how to treat with drugs
Without consulting a specialist, it is impossible to independently prescribe treatment for yourself. Narrow profile drugs are prescribed only after a complete diagnosis.
To relieve pain and spasms in the lower intestine, use:
- Antispasmodics. These include: No-shpa, Papaverine, Spazmalgon.
- Anti-inflammatory: Ibuprofen, Nurofen
- Analgesics: Analgin, Baralgin.
For constipation, laxatives are allowed. You can not abuse them with a long and frequent stagnation of the contents in the intestines.
When choosing a drug, it is desirable to give preference to those that improve peristalsis in the intestines and the state of the microflora of the gastrointestinal tract.
When diarrhea occurs, the patient is prescribed antidiarrheal drugs. It is good in this case to use absorbents: Activated carbon, Smecta, Enterosgel.
What to do if discomfort in the lower intestine
When your stomach hurts, you can take painkillers. With constant outbreaks of lesions in the intestines, it is necessary to seek help from a specialist.
But there are also cases where emergency care not enough. When should you call an ambulance? Signs:
- Heat.
- Blood discharge with diarrhea.
- Weakness and anxiety.
- Fainting.
- Vomiting with blood.
- Hard and tight abdomen.
- Persistent diarrhea and dehydration already beginning.
These are the symptoms that should never be ignored. If, along with pain, there is at least 2-3 concomitant traits, then you need to immediately seek help in an ambulance.
Pain in the lower abdomen of a woman
There are situations when the lower abdomen hurts in a woman. The location can be either on the right or on the left. This is influenced by some factors that are associated with the peculiarity of the reproductive apparatus.
There are certain phases of the menstrual cycle, during which the woman's body provokes a spasm of the smooth muscles of the pelvic organs.
This effect of the phases in some cases has an indirect effect on the intestines.
Such phases usually occur at the end of the menstrual cycle or during menstruation. At this point, the endometrial tissue in the uterus is shed and comes out.
A woman during these periods has a dull or aching pain. The degree of intensity varies. Some may not notice the discomfort at all, while other women will bend from pain.
Pain in a woman can also occur during pregnancy. During this period, her hormonal levels are changing.
Stress also affects the feeling of discomfort and causes signs of toxicosis: constipation, flatulence, nausea, discomfort in the intestines.
Pain in this case does not have a specific location. They can be either on the right or on the left or around the entire perimeter of the abdomen.
Toxicosis during pregnancy in most cases stops after the first trimester.
If a woman's pain is not caused by pathological diseases, then you can reduce the symptoms at home by taking any antispasmodic.
If the discomfort is caused by stress, then it is allowed to use a sedative.
Conclusion
If it hurts in the lower abdomen and others come additional symptoms, you should immediately consult a doctor.
Only in isolated cases It is allowed to use medicines to relieve discomfort at home.
Before prescribing serious treatment for yourself, you will need to undergo a complete diagnosis and find out the main causes.
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