When the right side hurts install accurate diagnosis Without a comprehensive examination it is difficult. Pain syndrome on the right side can be a sign of both neuralgia and pathological processes in the intestines, reproductive organs in a woman, inflammatory processes in the urinary system.

Pain in the right side can have many causes

Why does my right side hurt?

Pain is a collective concept and may indicate the location of the affected organ. The intensity, frequency, and nature of the pain syndrome will help establish a diagnosis.

Nature of pain and possible causes

Aching, periodic pain, sharp and encircling – these are the sensations experienced by a patient with inflammatory processes in the pancreas.

Aching, dull, debilitating pain is characteristic of inflammatory processes in the reproductive sphere. This picture can be given by an ectopic pregnancy, tumors of the testicles, scrotum, and ovaries.

Sharp, stabbing pain that intensifies during minor physical activity indicates organ pathology abdominal cavity, colitis, enterocolitis. Symptoms of intestinal disease are accompanied by impaired bowel movements, lack of appetite, nausea, and excess gas formation.

Severe, sharp pain is characteristic of appendicitis, necrosis of a section of the intestine, or intestinal obstruction.

Sharp pain on the right is characteristic of intestinal obstruction

Shoots in the side of the ribs - with neuralgia of various origins, a complication of herpes zoster. Patients may describe the condition as “like an electric shock,” or “the side is burning.”

Colic-type pain syndrome localized in the hypochondrium indicates pathologies of the liver and biliary tract.

Acute cramping, stabbing pain with a shift of sensations down the abdomen and urethra develops in diseases urinary system, renal colic, rupture of the fallopian tube in the tubal form of pregnancy.

When examining a patient, the nature of the pain syndrome, its intensity, the presence of other signs - bleeding, urination problems, nausea, defecation disorders - are taken into account.

Localization of pain

The location of the pain syndrome is a vague concept. Sometimes the source of pain is located at a considerable distance from the location of the discomfort.

Pain in the upper right quadrant of the body is characteristic of the following diseases:

• inflammatory processes in the liver and bile ducts, gallstones;
• kidney pathologies;
• pancreatitis or necrosis of the pancreas;
• intercostal neuralgia;
• herpes zoster – affects the right and left side of the back;
• V in rare cases– referred pain from the appendix;
• inflammatory processes in the lower parts of the lungs, diaphragm;
• myocardial infarction.

Before the onset of shingles, pain occurs in the right side

If pain occurs in the right lower side, one can assume:

• ectopic pregnancy - dull pulling sensations;
• neuralgia lumbar region;
• rupture of the fallopian tube - sharp, severe, unbearable pain;
• inflammatory diseases of the ovary, tumor processes - intensify when pressed during a gynecological examination;
• prostatitis, testicular cancer pathology, prostate gland in men;
• inflammation of the appendix - pain intensifies when pressed;
• arthritis or arthrosis hip joint– it is difficult to determine these diseases by the nature of the pain syndrome. Intensity pathological process depends on the degree of destruction of the joint or inflammation of nearby tissues;
• release of the egg from the ovary during ovulation – mild periodic discomfort on days 10–14 of the cycle.

If discomfort occurs in the navel or mid-abdomen area, the doctor will suggest:

• colic;
• appendicitis - discomfort during inflammation of this organ often radiates to the leg, but can also be localized at the level of the navel;
• kidney diseases - from nephritis and stones to cancer.

Diseases associated with the patient's gender

Women's anatomy is different from men's. Each gender has individual health problems.

In men, pain in the right flank of the abdomen is associated with:

• prostate pathologies - from the inflammatory process to organ hyperplasia of various nature;
• renal colic - there are pains, pulsating spasms, a feeling of sand in the urethra when urinating. Dysfunction affects the right side and lower back;
• testicular cancer – radiation of unpleasant sensations;
• secondary tumors in carcinomas of the prostate, kidney, bladder.

In men, pain in the right side may be due to renal colic

In women, pain in the lower abdomen can be both a sign of illness and a joyful event - pregnancy.

To make a diagnosis, the doctor must exclude:

• ectopic pregnancy;
• ovulation – nagging pain low intensity;
• pregnancy at an early stage - the syndrome develops when an attempt is made to implant the fertilized egg in the uterus. Patients describe the condition as “tingling.”
• rupture of the fallopian tube – severe pain, intolerable to the point of loss of consciousness;
• renal colic;
• during pregnancy - depending on the period, this may be a retrochorial hematoma, false or real contractions;
• oophoritis of various origins;
• ovarian apoplexy;
• spontaneous opening of the cyst body in the ovary;
• a condition with polycystic organ disease, when the ovary is enlarged in volume;
• adhesions in the fallopian tube - dull, constant pain, characterized by consistency;
• hydrosalpinx - on initial stages there is heaviness in the side, and when a bacterial infection occurs, the pain syndrome increases.

Pathologies of childhood

In babies of the first year of life, the main cause of discomfort is colic, intestinal diseases, allergic reactions for complementary feeding, milk proteins. The child cannot explain what hurts, pulls, cramps or twitches, so all these pathologies are accompanied by crying without visible reasons. The baby presses his legs to his tummy, diarrhea, and the rate of physical development decreases.

In an older child, discomfort in the right side is caused by:

• appendicitis;
• intestinal diseases;
• helminthic infestations;
• jades.

Nephritis can cause pain on the right side in children

For girls adolescence Unpleasant sensations can cause reproductive diseases. In young men - testicular pathologies - varicocele, orchitis.

Which doctor should I contact?

The right side of the body contains a large number of vital organs. Therefore, it is difficult to independently determine which doctor to contact. The exception is chronic diseases, since the patient is already familiar with their characteristic symptoms.

For severe unbearable pain, in which motor activity is impossible or impaired best choice there will be a service call emergency assistance. The same should be done if the child is experiencing pain or discomfort has appeared for the first time.

If the pain syndrome is insignificant, then the baby is needed to rule out appendicitis, diverticulitis, or intestinal obstruction. If the doctor suspects kidney pathology, then treatment can be carried out by a pediatrician. But it is better to contact a pediatric urologist or nephrologist.

For adult patients initial stage examination by a surgeon is recommended. If reproductive diseases or pregnancy are suspected, the patient will be referred to a urogynecologist. Men will be offered an andrologist.

If you have problems with genitourinary system you need to see a urologist

If intestinal diseases are suspected, the patient will be redirected to the office.

After excluding pathologies gastrointestinal tract, reproductive sphere, lungs, the patient should be examined for diseases of the spine, neuralgia, conditions after infection with the herpes virus.

If the patient has a history of carcinoma of any organ, then after excluding all non-cancerous diseases, an examination will be required.

Diagnosis of pain

Diagnostic measures begin with a physical examination and questioning of the patient.

When making a diagnosis, the following are taken into account:

• nature and intensity, course of pain syndrome;
• its localization;
• general medical history of the patient;
• the patient’s behavior during the activation of unpleasant sensations;
• additional symptoms and their manifestations;
• whether the patient is taking any medications.

Hardware imaging methods are used as a differential diagnostic tool:

• X-ray;
• Ultrasound – gynecology, urology, intestines are examined;
• MRI – to exclude diverticulitis, diagnose neoplasms of various nature, hernias and tumors of the spine, changes in the articular heads of the hip joint;
• laparoscopic and general cavity diagnostic surgical interventions.

An x-ray will be needed to identify the cause of the pain.

A number of tests will be required to make a diagnosis. At the first stage, these are general clinical tests of urine, blood, feces for worm eggs, scraping for enterobiasis, smears of vaginal and urethral discharge, sampling of prostate juice. Based on the results of the initial samples, the doctor decides on the need for additional research.

What to do for pain in the right side

In case of pain of unknown origin in the right side, it is forbidden to take painkillers. This will complicate diagnosis and may cause unwanted side effects against the background of the current pathological process.

Possible treatment options:

What can hurt on the right side? There is no clear answer to this question. Pain syndrome is one of the signs of a large number of dangerous diseases. To prevent their development, immediately undergo examination and the necessary course of treatment.

Constant or recurrent pain localized in the upper lateral region of the abdomen on the right may indicate diseases of the hepatobiliary tract, kidneys, and ascending part colon, head of the pancreas and much less often – about the pathology of the lung tissue.

For correct differential diagnosis, it is necessary to take into account the accompanying clinical manifestations, characteristic changes V laboratory tests and when conducting instrumental examination methods.

We will talk about the causes of pain in the right side at the waist level in front in women and men in this article.

Common pathological conditions of internal organs, the course of which is always accompanied by the appearance of pain in the right side at waist level:

1. Chronic hepatitis.

2. Gallstone disease.

3. Biliary dyskinesia.

4. Right-sided pyelonephritis.

5. Neoplasms of the ascending colon or its hepatic angle.

Chronic hepatitis

Chronic hepatitis is a diffuse progressive inflammation of the liver tissue due to alcoholism, bacterial or viral infection, long-term use hepatotoxic drugs or congestion in the bile ducts and pancreas.

On early stages The course of the disease is usually asymptomatic. Occasionally, mild pain may appear in the right hypochondrium, especially after drinking alcohol or physical activity. On objective examination, the lobes of the liver are slightly enlarged.

As fibrosis of the liver parenchyma and necrosis of hepatocytes increases, clinical manifestations become more pronounced:

• Dyspeptic syndrome (nausea, bloating, loss of appetite, abdominal pain on the right).
• Asthenic syndrome ( increased weakness and fatigue, irritability, sleep inversion).
• Hemorrhagic manifestations (recurrent nosebleeds, hemorrhagic skin rashes in the face and limbs).
• Jaundice syndrome (enlargement of the liver, its pain, icteric coloration of the mucous membranes and skin, darkening of urine and discoloration of feces).

The diagnosis is established only after an ultrasound scan, determination of the level of liver enzymes and bilirubin in peripheral blood, markers of viral hepatitis and, ideally, a biopsy of a section of liver tissue. Treatment tactics depend on the underlying cause and severity of the disease. In particular, detoxification infusion therapy, hepatoprotectors, antivirals, lactulose preparations and vitamins.

Gallstone disease

The formation of stones in the cavity of the gallbladder occurs as a result of dysfunction of cholesterol and other types of metabolism and stagnation of bile in it. The disease is periodically accompanied by exacerbations chronic cholecystitis and in the case of obstruction of the biliary tract by a stone - the development of hepatic colic.

Cholelithiasis is typically characterized by the appearance of periodic nagging and dull pain on the right in the hypochondrium, nausea, bitterness in the mouth and sensitivity at diagnostic points. In case of accumulation large quantity stones significantly impede the normal outflow of bile, which can lead to biliary hepatitis with transition to cirrhosis.

A sudden blockage of the lumen of a large bile duct is manifested by colic. When it develops, patients complain of acute and spastic pain on the right, up to loss of consciousness, nausea and sometimes vomiting. After the stone passes, the symptoms regress, otherwise they appear clinical signs obstructive jaundice and edema of the papilla of Vater with subsequent involvement of the head of the pancreas in the inflammatory process.

In most cases, stones are visualized on ultrasound or x-ray. Treatment involves cholecystectomy and compliance special diet(table No. 5 according to Pevzner).

Biliary dyskinesia

Stressful situations and excessive poor nutrition cause functional changes in the autonomic innervation of the biliary tract organs, which can lead to both their accelerated and delayed contraction. That is, periodically occurring pain attacks in the right side and dyspeptic symptoms in the absence of organic pathology are the result of functional biliary dyskinesia.

With its hypomotor type, the pain is dull, often aching in nature, and is recorded no more than three times a week. Possible addition of bitter belching, moderate nausea and bloating. The hypermotor type involves strong and frequent contraction of the walls of the bladder and is manifested by intense paroxysmal pain in the hypochondrium on the right.

In making a diagnosis, the decisive point is cholecystography data and the absence of organic pathology during ultrasound diagnostics of the abdominal cavity. Treatment is aimed at stabilization emotional sphere, maintaining a diet. At the time of exacerbations, I prescribe choleretics or cholekinetics, hepatoprotectors and enzymes. The absence of proper therapy will lead to the transition of the disease to an organic form.

Right-sided pyelonephritis

Pyelonephritis is characterized by acute inflammatory damage to the interstitial tissue of the kidney and its pyelocaliceal system. Common causes of the disease:

• Persistent lower urinary tract infection.
• Chronic foci of infections (tonsillitis, otitis media, etc.).
• Malformations of the genitourinary tract.
• Concomitant inflammation of the reproductive system.

The onset of the disease can be acute or subacute. First of all, signs of intoxication appear: fever, weakness, headache etc. After a few hours or days, dysuric syndrome occurs (frequent and painful urination, imperative urge to urinate, and sometimes bedwetting). Pain in the right-sided process is localized on the right in the lateral flank of the abdomen or on the lumbar side, and is constant and of moderate intensity.

Urine analysis reveals the entire field of view of leukocytes, increased protein, the appearance of mucus and renal epithelium. In the analysis of peripheral blood, all data will indicate severe intoxication (leukocytosis, accelerated ESR). The ultrasound picture can be either normal or show an expansion of the pelvis with calyces, their inflammatory infiltration.

Therapy necessarily includes antibiotics, uroseptics and antihistamines. At severe course Intravenous infusions of glucose-saline solutions and rheosorbilact are indicated.

Colon tumor

If a neoplasm of any nature is localized in the hepatic angle of the colon, the pain will also be located at the waist level on the right. Etiology tumor process has not been fully studied, but doctors note the influence of certain factors on the appearance of atypical cells: family history of oncology, smoking, lasting influence stress on the body, chronic inflammation, unhealthy diet and sedentary lifestyle.

Quite often, the tumor process in the intestine is preceded by chronic colitis And frequent constipation. The first signs of the disease are subtle for most people, but at the same time they occur: frequent absence of stool for several days, periodic abdominal pain, the appearance of streaks of scarlet blood in the stool, an unreasonable increase in temperature to subfebrile levels.

A tumor that has reached large sizes, can perforate the intestinal wall and provoke the development of peritonitis. In this case, acute pain appears in the right flank of the abdomen, which quickly spreads to all parts, the temperature rises sharply, and sticky sweat and the heart rate increases. Palpation of the abdomen causes the patient to experience increased pain, and the abdominal wall feels “board-like” to the touch.

Treatment is surgical followed by polychemotherapy in several courses. At stage 4 of the tumor process, treatment is only palliative.

Any pain is an alarm bell and indicates the development or progression of a pathological process in the human body. Timely seeking medical help will reduce the time it takes to diagnostic search, minimize the risks of occurrence severe complications and start targeted therapy in a timely manner.

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

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

Right-sided anatomical structures of the abdominal cavity

If you divide the abdomen vertically in half, some of the organs end up on both sides because they occupy central position:

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

Therefore, when studying pathological changes, it is difficult to separate the right-sided and left-sided positions. Sometimes the source of pain is not located where it hurts; there are migrating sensations when a person is not able to pinpoint a specific location and talks about “pain throughout the abdomen.”

Some diseases have a “favorite” localization. The liver of the left lobe falls into the area of ​​the left half and can cause pain throughout the upper abdominal cavity. Directly to right area The abdomen contains the gallbladder with ducts, the right kidney and ureter, and the appendix.

Diseases that can cause pain include:

• abdominal wall;
• vessels;
• right lower ribs.

Knowledge of the structure of organs made it possible to identify the characteristics of the pain syndrome:

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

The kidney capsule consists of dense connective tissue

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

How to assess the nature of pain?

Patients describe their pain sensations in different ways. The doctor has to analyze subjective information, ask additional questions about the conditions for the occurrence of right-sided abdominal pain, their changes, duration, and connection with food. We will present an assessment algorithm for the nature of pain in accordance with the wording of complaints.

Right stomach hurts when running and walking

The movement of the legs is accompanied by intense work of the abdominal muscles, changes in intra-abdominal pressure, and a massaging effect on the intestines, so atony occurs in the absence of physical activity.

Various diseases in the hidden (latent) stage they appear during movement. In such cases, you cannot force yourself to walk and endure. Pain on the right side of the abdomen indicates activation of the pathology and can quickly lead to complications.

Pain occurs after traveling in public transport

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

Stomach hurts only when pressed

This is what patients say when the doctor palpates the abdomen. They hope that if they do not touch, the disease will not occur.

Palpation is safe and is performed using a gentle technique

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

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

Pain on palpation of the lower abdomen on the right makes one suspect acute appendicitis. In women, gynecological diseases (adnexitis, ovarian cyst) should always be excluded. If pain is localized in the upper hypochondrium when pressing on the right, one should think about inflammation of the gallbladder, hepatitis, and less commonly, duodenal ulcer. The symptoms of peritoneal irritation are based on this principle.

A woman has a stomach ache on the lower right side during menstruation

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

If you are bothered by abdominal pain on the right, then right-sided adnexitis (inflammation of the appendages) is suspected. Severe pain occurs when ectopic pregnancy, with torsion and rupture of the cyst, it radiates to the lower back. The nature of the pain can be confused with an attack of appendicitis.

Aching in the stomach on the right

Aching pain in the abdomen on the right indicates an inflammatory process of moderate intensity. Often accompanies peptic ulcer disease. It begins 1.5–2 hours after eating and lasts throughout the night.

Dull abdominal pain is characteristic of the hypotonic form of dyskinesia of the gallbladder and intestines. Caused by overfilling, stretching of the muscle layer and impaired emptying. People with neurasthenia, emotionally unstable, and school-age children are most susceptible. Accordingly, they are localized in the right hypochondrium and near the navel.

Neurasthenia is one of the causes of pain abdominal syndrome

Cramping pain

Acute sudden pain in the abdomen on the right are characterized by patients as “sharp”, unstable, in the form of contractions. Such complaints accompany intestinal obstruction and are caused by peristaltic movements of intestinal loops. They may appear when the intestinal wall is ruptured (perforation due to an ulcer, Crohn's disease), capsules of internal organs, thromboembolism of mesenteric vessels.

They are not typical for the inflammatory process, in which pain in the right side of the abdomen increases gradually. Here, a significant area of ​​the peritoneum is immediately irritated and organ tissue is destroyed. “Cutting” sensations are typical for intestinal diseases caused by infection or food poisoning.

Something is pulsating and twitching

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

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

The “jerking” type of pain is characterized by the development of purulent inflammation. In the lower abdomen on the right, phlegmonous and gangrenous appendicitis. Pain indicates an ongoing process. The appendage may rupture and cause inflammation of the peritoneum (peritonitis).

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

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

The duration of pain over time is important in diagnosis. If your stomach constantly hurts on the right side, the pain is usually moderate and dull. Chronic appendicitis, cholecystitis, gastritis, and hepatitis have a similar course. Sometimes the pain subsides completely, patients mistakenly rejoice at their recovery and break their diet. But the symptom appears again.

It happens that patients endure stupid problems for a long time constant pain, come for help only when strengthened

Periodic pain that recurs after several days, weeks, months and even years should be explained by the favorable course of chronic diseases with long periods of remission. Exacerbations appear only under certain conditions: violation of the regime, drinking alcohol, stressful situations, spring and autumn (peptic ulcer).

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

Liver diseases

Liver diseases cause pain in the right hypochondrium with radiation to the lower back. Patients say that “the right side of the abdomen hurts.” The cause is stretching of the capsule or rupture due to injury.

With inflammation and hemorrhage into the parenchyma, the size of the organ increases, which causes stretching of the surface membrane. The capsule may become inflamed when infection spreads from neighboring organs. Then the pain is highly intense.

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

Toxic hepatitis - formed in response to alcohol consumption, certain medications, poisoning chemicals, household liquids, poisonous products (mushrooms).

They develop quickly and are accompanied by severe acute pain in the right hypochondrium, nausea, vomiting, yellowing of the skin and sclera. Viral hepatitis - have chronic course with periods of exacerbations and liver enlargement. Patients constantly feel heaviness, dull “pain in the right side of the abdomen,” discomfort along the intestines, and decreased appetite.

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

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

For general symptoms characteristic:

• increased pain during physical activity;
• nausea and vomiting;
• temperature rise no higher than 37.5;
• loss of appetite;
• bleeding gums;
• yellowness of the skin and sclera;
• light stool and dark urine;
• stool disorders.

An abscess is a cavity containing pus that can be located both in the liver itself and in the subhepatic angle between the ligaments, the right dome of the diaphragm and intestinal loops. The patient has, in addition to jerking pain in the hypochondrium, high temperature with chills, heavy sweating, general intoxication (headaches, muscle pain, dizziness, nausea).

Abscess and cyst can be detected on CT scan

Liver cirrhosis is the outcome of hepatitis and chronic alcoholism. Parenchyma tissue is replaced by scar tissue. The organ shrinks and decreases in size. Since the capsule cannot stretch, severe pain does not occur. Dull aching - most likely associated with simultaneous dyskinesia biliary tract, damage to the pancreas.

Malignant neoplasms in the liver occur during the transformation of hepatocytes or the arrival of metastases from other organs with the blood. All functions of the organ are gradually disrupted. The pain becomes very intense.

Diseases of the biliary organs

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

Acute cramping pain is caused by spastic contraction of the muscle layer. They are called "colic". Localized in the right hypochondrium, spreading to the center of the abdomen, in the right lateral zone.

Removable with drugs antispasmodic action. At the same time, the patient experiences belching, bitter vomiting, and epigastric pain (biliary gastritis). The pathology is caused by dyskinesia (impaired bladder motility), inflammation, and movement of stones.

Cholecystitis (inflammation of the bladder) is caused by pathogenic microorganisms. Overweight women who do not engage in physical activity are most prone to the disease. Inflammation of the inner lining promotes the production of mucus, thickening of bile, changes acid-base balance and creates conditions for salt precipitation bile acids(cholelithiasis).

The resulting stones subsequently stick together to a rocky density and cause cholelithiasis. While there are no stones, the pain is dull in nature, but the movement of the stone along the bile ducts causes irritation and local spasm. This manifests itself as an intense pain attack in the upper right half of the abdomen, radiating to the collarbone, scapula, lower back, and shoulder. The attack lasts up to several hours.

Cholangitis is called inflammation of the bile ducts. It is rarely isolated without cholecystitis. Almost always accompanied by cholelithiasis. At the same time, the pain in the epigastrium and right hypochondrium is very strong, cramping with high fever and jaundice.

Gallbladder neoplasms are rare. People with a long history of cholecystitis and cholelithiasis are at greatest risk. The pain syndrome becomes persistent and permanent. The pathology is characterized by a tendency to bladder rupture and peritonitis.

Appendicitis

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

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

Bowel diseases

Diseases of the small and large intestines are rarely localized only in the right half of the abdomen; more often they spread to the central part. The nature of the pain is diffuse and has no clear localization.

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

Tumors are more typically located in the left side. Intestinal obstruction is associated with blocking of the intestinal lumen by adhesions, tumors, and fecal stones. The pain is very strong, vomiting and lack of peristalsis are possible.

Renal pathology

The right kidney is anatomically located slightly lower than the left. She often suffers from prolapse when losing weight, after childbirth. In this case, patients feel pain in the right side and abdomen while standing upright. The decrease occurs in supine position.

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

Stones are located along the urinary tract

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

Right-sided abdominal pain is possible with injury to the liver, kidney and intestines, gastritis, peptic ulcer, pancreatitis. Necessary full examination identifying the exact cause. Only after this can a diagnosis be made and treatment prescribed.

Back pain that occurs on the right side in the lumbar region can be a sign of a large number of diseases: from diseases of the musculoskeletal system to inflammatory processes in the lungs. It is quite difficult to determine the origin of pain on your own, so if you experience recurring symptoms, you should consult a doctor. Timely consultation with a specialist and professional diagnostics will allow you to most accurately determine the cause of pain, begin appropriate treatment on time, and therefore avoid various kinds of complications.

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Causes of pain in the lumbar region

Similar symptoms are typical for a number of diseases:

• lower respiratory tract;
• musculoskeletal system (spine, back muscle tissue);
• Gastrointestinal tract (pancreas, liver, gallbladder, intestines);
• urinary and reproductive systems ( right kidney, right ovary).

To determine which organ requires additional attention, you need to analyze the nature of the pain and the characteristics of its manifestation:

• determine as accurately as possible the location of the occurrence of this symptom;
• describe the pain (stabbing, cutting, aching, pulling, burning, sharp, lumbago, weak, wavy, feeling of heaviness);
• understand where it goes (to the leg, arm, shoulder, etc.);
• identify whether additional symptoms are present (dizziness, nausea, vomiting, bowel movements, fever, cough, general weakness).

This will help you prepare for your doctor's visit. After all, the accuracy of the patient’s answers to initial appointment It depends on what tests will be ordered and how quickly the diagnosis will be made.

In addition, it is important to remember when pain first appeared and what events preceded it. Perhaps the pain that arises is situational and appeared after serious physical exertion or an uncomfortable body position, and inflammatory processes in the body have nothing to do with it. This can happen severely sports loads, a long bus ride or a long plane flight.

But if the pain does not go away or even intensifies, this indicates that the body has been struck by a serious disease.





Kidney diseases

If there is pain on the right under the ribs, from behind the back, constant dull, aching twitching is felt, which intensifies when lightly tapping the lower rib with your fingertips on the side of the sore kidney, this is a clear sign acute pyelonephritis. In this case, the pain does not radiate anywhere, but is accompanied by high fever, often even chills, frequent urges to urination. Against the background of a general loss of strength, nausea occurs, sometimes vomiting, and swelling appears.



With chronic right-sided pyelonephritis, the pain in the right side from the back in the lumbar region is also aching, but rather weak. It increases significantly in case of hypothermia. Additional symptoms symptoms that accompany this disease are almost no different from the signs of its acute form: low-grade fever, frequent urination. But it happens that at the very beginning of the disease there are no accompanying signs, except pain symptoms.

When, at the beginning of the disease, an intermittent dull pain is periodically felt in the right side at waist level from the back , which often appears after exercise or coughing, suggest nephroptosis (kidney displacement). The peculiarity of the disease is that pain symptoms appear when a person is in an upright position, and gradually disappear if he lies down. During the development of the disease, if left untreated , the pain in the side will only intensify, and colic may even occur.

If the right side from the back hurts severely, the attacks are similar to contractions, during which the pain radiates to the lower abdomen right up to the pubis, then spreads to the lower back, this most often indicates renal colic. This disease may be accompanied by fever and vomiting, and less commonly, bloating. For such symptoms, it would be best to call ambulance and immediately drink an antispasmodic. If there are no additional signs of illness, it is good to use a warm heating pad as a remedy for pain. It is better to take it half-sitting so that the urinary tract is lower than the kidney.

Aching pain in the back on the right side, independent of body position, sometimes reaching colic, indicates hydronephrosis (enlargement of the renal pelvis). With this disease, weakness and nausea may be felt, the urine darkens and acquires a reddish tint, which indicates the presence of blood in it. The presence of the disease can only be determined using ultrasound and x-rays.



When a sharp, piercing pain occurs in the back on the right, accompanied by symptoms similar to those of pyelonephritis and urolithiasis, as well as very high fever, chills, thirst and dry mouth - this is a kidney abscess ( purulent inflammation). In this case, all that is required is to call an ambulance and prepare for the operation.

A dull pain of varying intensity in the right side behind the lumbar region, which increases with running, fast walking and traveling in public transport, as well as from drinking a large amount of liquid, indicates the presence of urolithiasis. Difficulty urinating usually accompanies the disease.. WithThe degree of pain depends on the size of the stone in the urinary tract.



If the right side from the back hurts, and these sensations are long-lasting and aching in nature, intensify with physical activity, consumption of fatty and spicy foods, as well as after drinking alcoholic beverages and weakening at rest, then liver disease is evident. Additional symptoms: nausea, possibly heartburn, bitter taste in the mouth, fatigue, yellow skin.





Diseases of the musculoskeletal system

Very severe pain in the right side under the ribs occurs due to a lumbar intervertebral hernia. Pain may descend lower: into the popliteal region, lower leg, or onto the back of the thigh. Often, people with the disease complain of numbness in certain areas lower limbs, tingling and burning in the toes, paresis. The pain intensifies when walking, and becomes more tolerable in a lying position. Intervertebral hernias of the lumbar region are treated by an orthopedic surgeon.



The right side of the back in the hypochondrium area hurts with varying intensity for two days after the fall. This indicates trauma spinal column. In this case, you should definitely see a surgeon. In some cases, the incident may result in damage internal organs person. Depending on this, additional symptoms arise: pain, nausea, vomiting, headache. They must also be reported to your doctor.

If a dull, intermittent pain that occurs in the right side of the back, radiates to the shoulder, arm or leg, and prevents movement (bending over, straightening the back) - this is osteochondrosis ( dystrophic change in joint cartilage). The disease is one of the most common: it manifests itself to a greater or lesser extent in every fifth Russian. Its occurrence is provoked by a sedentary lifestyle. Pain in the back occurs with physical exertion, sudden movement, and also with prolonged stay in one position. At the same time at rest painful sensations subside.

One-sided dull aching pain in the lower back, which is annoying, regardless of the mobility of the body and its position, and sharply turns into an acute lumbago when pressing with the fingertips on the disturbing part of the back, often indicates the occurrence of spondylosis (deformation of the vertebrae due to growth bone tissue). Sometimes this disease causes numbness in the legs. The presence of spondylosis can be determined using a comprehensive examination (MRI and X-ray). The disease is treated with anti-inflammatory and painkillers.

If you constantly feel a nagging, aching pain in the lower back, which intensifies during the day and with sudden movements (turns, bends) gives a lumbago, this is most likely intervertebral hernia. Acute pain subsides when lying down. To alleviate the condition, they take painkillers, visit a physical therapy room, and take a course of therapeutic massage.



Severe pain radiating to all parts of the spine, characterized by loss of sensitivity, numbness and tingling lumbar muscles, talks about radiculitis. With this disease, the roots are affected spinal cord. Sometimes the process is accompanied by a burning sensation in the affected area. To alleviate the condition, they take painkillers and massage sessions.

Lung diseases

Characteristic stitching or cutting pain, worsening with deep breathing, as well as with sudden movements, suggests pleurisy. When the pleura is inflamed, the pain usually goes away if you lie on the affected side. Additional symptoms: cough, fever, shortness of breath. The disease can be diagnosed by ultrasound or x-ray.



If the pain is felt under the shoulder blade or under the ribs, and worsens with deep breathing or coughing, then this may be the beginning of pneumonia. Subsequently, the temperature rises, a cough appears, sputum is produced, and a feeling of weakness occurs.

If the pain is very strong, sharp, stabbing, radiates to the arm, shoulder, and intensifies with breathing and coughing, this is pneumothorax (accumulation of gases in the pleura of the lungs). A person wants to sit or take a reclining position, shortness of breath, cold sweat, and panic appear. Diagnosed by radiography and pulmonary puncture.

Unbearable and constant severe pain occurs only when late stages cancer, if the tumor grows into the pleura.

The pain is very strong, sharp, cutting on the right under the shoulder blade, indicating pulmonary infarction. Additional symptoms: shortness of breath, tachycardia, expectoration of blood.



Digestive system diseases

Usually accompanied by additional symptoms : abdominal pain, nausea, vomiting.

Flatulence is the accumulation of gases in the intestines. The pain is dull, nagging, accompanied by bloating. Appears after taking certain foods (legumes, soda, etc.), as a result of intestinal diseases or neurosis. Painful symptoms are removed with antispasmodics, sorbents and defoamers.



Appendicitis is inflammation of the appendix. If the appendage is located behind the cecum, then painful sensations do not occur in the abdomen, as happens in most cases, but in the lower right lower back. The pain is acute, constant, radiating to the leg, groin, and pelvic area. If you lie on your left side, it will intensify. Additional symptoms: nausea, weakness, sometimes temperature above 38 degrees. Urgent surgery required!

Intestinal colic is a spasm of the intestinal muscles. The pain in the lower back is burning, cramping: it intensifies and then decreases. After some time it moves to the abdominal area. Additional symptoms: weakness, frequent urination, nausea, diarrhea. Possible causes: poisoning, stress, intestinal diseases, gastritis. For intestinal colic, take antispasmodics and apply a heating pad.

Acute cholecystitis is inflammation of the gallbladder. Pain in the right side of the abdomen in the hypochondrium, radiating to the area below right scapula. It may go away on its own after some time (half an hour to an hour). Occurs more often at night or in the morning, after consumption fatty foods or alcohol. Additional symptoms: bitter taste in the mouth, nausea, vomiting bile, white coating on the tongue. Diagnosed by blood, urine, stool tests, and ultrasound of the gallbladder. Treated with surgery or medicines, be sure to follow a diet.

Acute pancreatitis is inflammation of the pancreas. Pain in the side of the abdomen, radiating to the lower back on the right. In rare cases, there is no sensation from the abdomen and is felt only in the back in the central part on the right. The pain is dull, cramping: it intensifies and then weakens. Additional symptoms: nausea, vomiting without relief, the face acquires a grayish tint, bloating. If the pain intensifies, call an ambulance! While waiting for the doctor, you can take an antispasmodic. At chronic pancreatitis Dull pain occurs in the right side of the back after overeating or drinking alcohol.



Other reasons

Acute or nagging pain with tingling under the right rib may appear as a result psychosomatic diseases. It usually occurs periodically and does not last long. In this case, a neurologist or psychiatrist will help the person get rid of pain.



Discomfort in the lower right side of the back may be caused by diseases of the urinary system. With them, the unpleasant sensations do not go away and do not decrease, even if the person is motionless. Representatives of the fairer sex should take into account that pain concentrated under the right rib is a sign of a number of gynecological diseases. To diagnose them, you need to contact an antenatal clinic.

Pain in the right side, felt in the back area, is a symptom that can appear with the following diseases. Pain in the right side of the abdomen can be caused by diseases of the pancreas. Yes, aching pain on the right side closer to the ovaries can occur before menstruation.

But nagging pain in the lower back does not always indicate health problems. If it occurs after a night and then disappears without a trace, then its cause is an uncomfortable bed. In this case, the person just needs to change the mattress

To find out the cause of back pain on the right or left, you should not be guided by symptoms alone; it is very important to visit a doctor in a timely manner and conduct additional laboratory and instrumental examinations.

The reasons for unpleasant feelings can be varied. Many internal organs are located in this part of the body.

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

Pain as a symptom

Side pain can vary in intensity

In such a situation, there is no need to leave everything to chance or prescribe treatment yourself. It is best to consult a specialist at the first sign of concern. This advice is especially relevant if the pain is severe.

This patient most often medical assistance required immediately. This pain may be due to the fact that the hollow organs (stomach, intestines, gall bladder) are not functioning properly.

It can become clogged or burst, and then death is possible if the patient is not treated promptly. medical care. But even ordinary aching pain should not be endured for more than half an hour.

In this situation, the best solution would be to call an ambulance. It is quite possible that this is what will save a person’s life.

Feeling of pain in the upper right side of the abdomen, under the ribs

The cause of discomfort may be:

• Consequences of injuries
• Diseases of the abdominal organs,
• Nervous system diseases,
• Diseases of the muscles and bones of the body.

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

Also similar discomfort deliver cholelithiasis, especially if it occurs with complications; cholecystitis in acute and chronic form; diseases of the biliary tract; V acute form; Vater's nipple diseases. These diseases are characterized by pain at the top, in the right part of the abdominal cavity, under the rib.

Pain on the right side, as a consequence of herpes zoster

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

The pain is constant and has a strong cutting nature. As with pancreatitis, nausea often occurs, leading to vomiting. This makes diagnosis and, as a consequence, treatment very difficult. However, soon with shingles a rash appears on the abdomen.

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

Pain in the right side of the abdomen

Pain is relieved with analgesics

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

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

These pains do not occur when eating, and are quite severe. This violation is characterized by the following symptoms:

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

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

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

First, a person begins to feel pain in the upper abdomen or the center area, where the navel is. After a certain time, it flows into the iliac region, located on the right. It is located slightly above the crease of the groin.

The symptom may be accompanied by nausea,. Low fever, lack of appetite and vomiting are also possible. This disease is easily diagnosed during a medical examination using palpation.
It can also cause pain in this area.

If this disease occurs as a terminal ileitis, then the epicenter of pain is located in the iliac region, located on the right. The nature of the sensations is reminiscent of those experienced with acute appendicitis.

The similarity of other signs makes it difficult to determine the disease. Sometimes an accurate diagnosis is determined only when the patient is on the operating table. Appendicitis turns out to be normal, and at the end section small intestine inflammatory processes are visible.

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

• Salpingo-oophoritis,
• Ovarian apoplexy,
• Twisting of the stalk of the tumor located on the ovary,
• Ectopic pregnancy.

With diseases of these organs, pain in this area is constantly observed. Often these diseases differ next sign: Fluid is released from the genitals. She may have different character and consistency. Often patients feel a high fever.

All diseases of this sulfur are dangerous. In case of delay or improper treatment The following pathologies develop:

1. Infertility,
2. Pelvioperitonitis.

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