What is on the right side of the abdomen. Such “healthy pains” can be caused. Kidney problems

Many people at a doctor's appointment complain that their right side hurts below the ribs. What does this condition mean? What can cause the pain? When does a patient need emergency care? These questions interest many.

The right side of the abdominal cavity contains many organs, including the liver, pancreas, and intestines. And if the right side hurts below the ribs, then this may indicate a malfunction of almost any part of the digestive and genitourinary systems.

Soreness in the right side of the abdomen and liver disease

The liver is an organ located in the upper right side. Its importance is difficult to overestimate, because the liver is responsible for removing toxins and their neutralization, and also provides extremely important metabolic processes. And if the right side hurts below the ribs, then this may indicate a dangerous disease.

Most often, pain is associated with hepatitis - viral disease, affecting hepatocytes. Cirrhosis and fatty degeneration are also accompanied by pain. In addition, with liver damage, there are some other symptoms that you need to pay attention to - nausea, vomiting, digestive disorders, fatigue, drowsiness, decreased performance. As the disease progresses, a characteristic yellowing of the skin and sclera of the eyes appears. In such cases, the help of a doctor is simply necessary.

Pain in the right side of the abdomen due to problems with the gallbladder

The gallbladder is a hollow organ that stores bile. It is here that it becomes more concentrated, after which it enters the intestines through special ducts.

Stitching pain in the right side often occurs in people during physical activity, For example, fast run. Similar discomfort can be explained by the rapid release of bile into the intestinal lumen. This phenomenon is not considered a serious disease, but may indicate stagnation of bile. Therefore, it is better to consult a doctor just in case.

In addition, inflammation of the gallbladder is also accompanied by discomfort. Sharp pain occurs when stones form, move, and blockage of the bile ducts. As a rule, similar phenomena accompanied by nausea, vomiting, digestive problems, increased discomfort after eating fatty foods.

Pain and pancreas

WITH right side part of the pancreas is also located. This organ not only participates in digestion processes, but is also part endocrine system. Sharp pain in the right side, radiating to the back, may indicate pancreatitis, a disease that is accompanied by nausea, frequent vomiting, which does not bring relief, and also increased sweating and temperature rise.

Appendicitis is a common cause on the right side

Appendicitis - acute or chronic inflammation vermiform appendix of the intestine. With such a disease, pain usually occurs suddenly, it is sharp and severe. Inflammation of the appendix is also accompanied by fever, nausea and vomiting, diarrhea, and lack of appetite.

After some time, the main symptoms may disappear, but this is not at all evidence of recovery. A short-term improvement in the condition is observed with perforation (rupture) of the appendix and the release of its contents into the abdominal cavity. In the absence of timely assistance, complications may occur, in particular peritonitis.

Intestinal diseases as a cause of pain in the right side

Undoubtedly, right side The abdomen is filled with loops of the small and large intestines. And any defeat intestinal tract, naturally, will be accompanied by pain. A similar symptom occurs with inflammation of the mucous membrane, perforation, Crohn's disease and many other disorders.

What diseases of the genitourinary system are indicated by pain in the right side of the abdomen?

Pain in the right side of the lower abdomen often accompanies certain diseases genitourinary system. For example, when urolithiasis(especially if the right kidney and ureters are affected), acute pain is often observed on the right side. Acute attacks Pain also appears with the so-called wandering kidney syndrome.

On the other hand, pain caused by dysfunction of the pelvic organs may radiate to the right side of the abdomen. For example, in women this may be a symptom of apoplexy of the right ovary, rupture of the right fallopian tube. This is often observed during ectopic pregnancy (when the fertilized egg attaches to the wall of the fallopian tube), intensive growth of a cyst or tumor.

Is pain on the right side during pregnancy dangerous?

Many women at an appointment with an obstetrician-gynecologist complain that their right side hurts below the ribs. In recent months, such phenomena can be absolutely normal. A rapidly growing baby increases in size, which leads to compression internal organs. As a rule, the soreness disappears if you change your position, for example, lying down, rolling over, or walking.

But if the pain is sharp, severe and does not go away, then this is a cause for concern. During pregnancy, pain in the right side may indicate all of the above diseases - hepatitis, pancreatitis, problems with the kidneys and gall bladder. By the way, while carrying a child, a woman’s body is much more susceptible to infections, because immune system weakens. Therefore, intense or frequent pain is a reason to consult a doctor.

My right side hurts - what should I do?

Many people are interested in the question: “What to do if pain occurs with As you can see, this symptom can signal significant and dangerous violations in the functioning of the body. Therefore, the only reasonable option is to consult a doctor. You should not take painkillers or self-medicate until you have been examined by a doctor and made a final diagnosis. This can only make the situation worse.

Some conditions require emergency care. A paramedic team should be called if:

sharp, acute pain appeared suddenly and does not go away within half an hour;
the pain is so severe that it interferes with movement;
appeared severe nausea and vomiting;
pain causes fainting or short-term loss of consciousness;
the patient experiences clouding of consciousness and hallucinations;
if the pain radiates to the lumbar region, and there are blood impurities in the urine;
abundant bleeding from the vagina.

Pain in the right side - dangerous symptom, which under no circumstances should be ignored!

The rib cage is one of the large parts of the skeleton, protecting almost all vital organs human body. Pain syndrome at any point of the sternum - very alarming symptom, causing a question among both men and women.

It becomes alarming if the right side of the chest hurts - the reason for this is ambiguous, while on the left it is obvious that in most cases the pain is caused by heart problems.

Pain in the right side of the chest is a very common phenomenon for many people who associate the pathology with lung diseases, or even with a simple “blow”. For the same reason, in the absence of disease respiratory tract, people ignore pain syndrome - the symptom is not taken seriously. The misconception is very popular, since pain on the right side chest may occur as a consequence of other diseases of the internal organs. You should not skip an examination or refuse to visit a doctor if a symptom appears more than once.

How can chest pain occur in men and women?

The characteristics of pain on the right may vary depending on the cause of its occurrence. It appears from below or above, on inhalation or exhalation, it has different character- all this allows you to determine the cause of the symptom.

It is important to understand that in most cases such discomfort indicates serious problems. It is necessary to accurately measure the frequency of pain, determine its nature and contact a specialist for diagnosis.

Since when the chest hurts on the right, the reasons for this are not clear, the initial visit should be made to a therapist, who will give further direction if there is a reason.

Characteristics of pain in various manifestations:

Acute pain in the chest on the right side, accompanied by shortness of breath, is a sign of lung disease. It manifests itself in frequent attacks and has a pressing character. Lung diseases are often the cause: from inflammation to tumor formation.
Intense pain on the right side of the chest may be a sign of a dissecting aortic aneurysm. The syndrome is long-lasting, although more often it is localized in the center of the chest and back.
Stitching pain in the chest on the right is characteristic of lobar pneumonia, manifests itself with expectoration.
Sharp pain directed from the spine to the sternum occurs due to thoracic radiculitis. It has a different nature of occurrence: primary and secondary. Secondary radiculitis pain manifests itself as a consequence of diseases: osteochondrosis, rheumatoid arthritis or mechanical injury, while the primary one may occur due to simple hypothermia. Enough rare reason pain syndrome, since it takes some time for the disease to develop before the nerve roots are pinched. Pain on the right side under the rib cage due to irritation nerve root, as a result of which the intercostal nerve appears. The pain is one-sided, accompanied by loss or change in sensitivity.
Sharp burning pain as a consequence of intercostal neuralgia, which occurs due to pinched nerve roots. Most often, the syndrome occurs when the corresponding area is touched; pain appears on the right side above the chest.
Severe pain in the right side of the chest occurs due to diseases of the spine. It has no specific localization and continues long time and largely depend on positional load (staying in one position for a long time) and movements. Pain due to osteochondrosis varies in nature.
Permanent different manifestations pain on the right - a sign developing tumor lungs. It is most intense when coughing and taking deep breaths, is localized only in the affected area, and there is also a phenomenon called radiating syndrome to other parts of the body.
Pain on the right side of the chest when swallowing appears due to inflammation of the esophageal mucosa (esophagitis), or other diseases of the entire digestive system (gastritis, ulcers, etc.). It is felt as a constant burning sensation behind the sternum, intensifying when eating. Similar sensations appear when the right side of the chest hurts due to the expansion of the esophagus.

Quite rarely, pain in the right side of the chest means problems with the heart or blood vessels, although many people confuse the pressing sensation with the appearance of activity from the cardiovascular system.

Similar painful sensations appear with lung diseases and myocardial infarction. This can only happen if the syndrome irradiates, but, most often, heart disease is accompanied by pain on the left or in the center of the sternum.

Causes of pain in the right side of the chest

Any ailment is a signal from the body about problems arising within, so you should not refuse to examine emerging symptoms, no matter how insignificant they may seem. The main organs that interest us in the light of the topic under consideration are the lungs. In addition to the respiratory organs, the sternum contains the heart, esophagus, circulatory and lymphatic and nerve pathways. Medical specialists carry out full diagnostics, taking into account the location of the sore spot, the severity of sensations and duration.

Painful sensations begin to occur with the development of diseases of the main organs included in the respiratory and nervous system body.

The causes of pain on the right are often not obvious, but each has its own character of manifestation. Localization is often associated directly with the focus of the pathology - where it hurts, there the disease is located. A rare exception is radiating pain.

The causes of chest pain on the right in women may be associated with age-related changes endocrine system, myositis or changes in posture. When a man’s right chest hurts, the reasons are often related to diseases of the spine or simply due to prolonged stress. Severe pain in the right side of the chest is caused by a change bone tissue, deformation of the vertebrae and intervertebral discs.

Neuralgia and osteochondrosis

Often the cause of neuralgia is osteochondrosis. Pain in the chest area on the right is characterized in different ways: piercing, aching, burning and even dull. Acute appears abruptly, with unpleasant sensations spreading throughout the chest, radiating to the side and hypochondrium.

Symptoms do not depend on the type of disease and appear almost constantly:

the pain intensifies significantly when inhaling or any movements of the upper body;
manifests itself in sudden attacks;
accompanied by discomfort in the spine.

Spreading painful sensations depends on the location of the affected nerve root.

Inflammation of the lung and its membrane

Right-sided pneumonia or right-sided is characterized by inflammatory process and intense pain that occurs when taking deep breaths or coughing. It is characterized by a stabbing type of pain that appears when bending and turning the body. Accompanied the following symptoms: fever, cough. Breathing also becomes hoarse and shallow.

Consequence of injury

Any mechanical injury to the sternum leads to pain. A bruise and even a fracture occur as a result of a minor impact on the surface. Often, a bruise can be accompanied by swelling and inflammation that occurs after some time.

A strong blow often leads to injury to internal organs, in particular the lungs. Causes of chest pain on the right side in men due to injuries are more common than in women.

The main symptoms of such injuries:

sharp pain in the area of injury, aggravated by inspiration;
the occurrence of hemorrhage under the skin at the site of impact;
pronounced swelling.

Pathology is not necessarily expressed by all of the listed signs.

Embolism of the artery of the right lung

(PE) - a disease in which a blood clot develops in the trunk or branches pulmonary artery. It is characterized by acute and sharp pain, which intensifies when trying to take a breath, but is paroxysmal in nature.

The main symptom of the disease is shortness of breath. Appears unexpectedly without impact external factors, however, increases with physical activity and decreases in its absence accordingly. The patient takes an uncomfortable, forced position of the body, because he is afraid of dying from lack of air. In addition, a strong psychological fear fatal outcome, aggravating the patient's situation.

Other symptoms characterizing thromboembolism: expectoration of blood clots when coughing, appearing after some time, weakness in the body, sharp decline blood pressure and fear-induced tachycardia.

The disease is really accompanied fatal in the absence of adequate and timely assistance.

Bronchopulmonary tumor

The right chest hurts, often due to a tumor in the bronchi. The symptom is of a different nature, so there is no specific diagnosis scheme: it can be dull, aching, squeezing or even drilling.

It often feels like a burning sensation inside, the unpleasant sensations are transferred to the shoulders, neck and head, and also affects the abdominal area. It becomes more painful when the patient breathes frequently and deeply or tries to clear his throat.

What does it mean if it hurts on the right side when swallowing?

Pain when swallowing is characteristic of tumor processes into the mediastinum. The tumor is located close to the nerve, compressing it under external pressure when food passes through the esophagus.

The appearance of pain during swallowing may also indicate varicose veins veins of the esophagus. Characteristic feature Bleeding will occur several days after the first symptoms appear.

Pain on the left side when taking a deep breath

Usually associated with various diseases of the heart, blood vessels and respiratory tract. In addition, the cause may be tumor formations, various diseases stomach, even the smallest mechanical injuries. The pain syndrome will be of a different nature, depending on the affected area. As a result of the injury, the pain will be dull and aching, while heart disease is more characterized by pressing and sharp pain that appears in attacks.

Difficulty is usually caused by serious pathologies of the respiratory tract: bronchospasms, pulmonary embolism, etc. An attack of suffocation occurs unexpectedly and is characterized by an acute lack of air.

If there is a stabbing sensation in the right chest

Stitching pain in the right side of the chest is caused by infectious pathologies internal organs. Often the pain is sharp, occurring in impulses during coughing attacks.

Useful video

For useful information about the most common causes of chest pain, watch this video:

Conclusion

For pain in the chest on the right, the reasons can be completely different.
The symptom in question, which persists for a long time, is definitely a sign serious illnesses human internal organs.
Pain on the right side of the sternum is always just a symptom; there is always a disease behind it.
It is easier to prevent any pain than to spend time and energy on treating advanced diseases. It is necessary to consult a doctor, no matter what the nature of the pain.

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 very side, in the lateral back. The pain syndrome can spread far beyond the site of maximum pain and radiate in one direction or another. In any case, the localization and nature of the pain provides a lot of information about the pathology that provoked it.

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Pain in the right hypochondrium

Pain in this area may occur due to:

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

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

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

At acute cholecystitis Along with this symptom, there is an increase in temperature, bitterness, nausea with bouts of vomiting appear, which does not improve the patient’s well-being. Contrary to general belief, jaundice is not typical for this disease.

Chronic cholecystitis does not manifest itself in any way outside of exacerbation. Having become aggravated, its symptoms in general and the nature of the pain in particular are very reminiscent of acute inflammation:

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

Pain in the right hypochondrium with cholelithiasis don't occur that often. Stones in gallbladder They may not show themselves for years. Very often they are discovered by chance during routine ultrasound examination or examining a patient for other diseases.

But everything changes if a stone blocks the outlet of the gallbladder.

At this moment, intense paroxysmal pain occurs under the right costal arch of a cutting, stabbing, tearing nature. They often radiate to the lower back, under the right shoulder blade, to the arm, and sometimes to the heart area. Man at the peak of an attack biliary colic I agree to do anything just to get rid of the pain, it’s so strong.

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

Tumors of the papilla of Vater appear in a similar way - the places where the bile ducts enter the lumen duodenum. The tumor itself does not cause pain. However, in its presence, 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, and severe jaundice.

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

With the hyperkinetic type of dyskinesia, pain in the liver area is acute, sharp, paroxysmal. With the hypokinetic type, on the contrary - constant, dull, aching, sometimes completely absent. Dyskinesia of the biliary colic type is also possible, in which the pain is highly intense, unbearable, occurs suddenly and is accompanied by interruptions in the heart and a feeling of fear. In the latter case, sometimes doctors may make a mistake in 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 has a girdling character, affecting both sides and even the back.

This surgical pathology occurs most often due to abuse strong alcohol, which is accompanied by a large intake of fatty, spicy, fried foods. Without treatment, this disease can quickly become fatal.

Pain in the right side as a result of injuries

Bruised or broken ribs can also cause pain in the upper abdomen or pain in the right side under the ribs. They are observed to increase during breathing, body movements, coughing, and 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 rib fractures, and ultrasound of 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 beginning of the disease, severe pain is noted in the left and, less frequently, in the right half of the abdomen, acute, sharp, and constant. 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 ribbon-shaped blistering rashes appear on the stomach (that’s why the disease is called “shingles”). From this moment the diagnosis becomes obvious and the patient is prescribed correct treatment, if this has not been done previously.

Pain in the right side of the abdomen

On the middle floor right half there are loops in the abdomen small intestine and ascending colon.

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

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

Pain in the lower abdomen on the right

In this area of the abdomen, pain can be caused by the most various diseases. Their clinical picture is 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.

The 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 symptoms of dyspepsia are possible in the form of one-time diarrhea, nausea, and occasionally vomiting, decreased 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 pain is localized in the right iliac region and very much resemble “appendicitis”. Other symptoms also often resemble the picture of appendicitis, so they are not uncommon diagnostic errors, when already at the operation a “healthy” appendix is discovered, but inflammation is detected in the end section of the small intestine.

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

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

ovarian apoplexy;
torsion of the pedicle of an ovarian tumor;
salpingo-oophoritis.

With these diseases, the pain is often constant, accompanied by a variety of discharge from the genital tract - from bloody to purulent, sometimes simultaneously with a fever, often very high.

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

bleeding;
pelvioperitonitis;
etc.

Important:If pregnant women experience pain in the right side of the lower abdomen, they should immediately contact a gynecologist.

Treatment of pain in the right side

Since pain is a symptom, it is not the pain that needs to be treated, but the disease that provoked it. How often do we take analgesics or antispasmodics in any situation! And how often do surgeons or gynecologists then scold patients for not immediately seeking help? But it is easier to treat any disease 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:

Diet therapy:
- refusal of fatty, fried, spicy foods - for gallbladder diseases;
- exclusion of coarse fiber, spices - for intestinal diseases;
- complete hunger for several days - with acute pancreatitis;
Drug treatment:
- for inflammation in any area - antibiotics;
- at oncological diseases- radiation, chemotherapy and radiotherapy;
- for herpes zoster - antiviral drugs, the only ones effective for this pathology;
- antispasmodics and analgesics - just as an element of complex treatment;
Surgical intervention - as a last resort, and sometimes the only effective measure combating pathology:
- appendicitis;
- torsion of the pedicle of an ovarian tumor;
- his apoplexy;
- ectopic pregnancy;
- cholelithiasis;
- some forms of Crohn's disease;
- tumors of the Vater's nipple.

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

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

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

Depending on the nature of the pain and accompanying syndromes, the affected organ can be determined.

Severe pain on the right side under the ribs

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

Inflammation of the gallbladder (cholecystitis). Severe pain on the right under the ribs makes a person rush around in search of 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 antispasmodics. Liver diseases are characterized by yellowing of the skin and whites of the eyes.

Liver injury, cirrhosis. The pain intensifies when the person is in a horizontal position. Symptoms of blood loss are observed (weakness and dizziness, pallor of the skin and mucous membranes, with decreased blood pressure rapid pulse).

Kidneys. The pain is intense to such an extent that the person rushes about in search of a comfortable position. Most often, pain is associated with urolithiasis, so depending on the location of the stone, the 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 on the right under the ribs

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

In addition, he is tormented by:

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

Sharp pain on the right under the ribs

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

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

Sharp pain under the right ribs in the area of the scapula and collarbone occurs when pus accumulates under the diaphragm ( subphrenic abscess). The pain intensifies with coughing and sneezing, sudden movements, breathing; relief occurs when lying on the right side. Associated symptoms:

fever;
intoxication of the body.

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, and fever.

Dull, aching pain under the ribs on the right

Drawing, dull It's a dull pain in the right hypochondrium speaks of chronic diseases liver, which provoke its enlargement (hepatitis). In addition, this may be a sign of the formation of malignant and benign tumors.

In addition to dull and nagging pain, the following are observed:

jaundice;
liver failure;
circulatory disorders.

Also aching dull ache may be a symptom of the following diseases:

polycystic disease right kidney;
malignant tumors lung, gallbladder, kidney, pancreas;
inflammation of the small intestine;
inflammation of the appendages (in women).

Stitching pain on the right under the ribs

Stitching pain under the right ribs, which intensifies when coughing and taking a deep breath, is characteristic of right-sided pneumonia. Often the pain spreads over the entire right side, and exact time Its occurrence is quite difficult to name. Associated symptoms:

elevated temperature;
shortness of breath;
pale blue nasolabial triangle;
constipation and diarrhea;
herpetic eruptions on the right side.

Pain in the right hypochondrium behind

Pain under the ribs on the right back indicates problems with the kidney and pancreas.

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

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

Inflammation of the pancreas can be caused by alcohol abuse and fatty foods, metabolic disorders, complications after operations, exacerbation of chronic diseases.

Pain in the right hypochondrium anteriorly

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

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

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

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

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

With gastric and duodenal ulcers, 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 relief while lying on his stomach or squatting.

Pain in the lower right hypochondrium

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

intestines (namely the appendix). The first sign of appendicitis is acute 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, including the spine and lower back.
duodenum and stomach - with an ulcer, 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 stress that is unusual for them. In the vena cava, which runs under the lower right ribs, blood flow increases and it swells. Pain can also occur with sharp bends and turns, when internal organs come into contact with the rib bones.

Pain in the right side is accompanied by large number pathologies, many of which require urgent surgical intervention. Immediate appeal for medical care necessary if the pain occurs suddenly or progresses very quickly, if it is very intense, dagger-like, unbearable, if against its background it sharply worsens general condition person. Most common reasons acute pain in the area of the right side are appendicitis, renal and hepatic colic, ovarian apoplexy, ectopic pregnancy.

But what to do when the pain is not expressed, aching?

As a rule, aching pain indicates the inflammatory nature of the disease; it occurs as a result of pressure or stretching of the walls of the internal organs. Pathological process usually sluggish, lingering.

An accurate diagnosis can only be made by full examination, however, having assessed the location and nature of the discomfort, one can already suspect a certain disease.

Pain under the ribs on the right side

Pain in the upper right abdomen is mostly associated with pathology of the digestive organs, more precisely the liver, gallbladder, and intestines.

Hepatitis

There are many causes of hepatitis - viruses, alcohol, various toxins, and obesity. Regardless of what causes liver inflammation, the clinical picture is practically the same. The pain with hepatitis is dull, aching, sometimes it feels just like heaviness, and is localized under the ribs on the right.

If the liver is significantly enlarged, then pain may occur below the ribs. Worrying symptoms occur after eating, mainly fatty and fried foods. Hypothermia and physical activity can also trigger the development of pain.

Chronic acalculous cholecystitis

Inflammation of the gallbladder occurs with long-term (from several hours or days to several weeks) excruciating aching pain, usually under the ribs on the right, radiating to the right collarbone and shoulder joint, in the neck, under the shoulder blade, less often in left half belly, heart. There is a clear connection between the appearance this symptom with a diet violation, especially with the use of:

alcohol;
seasonings;
fried and fatty foods;
carbonated drinks;
too cold food.

After eating, the deterioration does not occur immediately, but after 3-4 hours. May also increase discomfort psycho-emotional stress, physical activity. Chronic cholecystitis is accompanied by bitterness in the mouth and bitter belching, nausea, and vomiting.

Hypomotor type of biliary dyskinesia

In other words, this is a condition when the ability of the gallbladder to contract is reduced for some reason, which leads to stagnation of bile in it and stretching of its walls.

The clinic is very similar to the current chronic cholecystitis, the only difference is that with dyskinesia there are no signs of inflammation in the gallbladder. The pain with this pathology is dull, aching, bursting. It usually spreads to the right hypochondrium, but can radiate to the left half of the abdomen and heart.

Eating or choleretic drugs leads to a decrease or complete disappearance of disturbing symptoms. Most often, obese people face the problem of dyskinesia of this type.

Duodenal ulcer

If there is an ulcerative defect in the duodenal bulb, pain is felt 2-3 cm below the ribs, slightly to the right of the midline of the abdomen. So-called “hunger pains” are typical for ulcers. They occur in the morning, at night or 3 hours after eating. Liquid food (milk) eliminates or reduces its manifestation, so patients often note an increase in appetite.

Liver angle syndrome

One of the variants of IBS (irritable bowel syndrome) with a characteristic localization of pain, always combined with bowel dysfunction in the form of constipation, diarrhea, or their alternation. The pain is aching, bursting, sometimes cramping, and intensifies immediately after eating and before defecation. The passing of gas and bowel movements bring relief. No complaints during sleep - important feature IBS.

Pain in the sides of the abdomen

Colitis

Painful sensations in the side on the right at the level of the navel are most often associated with the intestines. It could be inflammatory diseases ascending colon - chronic colitis, Crohn's disease. Appearance discomfort noted immediately after eating. These diseases are accompanied by diarrhea mixed with mucus, pus, and blood.

IBS

With IBS, the pain is diffuse, its character is constantly changing, and there is no clear localization. Symptoms often worsen due to stress.

Colon cancer

A tumor of the large intestine can manifest itself as heaviness, a feeling of fullness, aching pain in the side on the right, often accompanied by loud rumbling in the intestines, and flatulence. Alertness for bowel cancer should always be present, especially if the person’s age exceeds 40 years, if noted rapid decline weight, anemia, nausea, fever.

Pain in the lower abdomen on the right side

Unilateral pain in the lower lateral section abdomen in women can signal problems with the uterus and appendages.

Adnexitis (salpingoophoritis)

If aching pain in the lower right side bothers a young woman, you should always think about possible inflammation appendages. If acute adnexitis has a fairly bright clinical picture with severe pain, fever, purulent discharge from the genital tract, then chronic is characterized by scanty symptoms.

Often, pain is the main and only manifestation of the pathology. The pain is usually intermittent, aching, radiates to the back or sacrum, intensifies before menstruation or during sexual intercourse. Women often have a history of miscarriages, STIs, ectopic pregnancies, menstrual irregularities.

Ovarian cancer

Malignant ovarian tumors are most often accompanied by constant aching pain, a feeling of pressure or heaviness in the side closer to the lower abdomen or in the lower back. Sexual intercourse may also contribute to worsening.

Spikes

Inflammatory processes, any surgical operations, including in the pelvis, are accompanied by the formation of adhesions. Adhesive disease can be characterized by pain of varying intensity, both periodic and constant. Sometimes this disease presents significant difficulties for diagnosis.

Ovarian cysts

Cystic formations of the ovaries can be asymptomatic, but they often cause pain in the lateral abdomen or back, both on the right and on the left, especially during menstruation and during sexual intercourse.

Cysts large sizes may squeeze neighboring organs, disrupting their work. In this case, the pain syndrome becomes permanent.

Ovulation

Sometimes the right side hurts when physiological processes, one of which is the maturation and release of the egg. The pain is not pronounced, is short-lived and does not require treatment. Ovulatory pain have a characteristic periodicity (on average, it is 14-16 days of the cycle). Depending on which ovary the egg matures in, the pain appears either on the right or on the left.

Other reasons

Cecal syndrome is another variant of IBS with a characteristic localization of pain, the clinical picture of which is otherwise no different from that previously described,
Inflammatory diseases and neoplasms of the colon.

Lower back pain on the right side

Chronic pyelonephritis

Inflammatory kidney diseases mainly manifest as pain in the lumbar region on one or both sides. This pain is intermittent, aching, does not radiate, is not associated with physical activity and occurs at rest. During an exacerbation, discomfort increases.

Spondyloarthrosis (osteochondrosis) and osteoporosis

Aching lumbar pain on the right side may be a consequence of degenerative diseases of the spine. It intensifies during physical activity, prolonged standing or sitting, spreads to the buttock, in right leg, rectum, groin - the main signs indicating spinal pathology

Pain in the right side in pregnant women

On later During pregnancy, the uterus is large and puts pressure on surrounding organs, which is what additional reason occurrence of this symptom. Most often, women are bothered by pain in the liver due to a violation of the outflow of bile, less often - in the lower abdomen on the side due to impaired intestinal motility and compression of the ureters.

Pain in the right side in the elderly

Many diseases in people old age have a blurred clinical picture, so even aching pain in their right side can be a manifestation of acute surgical disease requiring immediate surgery. This is why it is important to seek help as early as possible.

In any case, if you notice the symptoms listed in the article, it is recommended not to postpone your visit to the doctor and not to self-medicate, as this may cause the pathology to worsen.