The pain on the right side radiates to the thigh. Pain in the lower abdomen radiating to the leg: clinical significance of the symptom, causes, treatment

Discomfort in the right side is more common in women than in men. Children are no exception. The pain prevents full movement and is characterized by unpleasant sensations, which indicates pathology. This part of the body is associated with organs in which disorders occur. Why it hurts, how to deal with it, read on.

The nature of the discomfort

Depending on the manifestations of pain, the problem that caused it is distinguished. The duration of sensitivity in the side is:

acute (sudden and unexpected, lasts relatively short time)
chronic (constant, over a long period of time)

Pain feels like:

pulling
aching
stabbing
sharp (dagger)
burning
pulsating
like contractions

By the nature of the attack:

sudden
gradual, constantly increasing

Localization is present:

in the side
above
from below

Discomfort often radiates to other parts of the body:

sacrum
lower back

Symptoms are often accompanied by:

temperature
physical weakness
drowsiness
vomiting
severe dizziness
sweating
pain.

A person may feel like there is pain in one part of the body. But pain can be associated with other organs.

If such manifestations occur, immediately contact a professional. The doctor will answer what is causing the discomfort in the right side. After examination, tests, doctor's appointments, it is possible to get rid of pain. Treatment directly depends on the cause.

If the pain in the right side radiates to the leg, the range of possible pathologies narrows. But a trip to the doctor is not ruled out.

Causes

When the right side is exposed to unpleasant sensitivity, think about the presence of pathologies:

appendicitis
gynecological problems:

adnexitis, inflammation of the fallopian tube (affects the right side)
ovarian diseases (cyst, ovarian rupture)
suppuration of the uterine appendages
fallopian tube torsion

increased pressure of hollow organs
postoperative pathology of the peritoneum
adhesive process
inguinal hernia
ovarian apoplexy

Diseases, what to do with them

The side is disturbing for reasons that lead to serious consequences requiring consultation with a doctor.

Appendicitis. A common disease is called “acute abdomen”. The pain is unbearable. You should not ignore it; consult a doctor immediately. The symptoms do not begin with sharp sensations, then the sensations intensify. This is due to inflammation and stretching of the appendix.

At first it is not possible to determine the location of the pain. Then the sensitivity will become clearer. Subsequently, the unpleasant sensations move lower, radiating to the groin and rectum. The pathology is accompanied by abdominal tension, temperature (up to 39 degrees), vomiting and sweating are not excluded. Often the sensitivity is transferred to the leg. Required specialized treatment(surgical intervention). You cannot ignore the pain; call a doctor immediately.

Increased pressure of hollow organs - increased intracavitary pressure. Accompanied by throbbing pain.

Postoperative pathology of the abdominal cavity. Accompanied by throbbing pain moving to the right lower limb. The resulting pus or blood enters the collections nerve endings legs. The sensations may affect the leg and other areas. Depends on the direction of the accumulated liquid spill.

Suppuration of the uterine appendages. Pulsating sensations in the lower abdomen, with a return to the leg, often indicate a destructive process. The syndrome is often accompanied by fever, nausea, dizziness, and weakness. Cold sweat, increased heart rate, low blood pressure, stool disorders, flatulence. If some of the symptoms are present, discomfort radiates to the lower limb - consult a doctor who will prescribe appropriate treatment.

Inguinal hernia. Accompanied by sharp sensations in the side. Appear after lifting weights or physical stress. Subsequently it radiates to the lower limb. A characteristic sign of the disorder is a protrusion in the side, which disappears in a supine position.

Apoplexy of the ovary. A disease caused by sudden hemorrhage into the ovary. Leads to rupture of the ovary, spilling blood into the abdominal cavity. Women under 40 years of age suffer from apoplexy. More often, disturbances are observed in the right ovary, unpleasant sensitivity and bleeding occur. If bleeding predominates - the anemic form of the disease, the pain is painful.

If symptoms appear in equally, This mixed form diseases. The disease is prone to sudden onset with acute, strong sensations. It often radiates to the lower back, rectum, and thigh. Nausea, vomiting, fainting. Heavy bleeding is accompanied by a decrease in pressure and collapse. The ovary has the shape of a ball. Treated under the guidance of a doctor.

Ovarian cyst. A cavity filled with fluid that can increase the size of the gland. Often the ovary does not hurt. Discomfort manifests itself as follows:

affects the right or left side;
pulling and aching nature of discomfort;
provoked by sexual intercourse;
the analogue is a feeling of heaviness;
menstrual irregularities.

It is possible that the abdomen will become enlarged if the cyst enlarges.

If the cyst is painless, when the pedicle is twisted, expect:

sharp pain in the abdomen and rectum;
nausea, vomiting;
increase in temperature;
pain manifests itself in the right or left ovary;
disturbance of well-being.

If you have symptoms, consult your doctor.

Treatment and contraindications

Self-medication is excluded, it will aggravate the situation and lead to irreparable consequences.

First of all, consult a doctor who will assess the situation and prescribe appropriate treatment;
to relieve pain, do not use hot (heating pad) or cold compresses;
You cannot take painkillers, this will relieve the sensation in the side, but will not get rid of the cause. Having dulled the symptoms, it is more difficult for the doctor to determine what is wrong;
start treatment after determining the diagnosis;
Discuss all manipulations with your doctor.

Unpleasant sensitivity in the side, radiating to the lower limb, is the result of a number of pathologies that require professional treatment. The pain cannot be ignored.

You should consult a doctor. To cope with the symptom, you need to overcome the outbreak. The earlier treatment is prescribed, the more successful the outcome will be. Self-medication is unacceptable. Wrong actions lead to dire consequences. By consulting a doctor, you can cope with the pain and forget about the discomfort.

For example, when a patient has pain on the right side, and this pain is reflected in the leg, the list of possible disorders and diseases narrows, but even so there are many options left.

Appendicitis

When the right side aches and the leg pulls, and with fast and careless movements the pain worsens, it is probably due to inflammation of the appendix. This happens to people of any gender and age, and stagnation of contents in the intestines due to foreign bodies, kinks, fecal retention or enlarged lymphoid structures.

Typically, pain in the right side, radiating to the leg and groin with appendicitis, begins suddenly, and intensifies with coughing, laughing and movements. Additionally, nausea and vomiting, problems with stool (constipation/diarrhea), and a slight increase in temperature may occur. It is important to immediately contact a specialist at the clinic, and if the right side hurts severely and the pain radiates to the leg, it is better to call an ambulance.

Inguinal hernia

In the initial stages of development of an inguinal hernia, a person experiences a nagging pain in the right side, radiating to the groin and leg. A hernia does not form immediately, but as a result of an increase in intra-abdominal pressure: constant straining with constipation, long cough, lifting weights, etc.

Pain in the right side, referred to the leg, is one of the first signs, and there is also slight swelling. The pain is initially aching and dull, but can persist and become constant, and sometimes appears intermittently. When palpating the patient, doctors detect swelling, which can occur in a standing position, and can disappear when taking a lying position.

In the first stages, almost all hernias can be reduced, so if you just start to have pain in your right side, and the pain radiates to your hip, do not hesitate to visit a doctor. If treatment is started, the pain will worsen when walking, and a noticeable bulge will appear on the body. In such situations, it may be impossible to do without surgery.

Urolithiasis disease

The occurrence of pain in the right side at the waist level, radiating to the leg, may indicate stones in the right kidney. Deposits form inside the organ crystal structure. The stones pass into the bladder through the urinary tract, which is very painful.

A patient with stones in the right kidney experiences pain in the hypochondrium, radiating to the leg. At the same time, the color of the urine changes, becoming pinkish or brownish. It also becomes cloudy and smells unpleasant, and additionally nausea and vomiting occur. If the disease has just begun, the pain will be insignificant, slightly radiating to the lower back, and drinking plenty of fluids and taking a painkiller will help get rid of it. In more severe cases, it will not be possible to do without a doctor.

Causes of such pain in women

When women complain of pain in the right side in the front or back of the waist, which radiates to the leg, the cause is probably a right ovarian cyst. A cyst is a sac of fluid that grows and causes discomfort. As a rule, cysts are harmless and sometimes go away on their own, but in some cases they grow and cause pain.

In this case, the pain in the woman’s side is aching and dull. It is localized below the waist and radiates to the legs and lower back. Also, such pain can worsen before and at the end of menstruation. Often, cysts disappear on their own, but it is better to consult a doctor if you are constantly plagued by pain in the right side, reflected in the leg.

The right side gets sick, radiating to the leg, which can result in out intrauterine pregnancy. The pain in this case is very sharp, and sometimes it is mistakenly confused with appendicitis because of its location. In this case, urgent medical consultation to avoid serious consequences, such as rupture of the fallopian tubes with severe bleeding.

Other causes of pain

Among other reasons why there may be pain in the right side, and the pain radiates to the leg, there are other disorders and pathologies in the human body:

Gastrointestinal disorders, including gastritis, colitis and duodenitis. They always cause pain, which can be localized on the right side of the waist, sometimes radiating to the leg.
Various neoplasms on the internal organs of the right side of the abdominal cavity.
Injury Bladder.
Musculoskeletal disorders such as arthrosis, osteochondrosis and vertebral hernia. Among additional symptoms highlight dullness of sensitivity and a feeling of pain in the legs.
Pancreatitis, accompanied by nagging and girdling pain in the right side, often radiating to the leg.
In rare cases, people with diabetes may experience pain from the back around the waist, radiating to the leg. The pain in this case is short-lived and aching, and usually goes away on its own.
Shingles is another cause of discomfort in the right side with pain radiating to the leg. People often get confused similar signs with renal colic or appendicitis, but the doctor can easily distinguish between the diseases.

In each case, the nature of the pain in the waist area on the right, radiating to the leg, is unique. Based on the results of special examinations, doctors determine the root cause of the pain syndrome.

Why does pain in the right side radiate to the leg?

The nature of the discomfort

Depending on the manifestations of pain, the problem that caused it is distinguished. The duration of sensitivity in the side is:

acute (sudden and unexpected, lasts relatively short time)
chronic (constant, over a long period of time)

Pain feels like:

By the nature of the attack:

sudden
gradual, constantly increasing

Discomfort often radiates to other parts of the body:

Symptoms are often accompanied by:

temperature
physical weakness
drowsiness
vomiting
severe dizziness
sweating
pain.

A person may feel like there is pain in one part of the body. But pain can be associated with other organs.

If the pain in the right side radiates to the leg, the range of possible pathologies narrows. But a trip to the doctor is not ruled out.

Causes

When the right side is exposed to unpleasant sensitivity, think about the presence of pathologies:

appendicitis
gynecological problems:

adnexitis, inflammation of the fallopian tube (affects the right side)
ovarian diseases (cyst, ovarian rupture)
suppuration of the uterine appendages
fallopian tube torsion
Diseases, what to do with them
The side is disturbing for reasons that lead to serious consequences requiring consultation with a doctor.
Appendicitis. A common disease is called “acute abdomen”. The pain is unbearable. You should not ignore it; consult a doctor immediately. The symptoms do not begin with sharp sensations, then the sensations intensify. This is due to inflammation and stretching of the appendix.
At first it is not possible to determine the location of the pain. Then the sensitivity will become clearer. Subsequently, the unpleasant sensations move lower, radiating to the groin and rectum. The pathology is accompanied by abdominal tension, temperature (up to 39 degrees), vomiting and sweating are not excluded. Often the sensitivity is transferred to the leg. Specialized treatment (surgery) is required. You cannot ignore the pain; call a doctor immediately.
Increased pressure of hollow organs - increased intracavitary pressure. Accompanied by throbbing pain.
Postoperative pathology of the abdominal cavity. Accompanied by throbbing pain extending to the right lower limb. The resulting pus or blood enters the clusters of nerve endings in the leg. The sensations may affect the leg and other areas. Depends on the direction of the accumulated liquid spill.
Suppuration of the uterine appendages. Pulsating sensations in the lower abdomen, with a return to the leg, often indicate a destructive process. The syndrome is often accompanied by fever, nausea, dizziness, and weakness. Cold sweat, increased heart rate, low blood pressure, stool problems, flatulence. If some of the symptoms are present, discomfort radiates to the lower limb, consult a doctor who will prescribe appropriate treatment.
Inguinal hernia. Accompanied by sharp sensations in the side. Appear after lifting weights or physical stress. Subsequently it radiates to the lower limb. A characteristic sign of the disorder is a protrusion in the side, which disappears in a supine position.
Apoplexy of the ovary. A disease caused by sudden hemorrhage into the ovary. Leads to rupture of the ovary, spilling blood into the abdominal cavity. Women under 40 years of age suffer from apoplexy. More often, disturbances are observed in the right ovary, unpleasant sensitivity and bleeding occur. If bleeding predominates - the anemic form of the disease, the pain is painful.
If the symptoms appear equally, it is a mixed form of the disease. The disease is prone to sudden onset with acute, strong sensations. It often radiates to the lower back, rectum, and thigh. Nausea, vomiting, and fainting cannot be ruled out. Heavy bleeding is accompanied by a decrease in pressure and collapse. The ovary has the shape of a ball. Treated under the guidance of a doctor.
Ovarian cyst. A cavity filled with fluid that can increase the size of the gland. Often the ovary does not hurt. Discomfort manifests itself as follows:
- affects the right or left side;
- pulling and aching nature of discomfort;
- provoked by sexual intercourse;
- the analogue is a feeling of heaviness;
- menstrual irregularities.
It is possible that the abdomen will become enlarged if the cyst enlarges.
If the cyst is painless, when the pedicle is twisted, expect:
- sharp pain in the abdomen and rectum;
- nausea, vomiting;
- increase in temperature;
- pain manifests itself in the right or left ovary;
- disturbance of well-being.
If you have symptoms, consult your doctor.
Treatment and contraindications
Self-medication is excluded, it will aggravate the situation and lead to irreparable consequences.
- First of all, consult a doctor who will assess the situation and prescribe appropriate treatment;
- to relieve pain, do not use hot (heating pad) or cold compresses;
- You cannot take painkillers, this will relieve the sensation in the side, but will not get rid of the cause. Having dulled the symptoms, it is more difficult for the doctor to determine what is wrong;
- start treatment after determining the diagnosis;
- Discuss all manipulations with your doctor.
Unpleasant sensitivity in the side, radiating to the lower limb, is the result of a number of pathologies that require professional treatment. The pain cannot be ignored.
You should consult a doctor. To cope with the symptom, you need to overcome the outbreak. The earlier treatment is prescribed, the more successful the outcome will be. Self-medication is unacceptable. Wrong actions lead to dire consequences. By consulting a doctor, you can cope with the pain and forget about the discomfort.
Why does the right side of the abdomen hurt, ache and ache?
What can hurt in the right side above (under the ribs) and below (behind the pelvic bones)?
What is in the right side: organs and zones
Pain in the right side is formed due to pathological processes that occur in the internal organs. Let's turn to anatomy. There are two cavities in the human body (abdominal, thoracic). They are separated by a diaphragm.
The right side is part of the abdominal cavity, in which the organs of digestion, excretion, reproductive (genital) and endocrine systems are located.
Let us conditionally highlight the lower and upper (subcostal and pelvic) zones in the right side of the body. At the top right is the hypochondrium area. Here are the liver and gall bladder, diaphragm and right kidney with the adrenal gland, as well as the final segment of the small intestine ( ileum). The lungs begin above the right hypochondrium, so sometimes painful sensations may be associated with inflammation of the lower lobe of the right lung.
Bottom right is the pelvic area. Part of the intestine is located here (cecum with appendix and ascending segment of the colon), as well as in women - the right ovary.
Localization of pain and pathology of internal organs
If a person has pain on the right side, in most cases it is associated with pathology of the organs of the right hypochondrium or pelvis. Therefore, let us consider in more detail what type of discomfort sensations correspond to each of the listed organs.
Liver - heaviness and discomfort in the right hypochondrium
Heaviness and discomfort in the right hypochondrium are often associated with stagnation of bile and inflammation. They form pain in the right side under the ribs in front.
Liver pain is accompanied by a bitter taste in the mouth. Yellowness of the skin and various rashes are also possible. Their reason is insufficiently effective blood purification as it passes through the liver, during which existing toxic components are removed from the blood through the skin.
Also hallmark liver pain is that it intensifies during sudden movements and weakens at rest (especially lying on the right side).
Inflammation of the liver can be painless (only a feeling of heaviness) or accompanied by mild pulling sensations. As the condition worsens and stones form in the bladder and bile ducts, severe pain occurs. Strong, sharp, stabbing sensations accompany the movement of stones along the ducts. If the duct is completely blocked and the outflow of bile is blocked, severe bursting pain occurs.
The movement of stones creates attacks of contractions. The peak of pain comes when the duct is blocked by a stone. As soon as the stone moves and partially frees the duct, the attack decreases. Thus, cramping pain indicates gallstone disease.
Pancreas - sometimes pain in the right side at waist level
The pancreas is one of the most important human organs, performing both digestive and endocrine function. It is located in the center and on the left, but with pathology it can create heavy sensations throughout the abdominal cavity. Pain may occur in the right side at waist level. However, more often the pancreas produces unpleasant sensations localized on the left side (to the left of the navel) or girdle pain in the upper abdomen.
Ovaries - pain in the right side of the lower abdomen
Ovary – female reproductive organ, where female reproductive cells (eggs) mature. The two ovaries are located to the right and left of the uterus and are connected to it by the fallopian tubes. When infected, inflammation of one or two ovaries (appendages) is possible.
When the ovary becomes inflamed, edema forms and fluid accumulates. This creates pain in the right side of the lower abdomen (near the iliac bones) and above the pubic bone. Also, the inflamed ovary “gives” to the lower back on the right (from the back below the waist).
In addition to inflammatory processes caused by infection, discomfort may occur due to internal pathology. For example, if there is pain in the right side of the lower abdomen, a cyst may have formed. During its formation, discomfort is felt constantly and intensifies during menstruation.
Also, increased pain during menstruation occurs with endometriosis. With this disease, the mucous epithelium grows outside the uterus. It compresses other tissues and creates aching pain with irrigation (return of unpleasant sensations) into the perineum.
Another reason why a woman’s right side in the lower abdomen aches and hurts is an ectopic pregnancy. If this is the case, then urgent health care to prevent fallopian tube rupture. As pregnancy progresses outside the uterus, the pain will intensify and spread to adjacent areas (rectum, under the scapula).
Note: as a rule, pain in the right side in men is not associated with the genitals. When a testicle is inflamed, men experience pain in the scrotum and perineum, and sometimes in the lower back.
Pain in the lower abdomen is not always associated with the genitals. It may be a consequence intestinal disorders(dysbacteriosis, constipation). Pain in the right side in the lower right can form in the blind or colon(parts of the large intestine) or in acute appendicitis.
Appendicitis - acute pain in the right lower abdomen
The appendix is a small extension of the intestine that is lined lymphoid tissue. When toxins accumulate, it can become inflamed and painful. It is located on the lower right side of the abdomen, so it creates pain on the lower right side and around the navel. The exact location of the appendix can be determined as follows: in the middle between the right ilium and navel. This is where the maximum pain is localized during acute appendicitis. As a rule, inflammation is acute and requires surgical treatment(removal).
In 17% of people, the cecum of the appendix is located differently. It can be turned upward (then the pain occurs in the liver area), lowered to the lower zone of the pelvis (then the pain resembles inflammation of the ovaries, appendages or bladder) or wrapped towards the kidney (this pain radiates to the lower back, groin).
Appendicitis can be recognized by localization and increase in pain, as well as by deterioration of the condition. With each passing hour, the pain intensifies, the nausea becomes stronger, general state getting worse.
In addition, the diagnosis of appendicitis uses light pressure in places where pain is localized. If strong stabbing or cutting sensations occur with light pressure on the abdomen, consult a doctor immediately. A ruptured appendix is life-threatening.
Another option is also used differential diagnosis(to distinguish appendicitis from intestinal colic). Lightly tap the protrusion of the right ilium with your finger. If it is appendicitis, the pain will increase noticeably. If you tap on the left bone, there will be no increase in discomfort.
Intestines - cramping pain in the lower abdomen on the right
The human intestine is a factory for breaking down and assimilating food. It is more than 10 m in length and consists of successive tubular cavities within which food moves. Inner surface various departments The intestine is lined with mucous epithelium. When it is irritated, lesions appear - erosions and ulcers. They cause pain.
Spasms are also the cause of pain in the intestinal area. intestinal walls, dysbacteriosis and flatulence. They are the result of unhealthy diet and stress. The pain migrates. At first, the lower right side hurts, then the discomfort migrates to the pubic bone or to the left side.
On the right side of the lower abdomen is the ileum. If its mucous surface becomes inflamed, then the right side of the abdomen hurts. The cause of inflammation is poor nutrition.
If colitis is in the right side, a spasm of the intestinal walls may occur or an obstruction may form. Often, with obstruction, the pain is localized around the navel and lower abdomen on the right. It is characterized by cramping attacks - a sharp pain in the right side is replaced by weaker painful sensations.
Kidneys - pain on the right behind, radiating to the lower back
Excretory organs (kidneys) – if abnormal, they form pain in the lower back or back. Kidney pain almost always occurs only on one side - right or left. For example, the right side hurts from the back, or aches in the right side at the level of the lower back.
Kidney pain extends below the ribs. It often spreads to neighboring areas - the groin, inner surface hips Dull pain in the lower back on the right side accompanies chronic inflammation kidney (pyelonephritis) and gromerulonephritis. Constant pain is a sign renal failure. Spicy, stabbing pain occurs when the urinary ducts are blocked (by mucus clots, stones, sand).
A distinctive sign of kidney pain is that it is accompanied by urination disorders (a decrease or increase in the volume of urine, the appearance of blood clots in the urine, bags under the eyes).
Pain during pregnancy
Pain in the right side during pregnancy is not always a sign of pathology. In mid-pregnancy, it is associated with stretching of the ligaments holding the uterus. In the later stages – with compression of internal organs. So, the right side feels heavy and hurts during pregnancy, if a woman has problems with gallbladder. And below - it hurts in the center and on the right with insufficient bowel movements.
What happens and what determines the nature of the pain
The nature of the painful sensations (discomfort, tingling, burning, aching or sharp pain, wavy or smooth) depends on the processes occurring inside. Pain is a signal of disturbance; it is formed when there is a lack of oxygen, the accumulation of toxins and the development of edema and inflammation.
Often pain is the result of stagnant processes that form in the internal organs.
Therefore, to eliminate pain, it is often enough to speed up blood circulation, improve blood flow, remove toxins, and provide cells with nutrition and oxygen.
Feeling of heaviness
Feelings of heaviness are the first signal of toxin accumulation. Often heaviness in the right side is associated with the liver and is a sign chronic disorder her work. If bile stagnation or inflammation has formed, the feeling of heaviness intensifies after heavy fried and fatty foods.
Heaviness in the lower abdomen can be a signal of stagnation of feces inside the intestines. This severity is accompanied by chronic constipation.
Nagging pain
With the development of pathology, the severity turns into nagging pain. When does it pull in the right side?
- A nagging pain in the right side occurs when inflammatory processes inside the liver.
- The right side also pulls during viral infections - hepatitis.
- It may pull in the lower right during an ectopic pregnancy (the attachment of an egg in the fallopian tube to the right ovary).
- Pulling sensations during pregnancy are formed during contraction smooth muscle uterus. At the same time, the muscles become hard (to the touch). Long-term nagging pain disrupt the blood supply to the fetus and can cause pathologies in its brain.
Aching pain
Aching pain is a long lasting pain painful sensations. Aching pain often accompanies a sluggish chronic process (inflammation). They also occur when cells are intoxicated (poisoned by their own waste products).
When aching discomfort forms:
- Aching pain in the right side occurs with cholecystitis (inflammation of the bile bladder).
- The lower right side also aches due to inflammation of the walls of the large intestine (colitis).
- Dull aching pain in the right side of the abdomen in women is formed when chronic diseases ovaries (inflammation). In this case, painful sensations often spread to neighboring areas - in the bend between the leg and torso, in the lower back or sacrum.
- Aching pain in the right side behind is formed due to inflammation of the kidneys.
Severe cutting and stabbing pains
Pain accompanies inflammation and pathology. They often occur when the channels or bloodstream become thrombosed. The stabbing, cramping sensations are called colic.
There are intestinal, hepatic and renal colic:
- If the right side hurts under the ribs, then it is hepatic colic. It can spread to the right shoulder blade and shoulder. A bitter taste is sure to form in the mouth.
- If it stings in the lower abdomen, then it is intestinal colic. It is accompanied by flatulence, bloating and is often observed in infants first three months of life.
- In addition, there is so-called rectal colic (cramping, stabbing sensations inside the rectum).
- Renal colic has extensive areas of manifestation - lower back, groin, genitals. Accompanied by a violation of urine excretion (a decrease in its quantity, a change in color, the appearance of a strong odor).
- Appendicular colic – formed when acute manifestation appendicitis.
The question of why the right side hurts does not have a clear answer. There are many reasons for this phenomenon - from disorders of the gallbladder, intestines and liver, to inflammation of the genital organs. A complete examination and diagnosis will help you make an accurate diagnosis.
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Pain in right side
One of the most common and diagnostically important complaints for diseases of the digestive system is pain in the right side. Its correct interpretation sometimes turns out to be very difficult, and sometimes mistakes in their assessment can lead to very serious consequences.
This is explained by the fact that pain in the side occurs not only with various diseases of the digestive organs, but also with diseases of other organs of the abdominal cavity and retroperitoneal space (spleen, kidneys, ureter, bladder, uterine appendages, etc.), diseases of the respiratory system and blood circulation ( acute pneumonia, pleurisy, myocardial infarction), diseases of the abdominal wall (for example, hernia), diseases of the peripheral nervous system(osteochondrosis of the spine, neurosyphilis), blood diseases (porphyria, hemorrhagic vasculitis), collagenoses ( periarteritis nodosa), endocrine diseases(diabetes mellitus), heavy metal poisoning, etc. From here it becomes clear that only a thorough analysis of the pain syndrome with the identification of certain of its features will allow one to avoid an erroneous diagnostic conclusion.
Causes of pain in the right side
Pain in the right side is most often associated with pathology biliary tract(stones, dyskinesia, inflammation - cholangitis, cholangiocholecystitis, cholecystitis) or liver (hepatitis, cirrhosis, liver abscesses or subphrenic abscesses, metastatic lesions of the liver, congestive hepatomegaly), less often - the colon, right kidney, appendix, pancreas.
Besides typical attacks hepatic or biliary colic, with diseases of the biliary tract, mild, non-attacking pain may be observed not only in the right side, but also in the epigastric region, often radiating to the back and under the scapula, as well as dyspeptic symptoms. These pains, unlike peptic ulcers, are usually provoked not just by food, but by taking certain type food (fatty, gas-forming).
Diseases that accompany pain in the right side
Ectopic pregnancy
A very common cause of pain in the right lower abdomen (right side) is an ectopic pregnancy.
This is a pathology in which the fertilized egg is not in the uterus, as with normal pregnancy, but outside of it. For example, in the fallopian tube, as happens in almost 100% of cases during intrauterine pregnancy. As the fertilized egg grows, the tube becomes too small for it and the walls of the tube rupture.
How to recognize an ectopic pregnancy?
This manifests itself first as dull and aching pain in the right side (during the period when the embryo is growing), and then, if the ectopic pregnancy is not diagnosed in time, the pain becomes sharp, very strong, to the point of screaming.
They can discharge into the rectum. This means that the right fallopian tube has ruptured and then the woman’s life is counted down in minutes and hours. Urgent medical attention and surgery are needed. By analogy, with an ectopic pregnancy, pain appears in the left side.
More signs of ectopic pregnancy
Additional symptoms that can help you determine ectopic pregnancy, - delay of menstruation. After diagnosing pregnancy - bloody issues, scanty and sometimes medium concentrations, nausea, weakness. The pain, be careful, can be very sharp and sudden.
If a woman is not helped in time, she may die from an “acute abdomen” and severe loss blood, as doctors characterize this condition.
Inflammation of the right uterine tube
This is also a condition in which pain radiates to the right side from above or below. The pain in this condition is long-lasting, nagging, and does not go away for a long time. This is evidence of inflammation of the right fallopian tube; it is diagnosed as adnexitis.
If the pain is sudden, dagger-like, then it is acute adnexitis, that is, inflammation and changes in the tissues of the fallopian tube are already chronic, the process lasts a long time. This condition takes longer and is more difficult to treat. The pain may radiate to the groin, thigh ( inner side), in the lower abdomen, in the lower back, in the perineum.
Additional symptoms by which adnexitis can be distinguished are purulent discharge from the vagina or discharge in the form of mucus, and the temperature may also rise to several degrees. With suppuration, the pain in the right side can be twitching, does not go away for a long time, it is especially intensified at night. The woman feels weak, there may be vomiting, nausea, headache, irritability.
Pain associated with ovarian diseases
Pain in the right side, which is associated with ovarian diseases, occurs almost instantly. The right side hurts, the pain is localized below. This is the area of the uterine appendages. There the ovarian stalk may be twisted or an ovarian cyst may burst. Also, the cause of sharp, sudden pain can be a cyst or torsion of the fallopian tube.
All these phenomena are very painful and if a woman is not given medical assistance in time, she may die. Surgeon intervention will definitely be required.
Where does the pain come from?
The cause of sharp, sudden pain in the lower right side, pain radiating to the groin and anus, may be a rupture of the ovary. This condition can occur during menstruation, approximately in the middle of the cycle. A woman can die from blood loss if an ambulance is not called in time and the victim is not placed on the operating table.
In addition to severe pain in the right side, the woman’s heat, there may be vaginal discharge. In such cases, you need to act immediately: put cold on your stomach and call a doctor. Under no circumstances should you apply hot compresses or a heating pad - this will aggravate and intensify internal bleeding.
Acute abdomen, or what to do with appendicitis?
Symptoms in which a woman’s lower abdomen hurts so much that she can barely stand it also indicate acute appendicitis. This condition is called acute stomach, that is emergency, in which an immediate call to the doctor is necessary.
The pain may not be as severe at first, but over the course of a few hours or even minutes it can become significantly worse. This means that the appendix is inflamed and stretched, the muscle tissue of the ligaments is inflamed.
At first, a woman may not understand where exactly she has pain - the pain can change location. Then the signature of pain may become clearer. Finally, you can determine exactly what hurts in the upper right side. Time passes, and the pain may sink lower, radiating to the groin and rectum.
Additional symptoms of acute appendicitis are that not only the right side of the abdomen is tense, but also the entire abdominal region, the temperature can rise to 39 degrees or higher, a person may begin to vomit and sweat. In this condition, you should immediately call a doctor.
Acute cholecystitis and cholelithiasis
Most often, pain in the right side with cholecystitis takes a person into its clutches at night, even during sleep. Without getting into the intestines, bile occupies the bile ducts, and this accumulates in them, stretching the lining of the bile ducts. Bile itself is a substance that bakes when it comes into contact with the mucous membrane - it has a salt composition. This makes the pain worse.
It can hurt not only under the right hypochondrium, but also under the shoulder blade, and in the upper abdomen; the pain can radiate to the shoulder, as well as the neck. It is very difficult to get rid of it unless you help the person immediately. In addition to pain, a person is bothered by vomiting, severe nausea, weakness, anxiety.
When the pain in the right side subsides
As soon as the stone passes its path through the bile duct and stops, the bile stabilizes its flow, its level returns to normal, there is no more accumulation of bile, therefore, the pain also gradually subsides. It can stop tormenting a person immediately, unexpectedly, as soon as the stone stops moving along the duct.
There is no more pain under the ribs, only a feeling of heaviness remains, which will also gradually disappear. But do not be deceived: gall disease has not gone away, and the person still needs medical help.
Other symptoms
If in acute cholecystitis there is also an inflammatory process of the gallbladder and its ducts, the pain under the right hypochondrium is also accompanied by fever, high temperature up to 39 degrees, and severe fatigue. This means that toxins, along with bile, entered the abdominal area and caused poisoning.
If the pain under the ribs is not sharp and sharp, it may be due to the fact that the liver capsule has stretched, and the organ has significantly increased in volume, and in addition, it has also become inflamed. With such symptoms, hepatitis is diagnosed.
Additional symptoms of hepatitis are the skin and whites of the eyes turning yellow (which is why this disease is popularly called jaundice). This means that the liver cells are damaged, and bile and its metabolic products have entered the blood. This causes the skin and mucous membranes of the eyes to change color.
Shingles
This disease is accompanied by an inflammatory process in spinal ganglia, the nerves that are located in the intercostal space also become inflamed. Shingles due to the impact of the herpes virus on all internal organs and tissues.
Localization of rashes - the skin reacts to the herpes virus in the places where nerve fibers, small air bubbles appear on them, and outwardly this appears as red pimples.
Symptoms of this disease, in addition to pain in the right hypochondrium, are skin rashes (small red pimples), severe weakness, sweating, irritability and body temperature of approximately 37 to 38 degrees.
Renal colic
It worries patients after they overdid it with liquids - they drank a lot of water, or compotes, or soda, or juices, and the kidneys could not cope with the load. Renal colic can occur suddenly after work overload, when the body has received great physical stress.
Renal colic is insidious and can occur even when a person is simply resting - the cause may be toxins and inflammation of internal organs, the consequences of tuberculosis.
Ureteral diseases
The ureter may be painful and cause pain in the right side due to the fact that in urinary tract Fluid accumulates, which leads to swelling and pain. There are many nerve endings in the kidneys, and therefore swelling of the kidney capsule can also cause pain in the right side (as well as in the left side too).
Urolithiasis disease
Kidney pain can be so severe that a person cannot even find comfortable posture in order to relieve pain. When a stone moves down the ureter, it also causes unbearable pain. They radiate to the lower abdomen, to the groin.
When the stone comes out and takes a permanent position, the pain subsides as quickly as it began. It can change its character from sharp, sharp and cutting to dull, aching, but long-lasting.
The right side of the back hurts in the downward direction, the direction in which the stone moved, irritating and scratching the walls of the ureter. Along with the pain, a person often feels nausea, dizziness, vomits, often runs to the toilet, and body temperature rises to 39 degrees or higher.
Kidney diseases
When a person has pain in the kidneys on the right as a result of pyelonephritis or glomerulonephritis, the pain occurs like a killer - unexpectedly, but its nature is inconsistent. The pain continues to grow, intensify, and becomes more and more unbearable. If the nature of the disease is acute, then the pain is sharp, and if it is a slowly occurring inflammatory process, then the pain is dull, nagging, and does not go away for a long time.
Additional symptoms are an increase in temperature from 37 to 39 degrees, severe swelling in the lower back and legs, urine becomes bright red (evidence of inflammation) or cloudy (evidence of protein in the urine and bad work kidneys), urination is impaired.
Flakes and foreign matter in urine may be visible to the naked eye, even without laboratory testing. Urine - a product of processing by the kidneys - can change color due to purulent discharge, blood cells - red blood cells, which remain in it when glomerulonephritis is diagnosed.
If you find yourself with similar symptoms - change in the color of urine, general malaise, urge to vomit, or even pain in the right side without any other symptoms - consult a doctor for an examination, because such diseases cannot be treated on their own.
Mechanism of pain in the right side
If the diseased organ is located on the right, then pain most often occurs on the right; for example, the right kidney may cause pain in the right side (back or abdomen).
But there may also be a situation where pain occurs on the right side, but its source is an organ located on the left or in the middle. For example, with appendicitis, when the appendix is located on the lower right side of the abdomen, but the pain radiates upward or to the middle of the abdomen. Because appendicitis can be confused with kidney pain, kidney disease can have similar symptoms.
To ensure that surgical intervention in case of severe pain is not in vain (they cut out the appendicitis, but the kidneys hurt), an accurate, comprehensive diagnosis is needed. Otherwise, the localization of pain can deceive both the patient and, what is most offensive, the doctor.
According to the mechanism of occurrence of abdominal pain, visceral, peritoneal and referred pain are distinguished.
Visceral pain in the right side appears when the motility of the stomach, intestines, or gallbladder is impaired (spasm or stretching of smooth muscle fibers). These pains are either cramping (for example, with hepatic colic, intestinal colic), or, conversely, dull, aching (flatulence, hypomotor dyskinesia of the gallbladder) and are often accompanied by irradiation into various areas bodies.
Peritoneal (somatic) pain in the right side occurs when the parietal layer of the peritoneum is irritated, for example, with perforated ulcer stomach, acute appendicitis. Such pains are usually clearly localized and constant; They are sharp, cutting in nature, intensify with movement and breathing, and are accompanied by tension in the muscles of the anterior abdominal wall.
Referred pain in the right side is a unique variant of the irradiation of pain, which can be observed, in particular, with right-sided lower lobe pneumonia, pleurisy, and some other diseases.
Correct detailing of pain in the right side requires, first of all, clarification of such an important sign of pain syndrome as the localization of pain. In turn, it is possible to correctly localize the patient’s pain only if you have a good understanding of the topographic areas of the abdomen.
Using two horizontal lines, one of which connects the lowest points of the X ribs, and the other the upper anterior iliac spines, the anterior abdominal wall is divided into three regions or “floors”; upper, middle (mesogastrium) and lower (hypogastrium). Two vertical lines drawn along the outer (lateral) edges of the rectus abdominis muscles (these lines are essentially a continuation of the midclavicular lines) divide each region into three more. In total, this results in 9 topographic areas of the abdomen.
In this case, the upper “floor” will consist of the epigastric (epigastric) region (regio epigastrica), as well as the right and left hypochondrium regions (regio hypochondriaca dextra et sinistra). The mesogastrium will contain the umbilical region (regio umbilicalis), the right and left lateral sections of the abdomen or flanks (regio abdominalis lateralis dextra et sinistra). Finally, the hypogastrium will consist of pubic area(regio pubica), right and left groin areas(regio inguinalis dextra et sinistra). The latter areas are sometimes also called ilioinguinal or iliac.
What organs can provoke pain in the right side
Localization of pain in the right side
Since most of the vital organs are located inside the abdominal cavity, the pain can radiate to the right, and to the left, and to the middle of the abdomen, and to the back, and to the side. The localization of pain depends in most cases on where the diseased organ is located.
Pain in the side is one of the most acute pains that can occur from all types of pain, with the exception, perhaps, of pain inside the abdomen.
This is easily explained: the abdominal cavity contains nerve endings, blood vessels, organs of the urinary system, and genitals. They are easily excitable and react sharply to irritants, so the pain can intensify depending on how acute the inflammatory process is.
Pain in the lower abdomen on the right
Finding out the exact localization of pain in many cases helps to immediately assume that a particular organ is involved in the pathological process.
Almost always, the localization of pain coincides with the location of the problem structure, therefore pain in the right side is most often associated with the pathology of the organs surrounding this area. But sometimes pain can “deceive” and arise far from the place of the “tragedy”, and then the pain radiates to the most unexpected points of the body. Pain in the upper right side can provoke acute appendicitis, although the appendix is located far from this area - on the lower right side of the abdomen. The nature of the pain in the right side can be severe, sharp, sudden, nagging, dull, long-lasting, and can increase over time or calm down. Cramping pain is often associated with a sharp contraction of the muscles of the hollow organs, constant pain- with stretching of the outer shell of parenchymal organs, and increasing pain is most typical for inflammatory processes. Acute stabbing pain occurs, in most cases, when a formation ruptures, an organ is perforated, intraperitoneal bleeding, or when a blood vessel is blocked.
Most often, these pains are provoked by the organs of the female reproductive system (ovaries, uterus, appendages) or appendicitis.
Pain in the side, in the right hypochondrium
Pain of this nature is the consequence of diseases of the internal organs: duodenum, gallbladder and bile ducts, liver, large intestine (its right side). That is, internal organs that are localized on the right (or their part, which is on the right side).
What leads to pain under the right rib, which people still call pain in the right side? One of the most common reasons Based on these pains, doctors determine biliary dyskinesia. There may be stones in the gall - solid formations, which scratch the walls of the gallbladder and can cause severe pain. Especially if these stones do not stand still, but move.
The cause of sharp pain under the right rib may also be cholecystitis of a calculous nature. In the acute course of the disease, the pain can be very severe, and it is difficult for a person to endure it. In this case, movements are constrained, changing positions does not help, and the pain is very sharp. Doctors call this condition hepatic colic. Hepatic - because the process involves several vital organs related to the functioning of the liver.
Right back pain
The right side of the abdomen may hurt if the vital organs located there are inflamed. It could be the kidneys right part Bladder. Back pain on the right can be manifested by such diseases as:
With these diseases, very sharp back pain may occur on the right side, and this pain manifests itself in the form of contractions and twitching. The causes of such pain are stones in the ureter, due to which it becomes clogged, and its walls stretch and strain, and then become inflamed and painful.
As for kidney diseases, they can be affected by toxins, decay products, dead tissue as a result of tuberculosis, and even ordinary blood clots (dried blood) can get into the kidneys and ureter.
With severe pain in the back of the side, doctors can diagnose the condition of renal colic, and they will be right - all of the above reasons can cause stabbing and cutting pain in the kidneys.
Character of pain in the right side
Pain in the right side can vary in nature. And strong, and sharp, and sharp, and aching, and pulling. According to the nature of the onset, pain in the right side can be sudden, but on the contrary, it can be gradual and intensifying.
Pain in the right side can be in the form of contractions. They arise due to the fact that hollow organs can contract strongly and sharply. The pain may also be increasing, not very sharp, aching.
Their cause may not be sudden contractions of muscle tissue, as in the first case, but inflammatory processes, very often acute and even chronic. There is another type of pain, the most unpleasant - very sharp, very strong, during which a person can lose consciousness or scream.
Such pain is typical for rupture of organs and tissues, for example, when the spleen ruptures. Or the cause may be bleeding inside the abdominal cavity or a hole in the stomach (ulcer, perforation). Severe, almost knife-like pain in the right side can also be caused by blockages of blood vessels.
Who to contact?
What to do if you have pain in your right side?
Pain is a danger signal that should never be ignored. According to the ancients, pain is the watchdog of disease, which warns of health problems. Therefore, if you experience pain of any nature or location, you should immediately seek help from a doctor and undergo a thorough diagnosis.
If you have pain in your right side, it is not temporary. This means that not everything is in order with the organs that are inside. It is urgent to take measures to treat diseases of these organs.
Medical Expert Editor
Portnov Alexey Alexandrovich
Education: Kyiv National Medical University them. A.A. Bogomolets, specialty - “General Medicine”

A healthy, normally functioning joint is shaped like a hemisphere, and the head femur covered by the acetabulum. The articular capsule is attached around its circumference. The mobility of the hip joint, the most powerful in the human body, is quite extensive:

Diseases and symptoms of the hip joint
Folk remedies for pelvic pain hip joint

bending,
extension,
casting,
lead,
rotation.

The support is on the head of the femur. When supporting on one limb, the load on the head is equal to four body weights. That is, if a person weighs 70 kg, when leaning on one lower limb, the load is 280 kg. Pelvic movements are aimed at maintaining balance and maintaining stability. The role of the femoral head ligament in this complex mechanism is very significant:

unloading the upper sector of the head of the bone,
reduction of energy costs when walking,
reducing tension in the hip joints,
walking automation,
ensuring forward motion total mass forward,
maintaining the body in an upright position.

To improve blood circulation and avoid illness hip joints, it is recommended to engage in physical activity and perform at least simple exercises:

lying on your back and bending your knees, spread them to the sides, like a “butterfly”;
lying on your back, alternately with a raised straight leg, perform movements to the sides with a large amplitude, a more complex option is “scissors”;
lying on your back, raise your legs one by one;
sitting on a chair with a straight back, bend over, trying to touch the floor with your arms outstretched forward;
standing with support, swing back and forth.

Diseases and symptoms of the hip joint

Of the most common traumatic injuries, a femoral neck fracture is considered the most dangerous. This is a very thin part of the thigh, which becomes more fragile with age, which is why this disease is so common among older people. In other cases, pain in the hip joint can be associated with various factors. As the disease progresses, the joint fluid decreases, the surface of the joint is deformed, and the cartilage is damaged.

The most common and typical problem is arthritis. With age, it primarily affects the hip joint. The pain radiates to the hip and groin, especially when walking. When standing up from a sitting position, a “lumbago” occurs.

If you feel aching pain in the right hip joint or the left, or both at once, deforming arthrosis most likely begins to develop. On next stage With this disease, a person feels pain when standing up, turning the body, or starting to move. The pain radiates to the groin and knee. The muscles around the pelvic thigh are tense all the time, so pain in the joint can also be observed at night.

Inflammation of the fluid sac (bursitis) most often affects the trochanteric fluid sac. In this case, pain is felt in the buttocks area. The pain intensifies if you lie on the affected side. Less commonly, the iliopectineal and ischial bursae become inflamed.

People who undergo severe physical activity are susceptible to tendon inflammation. IN calm state There is no pain in the hip joint. Influenza virus, staphylococcus and other infections can cause septic arthritis. In this case, swelling, fever, sharp pain when moving and touching. With tuberculous arthritis, the pain is initially aching, and gradually the entire area begins to swell, causing severe pain in the hip or knee.

Diseases of the hip joint in children

For boys 3-14 years old, Perthes disease is typical, in which blood circulation to the femoral head is impaired. The cause may be infectious diseases, excessive load on the joints, congenital pathology, or trauma. Boys who weigh less than 2.1 kg at birth are especially susceptible to this disease. First there is pain in the knee, and then the pain in the hip joint intensifies. A blood test shows the presence of infection.

In children 12-15 years old, juvenile epiphysiolysis occurs - dystrophy of the bone tissue of the head. The reason may be violations endocrine system, bone tissue metabolism, growth hormones. Most often, both hip joints are affected, starting with pain in the groin or hip joint. Then there is a noticeable change in hip mobility.

Treatment of hip diseases

The choice of hip treatment options depends on the individual's anatomy and the cause of the pain. Medications include painkillers without aspirin, anti-inflammatory drugs, and drugs designed to improve sleep. Exercises that increase joint strength and muscle flexibility can help reduce hip pain. Remembering that the hip joint bears the full weight load, you need to monitor your weight and, if necessary, lose excess weight. Applying heat or cold to the joint temporarily relieves pain.

Sometimes, to avoid stress, a cane or special insoles are used to level out the function of the leg. Stability and mobility of the joint are improved with the use of fixation bandages. While symptoms of hip disease appear, serious problems should be avoided. physical activity. Forced loads must be alternated with rest.

Folk remedies for hip pain

When your leg hurts in the hip joint, it’s not enough to just give it a rest. Most likely, these are the first “bells”, and in order to prevent serious consequences, it is necessary to take a number of measures. The effect comes only from an integrated approach and regular fulfillment of all conditions. A favorable outcome largely depends on the consciousness and endurance of the patient himself. Here are some of the most popular means, if you first chose treatment with folk remedies:

apply a warming compress at night cabbage leaf, smeared with buckwheat honey, wrapping it all in cellophane and a warm towel;
before meals, take 50 drops of tincture: 50 g of lilac flowers for 10 days, pour 400 ml of vodka;
rub well into the sore joint next ointment: white of 2-3 eggs, 50 ml of alcohol, 50 g of mustard powder, 50 g of camphor, mixed until smooth;
The shells remaining from the eggs can be finely crushed and mixed with yogurt or milk. This paste can be applied as a compress, wrapping the area in warmth.

We must remember that hip joint disease, in addition to a traumatic disease, develops gradually. Therefore, it is easier and more productive to fight it in its infancy. We must lead healthy image life, eat right and well, swim, always be in a joyful mood. Never be discouraged or give up.

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Symptoms and treatment of lumbago require knowledge and, of course, the qualifications of the treating specialist. Among those over 40, there are few people who have not experienced signs of this disease; the disease is very common. At the moment of the greatest manifestation of its symptoms, a person usually cares about only one thing - how to get rid of pain and return to normal life.

How does the disease manifest itself?

Lumbago disease manifests itself unambiguously, it is difficult to confuse it with anything else. Pain in the lumbar region appears suddenly and sharply. This is the difference between lumbago and radiculitis, a related disease that has its own differences in manifestation and genesis. Popular name very figuratively, and most importantly, intelligibly describes the disease: as if someone had shot the back below the waist, arousing in it a sharp, unbearable pain, intensifying with every movement of the body.

In this case, the pain can spread beyond its source. It is felt in the back muscles, radiates to the buttocks and legs. Sometimes pain can be projected to the front of the body, for example, to the lower abdomen.

Sharp, severe pain occurs from irritation sciatic nerve. This happens in people who already have a history of a disease called “sciatica,” which means chronic inflammation of the sciatic nerve.

Usually strong tension muscles of the lumbar region occurs spontaneously, in response to a pain symptom. This creates tension in the muscles of the buttocks and thighs. Sometimes spasm of the lower extremities may occur.

The worst pain lasts for the first 30 minutes. Some are forced to endure acute pain for several hours. After some time, the person’s pain goes away, but does not go away, but insidiously returns at night, when the person loses vigilance and begins to toss and turn.

Usually, after a week, the symptoms of lumbago disappear, but complete recovery usually occurs within a month or even two. This does not happen by itself, the disease must be treated. However, a person experiences such severe pain that the thought of treatment does not leave him for a minute.

Diagnosis of lumbago can be carried out not only by signs of the manifestation and localization of pain, but also by how pain sensations change with changes in body position.

Relief usually occurs when a person:

lies on his back with his legs pulled up to his stomach;
lies on the stomach, under which there is a pillow;
moves from a lying position to a sitting position, leaning on his hands.

Thus, the diagnosis of lumbago is based on a set of symptoms, the manifestation of which is usually beyond doubt.

Causes of attacks of lumbago

This disease has a mechanism and causes. Actually it's various phenomena. The mechanism for the development of lumbago is always the same: at the moment of displacement or deformation of the vertebrae and intervertebral discs, irritation occurs of the nerve endings concentrated in the fibrous ring and tendons connected to these vertebrae. This is the mechanism for the appearance of pain and spasms in the muscles surrounding the spine.

However, this mechanism arises for a number of reasons:

Damage to intervertebral discs. Each of them consists of central and peripheral structures. In the center there is a soft nucleus pulposus, which softens the pressure on the vertebrae during movement. The peripheral part of the discs is a dense fibrous ring. During too much physical impact a tear of the fibrous ring, displacement of intervertebral discs, or rupture of ligaments may form. As a result of all these processes, the nucleus pulposus flows into tissues located outside the fibrous ring and the vertebra.
Vertebral displacement. The cause of displacement is usually osteochondrosis, which provokes intervertebral deformities. As a result, one of the vertebrae is displaced, subjecting not only the vertebrae themselves to deformation, but also their processes. They form bone growths, so-called osteophytes, which cause damage to the intervertebral discs. All these displacements affect the condition of the ligaments - they become deformed and torn. These tears are often microscopic in nature, which nevertheless gives rise to serious consequences.
Congenital anomalies of the vertebrae. Congenital pathologies, arising in lumbar vertebrae, appear in approximately 25% of all people on the planet.

Anomalies can manifest themselves in a variety of ways. For example, splitting of the vertebral arches may occur, which causes the onset of inflammatory processes and severe pain.

Anomalies also include the so-called lumbarization. It represents the appearance of an extra vertebra in the lumbar region. The nervous system of the spine, as well as the structure of tendons and muscles, are not designed for this excess. It is this discrepancy that causes painful attacks.

Transformation of intervertebral joints. This can happen by various reasons, but the leading ones among them are destructive processes that occur with rheumatism, arthritis, injuries, etc.
Fusion of the first and second lumbar vertebrae. This leads not only to pain, but also to loss of mobility in the lumbar region. Most often, such processes are associated with age-related changes.
Malignant and benign neoplasms in the lumbar region. Of the benign neoplasms, osteoma and osteoblastoma, as well as hemangioma, lead to an attack of lumbago - vascular tumor, forming inside the vertebra itself. TO malignant neoplasms that can cause pain include multiple myeloma and osteogenic sarcoma.
Infections that cause the disease spondylitis, which is an inflammatory process in the spine.

Thus, an attack of lumbago may indicate relatively harmless and easily removable pathologies, but it may be an indicator of the onset of very serious diseases.

So, if lumbago appears frequently, is poorly eliminated and is very difficult to tolerate, consult a doctor and request a mandatory examination.

Additional diagnostics

In addition to assessing symptoms and medical history, the following methods are used in diagnosis:

The doctor applies pressure with his fingers for 9 pain points Vale. They are located along the sciatic nerve, forming clusters around its roots. This painful procedure, since the specialist’s task is to deliberately provoke a pain reaction, by which the preliminary cause of lower back pain is identified.
To clarify the location of pain, the doctor usually asks the sick person to perform a series of test exercises. They allow you to outline actions for further examination of the patient.
X-ray examination. It is necessary in order to exclude or confirm the occurrence of neoplasms, congenital or acquired pathologies, transformation of joints, fusion of vertebrae, etc.
CT scan. Using this procedure, you can get a more accurate picture of the disease. Tomography allows you to take pictures of sections of the spine in problem areas in a three-dimensional image.
Magnetic resonance imaging. MRI allows you to examine soft fabrics in the area of the spinal cord, intervertebral discs, nerve roots.
Spine scintigraphy. It is carried out using isotopes, which serve as an identification mark. The isotope in the form of a special preparation is administered intravenously to the person being examined. The movement of marker isotopes is monitored using a gamma camera. Isotopes usually accumulate in areas of inflammatory processes. Places that are bypassed by isotopes are also risk areas, since this is where neoplasms are formed.
Electroneuromyography. This method is somewhat similar to the preliminary palpation procedure, only the instrument is electricity, which affects peripheral nerve in order to stimulate it. This identifies areas where nerve roots are pinched.
Blood and urine tests are required. They give general idea about the state of the body and the severity of inflammatory processes.

Methods and means of treatment

How to treat lumbago and is it possible to cure it completely so that attacks do not recur? If it really is just a lumbago, then it can be cured. However, this requires prevention, as well as constant care for the condition of your spine.

When the first pain appears, the person should be laid on a flat and hard surface. Depending on the location of the pain, he is placed on his back with his legs elevated, on his side with his legs tucked to his stomach, on his stomach with a pillow placed under him.

Before being examined by a doctor and prescribing a treatment course, it is prohibited to: massage, try to remove muscle spasm physical exercise, warming up the sore area. It is better to provide the patient with complete rest for 2-3 days, eliminating any stress.

If the diagnosis of lumbago is confirmed, treatment should begin with correct selection medicines.

Medicines should relieve pain and muscle spasms. Tizanidine, Pentoxifyline, Spasmolitin, Tetrazepam are usually prescribed as antispasmodics.

For severe pain it is carried out novocaine blockade with the administration of corticosteroids. To do this, Novocaine injections with hormonal anti-inflammatory drugs are given around the lumbar spine.

This blockade is carried out in medical institutions. It acts quickly, especially if the cause of lumbago is physical activity.

However, often resorting to such potent drug not recommended, as this may lead to the development of more severe pathological processes.

Treatment of lumbago at home is often long-term character. The sore spot is treated with compresses, rubbing, ointments, etc. All these external agents are designed to improve blood circulation, relieve swelling that always accompanies inflammation, and minimize or completely eliminate inflammation.

For these purposes, use any warming ointment like Capsicam. However, for lumbago, the use of Diclofenac is usually recommended. It is available in the form of ointments, injections, and tablets.

To relieve inflammation, anti-inflammatory drugs such as Ibuprofen, Piroxicam, and Indomethacin are prescribed.

Treatment of lumbago is a long process that includes several stages. For this reason, prevention of such a disease is of paramount importance. The spine must be handled with care, as it constantly bears increased loads.

An alarming signal indicating the progression of the pathological process in vital organs is pain in the right lower abdomen. The intensity of the pain will allow an experienced professional to make the correct diagnosis.

Causes of sharp pain

Acute and sharp pain in the lower right abdomen often reveals pathologies such as:

acute appendicitis;
ectopic pregnancy;
malignant neoplasm in the ovary;
hematoma, infarction or rupture of the ovary.

Acute form of appendicitis

Inflammation that engulfs this appendage of the cecum is quite common. Also called acute appendicitis, it is characterized by specific symptoms.

acute pain in the actual area.
increased pain during movement and coughing.
nausea transforming into vomiting (no more than 1 time).
loose stools (uncommon).
feverish state (mild).

Sharp pain in the right side often indicates an ectopic pregnancy. This gynecological pathology requires immediate surgical intervention.

Self-diagnosis is unacceptable here, since the symptoms of ectopic gestation have much in common with the symptoms of acute appendicitis. Characteristic signs will help to establish an accurate diagnosis:

presence of discharge (bloody tint);
pale skin;
excessively rapid pulse;
pathologically low blood pressure;
dizziness (relevant for changing body position).

Ovarian tumor

The disease develops in individuals young. This pathological condition is characterized by very sharp pain in the right lower abdomen. Against this background, a woman may even lose consciousness. Specific signs include disturbances in urination and bowel movements, as well as the presence of characteristic bloody discharge. In order to prevent dire consequences, the doctor must decide on immediate surgical intervention.

Causes of aching or nagging pain

Aching or in the actual zone often indicates the development of an inflammatory process in the appendages.

In order to correctly diagnose the pathology, it is necessary to focus on the medical history, since the inflammatory process may be a consequence of a complication of uterine curettage or spontaneous abortion.

Drawing and aching pain in this case is accompanied by purulent mucous discharge. The danger is that early stages this pathology, often leading to fatal outcome, does not have characteristic features. Specific symptoms indicate the onset of a purulent process.

The temperature first rises to high levels and then drops to thirty-eight degrees.
The patient's face takes on an earthy tint.
The person feels very weak and breaks out in cold sweat.
The patient's blood pressure drops and the pulse becomes frequent.

Timely placement of the patient in a hospital will avoid sepsis.

Sometimes pain in the lower abdomen indicates the development of intestinal pathologies such as:

diverticulitis;
Crohn's disease;
the appearance of a malignant or benign neoplasm.

Diveticulitis

When the pain in the right lower abdomen is stabbing in nature, this indicates that the intestines are “naughty.” One of characteristic features This pathology, which affects the intestines, is considered by modern doctors to occur in a chronically recurrent form.

The alarm should be sounded only when the patient notices serious stool abnormalities. If you do not pay attention to this “harmless” signal, indicating that the intestines are in serious danger, suppuration will occur and fistulas will occur. Treatment of the disease should be carried out in a hospital.

Crohn's disease

An important feature of Crohn's disease affecting the intestines is that it is sometimes discovered during appendicitis surgery. Characterized by a pathology dangerous for such vital organ, like intestines, chronic stool disorder.

Often a person is fully confident that it is not the intestines that are in danger, but some other organ. The reason for this is the similarity of symptoms with signs of appendicitis. The disease should only be treated by a qualified specialist.

Sometimes pain in such an important organ as the intestines indicates the presence of a malignant tumor. In addition to the painful syndrome, the neoplasm is characterized by heavy bleeding. Against this background, chronic anemia develops.

When a malignant tumor affects the intestines, a person needs urgent examination and treatment inpatient conditions. The tumor is eliminated surgically.

Urogenital infections

The most famous cause of painful syndrome in the lower right side of the abdomen and lower back is considered acute form cystitis. Against this background, pain in the lower back and right lower abdomen is accompanied by such symptoms as:

bloody urine;
discomfort at the end of urination;
pathologically frequent urination.

When representatives of the fair sex suffer from discomfort in the lower back, it makes sense to suspect the presence of adnexitis, ovarian cyst or other complex pathology of the genitourinary system. Only a professional gynecologist or urogynecologist can help in this case.

When pain in the lower back and right lower abdomen occurs in a representative of the stronger sex, there is a need to visit a urologist. Discomfort in the lower back in this case indicates the progression of prostatitis. When discomfort in the lower back and abdomen is accompanied by a radically elevated temperature, this often indicates the development of gonorrhea or mycoplasmosis.

When the pain radiates to the leg

If painful sensations radiate to the leg, then most likely the person is progressing to such pathological conditions, How:

suppuration of the uterine appendages (due to the reality of the mortal threat, this condition requires immediate surgical intervention);
acute appendicitis (pain radiates to the leg due to pus filling all layers of the appendix wall);
complicated inguinal hernia (pain radiating to the leg, pulsating);
complicated femoral hernia (pain radiates to the leg due to strangulation of its contents).

You should not hesitate to visit a doctor when a painful syndrome radiating to the leg is accompanied by retention of gases and stool.

Painful sensations in the side

When discomfort occurs in the lower right side of the abdomen and side, this often indicates the development of:

adnexitis (discomfort in the side is accompanied by impaired urination);
prostate adenoma (discomfort in the side occurs due to inflammation);
prostatitis (discomfort in the side is a consequence of inflammation);
appendicitis (discomfort in the side is accompanied by nausea and fever).

Pain in the side and right lower abdomen does not tolerate self-medication. Since discomfort in the side is a warning sign that serious illnesses are developing, the patient should consult a doctor.

Particular attention should be paid to side discomfort in young children. This may indicate the development of dysbacteriosis, biliary dyskinesia or intestinal dysfunction. U infants discomfort may occur due to the accumulation of gases. It’s quite simple to understand that something is bothering your baby: he bends his knees and calls for help with a loud cry.

When there is pain in the right side, we first of all think about appendicitis. Indeed, this is a common reason, but not the only one.

Reason 1. Appendicitis

Appendicitis (inflammation vermiform appendix cecum) is one of the most common causes of pain in the right side of the abdomen: up to 10% of people experience it. Most often this happens between the ages of 10 and 30 years. As a rule, it all starts with a dull pain in the epigastric region (where the stomach is located), which worsens within a few hours and goes down below the navel and to the right. The temperature rises, nausea begins, diarrhea and vomiting are possible.

WHAT TO DO. While lying in bed, try raising your right leg or turning onto your left side: if it is appendicitis, the pain should increase. Don't hesitate and call an ambulance. The inflamed appendage must be removed as soon as possible so as not to lead to peritonitis - purulent inflammation peritoneum. If the blood test shows increased level leukocytes, you will be sent straight to the operating room.

Reason 2. Cholecystitis

If pain occurs after you eat something fatty or fried, cholecystitis is likely - inflammation of the gallbladder. In an acute process, severe pain occurs in the right upper half belly; it radiates to the back and right shoulder blade, accompanied by nausea and repeated vomiting of bile. When lightly tapping the ribs, the pain radiates to the right hypochondrium.

WHAT TO DO. Call an ambulance: acute cholecystitis, like appendicitis, is an emergency surgical pathology. In the emergency department, the doctor will do an ultrasound, and if the bladder is full of stones and inflamed, you will have to go to the operating room. If there was an exacerbation chronic cholecystitis, will have to stick with it for a while strict diet and drink the medicine, and when the symptoms subside, in the so-called “cold period”, remove the bubble laparoscopically.

Cause 3. Renal colic (urolithiasis)

It occurs when a stone either blocks the outlet of the kidney into the ureter or gets stuck directly in the latter. This causes severe spasmodic pain in the right half of the body, forcing the patient to look for a position in which it hurts least.

WHAT TO DO. Call ambulance. While waiting for her, you can take a warm bath and drink a couple of antispasmodic tablets. In the emergency department, they will give you an X-ray and ultrasound and choose the optimal treatment tactics: this could be installing a stent in the ureter, a session shock wave therapy(“crushing stones”) or an attempt at conservative treatment.

Reason 4. Pyelonephritis

Inflammation of the kidneys, or pyelonephritis, is one of the common causes of pain in the right half of the body. Often develops as a complication of urolithiasis. The pain may radiate to the lower back, groin or leg. Almost always accompanied by fever, chills, nausea and even vomiting.

WHAT TO DO. Make an appointment with your GP or urologist as soon as possible: infection urinary tract can quickly spread throughout the body and cause severe intoxication. You need to take a general urine test, do an x-ray and an ultrasound. The doctor will prescribe antibiotics and uroseptics that will help get rid of the infection. In some cases, a urine culture is taken to find out which pathogen is causing the problem.

Reason 5. Gynecological.

Women especially have many causes of pain in the right side. This can be either a harmless ailment during ovulation or a sign of various inflammatory diseases of the genital organs. With chronic inflammatory processes in the appendages, there is pain in the lower half of the abdomen. More often the pain is dull, aching, and can go away and reappear, especially if you have a cold. An ovarian cyst can manifest itself in a similar way.

Another option is acute pain in the right lower abdomen that occurs unexpectedly during sexual intercourse, or even when you are lying down and doing nothing. The attack is accompanied by rapid breathing and heartbeat, nausea, and pallor. Causes may include cyst rupture, follicular apoplexy, or ectopic pregnancy.

WHAT TO DO. If you have chronic aching pain, make an appointment with a gynecologist as planned: he will prescribe a full course of treatment that will prevent the formation of adhesions and relieve possible problems with fertility. If there is sudden paroxysmal pain, consult a doctor immediately: he will do an ultrasound and decide whether surgery is needed.

Reason 6. Hepatitis

The pain is concentrated in the upper right half of the abdomen under the ribs, accompanied by itching and small spider veins on the skin? This could be hepatitis (inflammation of liver cells). If the skin, tongue and whites of the eyes have acquired a yellow tint, there is no doubt. There are many types of hepatitis: acute and chronic, viral, medicinal, alcoholic, fatty…

WHAT TO DO. Contact a hepatologist or infectious disease specialist immediately. First of all, the doctor will prescribe a full examination that will help determine the cause of hepatitis. The test results will determine what treatment you receive.

Reason 7. Intercostal neuralgia

Compression or irritation of the intercostal nerves most often occurs in middle-aged and elderly people. Typically, discomfort occurs after you turn around suddenly, sleep in an awkward position, sit in a draft, or work out too hard at the gym. The pain is burning, which is why doctors may initially suspect a heart attack or angina. Fortunately, intercostal neuralgia is much less dangerous.

WHAT TO DO. Contact a neurologist. Now there are a huge number of medications that will help quickly relieve pain and inflammation. Sometimes a doctor can perform a therapeutic blockade and inject directly into the damaged nerve: you will feel the effect instantly.

Reason 8. Constipation, colitis

Poor nutrition, lack of fiber and fluid, physical inactivity can cause stagnation of feces, and this, in turn, causes pain in the abdomen, including on the right side. But if, after normalizing nutrition and stool, the pain does not go away, intensifies, or other symptoms are added to it, it may be colitis.

WHAT TO DO. consult a gastroenterologist. He will ask you to take blood and stool tests, prescribe a diet and frequent meals in small portions. Treatment includes laxatives, intestinal microflora agents and other drugs.

The pain on the right side radiates to the thigh. Pain in the lower abdomen radiating to the leg: clinical significance of the symptom, causes, treatment

The nature of the discomfort

Causes

Diseases, what to do with them

Treatment and contraindications

Appendicitis

Inguinal hernia

Urolithiasis disease

Causes of such pain in women

Other causes of pain

Why does pain in the right side radiate to the leg?

The nature of the discomfort

Causes

Diseases, what to do with them

Treatment and contraindications

Why does the right side of the abdomen hurt, ache and ache?

What is in the right side: organs and zones

Localization of pain and pathology of internal organs

Liver - heaviness and discomfort in the right hypochondrium

Pancreas - sometimes pain in the right side at waist level

Ovaries - pain in the right side of the lower abdomen

Appendicitis - acute pain in the right lower abdomen

Intestines - cramping pain in the lower abdomen on the right

Kidneys - pain on the right behind, radiating to the lower back

Pain during pregnancy

What happens and what determines the nature of the pain

Feeling of heaviness

Nagging pain

Aching pain

Severe cutting and stabbing pains

Pain in right side

Causes of pain in the right side

Diseases that accompany pain in the right side

Ectopic pregnancy

How to recognize an ectopic pregnancy?

More signs of ectopic pregnancy

Inflammation of the right uterine tube

Pain associated with ovarian diseases

Where does the pain come from?

Acute abdomen, or what to do with appendicitis?

Acute cholecystitis and cholelithiasis

When the pain in the right side subsides

Other symptoms

Shingles

Renal colic

Ureteral diseases

Urolithiasis disease

Kidney diseases

Mechanism of pain in the right side

Localization of pain in the right side

Pain in the lower abdomen on the right

Pain in the side, in the right hypochondrium

Right back pain

Character of pain in the right side

Who to contact?

What to do if you have pain in your right side?

Medical Expert Editor

Diseases and symptoms of the hip joint

Diseases of the hip joint in children

Treatment of hip diseases

Folk remedies for hip pain

How does the disease manifest itself?

Causes of attacks of lumbago

Additional diagnostics

Methods and means of treatment

Causes of sharp pain

Acute form of appendicitis

Ovarian tumor

Causes of aching or nagging pain

Diveticulitis

Crohn's disease

Urogenital infections

When the pain radiates to the leg

Painful sensations in the side