How to relieve pain in the right hypochondrium. Why does my right side hurt under my rib?

Pain occurs in many people, sometimes even healthy ones, after physical activity. But often pain is a signal that he needs help. Without an examination, no doctor can answer the question: why does it hurt in the right hypochondrium, since these sensations can be a sign of many diseases.

If the liver is damaged, you may experience pain in the right hypochondrium.

In the area of ​​the right hypochondrium are located:

• Gallbladder
• Right kidney

Dysfunction of these organs due to the occurrence of inflammatory processes in them can provoke pain. In addition to lesions located near organs, other diseases can also be the cause.

Cholecystitis

This disease is associated with a delay in the outflow of bile from the biliary tract. Sharp pain from the right hypochondrium may indicate an attack of cholecystitis. More often this happens at night.

The muscle tone of the bladder increases, provoking its numerous contractions. The patient feels sharp and severe pain. The pain is usually short-lived, but the person experiences stress that turns into neuroses.

The disease develops as a result of cholelithiasis, slowly moving from the acute form to the chronic stage. The walls of the bladder are damaged due to the pressure of stones on it, thicken and become covered with ulcers, which subsequently scar. Stagnation of bile occurs, accompanied by:

1. Mild pain
2. Nausea
3. Bloating

The pain may worsen when eating fatty or fried foods.

Gallstones

An acute attack can cause the movement of stones in the gallbladder along the excretory duct. During this process, stagnation of bile occurs and, as a result, inflammation of the gallbladder.

Ulcer

A stomach ulcer can cause pain in the right hypochondrium.

A peptic ulcer causes regular stabbing pain in the right hypochondrium. This pain is so acute that it is called dagger-like. It occurs mainly at night and continues until food enters the intestines. In addition to pain, the patient may experience:

• Nausea
• Heaviness
• Deterioration in general health

Renal colic

Renal colic occurs when kidney stones begin to move and their sharp edges touch internal organs. The pain becomes very severe when the person moves. The stones block the urinary tract, causing the pain to shift to the groin.

Pancreatitis

When the patient experiences throbbing, girdle pain in the right hypochondrium. Such sensations indicate that the acute disease is moving into a chronic stage and requires immediate conservative treatment.

Chronic pancreatitis develops against the background of an untreated acute disease or after urolithiasis. The cells of the pancreas die, and instead of them connective tissue is formed, the functions of the organ are lost: insufficient amounts of digestive enzymes and the hormone insulin are produced. The patient's blood sugar increases. After eating, the patient often feels a dull pain in the right hypochondrium.

A symptom of hepatic colic may be aching pain in the left side.

Aching pain on the right is characteristic of. This condition is preceded by minor pain, which most patients do not attach importance to. All liver diseases in the initial stages are asymptomatic. For example, hepatitis does not manifest itself in any way; pain appears only when the virus is active. The patient appears:

• Prostration
• Loss of performance
• The skin and whites of the eyes become yellowish

In the future, if this disease is not treated, aching pain sensations are added to these.

Chronic hepatitis

If hepatitis is not diagnosed and treated in time, it becomes chronic. This disease occurs differently for each organism. There may be pain or not. Aching pain in the right hypochondrium in people with chronic hepatitis is accompanied by the following symptoms:

1. In fits and starts
2. Periodic vomiting
3. Bloating
4. Sharp attacks of pain after drinking alcohol or fatty foods

During the examination, a significant enlargement of the liver is detected, and when palpating this organ, the patient may experience pain.

Cirrhosis

Similar symptoms are observed with. Pain begins in the last stages of the disease. First, an inflammatory process occurs in the liver cells, which subsequently leads to their death. In place of dead cells, connective tissue is formed, and the liver cannot cope with its work, reminding itself of aching pain in the right forearm.

Oncology

Aching pain can occur in the last stages of cancer of organs located in the right hypochondrium. Painful sensations occur in parallel with:

• Weight loss
• Low-grade fever
• General weakness

In addition, there is an increase in the diseased organ.

With chronic pyelonephritis, patients experience pain on the right side.

This is a disease in which the pyelocaliceal system of the kidney becomes inflamed. The patient may experience aching pain on the opposite side of the diseased organ, with sensations radiating to the lower back. The disease is accompanied by:

• Increasing temperature
• Chills
• Frequent urination
• Weakness
• Edema
• Gynecological diseases

Pain in the right hypochondrium may indicate gynecological diseases, namely:

1. Ectopic pregnancy
2. Torsion of an ovarian cyst
3. Adnexit
4. Pain during ectopic pregnancy

If for some reason the fertilized egg is implanted somewhere other than the uterine cavity, an ectopic pregnancy begins to develop. With this pathology, the fertilized egg continues to grow. A woman experiences the same symptoms as during normal pregnancy, with the addition of nagging pain in the place where the fertilized egg has implanted. Copious bleeding is also observed. The patient needs urgent surgical care.

Pain when twisting the cyst

When the pedicle of a cyst located in the ovary is twisted, the patient may experience sharp pain radiating to the hypochondrium. Added to this symptom are:

• Heat
• Weakness

When the appendix is ​​inflamed, the patient feels pain in the right side.

With inflammation of the appendix, the patient may also feel pain in the right hypochondrium. Despite the location of this organ in the area of ​​the right ilium, pain can occur anywhere in the abdominal cavity. During an attack of appendicitis, a patient may feel:

1. Pain in the navel area or
2. Prolonged pain in the right side of the abdomen
3. Reduced pain when turning the patient on the right side
4. When turning on your left side or walking, the pain intensifies

In addition, you may experience:

1. Vomit
2. Temperature increase
3. Thoracic osteochondrosis

Thoracic osteochondrosis is often accompanied by aching pain, radiating to both the right and left hypochondrium. Degenerative changes occurring in the spine affect neighboring organs. The pain may worsen when you inhale or when you exhale.

Heart diseases

With the abdominal form of myocardial infarction, the patient may experience aching pain in the right hypochondrium. This is explained by the fact that tissue necrosis has developed in a certain area of ​​the heart muscle due to the cessation of its blood supply. Sharp pain in the epigastric region may also occur. The pain is sharp and burning, which does not go away when taking painkillers. With these signs, the patient must be urgently hospitalized.

It is impossible to make a diagnosis using a single symptom. You cannot endure pain and wait for it to go away on its own; many diseases require immediate treatment, otherwise serious complications and even death will occur. You should not try to explain to yourself the cause of the pain; only a doctor can diagnose it.

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The causes of pain in the right hypochondrium are not always obvious. Most often, an examination is required in which all possible factors will be methodically excluded. This is explained by the fact that all the organs inside are closely interconnected, so the causes of pain in the right hypochondrium can have different factors and etiologies.

Sometimes they occur in completely healthy people. Such people usually complain of discomfort in the right hypochondrium when it occurs after a heavy meal or during physical activity. This soreness falls into the category of “healthy” pain that does not require treatment. The liver fills with blood when adrenaline is released, so it is forced to react with stabbing pain in the right area. Usually this condition passes quickly, as soon as breathing is restored or the stomach empties a little.

Pain in the right hypochondrium occurs in women during pregnancy and menstruation. During pregnancy, the belly grows and over time begins to put pressure on the intestines. The latter reflexively compresses the internal organs in the form of the liver, gall bladder, and pancreas. During menstruation, the hormonal balance changes, the necessary balance is disrupted, which provokes spasms of the biliary tract.

The causes of pain in the right hypochondrium can be felt in the back or in the front. The primary diagnosis of the suspected disease depends on this. Pain in the hypochondrium is most often characteristic of liver lesions. With any liver disease, the cause of pain is that the organ is full-blooded and has its own capsule. This capsule has its own pain receptors. But they react only at the moment the liver begins to stretch this capsule.

Next to the liver is another organ that is prone to more aggressive expressions. The causes of pain in the right hypochondrium are often attributed to the gallbladder. Its functionality depends on the usefulness of the liver, but it is capable of having independent diseases. Chronic inflammation can cause sharp, cutting pain. Pain in the right side can be twitching and accompanied by bitterness in the mouth, especially in the morning.

Hepatitis can cause pain in the right hypochondrium. There may be a feeling of chewing, heaviness, or discomfort. Hepatitis is accompanied by yellowness of the skin and weight loss. The degree may vary; its presence is not a necessary condition. The disease can occur latently, without noticeable symptoms, and manifest itself only at the last stage.

The intestine as a provocateur of pain in the right hypochondrium

The colon along its entire length can give acute pain, especially in the presence of such a phenomenon as flatulence. Very often the causes are attributed primarily to the intestines. It is like a wide belt that borders both hypochondriums. As long as the focus of inflammation/irritation is in the intestine itself, the pain can be relatively moderate and tolerable. The process changes and they become as aggressive as possible when the peritoneum is involved.

Most often, the presence of pain in the right hypochondrium indirectly indicates the presence of the following diseases:

• colitis of various etiologies. They give spasms, pain, imitation of gynecological diseases;
• Crohn's disease. Accompanied by severe pain, ulcerative lesions of the intestines;
• intestinal obstruction, fecal impaction. The pain is sharp, spastic;
• appendicitis in acute form. It starts in the epigastrium area and turns into severe pain in the right side.

All of these diseases are severe and require the mandatory intervention of specialists.

If everything is more clear with the sensations in the “facial” part of the department, then when the patient complains about the right side of the back in the hypochondrium, everything can be more complicated. Several organs are capable of creating such signs; it is important to determine the causes of such pathology in time.

Most often, such pain in the right hypochondrium is caused by the right kidney. There are several possible kidney-related diseases that can cause discomfort and pain:

• urolithiasis disease;
• pyelonephritis in the acute stage;
• necrosis of the kidney nipples;
• kidney cancer

Kidney syndrome almost always has a primary symptom: high fever. Therefore, if there is fever, nausea, or severe spasm on the right side along the back, it is necessary to call “emergency help.”

Above the kidney there is also the adrenal gland, whose functions are also important for health. In the presence of large tumors, the adrenal gland can cause pain and provoke dysfunction of the entire hormonal balance.

Neuralgia and osteochondrosis

Often, pain in the hypochondrium occurs with exacerbation of neuralgia. Neuralgia is not so easy to diagnose; it skillfully disguises itself as many diseases. Neuralgia can manifest itself as pain in the hypochondrium, radiating to any part of the spine. It is usually persistent, lasts for weeks, and is difficult to completely stop.

Osteochondrosis, no less often than neuralgia, causes persistent and aggressive pain in the right side. This occurs more often with exacerbation of thoracic or lumbar osteochondrosis. Pain can be felt in the back and hypochondrium at the same time. Often exacerbation of osteochondrosis is combined with neuralgia. A syndrome of pain of varying severity, a significant limitation in the performance of movements appears. With osteochondrosis, the character can change from aching to aggressive, shooting and aching.

Other causes of pain in the right hypochondrium

With bruises or blows to the ribs, persistent pain appears. You should be alert if it intensifies in the hypochondrium when inhaling or trying to sneeze. Also an unnatural crunching sound when trying to sit down or bend over.

Rarer causes are associated with vena cava thrombosis. This occurs when a blood clot breaks loose and blocks either the hepatic or basilar vein. There may be pain radiating to the lower back or to the back of the hypochondrium. In another case, the pain appears more extensive and is felt in the scapular region.

The appearance of dull pain often indicates an exacerbation of the chronic form of some disease. Usually chronic forms are sluggish, sometimes almost latent. But if the liver is involved in the process, you should not expect any severity. By default, the liver cannot hurt at all. This organ may not fully manifest itself other than minor signs.
If the pain is constant, you should suspect the presence of tumors or serious pathologies. It can go away during exercise if the bile ducts are partially blocked. Pain in the right hypochondrium will become acute:

1. with peritonitis;
2. renal colic;
3. intestinal obstruction;
4. thrombosis of intestinal vessels.

Contacting a specialist should not be delayed if acute pain occurs, especially in combination with fever. It happens that delaying calling a team of doctors leads to death. There may be different reasons for the birth of pain, but recovery and return to a full-blooded life will depend only on the timeliness of assistance.

Other causes of pain in the right hypochondrium

If you are concerned about intense pain in the right hypochondrium, you should immediately consult a doctor or call an ambulance. Under no circumstances should warm compresses be used. You can apply ice wrapped in a cloth. It is forbidden to use painkillers, as they may complicate the diagnosis of the disease. If the unpleasant sensations have subsided, it is recommended to visit a gastroenterologist in the near future and undergo an examination of the gastrointestinal tract. Medkrugozor.ru

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

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

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

Severe pain on the right side under the ribs

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

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

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

Sharp pain on the right under the ribs

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

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

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

• fever;
• intoxication of the body.

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

Dull, aching pain under the ribs on the right

A nagging, dull aching pain in the right hypochondrium indicates chronic liver diseases that provoke its enlargement (hepatitis). In addition, this may be a sign of the formation of malignant and benign tumors.

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

• jaundice;
• liver failure;
• circulatory disorders.

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

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

Stitching pain on the right under the ribs

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

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

Pain in the right hypochondrium behind

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

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

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

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

Pain in the right hypochondrium anteriorly

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

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

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

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

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

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

Pain in the lower right hypochondrium

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

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

In addition, pain on the right side under the ribs can occur in a completely healthy person when moving. This happens when people are exposed to stress that is unusual for them. In the vena cava, which runs under the lower right ribs, blood flow increases and it swells. Pain can also occur with sharp bends and turns, when internal organs come into contact with the rib bones.

Pain in the right side under the ribs not only causes discomfort, but is also an alarming signal from the body. This is due to the dense structure of the organs that cover the right ribs. The appearance of pain is the first sign that something is “broken” inside you. It is pain that often helps us understand where exactly our problem is. It is also important to pay attention to the type of pain, for example, pressing, stabbing, aching. If the pain under the right rib is aching or dull, then this indicates liver disease. In acute cholecystitis, pain moves to the lower part of the right hypochondrium. Which doctors should I go to if I have pain in my right side under my ribs?

Abdominal pain is one of the most common complaints forcing patients to seek medical help. Any pain in the abdomen, especially acute pain, should seriously alert any person, especially if the person has not previously noted anything like this. In some cases, abdominal pain is constant, often recurrent, bothering patients for many years.

Speaking about abdominal pain in general, attention should be paid to the following very important points, since often, without giving them due importance, a person risks allowing this situation to develop very dramatically. If the pain is not aching in nature, you should focus on the pain in the right side under the ribs.

What you need to know if pain appears on the right side under the ribs

So, the main points that every person needs to know are the following:

1. It is necessary to clearly distinguish between acute and chronic abdominal pain. In acute pain, the attack begins suddenly, often without any predisposing factors. Such pains, as a rule, are initially quite intense, and their intensity usually intensifies literally by the hour. Chronic pain is usually dull in nature and bothers patients for a long time. An attack of pain is not always intense, and, as a rule, its occurrence is associated with some provoking factor. Such pains rarely come as a “surprise” to a person, who, over a long period of their existence, often has a medicinal or non-medicinal remedy in store that effectively relieves it.

Why is it important to distinguish between acute and chronic pain? This is important because in general, the cause of acute abdominal pain is quite often acute surgical pathology of the abdominal organs, in which there is always the potential to end up at least in a surgical hospital, and at most on the operating table. The cause of chronic pain is usually some kind of chronic therapeutic disease that is potentially less dangerous.

2. There is a golden rule: “In case of acute abdominal pain, you should never take painkillers until examined by a doctor, preferably a surgeon!” With chronic pain, such categorization is usually not observed and patients independently take analgesics to alleviate their condition.

3. The cause of abdominal pain does not always lie in a disease of the internal organs located in the abdominal cavity. So quite often, pathology of the lungs, heart, kidneys can be accompanied by the appearance of abdominal pain due to the peculiarities of the passage of nerve trunks.

Abdominal pain can be located in completely different areas, but one of the most common locations is aching pain in the right side under the ribs. There is a huge list of diseases accompanied by pain in the right hypochondrium. For ease of understanding and determining the importance of certain diseases accompanied by aching pain in the right side under the ribs, I would like to consider the disease in the following aspect:

Diseases associated with damage to the abdominal organs:

Dangerous to health and life (usually surgical)

Less dangerous (usually therapeutic)

Diseases not associated with damage to the abdominal organs

Dangerous diseases associated with damage to the abdominal organs

This group of diseases includes the following:

1. Acute cholecystitis. Localization of abdominal pain on the right under the rib is typical for this disease. Acute cholecystitis is an acute inflammation of the gallbladder. The most important and fundamental cause of this disease is the presence of gallstones, which often get stuck either in the neck of the gallbladder or in the bile ducts. In this case, the gallbladder appears to be blocked. Bile, unable to escape, overstretches it, causing severe pain. Very often, an infection is associated with this, and the disease manifests itself in its “full glory.” As a rule, pain in acute cholecystitis is localized in the area of ​​the right hypochondrium, but radiates under the right shoulder blade and into the right shoulder blade. Patients may experience nausea, vomiting, and bitterness in the mouth. Within two to three days, the gallbladder can completely “rot”, rupture, and infected bile begins to flow into the stomach, causing peritonitis. Without timely assistance, patients usually die. In most cases, a painful attack is associated with eating fried, fatty foods, as well as drinking alcohol. Often the only possible way to help such patients is emergency removal of the gallbladder. However, with timely treatment, it is possible to remove the gallbladder through small, barely noticeable punctures on the skin - the so-called endoscopic removal of the gallbladder. The most informative additional way to diagnose acute cholecystitis is an ultrasound of the abdominal organs, which not only allows you to identify the presence of stones as the main cause of this terrible disease, but also determine the thickness of the gallbladder wall - the main criterion for the severity of the inflammatory process.

2. Acute appendicitis. In absolutely every person, acute appendicitis is associated with the appearance of pain in the lower abdomen on the right (right iliac region). However, few people know that in approximately 70% of cases, acute appendicitis begins with pain in the upper abdomen, including in the right hypochondrium. In most cases, pain moves down the abdomen in the first six hours and then the picture becomes more or less clear. Acute appendicitis, as a rule, does not have any predisposing factors. It occurs against the background of complete health, in both men and women at any time of the day and at any age. Acute appendicitis is a very dangerous disease. That is why, as soon as this terrible diagnosis is made, the patient must be operated on as early as possible. As a rule, surgery to remove acute appendicitis is performed no later than two hours from the moment of diagnosis. Despite the fact that acute appendicitis, even if it begins with pain in the upper abdomen, soon “falls” lower, there is a certain category of patients in whom appendicitis manifests itself exclusively as pain in the upper abdomen under the rib, which, if these facts are not known, misleads medical workers , which endangers the life and health of the patient. This group of patients includes the following:

- pregnant women in the second half of pregnancy. The fact is that during this period, the enlarged pregnant uterus displaces the colon along with the appendix under the liver, where the inflammatory process is subsequently localized.

People whose appendix, due to anatomical features, is of considerable length and is located under the liver.

Only a timely examination by a surgeon can neutralize the potential threat that awaits patients in this group with pain under the rib on the right.

3. Perforated ulcer of the stomach or duodenum. In typical cases, with a perforated ulcer, severe pain occurs in the upper abdomen, which, due to its characteristic intensity, is called “dagger-like.” In this disease, through a hole formed in the stomach, gastric juice, consisting of hydrochloric acid and aggressive digestive enzymes, enters the free abdominal cavity, causing severe inflammation. Without emergency surgery, most patients die within the first three days, and even a late operation (on the second day) is often unable to save the unfortunate person. It would seem, how can one not recognize such a vivid disease in its manifestations? It turns out it's possible. And this happens due to the fact that in some cases this disease proceeds very mildly and atypically. This occurs in the following cases:

If the hole in the stomach or duodenum is very small, it can, as it were, be covered from the inside with a piece of food, preventing gastric juice from pouring out. In this case, the external opening (from the side of the free abdominal cavity) is covered with the intestine or omentum (the body’s protective reaction). This condition is called a covered test ulcer. Following a relatively abrupt onset of pain, the pain decreases significantly within a short time and takes on the character of aching under the rib on the right. However, the danger lies in the fact that an infection in the stomach can also lead to peritonitis and death, which, however, does not proceed so brightly and aggressively.

Even the slightest suspicion of a perforated ulcer is an indication for immediate referral to a hospital where there is a specialized surgical facility. And in order to finally convince of the danger and importance of this disease, I would like to say that any health worker who has identified or at least suspected a perforated ulcer must not only refer, but also ensure the delivery of the patient to the hospital (even by personal transport).

“Non-dangerous” diseases associated with damage to the abdominal organs.

“Calling” this group of diseases non-dangerous is of course not entirely correct, and would be a serious accusation against general practitioners. The fact is that, unlike emergency surgical diseases, which require a very quick and accurate diagnosis and urgent action, with therapeutic diseases there is time for a full examination without haste. It should also be noted that with therapeutic diseases, unlike surgical ones, there is much less often a direct potential threat to the patient’s life. The main therapeutic diseases accompanied by aching pain in the right side under the ribs are as follows:

1. Chronic cholecystitis. Like acute cholecystitis, chronic cholecystitis is also most often associated with the presence of gallstones. However, pain in chronic cholecystitis is much less intense and is rarely accompanied by nausea, vomiting, fever and deterioration in general condition. The pain appears very often, there is a clear relationship with food intake in the form of a diet violation, and it goes away perfectly after taking NO-SHPA. Eliminating fried, fatty foods, as well as drinking alcohol along with taking antispasmodic drugs during an exacerbation of the disease are the main measures aimed at reducing the frequency and intensity of pain attacks. Radical relief from chronic calculous cholecystitis is removal of the gallbladder as planned. In principle, all cases of gallstones are subject to surgical removal, which is more advisable to perform as early as possible at a young age, when a person tolerates surgery much easier and with fewer complications.

2. Gastritis and exacerbation of gastric or duodenal ulcers. The pain can be localized both in the epigastrium, i.e. in the pit of the stomach and under the rib on the right (especially with a duodenal ulcer). Pain, as a rule, occurs after eating (from 20 minutes to an hour and a half), very often accompanied by heartburn, nausea, belching, and sometimes vomiting. Pain in these diseases is often of a so-called seasonal nature, worsening in the autumn-spring period. The leading role in the diagnosis of gastritis and peptic ulcers is played by fibrogastroscopy (FGS), an endoscopic research method that allows not only to visually assess the condition of the inflamed mucous membrane, but also to perform a biopsy. Following a strict diet and taking medications that reduce gastric acidity in most cases allows you to get rid of this disease in a short time.

3. Hepatitis - inflammation of the liver. Most often, inflammation is caused by viruses (hepatitis A, B, C, D and others). Liver inflammation can be either acute or chronic. The occurrence of dull aching pain in the right hypochondrium is typical for this disease. There is one very important symptom of hepatitis, which in most cases helps to distinguish this disease from others - the appearance of yellowness of the skin and mucous membranes, which can vary in intensity from barely noticeable to bright orange. Hepatitis A usually occurs in an acute form with vivid symptoms, which after treatment does not leave any consequences. Hepatitis B, C and D often occur in chronic forms, slowly progressing to cirrhosis of the liver. Ultrasound of the liver and laboratory testing for the presence of hepatitis allow a correct diagnosis to be made in a timely manner.

Another cause of liver inflammation, in addition to viral hepatitis, is the ingestion of toxic substances into the body that damage liver cells. The most common hepatotoxic substance is alcohol.

4. Gallbladder dyskinesia - a functional disease associated with either an increase or a sharp weakening of the contractility of the gallbladder. The disease can occur in two forms: hyperkinetic - characterized by increased spasms of the gallbladder, hypokinetic - by excessive relaxation of the gallbladder. The pain is aching or stabbing in nature and has a clear connection with eating fried foods. In its course, the disease is very similar to chronic cholecystitis, but with dyskinesia there are no stones in the gall bladder. Dyskinesia is treated by following a diet, using choleretic drugs and NO-SHPA.

Diseases not associated with damage to the abdominal organs

There is a large group of diseases in which abdominal pain is localized under the rib on the right, but the disease affects organs located in completely different areas. The pain in these diseases is referred or radiating. Diseases that are accompanied by pain in the right hypochondrium are as follows:

1. Acute pneumonia (pneumonia). When the inflammatory process is localized in the lower lobe of the right lung, very often pain occurs not only in the chest, but also under the rib on the right. It also happens that there may be no chest pain at all. The presence of a high fever in the patient, cough with purulent sputum, body aches, as well as a connection with hypothermia preceding the onset of the disease can lead to the correct diagnosis. Careful listening to the lungs, performing x-rays or fluorography of the chest in most cases helps to correctly diagnose this disease.

2. Inflammation of the right kidney (acute pyelonephritis). In typical cases, pain with pyelonephritis is localized in the lower back on the left, but sometimes it also occurs in the right hypochondrium. Disorders of urination, ultrasound of the kidneys and laboratory testing of urine are the main methods for diagnosing acute inflammation of the kidney.

3. Osteochondrosis of the spine and intercostal neuralgia. With this disease, the nerves exiting the spinal cord are pinched. When the nerves running along the edge of the right costal arch are pinched, pain occurs under the rib. Usually the pain is associated with turning the body, getting out of bed, is shooting in nature and goes away after taking anti-inflammatory drugs.

4. Fractured ribs on the right- casuistry, however, in rare cases, especially in case of untimely treatment after an injury received while intoxicated, a rib fracture may not be recognized. Usually the pain goes away on its own 3-4 weeks after the rib fusion.

5. Acute myocardial infarction. It is rare, but it also happens that pain during a heart attack, especially in atypical locations, can radiate to the abdomen, including under the rib on the right. Myocardial infarction is a potentially life-threatening disease that, if not recognized early, can lead to death. The onset of the disease is usually associated with excessive physical exertion or emotional stress, typical for people over 50 years of age, and may be accompanied by shortness of breath, heart failure due to previously existing cardiac problems. If you suspect this form of myocardial infarction, you should immediately perform an electrocardiogram as the main method of diagnosing this serious disease.

From the above, it becomes absolutely clear that despite the vast list of diseases that occur with pain in the right hypochondrium, which is far from complete, both non-dangerous and life-threatening conditions can occur. That is why, in order to avoid serious consequences for health, in case of any unclear pain in the right side under the ribs, you should immediately seek help from a doctor.

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Dull or aching pain in the right side under the ribs is a fairly common symptom that every person has experienced at least once in their life. This is due to the dense structure of the organs that cover the right ribs. The liver and right kidney are located in this area. Both of these organs have a dense structure and are in fairly close contact with the ribs inside. In normal condition, the liver is reliably protected by the ribs on the right and is not injured by them when moving.

Dull or sharp pain on the right side under the ribs can occur in cases where the right kidney or liver becomes “crowded” in its natural bed. This can be caused not only by an increase in size due to the inflammatory process. There are also possible reasons such as displacement of organs during impacts and compression of them by other organs that are located nearby.

In order to understand the etiology of pain in the right side under the ribs and understand what diseases can provoke it, we suggest that you familiarize yourself with this material.

How does pain occur under the right rib?

As mentioned above, several factors can provoke pain under the right rib. But in any case, it should be understood that pain under the right rib must be differentiated from acute conditions. It is important to know that acute pain in the right lower rib can be life-threatening.

Therefore, we immediately stipulate that:

• aching pain under the right rib that lasts more than an hour requires calling an ambulance;
• sharp acute pain under the right rib requires immediate calling an ambulance;
• nausea, pain under the right rib requires you to see a doctor on the same day when these symptoms occur;
• stabbing pain under the right rib that occurs during movement and does not go away within 30 minutes may indicate organ infringement and requires immediate medical attention.

In the normal physiological state of the right kidney and liver, pain under the right lower rib does not occur. The exception is injuries. In this case, pain in the lower right rib may indicate a bruise, both of the rib itself and of the internal organs. If there is a bruise or abrasion on the surface of the lower right edge of the chest, then most likely the pain in the right rib is caused by injury.

What could cause pain in the right ribs?

In addition to injury, pain in the right ribs can be associated with inflammatory processes in organs such as:

• gallbladder;
• adrenal;
• right lung;
• upper intestines;

In women during pregnancy, pain in the right ribs may be associated with the growth of the fetus and compression of internal organs. When there is inflammation, for example, of the gallbladder, thickening of the walls of this organ is observed. Slowing the flow of bile causes expansion of the gallbladder. It begins to put pressure on the liver. That, in turn, puts pressure on the ribs on the right. There is a dull aching pain in the right ribs, which intensifies with movement and subsides in a lying position.

Acute cutting pain in the right ribs may indicate that some internal organ is seriously damaged. If you experience this symptom, you should immediately seek medical help.

How to diagnose pain in the right rib

In order to correctly diagnose pain in the right rib, it is necessary not only to carefully collect anamnesis, but also to do a series of examinations. The doctor can make a primary diagnosis by interviewing the patient. To collect anamnesis, not only existing chronic diseases are important, but also hepatitis or other acute inflammatory processes suffered in the past. During the survey, it is important to identify facts of injury and the possibility of a blow in the recent past. It is also important to establish the relationship between the occurrence of pain in the right ribs and food intake. An important factor is physical activity, which causes pain in the right ribs.

After questioning and collecting facts that accompany pain on the right side under the ribs, the patient is examined. The integrity of the skin is revealed. After this, you can begin to palpate the abdominal wall. The inflamed right kidney can be palpated in the anterior abdominal wall. The liver, if inflamed, will extend beyond the edge of the right rib. If the gallbladder hurts, then palpation will be painful just below the right ribs. It is important to know that sometimes pain in the right ribs can be associated with helminthic infestation. In this case, palpation will be painful around the navel.

Further important for diagnosing pain in the right rib is examination of the sclera of the eyes, tongue and skin. With an inflammatory process in the liver or gall bladder, the surface of the tongue will be coated with a yellowish coating. With or kidneys, a coating on the tongue is also possible, but white. With liver diseases and impaired bile flow, yellowing of the skin and whites of the eyeballs may occur. This is due to the fact that bilirubin from bile enters the blood and decomposes into bile pigments. They color the skin and sclera of the eyes a saffron hue.

After establishing a preliminary diagnosis, additional laboratory testing should be performed.

Severe pain on the right side under the ribs is a reason to urgently consult a doctor

If you have severe pain in the right side under the ribs, this is a signal from your body that it is suffering a catastrophe. In this place there are three important internal organs at once, the defeat of which can lead to death. Most often, severe pain on the right side under the ribs begins to bother you if:

• the gallbladder ruptures due to cholelithiasis;
• liver injury;
• prolapse of the kidney, rupture of the kidney or strangulation of the renal cyst.

All of these conditions require immediate surgical intervention. Therefore, if you are worried about severe pain in your right rib, do not hesitate for a second, urgently call an ambulance. Every minute can count.

What diseases cause pain under the right rib in front

Dull and aching pain under the right rib in the front can be caused by a variety of diseases. Among them are:

• acute and chronic hepatitis;
• fatty degeneration of the cellular structures of the liver;
• cholecystitis;
• pyelonephritis;
• glomerulonephritis;
• polycystic kidney disease on the right;
• inflammation of the appendages in women;
• acute attack of appendicitis;
• inflammation of the small intestine;
• helminthic infestations;
• inflammation of the pancreas;
• pneumonia;
• duodenal ulcer;
• oncological processes in the lung, liver, gall bladder or kidney.

Do not self-diagnose or treat without medical supervision. Only a specialist who has the capabilities of laboratory tests, including ultrasound of the internal organs of the abdominal cavity, can establish the correct diagnosis and begin quality treatment in a timely manner. Chronic hepatitis, for example, can only be detected with a blood test.

How to relieve pain on the right under the ribs

Dull and aching pain on the right under the ribs, which is associated with chronic diseases, can be treated with antispasmodics such as noshpa. But you should not take painkillers if you do not know your diagnosis. A blurred picture will subsequently make it difficult to diagnose the disease.

If acute pain occurs in the right rib, provide rest, a static position of the body in a supine position and apply cold to the place of pain. You shouldn't take anything. Call a doctor immediately. If the pain in the right ribs is associated with stagnation of bile, and you know this for sure, tubing, or liver cleansing, will help relieve the pain. Read about this in a special material.

What does pain under the right rib from behind indicate?

Very often people are bothered by pain under the right rib from behind. This is a symptom of an inflammatory process in the kidney or pancreas. It is quite easy to distinguish between these two conditions.