Pain in the right side under the ribs can be a symptom wide spectrum Diseases, as in this abdominal quadrant there is a large number of vital organs: liver, kidney, gallbladder, twelve-receptacious intestine and pancreas.
In some cases, the right side can give pain from the diaphragm or the small intestine. Due to the fact that the hypochondrium is permeated with a plurality of nerve endings and muscle fibers, painful sensations are characterized by intensity and sharpness. To form an accurate diagnosis, it is necessary to describe the symptoms as possible and indicate the exact location of pain.

On the primary inspection, the therapist determines the possible disease using the two-handed palpation of the abdomen. Depending on the location of the localization and nature of the pain, the doctor may assume that the internal body is damaged and requires additional diagnosis. To do this, the patient must specify the place of the most intense pain: front, side or rear.

In front and side under ribs

Liver diseases

The liver pathology is most often the cause of pain in the right side, since this body takes almost the entire cavity in the right hypochondrium. The liver is a vital organ that performs the role of a filter cleansing the body from harmful substances. The most common diseases of the liver, which are characterized by pain in the side of the right relate to the following diseases:

Hepatitis

Infectious liver disease caused by hepatitis A, B, C, D. Infection occurs by parenteral through (through blood), mainly when using syringes with infected needles. Also hepatitis is transmitted during childbirth from the mother to the child and during sexual contact.

This pathology may flow both in acute and chronic form. Hepatitis pain has a stupid, new, pressing character and localized the right side under the ribs. Increase with a sharp breath, tilt forward or pressing on the stomach.

In addition to painful syndrome, hepatitis has a number of characteristic symptoms:

• the jaggility of the skin,
• constant nausea,
• general weakness and dizziness,
• lack of appetite.

Determine the presence of a hepatitis virus in the body with the help of blood test. Hepatologists (in chronic form) and infectiousists (in the acute course of the disease) are engaged in the treatment of the liver. Treatment Hepatitis should be directed to the destruction of the virus and restoring the liver tissues (cirrhosis prevention). Antiviral therapy is carried out with the help of drugs based on nucleosides and interferon. Long-term ignoring symptoms and no treatment can lead to neglected cirrhosis, and, as a result, to the need for liver transplant.

Liver diseases are treated only under the control of the specialist.

Cirrhosis

The inflammatory disease of the chronic liver, in which an irreversible change in the organ epithelium occurs, as a result of the substitution of parenchymal tissue on the connecting fibers (scars). The volumes of healthy tissues are reduced and the liver stops working in normal mode.

The reasons for the development of cirrhosis include:

• viral hepatitis
• long consumption of alcohol,
• badda Kiaari syndrome,
• severe chemical poisoning
• launched pathology bile ducts.

Cirrhosis pain is severe and has a pulsating, sharp character. Increase with exercise, deep breath and change of the position of the body. Besides pain in the side of the right, cirrhosis is characterized Feeling bitterness in the mouth, the jaggility of the skin, a sharp decline in weight, violation of the chair (diarrhea and flatulence).

Diagnose cirrhosis can be diagnosed with a comprehensive examination, which includes:

• blood chemistry,
• tissue biopsy

Treatment It is appointed by a hepatologist to the doctor and is to eliminate the causes of the disease, compliance with a strict diet and abandoning alcohol. The launched stages of the cirrhosis require urgent transplantation of the donor organ, otherwise the liver will fully lose their performance and will come out.

If the treatment of cirrhosis start on time, the probability of a favorable outcome increases several times.

Diseases of the gallbladder

Gallbladder is a small organ digestive systemLocated under the biscuits. The main function of this organ is to accumulate and remove the bile (fluid that contributes to the absorption of fats and promotion of food on the gastrointestinal tract). To the diseases of the gallbladder, which are characterized by pain syndrome in the hypochondrium on the right include:

Dyskinesia gallbladder

The disease of the gallbladder, in which the contractile ability of the organ walls is reduced and the processes of removal of bile are violated. As a result, the bile is accumulated in the body.

Dyskinesia reasons include:

• not proper nutrition (the predominance of oily / fried food, egg yolks),
• chronic
• stress
• climax in women
• hormonal disbalance.

Distinguish two forms of this disease:

• hyperkinetic (increase in the frequency of abbreviations of the organ)
• hykokinatic (decrease in the frequency of organ reduction).

Pains for dyskinesia gallbladder have a short-term and pulsating character. Strengthen after consuming oily or acute food. In addition to severe pain in the right hypochondrium discinesia is characterized The appearance of bitter taste in the mouth, nausea, decay forces, diarrhea and flatulence.

You can diagnose dyskinesia gallbladder using:

• biochemical analysis of blood,
• duodenal sensing.

Treatmentit is appointed by a gastroenterologist to the doctor and is the observance of the diet, the use of choleretic drugs, antispasmodics and physiotherapy procedures. If the disease is not treated, complications may occur, incl. leading to removal of the organ.

Cholelithiasis

The disease in which stones are formed in the bustling bubble and bile ducts. To basic reasons Ball-name disease belongs to the long-term accumulation of bile in the cavity of the organ and an increase in the concentration of mineral salts in the composition of bile due to violations exchange processes in organism. Stones are formed from large bile particles that can not leave the gallbubel independently.

Pains for grooming diseases are characterized Periodic colic attacks that are accompanied by a sharp pulsating pain to the right of the abdomen. Strengthen after consuming oily or acute food, pressure, tilt forward and to the parties. In addition to severe pain in front of the right hypochondrium, bile disease is manifested by nausea, diarrhea, indispensable, meteorism.

• biochemical analysis of blood,
• cholecystocholangiography.

Treatment It is appointed by a gastroenterologist as a doctor and is to remove or destroy stones, compliance with a strict diet, receiving anti-inflammatory drugs. It is possible to remove the stones using lithotripsy, dissolving by stones with acids and surgical intervention. The absence of treatment can lead to an increase in pain and inflammation of the gallbladder with subsequent removal of the organ.

Acute cholecystitis

The acute disease of the gallbladder, in which the rapid inflammation of the walls of the organ develops. To basic reasons Acute cholecystitis relates the blockage of bile ducts by stones and the ingress of infection that causes inflammation (streptococcal, intestinal, staphylococcal).

Strong pain under cholecystitis occurs in the right hypochondrium and has a constant, pressing character. Increase with a sharp breath and after eating fried or fatty food, egg yolks.

In addition to characteristic pain, cholecystitis is accompanied by:

• nausea
• violation of the chair (diarrhea or constipation),
• meteorism
• believed
• bitter taste in the mouth,
• increase temperature.

Diagnose This disease can be used using biochemical blood tests, ultrasound of the gallbladder and ducts. Treatment It is appointed by the doctor a gastroenterologist and lies in the removal of inflammation, the purification of the stomach and intestines, the reception of spasmolitics, compliance with the strict diet. In some cases, a cholecystectomy procedure is carried out (a needle is inserted into the gallbub, through which the stagnant bile).

Launched cholecystitis can lead to an increase in pain and subsequent removal of the organ.

Diseases of the diaphragm

The diaphragm is a muscular partition that separates the organs abdominal cavity from chest. The diaphragm is under the ribs (below the lungs) and participates in the process of breathing, expanding when inhaling. The pain on the right in the hypochondrium can cause the following diaphragm pathologies:

The disease at which penetration occurs internal organs From the chest to the abdominal cavity and vice versa. For reasons for occurrence The hernia belongs a congenital or acquired defect of the internal organs: short esophagus, the weakness of the muscles of the diaphragm. When hernia reaches large sizes (up to 5 cm) pain in the field of solar plexus, which are given to the region of the right hypochondrium. The pain has a periodic, pressing character. Enharged with a sharp breath, the slope forward and pressing the area under the ribs.

In addition to painful syndrome, in the right hypochondrium may occur:

• dyspnea,
• heaviness after eating
• lack of oxygen.

Diagnose The hernia of the diaphragm can be using ultrasound and MRI. Treatment This disease is engaged in the surgeon. Eliminate the defect can only be surgically.

If the disease is not treated, the hernia reaches huge sizes and will interfere with the functioning of neighboring organs.

Diafragmatitis

The disease in which the outer sheath of the diaphragm is inflamed - pleura. The source of inflammation It is an abscess of the abdominal cavity, peritonitis or other inflammatory gastrointestinal diseases. The pain in diaphragmmatite occurs when breathing (inhale / exhale) and has a good character. Enhances when changing the position of the body (turns to the side).

In addition to pain syndrome, the following symptoms may be present.:

• increased temperature
• pulmonary edema,
• bloating,
• difficulties with breathing (it is impossible to breathe full of breasts).

Treatment is appointed The surgeon is the anti-inflammatory therapy and the removal of the edema. Lack of treatment can lead to suffocation.

Diseases of the twelfth intestine

The twelfth intestine is located between the stomach and the small intestine. In the cavity of this intestine, food is splitting on proteins, fats and carbohydrates with the help of enzymes isolated by the pancreas. Pain in the field of right hypochondrium in front can be caused by the following pathologies of the twelfth intestine:

Ulcer

The disease in which ranks or ulcers are formed in the intestinal walls. The culprit of the weakening of the protective functions of the twelfth intersection are Helicobacter Pylori microbes, which destroy the mucous membrane, forming ulcers. This microbe can be found in every second inhabitant of the planet, but ulcerative disease I am striking not all.

The reasons for the activation of the microbe include:

• misuse
• stress
• alcohol abuse, fat / fried food,

Strong pain with ulcerative disease is localized in the hypochondrium and has a permanent and more character. Strengthens when pressed and after drinking alcohol.

In addition to severe pain in the field of right hypochondrium, ulcer causes:

• nausea
• loss of appetite,
• weight reduction
• chalch problems.

Treatment of ulcersit is appointed by a gastroenterologist and is to restore the intestinal walls, the destruction of the bacterium and the observance of the diet. If the ulcer is not treated, the risk of spreading and peritonitis will arise.

Chronic duodenit

The disease at which the inflammation of the twelfth intestine occurs. Duodenitis it may proceed both in acute and chronic form. For reasons This disease includes improper nutrition (excess of fried and oily foods) and alcohol abuse. Pain with duodenitis is localized in the area of \u200b\u200bthe right hypochondrium and has a dilapidative character. Enharged when turning and slopes of the body to the parties.

In addition to characteristic pain in the hypochondrium duodenit causes:

• permanent nausea
• indigestion,
• violation of the chair (diarrhea and meteorism).

Duodenitium treatmentit is appointed by a gastroenterologist and is in compliance with a strict diet, restoring the intestinal microflora and the normalization of digestion processes. If duodenitis is not treated, ulcer may occur.

Diseases of the pancreas

Pancreas is an organ of gastrointestinal tract, participating in the development of digestive enzymes that help food to be absorbed by the body. In addition to active participation in the processes of digestion, this body produces a hormone insulin, from which the blood sugar level depends.

Pancreatitis

The disease at which inflammation of the pancreas occurs. Disease it may proceed both in acute and chronic form.

For the reasons of pancreatitis include:

• diseases of the duodenal intestine,
• traumatting belly
• glice invasions,
• hepatitis,
• piggy,
• hereditary predisposition.

Pain with pancreatitis is localized in the field of the left hypochondrium, with the exception of inflammation of the pancreas head, since in this situation the pain gives right.

The pain has a hay and sharp character. Also pancreatitis is accompanied by:

• nausea
• diarrhea
• vomit
• general weakness
• dizziness.

Diagnostics It is carried out with the help of ultrasound, two-handed palpation, blood and feces analysis. Treatment Pancreatitis is prescribed by a gastroenterologist and is to eliminate primary disease, diet, restoring intestinal microflora and digestive normalization.

If pancreatitis is not treated, cholecystitis, ulcer or peritonitis will arise.

Pain because of helminths

Askaridoz

The disease in which the intestine is affected by the largest helminths ascaris. The maximum length of these worms can reach 15 cm. Delighted in the delicate departments, do not cause symptoms in the rear pass area. Infection occurs when the larvae or eggs Askarid is hit in the body.

To the main reasons of ascarideosis It is possible to attract the use of unwashed vegetables and fruits into food, which were in contact with animal feces.

Pains with a given disease are localized in the right hypochondrium, and have a permanent, suitable character.

In addition to painful sensations, ascaridosis is characterized by:

• increased appetite
• weight decrease,
• nausea
• diarrhea.

Diagnosed With the help of feces and biochemical blood test. Treatment Conducted by drug drugs. If the ascaridosis is not treated, helminths penetrate the inside of the organs and break their work.

Giardiasis

Pain with giardiasis is localized at the top of the abdomen, giving up the right hypochondrium. Pain syndrome is enhanced with inflammation and acute giardiasis.

Also this disease is accompanied by:

• vomit
• nausea
• rash on the skin
• harsh slimming.

Giardiasis is diagnosed Using feces analysis. Treatment It is the observance of the diet, the use of medicines, the restoration of the intestinal microflora. Why Giardia settled in the small intestine, only the doctor will be able to answer after the examination.

Below

Diseases of the subtle intestine

In the small intestine, the process of cleavage of complex substances on simpler and their subsequent absorption into the blood is occurring. The walls of the small intestine are absorbed from food. Useful minerals, vitamins and salts that are the main building material for the human body.

Chronic enteritis

The inflammatory disease of the small intestine at which the digestive function is disruption. The main reason Inflammation are pathogens infectious diseases intestines (Rotavirus, Dieseneria, Iracinia, Salmonella).

Chronic process develops after acute infection, When the pathogen is defeated. Pain in chronic enteritis occurs in the area of \u200b\u200bthe right side below the Ryube and have a pulsating, pressing character. Strengthen when inhaling and after consuming oily / fried food.

In addition to characteristic pain, enteritis is accompanied by:

• bloating,
• chalk problems (diarrhea, constipation, meteorism),
• sharp weight loss
• impairment of potency in men.

Diagnose chronic enteritis can be using:

• absorption tests
• bacteriological analysis of feces,
• biochemical analysis of blood,
• endoscopic research.

And it is to eliminate infection, restoration of intestinal functions (treatment of dysbacteriosis), diet observance.

If enteritis does not treat, the intestinal obstruction will arise and peritonitis.

Gluten enteropathy (celiac disease)

Congenital disease In which the peptidase enzyme is lacking, which is involved in gluten cleavage. As a result of this disease on the walls of the small intestine, it turns out toxic effects from unsecured enzymes, the shell of the intestine is thinned and damaged by violating the processes of digestion.

Pains for gluten enteropathy arise in the right side below the edge and have a new, permanent character. Enhance with a sharp breath, tilt forward and after eating products containing gluten (pasta, bakery and other products containing grain crops). In addition to characteristic pain, enteropathy is accompanied by a constant nausea and strong diarrhea.

You can diagnose this disease using:

• biochemical analysis of blood,
• absorption tests.

Treatment is appointed by a gastroenterologistand it is to restore the intestinal functions and observing a strict diet, which eliminates gluten. If the disease is not treated, peritonitis will develop.

Appendicitis

Chronic appendicitis

The disease at which a worm-shaped process is periodically inflated under the influence of external or internal factors.

The reasons for chronic appendicitis include:

• sluggish infection
• spikes and scars on the walls of the body,
• misuse
• alcohol and smoking abuse.

The pain has a newer, pressing character and is localized in the Right Bock area below the Röbeber, giving up in the hypochondrium. Pain feelings are enhanced after physical exercise, slopes left / right.

Diagnostics are carried outusing radiography, ultrasound, blood test. Treatment Conducts a gastroenterologist and surgeon. As a rule, with a long chronic process, the appendix is \u200b\u200bremoved.

Acute appendicitis

The disease at which the acute inflammation of the appendix occurs. The pain has a cutting, parlorious character and is localized at the bottom of the abdomen on the right, giving up to the region of the hypochondrium. In addition to painful syndrome in the hypochondrium, acute appendicitis is accompanied:

• increased body temperature
• nausea
• vomit
• diarrhea
• loss of consciousness.

Diagnostics are carried outwith the help of two-handed palpation, blood test and ultrasound. Acute appendicitis it is treated only by removal Inflamed appendix. Why appendix inflamed, only a doctor after examination can say.

The absence of timely medical care can lead to peritonitis, internal bleeding and fatal outcome.

Women's and male diseases

Pain in the right hypochondrium may arise due to gynecological problems and urological. The diseases of the female sexual sphere, which cause this symptom, include the cyst of the ovary, ectopic pregnancy, tumors of appendages. Diseases of the male genital sphere include prostate adenoma, prostatitis, inflammation or tear of the egg. As a rule, pain in these diseases is localized at the bottom of the abdomen, but they can spread throughout the abdomen, giving up the right hypochondrium.

If there are suspicions of sexual diseases, women need to contact the gynecologist, and men to the urologist.

The pain in the right side of the back appears is also a sufficient frequent guest and can be caused by diseases of the lungs, musculoskeletal apparatus, kidneys and urinary system. Pains in the field of right hypochondrium in pathology of light (tuberculosis, bronchitis, inflammation) are distinguished by the impact of the chest. And the gain of pain can be seen when coughing attacks and deep breathing. The pain syndrome in osteochondrosis occurs during inclons and corners of the body. Pain strengthening can be seen when the vertebral or nervous ending in the right edge is frowning. In the pathology of the kidneys (pyelonephritis), the pain has a sinking character and gives to the area of \u200b\u200bthe tailbone.

In this article, only a small part of the diseases, in which pain appears in the right side, but even this small list shows that it is not for the signals from the body.. For any similar symptoms, it is necessary to urgently consult a doctor, since the delay can lead to irreversible consequences, such as the need to remove the organ, and, as a result, shopful deterioration Quality of life, disability, the obligation of drug use is the remainder of life.

The feeling of feeling pain in this area is a common complaint, while they may be the main evidence of the presence of a variety of diseases or disturb healthy people, for example, after excessive motor or physical exertion, especially when conducting a sedentary lifestyle.

Where is the right hypochondrium?

Initially, a person must understand where the right hypochondrium is located, the topographic anatomy gives a clear answer to this question: this area is a plot that is located on the front side of the abdominal wall.

At the same time, the following zones are limited from different sides:

1. The uppermost boundary is the fifth edge.
2. The lower boundary is the appropriate edge of the rib arc.
3. The inner border passes along the vertical line, which crosses the lower edge point.
4. The outer boundary is determined by the same imaginary vertical line, only it passes through the protrusion of the pelvic bone.
5. If it is necessary to extend the lower border through the back area, it crosses the twelfth edge and the third vertebra located in the lumbar department.

Types of pain in the right hypochondrium

Painful manifestations arising in this area are not the same type and can be different. This feature is very important because depending on the specifics of sensations may depend on the preliminary diagnosis.

In most cases, pain in the right hypochondrium is the following:

Oh read here.

Localization of pain

Pain in the right hypochondrior

Another important feature of pain, which can help in the diagnosis, is their localization. Usually the reason is the defeat or violation of the process of functioning of internal organswhich are closestly located to this area.

Therefore, in most cases, the pain in front is a sign of the following diseases:

1. Hepatitis regardless of their origin.
2. Cirrhosis of the liver, The consisting of the mass death of its cells, which causes a significant change in the structure of this internal organ to form nodes. The disease can develop independently or be a consequence of available hepatitis.
3. Hepatic Cancer Cancer, very similar to primary symptoms with cirrhosis of the liver, which sometimes makes it difficult to formulate the faithful diagnosis.
4. Echinococcosis, Which is the formation of cysts with an internal content of liquid type, is a fairly common liver disease, affecting in most cases its right area.
5. Heart failurerelating to the stagnant type and leading to the deterioration of blood circulation process, which affects the health of many internal organs, including liver.
6. Appendicitis, coliti of different types or intestinal tumor. In most cases, they are accompanied by a complex disorder of the digestive system and cause actually unbearable pain.
7. A variety of diseases affecting the gallbladder.

Oh read here.

Pain in the right hypochondrium from behind

The occurrence of pain in the rear of the right hypochondrium is usually a sign of completely different varieties of diseases.

The most common diagnoses that are in this case are shown below:

1. Urolithiasis diseaseAs well as other diseases affecting the right kidney. The pain is usually very strong and can be given to the thigh or genitals.
2. Pyelonephritis, which is an acute inflammatory process in the kidney, is most often infectious. The pain at the same time is accompanied by too frequent urination, discomfort after them, the emergence of false urges and the formation of edema.
3. Neshricons of kidney nipples It occurs in the blockage of blood vessels, which leads to a lack of oxygen to the tissues of this organ, and due to such starvation it is destroyed at the cellular level. In the risk group, there are usually people who have been diagnosed with diabetes.
4. Development of malignant neoplasms in the kidney, pain symptomatics usually begins to manifest in later stages.
5. Development of malignant neoplasms in the right adrenal gland, Usually pain symptoms manifests itself with pretty large tumors.
6. Strong bruises of rear rib segments.
7. Neuralgic manifestationswhich most often consist in muscle inflammation.
8. ShinglesIf he managed to hit the nerves in the relevant area. The disease usually has characteristic dermatological symptoms, so its diagnosis does not cause difficulties.
9. Hollow Thrombosislocated at the bottom, usually expressed painful sensationstransmitted to the lumbar department, but this disease is quite rare.

Oh read here.

The emergence of pain in the right hypochondrium

In many cases, patients notice systematically in the manifestation of pain If they arise in any particular period or after making any actions. This is necessary to immediately inform the specialist, since such features often simplify the diagnosis.

The pain occurring at a certain time can be attributed to the various diseases:

1. Sometimes pain arise immediately after meals, Since this process stimulates the allocation of bile in the body, as well as the heated blood flow. The manifestation of pain in such a period may indicate pathological processes in the intestines, liver or bustling bubble. The specialist puts the accurate diagnosis with the type of pain, as well as the results of the analyzes and other studies.
2. The occurrence of pain after strong physical exertion It happens when hepatitis, finding the liver in a stagnant state or cirrhosis. Such symptoms may be caused by a conventional shake, which arises, for example, when in public transport.
3. It happens that the pain is significantly enhanced when performing a strong breathSimilar sensations may be accompanied by a feeling of nausea or abundant vomiting. In most cases, this is a sign of the exacerbation of cholecystitis or start-up peritonitis of local type. If the sensations described do not pass, and the body temperature begins in the patient, then immediate appeal is required for professional medical help.

Causes of pain

The article has already contained information on possible diagnoses in the occurrence of pain in certain areas of the right hypochondrium, below are given. general reasonswhich can cause similar symptoms:

1. Diseases of infectious or non-infectious type, affecting the liver.
2. Any cardiovascular diseases that negatively affect the process of blood circulation.
3. Any diseases affecting the rimming intestine.
4. Any diseases affecting the right kidney or adrenal gland from the same side.
5. The occurrence of tumors or diseases affecting the activities of the gallbladder.
6. Pathological processes in the right side of the diaphragm.
7. Fractures strong bruises or other damage to the lower edges.
8. Defeats of various muscle groups, pinching intercostal nerves and other causes of neuralgic type.
9. Some dermatological diseases, such as listened.
10. Any surgical states of a person who specialists are united by the "sharp belly" called.
11. Some vessel blocking options in the lower veins.

At the same time, pains can be tormented by a person only for a certain time, the causes of such periodic sensations in most cases is gastritis, ulcer or navel colic. Such features of manifestation cannot be observed in violation of the reductions of biliary tract, inflammation of the intestinal mucosa, lowering the blood pressure of the gallbladder, of some gynecological diseases or ectopic pregnancy, since pain in such situations will be constant.

What to do when pain under the right edge?

In the event of pain in this area, it is necessary immediately apply for professional medical care. Such symptomatics may indicate a wide variety of illnesses, and the diagnosis is quite complicated, so any self-medication can cause irreparable harm to health.

The challenge of specialists must be promptly performed in the following situations that may indicate a person in critical condition:

1. Acute pain that arose suddenly and without visible reasons.
2. Preservation of pain throughout the hour.
3. The preservation of pain for half an hour when performing movements.
4. Accompanying pain of diarrhea, nausea or vomiting.

Diagnosis of pain under the right edge

In other situations where the challenge to the "ambulance" house is not required, it will be necessary to turn to the therapist in the district clinic. He will hold a primary visual inspection and assign the tests of tests, after which the patient will be pre-diagnosed.

Before it is set, you must necessarily go through the following surveys:

1. External inspection of the skin to eliminate the presence of dermatological diseases Or damage to fungal formations, which at certain stages can affect and affect the nerve endings.
2. Inspection of the language and eye, as well as the assignment of additional analyzes, if their condition is recognized as unsatisfactory.
3. Implementation of the diagnosis of ultrasound type.
4. Treating the abdominal area.

To confirm it, the therapist will write down the direction to gastroenterologist, surgeon, cardiologist, endocrinologist, infectious background or other highly specialized physician depending on the available suspicions. A further examination will be appointed further examination and re-passing analyzes or has been prescribed treatment, if a preliminary diagnosis made by the therapist will be confirmed.

To simplify the diagnostic process, you must immediately provide the doctor with the following information:

1. The presence or absence of chronic diseases of any type.
2. Details of the usual diet and recent changes, if they were introduced into it.
3. Recently transferred surgical interventions.
4. Recently suffered injuries or suspicion of them.
5. The frequency of manifestation of pain and their character.
6. Lifestyle and familiar physical activity.

Treatment of pain in the right hypochondrium

The absence of qualified medical care or improper self-treatment can lead to the most terrible consequences, including death of man. For this reason, it is not recommended to try to diagnose yourself and diagnose, as well as assign yourself therapy.

However, if the pain is unbearable, then before the visit to the doctor or the arrival of the ambulance brigade, pain symptoms can be reduced by the following methods:

1. Reception anesthetics pharmacological preparations . To this extent, it is recommended to resort only in extreme cases when the pain is very strong, as this may complicate the diagnosis process by a specialist.
2. Failure to eat, with any fat, fried or sharp dishes must be completely excluded From the diet for the entire period of treatment, especially if the disease is associated with the functioning of the gallbladder or liver.
3. With pain in the liver high efficiency Special mixture is distinguishedwhich is prepared by mixing in equal proportions of any genuine variety of honey, olive oil and fresh lemon juice. In the absence of any ingredient, ordinary honey with the addition of cinnamon in it will also help reduce pain.
4. Applying cold compress to the place in which the pain is localized. At the same time, it is categorical forbidden to make warm or hot bonds, as well as in other ways to provide thermal impact on such places, as this may lead to the most serious and severe complications.
5. Cooking and using potato decoction helpsIf the cause of pain is a malfunction in the work of the gallbladder.

However, it is necessary to remember that all these measures are directed only to eliminate the main symptoms, to put an accurate diagnosis and only a specialist can be prescribed.

The pain in the right side under the ribs can be a symptom of a wide range of diseases, as in this abdominal quadrant there is a large number of vital organs: liver, kidney, gallbladder, duodenal intestine and pancreas.
In some cases, the right side can give pain from the diaphragm or the small intestine. Due to the fact that the hypochondrium is permeated with a plurality of nerve endings and muscle fibers, painful sensations are characterized by intensity and sharpness. To form an accurate diagnosis, it is necessary to describe the symptoms as possible and indicate the exact location of pain.

Localization and pain character

On the primary inspection, the therapist determines the possible disease using the two-handed palpation of the abdomen. Depending on the location of the localization and nature of pain, the doctor may assume that the internal body is damaged and requires additional diagnosis. To do this, the patient must specify the place of the most intense pain: front, side or rear.

In front and side under ribs

Liver diseases

The liver pathology is most often the cause of pain in the right side, since this body takes almost the entire cavity in the right hypochondrium. The liver is a vital organ that performs the role of a filter that cleans the body from harmful substances. The most common diseases of the liver, which are characterized by pain in the side of the right relate to the following diseases:

Hepatitis

Infective liver disease caused by hepatitis a, b, c, d viruses. Infection occurs with parenteral way (through blood), mainly when using syringes with infected needles. Also hepatitis is transmitted during childbirth from the mother to the child and during sexual contact.

This pathology may flow both in acute and chronic form. Hepatitis pain has a stupid, new, pressing character and localized the right side under the ribs. Increase with a sharp breath, tilt forward or pressing on the stomach.

In addition to painful syndrome, hepatitis has a number of characteristic symptoms:

the jaggility of the skin, constant nausea, general weakness and dizziness, no appetite.

It is possible to determine the presence of hepatitis virus in the body using blood test. Hepatologists (in chronic form) and infectiousists (in the acute course of the disease) are engaged in the treatment of the liver. Hepatitis treatment should be directed to the destruction of the virus and restoring the liver tissues (cirrhosis prevention). Antiviral therapy is carried out with the help of drugs based on nucleosides and interferon. Long-term ignoring symptoms and no treatment can lead to neglected cirrhosis, and, as a result, to the need for liver transplant.

Liver diseases are treated only under the control of the specialist.

Cirrhosis

The inflammatory disease of the chronic liver, in which an irreversible change in the organ epithelium occurs, as a result of the substitution of parenchymal tissue on the connecting fibers (scars). The volumes of healthy tissues are reduced and the liver stops working in normal mode.

The reasons for the development of cirrhosis include:

viral hepatitis, long-term use of alcohol, Badda Kiaari syndrome, heavy chemical poisoning, launched pathology of bile ducts.

Cirrhosis pain is severe and has a pulsating, sharp character. Increase with exercise, deep breath and change of the position of the body. In addition to pain in the side of the right, cirrhosis is characterized by a feeling of bitterness in the mouth, the jaggility of the skin, a sharp weight loss, a violation of the chair (diarrhea and flatulence).

Diagnose cirrhosis can be diagnosed with a comprehensive examination, which includes:

biochemical blood test, ultrasound, tissue biopsy, coagulogram, CT.

Treatment is appointed by a doctor with a hepatologist and is to eliminate the causes of the disease, compliance with a strict diet and abandonment of alcohol. The launched stages of the cirrhosis require urgent transplantation of the donor organ, otherwise the liver will fully lose their performance and will come out.

If the treatment of cirrhosis start on time, the probability of a favorable outcome increases several times.

Diseases of the gallbladder

The gallbladder is a small organ of the digestive system located under the biscuits. The main function of this organ is to accumulate and remove the bile (fluid that contributes to the absorption of fats and promotion of food on the gastrointestinal tract). To the diseases of the gallbladder, which are characterized by pain syndrome in the hypochondrium on the right include:

Dyskinesia gallbladder

The disease of the gallbladder, in which the contractile ability of the organ walls is reduced and the processes of removal of bile are violated. As a result, the bile is accumulated in the body.

Dyskinesia reasons include:

incorrect meals (the predominance of oily / fried food, egg yolks), chronic diseases of the gastrointestinal tract, stress, climax in women, hormonal failure.

Distinguish two forms of this disease:

hyperkinetic (increase in the frequency of abbreviations of the organ) hypokinetic (decrease in the frequency of contraction of the organ).

Pains for dyskinesia gallbladder have a short-term and pulsating character. Strengthen after consuming oily or acute food. In addition to severe pain in the right hypochondrium dyskinesia, it is characterized by the appearance of bitter taste in the mouth, nausea, decay forces, diarrhea and flatulence.

You can diagnose dyskinesia gallbladder using:

biochemical analysis of blood, ultrasound, duodenal sensing.

The treatment is appointed by a gastroenterologist and is to comply with the diet, the use of choleretic drugs, antispasmodics and physiotherapy procedures. If the disease is not treated, complications may occur, incl. leading to removal of the organ.

Cholelithiasis

The disease in which stones are formed in the bustling bubble and bile ducts. The main reasons for gallpoint disease include a long-term accumulation of bile in the cavity of the organ and an increase in the concentration of mineral salts in the composition of bile due to violation of metabolic processes in the body. Stones are formed from large bile particles that can not leave the gallbubel independently.

Pains for bricken disease are characterized by periodic colic attacks, which are accompanied by a sharp pulsating pain to the right of the abdomen. Strengthen after consuming oily or acute food, pressure, tilt forward and to the parties. In addition to severe pain in front of the right hypochondrium, bile disease is manifested by nausea, diarrhea, indispensable, meteorism.

biochemical analysis of blood, ultrasound, cholecystocholangiography.

Treatment is appointed by a gastroenterologist's doctor and is to remove or destroy stones, compliance with a strict diet, receiving anti-inflammatory drugs. It is possible to remove the stones using lithotripsy, dissolving by stones with acids and surgical intervention. The absence of treatment can lead to an increase in pain and inflammation of the gallbladder with subsequent removal of the organ.

Acute cholecystitis

The acute disease of the gallbladder, in which the rapid inflammation of the walls of the organ develops. The main reasons of acute cholecystitis include the blockage of bile ducts by stones and the ingress of infection causing inflammation (streptococcal, intestinal, staphylococcus).

Strong pain under cholecystitis occurs in the right hypochondrium and has a constant, pressing character. Increase with a sharp breath and after eating fried or fatty food, egg yolks.

In addition to characteristic pain, cholecystitis is accompanied by:

nausea, violation of the chair (diarrhea or constipation), meteorism, belching, bitterness taste in the mouth, increase the temperature.

You can diagnose this disease using biochemical analysis of blood, ultrasound of the gallbladder and ducts. Treatment is appointed by a gastroenterologist's doctor and lies in the removal of inflammation, the purification of the stomach and intestines, the reception of spasmolitics, compliance with the strict diet. In some cases, a cholecystectomy procedure is carried out (a needle is inserted into the gallbub, through which the stagnant bile).

Launched cholecystitis can lead to an increase in pain and subsequent removal of the organ.

Diseases of the diaphragm

The diaphragm is a muscle partition that separates the abdominal organs from the chest. The diaphragm is under the ribs (below the lungs) and participates in the process of breathing, expanding when inhaling. The pain on the right in the hypochondrium can cause the following diaphragm pathologies:

Hernia diaphragm

The disease in which the penetration of internal organs of the chest into the abdominal cavity is occurring and vice versa. The reasons for the occurrence of hernia include a congenital or acquired defect of the internal organs: a short esophagus, the weakness of the muscles of the diaphragm. When hernia reaches large sizes (up to 5 cm) pain in the field of solar plexus, which are given to the region of the right hypochondrium. The pain has a periodic, pressing character. Enharged with a sharp breath, the slope forward and pressing the area under the ribs.

In addition to painful syndrome, in the right hypochondrium may occur:

dyspnea, severity after eating, bloating, lack of oxygen.

You can diagnose the hernia of the diaphragm using ultrasound and MRI. The treatment of this disease is engaged in the surgeon. Eliminate the defect can only be surgically.

If the disease is not treated, the hernia reaches huge sizes and will interfere with the functioning of neighboring organs.

Diafragmatitis

The disease in which the outer sheath of the diaphragm is inflamed - pleura. The source of inflammation is the abscess of the abdominal cavity, peritonitis or other inflammatory diseases of the gastrointestinal tract. The pain in diaphragmmatite occurs when breathing (inhale / exhale) and has a good character. Enhances when changing the position of the body (turns to the side).

In addition to pain syndrome, the following symptoms may be present:

increased temperature, edema, swelling of the abdomen, difficulty with breathing (it is impossible to breathe full of breasts).

The treatment is appointed by the surgeon and is in anti-inflammatory therapy and the removal of the edema. Lack of treatment can lead to suffocation.

Diseases of the twelfth intestine

The twelfth intestine is located between the stomach and the small intestine. In the cavity of this intestine, food is splitting on proteins, fats and carbohydrates with the help of enzymes isolated by the pancreas. Pain in the field of right hypochondrium in front can be caused by the following pathologies of the twelfth intestine:

Ulcer

The disease in which ranks or ulcers are formed in the intestinal walls. The culprit of the weakening of the protective functions of the twelfth intersection are Helicobacter Pylori microbes, which destroy the mucous membrane, forming ulcers. This microbe can be found from each second inhabitant of the planet, but ulcerative illness is far from all.

The reasons for the activation of the microbe include:

improper nutrition, stress, alcohol abuse, oily / fried food, hereditary predisposition.

Strong pain with ulcerative disease is localized in the hypochondrium and has a permanent and more character. Strengthens when pressed and after drinking alcohol.

In addition to severe pain in the field of right hypochondrium, ulcer causes:

nausea, loss of appetite, reduction weight, chalk problem.

Treatment of ulcers is prescribed by a gastroenterologist and is to restore the walls of the intestine, the destruction of the bacterium and the observance of the diet. If the ulcer is not treated, the risk of spreading and peritonitis will arise.

Chronic duodenit

The disease at which the inflammation of the twelfth intestine occurs. Duodenitis can flow both in acute and chronic form. The reasons for this disease include improper nutrition (excess of fried and oily food) and alcohol abuse. Pain with duodenitis is localized in the area of \u200b\u200bthe right hypochondrium and has a dilapidative character. Enharged when turning and slopes of the body to the parties.

In addition to characteristic pain in the hypochondrium duodenit causes:

permanent nausea, indignant, stool violation (diarrhea and meteorism).

Duodenitis treatment is appointed by a gastroenterologist and is in compliance with the strict diet, restoring the intestinal microflora and the normalization of digestion processes. If duodenitis is not treated, ulcer may occur.

Diseases of the pancreas

Pancreas is an organ of gastrointestinal tract, participating in the development of digestive enzymes that help food to be absorbed by the body. In addition to active participation in the processes of digestion, this body produces a hormone insulin, from which the blood sugar level depends.

Pancreatitis

The disease at which inflammation of the pancreas occurs. The disease can proceed both in acute and chronic form.

For the reasons of pancreatitis include:

domestic diseases, injury injury, wicked invasion, hepatitis, pig, hereditary predisposition.

Pain with pancreatitis is localized in the field of the left hypochondrium, with the exception of inflammation of the pancreas head, since in this situation the pain gives right.

The pain has a hay and sharp character. Also pancreatitis is accompanied by:

nausea, diarrhea, vomiting, total weakness, dizziness.

Diagnostics is carried out using ultrasound, two-handed palpation, blood test and feces. Treatment of pancreatitis is appointed by a gastroenterologist and is to eliminate the primary disease, the observance of the diet, the restoration of the intestinal microflora and the normalization of digestion.

If pancreatitis is not treated, cholecystitis, ulcer or peritonitis will arise.

Pain because of helminths

Askaridoz

The disease in which the intestine is affected by the largest helminths ascaris. The maximum length of these worms can reach 15 cm. Delighted in the delicate departments, do not cause symptoms in the rear pass area. Infection occurs when the larvae or eggs Askarid is hit in the body.

The main reasons for Askaridoz can be attributed to the food of unwashed vegetables and fruits, which were in contact with animal feces.

Pains with a given disease are localized in the right hypochondrium, and have a permanent, suitable character.

In addition to painful sensations, ascaridosis is characterized by:

increased appetite, weight reduction, nausea, diarrhea.

Diagnosed with the help of feces and biochemical blood test. Treatment is carried out by drugs. If the ascaridosis is not treated, helminths penetrate the inside of the organs and break their work.

Giardiasis

Pain with giardiasis is localized at the top of the abdomen, giving up the right hypochondrium. Pain syndrome is enhanced with inflammation and acute giardiasis.

Also this disease is accompanied by:

vomiting, nausea, rash on the skin, sharp weight loss.

Giardiasis is diagnosed with Kala analysis. Treatment is to comply with the diet, the use of medicines, restoring the intestinal microflora. Why Giardia settled in the small intestine, only the doctor will be able to answer after the examination.

Below

Diseases of the subtle intestine

In the small intestine, the process of cleavage of complex substances on simpler and their subsequent absorption into the blood is occurring. The walls of the small intestine are absorbed from food. Useful minerals, vitamins and salts that are the main building material for the human body.

Chronic enteritis

The inflammatory disease of the small intestine at which the digestive function is disruption. The main cause of inflammation is the pathogens of the infectious diseases of the intestine (rotaviruses, dysentery, Iracinia, Salmonella).

The chronic process develops after an acute infection when the pathogen is defeated. Pain in chronic enteritis occurs in the area of \u200b\u200bthe right side below the Ryube and have a pulsating, pressing character. Strengthen when inhaling and after consuming oily / fried food.

In addition to characteristic pain, enteritis is accompanied by:

swimming belly, chairs (diarrhea, constipation, flatulence), a sharp weight loss, a deterioration in the potency in men.

Diagnose chronic enteritis can be using:

coprograms, absorption tests, bacteriological analysis of feces, biochemical analysis of blood, endoscopic study.

Treatment is prescribed by a gastroenterologist and is to eliminate infection, restoration of intestinal functions (treatment of dysbacteriosis), diet observance.

If enteritis does not treat, the intestinal obstruction will arise and peritonitis.

Gluten enteropathy (celiac disease)

An innode disease in which the peptidase enzyme is lacking, which is involved in gluten cleavage. As a result of this disease on the walls of the small intestine, it turns out toxic effects from unsecured enzymes, the shell of the intestine is thinned and damaged by violating the processes of digestion.

Pains for gluten enteropathy arise in the right side below the edge and have a new, permanent character. Enhance with a sharp breath, tilt forward and after eating products containing gluten (pasta, bakery and other products containing grain crops). In addition to characteristic pain, enteropathy is accompanied by a constant nausea and strong diarrhea.

You can diagnose this disease using:

Ultrasound, biochemical analysis of blood, absorption tests.

Treatment is appointed by a gastroenterologist and is to restore intestinal functions and observing a strict diet that eliminates gluten. If the disease is not treated, peritonitis will develop.

Appendicitis

Chronic appendicitis

The disease at which a worm-shaped process is periodically inflated under the influence of external or internal factors.

The reasons for chronic appendicitis include:

slogish infection, spikes and scars on the walls of the organ, improper nutrition, alcohol and smoking abuse.

The pain has a newer, pressing character and is localized in the Right Bock area below the Röbeber, giving up in the hypochondrium. Pain sensations are enhanced after physical exercises, slopes left / right.

Diagnosis is carried out using radiography, ultrasound, blood test. The treatment holds a gastroenterologist and surgeon. As a rule, with a long chronic process, the appendix is \u200b\u200bremoved.

Acute appendicitis

The disease at which the acute inflammation of the appendix occurs. The pain has a cutting, parlorious character and is localized at the bottom of the abdomen on the right, giving up to the region of the hypochondrium. In addition to painful syndrome in the hypochondrium, acute appendicitis is accompanied by:

increased body temperature, nausea, vomiting, diarrhea, loss of consciousness.

Diagnosis is carried out using two-handed palpation, blood test and ultrasound. Acute appendicitis is treated only by removing the inflamed appendix. Why appendix inflamed, only a doctor after examination can say.

The absence of timely medical care can lead to peritonitis, internal bleeding and fatal outcome.

Women's and male diseases

Pain in the right hypochondrium may arise due to gynecological problems in women and urologicalities in men. The diseases of the female sexual sphere, which cause this symptom, include the cyst of the ovary, ectopic pregnancy, tumors of appendages. Diseases of the male genital sphere include prostate adenoma, prostatitis, inflammation or tear of the egg. As a rule, pain in these diseases is localized at the bottom of the abdomen, but they can spread throughout the abdomen, giving up the right hypochondrium.

If there are suspicions of sexual diseases, women need to contact the gynecologist, and men to the urologist.

Rear

The pain in the right side of the back appears is also a sufficient frequent guest and can be caused by diseases of the lungs, musculoskeletal apparatus, kidneys and urinary system. Pains in the field of right hypochondrium in pathology of light (tuberculosis, bronchitis, inflammation) are distinguished by the impact of the chest. And the gain of pain can be seen when coughing attacks and deep breathing. The pain syndrome in osteochondrosis occurs during inclons and corners of the body. Pain strengthening can be seen when the vertebral or nervous ending in the right edge is frowning. In the pathology of the kidneys (pyelonephritis), the pain has a sinking character and gives to the area of \u200b\u200bthe tailbone.

This article discusses only a small part of the diseases, in which pain appears in the right side, but even this small list shows that it is not for the signals from the body. With any similar symptoms, it is urgent to consult a doctor, since the delay can lead to irreversible consequences, such as the need to remove the organ, and, as a result, a sharp deterioration in the quality of life, disability, the obligation of drug use is the remaining life.

Do you still seem to cure a stomach and intestines hard?

Judging by the fact that you are currently reading these lines - the victory in the fight against diseases of the gastrointestinal tract is not yet on your side ...

And you already thought about surgery? It is understandable, because the stomach is a very important body, and its proper functioning of health and well-being. Frequent pain in the stomach, heartburn, blown, belching, nausea, violation of the chair ... All these symptoms are familiar with you do not care.

But it is possible to more correctly treated, but the reason? Here is the story of Galina Savina, how she got rid of all these unpleasant symptoms ... Read Article \u003e\u003e\u003e

Any pain arising in the hypochondrium on the right side is a reason to draw close attention to this close attention and to blame the frequency of its appearance and intensity. Ignoring abdominal pain under the right edge and relieving it for a short time with the help of analgesic means leads to the further development of possible serious pathological conditions and time loss for the start of therapy.

First place out possible causes Pain in the right side under the fins in front occupy a gall-eyed disease and problems of biliary tract, the second - pathological processes in the liver and swelling with a shortage of blood supply to this organ.

In medicine, they are involved in injury, kidney breakdowns, gallbladder, liver, colon. Pains are often intolerances.

Additional symptoms in these cases:

the initial increase in heartbeat and further bradycardia; abundant sweat; Cold leather limbs; a sharp drop in blood pressure up to the occurrence of pain; Violation of the functioning of the organs.

If a person falls, then with cirrhosis or damage to the tissue of the liver pain become stronger.

Acute purulent inflammation of the gallbladder, appendicitis, acute pancreatitis, the intestine penetration often generate intense, intolerable pains that irradiate into the epigastric zone or to the region of the right blade.

At the same time, it is observed:

abundant sweating; reflex stress of abdominum muscles in the form of a protective reaction; high temperatures chills; frequent vomiting without facilitating the patient's condition; Shock state from strong painful irritation.

Pains are spastic in character with high intensity.

Additional symptoms:

long funding states; Dyspnea, sharp drop arterial pressure, dizziness, skin pallor and mucous membranes, weakness, rapid pulse; The accumulation of exudate in the abdomen cavity, the purchase of a yellow tint of the skin, scool and mucous membranes.

The liver vessel thrombosis is characterized by intolerable pains with returns to the blade zone.

With this form of infarction, burning, compressive pain in the epigastric zone and right side under the ribs, irradiating to the blade or in the progress area. They are often confused with gastric pains. They are wave-like with a decrease and sharp gain.

strong pallor; arrhythmia, tachycardia or bradycardia; Pressure drop to loss of consciousness; possible shock; The increase in the liver, swelling in the abdomen, on the ankles, the presence of exudate in the peritonean cavity.

The nature of the pain: sharp unbearable, amplifying when stretching the intestine. They lead to painful shock if the peritonean irritation begin. Apply to the entire right side to the umbilical area and groin.

Pain in the first stage focus under the right edge front, gradually dropping to the iliac region.

Additional symptoms:

temperature rise; Possible nausea and vomiting.

If the inflammation is sharp, the most likely intense stuffing, cutting pain under the ribs on the right side of the front. They can cause a moving stone, with difficulty passing through the lumen of the duct, or pathogenic bacteria.

Features: Painfulness is a grapple-shaped character with irradiation into the muscles of the right shoulder. Accompanied by vomiting with bile, bitterness in the mouth, air beloved. Possible rise temperature to subfebrile.

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

Chronic cholecystitis of any genesis is characterized by stupid, buttering pain. They can radiate in the blade.

Additional symptoms: in the mornings in the mouth, the unpleasant bitterness, light nausea and the bloating of the stomach and intestines. At the same time, the skin and eye proteins usually have a small yellowish tint, and the patient does not perceive fat or fried food. There are stuck pain after making food.

The character of pain: protracted sawing or stupid, accompanied by severity due to edema and filling the liver blood.

Features of the clinical picture: Pains are accompanied by intoxication of the body and dyspeptic manifestations in the form of vomiting. Leather, mucous membranes and eye sclers become yellowish with a lemon shade. Urine darkens, feces blew and swelling on yellow or light clay. After eating on the side of the liver, the mischievous pain arise.

Features: With cirrhosis, abdominal pain in the right hypochondrium is stubborn in nature. There is a clear sweeping of the liver, the spleen, the intense itching of the choming genesis occurs, the yellow color of the skin, the palms is blushing.

It is an arrangement of a cyst, which causes helistic-echinococcus. The wedge of cysts threatens the development of a destructive liver abscess. At the same time, an increase in pain, a cruel chill, a significant increase in pulse, a strong increase in the liver.

Intense, sharp pains bringing to a shock state. Pallor, sweating, frequent urination.

There is a suddenly arising cutting pain that a man tries to learn, pouring his legs to the stomach.

Additional symptoms for peptic ulcer:

nausea, vomiting; burning in epigastria, bumping with sour content.

The pain is more often spasmodic, accompanied by constipation, diarrhea, bloody, flatulence. After eating - grabs-shaped. In case of Crohn's disease, ulcerative colitis pain torments the patient not only in the right side, but also the lower abdomen, accompanied by bloating.

Adrenal tumors give birth to constant tedious pain.

Such pains can accompany the inflammatory process in the lungs.

In case of infectious damage to the right easier due to pneumonia and pleurite, a staging pain may appear on the right. When inhaling, laughing or cough, it becomes stronger.

Usually this accompany this:

temperature increase; severe general weakness; cough dry or wet (even rare); Reducing the unpleasant sensations in the right side of the right side.

If the patient suffers from the ulcerative lesion of the stomach on the right side, as a rule, the pain concentrates on the right, capturing the back and the zone area. When you press the painful area of \u200b\u200bpain, they decrease slightly, so sitting squatting or lying on the stomach, a person feels better.

With cholecystitis, hepatitis, when the liver is increased in size, when pressed, pain under the edges on the right side will increase in front, becoming more intense and acute.

Paints in the right side from above can be a sign of not only pathological conditions, but also to appear for natural reasons.

Many complain that stinging pains arise in the right hypochondrium when running or fast walking. If such symptoms appear infrequently, it is similar to the physiological tension of the ligaments of the liver when loading and shaking. In case of frequent repetitions of such pain, it is necessary to undergo a survey about the possible development of gallstone disease.

During pregnancy, healthy young women can also appear painful sensations to the right in the field of liver. This is due to the rapidly growing uterus, which puts pressure on all the organs surrounding it, under the gallbladder.

If nausea does not occur, bitterness in the mouth, bloating, gravity, then this phenomenon is mechanical and non-hazardous. But the constant appearance of such symptoms can signal the violation of the bore function.

First of all, when acute pain appears:

immediately call the ambulance brigade; Do not try to cope with pain, taking antispasmodic drugs or analgesics that smooth clinical picture states requiring immediate surgical care or intensive therapy in the hospital; In no case do not apply warming compresses and heating, which can lead to internal bleeding or gap of an incidental abscess (for example, in appendicitis),

If there is no indication for the immediate hospitalization of the patient, then the ambulance doctor will simply transmit a patient under the control of the therapist clinics for diagnosing and choosing a treatment regimen.

To understand why pains in the right hypochondrium arise, they should be observed for their character, dynamics and a place of concentration. The main thing is to help yourself in a timely manner, contacting the therapist for advice, and carry out all the necessary surveys.

What can hurt in the right hypochondrium, find out from the video.

What can be evidenced by severe pain in the right hypochondrium? Paints that are localized under the two lower ribs on the right side of the abdomen may indicate inflammatory processes and pathologies of organs located in this area. The 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. Pains are projected on this area during the damage to the kidneys, a thick and small intestine. However, discomfort can be caused by other reasons, only a specialist can identify them and appoint appropriate treatment.

• Show all

  Provoking factors

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

  An unpleasant feeling and tingling under the bottom ribs are sometimes noted after eating, physical exertion, sexual intercourse, almost always pain occurs when injury to the abdomen and chest or internal bleeding.

  In case of exacerbation of the existing inflammatory process or pathology of the internal organs of pain of different strength and nature, may appear as a reaction to the reception of certain medicinal preparations and additives or use of some foods. Chronic diseases make themselves known during the off-season, with the decline of forces, decrease immunity, long-term emotional and physical overwork, hormonal changes and other states.

  One of the mains preventive Mer In order to avoid pain in the right hypochondrium, as well as other diseases, is the timely identification of even minor discomfort and appeal to a specialist. In the presence of chronic inflammatory processes and pathologies, recommendations should be followed regarding the nutritional mode, permissible duration and nature of physical exertion, receiving medicines.

  

  Possible causes of exacerbation of diseases for which the painful sensations of various forces are characterized, localized mainly in the right hypochondrium: neglect of the Specialist Councils.

  

  Localization of pain

  Discomfort in the right hypochondrium may indicate a large number various diseasesSo it is often not possible to determine the accurate diagnosis of this symptom possible even for a qualified specialist. This area is located under the two lower ribs on the right side of the body, may hurt from behind or in front

  Significantly narrowing the range of diseases, one of the signs of which may be pain in the right hypochondrium, allows the definition of the nature and specific localization of pain. To solve this problem, additional research, laboratory tests, inspection and patient survey during the reception, acquaintance of the attending physician with the history of the disease (medical card) of the patient.

  

  Thus, the discomfort in the front of the body under the bottom edges may indicate the pathologies of the liver, diseases of the gallbladder, some variants of myocardial infarction, intestinal diseases, accompanied by flatulence and certain other states. Rear from the right pain is localized with urolithiasis, acute infectious inflammation of the right kidney, osteochondrosis, adrenal diseases, pathologies of intercostal nerves or lower veins. Discomfort from the back often appears at various mechanical damage (fracture of lower edges, cracks).

  

  Character of discomfort

  Pain in the right side under the ribs can have a different character. Nighting unpleasant sensations are characteristic of chronic diseases, stupid pulsating pain appears in disorders of the stomach and kidneys, cholecystitis, osteochondrosis, damage and injuries of ribs, tumors or light colitons.

  

  Acute unbearable pain in the right side of the abdomen under the bottom ribs can be a result of a serious injury. Often strong discomfort, accompanied by vomiting, falling blood pressure, fainting and pre-corrupt states, leads to pain. Such a state requires emergency medical care to the surgical intervention, as it can lead to a fatal outcome. In medical practice, acute abdominal pain and the symptoms associated with it unite the concept of "sharp belly."

  In rare cases, stole pain and acute unpleasant sensations, accompanied by vomiting, can be a manifestation of pseudoabdomominal syndrome characteristic of acute forms Gastritis, myocardial infarction, pneumonia, pyelonephritis. Such states do not require operational intervention and are treated in the traditional way.

  The severity under the edges testifies to the edematous states of the liver, some forms of heart failure and chronic cholecystitis, hepatitis, the pathologies of biliary tract. In most cases, gastroenterological diseases are caused by the sensation of gravity in the right hypochondrium.

  

  

  Related symptoms

  Pain in the right hypochondrium is rarely an independent symptom. In the overwhelming 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 can be:

  • nausea and vomiting;
  • signs of intoxication of the body (high temperature, sweating, decay of forces, etc.);
  • disorders of the digestive system (diarrhea, bloating, etc.);
  • drowsiness, fatigue, weakness;
  • reduced or increase blood pressure on the norm;
  • disturbances;
  • pain in the heart;
  • dizziness, fainting;
  • frequency frequency of heartbeat;
  • bleeding of mucous membranes;
  • yellowing of skin;
  • difficult urination, cutting and itching;
  • redness of the skin in the field of ribs, rash;
  • abundant discharge from the vagina;
  • respiratory spasm, cough and many others depending on the specifics of the existing disease.

  

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

  What could mean pain in the right hypochondrium?

  Pain in the right hypochondrium can be a sign of many diseases and means exacerbation chronic pathologyThe occurrence of urgent states is sometimes appearing during remission due to the negative impact of certain provoking factors.

  Most often, with discomfort in the right side in the lower edge area, one or more of a certain set of pathologies is diagnosed, and the rest are rare. The most common causes of painful sensations of various nature are injuries, diseases of the gastrointestinal tract, the pathological states of the gallbladder and bile ducts or inflammation of the urogenital system. The accompanying symptoms of pain in the right hypochondrium are so diverse that discomfort can even testify about heart pathologies, diseases of the respiratory system, minor spine injuries - these states are diagnosed somewhat less often.

  Cholecystitis

  Frequent cause of pain in the right hypochondrium is cholecystitis - inflammatory disease bladder, developing in acute or chronic form. Discomfort under the lower ribs with cholecystitis has a strong snatch (during exacerbations) or novice (when chronic flow) Integrity and appears due to bladder spasms. The pain is sharp, is given to the area of \u200b\u200bthe loin, the blades and shoulder in the right side of the body, whine spin, sides, discomfort appears after meals. Sometimes the patient may experience so strong discomfort that pain shock leads to loss of consciousness.

  Cholecystitis in the acute stage of the disease is characterized by bloating, the feeling of bitterness and the metal taste in the mouth, the appearance of belching, the disorder of the chair, irritability, sleep disorders and the symptoms of intoxication of the body. During the exacerbations, the patient experiences colic, the pain increases with inhale, belching or after some time after meals, and it lasts more than a few hours.

  

  To relieve symptoms, specialists appoint antispasmodics. In addition, the patient is shown bed regime. The cholecystitis of compliance with a special diet, antibiotics, physiotherapeutic procedures, mineral water treatment (sanatorium treatment) and other methods at the discretion of the doctor. In some cases, surgical intervention may be required (to remove stones or the greek bubble).

  Cholelithiasis

  Discomfort in the right hypochondrium is a characteristic symptom Gallgamed disease, i.e. stones formation in the bustling bubble as a result of violation of metabolic processes or functions of the organs of the biliary system. Ball-name disease can be a complication of other diseases (for example chronic cholecystitis, exchange-endocrine disorders or problems of the nervous regulation of the liver and biliary ways).

  Other symptoms of the formation of stones in the kidneys, liver or bladder:

  • difficult or impossible urination (if the stone overlaps the biliary ways, urgent surgical intervention is required);
  • painful sensations and cutting in the urethra;
  • yellowing of skin and scool eyes;
  • nausea and vomiting, which accompany constant butter, stupid pains in the right hypochondrium;
  • headache, weakness, temperature rise.

  

  Medical therapy is subject to only small stones (up to 1.5 cm) in the bustling bubble, and it is effective for such treatment only in 50% of cases. The launched form of the disease requires surgical intervention, often the operation is the only resulting method of treatment, since even after successfully dissolving stones by pharmacological preparations, the disease is prone to relapses.

  Stomach and duodenal ulcers

  Painful sensations in the field of two lower ribs on the right side of the body are typical for the stomach and duodenal ulcers. Character, frequency, strength and localization of pain in this disease depend on many factors, discomfort may appear not only after eating or physical exertion, but also at night or on an empty stomach.

  

  The ulcer of the stomach and duodenum is characterized next symptoms: The patient has heartburn, belching, nausea and "sour" vomiting, which bring a minor relief, the temperature rises, tachycardia (rapid heartbeat) appears, digestion disorders (diarrhea, constipation), decay of strength and irritability.

  Sometimes the disease proceeds asymptomatic, which complicates somewhat timely diagnosis. In the launched form, bleeding may occur, a hazardous complication of ulcers is peritonitis, requiring urgent surgery.

  Complications of the disease and occurrence of acute states that require emergency medical care, with a stomach and duodenal ulcer can be avoided, following the recommendations of the attending physician, adhering to a special power, dosage and medication schemes.

  

  Inflammation of the pancreas

  Driving, pulling pain in the hypochondrium on the right, which can be confused with a sign food poisoning, It is a non-clear typical symptom of inflammation of the pancreas (pancreatitis).

  

  The disease is characterized by a decrease in the mass of the body of the patient, the bloating, disorders of digestion, intoxication of the organism, increased fatigue, skin symptoms (pallor, sinusia, or the jaundice of the skin), manifestations "syndrome chronic fatigue", nausea and vomiting, and vomiting does not bring facilitations to the patient. Related chronic pancreatitis Diseases are often diabetes mellitus and jaundice.

  The diagram of the treatment of inflammation of the pancreas is based on the relief of symptoms in exacerbation of the disease, as well as supporting therapy: the patient shows a special power mode, the reception of some pharmacological preparations for the prevention of the active phase of pancreatitis, the refusal of smoking and consumption alcoholic beverages, physiotherapeutic procedures, sanatorium treatment (if possible).

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

  

  Suspected hepatitis

  It often hurts under the right edge with inflammatory processes and necrosis, localized in the liver - hepatitis. The disease is provoked by a number of reasons: it is also alcohol abuse, and a continuous negative impact on the liver of some drugs, and hereditary predisposition, and complications of other pathologies.

  When hepatitis pain in the right hypochondrium pulling, arise skin itch, nausea, vomiting, intolerance of severe fatty food, intoxication (temperature rise, weakness, drowsiness, reduction of immunity and general tone of the body), are possible standard for most diseases of the digestive disorder, spasm. One of characteristic signs Hepatitis, as well as general lesions of the liver, is the yellowing of the skin and the scool of the eye, the disruption of the work or the liver condition (the liver has increased, disturbed bile outflow, etc.).

  

  Hepatitis therapy implies a complete elimination or reduction of the inflammatory process in the liver and preventing the occurrence of complications (pathology can switch to cirrhosis of the liver or cancer). Improvements are achieved complex treatmentwhich implies the reception of drugs, measures aimed at general strengthening immunity, as well as ordering the patient's lifestyle: proper nutrition with special recommendations regarding the number of food meals and the composition of the menu, the occupation of accurate sports, rejection of bad habits.

  Other reasons

  Other diseases and pathologies, the symptom of which can be including painful sensations of various nature in the field of lower edges on the right side of the body, are as follows:

  • from the digestive system: gastritis, ulcerative disease, various inflammatory processes, intestinal obstruction, colitis, pancreatitis, spasms and pains, imitating gynecological diseases, peritonitis, etc.;
  • from the nervous system: squeezing the nerve endings, which are in the intercostal space (intercostal neuralgia), sliding herpes, characterized by sharp pains, the appearance of rashes, skin itch;
  • from the respiratory system: pneumonia (lung inflammation) or bronchitis in acute or chronic flow - cough provokes respiratory spasms, which are given to painful sensations in the right hypochondrium;
  • from the side of the urinary system: pyelonephritis with defeat predominantly the right kidney (otherwise pain is localized on the left side, and not in the field of lower ribs on the right), kidney colic, stones;
  • from the liver: liver dystrophy, cirrhosis, abscess, hepatitis A, B, C and other, heart failure, accompanied by blood stagnation in the liver, and other chronic diseases and acute inflammatory processes;
  • inflammation of the appendages of the uterus, osteochondrosis, appendicitis, etc.

  

  When will the disease can be considered an option for the norm?

  In some cases, discomfort in the field of lower edges 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 an option for the norm. In this case, the patient does not have pronounced concomitant symptoms, and the pains are quickly passing.

  

  Sometimes a staging pain in the right hypochondrium occurs after exercise. Discomfort appears after especially intensive training, when neglecting a warm-up or resumption of occupations after a break. Such unpleasant sensations of characters for beginners in almost any sport involving active movement.

  The nature of the origin of pain in this case is such: the physical activity stimulates the emission of the adrenaline hormone, which, in turn, reduces the tone of biliary ducts, leads to a filling of the liver with blood and its stretching, as a result, a non-monitoring person feels a penny pain in the right side, which originates most often in Running time.

  Healthy people have discomfort can also appear after taking oily or heavy food, especially in large quantities. Overbinding, besides pain in the stomach, it raises the increase in heartbeat, drowsiness, sometimes felt nausea. Unpleasant sensations, as a rule, pass within 1-3 hours.

  

  A separate category of patients who complain about pain in the right hypochondrium, but at the same time do not experience other symptoms of various diseases, make up women. The representatives of the fine sex, the unpleasant sensations in the field of right hypochondrium may appear during menstruation, after sexual intercourse, when taking hormonal contraceptives or during pregnancy. In this case, pain is explained by the physiological characteristics of the structure of the female organism and do not require special treatment.

  Which specialist to contact?

  With unpleasant sensations localized under the two lower ribs on the right side of the body, behind or in front, you should seek advice primarily to the therapist. Medic a wide profile based on inspection and patient survey, familiarization with a medical card (history history), holding additional diagnostic examinations and laboratory tests, character determining, localization of pain and accompanying symptoms will make a preliminary conclusion and direct the patient to a specialized doctor.

  

  Therapy of pain in the right hypochondrium and other symptoms characteristic of diseases of discomfort can be carried out by a gastroenterologist, an endocrineologist, an infectiousness, a traumatologist, a surgeon, a cardiologist, a nephrologist, a gynecologist, a urologist or several specialists at the same time. The profile of the attending physician is determined by a specific diagnosis posed by the patient with complaints of pain on the right side of the body under the two lower ribs.

  Relief and removal of pain syndrome

  The pain in the right hypochondrium is a symptom of any disease occurring in acute or chronic form, and not independent pathology. That is why it is necessary not only to stop strong painful sensations of emergency measures during exacerbations, but also to conduct comprehensive therapy existing pathological process. To remove acute pain syndrome with extreme caution in cases where the specific diagnosis is not fully found out.

  

  What if it hurts to the right under the ribs, and there is no opportunity to consult a doctor? It is categorically impossible to warm the sick place. At home to temporarily reduce pain in the right hypochondrium, you can use the most common antispasmodics: these drugs are released without a recipe, do not have pronounced side Effects Under dosage, they are quite effective and have minor restrictions (many painners should be applied only after the recommendation of the doctor during pregnancy). Preparations of but-shpa, Papaverin, Drozerin Forte and similar antispasmodics come to relieve pain.

  Important! Do not abuse painkillers and pull on a visit to the therapist.Deletion and improper or insufficient therapy may lead to a significant deterioration in the state of the patient and complicate further diagnosis of causes of pain in the right hypochondrium.

  Contact a specialist must be necessary in cases where discomfort occurs in a healthy person or during pregnancy. The pain may indicate the presence of hidden diseases (often asymptomatic flow of severe pathological processes), which in the absence of treatment rapidly progress and carry a serious threat to health, and sometimes the patient's life (or during pregnancy, fruit).

  

  Cases of urgent medical care

  Sometimes pain in the right hypochondrium can be one of the signs of states that require emergency medical intervention. Among such dangerous pathologies: the gaps of the internal organs, the "acute belly", internal bleeding. Without delay, the ambulance brigade is necessary if the patient has the following symptoms:

  • the acute pain, unbearable, continues for more than a few minutes (not attacks - spasms characterized by grabs-like pain, and constant significant discomfort);
  • incessant vomiting;
  • fainting and pre-corporate condition;
  • delay or complete impossibility of urination;
  • uterine bleeding;
  • blood in the vomit masses, feces, urine;
  • significant increase in body temperature (above 38.5 ° C);

  Prevention

  Prevention of pain in the right hypochondrium includes timely diagnostics and therapy of diseases, the symptom of which may be similar discomfort, full compliance with the recommendations of the attending physician, maintaining immunity, rational meal, compliance with a special diet, rejection of bad habits and reception of drugs (exclusively on the recommendation specialist).

The pain in the right hypochondrium is a sign of many diseases, therefore, to put an accurate diagnosis Only on the basis of this symptom will not even be able to be an experienced and qualified specialist.

Cause pain syndrome can be completely harmless causes, such as overeating or excessive physical exertion. But more often discomfort in the field of right hypochondrium provokes an inflammatory process, acute and chronic diseases of the digestive, urogenital system, internal organs (liver, kidney), biliary tract.

Why hurts the right hypochondrium, in what cases this symptom does not pose a danger, and in what - does the immediate appeal for medical help? Answers to all questions will find in our material.

Pain under the right hypheree in healthy people

Pain in the right hypochondrium may be caused by a mass of reasons. In some situations, discomfort also appears in completely healthy people: in this case, we are talking about the variant of the physiological norm. However, the problem is often in the development of the pathologies of the gastrointestinal tract and other organs.

Physiological reasons why hurts in the right hypochondrium:

1. Pregnancy. Pregnant women in the third trimester of the uterus are colossable stretched and presses on all organs with which it comes into contact, the intestine, presses the stump and gallbladder. Therefore, for healthy pregnant women, it is completely non-discovering or graceful pain in the right hypochondrium. In addition, progesterone, preserving pregnancy in late terms, expands the gallways and stimulates the stagnation of bile. And if you give physical activity with such a rush, then some discomfort can be felt with a high probability.
2. Pain with exercise. Surely, many have noticed, as after intensive physical activity, there is pain in the right side. This is due to excessive stretching of the liver tissues, which, in turn, is due to a sharp influx of blood to the organ. Especially often this happens after a dense meal. Danger This state does not represent.
3. Pain in women. In the end menstrual cycle Part of women occurs a sharp imbalance between low progesterone and high estrogen, which leads to the spa of the biliary tract and can also cause colic in the right hypochondrium. The reception of hormonal contraceptives may worsen the course of premenstrual syndrome and participate with stabbing pain due to the violation of the passage of bile.

Pathological causes of pain under the right edge

Anatomically the upper right abdominal quadrant includes: liver, gallbladder, part of the diaphragm and thin intestines, duodenal gut, Right kidney, pancreas.

Other reasons

Other diseases and pathologies, the symptom of which can be including painful sensations of various nature in the field of lower edges on the right side of the body, are as follows:

• From the side of the nervous system: squeezing the nerve endings, which are in the intercostal space (intercostal neuralgia), characterized by sharp pains, the appearance of rashes, skin ferry;
• From the digestive system:, peptic disease, various inflammatory processes, intestinal obstruction, colitis, pancreatitis, spasms and pains, imitating gynecological diseases, peritonitis, etc.;
• From the urinary system: with the defeat of predominantly the right kidney (otherwise pain is localized on the left side, and not in the field of the lower ribs on the right), kidney colic, stones;
• From the side of the respiratory system: (inflammation of the lungs) or in an acute or chronic course - cough provokes respiratory spasms, which are given to painful sensations in the right hypochondrium;
• inflammation of the appendages of the uterus, osteochondrosis, appendicitis, etc.
• By the liver: liver, cirrhosis dystrophy, abscess, hepatitis, C and other, accompanied by stagnation of blood in the liver, and other chronic diseases and acute inflammatory processes.

Pain in the right hypochondrium from behind

If the patient complains that behind the right blade hurts, the reasons for this phenomenon can be associated with injuries of the lower edges, the damage to the intercostal nerves. Because of the back of the pain under the right blade from the back and with the defeats of the right kidney, the adrenal gland. The reasons for pain from the back may also be associated with diseases of the lower vein.

1. Urolithiasis disease. Diseases of the right kidney and first of all, urolithiasis disease Create intensive pains. A stone or sand, which began a journey from the renal locher, scratches it, and then a ureter, so the pain in the renal colic will be not only in the projection of the lower edges, but also in the lower back in the side of the abdomen. The pain parcel and strong. She gives out in the thigh, genitals. When the edge of the palm of the lower back, the pain is enhanced and can give in the groin. At the same time, blood traces may appear in the urine. Part of the patients with renal colic accompanies vomiting.
2. Pyelonephritis. The development of acute infectious inflammation of the kidney is accompanied by a soreness in the field of kidneys, intoxication, an increase in temperature. Hurt and urination, periodic false uiles are celebrated, swelling appear on the face.
3. Neshricons of renal papillats. It can be a consequence of oxygen starvation of renal fabric when blocking the vessels that feed it ( infectious agents or for sugar diabetes). In this case, the pain constant is combined with blood in the urine. The patient may die from septic shock.
4. Kidney cancer. This state may not manifest a long time. Nonal pain and bleeding appear already at the last stages of the disease. Sometimes the tumor interferes with an outflow of urine, then an acute pain is observed. The sophistication in the field of hypochondrium is also manifested in tumors of the right adrenal gland, provided that the tumor is large.
5. Acute upper paranefrit. This is the inflammation of the fatty fiber at the top of the kidney against the background of infections from the tonsils, carious teeth or other foci of inflammation. At first there is a temperature of up to 38, moderate back pain on the side of the defeat. After 2-3 days, the pain moves into the right hypochondrium, intensifying with deep breath. Pains in the lower back are enhanced with a sharp straightening of the body and when walking.
6. Intercostal neuralgia. The reason for the person pulls the right side, the intercostal neuralgia may be eager in the field of hypheres. In this state, sometimes pulls from the back, the ribs hurt on both sides in front. In neuralgia, it is strongly tingles in different areas, up to limitation of mobility. The pain becomes stronger with inclons, turns. Also the cause of what suddenly shrouded under the spoon or twitching on both sides, it may be my opinion when the person is inflamed of the muscles.
7. Osteochondrosis lumbar Department. It gives pain of different intensity, which are accompanied by the restriction of mobility, muscle pressure and tension smelt. The pain can be from companies to shooting varying degrees of intensity.
8. Shingles. In this case, herpetic rashes appear along the nerve in the form of bubbles with a turbid liquid, leather blushes. In place of the defeat, it develops itching, burning, pain. This means that you need to contact the dermatologist.
9. Thrombosis of the vein hollow. A rare version of the liner vein thrombosis (when the thrombosis comes from the iliac veins and clogs the main trunk of the vein) gives back pain (right hypochondrium on the side of the back) and the clinic, similar to the late stage of the kidney tumor. If the liver segment is tombed, then intense pains will arise in the right hypochondrium and will give under the right blade. The accumulation of fluid in the abdominal cavity and jaundice will appear.

If the pain in the right hypochondrium

Tingling or acute pain in the right side is manifested due to diseases of those organs that are adjacent in this area. Some states accompanies the pain from the back side, sometimes she keeps up in the shovel, in the kidney, etc. It may also be observed pain in the lungs with a deep breath. With some diagnoses, pain sensations can be periodic, manifest when walking, when coughing. With others - the unpleasant sensations are worried constantly.

1. Hepatitis. Hepatitis viral, alcoholic or toxic give a picture of intoxication (weakness, lethargy, loss of working capacity) and dyspepsia (nausea, loss of appetite, vomiting). In the midst of the disease joins jaundice with a lemon tinge of skin and eye proteins. In the same period, urine acquires the color of beer, and Cal is the color of clay due to violations of the exchange of biliary pigments.
2. Cirrhosis of the liver. In patients with cirrhosis, the death of the liver cells and the change in its structure is noted. People with such a diagnosis hurts in the right side at the level of the waist, sometimes pain is felt and rear. In cirrhosis, a person may notice that it hurts in the right side below the ribs, already at the very beginning of the disease. At the same time, burning in the right side stubborn. In the later stages of cirrhosis, the liver decreases, its performance decreases, the patient develops hepatic comaprobably fatal outcome.
3. Echinococcosis. These are cysts with liquid content, which are caused by worm echinococcus. Cysts are most often located in the right lobe of the liver and, as they grow, squeeze capillaries and intrahepatic bile ducts, causing strong severity in the hypochondrium and uneven increase in liver. If the cyst is incorporated, the cavity is developed filled with pus - the abscess of the liver. In this case, the pain is enhanced, the body temperature rises and inflammation of the peritoneum or even infect blood can develop.
4. Stagnant heart failure. Why worries discomfort in the right hypochondrium in this case, explains the patient's condition. Initially, he worsens blood circulation, as a result, the liver increases, liquid accumulates in the abdominal cavity. There is a pulling pain in the right side, a feeling of gravity. The pulling pain worries as the disease. With abdominal myocardial infarction, the patient is disturbed by a strong, burning pain in the lower section of the right hypochondrium. Sometimes the patient complains that he presses in side. But in some cases, the beginning of the pain sometimes a very sharp, similar to the knife blow, painful sensation is manifested in a shovel, sternum. As a rule, this happens when the rear wall of the heart attacks of the cardiac muscle is developed. Sometimes the patient seems that this pain is manifested by waves: periodically it decreases and enhanced. At the same time, the pallor, disorders of the heart rate, the drop in pressure may be occurring.
5. Diseases of the gallbladder. They give the greatest percentage of intense and sharp (cutting or stitching pains), which are characteristic of acute inflammation. At the same time, it is guilty in inflammation can be a shifting stone, covering the lumen of a cervix or bile duct or bacterial flora. Pain in acute inflammation occurs at the point between the straight muscle of the abdomen on the right and the rib arc. They are captured, strong, give to the right shoulder or left hypochondrium. There may be burglaries in the mouth, exhaust air, nausea and vomiting with bile. Sometimes the body temperature rises. For calculous cholecystitis, the development of a mechanical jaundice with a yellow-green tinge of skin and mucous membranes is typically.

Pain after eating

Eating food accelerates the selection and promotion of bile, increases the blood blaring of the liver and stimulates the intestinal peristaltics. Therefore, the foods are provoked by pain in the pathologies of the liver, gallbladder, intestines.

In this case, the nature of the pain may be different: nausea and pain of a blunt shade are characteristic of cholecystitis, a sharp pain of a spastic nature accompanies colitis and dysbacteriosis of the intestine, stitching pains accompany the dyskinesia of biliary tract or.

After load

An unpleasant feeling in the form of a pulling or stabbing pain occurs after physical loads in people with hepatitis, cirrhosis, stagnant liver. After shaking, the physical exertion may appear. Also, periodic pains for load appear in patients with mosite, intercostal neuralgia, osteochondrosis, a fracture of ribs, vein hollow blood closet.

Pain in acute appendicitis

Appendix is \u200b\u200ba lymphoid body that takes part in the immune defense of the digestive system. Located in the region of the right iliac bone, however, its position is rather changeable. This causes difficulties in the diagnosis of inflammation of the appendix. Appendicitis has its clear stages of development that only surgeon can diagnose.

Are:

1. Spilled pain in the field of navel and stomach;
2. The pain for three hours is localized in the right half of the abdomen;
3. Reducing the painful syndrome in the position lying on the right side;
4. Strengthening pain when walking and lying on the left side;
5. Against the background of pain worsen general well-being, the body temperature rises, vomiting and diarrhea occurs.

In such cases, emergency operational treatment is carried out in a surgical hospital.

Differentiation of pain

Depending on which pain, the patient comes to a doctor with a given problem can be identified, one or other painful sensations are associated with disease.

So, pain in the right hypochondrium, that it can be:

1. Burning pain in the field of right hypochondrium is often the cause of acute cholecystitis.
2. Acute pain in the right hypochondrium is most likely related to the diseases of the gallbladder.
3. Strong pain in the right hypochondrium, as a rule, feels patients suffering from hepatitis.
4. A stupid pain may be a consequence of inflammatory processes in the bustling bubble.
5. Number or reproductive pain can be attributed to the symptoms manifested with dyskinesia of biliary tract.
6. Pulling pain is characteristic of chronic hepatitis.
7. Painting type can be caused chronic diseases pancreas.
8. Pulsing pains are peculiar to patients with pancreatitis diagnosis.
9. A staging pain is observed in patients with the problems of the right kidney.

Also, pain in the right hypochondrium can only be played in the evening or night time. As medical practice shows, constant night pain in this area are often the first sign of the duodenal ulcer.

Diagnostics

With complaints of the doctor on pain in the right hypochondrium, he has the right to appoint:

• blood chemistry;
• analysis of urine samples on bilirubin;
• Abdominal ultrasound

With the uncertainty of the results, MRI may be required, CT emphasis on the study of the abdominal cavity or liver biopsy. And only after receiving all the results of research, the doctor will appoint a course of treatment and diet, and will also determine the need for hospitalization.

How to remove pain?

In order to remove pain, you can drink no-shp, but it is not necessary to abuse anesthetia - it will not be able to correctly establish the cause of intelligence sensations.

Without delay, the ambulance brigade is necessary if the patient has the following symptoms:

• incessant vomiting;
• fainting and pre-corporate condition;
• delay or complete impossibility of urination;
• the acute pain, unbearable, continues for more than a few minutes (not attacks - spasms characterized by grabs-like pain, and constant significant discomfort);
• uterine bleeding;
• blood in the vomit masses, feces, urine;
• significant increase in body temperature (above 38.5 ° C);
• diarrhea or constipation that continue for several days.

If hurts in the right hypochondrium and reasons are clarified, the question remains what to do. The main thing is that the patient should know - under any circumstances should not be engaged in self-medication. The reception of spasmolitics, analgesics and their similar drugs significantly lubricates the picture and complicates the work of the doctor.

The first aid recipes are also ineffective, but also dangerous. In no case cannot be taken alcohol tinctures, laying the heating on the stomach and the like: with unexplained reasons, this may cause a fatal outcome. The main thing is that the patient should be done - consult a doctor. At the same time not necessarily to the district. With intensive pains, you need to contact ambulance.

The treatment is almost always medicated and includes the reception of analgesics, spasmolitics, diuretic drugs, choleretic equipment etc. These medicines are prescribed exclusively by the doctor. Surgical assistance is required in extreme, urgent cases, such as intestinal obstruction, soda ulcers, etc. In all other cases, conservative therapy is shown.

Prevention

Preventive measures to prevent pain syndrome in the right hypochondrium are reduced to complying with the following recommendations:

• reception of medicines only by appointment of a doctor;
• avoiding stressful situations;
• compliance with personal hygiene rules;
• healthy and active lifestyle;
• rejection of bad habits;
• proper and full nutrition;
• use of barrier contraceptives with sexual contacts, rejection of random connections.

Regular passage of medical examination (1 time per year) will prevent or promptly detect any deviations in health and get the necessary treatment.