What hurts to the right of the stomach. With intercostal neuralgia. Pain in diseases of the veins

Pain under the ribs on the right can have a different character:

  • strong;
  • acute;
  • sharp;
  • aching dull, pulling;
  • stabbing.

Depending on the nature of the pain and its accompanying syndromes, it is possible to determine the affected organ.

Severe pain right under the ribs

Unbearable, severe pain in the right hypochondrium is characteristic of diseases of the gallbladder, liver and kidneys.

Inflammation of the gallbladder (cholecystitis). Severe pains on the right under the ribs make a person rush about in search of a comfortable position. In addition, he is tormented by:

  • fever;
  • nausea;
  • repeated vomiting that does not bring relief;
  • often - yellowing of the skin and whites of the eyes.

Hepatic colic - severe pain that subsides when taken antispasmodic drugs. In diseases of the liver, yellowing of the skin and whites of the eyes is characteristic.

Liver injury, cirrhosis. Pain intensifies when a person is in a horizontal position. There are symptoms of blood loss (weakness and dizziness, pallor of the skin and mucous membranes, with reduced blood pressure rapid pulse).

kidneys. The pains are intense to such an extent that the person rushes about in search of a comfortable position. Most often, pain is associated with urolithiasis, therefore, depending on the location of the stone, pain can be localized in the upper or lower part of the right hypochondrium. In addition, the following symptoms are characteristic:

  • vomiting that occurs simultaneously with pain;
  • frequent urination;
  • bloating.

Sharp pain right under the ribs

Acute, or "dagger", pain occurs unexpectedly and is characteristic of gastric and duodenal ulcers. In acute pain syndrome, a person most often takes a lying position with legs pressed to the stomach.

In addition, he is tormented by:

  • nausea and vomiting;
  • diarrhea or constipation;
  • heartburn, sour belching.

Sharp pain right under the ribs

Sharp girdle pain is the first symptom of acute pancreatitis. The reason for the exacerbation of the disease is the consumption of large amounts of alcohol with fatty and sweet food. Sharp pain in acute pancreatitis is distinguished by its intensity - it does not decrease with a change in body position or coughing. Pancreatitis is accompanied by the following symptoms:

  • nausea;
  • repeated vomiting;
  • severe intoxication (cyanosis of the face and body, marble skin abdomen, small hemorrhages on the sides and around the navel).

Sharp pain under the right ribs in the region of the scapula and collarbone occurs when pus accumulates under the diaphragm (subdiaphragmatic abscess). The pain is aggravated by coughing and sneezing, sudden movements, breathing; relief comes in the supine position on the right side. Associated signs:

  • fever;
  • body intoxication.

A sharp pain between the ribs, which is felt at the slightest touch to the skin, is characteristic of herpes zoster - viral disease, which manifests itself in the form of painful rashes on the skin along the nerves affected by the virus (most often in the intercostal part). Before the rash appears, a person may feel aching pain in the right or left hypochondrium, weakness, fever.

Aching dull, pulling pain under the ribs on the right

Pulling, dull aching pain in the right hypochondrium speaks of chronic diseases liver, which provoke its increase (hepatitis). In addition, it can be a sign of the formation of malignant and benign tumors.

In addition to dull and pulling pain, there are:

Also, aching dull pain can be a symptom of such diseases:

Stitching pain on the right under the ribs

Stitching pain under the right ribs, which is aggravated by coughing and taking a deep breath, is characteristic of right-sided pneumonia. Often the pain spreads all over the right side, and exact time its occurrence is rather difficult to name. Associated symptoms:

Pain in the right hypochondrium behind

Pain under the ribs on the right back, speaks of problems with the kidney and pancreas.

With inflammation of the kidneys, the patient has Pasternatsky's syndrome: severe pain with a light blow with the edge of the palm on the lower rib from behind. With renal colic, pain in the right hypochondrium has an intense paroxysmal character and torments to such an extent that a person cannot be at rest and constantly changes his position. At urolithiasis the pain spreads all over the spine to the waist.

Pain under the right rib with inflammation of the pancreas (pancreatitis) occurs suddenly, has a surrounding character, and its intensity does not change.

The causes of inflammation of the pancreas can be alcohol abuse and fatty foods, metabolic disorders, complications after surgery, exacerbation of chronic diseases.

Pain in the right hypochondrium in front

If the pain radiates to the front of the ribs, then this is the cause of the disease:

  • Lungs (pneumonia, inflammation).
  • Gallbladder (acute or chronic cholecystitis).
  • Liver (hepatitis, fatty degeneration cells, cirrhosis, tumors).
  • duodenum and stomach (erosion, peptic ulcer, gastritis).

When the lungs are affected, the pain in the right hypochondrium is stabbing, it becomes stronger when inhaling or coughing, it is also accompanied by typical symptoms fever (temperature, weakness), which distinguish it from other diseases of the internal organs of the right hypochondrium.

In diseases of the gallbladder, severe pain is felt in epigastric region and in the right shoulder blade. At acute cholecystitis the pain moves to the lower part of the right hypochondrium.

If the pain under the right rib is aching or dull, then this indicates liver disease. As a rule, it is accompanied by signs of jaundice ( yellowish color skin and eye proteins), with the exception of only benign tumors.

For stomach ulcers and duodenum the pain is localized in the anterior part of the right and left hypochondrium, flowing into the back and lower back. They dull slightly when pressed, so the patient feels relieved when lying on his stomach or squatting.

Pain in the right hypochondrium below

Pain on the right under the ribs below is a sign of inflammation:

  • intestines (namely, the appendix). The first sign of appendicitis is a sharp sharp pain in the right side. The nature of the pain indicates a possible rupture of the appendix, so you should immediately consult a doctor.
  • right kidney. Basically, with renal colic, the pain does not have a clear localization and spreads throughout the right hypochondrium, touching, including the spine and lower back.
  • duodenum and stomach - with an ulcer, the pain moves down the right hypochondrium from the epigastric region.

In addition, pain on the right under the ribs can occur in completely healthy person when moving. This happens when people are exposed to loads unusual for them. The vena cava, which runs under the lower right ribs, increases blood flow and swells. Also, pain can occur with sharp bends and turns, when internal organs in contact with the rib bones.

If the stomach hurts on the right, then this may indicate the processes occurring in the liver, gallbladder or intestines.

For any pain associated with the abdomen, you can not pull, this is a signal to make an appointment with a doctor.

Pain can be only a symptom caused by all sorts of deviations from the norm in the work of the body.

No need to worry about every cramp in the abdomen, associated, for example, with the passage of gases, or disorder of the stool. Pain in a serious pathology makes you curl up.

It can take about half an hour or more. This incomprehensible pain is a signal to urgently seek help from a surgeon.

Several reasons for the appearance of pain in the abdomen in women

You can assume, make the diagnosis yourself, but you must admit, better than a doctor no one can pinpoint the exact cause of the pain.

All organs located in the abdomen are hollow, and if there is a pathological process in one of them, it bursts or it becomes clogged.

One diseased organ affects all the others. Your life is in danger during these hours. In this situation, the count goes not for minutes, but literally for seconds.

Unfortunately, no specialist will be able to determine the cause of pain after one examination. For exact definition diagnosis should be more detailed information about the patient's condition.

It is necessary to make an analysis of the nature of pain and their accompanying symptoms. After all, there may be different reasons their appearance.

The appearance of unbearable pain in the abdomen on the right, along medical concepts, is defined as "acute abdomen". This word is able to alert everyone.

Starting to examine a patient with sharp belly» requires special scrupulousness. Sometimes the appearance of pain may be due to physiological causes:

  • after a fairly satisfying and plentiful meal;
  • swelling of the intestinal area;
  • constipation.

It is better to take all precautions and seek the advice of a doctor. Some types of diseases such as "cholecystitis", "appendicitis" begin with tolerable pain, which can increase after eating.

But if the pain does not stop after a few hours, you need to remember that your life is at stake.

What can be diseases with pain on the right

Abdominal pain on the right side may indicate gynecological pathology. But often the pain can suggest a number of other diseases.

Cramping pain in the right lower abdomen indicates tubal pregnancy. it a difficult situation, with such a diagnosis immediately on the operating table!

On admission the patient childbearing age and a complaint of a gynecological nature, a diagnosis must be made for an ectopic pregnancy.

If time is lost (there was a late referral), the patient will lose a large number of blood.

There are similar painful symptoms occurring during ectopic pregnancy and cyst torsion. This diagnosis is unfortunately common among young women.

In this case, there is an increase in temperature, impaired urination, vomiting, nausea, etc.

Even a small suspicion should cause concern, since damage to the ovary membrane will lead to serious consequences.

Pain on the right side of the abdomen, may be inflammation of the appendages. These pains are aching, pulling, stabbing in nature, very similar to acute appendicitis. Often exacerbation is associated with hypothermia.

At acute appendicitis the first sensation of pain usually appears in the center of the abdomen. This raises the temperature.

Gradually, the pain begins to move to the right side. Diarrhea, nausea are observed. In this case, only immediate hospitalization!

Pain during pregnancy is associated with certain physiological features. This may be due to an enlarged uterus.

Do not delay with a consultation, because with pain similar to contractions, a pathology is suspected.

The longer the gestation period, the more difficult it is, unfortunately, to make a diagnosis, since the internal organs of the pregnant woman are displaced.

Chronic pain excludes the suspicion of a cyst, a tumor in the ovary. Abundant periods and severe pain during them may indicate the growth of the inner layers of the tissues of the walls of the uterus. This disease is called endometriosis.

There are cases in which there is an increase in pain in the upper abdomen for many days.

The patient has a fever, nausea with vomiting appears, yellowing of the whites of the eyes, skin is visible, dark urine and light-colored stools are observed.

These symptoms give rise to suspicion of pancreatic cancer and hepatitis. You should immediately seek advice from the clinic.

On the right side in the lower abdomen, with stabbing paroxysmal pain, the diagnosis of a disease of the upper urinary tract suggests itself. Renal colic is usually observed with urolithiasis.

It is difficult to determine this disease even for a surgeon with extensive experience. This is due to paroxysmal pain in the appendix. Renal colic radiates along the ureter to the right side iliac region.

A group of diseases leading to pain in the abdomen on the right.

Feeling pain in the abdomen on the right side, try to determine the place where the most strong feeling pain. Notice exactly where the pain is.

Describe your abdominal pain:

  • dull;
  • aching;
  • compressive, pressing;
  • acute;
  • dagger;
  • bursting.

The pain can be felt indistinctly and only after some time it will concentrate on a certain place.

Yes, appendicitis pain syndrome may appear first in the navel or epigastric region.

A perforated covered gastroduodenal ulcer retains pain at the time of examination in the iliac part. This is due to the ingestion of gastric juice into it.

Flu, colds, scarlet fever and other infections can be provocateurs of abdominal pain in a child.

Pain sensations similar to "a dagger blow" may indicate perforated ulcer stomach or duodenum, or bleeding.

The reason may be: a breakthrough of the body, purulent inflammation, cysts, bleeding, blockage of blood vessels in the spleen, kidneys, etc.

Observations of how the patient behaves during pain attacks will help in establishing the diagnosis. If the patient rushes about, tries to take different positions, this is due to the kidneys or hepatic colic.

This problem does not occur with lumbar sciatica. Although the localization of pain is similar.

Questions to ask your doctor when calling an ambulance:

  1. When did it start, and how did the development of pain in the abdomen go? Was the onset of pain sudden or after severe physical exertion? Was it stress or hypothermia?
  2. What manifestations of pain were at the beginning: weak and then gradually increasing? Is the pain sharp or dull? How did the increase in pain in the abdomen, quickly or with a gradually increasing speed?
  3. How long does the pain last after the onset of an attack?
  4. Has the pain moved to another place, since with symptoms of the appendix, pain may appear in the iliac region (where the stomach is located), after which it seems to descend to the right into the lower abdomen.
  5. Does pain radiate when coughing, bending over, moving? In what direction? There are pains on the right, in the hypochondrium are given to the right side under the scapula. These are symptoms of cholecystitis.

With self-medication, the picture of the disease is often erased, which makes it difficult to correctly determine the diagnosis.

Be sure to remember! Any tenderness localized to the right side of the abdomen should rule out appendicitis. This diagnosis is especially confirmed by pain in the navel, which then shifts to the right. Urgently consult a doctor, do not expect complications with suppuration.

Doctors are always worried about the appearance of such pains. Since on the right side abdominal cavity there are other vital organs.

The next menstruation has passed, but the woman is experiencing sudden attacks severe pain in the right side of the abdomen (below). This may indicate an ectopic pregnancy.

With pain on the right side, radiating to lumbar, With frequent urination the presence of stones (their movement) in the kidneys can be suspected.

If at this moment diuretic drugs and drinks are used, the pain only intensifies. Do not treat yourself, taking antispasmodics is allowed only after confirming the diagnosis.

Take for pain relief hot bath, apply a heating pad (hot). If there is blood in the urine, call an ambulance.

If the pain in the abdomen appeared suddenly with strong cramping waves, there is a state of weakness, chills, this phenomenon may be after excessive eating, or after too fatty food, or coffee.

These symptoms are called intestinal colic.

If the stomach hurts on the right side

At the top of the abdomen on the right side, in the right hypochondrium, a sensation of pain can signal diseases of the intestines, pancreas, right side of the diaphragm, gallbladder, liver.

In case of injury, diseases of these organs, pain occurs in the upper abdomen. The frequency and pattern of pain depends on where and what is happening at the moment.

Pain in the right hypochondrium indicates possible inflammation liver (exacerbation of hepatitis).

Hepatitis can be toxic, alcoholic, viral, etc. Viral hepatitis There are 3 types: A, B, C.

Type A virus infection occurs quite often due to the consumption of dirty water and food.

Hepatitis type B, C can be contracted through blood, semen, when visiting a dentist or beauty salon. At risk are homosexuals, drug addicts and those who have been in relationships with these people.

If the liver is swollen and it hurts on the right, you should think about revising the diet, changing jobs. Since the inhalation of the evaporation of detergent chemicals affects the condition of this organ.

Chemicals, overuse alcoholic beverages, smoking with age lead to disturbances in the liver and pain.

Which doctor to contact for abdominal pain

In our stomach, unlike other single organs (such as the heart, liver), there are other types of organs. And each individual can get seriously ill.

Since they are all located close to each other, each of them can affect the state of the other.

For pain on the right side, think about how you can change your lifestyle. Stop smoking, abuse alcohol, review the food you take.

Go to bed on time, do not overwork, protect yourself from stress.

Pain in the right abdomen may be different origin. Each disease requires examination, certain methods of treatment. It is important to diagnose on time.

Unfortunately, many patients endure pain and are in no hurry to seek help from a doctor. They themselves prescribe treatment with drugs more often than an anesthetic type.

They turn to a specialist when the pain becomes unbearable and the patient becomes overgrown with chronic pathologies.

Therefore, when pain occurs, you need to bypass different specialists. It is imperative to contact a doctor who is engaged in the diagnosis and treatment of diseases that provoked pain in the right side of the abdomen.

The first doctor to determine the nature of the disease and issue a referral for examination is the therapist. In order to accurately determine the disease, the patient needs to make detailed story in oral about your feelings.

This must be done so that the specialist can exclude other types of diseases. In your story, try to make an analysis of what the pain could be associated with.

An initial examination by a specialist, even of the highest qualification, cannot give an accurate answer to establish a diagnosis. Therefore, it is necessary to conduct a series of laboratory and diagnostic studies.

Certain types of diseases require individual method treatment. Now we know that pain in the abdomen can be caused by various reasons, so consultation and examination are necessary first.

Finding out what is causing the pain requires a lot of medical examinations, special diagnostic procedures.

Useful video

In the right side, pain appears as a symptom of trouble in the body. Depending on the affected organ, the patient may feel pain in the right hypochondrium or pain in the right side of the lower abdomen, in the side itself, in the lateral part of the back. The pain syndrome can spread far beyond the place of maximum pain and give in one direction or another. In any case, the localization and nature of the pain gives a lot of information about the pathology that provoked it.

Table of contents: We recommend reading:

Pain in the right hypochondrium

In this place, pain may occur due to:

  • diseases of internal organs;
  • injuries;
  • diseases of the musculoskeletal system;
  • neurological diseases.

Diseases of the internal organs as a possible cause of pain in the right side

Among diseases of the internal organs, the most severe pain is caused by the pathology of the gallbladder. Acute and chronic, and its complication - , , tumors of the Vater nipple and acute pancreatitis - with all these diseases, pain is localized in the right hypochondrium.

In acute cholecystitis, along with this symptom, there is an increase in temperature, bitterness appears, nausea with bouts of vomiting, which does not improve the patient's well-being. Contrary to popular belief, jaundice is not characteristic of this disease.

Chronic cholecystitis without exacerbation does not manifest itself in any way. Having become aggravated, in terms of symptoms in general and in terms of the nature of pain in particular, it is very similar to acute inflammation:

  • localized in the right hypochondrium;
  • are initially paroxysmal, and then permanent;
  • at the peak of inflammation, they increase with any action that increases intra-abdominal pressure - coughing, sneezing, straining, and even breathing.

Pain in the right hypochondrium cholelithiasis do not occur very often. Gallbladder stones may not manifest themselves for years. Very often they are discovered incidentally during routine ultrasound examination or examination of the patient for other diseases.

But everything changes if the stone clogs the exit from the gallbladder.

At this moment, there are intense paroxysmal pains under the right costal arch of a cutting, stabbing, tearing character. Often they give to the lower back, under right shoulder blade, in the arm and sometimes in the region of the heart. Man at the peak biliary colic I agree to everything, just to get rid of the pain, they are so strong.

Simultaneously with pain sensations, nausea occurs with repeated vomiting, the patient rushes about in bed, since the pain does not subside in any position.

Tumors of the Vater nipple appear in a similar way - places where the bile ducts exit into the lumen of the duodenum. By itself, the tumor does not cause pain. However, if it is present, cholangitis inevitably occurs - inflammation of the biliary tract, in which pain is localized in the left hypochondrium. Along with them, the patient has fever, chills, severe jaundice.

With biliary dyskinesia, the nature of pain in the right side is quite diverse and depends on the type of its course.

With hyperkinetic type of dyskinesia, pain in the liver area is acute, sharp, paroxysmal. With the hypokinetic type, on the contrary, it is constant, dull, aching, sometimes completely absent. Dyskinesia of the type of biliary colic is also possible, in which the pain is highly intense, unbearable, occurs suddenly and is accompanied by interruptions in the heart, a feeling of fear. In the latter case, sometimes doctors can make a mistake in the diagnosis and make an incorrect preliminary diagnosis of myocardial infarction. However, the data laboratory tests and ECG interpretation allows you to exclude cardiac pathology.

Pain in acute pancreatitis is often localized in the upper abdomen and is girdle in nature, capturing both sides and even the back.

This surgical pathology occurs most often in the context of abuse strong alcohol, which is accompanied by an abundant intake of fatty, spicy, fried foods. Without treatment, this disease can quickly lead to death.

Pain in the right side as a result of injuries

A bruised or broken rib can also lead to pain in the upper abdomen or pain in the right side under the ribs. Their strengthening is noted during breathing, body movements, coughing, sneezing. In the first hours after the injury, the pain is diffused in the area of ​​impact, but after a few hours it is precisely localized at the site of injury. The use of radiography makes it possible to detect a fracture of the ribs, and ultrasound of the internal organs makes it possible to separate the injury from the pathology of the liver or gallbladder.

Shingles as a possible cause of pain in the right side

Caused by the herpes virus, this pathology is very similar to acute pancreatitis in its symptoms. At the onset of the disease, there are severe pains in the left and less often in the right half of the abdomen, sharp, sharp, and permanent. Nausea and even vomiting characteristic of pancreatitis may occur. This symptom complex can mislead even experienced doctors who begin to treat inflammation of the pancreas. Fortunately, after a few days, characteristic blisters appear on the abdomen in the form of a ribbon (which is why the disease is called “shingles”). From this point on, the diagnosis becomes obvious and the patient is prescribed the correct treatment, if this has not been done before.

Pain in the right side of the abdomen

Middle floor right half the abdomen contains loops of the small intestine and the ascending colon.

In the right side of the abdomen, pain can only be caused by damage to these organs. Usually they are constant, strong enough, not associated with food intake and are accompanied by other symptoms:

  • stool disorder;
  • an admixture of mucus and / or blood in the feces;
  • bloating;
  • anorexia;
  • progressive weight loss;
  • nausea and vomiting.

Pain in the lower right abdomen

In this area of ​​the abdomen, pain can be triggered by a variety of diseases. Them clinical picture sometimes very similar to one another and depends on the affected organ.

Diseases that cause pain in the lower abdomen on the right

The most common surgical pathology.

Pain usually occurs in the upper abdomen or near the navel, after a few hours moving to the right iliac region (above the inguinal fold). At the same time, other phenomena of dyspepsia are possible in the form of a single diarrhea, nausea, and occasionally vomiting, loss of appetite and a slight rise in temperature.

Acute appendicitis has a number of characteristic symptoms which are determined by the surgeon during palpation of the abdomen.

In addition to appendicitis, Crohn's disease can provoke pain in the right side of the lower abdomen.

With terminal ileitis - a variant of the development of Crohn's disease - the pains are localized in the right iliac region and very much resemble "appendicitis". The remaining symptoms also often resemble a picture of appendicitis, so it is not uncommon diagnostic errors when a “healthy” appendix is ​​already detected during the operation, but inflammation is detected in the terminal section of the small intestine.

Gynecological diseases as the causes of pain in the right side of the lower abdomen in women

In the suprapubic region or the right and left groin, pain may appear due to pathologies of the uterine appendages:

  • ovarian apoplexy;
  • torsion of the pedicle of an ovarian tumor;
  • salpingoophoritis.

In these diseases, the pain is often permanent, accompanied by a variety of secretions from the genital tract - from bloody to purulent, sometimes fever occurs simultaneously with them, often very high.

Any of the listed diseases is very dangerous, because if left untreated, it leads to the development of severe complications:

  • bleeding;
  • pelvioperitonitis;
  • etc.

Important:if pain occurs in the right side of the lower abdomen in pregnant women, a woman should immediately contact a gynecologist.

Treatment of pain in the right side

Since pain is a symptom, it is not necessary to treat it, but the disease that provoked it. How often do we take analgesics or antispasmodics in any situation! And how often then surgeons or gynecologists scold patients for not immediately seeking help. But any disease is easier to treat at the very beginning, and not at the stage of development of serious complications.

In the treatment of the described diseases, all methods available to medicine are used:

  1. Diet therapy:
    • refusal of fatty, fried, spicy - with diseases of the gallbladder;
    • the exclusion of coarse fiber, spices - with intestinal diseases;
    • complete hunger for several days - with acute pancreatitis;
  2. Medical treatment:
    • with inflammation in any area - antibiotics;
    • at oncological diseases- Radiation, chemotherapy and radiotherapy;
    • with shingles - antiviral drugs, the only effective in this pathology;
    • antispasmodics and analgesics - just as an element of complex treatment;
  3. Surgical intervention - as an extreme, and sometimes the only effective measure fight against pathology
    • appendicitis;
    • torsion of the pedicle of an ovarian tumor;
    • his apoplexy;
    • ectopic pregnancy;
    • cholelithiasis;
    • some forms of Crohn's disease;
    • tumors of Vater's nipple.

Whatever the pain in the right side - constant or paroxysmal, stabbing, aching or pressing - it is a symptom of trouble in any organ. Ignoring it, self-administration of analgesics and antispasmodics is Right way on a hospital bed, and even on the table to the surgeon. Sometimes a person gets to the doctors too late and then all their efforts are in vain. Therefore, with any pain attack, even if it has passed, do not be lazy - contact at least a local therapist. It’s better for him to grumble that you came to him in vain than for a surgeon to operate on you or a pathologist to open.

Shoshina Vera Nikolaevna

Therapist, education: Northern medical University. Work experience 10 years.

Articles written

Pain in the right side of the head may be. These sensations are familiar to many people, but few people think about why they occur, especially if this happens infrequently. But when severe pain worries, the state of health does not improve, and new symptoms are added, the person goes to the doctor.

You need to contact a specialist immediately as soon as there is pain in the head on the right or in, or in another place. This may indicate serious illness. Especially it is necessary to pay attention to the unpleasant sensations that arise in this case.

Main reasons

Why does it hurt right part head, only a doctor can tell after a row diagnostic measures. The examination may take some time, as there are a lot of reasons for this condition.

Pain in the head on the right can occur with:

  • . This disease is accompanied by soreness in one part of the head. Patients usually experience seizures several times a month. Their duration can be different: from several days to a week. The head hurts a lot, but not on both sides. This is not typical for this disease. Painful sensations usually of a nature, with nausea and vomiting, fear of light and noise. In some cases, migraine is accompanied by impaired concentration, blurred vision, auditory and visual hallucinations. This pathology is incurable. You can only improve the patient's well-being, but it will not work to completely get rid of the attacks. Medicines only reduce the duration and frequency of migraine attacks;
  • tension pain. This is a very common factor, under the influence of which the right side of the head hurts. Feelings are moderate and intensify towards the end of the day. Pain can be localized not only on the right, but also on the left, and in the forehead. Attacks occur periodically, only some patients may develop a chronic form. Sleep disturbance, fatigue, sensitivity to noise join the main symptom. The reasons for this phenomenon usually cannot be clarified;
  • cluster headaches. In this condition, pain occurs suddenly. Usually, discomfort is localized on one side of the head, in front near the eye. Disturbed by severe acute pain with a feeling of tension, fullness and pain in the eyes. This problem usually leads to a decrease in working capacity and a violation of the quality of life of a person. Such pains are accompanied by redness of the eyes, runny nose, tearing, flushing of blood to the head. Seizures can occur at different intervals. Feeling worse for a few minutes or an hour. Each time the attack occurs at the same time during the day or several times a week, month or year. The pain stops as suddenly as it comes. In most cases, the problem worries men. Conventional painkillers can not alleviate the condition. Can only help special medicines that a specialist should prescribe, or oxygen therapy;
  • injuries and. If the head and at the same time feel sick, dizzy, buzzing in the ears, there was great weakness and vomiting, feeling worse with any movement, then an injury may have been received cervical or heads. Very often, the symptoms do not appear immediately after the injury, but increase gradually;
  • pathologies of the spine. In such situations, pain is felt in the right hemisphere of the head or the left hemisphere closer to the neck. The sensations are dull or aching in nature and are aggravated by the slightest touch or turning of the head. The pathological process develops most often in people who are sedentary image life;
  • intracranial bleeding. If the vessel was damaged, then a hematoma occurs in the skull. This can happen if the walls of the vessels are very thinned, or a severe injury has been received. The hematoma can gradually increase, because of this, the pressure inside the skull increases. Symptoms of bleeding develop gradually. First, there are severe pains in the head, then the pulse decreases, nausea and vomiting appear, confusion, convulsions, the person becomes inhibited;
  • pathologies oral cavity . If there is a headache on the right, then perhaps the problem is in the oral cavity. Most often with this. For some time, you can improve your well-being with the help of analgesics, but as soon as their action stops, the symptoms return;
  • tonsillitis, sinusitis. acute angina and chronic sinusitis accompanied by pain of a shooting nature in the right side of the head or in the left. This is due to edema, which irritates the nerve endings;
  • Costen's syndrome. That's what they call pathological process in the temporomandibular composition. Headache in the right side of the head develops with such a disease. He is called infectious processes in the body, trauma, rheumatism, gout and other pathologies. At the same time, the head often hurts behind the ear on the right, as well as in the ear, in the mouth, and the burning sensation on the tongue worries. The diagnosis can only be made after an X-ray;
  • the presence of neoplasms in the brain. benign or malignant, can cause headache in the right side of the head or in the back of the head, it all depends on the location of the neoplasm. This is extremely dangerous for human health and life. Unpleasant symptoms causes not the tumor itself, but increasing as it grows intracranial pressure. This is one of the reasons why the right side of the head hurts. The pain in this condition is usually dull, shooting, arching. It is joined by vomiting, weight loss, dizziness, epileptic seizures, personality changes. In situations nervous strain symptoms may worsen;
  • stress and prolonged depression . Prolonged unrest, anxiety, emotional stress can cause headaches on the right side. The pain is dull, aching, irritability and fatigue join it. Only by eliminating psycho-emotional problems, you can get rid of the symptoms;
  • temporal arteritis. This pathology belongs to autoimmune and is characterized by an inflammatory process in the middle and large arteries. It is very important to promptly treat after a problem is discovered. This disease usually develops in older people and is accompanied by pain in the right hemisphere, sleep disturbance, depression and redness of the scalp. If timely treatment is not carried out, then total loss vision;
  • eye strain. Labor activity, associated with a strong load on the eyes, can cause a headache on the right. To prevent the development of this problem, it is necessary to periodically distract and give rest. eye muscles. It is useful to do special gymnastics;
  • myositis. If it hurts rear end head, then inflammation may have begun neck muscles. This problem is called myositis. It can occur due to injury or hypothermia. Painful sensations begin in the neck and spread to the part of the head on the right or left. In this state, experts recommend warming procedures and complete rest. If this does not help, then anti-inflammatory drugs or the introduction of hormonal injections may be prescribed.

Diagnosis and treatment

To find out why your head hurts, you need to contact a specialist. He will evaluate the symptoms, conduct an examination and, based on his assumptions, prescribe a series of diagnostic studies. Each case requires a separate approach.

Most try to cope with the help of painkillers. But this approach does not eliminate the cause of the problem, and very soon the disease becomes chronic. To avoid this, you must immediately contact a specialist. To establish the diagnosis is usually prescribed:

  1. Computed or magnetic resonance imaging.
  2. Ultrasound procedure.
  3. Electrocardiography.
  4. General and biochemical research blood.

Other procedures may be prescribed if needed.

The course of treatment depends on the identified pathology. Very often, the pain in the head goes away on its own, but there are also relapses, so without proper treatment not enough.

The main causes of pain in the right hemisphere of the head are eliminated in the following ways:

  • if the doctor is dealing with tension pain, then prescribe drugs for pain relief and recommend increasing physical activity;
  • with osteochondrosis, special therapeutic exercises and necks are prescribed. To relieve acute pain, non-steroidal anti-inflammatory drugs and warming ointments are used;
  • with a concussion, the patient should be in bed, he needs to do special compresses to prevent hematomas and drink painkillers;
  • if bleeding occurs inside the skull, then the hematoma is removed and the cause of the pathology is identified so that the situation does not happen again;
  • with pathologies of the oral cavity, it is necessary to consult a dentist, perhaps the problem is in malocclusion or dental disease
  • symptoms of otolaryngological diseases disappear only after the elimination of the underlying causes;
  • neoplasms eliminate surgically. The treatment option depends on the nature of the tumor. May use laser excision, chemotherapy or radiotherapy, and other methods;
  • if a person for a long time stays in depressed state then you need to rest, do breathing exercises, auto-training, meditation and other relaxing methods also help.

Without eliminating the root cause, getting rid of the problem will not work forever. Therefore, at the first symptoms, it is necessary to consult a specialist, since the disease can be quite serious.

Pain in the right side under the ribs warns of various diseases internal organs. After all, it is in this region of the abdominal space that important for normal functioning body organs. Here important role plays and the type of pain. If a similar symptom occurs regularly and does not go away within three days, then this is a serious reason to visit the clinic and provide the patient with medical care.

Side pain on the right side under the ribs often indicates inflammatory processes in the liver (other symptoms of a diseased liver can be found in), the gallbladder, and also the kidneys or intestines, can be a consequence of injuries. Painful sensations are pulling, aching or sharp, stabbing, cutting and unbearable. Their location can be local or extend to the entire side. Unpleasant sensations can give pain in the abdomen, ribs and even in the shoulder.

Similar sensations indicate the following pathologies:

  • colic in the kidneys characterizes the pain acute manifestation on the right side;
  • diseases in the chronic form of the abdominal region are manifested by dull pains;
  • stabbing sensations speak of inflammation;
  • inflammation of the mucosa and gallbladder is manifested by aching pain on the right.

What can happen in the body with right-sided pain under the ribs?

Rezi and colic on the side speak of various pathologies or the consequences of an injury in a person. Painful sensations penetrating the back are characteristic of liver problems. Most likely, there was intoxication of the organ. This can happen after a meal, fatty and spicy, or alcohol abuse. Severe damage to the liver and smoking.

Pain on the right can also come from due to. She is a component endocrine system produces insulin. When symptoms are accompanied by nausea, vomiting, excessive sweating, the development of pancreatitis can be suspected (read more about pancreatitis) . The reasons for its appearance may be different: trauma, alcohol addiction, surgery.

The factor that provoked pain in the right side may be appendicitis, although this is possible only with its atypical location, as well as inflammation of the gallbladder.

Pain in the front in the right hypochondrium

This kind of pain alerts a person to big problems with his liver. The patient may suffer from bursting pain with tingling. toxic or alcoholic hepatitis accompanied by additional symptoms: weakness, heartburn, lack of appetite and decreased functionality. You may also experience a burning sensation in the affected area.

The sign also characterizes the development of cirrhosis of the liver, the appearance of cystic formations. The latter block the passage of bile, blood, which causes heaviness in the affected organ due to its increase.

With heart failure, there is a malfunction in the blood flow throughout the body, swelling is formed, and the liver enlarges. This provokes pain in the studied part of the human body. Strong impulses of a painful nature develop with abdominal myocardial infarction.

Able to stretch colon. With such a pathological condition, a person is tormented by colic. Their intensity will increase with further stretching intestines.

Cramps under the ribs on the right are manifested in digestive disorders, problems of the gastrointestinal tract: increased gas formation, diarrhea. Often, severe pain characterizes the manifestation of colitis. It is characterized by spasms, problems with the stool, flatulence.

Pain syndrome can develop with echinococcosis. The cause of the onset of the disease is the activity of the echinococcus worm, as a result of which liquid-filled cystic formations. Cysts are able to gradually squeeze the capillaries and bile ducts. The result is an enlarged liver and pain signals. With further progression of education, an abscess of the liver occurs, causing sharp pain.

The pain of a pulsating nature disturbs the patient with any movement. It can even hurt under the shoulder blade. If the disease is ignored, the body temperature rises, the peritoneum becomes inflamed, blood poisoning occurs.

It is characterized by an atypical onset of the development of inflammation. The pains are aggravated by walking, decrease by lying on the right side. Associated feature may become high body temperature, nausea, vomiting. After a few hours, pain can spread to the entire abdomen.

Pain in the back of the right side under the ribs

Painful sensations from behind from the back speak of the consequences of various injuries, problems in the functioning of the liver, paired organs, and the vena cava. Such impulses also occur in urolithiasis, when calculi, grains of sand descend through the ureters. In a baby, pain under the rib at the back causes pathologies of paired organs that have developed against the background of a decrease in immunity.

Common causes are inflammation of the kidneys (pyelonephritis), bruised ribs, malignant neoplasms, as well as necrosis of the renal papillae, herpes zoster, and intercostal neuralgia.

The last pathological condition causes pulling pain, numbness of the side, pain in the ribs. If tingling occurs, a person may lose the ability to move. With inflammation of the muscles, myositis develops, causing twitching or colic.

Causes severe pain malignant tumor in the kidneys with an advanced disease, especially if the oncological formation has blocked the urinary tract. Under the ribs, it can also hurt with a tumor in the adrenal gland, when it reaches a sufficiently large volume.

If happened bad bruise back segments of the ribs, a person may feel aching pain, aggravated by coughing, inhaling. The fracture is accompanied by a characteristic crunch, so when it occurs given symptom a person can analyze whether such an injury has occurred.

Pain when inhaling

When pain during inhalation is unbearable, this indicates the development of cholecystitis, an inflammatory process in the lungs, and peritonitis. With the progression of cholecystitis in the body, bile accumulates in the cavity of the biliary tract, which does not reach the intestine. Getting on the mucous membranes, it starts to bake, because its composition is salt. The pain intensifies, the body temperature rises. O

Stitching sensations when inhaling or coughing can provoke pleurisy.

Painful spasms in women

Representatives of the beautiful half of the population have pain in last days menstruation due to a sharp hormonal failure. Severe pain occurs against a background of spasm of the bile ducts, which can radiate to the back. Therefore, often the cause of pain is the physiology of the female body.

When taking contraceptives hormonal pills the woman may experience tingling, burning and dull pain in the region of the right rib. This is due to a violation of the bile duct.

Carrying a child and pain under the rib on the right

Women who are in position may experience pain in the side with pressure from the uterus on paired organs. If the liver is overloaded, the ureter will also suffer. During pregnancy, you should not worry about tingling or numbness of the right side, if this is not a constant phenomenon. Stab in the side of a representative of the weaker sex may be due to physical activity Therefore, it is worth limiting sports.

During pregnancy, progesterone increases the biliary tract, provoking fluid stagnation in them, a symptom of which is a burning sensation in the right side. In order to avoid complications, a woman in position should seek help from a doctor, take blood and urine tests, undergo an examination and ultrasound procedure. If necessary, therapy will be prescribed.

Important! Each future mother must remember to be responsible not only for her own life, but also for her child. Therefore, to endure pain is absolutely contraindicated. In case of any deviations, you should immediately consult a doctor.

Sharp kind of pain

Such sensations usually disturb a person with seizures. The phenomenon often occurs at night. In the right side, acute sharp pain indicates renal colic, which characterizes the progression of the stone along the ureter in urolithiasis.

Painful sensations in the hypochondrium on the right also signal a duodenal ulcer, stomach. Here, the symptoms are supplemented by nausea, vomiting, and belching. It may also be a sign of a ruptured cyst, ovary, or fallopian tube, gallbladder, appendicitis.

Severe attacks are characteristic of cholecystitis in acute form. Pain under the rib on the right may be due to progression vegetative dystonia. However, the pain is not constant.

Aching manifestations

Pain of a aching nature can manifest itself with the following problems:

A similar feeling becomes a frequent guest among athletes when running. Sometimes gives in the leg. Indicates stretching of the muscle capsule. The reason for this is the failure of the diaphragm when malnutrition, decreased blood flow.

Getting rid of it is pretty easy. Athletes must perform a warm-up before training, breathe correctly (deep breaths, belly breathing) during sports load. In such a situation, it is not necessary to consult a doctor.

But this kind of sign may indicate the development of right-sided pneumonia. Pain is accompanied by shortness of breath, fever, dyspeptic disorder and blue nasolabial triangle. Often the symptom expresses a disease of the right organ of the urinary tract.

Dull and girdle pain in the side

Dull sensations disturb a person with pathologies of the liver and pancreas. It can be a tumor, hepatitis, poisoning of the body, and also inflammation of the gallbladder or its head, enlargement of the liver.

Girdle pain is often caused by neuralgia, pleurisy, problems with the functioning of the liver, gallbladder, pancreas. With pancreatitis, such pain is intense and sharp. It does not subside even when lying down. Associated symptoms disease is a blue tint of the skin, vomiting, small hemorrhages in the navel and on the sides.

Important information about pain

For each person, it is important to remember some points about pain in order to go to the clinic in a timely manner or call for help:

  1. The difference between acute and chronic form painful sensations. In the first form, pain rarely occurs, the intensity can increase every hour. The chronic manifestation is usually dull, from which the patient may suffer for a long period of time. People need to distinguish between types of sensations in order to understand what is happening in their body. After all, at acute pain You need to immediately call the ambulance and go to the hospital. The situation may need surgical treatment. Chronic pain characterizes long course illness.
  2. In case of acute pain in the abdomen, it is forbidden to take painkillers until examined by a doctor. Chronic sensations have no such contraindications.
  3. Pain in right area the peritoneum does not always speak of diseases of the organs of this particular area of ​​the body. Sometimes this is a radiating pain that occurs due to the characteristic features of the passage of the nerve trunks.

Diagnosis of pain manifestations

To begin with, the doctor asks the patient about the type of manifestation of pain, its location. Important is nutrition, the condition of the muscles of the abdominal cavity and fatty tissue, the presence of injuries and infections. Further, the doctor examines the affected area of ​​​​the body by feeling. After directing the person to pass the necessary tests.

Hardware studies may be additional. This is an x-ray of the gastrointestinal tract, ultrasound of the kidneys, liver, bile ducts. A biopsy is performed to diagnose cancer. Excretory urography, vertical aortography and radioisotope renography will become informative.

Under what circumstances is it urgent to see a doctor?

A person who does not stop vomiting, accompanied by diarrhea or constipation, should immediately consult a doctor.

Important! Pain syndrome can often signal processes in the body that lead to the death of a person without proper treatment.

First aid

If people develop pain syndrome, it is urgent to call ambulance. After all, there are many factors for the development of such a condition, and only a doctor can identify them after a complete examination of the patient. Before the arrival of medical workers, cold can be applied to the affected area. The patient needs to be helped to take an optimally comfortable position of the body. A person should calm down and relax as much as possible.

After the diagnosis is made, the person will be prescribed the necessary medications: antispasmodics, analgesics, vasodilators and other drugs.

Who can help with pain on the right side under the ribs?

It is impossible to identify the exact disease only by pain symptoms above the waist. A person needs to undergo a full examination. First you need to contact a therapist. He will conduct an initial examination and questioning, according to complaints he will refer to a specialist of the required profile. It can be a cardiologist, surgeon, gynecologist, and also a gastroenterologist, endocrinologist, traumatologist or infectious disease specialist.

Self-medication is strictly contraindicated. Without knowing the exact cause of discomfort, you can harm your health, aggravate the situation. It is allowed to carry out therapy only after a doctor prescribes treatment based on the results of tests and a complete examination.

How to relieve unbearable pain?

At sharp pains Antispasmodics are not recommended. After all, the exact clinical picture is washed away. pathological condition. AT rare cases let's say No-shpy. In general, after examining a doctor, it is prescribed complex treatment, which includes drug therapy aimed at getting rid of the underlying disease, a diet and a course of vitamins. In rare cases, surgery may be needed.

Important! Under no circumstances should a heating pad or other heat be applied to the inflamed side. Let's just let it be cold.

How to help a child with pain?

If the baby has pain on the right side, you should immediately call an ambulance. It is contraindicated to give pills and other medicines for pain on your own.

Compliance with the diet

Proper nutrition is key quick release from pains in the right side, both in men and women. To do this, you must abandon bad habits(smoking and alcohol abuse), if any. It is necessary to exclude from the diet fatty and fried foods, cooked with spices, spices. Carbonated drinks, canned food, smoked products are contraindicated.

If a person is found chronic illness, such food will help long-term remission, facilitate the work of a diseased organ. It is important not only the quality of food, but also the observance of the diet. At fractional nutrition is accelerating metabolic process, the outflow of bile returns to normal, the load on the internal organs becomes uniform.

Pain relief methods

If the patient is worried renal colic, doctors do novocaine blockade. In case of inflammation of the liver or exacerbation chronic cholecystitis(in the absence of calculi) a tubage is shown.

When did cholecystitis cause severe pain, you can remove it by pressing. Manipulation can be done independently. To do this, the patient is placed on his back, gently presses on the affected area biliary tract. You need to press with your hand with insignificant pain and release after 20 seconds. When after a couple of minutes the discomfort intensifies, you need to press again. The procedure lasts until the complete cessation of pain.

Alternative medicine in the fight against right-sided pain

Means of folk production are indicated for chronic pain. Basically, herbs that have an alkaloid in their composition and have an antispasmodic effect will be useful here. These are mint, fennel, chamomile, St. John's wort and anise.

With cholecystitis, immortelle, oregano, corn stigmas will become effective due to their choleretic actions. A decoction of potatoes will also be useful here. Boiled potatoes "in uniform" are crushed directly in the water, and eat one spoonful three times a day.

With kidney discomfort, a remedy made from honey and cinnamon or lemon and olive oil will help.

AT traditional medicine there are many healthy recipes from pain, but their use is allowed only after consulting a doctor and receiving his recommendations.

Preventive measures against discomfort on the right

In order for the pain syndrome not to take a person by surprise, it is necessary to follow a number of very simple rules:

  • apply for medical care at the first sensation of pain;
  • do not eat a lot of fried, fatty and salty foods that are difficult for the stomach;
  • do not abuse alcoholic beverages;
  • do not neglect preventive visits to the doctor and examinations through ultrasound.

There are many causes of pain in the right hypochondrium. Accordingly, the treatment for each situation will be different. It is important not to be your own doctor, and not to drink medicines on your own. With strong and sharp pain manifestations urgent need to seek help from health worker and act in accordance with his recommendations. After examining and studying the results of the tests, the doctor will be able to prescribe the necessary therapy to eliminate the pain and the factor that provoked the unpleasant sensation. Otherwise, you can greatly harm the body, which will end in failure.

Anton Palaznikov

Gastroenterologist, therapist

Work experience more than 7 years.

Professional skills: diagnosis and treatment of diseases of the gastrointestinal tract and biliary system.