Periodic dull pain in the right side. How to get rid of pain in the right side of the lower abdomen

Anatomically, the right half of the human torso includes several areas. This is half the chest, hypochondrium, side of the mesogastrium, iliac region, inguinal region. Each of these areas contains organs whose diseases can cause pain.

To understand why the right side hurts, it is necessary to clarify the location and their nature as accurately as possible. This will make it possible to understand which organ is signaling a problem, to conduct targeted diagnostics, and in some cases, differential diagnostics.

The sudden onset of pain on the right side is acute. They manifest themselves in different ways:

• cutting;
• burning;
• bursting;
• pulsating.

In contrast to acute pain, the pain syndrome can be dull and feel like heaviness. Aching pain in the right side, usually chronic, exists as persistent symptom or occur periodically.

The sensations may be disturbing at the site of immediate occurrence, or they may radiate (give) to other areas. Likewise, it can radiate to the right side from other locations.

It happens that discomfort pass, but when pressing on problem area pain appears again.

Additional symptoms

Additional symptoms are varied:

• cough;
• dyspnea;
• temperature increase;
• nausea;
• vomit;
• bloating;
• bitter taste in the mouth;
• bowel disorders;
• impaired urination.

They may intensify or change their character when coughing, inhaling and exhaling, moving, running, or after eating. Sometimes the patient complains that the right side is pulling. Dull pain may be oppressive. Any discomfort in the abdomen in a pregnant woman requires special attention.

What's on the right

In the chest area, the following conditions may be the causes:

• chest injury leading to rib fractures or pneumothorax;
• pleurisy that occurs after inflammation or metastatic in lung cancer or breast cancer in women;
• viral infection of the nerve ganglia with the appearance of burning pain, itching and blistering rashes along the rib behind and in front (herpes zoster);
• osteochondrosis thoracic spine.

Like casuistry when congenital dystopia(heart on the right) discomfort on the right indicates myocardial infarction.

hypochondrium

In the projection of the right upper quadrant of the abdomen there are:

• part of the diaphragm;
• liver;
• gallbladder;
• duodenum;
• Part small intestine;
• part of the ascending and transverse colon;
• part of the pancreas;
• bud.

Injury to any of these organs can be acute (gunshot, knife) or blunt, resulting from a blow, bruise or fall from a height. It is necessary to immediately take the victim to the hospital to determine the type of injury and the presence of internal bleeding. For hernia hiatus The diaphragm is characterized by pain behind the sternum, and not in the hypochondrium. Often, strangulation is mistaken for an angina attack.

Liver diseases - hepatitis and cirrhosis are accompanied by an aching feeling, heaviness under the ribs. For some types of hepatitis (for example C), pain syndrome is not typical; it occurs in the stage of transition to cirrhosis, for which this hepatitis received the name “ gentle killer" This area will ache with advanced cancer or liver metastases.

Inflammation of the gallbladder - cholecystitis has different appearances in acute and chronic forms. The first is characterized by dull aching pain, which is accompanied by nausea, loss of appetite, and periodic exacerbations due to errors in diet. In an acute process or during an exacerbation, the pain is acute and radiates to the arm.

Gallstone disease can be asymptomatic; stones are detected by ultrasound. Obstruction of the biliary tract, including a stone, causes paroxysmal, sharp, unbearable sensations in the hypochondrium, this is called hepatic colic.

During exacerbation, so-called hunger pains occur. They appear 2-3 hours after eating or at night, and intensify with poor diet and alcohol consumption. Sign acute enterocolitis- acute spasmodic contractions along the intestines in combination with stool upset and bloating, increased temperature.

Pancreatitis begins with acute process in the epigastrium or left hypochondrium, but as it develops it covers the right side and back area. The feeling is as if a person is tightening his belt tightly. This is the most characteristic feature acute pancreatitis- girdle pain. The patient feels nauseous, but vomiting does not bring relief. This completes the picture of the disease.

Acute pyelonephritis begins abruptly with an increase in temperature to 40 with chills, with symptoms of intoxication. The severity of sensations in the lower back depends on the stage of the disease and increases with purulent inflammation pyelocaliceal system. Strong pain from the side of the affected kidney it radiates to the hypochondrium, to the groin, to the leg, in women to the labia, in men to the testicle.

Pain syndrome is expressed when the ureter is blocked purulent plug. An obstruction in the flow of urine may be caused by a stone. An attack that occurs due to the closure of the lumen of the ureter with pus or stone is called renal colic. The patient clearly indicates the time when the pain began, the symptoms increase, and sharp spasms occur against the background of constant torment. The patient cannot find a place for himself; even at a doctor’s appointment, his walking around the office attracts attention. By pressing on the abdomen you can identify an enlarged, painful kidney.

Mesogastric region

Rarely does illness occur here strictly locally. Anatomically there are loops here small intestine, sections of the ascending and transverse colon. Pain symptoms in this area may appear when intestinal syndrome(irritable bowel syndrome).

Against the background of minor aching sensations, cramps in the abdomen occur, accompanied by upset stool in the form of diarrhea or constipation. The real reason IBS not established, suspected Negative influence stress and disturbances in diet and diet.

Mesogastric pain may occur due to the development intestinal obstruction. As a rule, their onset is sudden, their character is spastic, cramping, but it can vary depending on the type of obstruction.

Iliac region

The lower abdomen on the right is often the location of pain. Anatomically, in this area there is the final section of the small intestine, the initial section of the large intestine, the appendix (appendix), and renal colic can occur here.

Pulling, aching and stabbing pain in the abdomen on the lower right it occurs when parts of the intestine are damaged by such diseases:

• diverticulitis;
• intestinal tumors;
• mesadenitis or inflammation of the lymph nodes of the intestinal mesentery, often of tuberculous origin.

On the background prolonged diarrhea the inflammatory process begins in the final section ileum. This is Crohn's disease, the exacerbation of which is acute, reminiscent of an attack of appendicitis. If the intestine is perforated, it can cut the stomach; if left untreated, it can lead to serious complications.

Paroxysmal colic occurs in this area of ​​the abdomen during inflammation urinary tract And urolithiasis. After excessive physical activity can pull the muscles of the anterior abdominal wall, less often this condition occurs on the side, as a rule, it becomes painful on both sides.

The most common reason pain in the right iliac region - acute appendicitis. The pain begins in the navel area and quickly moves to the specified area. Its intensity may fluctuate, for example, it intensifies when coughing, but subsides when lying on the right side with bent knees. Once it arises, it will not disappear spontaneously. Surgeons deny the presence chronic appendicitis. If the diagnosis of appendicitis is not confirmed, then the past situation is assessed as intestinal colic.

Groin area

The spermatic cord passes through the inguinal canal in men and the round ligament of the uterus in women. Inguinal canal becomes the site of exit, and sometimes strangulation, of the hernial protrusion. A strangulated hernia requires surgical treatment. Characteristic sharp pain, which occurs after physical activity, and the presence of protrusion.

In women, pain in the lower abdomen on the right is associated with the following diseases:

• interrupted right-sided tubal pregnancy;
• rupture of a cyst (for example due to torsion of the pedicle) of the ovary on the right;
• ovarian apoplexy;
• right-sided inflammation of the appendages.

In the first three situations, the pain syndrome occurs suddenly, acutely, and may be accompanied by fainting and darkening of the eyes. It happens with them internal bleeding which is accompanied by pallor skin, symptoms of hemorrhagic shock.

Acute adnexitis is accompanied by an increase in temperature, spastic pain, radiating to the sacrum. In chronic cases, a woman is bothered by a pulling feeling in her groin area right, violations menstrual cycle, discharge from the genital tract. Discomfort increases during sexual intercourse, making it impossible.

When transitioning to a chronic form, the sensations acquire a pulling, aching character. The disease is prone to exacerbation during hypothermia. Complication chronic form Infertility often occurs.

In pregnant women

IN different terms Pregnancy has its own reasons why the right side may hurt. Expectant mothers may have the diseases listed above. For example, in the second trimester, kidney diseases first appear or worsen. At any time she is susceptible to an attack of appendicitis. Cholecystitis and pancreatitis may worsen in a pregnant woman.

During a long period of pregnancy, this sign indicates a serious complication of pregnancy - premature abruption of the placenta, located on the side wall of the uterus of the same name. More often it occurs against the background of abdominal trauma. A less severe situation is when, as pregnancy progresses, the stomach begins to ache due to sprained ligaments or adhesions.

Don't forget about aching pain indicating the risk of miscarriage. As the threat of ailment progresses, it becomes intense and acquires a pronounced cramp-like character.

Which doctor should I contact?

In each case, the help of different specialists is required. This:

• traumatologists;
• pulmonologists;
• neurologists;
• gastroenterologists;
• hepatologists;
• surgeons;
• obstetricians-gynecologists;
• urologists.

If you have difficulty choosing a specialist, consult your doctor general practice, after conducting the necessary examination, he will refer you to to the right specialist. Help and treatment are varied - from nutritional advice to immediate surgery.

Doctors agree on the usefulness pain syndrome, as a symptom with which the body has learned to report trouble in a particular organ.

The main thing is to learn to correctly recognize this sign, not to self-medicate, and not to take painkillers without determining the cause. A specialized doctor should treat diseases and not suppress symptoms.

The task of a patient who feels unwell is not to think about what might hurt in the right side, not to hesitate and wait for it to stop on its own. It is necessary, without aggravating the situation, to contact a specialist. In some cases, delay is actually like death.

More than 30% of people in the world have experienced discomfort and pain in the hypochondrium of the right side during their lifetime. The reason for this could be many factors.

First of all, in this area the liver and kidney are covered by the ribs, which can become inflamed, increase in size or move from their anatomical bed.

Pain in the right side under the ribs, of varying intensity and nature, can be caused by pathologies internal organs. In addition, localize pain symptoms capable in various projections.

Pain in the right side under the rib in front provokes pathological processes V different organs and systems located in close proximity to the anterior wall of the peritoneum.

Acute inflammatory reactions in the gallbladder

Sharp stabbing pain symptoms in the area of ​​the abdominal muscle of the abdomen, running along the right side of its white line and costal arch, are provoked by infectious bacterial microorganisms or blocking of the neck or duct of the gallbladder by crystalline formations as a result of the development of choledocholithiasis.

However, they can be very intense:

• give to the shoulder area;
• accompanied by belching;
• bilious vomiting;
• nausea and bitterness in the mouth.

Development of calculous and chronic cholecystitis add to the symptoms - flatulence (bloating), apathy towards food, intolerance to fried and fatty foods, slight yellowing of the whites of the eyes.

Liver diseases

It is on the right side, under the ribs, that the right lobe liver and painful sensations it can cause a number of pathologies:

1) Structural change liver as a result of cell death and the formation of nodes in cirrhosis. Nodular neoplasms lead to compression of blood vessels and bile ducts, causing constant painful sensations in the side.

As a result of blood overflow portal vein varicose veins develop, bleeding in the esophagus, ascites (fluid in the peritoneum). Subsequently, the liver reduces its size and reduces efficiency.

The disease is preceded by any form of hepatitis - alcoholic, toxic, or viral.

2) Similar to cirrhosis painful symptoms, can cause the formation of hepatocellular carcinoma in the liver. It can only be differentiated using tissue biopsy.

Their gradual increase in size causes compression of the hepatic capillaries and ducts, and uneven enlargement of the liver. Suppuration provokes the development of a liver abscess and increased pain.

Problems digestive tract

1) Pathological processes of the colon caused by various diseases or wounds cause pain in the right side on the side. While the inflammation process does not affect the peritoneal cavity, they are weakly expressed and radiate to the umbilical and inguinal zones on the right.

2) Long-term inflammatory processes in the intestine and the development of granulomatous inflammation in all parts of the gastrointestinal tract - the causes of obstruction and necrosis of intestinal tissue, manifested by spasmodic pain symptoms in the hypochondrium on the right.

3) Malignant neoplasms in the intestines are similar to the symptoms of intestinal obstruction or acute abdomen, also cause pain in the projection of the right side under the ribs.

4) Various degrees inflammatory reactions V vermiform appendix begins in the epigastric region, gradually moving to the area of ​​the right hypochondrium, causing pain.

Heart pathologies

As a result of cardiac dysfunction, causing disturbances blood circulation in a closed vascular path, the liver increases its size. This provokes edematous processes in the abdominal wall and accumulation of fluid in the abdominal cavity.

The irreversible stage of heart failure leads to changes in the liver similar to cirrhosis.

The result of myocardial infarction, the abdominal version, is burning pain and a feeling of pressure in the subcostal area of ​​the right side. Sometimes they radiate to the shoulder blade or chest area.

Pathological changes in the kidney, diseases of the adrenal gland, disturbances in the functions of the greater vena cava, rib injuries or intercostal neuralgia are indicated by pain in the right side of the back under the ribs.

Diseases accompanying such symptoms appear due to:

1) acute infectious inflammation kidney (pyelonephritis), spilled purulent process in the organ, the formation of a carbuncle or abscess (apostamatous pyelonephritis).

2) Injury to the abdominal cavity system of the kidney and ureter with stones or sand (in case of urolithiasis). It manifests itself as paroxysmal pain in the lower area of ​​the ribs, in the lateral and lumbar region.

3) Due to papillary necrosis ( ischemic infarction renal papillae). This pathology develops with diabetes or is a consequence infectious process. Pain symptoms are constant. High probability of formation septic shock during the development of the disease.

4) Inflammation in the fatty tissue of the kidney, caused by the action of foci of infection present in the body (tonsillitis, caries). The sensation of pain intensifies with a sudden change in body position, movement, or full breathing. Similar symptoms appear with intercostal neuralgia.

5) Due to lumbar osteochondrosis, manifested by muscle tightness, limited mobility and varying intensity of pain in this projection.

6), fractures or damage to the body by herpes zoster.

7) The right side hurts under the rib and radiates to the back when malignancy blocks or disrupts the outflow of urine and in case of tumors of the adrenal gland.

Similar signs, but with the addition of pain radiating under the scapula, are observed with thrombosis of the inferior vena cava.

Pain on the right side of the hypochondrium when moving often occurs in practically healthy people. This may be due to physical activity that is unusual for humans.

At this moment, there is an intense release of the hormone epinephrine and an acceleration of blood flow, causing the process of expansion of the organs and the vena cava passing in the area of ​​the right hypochondrium - this causes pain.

Painful symptoms can also cause sudden changes in position when walking - bending, turning - this is due to rib contact with organs. Such painful symptoms pass quickly.

If they are stabbing in nature and last more than half an hour, this may indicate possible infringement of the relevant organs, which requires urgent medical intervention.

Any pain, including subcostal pain, is a symptom of a problem in the body. In this area of ​​the body, very important organs, And pathological changes they can lead to death.

Severe pain symptoms in this area may be a consequence of:

• isolated rupture of the gallbladder and ducts;
• organ injuries;
• renal paraphimosis (cystic strangulation);
• rupture or prolapse of the kidney (nephroptosis).

Such pathologies need urgent surgical treatment. Long-lasting pain in the subcostal area of ​​the right side requires timely examination and treatment.

Self-administration of painkillers is not recommended. The symptoms are eliminated temporarily, but the disease remains. In addition, reception medicines“smoothes out” symptoms and complicates diagnosis.

The first thing you need to do is visit a therapist - he will conduct an initial examination and diagnosis. If necessary, he will prescribe a consultative examination by a neurologist or endocrinologist, cardiologist or surgeon.

What to do? Diagnosis and treatment of pain

Diagnosis begins with asking the patient about the nature of pain, intensity and main location. About their connection with diet. A history of illness, infection and injury is obtained. Attention is paid to the condition of the fatty tissue and the tone of the peritoneal muscles.

An examination is carried out by palpation and general tests– biochemical parameters, functional tests. Diagnostics must be comprehensive, including examination of the organ and its functionality.

If there is a suspicion of pathological processes lying in this projection of the organs, it is prescribed instrumental diagnostics, including:

• excretory urography;
• radioisotope renography and scintigraphy;
• vertical aortography;
• fluoroscopy of the gastrointestinal tract;
• Ultrasound of the biliary tract, kidneys and liver;
• biopsy to identify tumor processes.

There is no single protocol for the treatment of pain in the right side under the rib. After identifying the cause and establishing an accurate diagnosis, a treatment plan is drawn up that corresponds to the specific pathology.

It includes a set of activities:

• drug therapy aimed at treating the disease and alleviating symptoms;
• surgical treatment (if necessary);
• vitamin therapy;
• diet correction.

Regardless of what kind of pain and where it is localized, diagnosis and treatment should be the prerogative of a specialist.

Hello, dear blog readers. What to do if the right side of the abdomen hurts? First of all, this is a reason to think about visiting the hospital. Don't blame stress, dieting, overeating, or an inactive lifestyle. Pain always warns of functional failures in the body. In this article we will look at what diseases can lead to the development of pain.

Pain on the right under the ribs

To begin with, you will be interested to know what is in the right side of the abdomen. The upper region contains the liver, gall bladder, ileum and duodenum, pancreas, right kidney with adrenal gland. In the lower segment there is the cecum with the appendix, part of the colon and the right ovary in the fair half of humanity.

Pain in the right side of the abdomen

As you can see, there are many reasons to worry. Therefore, let's move directly to diseases that can cause pain in the upper right part of the abdomen.

Cholecystitis

In the acute phase, intense pain, sometimes radiating to the shoulder, appears immediately after eating. Associated symptoms include hyperthermia, nausea, vomiting, yellowing of the skin and whites of the eyes,

Dark color of urine

If you feel under the ribs, you can feel muscle tension. In addition, acute pain occurs when inhaling. The disease in its chronic form periodically manifests itself as a pain syndrome of varying degrees of intensity: from dull aching sensations to acute spasms and paroxysms (maximum aggravation) of pain.

It is imperative to carry out a diagnosis, since due to the deposition of stones in the gall bladder, there is a high probability of developing a bile duct infection (cholangitis) or acute pancreatitis.

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Duodenitis

Symptoms vary and depend on the form of the pathology. It may manifest itself as severe night or hunger pain, nausea, vomiting, rumbling in the stomach, lack of appetite, and the appearance of loose stools.

With duodenostasis (impaired patency of the duodenum), a sick person may vomit bile and quickly lose weight. The pain is paroxysmal, bursting and twisting.

Renal colic

Acute, sudden pain, resembling a spasm, occurs in the lumbar region, closer to the spine. In representatives of the stronger sex it can move to the scrotum and penis, in girls it can concentrate in the area of ​​the labia and perineum.

During an attack, blood pressure drops sharply, nausea and vomiting, tachycardia or bradycardia appear. A sick person feels a constant urge to urinate, but urine is released in insufficient quantities or does not enter the bladder at all.

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Pancreatitis

Pain appears under the left or right ribs. It may also be shingles in nature. This depends on the site of the inflammatory process. Associated symptoms: hiccups, nausea and vomiting, flatulence, heartburn, fever, yellowish coating on the tongue, tension in the abdominal muscles.

If urgent assistance is not provided for acute pancreatitis, painful shock may occur, leading to loss of consciousness or death of the person.

The chronic form is accompanied by paroxysmal pain that occurs 20 minutes after eating and lasts from 1 hour to several days. If you sit down or lean forward, there is slight relief.

Acute pancreatitis

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Liver pathologies

Probably the very first thing any person will think about when pain appears in the right side is “I have problems with the liver.” Indeed, some organ pathologies can cause dull, inexpressive, pulling sensations:

• hepatitis(regardless of the form) begins with flu-like symptoms: headache, body aches, fever, loss of strength. Hepatitis B and C develops more gradually, without sudden changes in temperature, but is sometimes accompanied by skin rashes. Further, the appetite completely disappears, pain appears in the right hypochondrium, nausea, and vomiting. Urine becomes dark in color, stool becomes discolored, and jaundice appears. The acute period of the disease can occur in varying degrees of severity. The main danger is the fulminant form. It is characterized by liver necrosis, which leads to human death. The chronic form is practically asymptomatic. A sick person feels weakness and fatigue;
• if appropriate treatment is not carried out, hepatitis may develop cirrhosis. Soreness appears only at the last stage;
• unfortunately, dull right-sided pain and heaviness can warn of cancer. The appearance of a tumor is also accompanied by hyperthermia, jaundice, flatulence, rapid weight loss and lack of appetite.

If right-sided pain appears when walking, fatty hepatosis should be suspected. It can develop against the background of protein deficiency in the body, diabetes, hepatitis, poisoning with mushrooms or harmful chemical compounds.

Cirrhosis of the liver

Appendicitis

The first symptom of appendicitis is pain slightly above the navel. It can be barely noticeable or intense, constant or intermittent. After a certain time, the unpleasant sensations move to the area of ​​the right iliac and do not disappear anywhere else. They are of a moderate nature. When coughing or changing body position, the pain intensifies.

Please note that even with light pressure, a person experiences severe pain, and when releasing the hand, the unpleasant symptom only intensifies. The abdomen is hard, hard and bloated.

Additionally, fever, nausea and vomiting appear, digestion and urination are impaired. Urine takes on a dark tint if the pathological process involves the bladder.

If the pain with appendicitis subsides for a while, the reason for this may be a rupture of the walls of the appendix. Unexpected sharp pain is most likely a sign of incipient peritonitis.

If you suspect you have appendicitis, call a doctor immediately and do not take painkillers.

Appendicitis

Pain in the lower abdomen

Returning to the previous illness, I’ll tell you right away why your stomach may hurt after appendicitis:

• cutting pain on the side indicates the likelihood of sutures coming apart due to physical stress;
• pulling sensations in the lower abdomen indicate the possible formation of adhesions. If a man
• additionally feels paroxysmal pain, which means his intestines are compressed;
• systematic painful sensations indicate chronic appendicitis;
• pain, supplemented by stool disturbance, enlargement and protrusion of the suture, is a symptom of a postoperative hernia;
• Increasing pain, accompanied by bloating, hyperthermia and vomiting, indicates the threat of peritonitis.

To prevent complications after an appendectomy, strictly adhere to all doctor's instructions.

Pain in the lower right third of the abdomen can cause:

• inguinal hernia. The main sign is the appearance of a plump lump in the groin area. It can increase in volume during physical overexertion, and decrease when a person lies down and is in a relaxed state. The disease causes constant or periodic mild pain, spreading to the abdomen, groin and lower back;
• Vesicoureteral reflux. The disease develops simultaneously with pyelonephritis. Painful sensations appear in the lower third of the right side of the abdomen and move to the lower back when urinating. This happens because urine from the ureter is thrown back into the kidney.

An inguinal hernia can cause severe pain in the lower abdomen

Women's diseases

The cause of right-sided lower abdominal pain in women can be:

• algomenorrhea(painful menstruation). Unpleasant sensations begin 12 hours before bleeding or on the first day of menstruation and last up to 48 hours, gradually subsiding. The pain is stabbing, aching or, most often, cramping. It can involve the bladder, rectum and extend to the back. Additionally, the girl may experience nausea, indigestion, irritability, and sleep disturbances;
• acute endometritis. Accompanied by hyperthermia, pain in the lower abdomen, sometimes on the right side, vaginal discharge that has an unpleasant odor. Chronic pathology leads to disruptions in the menstrual cycle, systematic aching pain, purulent or bloody discharge. Intimate intimacy gives extremely unpleasant sensations;
• right ovarian cyst. Causes a dull pressing pain that increases many times during intimacy or during physical activity. The clinical picture may be complemented by frequent urination, fever, tachycardia, and tension in the anterior peritoneal wall. If the cyst is large, it may rupture. The pain is similar to that of appendicitis.

Endometritis

Pain in the lower third of the abdomen on the right side can also cause unilateral salpingitis and adnexitis.

Abdominal pain in pregnant women and after childbirth

During pregnancy, pain can disturb a woman due to a miscarriage. Spontaneous abortion is accompanied by bleeding.

Mild, short-term pain in the lower abdomen, as a rule, should not be a cause for concern. They talk about sprained ligaments and an enlarged uterus. A similar sensation in the later stages may indicate premature birth.

Pain after a caesarean section is normal. However, if they persist for a long time, it is worth suspecting adhesions, inflammation of the uterus or endometritis.

If you have pain in the lower abdomen, you should immediately consult a doctor

Male diseases

Right-sided pain in a man can indicate the following diseases:

• cavernite The acute stage is characterized by severe pain and tingling in the right side, cutting sensations in the intestines, hyperthermia, headache, enlarged lymph nodes in the groin area. The penis becomes larger in volume, swelling appears, spontaneous erection appears, and nodules form on the organ. Pathology in the chronic stage is accompanied by moderate pain, erectile dysfunction, pain during urination and sexual intercourse;
• colliculitis. It develops due to the entry of harmful microorganisms into the urethra. A piercing pain in the groin moves to the scrotum, lower right third of the abdomen, and inner thighs. Bloody spots may be present in urine and ejaculate;
• stones in the prostate gland. There is a stabbing pain in the side, radiating to the lower abdomen, penis and legs, potency decreases, problems with urination appear, and blood can be found in the urine.
  Painful feelings may also indicate prostatitis, benign hyperplasia or prostate cancer.

Abdominal pain in men may be due to prostate stones

Pain in children

If your child complains of pain in the right side, you should suspect ascariasis. Helminthic infestation is also accompanied by appetite disturbance, nausea, bloating, and stool disturbances.

Stitching pain may be a symptom of intussusception. In this case, vomiting with mucus particles may appear, bloody clots are present in the stool, and the body temperature rises.

It is impossible to accurately answer why a particular disease develops. The body is a very delicate mechanism and failure can occur under the influence of a huge number of factors.

What to do when pain appears on the right side? There is only one answer - go to a qualified physician. Only a specialist will be able to make the correct diagnosis, prescribe effective treatment and relieve the causes of pain.

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Pain in the right side is a signal from the body about the development of serious processes that require outside participation. To correctly diagnose the disease, the doctor takes into account a number of indirect symptoms and the nature of the sensations, obtaining a holistic clinical picture.

What can hurt there?

This area of ​​the upper quadrant of the abdomen contains the following vital organs: gallbladder, liver, right kidney, pancreas. The duodenum, small intestine, and diaphragm partially enter here. In view of such a wide list, it is obvious that the list of possible problems is also impressive.

Pain under the right rib is caused by the following body conditions:

• Cholecystitis associated with impaired patency of the biliary tract. Sudden discomfort usually occurs at night. Factors that provoke the disease include physiological disorders, stress, and nervous strain.
  A sharp painful spasm in the hypochondrium is caused by the movement of stones coming out of the gallbladder, which get stuck in the excretory duct, activating inflammation.
• Damage to the duodenum in the form of ulcerative duodenitis. The sensations in this case are stabbing, which is caused by the development of a pathological process on the mucous membrane of the digestive organ. At night, cramps can be acute and unbearable due to the lack of food in the stomach that requires digestion.
• Renal colic. It is not possible to get rid of such pain even by changing body position. Any movements only aggravate the condition. The cause of discomfort is stones moving through the urinary system.
• Pancreatitis. The disease is characterized by a feeling of intense painful pulsation on the right under the ribs due to inflammation of the pancreas.

Due to the similarity of symptoms of pathologies of various organs, you need to be able to classify unpleasant sensations according to their projection, as well as their nature.

In the picture you can see the location of the internal organs of a person

Pain in front

In such situations, doctors pay primary attention to the organs that are directly adjacent to the peritoneal wall.

Gallbladder

The diagnosis for such a symptom is an acutely developing inflammatory process. Cutting spasms are localized in the area of ​​the abdominal muscle and are caused by the formation of crystalline formations in the ducts or neck or by the activity of bacterial microflora.

Such pain under the ribs in the front can radiate to the shoulder, accompanied by vomiting of green bile masses, nausea, belching, and bitterness in the mouth. With cholecystitis, bloating, picky eating, and yellowing of the whites of the eyes are associated.

Liver

It also becomes painful in the front hypochondrium as a result of structural deformations of a vital organ, when the death of cells is accompanied by the formation of nodes that compress the vessels and bile ducts. Unpleasant sensations are constant. This condition is observed in cirrhosis and hepatocellular carcinoma.

The problem may lie in the pathology of the colon, inflammation, including the development of granulomatous processes, when tissue necrosis is observed. Pain accompanying cancerous tumors can also project to the right upper quadrant of the abdomen.

Another option is the presence of gastritis, in which any deviation from the diet, even if eating homemade food, is fraught with a worsening of the condition.

The cardiovascular system

Unpleasant sensations at the top under the ribs are caused by impaired blood circulation in a closed area and subsequent edematous processes, the phenomena of VSD. In addition to heart failure, a pressure spasm, but with a burning sensation, provokes myocardial infarction.

The listed causes of pain are complemented by another option - the development of a pathological process in the appendix.

Pain under the ribs at the back

A similar symptom accompanies pathologies of the adrenal gland, greater vena cava, intercostal neuralgia and mechanical injuries of the bone apparatus. Doctors include the following in the list of possible diseases:

1. Pyelonephritis associated with the development of an acute infectious inflammatory process, carbuncle or abscess in the kidney.
2. Damage caused by dislodged stones or sand in the ureteral cavity. In such a situation, pain may occur not only in the back, but also in the side.
3. Infarction of the renal papillae or papillary necrosis. Severe discomfort persists constantly, and the development of septic shock is possible.
4. Inflammatory processes in fatty tissue. Unpleasant sensations intensify with deep breathing and active movements.
5. Osteochondrosis of the spinal region.
6. Tumors of the adrenal gland, the formation of malignant formations that disrupt the outflow of urine. The lower back may ache constantly; sometimes it is possible to reduce the intensity of the pain by bending the torso.

If there is discomfort not only in the hypochondrium on the right, but also under the scapula, thrombosis of the inferior vena cava must also be excluded.

When your right side hurts

The following options are possible here:

• If cramps are accompanied by nausea, acute or chronic pancreatitis with inflammation of the head of the pancreas should be considered. Sometimes not only the right side hurts, but also the back. Additional symptoms are general weakness and indigestion.
• Inflammation of the liver. The sensations are dull and are accompanied by pallor, yellowing of the skin, dyspepsia, and loss of appetite.
• Duodenitis. Unpleasant pulling sensations spread simultaneously to the back and shoulder blade.

For people susceptible to pain, spasms are not limited to the side only, so a feeling of discomfort in the upper right shoulder is possible.

Nature of pain

In addition to the above classification of spasms in the hypochondrium, you need to remember some nuances associated with the type of discomfort that arises. This indicator is often decisive for making the correct diagnosis.

Pressure and heaviness in the side

A similar symptom often accompanies the late stages of pregnancy, when the grown-up baby is already too cramped in the stomach and any movement of the arm or leg, active upheavals cause the woman significant discomfort.

Pressure under the ribs from the side may also occur due to the following conditions:

1. Thoracic osteochondrosis, in which it is painful to move, breathe and move your arms.
2. Pathologies of the liver, gall bladder, urinary system. Diseases can be suspected by the addition of vomiting and nausea to the pain. Patients with such diseases tend to lie down more, since any movement, including walking and just a strong sigh, provokes an increase in spasm.

Stitching pain

People often complain about it after a long run. To exclude the cause in the form of stretching of the liver capsule against the background of dysfunction of the diaphragm and low blood outflow, it is important for both women and men to plan the load only after a preliminary warm-up.

The following tips will help you avoid tingling:

• Inhalation is always done through the nose. It is important that it be deep.
• Exhale through the mouth and only smoothly.
• While running, breathe exclusively from the stomach.

Stitching in the side above the center of the peritoneum can also occur with right-sided pneumonia. Lung damage is accompanied by shortness of breath, dyspepsia, increased temperature and blue discoloration of the tissues that form the nasolabial triangle.

Blunt pain

Smoothed but persistent unpleasant sensations are characteristic of a number of chronic pathologies:

• Cholecystitis. Increased spasm occurs after eating fatty foods. Additional signs are vomiting, bloating. As the disease progresses, ulcers form on the thickened walls of the gallbladder, which scar over time.
• Pancreatitis. As a result of the replacement of the correct anatomical structure with connective tissue, the production of enzymes and the hormone insulin is disrupted. A dull pain may be present on both the right and left under the ribs. It is complemented by signs of dyspepsia: belching, bloating, diarrhea, nausea, heartburn, vomiting.
• Pyelonephritis. With inflammation in the pyelocaliceal system, the spasm may spread to the opposite side and intensify during physical activity. Additional signs: unreasonable increase in temperature and chills, increased urine flow, increased blood pressure, migraines, chronic fatigue.
• Hepatitis. The causes of discomfort that does not go away over time are improper treatment and lack of healing effect. The disease is accompanied by decreased appetite, regular nausea, flatulence, intolerance to fatty foods and alcohol. When palpating the hypochondrium and pressing on the liver, a characteristic aching spasm occurs.
• Duodenitis. The pain on the right side is accompanied by heartburn, poor appetite, regular diarrhea, and vomiting with bile.

Sharp attack

If there is a feeling that the pain is not just squeezing, but acutely piercing, causing unbearable discomfort, the following conditions must be excluded that require immediate treatment.

Abdominal form of myocardial infarction with necrosis of a portion of the heart muscle

The spasm is present simultaneously under the ribs and in the epigastric region and seems to burn from the inside. Taking heart medications does not give the required effect, so you should go to the hospital immediately.
Characteristic signs other than pain:

• dry, irritating cough (with no history of smoking);
• dyspnea;
• weakness.

Acute appendicitis

The appendix, which is responsible for the immune defense of the digestive system, has a variable position, so the localization of pain can be different, including its spread to the right side. Pathology requiring surgical intervention is recognized by the following signs:

• Diffuse spasm in the navel area.
• Increased discomfort when walking or turning over on the left side, its weakening when moving to the opposite side.

Additionally, the following conditions must be met: severe indigestion, increased body temperature, pain localized in the right upper quadrant for more than 3 hours.

Shingles

The pathology, initiated by one of the varieties of herpevirus, affects the intercostal nerve endings. Along with pain in the right hypochondrium, severe itching, swelling, redness occurs, replaced by fluid-filled blisters. Sometimes after recovery, postherpetic neuralgia is diagnosed, which is extremely difficult to treat.

Helminthiasis

Pain in the right hypochondrium occurs in the second stage of ascariasis. Additional symptoms of the disease: dyspepsia, excessive excitability, decreased intelligence, development of asthenia.

It's a dull pain

The list of possible causes includes liver pathologies:

• Mild discomfort indicates the beginning of the inflammatory process, so this “bell” cannot be ignored. Often a long-term and completely tolerable spasm accompanies viral hepatitis, which can only be determined through laboratory tests for the appropriate markers.
• Cirrhosis. A life-critical condition occurs with aching pain, when the process reaches its final stages and therapy turns out to be ineffective.
• Oncology. One has to think about such a disappointing diagnosis when a minor pain syndrome is accompanied by weight loss, chronic fatigue, persistent low-grade fever, and an increase in organ size.

As you can see, it is quite difficult to independently determine the cause of discomfort. Therefore, it is better not to delay visiting a doctor, undergoing routine tests and conducting examinations that reveal the picture of the disease.

A person's stomach contains many vital organs. Therefore, when your right side hurts, you should seriously think about what could hurt in the lower abdomen? Very often, pain appears not only in the side, but can spread and radiate to the right under the ribs or behind.

If you understand the symptoms, then in many emergency situations it is possible to save a person’s life and avoid complications in the future.

• Acute pain. Appears suddenly and intensely. It happens with liver diseases, as well as with stones in the biliary organs.
• Dull pain. It grows gradually and persists for a long time. Occurs with many negative processes in the abdominal cavity that are chronic.
• It's a dull pain. Without pronounced intensity, continuing constantly. Intestinal diseases such as inflammation in the intestines and gallbladder.
• Cramping. Periodically waxes and wanes. Occurs with intestinal spasms and periodic pain in women.

Based on the location where the right side hurts, several types can be distinguished:

• Pain under the right rib. The location of the liver, as well as the gallbladder.
• Back pain. Most likely, this is a manifestation of pleurisy or liver abscess.
• On the right side in front. At this location, various diseases are possible: appendicitis, diseases of the appendages and ovaries in women, inflammation of the cecum, the presence of an inguinal hernia.

Pain in the right side of the abdomen occurs in cases associated with:

• Negative processes in many internal organs.
• Injuries received.
• Disease of bones and muscles.
• Neurology.

Damage and inflammation of internal organs

Gallbladder

Negative processes in the gallbladder cause severe pain in the right side:

• Cholecystitis (acute and also chronic).
• All diseases of the gallbladder and the consequences accompanying these diseases.
• Acute pancreatitis.

With these diseases, pain is localized mainly in the right hypochondrium.
Often the listed symptoms are accompanied by:

• Increasing temperature.
• Bitter taste in the mouth.
• Attacks of nausea, sometimes vomiting.

At the peak of the inflammatory process, pain in the side becomes more severe when coughing, sneezing and deep inhalation and exhalation.
With cholelithiasis, pain in the right side does not appear often, since the stones may not show any signs for a long time. If, at one point, a stone closes the entrance to the gallbladder, severe pain appears. Almost always they go directly to the lumbar region, to the arm and even to the heart area. Frequent vomiting appears and the pain does not subside until doctors apply the necessary procedures.
The pancreas is located on the left side, but when it is diseased, the right side often hurts. The pain surrounds and spreads to the right and left sides, and higher to the back, with acute pancreatitis.

Liver

Various liver diseases are accompanied mainly by heaviness and pain in the hypochondrium on the right side. These pains are associated with a bitter taste, yellowing of the skin and various rashes appear. Another distinctive feature of liver disease is the weakening of pain at rest (especially if you take a horizontal position and lie on your right side).

The main causes of liver disease:

• Hepatitis of all types (A, B, and C).
• Alcoholism and smoking.
• Eating fatty foods.
• Intoxication of the body. It is caused by taking medications or other toxic substances.
• Heart diseases.

Digestive system diseases

On the right side of the abdomen there are also sections of the small intestine and a section of the colon. When any of these organs becomes inflamed, quite severe pain occurs. There is also stool upset, bloating, attacks of nausea and vomiting.

Inflammation of the appendix

This is a small extension between the small and large intestines; its inflammation is accompanied by severe stabbing pain in the lower abdomen. In chronic appendicitis, the pain is nagging in nature.
Acute appendicitis causes severe pain and requires urgent attention to a surgeon, because purulent contents can enter the abdominal cavity and cause peritonitis.

Inguinal hernia

If after exercise or lifting weights pain appears in the right side, then there is an inguinal hernia. Especially if a small protrusion is visible, which disappears if you lie down in a horizontal position.

Kidneys and urinary system

If kidney function is impaired, the right side of the back and lower abdomen in the lumbar region hurts. Based on the nature of the pain, several diseases are distinguished:

• Dull pain accompanies pyelonephritis and gromerulonephritis.
• Constant pain is a sign of kidney failure.
• In the process of blockage of the urinary tract, sharp and stabbing pain is felt.

A feature of kidney and bladder diseases is considered to be a change in the process of urination.

Gynecological diseases in women

All reproductive organs in women are located in the abdominal cavity, so pain in the right side can signal the presence of such negative processes:

• Inflammation of the ovaries. When the ovaries become inflamed, swelling appears, fluid collects in it, and subsequently the side and lumbar region begin to hurt
• Inflammation of the fallopian tubes. Inflammation of the right-sided tube will cause pain in the right side of the abdomen.
• Endometriosis. When the epithelium of the uterus grows beyond its aisles, menstruation is accompanied by pain in the front of the abdomen, gradually encircling the entire abdomen.
• Pregnancy outside the uterus. If a woman’s right side hurts and aches, and the pain intensifies over time, it is most likely an ectopic pregnancy. It is necessary to urgently contact an ambulance so that the fallopian tube does not rupture.

All of the above diseases require medical intervention, otherwise there may be serious consequences and complications:

• Bleeding.
• Pelvioperitonitis.
• Infertility.

Pain in the right side in pregnant women

It is especially important to quickly visit a doctor if a woman who will soon become a mother experiences pain in the side. Although she may experience pain for completely harmless reasons:

• Pressure of the enlarging uterus on the urinary tract and kidney.
• Intestinal displacement.
• Pressure of the uterus on organs such as the liver and gallbladder.

In these cases, the pain will go away over time, so don't worry too much. But to be on the safe side, you should visit your gynecologist.

Pain in cases of injury

Often as a result of injuries (bruise or broken ribs), the pain gradually moves to the upper abdomen or to the right side under the ribs. Basically, the pain increases with breathing, movement and coughing. As a result of the X-ray examination, the doctor identifies a fracture, and an ultrasound of the organs allows us to identify other injuries.

Diseases of bones and muscles

• Severe dull pain, manifested in the right side of the back, occurs with diseases of the lumbar bones. Which leads to the pathogenesis of bone and cartilage tissue.
• Damage to the right hip joint. Includes: arthrosis, inflammation of the periarticular bursa, autoimmune disease. The pain is dull, mainly increases when walking and when you are in the cold.

Neuralgia

When there is pain on the right side and under the rib, it may be neuralgia. Inflammation of the nerve endings leads to the spread of pain. It is dull in nature, constant in intensity, intensifying with sneezing, coughing and movement.
There are cases when the brain receives signals about pain, but there are no changes in the functioning of the organs; this is also a type of neuralgic disorder.

What is the right thing to do if your right side hurts?

Remember: you need to use painkillers carefully, because they can hide the true causes of the disease.

For unbearably severe pain, you must:

1. Stop moving and take a comfortable position.
2. Assess the danger of pain (pregnancy, chronic diseases, intensity of additional symptoms).
3. Call an ambulance.

The main examination that is carried out in a medical institution is palpation of the abdomen and ultrasound examination. Based on the data obtained, additional examination is prescribed (if necessary) and treatment is prescribed.