On the right side of the body under the ribs in a person, the pancreas, gallbladder and liver are localized, part colon, lower part of the lung, muscles. Pain in this area is a complaint with which patients often come to see a doctor, and it, in turn, indicates the presence of pathologies of various forms.
Classification of pain in localization
To make primary analysis problems, it is necessary to determine the nature and type of pain. Sometimes the presence of discomfort on the left or right is defined as an indication for surgical treatment.
By intensity
There are two main types of pain:
Feels like
Allocate the nature of the syndrome by sensations:
Pulling pain is a pain shade and is not defined as a full-fledged symptom in the diagnosis.
According to the focus of manifestation
A symptom does not always indicate damage to internal organs, even if it feels that way. The focus of pathological processes is localized in different ways. According to it, types of pain are distinguished:
Determining the nature of discomfort allows for a more accurate diagnosis and a plan for further action.
Diseases of the pancreas
More often than others, discomfort on the right side indicates the presence of pancreatic diseases and complications. When they are detected, emergency care and hospitalization are necessary.
Acute pancreatitis
The disease is an acute inflammation of the pancreas. If a problem is found, hospitalization is required. It hurts under the ribs on the right side in front, gives to the left and spreads to the back. The intensity of the syndrome in men and women is high. Associated symptoms:
Possible increase in body temperature. Nausea causes vomiting, but does not decrease after the procedure.
In rare cases, the pain takes on a weak intensity and does not give the patient a reason to seek help.
Chronic pancreatitis
Chronic pancreatitis is characterized by a change in the stages of acute inflammatory processes and recovery. The right side hurts under the ribs on the side, as a rule, precisely during the next attack as a result of a violation of the prescribed regimen. An exacerbation is characterized by pains of girdle, bursting, stabbing nature, arising and growing within one and a half hours after eating. Associated symptoms:
Complications
Severe acute pain syndrome on the right or left side is the result of the progression of pancreatitis, indicating the development of pancreatic necrosis, abscesses, bleeding and hematomas. Intense and dull pain is a sign of cancer last stage. Unpleasant sensations can also indicate the presence of cysts, pseudocysts and benign tumors.
Diseases of the liver and gallbladder
By itself, pain is not the only sign of liver disease. As a rule, the syndrome is accompanied by other symptoms, depending on the type of lesion.
hepatic colic
Occurs as a result of blockage by a calculus or formation in the duct. The condition requires urgent medical attention and is accompanied by symptoms:
Chronic pathologies of the gallbladder and liver
In this case, there are periodic pains in the right side. As a rule, the syndrome increases within an hour and a half after a meal. The problem is accompanied by symptoms:
Acute violations
Viral hepatitis, cholelithiasis, cholecystitis and cirrhosis are characterized by high-intensity pain syndrome that spreads to the groin and chest. Also found:
Bowel disease
Intestinal cancer and inflammatory processes cause dull pain syndrome of moderate intensity on the right. There are also symptoms:
- persistent flatulence;
- violation of the stool (constipation, diarrhea);
- weight loss;
- hair loss;
- blood spots in the stool.
Severe cutting on the side is accompanied by deterioration general condition patient and requires hospitalization.
Appendicitis
In acute appendicitis, a strong pain syndrome is possible in the right side and groin, which does not allow movement. Accompanying symptoms:
- temperature rise up to 39 degrees;
- chills and weakness;
- nausea and vomiting.
Acute appendicitis is a problem that requires urgent intervention. With prolonged discomfort, it is necessary to consult a doctor as soon as possible or call an ambulance at home.
Inflammation of the lung
Lower lobe pneumonia causes stabbing discomfort in the area under the right rib. At the same time, it becomes weaker in the supine position and increases during inhalation. Associated symptoms:
The specified symptomatology also signals the progression of dry right-sided pleurisy, in which the side hurts. Cancer tumors in the lungs cause weight loss, as well as hemoptysis. Organ diseases require a serious approach and thorough professional diagnostics.
Acute inflammatory processes of internal organs require immediate hospitalization and diagnosis.
Muscle pathology, neuralgia
Myositis - inflammation of the muscles chest And abdominals, characterized by shooting and cramping pain symptom on the right side under the ribs. During movement, the pain intensifies, seals form in the affected muscles, which can be detected by palpation. Also, the syndrome causes the progression of a hernia, inflammation of the diaphragm. In this case, the deterioration occurs during the meal and deep breathing.
Intercostal neuralgia is characterized by inflammatory processes of the nerves, causing sharp acute discomfort.
The sensation is aggravated by bending, moving, inhaling.
IN severe cases possible redness and the formation of a vesicular rash in the localization of the lesion. The disease is often diagnosed during pregnancy.
Pain in the right hypochondrium in a child or adult always indicates the presence of pathological processes associated with muscle tissue or internal organs. If the problem becomes long-term at high intensity, prompt hospitalization is mandatory. With a timely visit to the doctor, it is possible to eliminate not only the pain syndrome, but also the focus and the main cause of the disease.
0These are mainly diseases of the gallbladder and biliary tract, liver disease and hepatomegaly caused by edema in heart failure. Let's try to highlight the features of pain, taking into account the localization and characteristics of the complaints of patients.
Right hypochondrium area
If we talk about localization, then it should be clarified which place of the human body is called the “right hypochondrium”. For this there is classic definition from topographic anatomy - the area of the anterior abdominal wall, which has:
- the upper limit is the right dome of the diaphragm at the level of the V rib;
- lower - the inner edge of the costal arch;
- in the center - a conditional vertical line passing through the lowest edge of the rib;
- on the right side - the vertical connection of the XII rib and the right iliac crest of the pelvic bone.
As you can see, the anatomical definition is quite complex. In fact, we refer to the hypochondrium everything that is located in the area of \u200b\u200bthe right lower ribs and under them, starting from the spine (from the back) to the sternal joint.
Internal organs enter the projection of the right hypochondrium:
- liver and gallbladder;
- bending of the ascending and transverse colon;
- the upper pole of the right kidney with the adrenal gland;
- peritoneal side of the dome of the diaphragm, separating chest cavity from the abdominal.
Conditions for pain
The causes of pain in the right hypochondrium consist of the structure of the walls of the internal organs, the characteristics of their innervation. For a diseased organ, the following conditions must be met:
- in dense parenchymal organs - this is swelling, an increase in size and stretching or destruction of the capsule that has pain receptors;
- for the intestine and gallbladder - spasm or stretching of the muscle and layer, inflammation in the submucosa (the mucosa itself does not have pain points), violation of the integrity of the wall.
An equally important feature of the viscera of the abdomen is the general innervation from some parts of the spinal cord, so pain under the right lower ribs may reflect a local pathology in the stomach, pancreas, duodenum, inferior vena cava.
Can pain occur in a healthy person?
Pain in the right hypochondrium in front may occur due to physiological reasons and not be accompanied by pathology. During physical exertion (more often when running, push-ups), an unprepared person may experience stabbing pains on the right under the ribs.
This is due to a decrease in tone and stretching of the biliary tract under the influence of the release of an additional portion of adrenaline, an increase in the blood supply to the liver with stretching of the capsule, and spastic contraction of the muscles of the diaphragm during inspiration due to untrained breathing.
Performance exercise aggravates the condition after a heavy meal, as the liver feels pressure from a full stomach
In women, colic in the hypochondrium on the right causes an increase in estrogen and a fall in progesterone in the period before menstruation. Hormonal imbalance affects the tone of the gallbladder and tracts, causes stagnation and overstretching, therefore, short-term colic is possible.
Hormonal contraceptives work similarly, their intake is also accompanied by a violation of the outflow of bile. In the III trimester of pregnancy, physical activity is accompanied by moderate pain in the hypochondrium or a feeling of heaviness. Symptoms stop after childbirth.
Pathological causes of pain
Diseases of the organs lying in the right hypochondrium are accompanied by pains of various shades, irradiation to other parts of the abdomen, to the lower back and chest. Symptoms of pain in the right hypochondrium should be known to doctors, since they are based on differential diagnosis.
pathology of the heart ischemic disease, widespread infarction, cardiopathy, inflammatory diseases membranes, defects) - there is a weakness of the right ventricle. This means that the muscle loses the ability to pump blood in the required volume. Circulatory failure is accompanied by stagnation of blood below the vena cava.
Formed cardiac cirrhosis of the liver, which causes constant pain in the right hypochondrium
Thrombosis at the level of the inferior vena cava should be kept in mind for acute sudden pain. In the gallbladder and ducts, inflammation, dyskinesias, and precipitation of salts with the formation of stones are possible. Distinguish between chronic calculous and acalculous cholecystitis, cholangitis, cholelithiasis. Tumors are rarely seen.
Diseases of the right kidney are very diverse. Inflammation (pyelonephritis, glomerulonephritis) can proceed unilaterally for a long time, the second kidney takes over the functions of both. The kidneys suffer from abscess formation, tuberculosis, echinococcosis, the tissue structure is disturbed by hydronephrosis, polycystosis.
Urolithiasis contributes to blockage of the pelvis or ureter with a stone, further stagnation of urine provokes inflammation. Tumors from the renal parenchyma, as well as frequent metastasis in cancer of another localization, are accompanied by severe persistent pain. In the right adrenal gland, pheochromocytoma and other types of malignant neoplasms develop.
Colon diseases include irritable bowel syndrome, colitis caused by infection, Crohn's disease, ulcerative colitis, tumors, diverticulosis, intestinal obstruction.
In the border tissues of the diaphragm and ribs, damage is possible due to fractures of the lower ribs, intercostal neuralgia, diaphragmatitis and a tumor, herpes zoster caused by the herpes virus.
Pain in the abdomen radiates to the upper right region and hypochondrium when the ulcer is perforated duodenum, pancreatitis, appendicitis, traumatic injury to the kidney and liver.
Patients describe pain differently. The type of pain is taken into account in the differential diagnosis.
Such patients are urgently transported to the nearest surgery department and examined by emergency specialists
Characteristics of pain
The pain is sharp
Acute pain in the right hypochondrium - occurs suddenly, is included in the concept of " acute abdomen". The issue of surgical treatment. A sharp pain in the hypochondrium on the right is caused by the following conditions.
Wounds and ruptures of the liver, kidney, intestines. Growing hematomas due to internal bleeding add dull pressing pains, accompanied by shock, dizziness, signs of anemia in blood tests.
Acute cholecystitis, pancreatitis, appendicitis with an abnormal location at the beginning of an attack cause nausea and vomiting, fever, pain radiates to the side, back, shoulder blade. It begins to pulsate if the inflammation becomes purulent. In this case, you need Urgent measures since the condition indicates a rupture of the organ in the near future and the spread of pus throughout the peritoneum.
Intestinal perforation is caused by ulcerative lesions of the entire depth of the wall. It is characterized by cutting pain. Occurs with perforation of the ulcer (Crohn's disease, ulcerative colitis, duodenal ulcer), rupture of diverticula.
Intestinal obstruction develops gradually, usually acute condition preceded by a period of constipation and aching pain. Added bloating to upper divisions, vomiting, gas retention.
With complete blockage of the bile ducts by a stone, muscle contraction occurs. On the other hand, bile stasis causes the gallbladder to enlarge and become inflamed. Therefore, an acute attack alternates with dull arching pains in the right hypochondrium.
Thrombosis of arteries and veins, thromboembolism of supply vessels lead to oxygen starvation (ischemia), then to tissue necrosis. The pain is very intense, pain shock is possible. Renal colic, caused by the movement of a stone along the right ureter, radiates upward to the hypochondrium, to the back and to the inguinal organs. The pain is sharp, unbearable, excruciating.
Sudden compressive pains accompany acute myocardial infarction in the abdominal form
A fracture of the right ribs causes shooting pain, aggravated by inhalation, movements. A patient with intercostal neuralgia and shingles feels the same way.
You can learn more about the causes of pain when breathing in this article.
The pain is dull
Dull pain in the right hypochondrium is described by patients as "something aches, does not allow to lie on the right side, bursts." They are tolerated by patients, although they may vary in intensity. With moderate pain, some patients do not want to see a doctor.
Similar type pain syndrome characteristic of long chronic inflammation, the initial stage of neoplasm and observed:
Patients with heart failure indicate a constant heaviness in the right hypochondrium caused by blood stasis. At the same time, edema is observed on the feet and legs, an increase in the abdomen (ascites) due to plasma sweating into the abdominal cavity.
With a significant increase in the organ, pulling pain appears. Similar symptoms occur with hepatitis, fatty hepatosis, biliary dyskinesia (hypomotor type), chronic cholecystitis without exacerbation.
What causes pain?
All organs located in the right hypochondrium "do not like" spicy and fatty foods, fried foods, smoked meats, pickles. These foods make digestion work harder.
Inappropriate food provokes hidden forms diseases, causes malfunction of the digestive organs
By the nature of the pain, they are distinguished by dullness, spasm (cramping, stabbing), the presence of nausea, accompanied by bloating, impaired stool. You can learn more about pain in the right hypochondrium after eating in this article.
Physical activity activates calculous processes in the gallbladder and kidneys. A special role is given to shaking in transport, running, jumping. The movement of stones is called, which means an attack of renal colic, cholelithiasis.
At the same time, the filling of the liver with blood is activated, It's a dull pain in the hypochondrium on the right intensifies after doing hard work, sports training. Loads provoke an exacerbation of intercostal neuralgia, osteochondrosis, myositis. Contribute to thromboembolic complications of blood vessels.
If biliary dyskinesia is caused by muscle hypotonia, then physical activity improves the passage of bile. Patients note the elimination of pain. We will consider the features of the pain syndrome using the example of various pathologies.
Pain caused by liver disease
In the hypochondrium is the right lobe of the liver, the left - goes into the epigastrium. Pain is caused by overstretching of the capsule. This mechanism is suitable both for swelling of the parenchyma during inflammation, and for volumetric processes (abscess, echinococcal cyst, neoplasm).
Hepatitis - large group inflammation of the hepatic parenchyma of various etiologies. For reasons, there are viral infectious, alcoholic, toxic, autoimmune. The pains are dull, bursting in nature.
IN clinical course intoxication of the body comes first: nausea, lack of appetite, vomiting, severe weakness. Violation of the metabolism of proteins, fats and carbohydrates, the exchange of bile pigments causes yellowness of the skin and mucous membranes. The feces become grayish, the urine darkens.
With cirrhosis of the liver - gradually inflammation passes into the stage of scarring. Formed dense nodes that do not contain hepatocytes. Similarly, fatty hepatosis ends with alcohol disease. Persistent aching pains are characteristic at the beginning of the disease, when the liver is still enlarged. Then the size of the organ decreases. Developing liver failure.
In 12% of patients, it causes suppuration with the formation of a liver abscess. Pulsating pain in the right hypochondrium speaks of abscess formation. It is clinically detected by intense constant pain in the right hypochondrium of a dull and aching nature. Irradiates to the right shoulder, shoulder blade.
Typically, strengthening in the supine position on the left side, against the background of movements, deep breathing. The pain is relieved by lying on the right side, curled up. On examination, doctors reveal severe soreness with pressure on the lower right ribs.
Abscesses of the liver with superficial localization break through the capsule and spread into the subphrenic space
Pain in congestive heart failure
Heart failure causes a significant increase in the liver, swelling in the feet and legs, trophic ulcers, ascites. The pains are in the nature of a feeling of heaviness in the hypochondrium on the right. The patient is able to find out the previous history, past illnesses heart muscle.
In the abdominal form of myocardial infarction, pain is distinguished by a pressing and burning intense attack (“knife blow”). They give it to the right shoulder blade, behind the sternum. Most common in myocardial infarction rear wall left ventricle. Perhaps a drop in blood pressure, arrhythmia, shortness of breath.
How does the gallbladder hurt?
The gallbladder and ducts are hollow organs. This means that pain in them can occur during stretching (impaired outflow of bile) or spastic contraction. Dyskinesia is called hypotonic and hypertonic, respectively.
IN pure form it is possible in childhood, in nervous, emotional people. Often accompanied by inflammation (cholecystitis and cholangitis). Increased tone causes spasm when the stone moves, which is manifested by an attack hepatic colic. Irradiate to the back, right shoulder blade.
Chronic cholecystitis proceeds to an exacerbation with dull, aching pains, but in the exacerbation stage it is accompanied by sharp cutting sensations. Possible vomiting of bile, yellowing of the sclera, bloating, bitterness in the mouth in the morning.
Diseases of the adjacent colon
The right hypochondrium includes only the bending of the transverse colon and ascending colon. But the intestines are characterized by the spread of pain throughout the abdomen. At first they are less pronounced and do not affect the peritoneum. The patient feels bloating, impaired stool.
Inflammation of the peritoneum can lead to pain shock, peritonitis. Symptoms are observed when the intestines are injured. Spastic colitis causes attacks of cramping pain, constipation, flatulence. The disease often has an infectious nature.
If ulcerative colitis and Crohn's disease affect the entire intestine, then the changes also affect the colon. In the feces, mucus, pus, blood impurities are found. The pain is intense, covering the entire abdomen.
Tumors are rarely localized in the upper right corner of the transverse colon. They are manifested as a mechanical obstacle to the passage of the contents, decay. Then the main symptom becomes acute intestinal obstruction with retention of stool, distention of the upper part of the bowels, sharp pains. When disintegrating, the contents enter the peritoneal cavity and peritonitis develops.
kidney disease
Pyelonephritis - inflammation of the right renal pelvis. flows into different form. The most difficult is the apostematous form (with multiple abscesses). Pain in the hypochondrium on the right "leave" deep into the lower back.
Carbuncle in the gates of the kidney is able to block the urination, causes throbbing pain
With an abscess or carbuncle, they have a diffuse pulsating character. The temperature rises sharply, chills are observed. Urination is disturbed. Patient frequent urges to urination, resi. Pus and blood are found in the urine.
Paranephritis - caused by the transition of inflammation from the capsule of the upper pole of the kidney to the surrounding adipose tissue. Increased temperature. The pain syndrome is first localized in the back, then covers right hypochondrium, increases with inhalation, walking, straightening the body.
Urolithiasis - manifested severe attacks pain. Located in the lower back, right side of the abdomen, radiate to the groin, external genitalia. At the height of the attack, vomiting is possible. Salts and blood are found in the urine.
Kidney cancer - gives symptoms only in the later stages. At first, it has no characteristic features. With growth, it is manifested by blood in the urine, intense pain and acute delay urine. Tumors of the right adrenal gland (pheochromocytoma, aldosteroma, corticosteroma) are known to endocrinologists because they change hormonal composition human, secondary sexual characteristics.
Rib disease
Bruises, fractures, intercostal neuralgia are accompanied by intense pain in the back, side. They intensify on a deep breath, when turning the body, tilting. Clarity is brought by palpation of the sore spot. Read about the manifestation of pain in the right hypochondrium and back in this article.
If you experience pain in the right hypochondrium, you should not rely on your own knowledge. Only a specialist will help to understand and find the cause. Prolonged patience turns into serious consequences.
When does pain occur under the right rib?
Introduction
Causes
- liver disease (hepatitis, cirrhosis of the liver);
- diseases of the gallbladder (cholecystitis, cholelithiasis);
- diseases of the pancreas (pancreatitis, tumors);
- diaphragm diseases (tumor, hernia, diaphragmatitis);
- intestinal diseases (appendicitis, duodenal ulcer);
- heart disease (myocardial infarction, angina pectoris);
- disease right lung(pneumonia, pleurisy, lung cancer);
- diseases of the right kidney (pyelonephritis, urolithiasis);
- osteocondritis of the spine;
- tumors of all listed organs;
- injuries of the listed organs;
- shingles.
According to statistics, most often pain in the right hypochondrium is caused by diseases of the gallbladder. In second place in the frequency of cases - heart disease, the third - lung disease.
Liver disease
Gallbladder diseases
1. Acute or chronic cholecystitis (inflammation of the gallbladder wall).
3. Cholelithiasis (when a stone moves along the bile duct, it can be complicated by extremely painful hepatic colic).
Diseases of the pancreas
Diaphragm diseases
Bowel disease
Heart diseases
Diseases of the right lung
Shingles
Pain under right rib at the back
Diseases of the right kidney
Urolithiasis disease
Acute pancreatitis
Osteochondrosis
Retroperitoneal hematoma
acute pain
- liver rupture;
- liver hematoma;
- rupture of the gallbladder;
- kidney rupture;
- omission of the kidney due to ligament rupture;
- fracture of one or more lower ribs on the right.
2. Renal colic.
3. Hepatic colic.
4. Infringement of the renal cyst.
5. Acute cholecystitis.
6. Acute pancreatitis.
Do not try to figure it out on your own in such heterogeneous diseases, accompanied by common symptom- dull, aching pain under the right rib. Only a doctor can establish the correct diagnosis after a well-appointed examination.
Acute and dull pain in the right hypochondrium with vegetovascular
Pain under the right rib in healthy people
During physical exertion in untrained people
During pregnancy
For premenstrual syndrome
What to do if there is pain under the right rib?
1. With acute, sudden pain under the right rib.
2. With aching pain under the right rib, lasting more than 1 hour.
3. When stabbing pain under the right rib, which arose during movement, and continued for more than half an hour.
Why does it hurt in the right hypochondrium
Strong or weak, dull or sharp pain under the right rib can be caused not only by diseases of the organs that are in close proximity to it (liver, gallbladder, kidney, pancreas, diaphragm, lung), but also by a number of other problems, for example, with the nervous system.
The so-called "right hypochondrium syndrome" indicates a very extensive list of diseases and can be radiating pain from other organs: the spine, heart, pelvic organs. due to stretching muscle tissue in the intercostal spaces, even a simple cough can cause pain on the right under the ribs.
Causes of pain under the right rib
Under the right ribs of a person there are several groups of vital organs, so the nature of the pain in the right side should be considered in detail and, first of all, pay attention to these organ systems.
According to statistics, the top three causes of pain under the right ribs look like this:
- Diseases of the gallbladder.
- Heart disease.
- Diseases of the lungs.
Constant pain in the right hypochondrium
Diseases that cause constant pain under the right rib:
- liver: hepatitis, cirrhosis of the liver;
- gallbladder: cholecystitis, cholelithiasis;
- pancreatic diseases: pancreatitis, tumors;
- diaphragm diseases: tumor, hernia, diaphragmatitis;
- bowel diseases: appendicitis, duodenal ulcer;
- heart disease: myocardial infarction, angina pectoris;
- diseases of the right lung: pneumonia, pleurisy, lung cancer;
- diseases of the right kidney: pyelonephritis, urolithiasis;
- osteochondrosis;
- tumors of internal organs;
- injuries of the abdominal organs;
- shingles.
These diseases can cause pain of a different nature and the definition of “ constant pain” is rather conditional.
So, for an unexpected, sharp pain not caused by mechanical trauma, 30 minutes is already a constancy, aching pain should be seriously disturbing if it does not go away within an hour, as well as stabbing pain, which is aggravated by walking.
Such severe pain under the right rib turns into a permanent status and requires a visit to a doctor on the day of occurrence or even an ambulance call.
Periodic pain under the right side
Occurring for certain reasons in perfectly healthy people, periodic pain in the right hypochondrium is familiar to almost everyone.
In adolescence, this is considered the norm, which indicates the growth and development of the body.
The cause of “healthy” pain under the right lower rib is physical activity, walking and restructuring of the body (taking hormonal pills, pregnancy, premenstrual syndrome).
When the body is not characterized by any specific movements or the level of habitual physical activity increases, then due to the production of adrenaline and an increase in blood flow, the internal organs expand, and the vena cava swells in the right side.
Organs can come into contact with the ribs, and a person feels discomfort, periodic pain. Such pain should pass within 5-7 minutes, after the alignment of the pulse.
Pain localization
If the patient cannot differentiate their perception of pain according to the exact location, it will be difficult for the doctor to make a diagnosis. Often patients who do not know how to “listen” to themselves confuse these pain in the right side under the ribs with symptoms of osteochondrosis.
Pain under right rib in front
In this case, attention must be paid to possible diseases the following bodies:
The most common cause of back pain on the right side is kidney disease.
The main diseases causing pain behind the right rib:
- infectious and inflammatory diseases of the right kidney (acute or chronic pyelonephritis);
- inflammation of the pancreas;
- retroperitoneal hematoma after a long-standing back injury.
All these diseases cause pain of a different nature. Even with the same disease pain people are different, so the diagnosis is made only in conjunction with other symptoms.
Symptoms and signs of pain may suddenly appear in the left side. More on the treatment of pain in the left hypochondrium.
We continue the topic of treatment. In this article, you will find information about pain in the heel, especially when walking.
The solar plexus is one of central authorities organism responsible for the functioning of a wide range of internal organs. In cases of discomfort in the chest area, pay attention to this article http://med-atlas.ru/vnutrennie-organy/bol-v-solnechnom-spletenii.html
The nature of the intensity of pain symptoms
The intensity of sensations and the characteristics of pain in the right side under the ribs become another clue to the diagnosis. Also, a quick visit to the doctor with the correct description of the nature of the pain is simply necessary if some sensations occur.
Therefore, pain sensations must be able to distinguish in order to give a quick assessment of the situation that has arisen.
Pay attention if you are worried about aching pain in your right side
- Weak, muffled aching pain is a consequence of chronic pyelonephritis, which needs treatment in a hospital setting.
- Constant aching pain in the right hypochondrium and in front and behind, which sometimes turns into acute, indicates osteochondrosis. Sitting and standing become very painful, so to alleviate the sensations, it is necessary to lean forward half-sitting.
Symptoms indicating acute pain
Most dangerous view pain in the right side under the ribs.
- Acute pain under the right rib often indicates inflammation of the appendix. Pain is given to the right hypochondrium.
- Sharp stabbing pain is a symptom mechanical injury: rupture, hematoma of the liver, rupture of the gallbladder, rupture of the kidney, prolapse of the kidney due to rupture of the ligaments, fracture of the ribs on the right.
- Unexpected acute pain, aggravated even by quiet walking, may be the reason for examining the internal organs for the presence of a hematoma that presses on the tissues of the organs.
- Also, acute pain can be caused by renal or hepatic colic, infringement of the renal cyst, acute cholecystitis or pancreatitis.
What causes dull pain in the right hypochondrium
- Non-intense dull pain is most often caused by chronic diseases (chronic pancreatitis) or diseases in the last stage of development (cancer of the internal organs).
- Acute pyelonephritis is always accompanied by intense dull pain under the ribs behind (right or left). Such pain sharply increases and becomes pulling when the edge of the palm is struck on the back in the region of the lower rib.
- Pain from liver diseases (including liver cirrhosis) is also dull and most clearly felt under the right ribs.
- Such pain is also an indicator of the inflammatory process in the body. Not infrequently, dull pain near the right rib occurs with inflammation of the uterine appendages, gallbladder, pancreas, right lung, spleen.
Stitching and pulling pain under the right side are in the nature of a pain shade, which is rarely found in its pure form. Such pains are most often not included in the scope of the diagnosis, their causes are not detected during the examination.
The patient feels both acute and pulling pain at the same time, he has attacks of stabbing pain, but he cannot localize it. Such wandering pain under the right rib can be intense, but short-term - this is psychosomatic pain. With this type of pain, you should contact a neurologist and a psychiatrist.
Which doctors should I go to if it hurts in the right side under the ribs?
Preliminary diagnosis after examination and general analyzes puts the therapist, who directs the patient to the right specialist:
In no case do not try to understand all the symptoms yourself and start self-treatment. Do not apply hot compresses to relieve pain under the right rib.
With unbearable acute pain, you can apply cold and call an ambulance, but you can’t take painkillers: the clinic of the disease will be erased and a quick diagnosis will become impossible.
Krasnoyarsk medical portal Krasgmu.net
Pain in the right side can occur in a variety of ways. different reasons. If a person has aching pains, then it is undesirable to self-medicate, since he does not know what caused the pain.
Pain in the right side under the ribs and in the lower abdomen can lead to various diseases digestive organs, genitourinary system and retroperitoneal tissue. Often the pain spreads all over the right side, and it is rather difficult to name the exact time of its occurrence.
Abdominal pain is one of the most common complaints causing patients to seek medical attention. Any pain in the abdomen, especially acute, should seriously alert any person, especially if a person has not noted anything like this before. In some cases, abdominal pain is permanent, often recurrent, disturbing patients for many years.
Speaking of abdominal pain in general, one should focus on the following very important points, because often, without giving them due importance, a person runs the risk of allowing this situation to develop very dramatically. If the pain is not aching in nature, it is worth stopping at pains in the right side under the ribs.
Key points for everyone to know:
1. It is necessary to clearly distinguish between acute and chronic abdominal pain. In acute pain, the attack begins suddenly, often without any predisposing factors. Such pains, as a rule, are initially quite intense, and their intensity usually increases literally by the hour. Chronic pain is usually dull in nature, disturbing patients for a long time. An attack of pain is not always intense, and, as a rule, their occurrence is associated with some provoking factor. Such pains rarely come as a surprise "for a person who has long time their existence, there is often a drug or non-drug remedy in store that effectively gets rid of it. Why is it important to distinguish between acute and chronic pain? This is important due to the fact that in general, the cause of acute abdominal pain is often acute surgical pathology organs of the abdomen, in which there is always a potential opportunity to be at least in a surgical hospital, and at most - on the operating table. The cause of chronic pain is usually some kind of chronic medical condition that is potentially less dangerous.
2. Exists Golden Rule: In case of acute pain in the abdomen, you should never take painkillers before being examined by a doctor, preferably a surgeon! In chronic pain, such categorism is usually not observed, and patients independently take analgesics to alleviate their condition.
3. Not always the cause of abdominal pain lies in the disease of the internal organs located in the abdominal cavity. So quite often the pathology of the lungs, heart, kidneys can be accompanied by the appearance of pain in the abdomen due to the peculiarities of the passage of nerve trunks.
Abdominal pain can be located in completely different departments, but one of their most common localizations is aching pain in the right side under the ribs. There is a huge list of diseases accompanied by the occurrence of pain in the right hypochondrium. For the convenience of understanding and determining the importance of certain diseases, accompanied by aching pains in the right side under the ribs, I would like to consider the disease in the following aspect:
Diseases associated with lesions of the abdominal organs:
Dangerous to health and life (usually surgical)
Less dangerous (usually therapeutic)
Dangerous diseases associated with damage to the abdominal organs.
This group of diseases includes the following:
1. Acute cholecystitis. Localization of pain in the abdomen on the right under the rib is typical for this disease. Acute cholecystitis is an acute inflammation of the gallbladder. The main and main cause of this disease is the presence of stones in the gallbladder, which often get stuck either in the neck of the gallbladder or in the bile ducts. In this case, the gallbladder appears to be blocked. Bile, not being able to exit, overstretches it, causing severe pain. Very often, an infection joins, and the disease manifests itself in its full glory. As a rule, pain in acute cholecystitis is localized in the region of the right hypochondrium, but at the same time it is given under the right shoulder blade and into the right shoulder blade. Patients may have nausea, vomiting, bitterness in the mouth. Within two to three days, the gallbladder may completely rot, rupture, and the infected bile begins to leak into the abdomen, causing peritonitis. Without timely assistance, patients, as a rule, die. In most cases, the pain attack is associated with the intake of fried, fatty foods, as well as the intake of alcohol. Often the only possible way assistance to such patients is the emergency removal of the gallbladder. However, with timely treatment, it is possible to remove the gallbladder through small, barely visible punctures on the skin - the so-called endoscopic removal of the gallbladder. most informative in an additional way diagnosis of acute cholecystitis is an ultrasound of the abdominal organs, which not only allows you to identify the presence of stones as the main cause of this formidable disease, but also determine the thickness of the gallbladder wall - the main criterion for the severity of the inflammatory process.
2. Acute appendicitis. Absolutely every person acute appendicitis associated with the appearance of pain in the lower abdomen on the right (right iliac region). However, few people know that in about 70% of cases, acute appendicitis begins with pain in the upper abdomen, including in the right hypochondrium. In most cases, pain in the first six hours moves down the abdomen and then the picture becomes more or less clear. Acute appendicitis usually does not have any predisposing factors. It occurs against the background of complete health, both in men and women at any time of the day and at any age. Acute appendicitis is a very dangerous disease. That is why, as soon as this formidable diagnosis is exposed, the patient must be operated on as soon as possible. As a rule, an operation to remove an acute appendicitis is performed no later than two hours from the moment the diagnosis is established. Despite the fact that acute appendicitis, if it starts with pain in the upper abdomen, will soon drop lower, there is a certain category of patients in whom appendicitis is manifested exclusively by pain in the upper abdomen under the ribs, which, if these facts are not known, is misleading medical workers which endangers the life and health of the patient. This group of patients includes the following:
Pregnant women in the second half of pregnancy. The fact is that during this period, the enlarged pregnant uterus displaces the large intestine along with the appendix under the liver, where the inflammatory process is localized in the subsequent.
People who have the power anatomical features The appendix has a considerable length and is located under the liver.
Only a timely examination of the surgeon can neutralize the potential threat that awaits patients in this group with pain under the rib on the right.
3. Perforated ulcer of the stomach or duodenum. In typical cases, with a perforated ulcer, severe pains occur in the upper abdomen, which, due to their characteristic intensity, are called dagger pains. With this disease, through the hole formed in the stomach, gastric juice, consisting of of hydrochloric acid and aggressive digestive enzymes enters the free abdominal cavity, causing severe inflammation. Without emergency operation most patients die within the first three days, and even a belated operation (on the second day) is often not able to save the unfortunate. It would seem, how can you not recognize such a bright disease in its manifestations? It turns out it's possible. And this happens due to the fact that in some cases this disease proceeds very erased and atypical. This occurs in the following cases:
If the hole in the stomach or duodenum is very small, it can, as it were, be covered from the inside with a piece of food, preventing gastric juice from pouring out. In this case, the external opening (from the side of the free abdominal cavity) is covered by the intestine or omentum (protective reaction of the body). This condition is called a covered test ulcer. Following relatively abrupt start pains within a short time are significantly reduced, take on the character of aching under the rib on the right. However, the danger lies in the fact that an infection that has got into the stomach all the same can also lead to peritonitis and death, which nevertheless proceeds not so brightly and aggressively.
Even the slightest suspicion of a perforated ulcer is an indication for immediate referral to a hospital where there is a specialized surgical one. And in order to finally convince of the danger and importance of this disease, I would like to say that any health worker who has identified or at least suspected a perforated ulcer should not only send, but also ensure the delivery of the patient to the hospital (at least by personal transport).
"Non-dangerous" diseases associated with lesions of the abdominal organs
Calling this group of diseases non-dangerous is of course not entirely correct, and it would be a serious accusation against doctors. therapeutic profile. The point is that, unlike urgent surgical diseases requiring very fast and accurate diagnosis and acceptance urgent action, at therapeutic diseases there is time for a full examination without haste. It should also be noted that in therapeutic diseases, unlike surgical ones, there is much less likely to be a direct potential threat to the patient's life. The main therapeutic diseases, accompanied by aching pains in the right side under the ribs, are as follows:
1. Chronic cholecystitis. Like acute cholecystitis, chronic is also most often associated with the presence of gallstones. However, pain in chronic cholecystitis is much less intense, rarely accompanied by nausea, vomiting, fever and deterioration of the general condition. Pain appears very often, there is a clear relationship with the intake of food in the form of a violation of the diet, and they pass well after taking drotaverine (No-shpy). The exclusion of fried, fatty foods, as well as the use of alcohol, along with taking antispasmodic drugs during an exacerbation of the disease, are the main measures aimed at reducing the frequency and intensity of pain attacks. Radical relief from chronic calculous cholecystitis- removal of the gallbladder planned. In principle, all cases of gallstones are subject to surgical removal, which is best done as early as possible in young age when a person tolerates surgery much easier and with fewer complications.
2. Gastritis and exacerbation of peptic ulcer of the stomach or duodenum. Pain can be localized both in the epigastrium, i.e. under the spoon, and under the rib on the right (especially with a duodenal ulcer). Pain, as a rule, occurs after eating (from 20 minutes to an hour and a half), very often accompanied by heartburn, nausea, belching, and sometimes vomiting. Pain in these diseases often have a so-called seasonal character, aggravated in the autumn-spring period. The leading role in the diagnosis of gastritis and peptic ulcer is played by fibrogastroscopy (FGS) - an endoscopic research method that allows not only to visually assess the condition of the inflamed mucosa, but also to perform a biopsy. Compliance strict diet, taking drugs that reduce gastric acidity in most cases allows you to short time get rid of this disease.
3. Hepatitis - inflammation of the liver. Most often, inflammation is caused by viruses (hepatitis A, B, C, D and others). Inflammation of the liver can be either acute or chronic. The occurrence of dull aching pain in the right hypochondrium is typical for this disease. There is one very important symptom of hepatitis, which in most cases helps to distinguish this disease from others - this is the appearance of jaundice. skin and mucous membranes, which can be of different intensity from barely noticeable to bright orange. Hepatitis A usually occurs in the form of an acute form with vivid symptoms, which after treatment does not leave any consequences. Hepatitis B, C and D often occur in the form of chronic forms, slowly progressing to cirrhosis of the liver. Ultrasound of the liver and laboratory research for the presence of hepatitis allow you to make a correct diagnosis in a timely manner.
Another cause of inflammation of the liver, in addition to viral hepatitis, is the ingestion of toxic substances that damage liver cells. Of the most common hepatotoxic substances is alcohol.
4. Dyskinesia of the gallbladder - functional disease associated with either an increase or a sharp weakening of the contractility of the gallbladder. The disease can occur in two forms: hyperkinetic - characterized by increased spasms of the gallbladder, hypokinetic - excessive relaxation of the gallbladder. The pains are aching or stabbing in nature, have a clear connection with the reception fried food. In its course, the disease is very similar to chronic cholecystitis, however, with dyskinesia, there are no stones in the gallbladder. Dyskinesia is treated by following a diet, using choleretic drugs and NO-SHPY.
Diseases not associated with lesions of the abdominal organs
There is a large group of diseases in which abdominal pain is localized under the rib on the right, but the disease affects organs located in completely different areas. Pain in these diseases is reflected or radiating in nature. Diseases that are accompanied by pain in the right hypochondrium are the following:
1. Acute pneumonia(pneumonia). With the localization of the inflammatory process in the lower lobe of the right lung, very often pain occurs not only in the chest, but also under the rib on the right. It also happens that there may not be pain in the chest at all. Leading to the correct diagnosis can lead to the presence of a patient high temperature, cough with purulent sputum, body aches, as well as a connection with hypothermia preceding the onset of the disease. Careful auscultation of the lungs, chest X-ray or chest x-ray, in most cases, helps to correctly diagnose this disease.
2. Inflammation of the right kidney ( acute pyelonephritis). In typical cases, pain in pyelonephritis is localized in the lower back on the left, but sometimes there are also in the right hypochondrium. Violation of urination, ultrasound of the kidneys and laboratory examination of urine - these are the main diagnostic methods acute inflammation kidneys.
3. Osteochondrosis of the spine and intercostal neuralgia. In this disease, there is a pinching of the nerves coming out of the spinal cord. When the nerves that run along the edge of the right costal arch are infringed, poly under the rib occurs. Usually, the pain is associated with turning the body, getting out of bed, is shooting in nature and disappears after taking anti-inflammatory drugs.
4. A fracture of the ribs on the right is casuistry, however, in rare cases, especially in case of untimely treatment after an injury received in a state alcohol intoxication, fracture of the ribs may not be recognized. The pain usually resolves on its own 3-4 weeks after the fusion of the rib.
5. Acute infarction myocardium. Rarely, but it also happens that pain during a heart attack, especially with atypical localizations, can be given to the stomach, including under the rib on the right. Myocardial infarction is a potentially life-threatening disease that, if not recognized early, can lead to death. The onset of the disease is usually associated with excessive physical exertion or emotional stress, typical for people over 50 years of age, may be accompanied by shortness of breath, interruptions in the heart against the background of previous heart problems. If this form of myocardial infarction is suspected, an electrocardiogram should be immediately performed as the main method for diagnosing this serious disease.
From the above, it becomes quite clear that, despite the far from complete, huge list of diseases that occur with pain in the right hypochondrium, both non-dangerous and life-threatening conditions can occur among them. That's why, in order to avoid severe consequences for health, with all unclear pains in the right side under the ribs, you should immediately seek help from a doctor.
Pain under the ribs on the right can have a different character:
- strong;
- acute;
- sharp;
- aching dull, pulling;
- stabbing.
Depending on the nature of the pain and its accompanying syndromes, it is possible to determine the affected organ.
Severe pain right under the ribs
Unbearable, severe pain in the right hypochondrium is characteristic of diseases of the gallbladder, liver and kidneys.
Inflammation of the gallbladder (cholecystitis). Severe pains on the right under the ribs make a person rush about in search of a comfortable position. In addition, he is tormented by:
- fever;
- nausea;
- repeated vomiting that does not bring relief;
- often - yellowing of the skin and whites of the eyes.
Hepatic colic - severe pain that subsides when taking antispasmodic drugs. In diseases of the liver, yellowing of the skin and whites of the eyes is characteristic.
Liver injury, cirrhosis. Pain intensifies when a person is in a horizontal position. Symptoms of blood loss are observed (weakness and dizziness, pallor of the skin and mucous membranes, with reduced blood pressure, rapid pulse).
kidneys. The pains are intense to such an extent that the person rushes about in search of a comfortable position. Most often, pain is associated with urolithiasis, therefore, depending on the location of the stone, pain can be localized in the upper or lower part of the right hypochondrium. In addition, the following symptoms are characteristic:
- vomiting that occurs simultaneously with pain;
- frequent urination;
- bloating.
Sharp pain right under the ribs
Acute, or "dagger", pain occurs unexpectedly and is characteristic of gastric and duodenal ulcers. In acute pain syndrome, a person most often takes a lying position with legs pressed to the stomach.
In addition, he is tormented by:
- nausea and vomiting;
- diarrhea or constipation;
- heartburn, sour belching.
Sharp pain right under the ribs
Sharp girdle pain is the first symptom of acute pancreatitis. The reason for the exacerbation of the disease is the use a large number alcohol with fatty and sweet food. Sharp pain in acute pancreatitis is distinguished by its intensity - it does not decrease with a change in body position or coughing. Pancreatitis is accompanied by the following symptoms:
- nausea;
- repeated vomiting;
- severe intoxication (cyanosis of the face and body, marble skin abdomen, small hemorrhages on the sides and around the navel).
Sharp pain under the right ribs in the region of the scapula and collarbone occurs when pus accumulates under the diaphragm (subdiaphragmatic abscess). The pain is aggravated by coughing and sneezing, sudden movements, breathing; relief comes in the supine position on the right side. Associated signs:
- fever;
- body intoxication.
A sharp pain between the ribs, which is felt at the slightest touch to the skin, is characteristic of herpes zoster - a viral disease that manifests itself in the form of painful rashes on the skin along the nerves affected by the virus (most often in the intercostal part). Before the rash appears, a person may feel aching pain in the right or left hypochondrium, weakness, fever.
Aching dull, pulling pain under the ribs on the right
Drawing, dull aching pain in the right hypochondrium speaks of chronic liver diseases that provoke its increase (hepatitis). In addition, it can be a sign of the formation of malignant and benign tumors.
In addition to blunt and pulling pain observed:
- jaundice;
- liver failure;
- circulatory disorders.
Also, aching dull pain can be a symptom of such diseases:
- polycystic right kidney;
- malignant lung tumors, gallbladder, kidney, pancreas;
- inflammation of the small intestine;
- inflammation of the appendages (in women).
Stitching pain on the right under the ribs
Stitching pain under the right ribs, which is aggravated by coughing and taking a deep breath, is characteristic of right-sided pneumonia. Often the pain spreads all over the right side, and it is rather difficult to name the exact time of its occurrence. Associated symptoms:
- elevated temperature;
- shortness of breath;
- pale blue nasolabial triangle;
- constipation and diarrhea;
- herpetic eruptions on the right side.
Pain in the right hypochondrium behind
Pain under the ribs on the right back, speaks of problems with the kidney and pancreas.
With inflammation of the kidneys, the patient has Pasternatsky's syndrome: severe pain with a light blow with the edge of the palm on the lower rib from behind. With renal colic, pain in the right hypochondrium has an intense paroxysmal character and torments to such an extent that a person cannot be at rest and constantly changes his position. With urolithiasis, pain spreads throughout the spine to the lower back.
Pain under the right rib with inflammation of the pancreas (pancreatitis) occurs suddenly, has a surrounding character, and its intensity does not change.
The causes of inflammation of the pancreas can be alcohol abuse and fatty foods, metabolic disorders, complications after surgery, exacerbation of chronic diseases.
Pain in the right hypochondrium in front
If the pain radiates to the front of the ribs, then this is the cause of the disease:
- Lungs (pneumonia, inflammation).
- Gallbladder (acute or chronic cholecystitis).
- Liver (hepatitis, fatty degeneration of cells, cirrhosis, tumors).
- Duodenum and stomach (erosion, peptic ulcer, gastritis).
When the lungs are affected, the pain in the right hypochondrium is stabbing, it becomes stronger when inhaling or coughing, and it is also accompanied by typical symptoms of fever (temperature, weakness), which distinguish it from other diseases of the internal organs of the right hypochondrium.
In diseases of the gallbladder, severe pain is felt in the epigastric region and in the right shoulder blade. In acute cholecystitis, the pain moves to lower part right hypochondrium.
If the pain under the right rib is aching or dull, then this indicates liver disease. As a rule, it is accompanied by signs of jaundice ( yellowish color skin and eye proteins), with the exception of only benign tumors.
With a stomach ulcer and duodenal ulcer, pain is localized in the anterior part of the right and left hypochondrium, flowing into the back and lower back. They dull slightly when pressed, so the patient feels relieved when lying on his stomach or squatting.
Pain in the right hypochondrium below
Pain on the right under the ribs below is a sign of inflammation:
- intestines (namely, the appendix). The first sign of appendicitis is a sharp sharp pain in the right side. The nature of the pain indicates a possible rupture of the appendix, so you should immediately consult a doctor.
- right kidney. Basically, with renal colic, the pain does not have a clear localization and spreads throughout the right hypochondrium, touching, including the spine and lower back.
- duodenum and stomach - with an ulcer, the pain moves down the right hypochondrium from the epigastric region.
In addition, pain on the right under the ribs can occur in completely healthy person when moving. This happens when people are exposed to loads unusual for them. The vena cava, which runs under the lower right ribs, increases blood flow and swells. Also, pain can occur with sharp bends and turns, when the internal organs are in contact with the costal bones.
Pain under the right rib is a sign of diseases of the organs of the right hypochondrium: diaphragm, liver, gallbladder, head of the pancreas, intestinal loops, right kidney. Often these pains are short-lived and disappear after a while. separate body inherent pain of its nature, duration and intensity.
acute pain due to traumatic lesions of organs, the formation of hematomas and some acute inflammatory diseases. Such pain under the right rib is usually cutting and their elimination will require immediate assistance qualified diagnostics. chronic pain is determined by a dull, aching character and can periodically appear and disappear for a long time (months, years).
With pain under the right rib (in front), it is necessary to focus on the following characteristics of pain:
Beginning and development;
Localization and migration;
duration;
intensity and character;
Relationship with certain reasons amplification and relief.
If we consider the features of the pain syndrome in the region of the right hypochondrium, then we can distinguish the following:
Pain under right lower rib
Pain under the lower rib can be caused not only by nearby organs: the liver, lungs. Pain in the heart, with angina pectoris or myocardial infarction, can radiate (give) under the right lower rib. With appendicitis, pain can spread under the 12th rib. It is impossible to exclude osteochondrosis of the spine, tumor process organs of the chest and abdominal cavity or metastatic lesion, tuberculosis of the lungs, spine. It is not possible to identify these diseases on their own, therefore, timely treatment to medical institution will fix the situation.
Pain under the right rib at the top
Pain under the right rib at the top can occur not only as a result of liver diseases, but also lungs - pneumonia, the presence of a hernia esophageal opening diaphragm, even intercostal neuralgia can cause similar symptoms. For the purpose of determining true reason specialists conduct not only an examination of the patient, but also differential diagnosis, which helps to distinguish one disease from another.
Aching pain under right rib
Aching pain under the right rib as properly prolonged, it can be drowned out with painkillers and not go to the hospital, although chronic course diseases such as hepatitis, pyelonephritis, cholecystitis, pancreatitis; helminthic invasions, cancer of the liver, kidneys, gallbladder may be accompanied by just such a variant of the pain syndrome. And these diseases can be life-threatening.
Sharp pain under right rib
Sharp pain under the right rib most often accompanies cholecystitis, while the pain will spread to right half chest. In addition to pain, there will be a feeling of bitterness in the mouth, vomiting of bile is not excluded, after which relief comes. However, other causes of this condition should not be ruled out: renal or hepatic colic, acute cholecystitis, pancreatitis.
Dull pain under right rib
Dull pain under the right rib is often combined with aching and may be the result of similar diseases of the liver, gallbladder, kidneys. Do not underestimate this state of the body, since with a similar symptom most often they do not seek help, but eliminate it with medication. The prolonged presence of dull pain may indicate a complicated course of the disease or a chronic process, therefore, to exclude the aggravation of the condition, you need to seek help.
Sharp pain under right rib
Sharp pain under the right rib is one of the most severe symptoms, the appearance of which requires immediate medical attention. Typically the source given state is a surgical pathology: traumatic damage to organs, up to their rupture, perforation of an organ, acute cholecystitis, pancreatitis, blockage of the lumen of the bile duct or urinary tract with a stone. The pain syndrome can be so pronounced that a person either tries to assume a position of the body that relieves pain, or may lose consciousness.
Severe pain under right rib
Acute conditions of the disease can lead to severe pain under the right rib. Another reason may be taking drugs that are toxic to the liver. Alcohol also has a harmful effect, with excessive use of which hepatitis can appear with further development into cirrhosis of the liver. In this case, you should not self-medicate, but it is best to consult a doctor in order to prescribe hepatoprotectors and cancel the "heavy" drug, prescribe adequate treatment. Severe pain under the right rib, combined with sharp or cutting pain, can be life threatening.
Drawing pain under right rib
Drawing pains under the right rib most often appear due to an increase in the liver, the transition of hepatitis to the chronic stage and will be accompanied by yellowing of the skin and sclera, deterioration of health. But these are not the only reasons, any chronic disease can provoke the appearance of pulling pain. Inflammation of the appendages in women also leads to a similar development of pain.
Stitching pain under right rib
Stitching pain under the right rib is inherent not only in the pathology of the liver, gallbladder, but also in problems with the urinary system. The cause of this variant of pain can be pyelonephritis and urolithiasis. These diseases will be accompanied by fever, pain when urinating. Even excessive water load in kidney disease can cause stabbing pain under the right rib.
Diagnosis of pain in the right hypochondrium
You can diagnose pain under the right rib on your own according to your own feelings, but it can help to establish the source and eliminate the pain. only doctor. To determine the disease, the doctor will conduct a series of studies (starting with ultrasound and biochemical studies) to make an accurate conclusion. Based on the data obtained, he will be able to give a referral to the appropriate specialist.
It often happens that due to the tolerance of pain, people are in no hurry to go to the clinic for medical care, but we must remember that pain under the right rib is a DISASTER SIGNAL! Especially if the acute pain in the right side, despite taking the drugs, continues for half an hour, in this case, you should immediately call an ambulance.
Treatment of pain syndrome under the right rib
When this condition occurs, appropriate action must be taken. If the pain is prolonged and there are doctor's prescriptions, then the doctor's prescriptions should be followed. For anyone pain attack there are specific features of therapy that are associated with each disease individually. But there are also common points:
Mode. It is necessary to adhere to bed rest with the exception of both various loads and nervous strain, since the state of the nervous system affects the course of the disease and the rate of recovery;
Diet. Compliance with the diet recommended by the doctor (exclude smoked meats, including food, fried, fatty, spicy).
Reception medications, according to the purpose.
At home, you should not use medicines, because it may be difficult to form a diagnosis in the future, it is enough to get by with a heating pad with ice, which will dull the pain before the arrival of a specialist. The doctor who came to the patient's home on a call, in connection with the relief of pain under the right rib, will use antispasmodics and painkillers until the moment of arrival at the hospital:
Drotaverine 1-2 tablets should be taken without chewing 2-3 times a day (for cholelithiasis, urolithiasis - colic) or
dicitel - 50 mg 2-3 times a day or 100 mg twice a day during each meal (cholecystitis, colic)
nitroglycerin 1 tablet under the tongue to eliminate an attack of angina pectoris. After 5 minutes, it is recommended to take nitroglycerin again.
A very important point is sharp and sharp pain in the right hypochondrium, therefore, it is strictly forbidden to independently relieve an attack of pain by taking drugs, warming, because surgical pathology is possible, and such self-treatment can harm and cause serious consequences.
essence surgical treatment consists in eliminating the source of pain under the right rib: removal of a stone in gallstone disease, appendix in appendicitis. Before the operation, an examination is carried out to exclude complications in the process. surgical intervention and in the postoperative period. The criteria for the effectiveness of treatment is the normalization of the patient's condition, as well as biochemical parameters and functioning of the body.
To eliminate an attack of pain under the right rib, you can use folk methods.
10g of hop cones should be covered with 200ml of water. Reception is carried out up to 3 times a day;
A mixture of wild rose (its fruit), plantain, corn stigmas, take up to two weeks for about 2-3 months;
A decoction of: 1 volume of chamomile flowers, 2 volumes of buckthorn bark, 3 shares of knotweed, 4 volumes of immortelle, the same amount of St. John's wort. pour all this into 1 liter of cold pure water and leave to insist. After 12 hours, boil the infusion for 10 minutes, let it cool and take 1 glass at once. Subsequent doses should be taken one hour after each meal.
Prevention of pain under the right rib
To exclude the recurrence of episodes of pain in the right hypochondrium, you should remove the source of this condition, undergo a complete examination, in the future follow all the prescriptions and recommendations prescribed by the doctor, because in each specific situation they are different.
It makes no sense to stay at home and wait for everything to pass by itself, it's better once again go to a specialist, than later suffer from untimely seeking help for pain under the right rib, since this is a very serious problem that should not be shelved.
Surely every person at least once in his life had pain in the right hypochondrium. Most often it goes away on its own, as it is associated with malnutrition or excessive physical activity. However, if the stabbing in the right side under the ribs for a long time, regardless of external factors, then this may be a signal of the development of the pathological process. What kind of pathology are we talking about, and what organs can provoke right side pain? More on this later in the article.
Pain in the right side under the ribs may indicate the development of inflammation of the internal organs
Pain in the right side in front
If the pain on the right under the ribs is felt closer to the anterior surface of the body, this may be evidence not only of inflammation in the digestive tract, but also of cardiac disorders.
- Diseases of the liver. With disorders associated with this organ, pain occurs due to the fact that it is overflowing with blood, has a greatly stretched capsule. They are localized on the right side of the body, and, as a rule, are bursting or blunt. Liver diseases, in addition to pain, may be accompanied by nausea, heaviness, and a burning sensation that radiates to the shoulder, neck, or back.
- Hepatitis. IN this case discomfort in the right side will be associated with the release of toxins and dyspeptic manifestations. There may be a feeling of nausea and increased gas production. Pain syndrome in hepatitis often manifests itself after eating with a tingling sensation. characteristic symptoms there will be yellowing of the eyes and discoloration of the stools.
- Cirrhosis. The pain in this disease is localized in the waist area on the right under the ribs. It feels like a burning sensation. Sometimes it can spread to the back of the body.
- Echinococcosis. The disease refers to helminthic invasions. In the process of its development, echinococcus forms cysts that are located in the liver tissue. These formations compress hepatocytes and blood vessels, which leads to the appearance of pain on the right side. In case of rupture of the cyst, severe pain appears on the right under the ribs or slightly below. If you do not provide timely assistance, then the development of peritonitis is possible.
- Heart failure. With this pathology, blood flow is disturbed, resulting in an increase in the liver in size. The pain is pulling in nature, in addition, there is constant sensation gravity. With abdominal myocardial infarction, the pain does not pull, but it burns or presses strongly in the area of \u200b\u200bthe ribs on the right side. The difference from other diseases is that in this case, a person's blood pressure drops sharply, he becomes pale, and the heart rate is disturbed.
- Intestinal diseases. With these disorders, pain can be localized only under the ribs, for example, with inflammation of the colon, or cover the entire abdomen, change localization. So, with appendicitis, the pain subsequently moves to the iliac region. In diseases of the intestines, parallel symptoms often appear: stool disorders, the presence of impurities in the feces, bloating.
Pain in right side behind
Why does the right side prick closer to rear surface torso?
In the process of moving the stone through the ureter, the pain will be felt on the right side behind the ribs, and then move to the inguinal region
The reason may be pathological process developing in the kidney, osteochondrosis, impaired blood flow in the vena cava and other diseases.
- Chronic cholecystitis. This disease causes pain on the right side of the aching character, which radiates to the lumbar region. In addition, there are signs such as a feeling of bitterness in the oral cavity, headache, appetite disorder.
- Stones in the kidneys. As the stone moves, it irritates the pelvis and ureter receptors. Therefore, pain is felt both from the side and from the back. A characteristic of urolithiasis is the irradiation of pain in the groin, femoral region. It is also possible the appearance of blood clots in the urine, vomiting.
- Pyelonephritis. Inflammatory process V right kidney leads to pain on the right under the ribs from the back. Help to recognize the disease concomitant signs: temperature, availability false calls to urination, pain in the process of excretion of urine, swelling of the face. If there is purulent infection, then the pain acquires a pulling and prolonged character.
How to distinguish colic that occurs in the right side
When it hurts or tingles in the right side, it is difficult to immediately determine where the discomfort comes from. Nevertheless, this is possible: by the nature of the pain, intestinal, renal and hepatic colic are distinguished.
- Intestinal. This type of colic is characterized by manifestation in the form of seizures. At the same time, if you press a little on the stomach, then the pain sensation may disappear. During intestinal colic a person feels pain either in the lower right part of the abdominal region, or it captures the entire abdomen, including the hypochondrium. Accompanying symptoms in this case will be: nausea, increased gas formation, "inflated" abdomen, vomiting is possible.
- Renal. This type of colic is a very severe pain in lumbar region, under the ribs (right or left - depends on the kidney), in inguinal region. Such accompanying symptoms will help to recognize it, such as: problems with urination (often with pain), difficult defecation, increased gas formation.
- Hepatic. Most often occurs after lunch. This is pain, stitching or discomfort in the right side under the ribs, which can subsequently spread to the shoulder area, scapular, and also throughout the abdomen. Additional features hepatic colic are: dryness of the oral mucosa, profuse sweating, possible vomiting and fever.
Other causes of pain in the right side
In addition to these, there are other possible causes of pain and discomfort in the right side. For example, a pulling sensation of numbness under the ribs can occur with intercostal neuralgia. It intensifies in the process of movement, inclinations in the form of a sharp pain syndrome. In addition, tingling from the back or front (sometimes on both sides at once) is characteristic.
In case of traumatic injuries of the lower ribs on the right, the pain will manifest itself mainly during motor activity. Osteochondrosis will "shoot" in the right side on the back if it develops in lumbar spine. It can also be detected by the characteristic tension of muscle tissue in this area.
Why does pain occur on the side after exercise?
Many people are faced with a situation where, as a result or in the process physical activity stab in the right side. The load refers to both sports training and activities associated with hard physical labor. Unpleasant sensations are caused by overflow of the liver with blood and stretching as a result of this its capsule.
Right side pain after physical activity caused by overflow of the liver with blood and stretching of its capsule
Here, the gallbladder ducts are stretched with bile, since during physical activity their walls are relaxed. As a result, a person tingles in the right side, and in some cases pain is felt.
It should be noted that if physical activity was preceded by a meal, then pain occurs in the vast majority of cases. The liver at this time is in a state of active work, so the additional load will be harmful to it.
Important! In trained people, pain on the right under the ribs after physical activity rarely appears.
Common right side pain in women and during pregnancy
In females, pain in the right side under the ribs may be associated with hormonal levels. For example, pain appears in last days menstrual cycle especially when taking contraceptives based on hormones. As a result of an imbalance in the bile ducts, a spasm occurs, the outflow of bile is disturbed, pain appears in the right hypochondrium.
During the bearing of a child, a woman has pain or tingling in her right side in the same way, due to an altered hormonal background. bile ducts, thanks to progesterone, are in a relaxed expanded state, which contributes to stagnation. The growing uterus puts pressure on the liver and leads to pain.