Constant dull pain in right side. Pain in the right side under the ribs on the side

Many people at the doctor's office complain that the right side hurts below the ribs. What does such a state mean? What can cause pain? When does a patient need emergency care? These questions are of interest to many.

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

Soreness in the right side of the abdomen and liver disease

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

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

Pain in the right side of the abdomen due to disorders in the gallbladder

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

Stitching pains in the right side often occur in people during physical activity, such as fast running. Such discomfort can be explained by the rapid release of bile into the intestinal lumen. A similar phenomenon is not considered a serious disease, but may indicate stagnation of bile. Therefore, it is better to consult a doctor just in case.

In addition, inflammation of the gallbladder is also accompanied by discomfort. Sharp pains appear during the formation of stones, their movement and blockage of the bile ducts. As a rule, such phenomena are accompanied by nausea, vomiting, digestive problems, increased discomfort after eating fatty foods.

Pain and pancreas

C is also located part of the pancreas. This organ is not only involved in the processes of digestion, but is also part of the endocrine system. Sharp pains in the right side, radiating to the back, may indicate pancreatitis - a disease that, along with pain, nausea, frequent vomiting that does not bring relief, as well as increased sweating and fever.

Appendicitis is a common cause on the right side

Appendicitis is an acute or chronic inflammation of the appendix of the intestine. With such a disease, pain, as a rule, occurs suddenly, they are sharp and strong. Inflammation of the appendix is also accompanied by fever, nausea and vomiting, diarrhea, lack of appetite.

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

Intestinal diseases as a cause of pain in the right side

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

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

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

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

Pain on the right during pregnancy - is it dangerous?

Many women at the reception at the obstetrician-gynecologist complain that the right side hurts below the ribs. In recent months, such phenomena can be absolutely normal. A rapidly growing baby increases in size, which leads to compression of the internal organs. As a rule, soreness disappears if you change your position, for example, lie down, roll over to the other side, or take a walk.

But if the pain is sharp, strong and does not go away, then this is a cause for concern. During pregnancy, pain in the right side may indicate all of the above diseases - these are hepatitis, pancreatitis, problems with the kidneys and gallbladder. By the way, during the bearing of a child, a woman's body is much more susceptible to infections, because the immune system weakens. Therefore, intense or frequent pain is a reason to see a doctor.

Right side hurts - what to do?

Many people are interested in the question: "What to do if there is pain on the right side?" As you can see, this symptom can signal significant and dangerous disorders in the body. Therefore, the only reasonable way out is to consult a doctor. You should not take painkillers and self-medicate until a doctor has examined and a final diagnosis has been made. This can only make the situation worse.

Some conditions require emergency care. The paramedical team should be called if:

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

Pain in the right side is a dangerous symptom that should never be ignored!

The content of the article:

Pain in the lower abdomen in the right side is a symptom of an inflammatory process in the organs that are in the pelvis and on the right side of the peritoneum. You can not start using painkillers for pain until the doctor has made a diagnosis, so as not to distort the clinical picture. An incorrect diagnosis can pose a threat to the health and life of patients. In case of acute pain in the lower abdomen on the right, surgical intervention may be required.

Causes of pain in the right side of the lower abdomen

Some causes of pain in the right side of the lower abdomen are associated with anatomical and physiological differences. But there are also diseases that develop with the same frequency in women and men.

Why does it hurt in the right side of the lower abdomen in women

When patients call a doctor, voicing a complaint of acute pain from the right side of the abdomen, the surgeon examines them first. The most dangerous disease in this case is appendicitis.

But there are also special reasons for which the stomach hurts on the right in women:

Oophoritis is a unilateral inflammation of the ovary.
Salpingitis - right-sided inflammation of the appendage.
Adnexitis or salpingoophoritis - appendages and ovaries are immediately affected.
Endometriosis - this disease is characterized by the growth of endometrial tissue. If there has been an introduction of the endometrium into the right fallopian tube, then complaints of aching pain in the right side of the lower abdomen are voiced.
Neoplasm in the ovary - both benign cysts or polyps, and malignant tumors.
Infectious diseases of the reproductive system, in which the infection is introduced unevenly.
Violation of urine output due to its accumulation in the ureter or kidney. In women, the condition often develops against the background of inflammatory processes in the fallopian tubes.
Right-sided ectopic pregnancy, if the fetal egg is fixed in the right fallopian tube.
Hemorrhoids - more common in women, caused by cavernous plexus dysplasia, pregnancy, difficult childbirth.
Adhesive disease after right-sided inflammatory processes, after surgery to remove tumors, after caesarean section due to adhesive disease.
Varicose disease with varicose veins in the vulva and pelvic organs against the background of congestion.

Due to metabolic disorders during pregnancy, constipation often occurs. This can provoke right-sided colic.

Why does the right side of the lower abdomen hurt in men

Characteristic pains in the right abdomen in men can be caused by inflammation of the reproductive system.

The most common causes of pain in this case include:

Cavernitis and colliculitis - inflammation of the cavernous bodies and seminal tubercle.
Stones in the prostate gland due to metabolic disorders.
Prostatitis is an inflammatory process of the prostate gland.
Prostate adenoma is an enlargement of the prostate gland.
Inguinal hernia is a disease in which the integrity of the abdominal wall is violated, due to which intestinal loops bulge under the skin. Inguinal hernia also occurs in women, but in men it develops more often and is more severe, as the seminiferous tubules are pinched.
Adhesive disease after operations on the abdominal organs.
Cirrhosis of the liver - the disease is more often diagnosed in men due to alcohol abuse.
Cholecystitis is inflammation of the bile ducts. Men rarely monitor the quality of food.
Diverticulitis due to the abuse of fatty foods and alcohol. On the intestinal mucosa, "pockets" are formed, into which food residues fall. Inside the pocket, favorable conditions arise for increasing the activity of pathogenic bacteria, rotting occurs, and inflammation appears. If the diverticulum bursts, a deadly condition called peritonitis can occur.
Perthes disease - develops more often in boys 14-16 years old against the background of puberty, due to impaired blood supply to the head of the right femur, cartilage necrosis appears, lameness develops.
Renal colic, caused by the passage of stones through the ureter or an inflammatory process, for example, right-sided pyelonephritis, is more severe in men.

There are also common causes that cause pain in the abdomen on the right:

Intestinal blockage - violations of the innervation of the walls of the large intestine and blood flow due to obstruction;
Gastroduodenitis is an inflammatory process of the small intestine;
Neoplasms in the rectum, regardless of etiology;
Lymphadenitis - inflammation of the inguinal node on the right infectious etiology of a specific and non-specific nature;
Diseases of the hip joint: arthritis of all types, arthrosis - a degenerative-dystrophic process, necrosis of the hip joint.

Each group of diseases, in which pain is given to the right side of the abdomen, has its own characteristic symptoms. The list of ailments is not complete. It is necessary to take into account the reflected pain that may appear with osteochondrosis, including the thoracic region, with pancreatitis, with intercostal neuralgia.

The main symptoms of pain in the right side of the lower abdomen

Pain in the right side of the lower abdomen is only one of the symptoms of the above diseases. Other signs depend on the group of affected organs and the clinical picture.

Symptoms of inflammatory or chronic processes:

In inflammatory processes of the reproductive system of women that do not require surgical interventions (with oophoritis, salpingitis, adnexitis, endometriosis, infectious processes), pain in the right side of the lower abdomen is pulling, aching, almost constant, radiating to the back and right leg. Increased during the menstrual cycle, with stress. It is difficult to find a position in which it becomes easier. At first, abundant thick white or gray discharges appear, which are colloquially called whites, then the discharge becomes purulent and acquires an unpleasant odor. Endometriosis is characterized by intermenstrual bleeding and prolonged heavy periods.
Cysts and polyps cause constant soreness, which increases with increased physical activity. With ovarian apoplexy, cyst rupture, the pain is acute, "dagger", the temperature rises sharply, liquid serous discharge with blood fragments appears.
Symptoms of ectopic pregnancy are similar to those of apoplexy. Only vaginal discharge is bloody, almost black.
Inflammatory processes of the reproductive system in men are accompanied by the same symptoms. Discharge from the urethra is purulent, sometimes with blood fragments. There is also a difference in symptoms: in men with inflammation of the genital organs, urinary retention often occurs due to swelling of the urethra, through which the outflow of purulent discharge passes. The condition is deteriorating. The infection ascends, the kidney and renal pelvis are involved in the inflammatory process.
Symptoms of inflammatory processes of kidney diseases: paroxysmal pain, innervates the stomach from the affected organ. At home, removing colic is problematic. When a stone moves through the ureter or when there is a severe inflammation, the urine becomes brown or purple in color due to fragments of blood and pus.
Pain in acute inflammation of the intestine is characterized as acute, dagger. The deterioration of the condition develops quickly, because due to increased innervation, peristalsis may stop. Signs of appendicitis, inflammation of the diverticulum and intestinal obstruction are common: "acute abdomen", hard abdominal wall. The condition is deadly.
Dysfunctional bowel disorders (colitis, gastroenterocolitis) are accompanied by increased flatulence.
Adhesive disease causes pain, aggravated by exercise, movement, in women during intercourse. But in this case, you can find a position in which the pain subsides.
With varicose veins of the reproductive system, women complain of pulling pain. The condition worsens when it is necessary to be in a sitting position for a long time and during the menstrual cycle.
With right-sided coxarthrosis and arthritis, the pain intensifies when walking, innervates the lumbar region, lameness occurs, but the temperature does not rise above 37 ° C.
With inguinal lymphadenitis, acute pain radiates down the abdomen, into the back. The disease can be differentiated by an enlarged lymph node.

With all inflammatory processes that stimulate the rise in temperature, intoxication develops. Its signs: high fever, nausea, sometimes vomiting, weakness, muscle and joint aches.

It is impossible to differentiate the disease only by the description and localization of pain, even taking into account concomitant symptoms. It is necessary to take into account the possibility of the appearance of reflected pain, for example, with pancreatitis, sciatica, inflammation of the spleen. Adnexitis in a woman can provoke pain in the joint, bleeding develops during uterine pregnancy and with ovarian apoplexy. "Acute abdomen" also appears with apoplexy, with ectopic pregnancy, with intestinal inflammation.

For right-sided pain, men may need to consult a surgeon and a urologist, and women will be advised to additionally visit a gynecologist.

How to treat pain in the right side of the lower abdomen

If after the examination it turned out that urgent surgical intervention is not required, medications in various pharmaceutical forms are prescribed to eliminate pain. At home, painkillers and suppositories are more often used, and injections are used in the hospital.

Pain pills for lower abdominal pain

The choice of tablets that are prescribed to eliminate abdominal pain on the right side depends on the clinical picture of the disease.

Prescribe medications:

With spasms of the intestines, with renal colic and cholecystitis, menstrual and premenstrual pain, antispasmodics are used: No-shpu, Baralgin, Spazgan, Spazmalgon, Papaverine.
If the pain is caused by inflammation of the joints, diseases of the kidneys, the reproductive or urinary system, occurring against the background of an increase in temperature, then NSAIDs are used: Ibuprofen, Nimesulide, Nise, Diclofenac. The drugs eliminate pain, have an anti-inflammatory effect and reduce the temperature. In inflammatory bowel processes, the possibility of using non-steroidal drugs is checked with a doctor.
If the pain is provoked by inflammatory processes in the intestines, then you can use Metoclopramide (blocks pain at the level of the central nervous system and eliminates vomiting), Cerucal (normalizes intestinal motility), Espumizan (stops the release of intestinal gases).
If pains in the right side are provoked by stagnant processes, Phenicaberan, Mebeverin, Riabal are used to speed up the movement of food through the intestines.
Preparations with loperamide, if diseases, the symptom of which is pain in the right side of the abdomen, appeared against the background of diarrhea.
Non-narcotic analgesics - Paracetamol, Analgin, Aspirin.

If the drugs are used on their own, it is necessary to read the instructions so as not to provoke side effects due to individual intolerance. The compatibility of painkillers should be clarified with your doctor.

Suppositories for pain in the lower right abdomen

For menstrual cramps and abdominal cramps, to reduce the side effect of oral medications, the use of painkillers in the form of suppositories is recommended:

Antispasmodics: No-X-sha, suppositories with papaverine.
With irritation of the intestines, spasms of the bladder, with pain caused by inflammatory processes of the reproductive organs, they are prescribed rectally: Diclofenac, Flamax, Indomethacin, Voltaren, Movalis.
For arthrosis and arthritis, Rofecoxib is prescribed for pain.

Suppositories with belladonna extract have a pronounced analgesic effect. Gynecologists prefer the drug if you need to stop severe pain with adnexitis, although the main indication for use is inflammation of the rectum of a different nature. For men, suppositories are prescribed for prostatitis.

Injections for pain on the right side of the lower abdomen

To quickly eliminate pain, in a hospital, anesthetics are prescribed by injection.

Available in the form of solutions:

Non-narcotic analgesic Analgin;
Antispasmodics: Papaverine hydrochloride, No-shpa, Spasmalgon;
Means of the NSAID group in injections: Diclofenac, Ketorolac, Ketorol, Denebol.

In a hospital, to eliminate acute pain, which cannot be eliminated by drugs of other groups, narcotic analgesics are used: Tramadol, Diamorphine. Duration of application - no longer than 3 days, so as not to provoke addiction. Narcotic analgesics are used more often for the relief of renal colic.

Proper nutrition to eliminate pain in the lower abdomen

Regardless of the causes that provoked pain in the abdomen on the right side, it is necessary to switch to a special diet that reduces the burden on the digestive organs and reduces the formation of intestinal gases. This will help reduce the innervation from the inflamed swollen organ and reduce soreness.

The principle of compiling the daily menu:

With pain in the abdomen, it is necessary to abandon gas-producing foods: legumes, yeast baked goods, white cabbage, carbonated drinks, hot spices, fatty and fried foods, rich broths.
Cereals and sour-milk products are introduced into the diet: kefir, low-fat cottage cheese, sour cream, yogurts. Cereals for cereals: oatmeal, buckwheat, barley, millet, pearl barley.
For meat and fish, the following cooking technologies are used: boiling, steaming, baking in parchment. It is advisable to grind all products, giving preference to pates. The eggs are soft boiled.
It is advisable to stick to fractional meals, up to 5 times a day, and eat in small portions so that food does not stagnate in the intestines.
You should drink plenty of fluids, supplement the diet with infusions of chamomile, rose hips and alkaline mineral waters without gas. Rosehip and chamomile have an anti-inflammatory effect, alkaline mineral waters reduce intoxication

Differences in the diet for inflammation of the urinary system and intestines are insignificant.

Folk remedies for pain in the right side of the abdomen

Home remedies are used only in cases where it is known exactly what caused abdominal pain.

A warm heating pad or a hot bath with a temperature not exceeding 38 ° C for cystitis or renal colic.
Valerian tincture and a warm heating pad on the navel area with intestinal colic.
A decoction of cumin seeds and lemon balm for inflammation of the small intestine. Brew a tablespoon of the mixture with a glass of boiling water and simmer for 5 minutes, strain and drink in small sips.
A decoction of rice with fennel seeds for intoxication. If the inflammatory processes in which the stomach hurts on the right are accompanied by intoxication, rice water will help. It is filtered, pour a teaspoon of fennel seeds into half a glass and bring to a boil. The tool tastes unpleasant, but has an anti-inflammatory effect and antipyretic effect.
A decoction of hay to eliminate congestion: the herb is brewed like tea, 1 tablespoon per cup of boiling water. Drink in the evening, the intestines are emptied in the morning.

How to get rid of pain in the right side of the abdomen - look at the video:

Folk methods will not be able to cope with acute processes. Home treatment is connected to alleviate the condition if the diagnosis has already been made. Pharmaceuticals are prescribed on an individual basis.

Quite often, the patient goes to the doctor with a dull pain in the right side. What can cause it? Unpleasant sensations can be localized at the bottom of the right side, under the right rib, and often radiate to the back. It is important to pay attention to this symptom in a timely manner, it can indicate a serious pathology. We note that the causes of pain can be diseases of internal organs, inflammation of bones, muscles, serious injury, neurological diseases. What to do? How dangerous is the pain?

Diseases of the internal organs

Most often, the gallbladder is disturbed on the right. If the stomach begins to pull, one can suspect chronic or acute cholecystitis, as well as gallbladder colic, cholelithiasis, acute pancreatitis.

Chronic and acute cholecystitis

In addition to pain, body temperature may rise, nausea and vomiting are observed, and bitterness appears in the mouth. The chronic form may not make itself felt for a long time, only with exacerbation pain occurs under the right rib, at first they are paroxysmal, and then permanent. Unpleasant sensations are aggravated during sneezing, coughing, exertion, and in severe cases - during breathing.

Cholelithiasis

As a rule, stones accumulate and do not manifest themselves for years. Often the doctor sees them on ultrasound. But some factors can provoke the movement of stones, in which case the person suffers from dull pains. It is especially dangerous when the stone begins to clog the exits of the gallbladder. At this time, paroxysmal, stabbing, cutting, tearing pain appears. She gives in the lumbar region, in the arm, under the shoulder blade, sometimes even in the heart. A person in this situation is very bad. In addition to pain, severe vomiting appears, the patient rushes about, cannot lie down, and the face turns pale or yellow.

Tumor of Vater's nipple

This is a special place that connects the intestinal lumen with the bile ducts. We note that the tumor does not lead to pain, but it is the cause of the inflammatory process in the biliary tract. At first, discomfort is disturbing, after which the temperature jumps sharply, jaundice and chills appear.

biliary dyskinesia

In this case, it all depends on how the disease proceeds. If the patient has a hyperkinetic type, where the liver appears sharp and acute pain. But the hypokinetic type proceeds with aching, dull and constant pain. Sometimes dyskinesia leads to intense, unbearable pain, in which the work of the heart is disturbed, a feeling of anxiety and fear appears. Symptoms often resemble.

Acute pancreatitis

Despite the fact that the pancreas is located under the left rib, the pain can be girdle and give to the right side. Most often, the pathology is exacerbated after the abuse of alcoholic beverages, spicy, fatty, fried foods.

Attention! If you do not help a person with acute pancreatitis in a timely manner, everything will end in death.

Dull pain in side after injury

After a fracture of the ribs, a bruise at the top of the abdomen or under the ribs, unbearable pain appears, which increases during coughing, breathing, sneezing. First, after the injury, the pain is localized in the damaged area, and then it radiates to the right side. Only ultrasound will help to find out about a fracture of the ribs. With its help, it is possible to differentiate a serious liver disease from an injury in a timely manner.

Shingles as one of the causes of pain

Please note that the herpes virus may resemble the symptoms of acute pancreatitis. First, there is a very strong pain on both sides of the abdomen, it can be constant, sharp, sharp. Then there is nausea and vomiting. Some doctors make a big mistake - they begin to treat the pancreas, but in fact, the patient has a completely different diagnosis. Doctors change treatment tactics after the appearance of a bubble rash on the abdomen.

Dangerous conditions accompanied by pulling pain

Acute appendicitis

One of the common causes of discomfort in the lower abdomen is acute. First, the pain is localized near the navel, then it is above the groin and goes to the right side. In this case, the temperature rises slightly, appetite decreases, and vomiting worries.

Crohn's disease

In the case (a variant of Crohn's disease), the discomfort is very similar to that of appendicitis. Therefore, doctors often notice during surgery that there are no problems with the appendix, only the end of the small intestine is inflamed.

Gynecological pathologies

In women, dull pains are associated with diseases of the uterus and its appendages. Most often it is:

Apoplexy of the ovary.
Ectopic pregnancy.
Torsion of the pedicle of an ovarian tumor.

Pain in this case is constant, may be accompanied by various discharges - bloody, purulent. They often cause fever. At the slightest suspicion of a serious female disease, immediately go to the gynecologist, otherwise everything may end:

Infertility.
Bleeding.
Peritonitis.

Pain during pregnancy is no less dangerous, here it is best to go to the maternity hospital, where first aid will be provided. Remember, any pain in a pregnant woman is a threat of miscarriage.

Basic Treatments

It is important to understand that pain is only a symptom that should not be muffled with antispasmodics, analgesics. It is better to immediately find out the cause of the pain. For this, it is recommended to contact a gynecologist, a surgeon. There are several ways to get rid of pain.

Diet

For problems with the gallbladder, it is best to refuse spicy, fatty, fried foods.
With intestinal diseases, you need to forget about spices, coarse fiber.
If you need some time to follow a "hungry" diet.

Taking medication

Antibiotics are prescribed for any inflammatory processes.
With oncology, the patient undergoes chemo-, radio- and radiation therapy.
With the herpes virus, only antiviral drugs will help.

Attention! Analgesics, antispasmodics are used as an addition to the main treatment.

Operation

This method of treatment is an extreme measure. Most often used for:

Acute appendicitis.
Women's pathologies - ectopic pregnancy, apoplexy.
Gallstone disease.

So, you must understand, no matter what the pain is - dull, pulling, aching, stabbing, sharp, paroxysmal, immediately consult a specialist!

Determining the causes of nonspecific pain is a serious task for neurologists, surgeons, obstetricians, gynecologists, traumatologists, orthopedists and other medical specialists. Diseases accompanied by pain in the lower abdomen are difficult to diagnose and can pose a serious danger to the patient's health.

Causes of pain in the right side of the lower abdomen

Despite the obviousness of sensations, this is a difficult problem in diagnosing acute and chronic diseases in the pelvic area.

The pain is manifested by unpleasant sensations in the lower abdomen (including on the right side) and can be combined with pain in the projections of the body located in:

suprapubic, inguinal zone;

male genital organ;

clitoris, vagina, uterus;

urethra;

back, lower back;

buttocks, intestines.

The complexity of the problem is that a chronic pain impulse under the influence of various causes can be formed in the central nervous system in the absence of a focus in the internal organs. Therefore, even the most modern medical research often does not reveal pathological changes.

However, let's leave the doctors the right to solve complex problems of diagnosing nonspecific pain. Instead, we will focus on the obvious causes of pain in an amount useful for the use of knowledge by a wide range of readers in order to prevent the causes of pain and timely access to a medical institution.

Common causes of pain in the lower abdomen are associated with irritation of sensitive receptors:

internal organs of the small pelvis of the right half of the body;

Intestinal blockage. In case of intestinal volvulus, the pathogenesis is characterized by rapid development. This is due to a stop in blood flow and a violation of the innervation of the intestinal walls. With mechanical blockage of the intestine (foreign bodies), peristalsis stops and there is severe pain that radiates to the right side of the groin. It can be combined with vomiting after eating, with the absence of peristaltic noises and with the expansion of the lumen of the intestinal loops.

Duodenitis. Inflammation of the duodenum and small intestine is accompanied by pain that radiates, including to the right side. Pain is projected onto the lower abdomen with a predominant lesion of the intestinal loops located closer to the right side of the body. The pain is combined with signs of indigestion.

Inguinal hernia. Pathology is classified as a surgical disease. - this is a combination of two factors: rupture of the inner layers of the abdominal wall and prolapse of the omentum and intestinal loops into the subcutaneous space. The integrity of the skin with hernias is not broken. A hernia is manifested by a saccular protrusion of the skin in the groin. If during palpation it is possible to set the contents of the hernial sac inward, this is a reducible hernia. If it is impossible to set - strangulated hernia. It is the strangulated hernia that is dangerous. The intestinal loops, omentum with vessels and nerve fibers swell and swell. Their volume exceeds the diameter of the hernial ring. The pain is aggravated by physical activity. Diagnosis is not difficult. Treatment is a surgical operation to close the hernial ring.

Liver diseases. Pain is not typical for the early stages. Pain develops in the later stages of inflammation. In severe cases, excruciating pains appear on the right lower abdomen, the pathogenesis is accompanied by a total lesion of the organ () and bile ducts (). The pain may go down to the groin area on the right side.

Types of pain

Pain is a protective reaction of the body that occurs in response to various types of irritation of nerve endings in almost all parts of the body. Pain in the right side of the lower abdomen is part of the pathogenesis of diseases. The correct characterization of the types of pain is important during the early diagnosis of diseases of the pelvic organs, bones, joints and blood vessels.

According to the description of pain, it is difficult to draw a final conclusion about the pathological focus. But it is very important to tell the doctor the nature of the pain and its localization for an objective study using abdominal ultrasound, MRI and CT.

It is defined as a feeling of fullness of the abdominal wall from the inside with a blunt object. Dull pain of low intensity, debilitating, aching and tedious, is a reflection of the involvement in the pathogenesis of a large number of small sensitive receptors responsible for the pain of internal organs. Pain emanating from the area of the right side, from below, dull - a frequent sign of appendicitis, intestinal diverticulum, hepatitis, cirrhosis of the liver,.

A dangerous sign is a sharp spontaneous cessation of dull pain. This may mean necrotic processes in the internal organs and disturbances in the conduction of the pain impulse. Dull pains are sometimes combined with yellowness of the mucous membranes, nausea, general malaise and increased irritability.

Drawing pain in right side

It is defined as a feeling of pulling the internal organs to the abdominal wall or vice versa, pulling away from it. May be exacerbated by physical activity. The patient takes forced postures. As in the first case, pain is a reflection of the involvement of small surface receptors of the abdominal wall in the pathogenesis. It develops in athletes with sprains in the groin. Pain can be the result of pathologies of the abdominal cavity (adhesions, hepatitis, inflammation of the kidneys, appendicitis, inflammation of the adrenal gland, duodenum) and pathologies of the pelvic organs (uterus, ovaries).

Specific pulling pains are detected in women at all stages of pregnancy and during menstruation. Rarely, drawing pain in the right side may accompany the movement of a small stone in the ureter or lumbar region.

Sharp pain in right side

Defined as acute, sudden and severe. The sensation is similar to running a dull knife along the inside of the abdominal wall. Pain is usually formed in a small pathological focus, less often in a large one. The most likely causes: gynecology, diseases of the urinary system and intestines, pinched nerves.

Rezi in the right side can be a manifestation of inflammation of the ovary, apoplexy, torsion of the ovary, pinching of the nerve in the lumbar skeleton, volvulus, acute expansion of the bladder, movement of a large stone in the right ureter and overflow of the intestines with gases. It can be aggravated by straining, bending, trying to turn the body. It is combined with headache, fainting, blurred vision.

Stitching pain in right side

It is defined as a tingling of the abdominal wall in the right side from the inside with a blunt thin object. Usually occurs periodically and is formed in a small pathological focus with inflammation of the gallbladder, with appendicitis, with movement. Stitching pain can intensify on a breath, when bending and turning, during physical exertion, during.

Other symptoms of pain in the right side

Pain is not a specific and far from the only symptom of diseases of the internal organs, joints and bones of the lower girdle of the human body. The most common symptoms that accompany pain are a burning sensation, fever, and nausea, turning into vomiting. The correct interpretation of the signs of the disease accompanying pain is possible only by a specialist.

Temperature . A decrease in temperature is evidence of the extinction of vital functions. An increase in temperature, fever is an adaptive reaction of the body to the action of an infectious or non-infectious, internal or external pathogen. An increase in temperature and pain in the right half of the body in the lower abdomen is often combined with gynecological diseases, inflammation of the kidneys and liver. One of the important indicators of fever is its type.

Constantly high temperature at the level of one to two degrees Celsius above normal is a sign of common inflammatory diseases.

Temperature fluctuations during the day by more than two degrees are frequent companions of purulent processes in the internal organs.

Exhausting temperature (prolonged hyperthermia with drops of more than two degrees) is evidence of septic processes in the internal organs.

The lack of regularity in temperature changes is a sign of rheumatic processes in the lower back.

Nausea, vomiting. These symptoms, combined with pain in the lower abdomen on the right, occur with completely different diseases, including lesions of the digestive, genitourinary, nervous system and gynecological diseases. All these pathologies are characterized by the presence of symptoms of intoxication and / or excitation of pain receptors.

Burning. It is noted in diseases of the pelvic organs, including inflammatory processes in the urogenital area. Burning occurs during urination, during intercourse, is a sign of irritation of the mucous membranes of the urethra and external genitalia. Burning can be an independent symptom and / or be combined with pain in the lower abdomen.

What to do if there is pain in the right side?

Remember to be careful with anesthesia. Removing the pain syndrome can hide the true causes of the pathology during the diagnosis period.

At the first sign of pain in the right side, you should:

Assess the nature of the pain against the background of additional factors, including the presence of:

pregnancy in women;

concomitant chronic diseases (mentioned above);

additional symptoms (vomiting, diarrhea, chills, weakness, duration, nature and type of pain).

For any type of pain that has not previously been observed in a person, you need to call an ambulance and truthfully describe the signs of the disease found. If there are suspicions of serious causes of pain, voice them in a conversation with your doctor!

If the nature of the pain is familiar, the advisability of calling an ambulance should be determined depending on the severity of the patient's condition, including:

if you feel unwell, immediately call an ambulance;

with a stable condition of the patient - call the local doctor at home;

in case of a short-term attack of pain, contact the district clinic for a referral for examination.

Attention! Recommendations from paragraph 4 should be carried out based on the patient's own subjective feelings and his close circle. Remember: even mild, short-term pain can be a sign of a dangerous disease.

Before the ambulance arrives, you need to prepare the documents necessary for the patient to register at a medical institution ().

If possible, it is necessary to accompany the patient to the emergency room of the medical institution.

Education: Diploma in the specialty "Medicine" received at the Russian State Medical University. N. I. Pirogova (2005). Postgraduate studies in the specialty "Gastroenterology" - educational and scientific medical center.

Pain in the right side can occur with various diseases and injuries. With acute pain in the right side, you should immediately call an ambulance, as this may be a symptom of appendicitis.

If the right side under the ribs hurts a lot

Strong under the ribs can indicate both acute or chronic diseases, as well as injuries or physical overload. Most often, this symptom indicates the presence of the following problems:

Diseases of the liver. Frequent pains in the right side under the ribs most often indicate problems with the liver. These can be viral liver diseases, for example, B, C and others. Lifestyle can also negatively affect the health of this organ. So, for example, the abuse of alcoholic beverages contributes to impaired liver function. In this case, the development of alcoholic hepatitis is possible. The liver can also hurt with the abuse of fatty foods, as well as with smoking. Another cause of liver pain is drug poisoning. Most often, these are antibiotics and other drugs that have a toxic effect on the liver tissue. If a person has heart problems, then the liver can also suffer. Due to the fact that the heart cannot cope with its functions, stagnation of blood forms in the liver, which leads to the appearance of painful sensations.
Diseases of the gallbladder. For the digestion of food, bile, which is produced by liver cells, plays a huge role. The main role of bile is the breakdown of fats, which then enter the intestines, and in this state can be absorbed into the blood. Excess bile enters the gallbladder. If a person consumes too much, then additional portions of bile come out of the gallbladder, since the bile produced by the liver may not be enough. In this case, if there is an infection or stones in the gallbladder, then the release of bile when eating fatty foods (or other choleretic products) may be accompanied by severe pain in the right hypochondrium.
Diseases of the pancreas. This organ is located in the abdominal cavity and performs a number of important functions, in particular, it is responsible for the production of certain hormones and digestive enzymes. Severe pain in the right side, which is accompanied by nausea, vomiting and profuse sweating, can signal pancreatitis - inflammation of the pancreas. Inflammation of the pancreas can occur with excessive alcohol consumption, complications of gallbladder disease, complications of stomach surgery, and various abdominal injuries.
Diaphragm diseases. Diaphragm disease is quite rare. Pain in the right side under the ribs can occur with diseases of the internal organs that press on the diaphragm. Diaphragm enlargement is also noted during pregnancy. Other causes of diaphragmatic pain can be tumors of the diaphragm, hernia of the diaphragm, thinning of the right dome of the diaphragm (very rare), abdominal trauma, in which diaphragm ruptures are possible.
Intestinal diseases. Often, with severe pain in the right hypochondrium, doctors suspect appendicitis. As a rule, this suspicion is not removed until other causes of such a symptom are discovered. With sharp pains in the right side, you should immediately seek medical help, because if the appendix ruptures, a person can die.

If the right side of the lower abdomen hurts a lot

Pain in the right side in the lower abdomen can occur due to the following reasons:

Acute appendicitis . This is one of the most common causes of severe pain in the right side of the lower abdomen. As a rule, with acute appendicitis, pain is first felt in the pit of the stomach. At first, it is quite tolerable, but over time it constantly intensifies and passes to the iliac region. Then the pains begin to spread into the rectum, which makes it painful for a person to stand and walk. In addition to pain, a person with acute appendicitis also has a fever and nausea. With such symptoms, you should immediately consult a doctor.
Acute pancreatitis. Attacks of acute pancreatitis are often accompanied by severe pain in the right side of the lower abdomen. In this case, the patient may have moving pain throughout the lower abdomen. As with appendicitis, an attack of acute pancreatitis can be accompanied by severe bouts of vomiting and high fever.
Infectious and inflammatory bowel diseases. Pain in the right side of the lower abdomen is possible with some infectious and inflammatory bowel diseases. In particular, such a picture is given by ulcerative colitis, ileitis, Crohn's disease, diarrhea provoked by worms or infection.
Compression of nerve endings. In some cases, pain in the right side is caused by compression of the nerve fibers passing in this area.
Diseases of the urinary organs. may be associated with bladder or kidney disease. Acute pain may indicate the progress of the stone, which descends into the bladder along the ureter.

If the right side hurts a lot during pregnancy

During pregnancy, pain in the right side can occur due to the above diseases. Pregnant women may also have problems with the liver, appendix, pancreas and genitourinary system, which gives these symptoms.

But most often, pain in the right side during pregnancy is associated with pressure from the uterus on the diaphragm, which causes aching pain and a feeling of heaviness.

In some cases, pain in the right side during pregnancy may indicate an ectopic pregnancy.

In late pregnancy, a woman is often worried about dyskinesia of the gallbladder and biliary tract. This violation can contribute to the appearance of the inflammatory process and the formation of stones. On the other hand, dyskinesia itself can be one of the manifestations of cholelithiasis.

As a rule, pains in the right side during pregnancy are aching and dull. Pain may be aggravated by fetal movements. In this case, the nature of the pain will largely depend on the position of the fetus in the uterus.

What to do if the right side hurts

If you are concerned about pain in your right side, then you should definitely consult a doctor to find out the causes of such a symptom. Acute pain with high fever and nausea may indicate appendicitis or an attack of acute pancreatitis. In such a situation, you should immediately call an ambulance.

If you call an ambulance, then doctors do not recommend drinking analgesics, as they can distort the symptoms of the underlying disease and mislead doctors.

Depending on the symptoms and suspicions of the cause of pain in the right side, a person may need the help of a gastroenterologist, infectious disease specialist, urologist, gynecologist, surgeon and other specialists.