Pain in the right hypochondrium in front is a discomfort that every person faces throughout life, regardless of gender or age category. In most cases, such a manifestation is caused by a malfunction or damage by some pathological process to the organs located in the area under the right ribs. Less often, the factor of occurrence is the irradiation of pain in cases of the development of diseases associated with other organs. This is due to the fact that the internal organs are quite closely adjacent to each other.

Often, the soreness of this localization is the first, but not the only symptom of a particular disease. The clinical picture will be different for each person, which is explained by various sources of such a manifestation.

At the first manifestation of such a sign, especially if it is strong and persistent, you should consult a doctor as soon as possible. To confirm the diagnosis, after the initial examination, a series of laboratory and instrumental diagnostic examinations will be required. Based on the results, an individual and most effective therapy strategy will be drawn up.

Etiology

The appearance of pain in the front in the right side of the abdomen can provoke such organs:

• liver;
• right kidney;
• gallbladder and bile ducts;
• pancreas;
• a small part of the diaphragm;
• some intestinal loops.

According to the observations of gastroenterologists, diseases of the gallbladder are considered the main cause of pain in the right hypochondrium. In this case, pain can have a different character - from acute to aching, and also gradually increase the intensity of manifestation. Among the ailments of this organ, which lead to the appearance of pain in front under the right ribs, it is worth highlighting:

The second most common internal organ that causes pain in the right hypochondrium is the liver. In such cases, the pain will be bursting or dull, but it will manifest itself on an ongoing basis. Diseases of this organ include:

In addition, diaphragm diseases such as:

• inflammation of the diaphragm - diaphragmatitis;
• the appearance of a right-sided hernia;
• injury.

Often, diseases of the pancreas can be considered a predisposing factor in the appearance of such a symptom. In such situations, the patient feels a cutting pain, the intensity of which depends on the form of the underlying disease. These diseases include:

• acute or chronic pancreatitis;
• the formation of malignant or benign tumors;
• injury.

Another of the most common causes of pain in this localization is acute inflammation of the appendix. In most cases, patients assume that a similar symptom occurs on the right side of the lower abdomen, but often the attack begins precisely from the lower region of the right hypochondrium.

Quite common is pain from below in the right hypochondrium during the period of bearing a child. This is due to an increase in the size of the uterus and the active growth of the fetus in the second and third half of pregnancy. However, it is worth noting that if the pain appears in the first trimester, then it may indicate an ectopic pregnancy. It is also not uncommon for a similar symptom to appear in this area during premenstrual syndrome.

Less common factors that cause the expression of such a syndrome include:

• peptic ulcer of the duodenum or stomach;
• pathology of the cardiovascular system;
• herpes zoster;
• inflammation of the right lung;
• osteochondrosis.

In addition, it is worth considering that not the last place in the formation of such disorders and, accordingly, in the expression of pain is occupied by:

• addiction to addictions;
• irrational nutrition;
• prolonged exposure to stressful situations;
• irregular intake of certain medications.

Classification

The nature of the expression of the pain syndrome in the right hypochondrium may indicate a lesion of one or another organ. For instance:

• aching pain often indicates pathologies of the gallbladder or ducts, as well as chronic liver diseases;
• stabbing pain in the right hypochondrium indicates the presence of hepatic colic or perforated ulcer;
• arching - has the same reasons as aching;
• acute - indicates lesions of the duodenum, stomach and appendage of the caecum;
• sharp and girdle is a manifestation of pancreatitis;
• dull - is a sign of an exacerbation of a particular chronic process or the formation of a neoplasm in the liver;
• pressing and extending to the entire right side may indicate pneumonia.

Also, pain can occur in the morning or at night, after eating or during movement.

Symptoms

Against the background of the fact that in almost all cases the right hypochondrium hurts below due to the influence of pathological factors, such a symptom will not be the only manifestation of the clinical picture.

It is worth noting that the pain in some diseases can be girdle, spread throughout the front wall of the abdominal cavity or the right side of the body. Sometimes the pain is so strong that even the forced position of the body cannot relieve it. In such cases, there is a risk of developing pain shock. Against the background of pain in most cases, the following symptoms are expressed:

• yellowness of the skin and mucous membranes;
• nausea and vomiting. Often vomiting does not bring relief;
• increase in body temperature values;
• decrease in blood pressure;
• an increase in the size of the abdomen;
• decreased performance, which occurs against the background of severe weakness and fatigue;
• lack of appetite;
• aversion to fatty foods;
• alternating constipation and diarrhea;
• rapid pulse;
• heartburn and belching;
• difficulty breathing;
• the appearance of an unpleasant aftertaste in the oral cavity;
• severe headaches and dizziness;
• fainting or loss of consciousness;
• impurities of bile in vomit;
• itching of the skin;
• change in the shade of urine (darkening) and feces (discoloration);
• the appearance of plaque on the tongue.

These are just the main symptoms that may accompany pain in the right hypochondrium in front.

Diagnostics

Since, in the vast majority of cases, such a symptom is expressed against the background of a particular disease, at its first manifestation, even if it occurs periodically, it is worth immediately seeking help from clinicians.

Performing diagnostic measures and drawing up the most effective treatment tactics is carried out by a gastroenterologist, but in some situations, consultations of other narrow specialists may be necessary.

Comprehensive diagnostics includes:

• detailed survey of the patient;
• study of the patient's medical history and anamnesis of life;
• performing a thorough physical examination, during which palpation of the abdomen is mandatory, as well as measurement of blood pressure, temperature and pulse rate;
• laboratory examinations of blood, urine and feces;
• ECG and ultrasound;
• CT and MRI;
• radiography with or without contrast;
• biopsy;
• endoscopic procedures for examining the inner surface of the organs of the digestive system.

Only after studying all the results of the above examinations, the doctor will be able to draw up the most effective treatment regimen individually for each patient.

Treatment

In cases of such a symptom, patients are strictly forbidden to take measures to relieve pain, as this can only aggravate the course of a particular disease.

To neutralize pain at the bottom of the right hypochondrium, doctors use conservative methods of treatment, namely:

• prescribing medications;
• diet therapy - only when the source of the main symptom was the ailments of the digestive system. Proper nutrition will not only relieve an acute attack of pain, but also prolong the remission phase of chronic disorders;
• use of alternative therapy prescriptions. It is worth considering that such treatment should in no case form the basis of the treatment of the disease.

Depending on the patient's condition, conservative methods are used in a medical institution or at home, but under the supervision of the attending physician.

Surgical intervention is used extremely rarely - with the ineffectiveness of the above methods of treatment, in cases of the formation of calculi or malignant tumors, as well as in a serious condition of the patient, which is expressed in.

Pain in the right hypochondrium on the side indicates a malfunction of the internal organs located on this side. It can be a symptom of pathology of infectious and other etiologies. Only a doctor can accurately diagnose the cause, based on the results of clinical studies.

Pain syndrome rarely develops suddenly, even if there are health disorders that give similar symptoms.

This statement does not apply to exacerbation of organ diseases:

• digestive system;
• breathing;
• internal secretion;
• urogenital area;
• central nervous system.

Often it all starts with discomfort after eating, exercise, sexual intercourse.

Almost always give pain:

• injuries of the abdomen and chest area;
• profuse internal hemorrhage.

Chronic pathologies sharply remind of themselves in the phase of exacerbations, which often occur in spring and autumn, but can also appear after stress (both physical and emotional), as well as due to changes in hormonal levels. Often the cause of exacerbation and pain is a banal neglect of the advice and recommendations of the attending physician.

Features of localization of pain

Discomfort on the side, in the region of the lower border of the chest, it happens:

• closer to the abdominal surface;
• giving in the back.

In the first case, this indicates pathology:

• liver and gallbladder;
• stomach;
• upper intestines.

In the second, we can talk about such conditions as:

• dysfunction of the kidneys and adrenal glands (or only the right organs);
• osteochondrosis;
• problems with the inferior vena cava;
• cracks and fractures of the lower ribs on the right.

Table 1. The relationship between the localization of pain in the right hypochondrium from the side and possible pathology

The nature of the pain

Pain discomfort can be of a different nature and intensity:

• aching symptoms are typical for sluggish, chronic processes;
• stupid, impulsive occur with problems with the stomach and kidneys, inflammation of the gallbladder, osteochondrosis, traumatic bone injuries, neoplasms;
• acute, which cannot be tolerated, can indicate the development of extremely dangerous pathological conditions of various organs.

Occasionally, severe pain against the background of vomiting is a sign of pseudo-abdominal syndrome with:

• gastritis and myocardial infarction;
• pyelonephritis and pneumonia.

It does not carry risks to life and is eliminated conservatively.

Severe discomfort and a feeling of heaviness under the ribs on the right side is a characteristic symptom:

• swelling of the liver, for example, with hepatitis;
• developing cardiovascular insufficiency;
• pathologies of the gallbladder.

Associated symptoms

Soreness in the right hypochondrium is rarely the only symptom of a health disorder. As a rule, there are others that, together, form the clinical picture of the pathology. These include:

• digestive disorders (nausea, vomiting and loose stools);
• signs of intoxication (hyperthermia, hyperhidrosis, decreased overall tone and other manifestations);
• drowsiness and dizziness;
• changes in blood pressure;
• clouding of consciousness and fainting;
• pain and discomfort in the heart area, as well as a change in pulse;
• swelling and bleeding of mucous membranes;
• yellowing of the skin and sclera;
• painful urination;
• hyperemia of the body and the presence of rashes;
• copious discharge from the external genital organs;
• respiratory failure, cough and other symptoms.

What does pain in the right hypochondrium on the side mean

Most often, it signals the development of an acute form of pathology, which often turns into emergency conditions.

Problems of the gastrointestinal tract

Dysfunctions of the digestive organs are very often manifested by a pain symptom in the region of the right side and the lower border of the ribs.

Cholecystitis

This is an inflammation of the gallbladder due to:

• infectious lesion;
• the presence of stones (sand and stones) in the body.

Pathology can occur in acute or Discomfort and pain under the ribs on the right are strong and cramping, but more often - aching. The pain radiates to the iliac region. It can give to the lower back, right shoulder, and intensify after eating. Additionally, symptoms such as:

• bloating and constipation;
• bitterness and taste of metal in the mouth;
• belching.

Soon, signs of intoxication (fever, general weakness, and others) make themselves felt.

• taking antibacterial agents;
• physiotherapy;
• sanatorium treatment on mineral waters.

In some cases, according to indications, surgery may be recommended to remove stones or the entire gallbladder.

Cholelithiasis

Pathology in which stones form in the gallbladder and ducts. It can be a complication of conditions such as:

• chronic cholecystitis;
• diseases of the endocrine system;
• violations of the nervous regulation of liver functions.

Gallstone disease is treated conservatively when the size of the stones does not exceed 1.5 cm in diameter. Often the only possible way to save a person from suffering is a surgical operation. This is due to the fact that large stones, dissolved to the state of sand, can form again.

Ulcerative lesions of the stomach and duodenum

Pain in the hypochondrium on the right is typical for these pathologies. Increasing discomfort may not be due to food intake, but may occur:

• at night and on an empty stomach;
• after emotional and physical overload.

The clinical picture is complemented by:

• heartburn and belching;
• nausea and vomiting of sour masses;
• hyperthermia and increased heart rate;
• stool disorders.

The disease may be asymptomatic for some time, which makes diagnosis difficult. In advanced and complicated forms, it is dangerous for internal bleeding and peritonitis.

pancreatitis

A feeling of fullness and pulling pain in the hypochondrium on the right side is a typical sign of inflammation of the pancreas. Other symptoms of the disease, in its chronic stage, are:

• a significant decrease in body weight;
• periodic bloating;
• digestive disorders;
• high fatigue and chronic fatigue syndrome;
• discoloration of the skin: they may acquire a bluish or yellow tint.

Often, pancreatitis develops against the background of diabetes mellitus and liver pathologies. To prevent the acute form from turning into a chronic one, special therapy is required to relieve painful symptoms. It involves reviewing the diet and taking medications. In order for the remission period to last as long as possible, it is important to follow all the doctor's recommendations and, if possible, undergo a course of sanatorium treatment.

What diet should be followed for pancreatitis, read in our

Hepatitis

Often, pain under the ribs on the right is caused by liver pathologies. The most common of these are different types of hepatitis. They may develop as a result of:

• frequent and heavy alcoholic libations;
• taking certain medications;
• genetic predisposition;
• infectious lesions (viral, bacterial, fungal);
• other reasons.

In addition to pain in the hypochondrium, hepatitis is characterized by such phenomena as:

• itching of the skin;
• a feeling of fullness in the liver;
• trouble digesting fatty foods
• increase in body temperature;
• deterioration in general condition;
• diarrhea and constipation;
• spasmodic pain in the epigastric region;
• yellowing of the skin and sclera.

One of the signs of hepatitis is yellowing of the skin and sclera.

Therapy depends on the etiology and aims to relieve inflammation. It includes:

• streamlining the mode of life and nutrition;
• regular medication;
• giving up bad habits.

Lack of medical care or improperly selected medications (as in self-medication) often cause complications such as cirrhosis and the growth of malignant neoplasms.

Acute appendicitis

This diagnosis is associated with pain in the right iliac region. However, in 70% of cases, acute appendicitis begins to disturb higher, in the hypochondrium zone. In the first few hours, sensations move to the right side of the lower abdomen, and the picture becomes clearer.

Localization of ectopic pregnancy

The condition is dangerous because it progresses rapidly and carries the risk of pipe rupture. Therefore, in the presence of such symptoms occurring against the background of a delay in menstruation, you should immediately contact a gynecologist. The problem of ectopic pregnancy is solved surgically.

Adnexitis

This is inflammation of the female appendages, infectious etiology, which can be manifested by pain in the lower abdomen, sometimes extending to the right or left hypochondrium. They are often confused with signs of appendicitis.

Other symptoms of adnexitis are:

• an increase in body temperature up to 40 ° C;
• purulent discharge from the genitals;
• violation of the menstrual cycle;
• painful menstruation.

Therapy is based on taking antibiotics (penicillins or cephalosporins), in addition to which it includes:

• anti-inflammatory and painkillers;
• physiotherapy, which are carried out after the removal of symptoms of inflammation.

Adnexitis, when it is not cured on time and completely, goes into the chronic stage. This significantly increases the risk of ectopic pregnancy and infertility in the future.

Video - Andexit: diagnosis and treatment

Other causes of pain in the right hypochondrium on the side

Acute pneumonia

This is an inflammation of the lower respiratory tract, infectious etiology. The picture of pain sensations largely depends on the localization of the process. When it is concentrated in the lower part of the right lung, the pains can be given under the corresponding part of the chest. It is important to understand that the lungs themselves are devoid of nerve endings, and therefore cannot give pain symptoms. Their source is the pleura, large bronchi and trachea.

On the other hand, a cough due to the need to expel sputum, strong and frequent, leads to soreness in the muscles of the body. This is due to the accumulation of lactic acid in them.

Treatment is carried out conservatively, with the use of:

• antibacterial and mucolytic drugs;
• immunostimulants and antihistamines;
• other drugs that are prescribed according to indications.

Acute right-sided pyelonephritis

This is the name of nonspecific inflammation of the right kidney, due to the influence of pathogenic bacteria. One of the characteristic symptoms of pathology is pain, which is usually dull, aching in nature and disturbs in the lumbar region, but can also be given to the right hypochondrium. With calculous pyelonephritis, the sensations are paroxysmal.

Other signs of pathology are such phenomena as:

• hyperthermia;
• headache and weakness;
• fast fatiguability;
• frequent urge to urinate;
• pallor and puffiness, especially in the morning.

Like any inflammatory, caused by exposure to pathogenic flora, pyelonephritis is treated:

• antibiotics and antihistamines;
• means to strengthen the immune system;
• other drugs.

Can pain in the hypochondrium on the right be a variant of the norm

Let's just say that it does not always mean the development of acute conditions:

• when there are pathologies of a chronic nature in the body, during periods of remission pain may disturb, but this can be called the norm very conditionally;
• sometimes discomfort under the ribs on the right side worries healthy people. This occurs when exposed to factors that disrupt the normal course of physiological processes.

When playing sports

Pain and heaviness in the hypochondrium can occur, for example, during sports, especially running. Beginners suffer the most from this. Physical activity provokes the release of a large amount of adrenaline, which relaxes the walls of the bile ducts. This causes the liver to fill with blood and enlarge, putting pressure on its capsule, which has many nerve endings. This leads to stabbing pains.

After overeating

Discomfort in the right upper abdomen in a person who does not suffer from gastrointestinal pathologies may be due to too much food. The abundance of food, especially fatty, is a serious burden for the body. In addition to discomfort:

• drowsiness comes;
• heart rate increases;
• may be bothered by nausea.

Women's reasons

In women, periodic, mild pain in the liver area may be due to:

• physiology of menstruation;
• pregnancy
• taking oral contraceptives.

In these conditions, discomfort in the hypochondrium and side does not require special treatment, and eventually disappears on its own.

Which doctor to go to

With frequent or sharp pains in the right side of the abdomen, you should consult a therapist. The diagnostic results will point to the source of the problem, and the doctor will redirect to a specialist. When it comes to children, you should start with a visit to the pediatrician.

How to relieve pain

It is important to understand that pain is a signal of trouble in the body. Her character can tell the doctor a lot about the causes of the condition. When the discomfort is tolerable, it is better to rush to the clinic, and if it worsens, call an ambulance. It is undesirable to take medication before examination by doctors.

In the event that pain causes severe suffering, and there is no way to seek medical help, there are pharmacy remedies that relieve spasms and relieve pain: No-shpa, Spazgan and others.

What not to do with pain

Firstly, there is an unambiguous ban on warming up in the acute period, as this can lead to irreversible consequences, especially when the diagnosis has not yet been established.

And secondly, you should not abuse painkillers so as not to provoke additional health problems.

When to call an ambulance

Signals for urgent medical attention are symptoms such as:

• severe pain that does not stop within a few minutes;
• profuse and frequent vomiting;
• loss of consciousness;
• increasing swelling and problems with urination;
• bleeding (uterine, gastric, intestinal);
• persistent hyperthermia (38.5 ° C and above);
• diarrhea or constipation for several days.

Before the advent of doctors:

• you can not eat, actively move and warm up the body;
• it is undesirable to drink water and take medicines.

The patient should be laid down and wait for the arrival of doctors.

Prevention

As measures to prevent the development of pathologies and symptoms mentioned above, the following are recommended:

• timely access to a doctor and full treatment of all pathologies;
• regular and rational nutrition;
• caring for strengthening immunity;
• giving up bad habits.

Compliance with these simple rules will allow you to maintain your health as much as possible, protect yourself from dangerous pathologies, and hence from their symptoms, complications and consequences.

Each of us has ever experienced pain in the right hypochondrium - this could be due to various reasons, including disruptions in the work of the most important human organs.

What does pain in the hypochondrium say

For example, such pain can characterize disorders in the liver, which, as you know, is involved in the breakdown and digestion of food, as well as in the removal of toxins and harmful substances from the body. The nature of the pain in this case can be very different - from stabbing to burning and aching, and can characterize a variety of diseases - even cirrhosis of the liver. In most cases, the cause of the pain is a poor diet, oversaturated with fatty and spicy foods, irregular, and alcohol abuse. In addition, a viral infection in the body can also cause pain.

Pain in the right hypochondrium can be a symptom of diseases of the gallbladder, which is involved in the digestive process, releasing bile fluid for the processing of animal and vegetable fats, and protects the body from the effects of gastric juice. Pain under the ribs on the right may indicate the formation of large stones in the gallbladder and in the liver. In this case, the pain is burning and sharp, and also prolonged, since it will not stop until the stone has passed the bile duct. The reasons for the formation of stones in the gallbladder are called a sedentary lifestyle and the abuse of fatty foods.

In some cases, pain in the right hypochondrium manifests itself or inflammation of the cecum, when the appendix is ​​located directly under the liver. In such cases, the pain is first localized throughout the abdomen, and then focuses directly on the place where the appendix is ​​\u200b\u200blocated. These cases cannot be ignored - the patient needs emergency hospitalization.

Less commonly, however, it happens when pain in the right hypochondrium indicates a violation of the pancreas. This happens when the pancreas is located closer to the right side.

Diagnosis of the disease

Whatever the reasons, it is almost impossible to determine them on your own, which means that if such pain occurs, you should consult a doctor as soon as possible. The specialist will help to establish the nature and origin of the pain, and then prescribe adequate treatment.

By the nature of their pain in the right hypochondrium can be pulling and dull, prolonged and sudden, sharp and strong. By the nature of the pain, it is often possible to determine the cause of its occurrence. So, when the muscles contract, the pain will be cramping, when the outer membranes are stretched, the pain will be constant, and when an inflammatory process occurs, the pain will constantly increase. Sudden outbreaks of sharp pain, as a rule, indicate a rupture of the organ or the occurrence of internal bleeding due to, among other things, blockage of the vessel.

Treatment Methods

The appointment of treatment cannot be carried out independently - it is important to eliminate the cause of the pain, and not to remove the symptom itself. Self-diagnosis in this case is simply dangerous. Pain, for example, may indicate liver inflammation, including any of the three types of viral inflammation. There are very frequent cases when pain in the right hypochondrium causes inflammation of the pancreas, because its head is located just in the right side of the abdomen. In people with diseases of the gallbladder, alcoholics often have a disease such as. In this case, pain in the right hypochondrium is accompanied by vomiting and nausea, the person sweats profusely. Another feature of pain in pancreatitis is its intensification in the supine position and weakening when leaning forward. Only a specialist after laboratory tests can finally establish the diagnosis.

Pain in the right hypochondrium can be caused by renal pathology. Since the kidneys are located on two different sides, pain occurs on the side with which the damaged kidney is located. With the development of pain on the right, it can be assumed that the kidney on the right is infected, there is suppuration, an abscess, or we are talking about kidney stones. A feature of such pain is that it is felt not only in the right hypochondrium, but also gives to the back.

Here are a number of diseases and disorders that can provoke pain in the right hypochondrium: gallbladder cancer, liver adenoma, cholangiocarcinoma and liver failure, secondary biliary cirrhosis and acute viral hepatitis, cholelithiasis and acute cholecystitis, cardiac cirrhosis of the liver and toxic liver damage , gallbladder empyema and nipple stenosis, duodenal ulcer and graft rejection after liver transplantation.

Whatever the reason, it is important to understand that even a slight pain in the right hypochondrium is not something that can be ignored and expected that the problem will resolve itself. With such an attitude to the problem, the patient may miss the onset of a serious illness, which, without timely treatment, can lead to death.

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Pain in the right side of the abdomen is a symptom with which patients often go to the doctor. They can be aching or stabbing, strong or barely perceptible. Therefore, many people have a question, what causes discomfort under the ribs on the right. This segment contains important organs that, through pain, signal the presence of infection, injury, or other problems.

The first place among the possible causes of pain in the right side under the ribs in front is occupied by cholelithiasis and problems of the biliary tract, the second is pathological processes in the liver, edema with a lack of blood supply to this organ.

What is located in the right side under the ribs in front of a person?

If you go from top to bottom, in this zone are:

• Bottom part right lung coated;
• lies under the lung liver- it occupies all the space behind the right rib;
• lies under the liver gallbladder, descend from it and the liver bile ducts;
• below is the caecum with a process - appendix;
• closer to the back at the level of the waist are kidneys from which the ureters follow into the small pelvis;
• in women, the lower abdomen is located ovaries.​

It is in these organs that pain often occurs in the right side.

Among all the possible causes of pain in the right side, one can single out conditions that require urgent medical care and do not require it.

When you need urgent help for pain under the ribs

In the following situations, urgent help is needed if you feel sharp pain under your right rib.

Serious injury

A fall, a strong blow can cause damage or even rupture of the abdominal organs and pain in the right side. The most dangerous are rupture of the liver and kidney, which can provoke severe bleeding, which can lead not only to pain but also to death. The symptoms of bleeding are:

• strong heartbeat;
• "cold" sweat, chills;
• skin blanching;
• dizziness, fainting.

Acute appendicitis

This is an acute inflammation of the appendix - a process of the intestine, which is felt as pain in the right side under the ribs. If it has arisen, one cannot do without surgical intervention, otherwise peritonitis may develop - when all organs of the abdominal cavity are involved in the inflammatory process. Therefore, it is extremely important to immediately consult a doctor if you have the following symptoms:

• severe aching or stabbing pains on the right side of the abdomen, especially typical when they begin in the center under the sternum and are practically not relieved by painkillers;
• symptoms of intoxication: fever, chills, nausea, vomiting;
• muscle tension, pain in the peritoneum in the right side, which indicates that the process is beginning to spread.

To determine the symptoms of appendicitis will help consult a surgeon.

Acute cholecystitis

The second most common disease that causes inflammation of the gallbladder, leading to pain. This happens, for example, if there are stones in it, which will cause a sharp pain in the right side under the ribs. In the case of acute cholecystitis (diagnosed by a surgeon or therapist), urgent surgical intervention is necessary in order to have time to remove the bubble before other organs are involved in the process. Symptoms of the disease are similar to appendicitis:

• pain in the right side of the abdomen: constant, often severe, slightly reduced by antispasmodics;
• yellowing of the skin;
• nausea and vomiting that does not bring relief;
• an increase in temperature, perhaps not always;
• chills, weakness.

Acute intestinal obstruction

This is a dangerous condition that, without proper care, can lead not only to pain, but also to death. It is dangerous because when the contents of the intestine linger in it for a long time, it begins to be absorbed into the bloodstream and poison the entire body. In some cases, there is a rupture of the wall and intestines, the contents exit into the abdominal cavity - this is called "fecal peritonitis". This condition often ends in death. Learn about the causes and quick methods to eliminate constipation here.
Intestinal obstruction occurs for the following reasons:

• violation of the normal functioning of the intestines: normally, the intestinal walls "push" the contents through the intestines, with improper nutrition and various diseases, the process is disrupted;
• "Overlapping" of the intestinal lumen by a tumor, a foreign object;
• torsion, compression of the intestine;
• getting a section of the intestine into a hernia and pinching in it.

Symptoms of intestinal obstruction:

• sharp, spasmodic attacks;
• nausea, vomiting without relief;
• lack of stool;
• pallor, feeling unwell.

Acute myocardial infarction

The cause of acute myocardial infarction is a blood clot in the vessel

What is a myocardial infarction and what does it look like:

One of the infrequent forms of manifestation of a heart attack is pain in the abdomen and under the ribs in front. The following symptoms can distinguish it from other diseases:

• pain syndrome is strong, not relieved by drugs;
• feeling of strong heartbeat;
• if you have a tonometer, you can measure blood pressure - it will be either sharply increased or very low;
• feeling unwell, dizziness, nausea, loss of consciousness.

If you suspect a myocardial infarction, urgently need to call 03.

Chronic and systemic diseases with pain in the right hypochondrium

Chronic cholecystitis

Chronic cholecystitis is understood as a long-term, sluggish inflammation of the gallbladder wall, leading to pain in the right side. As a rule, it is caused by the stones in it. Sometimes stones "irritate" the wall of the bladder, causing dull aching pains under the ribs. In addition, stones can break down and move away through the bile ducts, causing sharper sensations and even colic. To detect chronic cholecystitis, it is necessary to do an ultrasound of the gallbladder. If these diseases are suspected, the doctor prescribes the diagnosis.

In the case of calculous (stone) cholecystitis, jaundice often occurs, giving a yellowish-green color to the skin.

Hepatitis

kidney disease

The kidneys are located closer to the back, so that with kidney diseases, patients are more likely to suffer from colic in the lower back and pain in the right side. If the kidney "suffers", there are complaints of right-sided pain in the back, abdomen. They can be pulling, "dull", sometimes intense, "stabbing" - renal colic. The most common cause of kidney damage is an ascending infection from the bladder that penetrates into the renal pelvis (pyelonephritis). Read more about kidney disease here. In addition, there is glomerulonephritis (inflammation of the kidney tissue itself), hydronephrosis (fluid retention inside the kidney). Any of these pathologies require diagnosis and treatment, since the kidneys are the main “tool” for removing toxic substances such as urea from the body. Diagnosis includes ultrasound of the kidneys, blood tests, urine - prescribed by a urologist

Inflammation of the ovaries

In women, pain in the abdomen and in the right side of the front is often caused by diseases of the ovaries. It can be inflammation, cysts, tumors of the appendages. Even the maturation of the egg (ovulation), which occurs once a month, can cause discomfort. The ovaries are located in the pelvic cavity, so spasms are localized in the lower part, but there are exceptions. If you have similar symptoms, ask a gynecologist a question.

Right side hurts - what else could it be?

If you have pain on the right in the area under the rib on the side - these may also be non-standard reasons. The list of diseases is described below:

Cholangitis

The bile ducts branch off from the liver and gallbladder. If they are damaged, severe attacks of pain in the hypochondrium can occur. The ducts are often damaged by fragments of gallstones extending from the gallbladder. The attack is well removed by antispasmodics and may be accompanied by chills - these are their hallmarks. Confirm the diagnosis with an ultrasound.

Tumors

Tumors can grow from any tissue, including the tissue of the liver, kidneys, and intestines. They may not appear for a long time, but one of the symptoms is cramps and pain. Therefore, it is important for long-term, non-passing spasms to consult an oncologist and be examined.

Doctor's advice

Not always pain in the right hypochondrium occurs due to the pathology of the internal organs. Often the source of sensations is in the back - it's the muscles or the spine. Sudden overstrain of the muscle during work or exercise leads to micro-tears, stretching, which gives pain. Any degenerative processes in the spine (osteochondrosis, as the most common) can give pain. A characteristic symptom in both cases will be an increase in pain during movement, inspiration, coughing, reduction or cessation at rest.

Echinococcosis of the liver

Pleurisy

The lungs are covered on the outside with a membrane - the pleura, in which fluid accumulates during various infections. The lower edge of the lung is at the level of the lower ribs, so inflammation of the pleura in this place can cause spasm and pain in the right side. Read more about pleurisy here.

For pain in the right hypochondrium, you can not use a heating pad. Heat can increase inflammation, leading to worsening of the condition.

Pain under the right lower rib in front when inhaling

A similar syndrome is often accompanied by an inflammatory process in the lungs.
With an infectious lesion of the lung due to pneumonia and pleurisy, a stabbing pain appears on the right. When inhaling, laughing or coughing, it becomes stronger.
This is usually accompanied by:

• temperature increase;
• severe general weakness;
• cough dry or wet (even rare);
• reduction of discomfort in the supine position on the right side.

Pain under the right rib in front when pressed

If the patient is suffering stomach ulcer, as a rule, spasm and pain is concentrated on the right, capturing the back and lumbar region. When you press on the problem area, it decreases slightly, so when squatting or lying on your stomach, a person feels better.

With cholecystitis, hepatitis, when the liver is enlarged, when you press on it, the pain will intensify, becoming more intense and acute.

What to do, which doctor to contact

First of all, with the appearance of acute pain, it is necessary:

• call an ambulance immediately if your case is similar to an emergency;
• do not try to cope on your own, taking antispasmodic drugs, analgesics, smoothing the clinical picture of conditions that require immediate surgical care or intensive care in a hospital;
• in no case should you use warm compresses and heating pads, which can lead to internal bleeding or rupture of a festering abscess (for example, with appendicitis).

The main thing is to help yourself in a timely manner by consulting a therapist and conduct all the necessary examinations.

In case of severe or prolonged attacks, it is necessary to consult a doctor, undergo a diagnosis and begin competent treatment. Only a doctor can correctly interpret complaints and prescribe the necessary procedures.
The main ones among them are:

• Ultrasound of the liver, gall bladder, kidneys, small pelvis;
• urography;
• angiography;
• x-ray of the lungs, abdomen;
• CT, MRI;
• biopsy.

Treatment

First of all, you should understand that the doctor will prescribe treatment and therapy for you individually, finding out the cause of the pain. Here we give examples of the main therapy used in medical practice. If there is no indication for surgical intervention, then, first of all, therapy is aimed at relieving spasms and the inflammatory process, and then, depending on the cause of the disease.

Drugs used in therapy:

• Antispasmodics: No-shpa, Baralgin (in injections), Spazgan (tablets).
• Anti-inflammatory drugs: Nimesulide, Aspirin, Ibuprofen.
• Broad-spectrum antibiotics: Levofloxacin, Amoxicillin.
• Hepatoprotectors: Essentiale, Karsil.
• Medicine to improve the outflow of bile: Allochol.
• Heart medications: Nitroglycerin, beta-blockers (bisoprolol, metoprolol)
• Hepatoprotectors: Heptral, Karsil.

Effective medicines for pain relief

You can use antispasmodics to relieve and relieve pain, but you should understand that in case of acute pain, you need to wait for an ambulance and find out the cause.
Effective remedies to relieve pain and spasms injections are Ketorol, Baralgin especially for back pain. For stomach pain put No-shpu in injections. V tablets, you can take No-shpu and Spasmalgon.

I will explain about analgesic therapy for pain in the right hypochondrium. If the cause is a stomach disease, then No-shpa or Spazmalgon, i.e. drugs with an antispasmodic effect, are used. Why exactly they, and not analgesics? The stomach begins to disturb with a defect in the mucosa, i.e. with ulcers or gastritis. And any analgesic or non-steroidal anti-inflammatory drug (analgin, meloxicam, xefocam, etc.) has an extremely negative effect even on the intact gastric mucosa, not to mention the inflamed one. Therefore, taking even one such pill with an ulcer can aggravate the situation and provoke gastric bleeding - a life-threatening condition. Therefore, if acute surgical pathology (appendicitis, for example) is excluded, but you do not know whether the pain comes from the stomach or not, then it is safer to take an antispasmodic drug than any other.

To determine how serious your situation is, use our website in a paid or free mode.

The doctor will make a preliminary diagnosis and give recommendations for first aid and inform you about further actions. In no case should you self-medicate and “get carried away” with painkillers, as they do not eliminate the true cause of spasm and pain.

Be healthy!

Useful articles

What can severe pain in the right hypochondrium indicate? Pain sensations that are localized under the two lower ribs on the right side of the abdomen may indicate the occurrence of inflammatory processes and pathologies of the organs located in this area. Discomfort in the right hypochondrium most often indicates the presence of chronic diseases or the development of acute infectious processes of the gallbladder, liver, duodenum or pancreas. Pain is projected onto this area in case of damage to the kidneys, large and small intestines. However, discomfort can be caused by other reasons, only a specialist can determine them and prescribe the appropriate treatment.

• Show all

  Provoking factors

  Pain sensations extremely rarely appear suddenly, even if there is a history of a disease, a symptom of which they may be. The exception is individual cases of rapid exacerbation of inflammatory processes in the digestive, nervous or endocrine system, internal genital or respiratory organs, urinary and biliary tract.

  Unpleasant sensations and tingling under the lower ribs are sometimes noted by patients after eating, physical exertion, sexual intercourse, almost always pain occurs when the abdomen and chest are injured or internal bleeding occurs.

  In the event of an exacerbation of an existing inflammatory process or pathology of the internal organs, pain of varying strength and nature may appear as a reaction to taking certain medications and supplements or eating certain foods. Chronic diseases make themselves felt during the off-season, with a breakdown, reduced immunity, prolonged emotional and physical overwork, hormonal changes and other conditions.

  One of the main preventive measures to avoid pain in the right hypochondrium, as well as other diseases, is the timely detection of even minor discomfort and contacting a specialist. In the presence of chronic inflammatory processes and pathologies, the recommendations of the attending physician regarding the diet, the permissible duration and nature of physical activity, and medication should be followed.

  

  Possible causes of exacerbation of diseases, which are characterized by painful sensations of varying strength, localized mainly in the right hypochondrium: neglect of the advice of a specialist.

  

  Pain localization

  Discomfort in the right hypochondrium can indicate a large number of different diseases, so it is often not possible even for a qualified specialist to determine an accurate diagnosis only by this symptom. This area is located under the two lower ribs on the right side of the body, may hurt in the back or front.

  Significantly narrow the range of diseases, one of the signs of which may be pain in the right hypochondrium, allows you to determine the nature and specific localization of pain. To solve this problem, additional studies, laboratory tests, examination and questioning of the patient during the appointment, familiarization of the attending physician with the patient's medical history (medical card) are used.

  

  So, discomfort in the anterior side of the body under the lower ribs may indicate liver pathologies, gallbladder diseases, some types of myocardial infarction, intestinal diseases accompanied by flatulence, and certain other conditions. Behind the right, the pains are localized with urolithiasis, acute infectious inflammation of the right kidney, osteochondrosis, diseases of the adrenal glands, pathologies of the intercostal nerves or inferior vena cava. Discomfort in the back often appears with various mechanical injuries (fracture of the lower ribs, cracks).

  

  The nature of the discomfort

  Pain in the right side under the ribs can have a different character. Aching discomfort is characteristic of chronic diseases, dull throbbing pain appears with disorders of the stomach and kidneys, cholecystitis, osteochondrosis, damage and injury to the ribs, tumors or mild forms of colitis.

  

  Sharp unbearable pain in the right side of the abdomen under the lower ribs can be the result of a serious injury. Often, severe discomfort, accompanied by vomiting, a drop in blood pressure, fainting and pre-syncope, leads to a painful shock. This condition requires emergency medical care up to surgery, as it can be fatal. In medical practice, acute abdominal pain and its accompanying symptoms are united by the concept of "acute abdomen".

  In rare cases, stabbing pain and acute discomfort, accompanied by vomiting, may be a manifestation of pseudo-abdominal syndrome, characteristic of acute forms of gastritis, myocardial infarction, pneumonia, pyelonephritis. Such conditions do not require surgical intervention and are treated in the traditional way.

  Heaviness under the ribs indicates edematous conditions of the liver, some forms of heart failure and chronic cholecystitis, hepatitis, pathologies of the biliary tract. In most cases, gastroenterological diseases are the cause of a feeling of heaviness in the right hypochondrium.

  

  

  Associated symptoms

  Pain in the right hypochondrium is rarely an independent symptom. In the vast majority of cases, discomfort is accompanied by concomitant signs of diseases of the gastrointestinal tract, endocrine, nervous and respiratory systems, various inflammatory processes. Additional symptoms may include:

  • nausea and vomiting;
  • signs of intoxication of the body (high temperature, sweating, loss of strength, etc.);
  • disorders of the digestive system (diarrhea, bloating, etc.);
  • drowsiness, fatigue, weakness;
  • decrease or increase in blood pressure relative to the norm;
  • disturbances of consciousness;
  • pain in the region of the heart;
  • dizziness, fainting;
  • increased heart rate;
  • bleeding of mucous membranes;
  • yellowing of the skin;
  • difficulty urinating, cramps and itching;
  • redness of the skin in the ribs, rashes;
  • copious discharge from the vagina;
  • spasm of the respiratory system, cough and many others, depending on the specifics of the disease.

  

  Often, it is the presence of concomitant symptoms in a patient that is the only way to determine a specific pathology that can cause pain of a different nature, localized in the right hypochondrium. Additional manifestations help to find out which system or internal organ is affected by the disease, and start appropriate treatment in a timely manner.

  What does pain in the right hypochondrium mean?

  Pain in the right hypochondrium can be a sign of many diseases and means an exacerbation of chronic pathology, the occurrence of emergency conditions, sometimes appears during remission due to the negative influence of some provoking factors.

  Most often, with discomfort in the right side in the region of the lower ribs, one or more of a certain set of pathologies is diagnosed, and the rest are rare. The most common causes of pain of a different nature are injuries, diseases of the gastrointestinal tract, pathological conditions of the gallbladder and bile ducts, or inflammation of the genitourinary system. The accompanying symptoms of pain in the right hypochondrium are so diverse that discomfort can even indicate cardiac pathologies, diseases of the respiratory system, minor injuries of the spine - these conditions are diagnosed somewhat less frequently.

  Cholecystitis

  A common cause of pain in the right hypochondrium is cholecystitis, an inflammatory disease of the bladder that develops in acute or chronic form. Discomfort under the lower ribs with cholecystitis has a strong cramping (during exacerbations) or aching (during a chronic course) character and appears due to spasms of the bladder. The pain is acute, radiates to the lumbar region, scapula and shoulder on the right side of the body, the back, sides ache, discomfort appears after eating. Sometimes the patient may experience such severe discomfort that the pain shock leads to loss of consciousness.

  Cholecystitis in the acute stage of the disease is characterized by bloating, a feeling of bitterness and a metallic taste in the mouth, the appearance of belching, stool disorder, irritability, sleep disturbances and symptoms of intoxication of the body. During exacerbations, the patient experiences colic, pain increases when inhaling, belching, or some time after eating, and can last more than a few hours.

  

  To relieve symptoms, specialists prescribe antispasmodics. In addition, the patient is shown bed rest. Cholecystitis is treated with a special diet, antibiotics, physiotherapy, mineral water intake (sanatorium treatment) and other methods at the discretion of the doctor. In some cases, surgery may be required (to remove stones or the gallbladder itself).

  Cholelithiasis

  Discomfort in the right hypochondrium is a characteristic symptom of cholelithiasis, i.e., the formation of stones in the gallbladder as a result of a violation of metabolic processes or functions of the organs of the biliary system. Gallstone disease can be a complication of other diseases (for example, chronic cholecystitis, metabolic endocrine disorders, or problems with the nervous regulation of the liver and biliary tract).

  Other symptoms of kidney, liver, or bladder stones:

  • difficult or impossible urination (if the stone blocks the biliary tract, urgent surgical intervention is required);
  • pain and cramps in the urethra;
  • yellowing of the skin and sclera of the eyes;
  • nausea and vomiting, which are accompanied by constant aching, dull pain in the right hypochondrium;
  • headache, weakness, fever.

  

  Only small stones (up to 1.5 cm) in the gallbladder are subjected to drug therapy, and such treatment is effective only in 50% of cases. The advanced form of the disease requires surgical intervention, often surgery is the only effective method of treatment, because even after successful dissolution of stones with pharmacological preparations, the disease is prone to relapse.

  Ulcers of the stomach and duodenum

  Pain in the region of the two lower ribs on the right side of the body is typical for gastric and duodenal ulcers. The nature, frequency, strength and localization of pain in this disease depend on many factors, discomfort can appear not only after eating or physical exertion, but also at night or on an empty stomach.

  

  An ulcer of the stomach and duodenum is characterized by the following symptoms: the patient has heartburn, belching, nausea and "sour" vomiting, which bring little relief, fever, tachycardia (rapid heartbeat), digestive disorders (diarrhea, constipation), loss of strength and irritability .

  Sometimes the disease is asymptomatic, which somewhat complicates timely diagnosis. In advanced form, bleeding may occur, a dangerous complication of an ulcer is peritonitis, which requires urgent surgical intervention.

  Complications of the disease and the occurrence of acute conditions requiring emergency medical care in case of gastric and duodenal ulcers can be avoided by following the recommendations of the attending physician, adhering to a special diet, dosage and medication regimen.

  

  Inflammation of the pancreas

  Bursting, pulling pain in the hypochondrium on the right, which can be confused with a sign of food poisoning, is a common typical symptom of inflammation of the pancreas (pancreatitis).

  

  The disease is characterized by a decrease in the patient's body weight, bloating, digestive disorders, intoxication of the body, increased fatigue, skin symptoms (pallor, cyanosis or yellowness of the skin), manifestations of the "chronic fatigue syndrome", nausea and vomiting, and vomiting does not bring relief to the patient. Accompanying chronic pancreatitis diseases are often diabetes mellitus and jaundice.

  The treatment regimen for pancreatic inflammation is based on relief of symptoms during exacerbations of the disease, as well as supportive therapy: the patient is shown a special diet, taking certain pharmacological drugs to prevent the active phase of pancreatitis, quitting smoking and drinking alcohol, physiotherapy, spa treatment (if possible ).

  Any methods of therapy should be agreed with the attending physician, since pancreatitis can develop in several variations (alcoholic, pancreatic cyst or pseudocyst, purulent pancreatitis, etc.) and forms (acute, chronic), each of which has its own characteristics in diagnosis and treatment.

  

  Suspicion of hepatitis

  It often hurts under the right rib with inflammatory processes and necrosis localized in the liver - hepatitis. The disease is provoked by a number of reasons: alcohol abuse, and prolonged negative effects on the liver of certain drugs, and hereditary predisposition, and complications of other pathologies.

  With hepatitis, pain in the right hypochondrium is pulling, skin itching, nausea, vomiting, intolerance to heavy fatty foods, intoxication (fever, weakness, drowsiness, decreased immunity and general tone of the body) occur, digestive disorders, spasm, which are standard for most diseases of the gastrointestinal tract. One of the characteristic signs of hepatitis, as well as liver damage in general, is yellowing of the skin and sclera of the eyes, disruption of the functioning or condition of the liver (the liver is enlarged, the outflow of bile is impaired, etc.).

  

  Hepatitis therapy involves the complete elimination or reduction of the inflammatory process in the liver and the prevention of complications (pathology can turn into liver cirrhosis or cancer). Improvements are achieved by complex treatment, which involves taking medications, measures aimed at general strengthening of immunity, as well as streamlining the patient's lifestyle: proper nutrition is shown with special recommendations regarding the number of meals and the composition of the menu, doing feasible sports, giving up bad habits.

  Other reasons

  Other diseases and pathologies, the symptoms of which may include painful sensations of a different nature in the region of the lower ribs on the right side of the body, are the following:

  • on the part of the digestive system: gastritis, peptic ulcer, various inflammatory processes, intestinal obstruction, colitis, pancreatitis, spasms and pains that mimic gynecological diseases, peritonitis, etc .;
  • from the nervous system: compression of the nerve endings that are in the intercostal space (intercostal neuralgia), herpes zoster, characterized by acute pain, the appearance of rashes, skin itching;
  • on the part of the respiratory system: pneumonia (pneumonia) or bronchitis in acute or chronic course - cough provokes spasms of the respiratory system, which give off painful sensations in the right hypochondrium;
  • from the urinary system: pyelonephritis with damage mainly to the right kidney (otherwise the pain is localized on the left side, and not in the region of the lower ribs on the right), renal colic, stones;
  • on the part of the liver: liver dystrophy, cirrhosis, abscess, hepatitis A, B, C and others, heart failure, accompanied by stagnation of blood in the liver, and other chronic diseases and acute inflammatory processes;
  • inflammation of the uterine appendages, osteochondrosis, appendicitis, etc.

  

  When can an illness be considered a variant of the norm?

  In some cases, discomfort in the lower ribs on the right side of the body does not indicate the development of an acute inflammatory process or the presence of a chronic disease and may be a variant of the norm. In this case, the patient does not have pronounced concomitant symptoms, and the pain quickly disappears.

  

  Sometimes stabbing pain in the right hypochondrium occurs after physical exertion. Discomfort appears after a particularly intense workout, neglecting the warm-up or resuming classes after a break. Such unpleasant sensations are typical for beginners in almost any sport that involves active movement.

  The nature of the origin of pain in this case is as follows: physical activity stimulates the release of the hormone adrenaline, which, in turn, reduces the tone of the bile ducts, leads to filling the liver with blood and stretching it, as a result, an untrained person feels a stabbing pain in the right side, which occurs most often during running time.

  In healthy people, discomfort can also appear after eating fatty or heavy foods, especially in large quantities. Overeating, in addition to abdominal pain, causes heart palpitations, drowsiness, and sometimes nausea is felt. Unpleasant sensations, as a rule, pass within 1-3 hours.

  

  A separate category of patients who complain of pain in the right hypochondrium, but do not experience other symptoms of various diseases, are women. In the fair sex, discomfort in the right hypochondrium may appear during menstruation, after intercourse, when taking hormonal contraceptives, or during pregnancy. In this case, the pain is explained by the physiological characteristics of the structure of the female body and does not require special treatment.

  Which specialist to contact?

  In case of unpleasant sensations localized under the two lower ribs on the right side of the body, behind or in front, you should first of all seek advice from a therapist. A generalist, based on examination and questioning of the patient, familiarization with the medical card (medical history), additional diagnostic examinations and laboratory tests, determining the nature, localization of pain and associated symptoms, will make a preliminary conclusion and refer the patient to a specialized doctor.

  

  Therapy of pain in the right hypochondrium and other symptoms characteristic of diseases that are the root cause of discomfort can be carried out by a gastroenterologist, endocrinologist, infectious disease specialist, traumatologist, surgeon, cardiologist, nephrologist, gynecologist, urologist or several specialists at the same time. The profile of the attending physician is determined by the specific diagnosis made to the patient with complaints of pain on the right side of the body under the two lower ribs.

  Relief and relief of pain

  Pain in the right hypochondrium is a symptom of a disease that occurs in an acute or chronic form, and not an independent pathology. That is why it is necessary not only to stop severe pain with emergency measures during exacerbations, but also to carry out complex therapy of the existing pathological process. Acute pain syndrome should be removed with extreme caution in cases where a specific diagnosis is not fully clarified.

  

  What to do if it hurts on the right under the ribs, and there is no opportunity to see a doctor immediately? It is categorically impossible to warm a sore spot. At home, to temporarily reduce pain in the right hypochondrium, you can use the most common antispasmodics: these drugs are available without a prescription, do not have pronounced side effects if the dosage is observed, are quite effective and have minor restrictions (many painkillers should be used only after a doctor's recommendation during pregnancy ). For pain relief, No-shpa, Papaverine, Drotaverin Forte and similar antispasmodics are suitable.

  Important! Do not abuse painkillers and delay a visit to the therapist. Delay and incorrect or insufficient therapy can lead to a significant deterioration in the patient's condition and complicate further diagnosis of the causes of pain in the right hypochondrium.

  You should definitely consult a specialist in cases where discomfort occurs in a healthy person or during pregnancy. Pain may indicate the presence of hidden diseases (often asymptomatic for severe pathological processes), which, if untreated, progress rapidly and pose a serious threat to the health, and sometimes the life of the patient (or, during pregnancy, the fetus).

  

  Cases of urgent medical attention

  Sometimes pain in the right hypochondrium can be one of the signs of conditions that require emergency medical intervention. Among such dangerous pathologies: ruptures of internal organs, "acute abdomen", internal bleeding. It is necessary to call an ambulance without delay if the patient has the following symptoms:

  • the pain is acute, unbearable, lasts more than a few minutes (not seizures - spasms, characterized by cramping pain, but constant significant discomfort);
  • incessant vomiting;
  • fainting and pre-fainting state;
  • delay or complete inability to urinate;
  • uterine bleeding;
  • blood in vomit, feces, urine;
  • a significant increase in body temperature (above 38.5 ° C);

  Prevention

  Prevention of pain in the right hypochondrium includes timely diagnosis and treatment of diseases, a symptom of which may be such discomfort, full compliance with the recommendations of the attending physician, maintaining immunity, a rational diet, following a special diet, giving up bad habits and taking medications (only on the recommendation specialist).