Pain is an unpleasant symptom that indicates the presence of disorders in the body. Usually it does not go unnoticed, especially if it occurs suddenly. Often there is a situation when the right side hurts when moving. This may be due to various reasons, but in any case, do not ignore this symptom. Why the right side hurts when moving, you can find out from the article.
Physiological reasons
If the right side under the ribs hurts during movement, this is often associated with fecal blockages. They appear when the diet is not observed: quick snacks, food on the go, etc. As a result, the body accumulates products in the large intestine that could not be processed. They press and press on the diaphragm, which is recognized as the main muscle that affects proper breathing and heart function. It is difficult to normalize the work of an organ that is compressed from different angles.
Because of this, the heart and blood circulation are disturbed. The body does not receive enough oxygen, “suffocates”, which affects the activity of the lungs, liver, kidneys, and urogenital organs. This causes pain in the side when walking, running and after exercise. In addition, the accumulated food remains smolder in the intestines at 36-37 degrees, forming harmful gases and substances that poison the body.
In women, it hurts in the right side when moving during pregnancy. With an increase in the term, the fetus increases in size, there is an increase in the size of the uterus. The organs located in the right side, for example, the liver, are subjected to pressure, and pain appears, which is especially felt when walking. In the lower abdomen, discomfort appears from overstrain of the ligaments of the muscles that support the uterus and the fetus located there. To reduce pain during pregnancy, you must use a special belt-bandage, which removes the load from the muscles.
The right side hurts when moving in women with menstruation. At this time, death and rejection of the uterine mucosa (endometrium) occurs, and blood secretion appears. During movement, walking, running, the load increases, and the rate of endometrial dying increases, so the pain will be greater. Blood will also be abundant.
Also, when moving, the right side under the ribs hurts from exercise. They appear in the following cases:
- If the required amount of time has not elapsed between eating and training, that is, digestion continues. Therefore, if there is physical activity, then at least 3-4 hours after eating should pass. It’s better to wait a bit than to feel pain in the hypochondrium while running with a full stomach.
- From a violation of breathing techniques. With shallow breathing, inhalation and exhalation are small, the flow of blood to the heart decreases. Blood is not able to leave the liver and remains there for some time, which leads to an increase in organ volume. This increases the pressure on the liver, causes side pain and cramps when breathing. To prevent this, breathing should be even: 2 steps - inhale, 2 steps - exhale. Inhale through the nose, and exhale through the mouth.
If the right side hurts during movement, then this is a sign of malfunctioning of organs. The problem should not be ignored, since it can indicate dangerous ailments, since the liver, gall bladder, pancreas, right kidney, appendix are on the right. If discomfort is manifested during training, it is advisable to finish classes so as not to worsen the condition.
In addition to physiological reasons, there are also pathological ones. They are manifested by painful deviations from the norm or the development process. Read more about them below.
Cholestasis
With this disease of the liver, the movement of bile is disturbed, its stagnation appears. This variant of the liver reaction to damage and impaired functioning is rare. Bile acids pass into the intestines, and then into the portal vein. If the liver cannot remove unnecessary substances that appear in the intestine, then there is an accumulation of bile acids and cholesterol in the blood.
Intrahepatic cholestasis is a violation of the removal of bile from the small bile ducts with:
- viral infection;
- pregnancy
- taking medications like Aminazine or drugs containing male sex hormones.
Subhepatic cholestasis appears from mechanical compression and during the blockage of large bile ducts. The disease manifests itself:
- pains in the right side;
- grayish-white feces;
- dark colored urine;
- increased stool;
- deterioration in visual acuity.
How is this ailment detected
The disease is recognized by the analysis of the kidney, where the presence of yellow pigments is determined, and by the analysis of blood, in the serum of which the following indicators are higher than normal:
- cholesterol;
- phospholipids;
- bile acids;
- copper;
- alkaline phosphatases;
- bilirubin.
Another diagnosis of the disease is performed using:
- ultrasound examination of the liver;
- endoscopic retrograde cholangiopancreatography;
- magnetic resonance cholangiopancreatography;
- positron emission tomography.
Accumulated bile acid in the blood leads to irritation of nerve endings on the skin, skin itching, sleep disturbance. And if bile pigment (bilirubin) is increased, then jaundice appears. It happens:
- Suprahepatic. Appears from increased blood breakdown.
- Hepatic. It is manifested by a weakening of the capture, binding and excretion of bilirubin by hepatocyte.
- Subhepatic. It develops from a violation of the outflow of bilirubin along the bile ducts.
How to treat?
If the right side hurts with sudden movements, and the diagnosis has been confirmed, then treatment is carried out in the following ways:
- A conservative method involving diet and diet.
- Taking medication. This requires preparations of ursodeoxycholic acid, hepatoprotectors, cytostatics.
- Symptomatic treatment. It consists in taking antihistamines. Still need vitamin therapy and antioxidants.
- Surgical method.
- Physiotherapy.
- Special physical education and massage.
Cholestasis can lead to complications. From the prolonged presence of jaundice, liver failure appears, and in advanced cases, hepatic encephalopathy and sepsis develop.
Fatty hepatosis
This is a liver disease. The main cellular element of this organ are hepatocytes, which perform the work of absorption, excretion, metabolism. If metabolic processes are disturbed, this body will be sick. Inflammation appears in the liver, due to which the right side hurts when moving. Discomfort periodically subsides, and later intensifies again.
The disease appears from:
- lack of protein in the body;
- drug use;
- diabetes
- hepatitis A;
- poisoning of the body with mushrooms, industrial gases, vegetable pesticides, household chemicals;
- lack of oxygen in diseases of the heart, bronchi, pulmonary diseases.
Fatty hepatosis is dangerous because there is excessive deposition of fibrous tissue near the hepatic veins. This often appears in people who often take alcohol. In them, fat replaces the active structures of hepatocytes, which leads to death. Therefore, if the right side hurts when walking and moving, you need to get rid of the habit of drinking alcohol in large quantities.
Diagnostics
If you have painful symptoms, you should consult a doctor. The diagnosis is confirmed by:
- ultrasound examination;
- computed tomography;
- blood tests;
- biopsy of liver tissue.
These activities can only be carried out in a hospital and only by a doctor. After that, the specialist prescribes the appropriate therapy.
The nuances of treatment
During treatment it is necessary:
- eliminate the factors affecting the liver;
- follow a diet with moderate physical activity;
- apply medicines and traditional medicine.
Cirrhosis
If the right side hurts during movement and inclines, then this is also associated with cirrhosis of the liver. This is the last stage of liver disease that occurs from chronic hepatitis and metabolic disorders. The liver at this stage is a highly altered organ. Pathology develops from the death of hepatocytes or necrosis.
There are three degrees of cirrhosis:
- On the first, a mass of hepatic lobes dies, local necrosis is observed, and hepatic coma appears. There is severe pain in the right side.
- In the second stage, hepatocytes are replaced by connective tissue, which hides the defect. The central vein is separated from the remaining lobules, and blood circulation is disturbed.
- At the third stage, changes are observed, presented in the form of sprouted connective tissue in a lobule. Cirrhosis is formed with the restructuring and distortion of the liver structure, so the organ is constantly sore. Outwardly, there are symptoms of jaundice, itching. The skin near the eyes, on the palms of the hands, the body acquires yellow plaques and darkens.
Another ailment manifests itself in the form:
- abdominal enlargement;
- the occurrence of bleeding from the gums;
- bright pink tongue;
- lightening feces and darkening of urine;
- frequent constipation and diarrhea;
- belching and heaviness in the abdomen;
- pain on the right under the ribs.
Features of diagnosis and treatment
In a medical institution, it is necessary to undergo a diagnosis. To do this:
- interrogation of the patient;
- comprehensive research;
- laboratory, biochemical, immunological research of body fluids;
- Ultrasound of the spleen and liver;
- liver biopsy;
- CT scan;
- radiocuclide scanning.
Treatment is selected according to the results of examinations and analyzes. Usually, drug therapy and diet are required, which implies the exclusion of products from the diet that negatively affect the liver. If necessary, a surgical method of treatment is selected.
Calculous cholecystitis
If the right side of the back or front hurts when moving, then this is associated with gallbladder disease. With this type of cholecystitis, the formation of stones in the gallbladder is observed. The disease develops from:
- excessive, irregular nutrition;
- weak physical exertion, which lead to stagnation of bile;
- hereditary predisposition;
- infectious disease;
- liver disease.
There are two forms of the disease:
- acute - manifested by purulent inflammation;
- chronic - the acute form passes into it, if there are no complications.
Diagnostic measures and treatment
In order for the diagnosis to be confirmed, the following is required:
- Ultrasound of the gallbladder;
- laboratory studies of hepatic blood samples and pancreatic enzymes;
- cholecystography;
- radionuclide diagnostics.
Therapy is to relieve an acute condition and protect against complications. The first is provided by medications (painkillers) and diet, and the second by removing stones by shock wave therapy or by a surgical method. Sometimes you need to remove the gallbladder.
Gallbladder inflection
This organ is located in the lower part of the liver, has a pear-shaped form with a capacity of 30-70 ml. Inflection occurs from:
- congenital factors;
- acquired from injuries and physical activity, violation of the principles of nutrition and the appearance of stones in the gall bladder.
Usually patients complain that the right side hurts when moving and the back. There may also be nausea, weakness, bitterness in the mouth, constipation and diarrhea. From the diagnosis, ultrasound of the gallbladder is performed.
Treatment consists of diet, drug therapy, and physiotherapy. For complications, surgical intervention is needed. The disease is dangerous with complications, since necrosis from a severe bend or rupture is likely.
Appendicitis
This disease is called appendix inflammation. A disease appears from a complex exit of the contents from the processes into the cecum, which occurs from obstruction of the lumen by fecal masses, worms.
At the same time, the right side is down when moving. The temperature rises to 38-39 degrees, nausea, diarrhea appears. Cold sweat also occurs, pallor increases.
The treatment consists in the removal of the organ by a surgical method. Therefore, when alarming symptoms occur, an ambulance call is required, otherwise the appearance of peritonitis is likely. Before the doctors arrive, the patient must be laid down, something cold should be placed in the lower abdomen.
Vena cava thrombosis
The veins of the pulmonary circulation circulate blood from different organs of the body, and hollow veins form, flowing into the right atrium.
The superior vena cava receives blood from the veins of the head and neck, arms, chest. The inferior vena cava is considered a venous trunk that transfers blood to the right atrium from the legs, abdominal organs and pelvis. Thrombosis interferes with the flow of a sufficient amount of blood.
This ailment appears from:
- tumors in the chest;
- complications after myocardial infarction;
- lymphogranulomatosis;
- pericarditis.
If obstruction of the superior vena cava is detected, surgical intervention is necessary. And at the bottom, complex antithrombotic therapy is performed, anticoagulants are used. With complications, the surgical method is effective.
If there is pain in the right side, then these may be symptoms of dangerous ailments that cannot be treated on their own. You need to see a doctor. After the diagnosis, effective therapy will be prescribed.