On the right side of the person is one of the most important organs - the liver. Therefore, if the right side under the rib hurts after eating, then the doctor may initially suspect the presence of hepatological diseases. However, this manifestation has no less serious reasons.
In addition, discomfort can occur during the course of diseases of the internal organs. A major role in the occurrence of pain is played by the psychological factor. To determine the main cause of this manifestation, patients need to undergo a comprehensive examination. You can get rid of pain with the help of conservative techniques. However, not always in this way, it turns out, eliminate the provoking factor.
Classification
If the right side hurts after eating , then this can be triggered by a variety of factors. In order to determine the provoking factor, in addition to the main symptomatology, one must also take into account the classification of such a violation. Depending on the duration of the course of pain, it is divided into constant and periodic. By the nature of the course of pain, the syndrome can be:
- pulling;
- sharp;
- stupid;
- aching;
- oppressive;
- sharp;
- sharp
- throbbing.
In addition, painful manifestations also differ from the area of localization of discomfort. If the pain is up, then this may indicate a diaphragm lesion. Discomfort in the lower part indicates acute appendicitis.
In case of back pain, there is a risk of pathology in the region of the kidneys or pancreas. If such manifestations of pathology are noted in front, then this may indicate the occurrence of diseases of the stomach, intestines, liver, lungs, gall bladder.
Causes of discomfort
In some cases, after a fatty meal, the right side hurts, especially when overeating, and also if there are problems with the liver and stomach. In addition, discomfort is felt after consuming very cold or hot food.
If the right side under the rib hurts after eating, this may be a sign of inflammation in the cecum. Also, this kind of pain can talk about inflammation in the gallbladder, as a result, fatty foods are poorly tolerated, and about hepatitis, in which there is intolerance to protein products.
If the right side starts to hurt immediately after eating, then this may be a sign of an irritated intestine. In addition, such signs as are observed:
- rumbling;
- bloating;
- problems with bowel movements.
In this case, the right side hurts after eating, and discomfort passes after the exhaustion of gases or an act of defecation. The pain does not bother the person until the next meal, is not accompanied by anemia, fever, sudden weight loss. If you experience discomfort after eating spicy or salty foods, you can talk about the presence of pathologies of the right kidney.
If there are problems with the intestines, then the pain will appear 1-1.5 hours after eating. Inflammation of the small intestine and enteritis, in addition to painful manifestations, is accompanied by impaired stool, and intestinal diseases occur with constant constipation and bloating. Often the right side under the rib hurts after eating due to inflammation of the stomach.
Discomfort in the epigastric region may be caused by pyloric spasm. A similar pathology is observed in neurotics and is characterized by strong weight loss, since a person has vomiting after eating, and the food simply does not have time to digest.
Diseases of the stomach, pancreas
If the right side of the lower abdomen hurts after eating, then this may be a sign of inflammation of the duodenum or the formation of an ulcer. There are also signs such as nausea, belching, fullness, flatulence, excessive sweating, weakness. For complaints of severe cutting pain and dizziness, urgent medical attention is required.
A stomach ulcer is characterized by the fact that after eating the right side in the middle hurts, and nausea and weakness are also observed. With this disease, the frequency, strength and localization of painful manifestations must also be taken into account.
The cause of pancreatic inflammation can be acute cholecystitis, stones, gall bladder diseases, consumption of fatty foods, alcohol, and the use of certain medications. With pancreatitis, the discomfort can be very strong with nausea, fever, decreased pressure, and heart palpitations. The most important thing is to undergo a comprehensive examination, since if the right side hurts after eating, the reason for this can be hidden even in food poisoning.
Liver pathology
Many people are concerned about the question of why the right side under the ribs hurts and what diseases such a violation can be associated with. Pain can occur with hepatitis. This disease is an inflammation of the liver with the formation of tissue necrosis. It can be provoked by a number of different reasons, in particular, such as alcohol abuse, viruses, prolonged use of medications, as well as a violation of the outflow of bile.
In addition to the fact that with hepatitis it hurts in the right side after eating, there are also a number of other signs of the presence of the disease, in particular such as itchy skin, icteric skin tone, nausea, dark urine and light stool. A person rises in temperature, and there are signs of intoxication of the body.
The chronic form of hepatitis is characterized by the absence of signs for a long time. However, with exacerbation, pulling pains are observed. In this case, complete replacement of liver tissue by connective tissue occurs. As a result, this leads to cirrhosis.
Pain in the right side can also occur with hepatosis. This is a chronic liver disease that develops with alcohol abuse or poisoning with toxic substances. At the same time, diseases such as thyrotoxicosis and diabetes often contribute to the violation of fat metabolism in the liver cells.
Among the main symptoms, it is also necessary to highlight an upset digestive system, headache, weakness, fatigue, soreness and enlargement of the liver, pain in the right side after eating.
Another liver disease that provokes the occurrence of pain in the side is hepatic dysfunction. This disease is congenital and hereditary. It is characterized by an increased content of bilirubin in the blood. Often it proceeds asymptomatically or there are minor signs, in particular such as staining of the skin and sclera of the eyes in yellow. Often, a person complains that after eating the right side at the bottom hurts, especially when consuming spicy or oily food. Treatment must be comprehensive so that you can eliminate the existing problem.
Gallbladder disease
If the right side under the rib hurts after eating, this may be a sign of cholecystitis. This is an acute or chronic disease that affects the gallbladder. It is characterized by the presence of acute cramping pain after eating food. In this case, painful manifestations are given to the shoulder region, shoulder blades. In addition to such unpleasant sensations, a person is worried about nausea, and there may also be a violation of the heart rate. A painful attack can even provoke a loss of consciousness.
In chronic cholecystitis, the right side hurts after eating. However, the sensations are not so intense as in the course of the acute form of the disease. Doctors recommend a diet and medications to eliminate cramping.
When parasites and bacteria penetrate into the bile ducts, tissue inflammation occurs - cholangitis. This disease is characterized by the fact that it hurts in the right side after eating very much and resembles hepatic colic. In addition, the skin turns yellow and itches, the temperature rises, and palpation can reveal an increase in the liver.
With excessive intake of cholesterol in the bile, stones can form due to a change in its qualitative composition or stagnation of bile. The main symptom is the appearance of a bitter aftertaste in the mouth. Pain in the right side after consuming food occurs a little later and mainly occurs when consuming alcoholic beverages. The attack lasts several minutes or hours.
If the right side hurts right after eating, then this may indicate a functional violation of the biliary system. This pathology is also characterized by the presence of bitterness in the mouth, decreased appetite, poor mood, constant fatigue.
Psychosomatics of pain
Mental disorders can manifest themselves in the form of various disorders and painful sensations. Very often, with mental disorders and stress after eating, the right side of the lower abdomen hurts. However, it is worth noting that discomfort in this case can occur even when inhaling.
These symptoms are also accompanied by fear of an incurable disease or death. In addition, disgust for food and constant nausea can join them. Your appetite may be completely gone. In some cases, the pain is unclear and localized in different areas of the abdominal region.
A person with various mental disorders may not have any somatic diseases. Pain is the answer to prolonged subconscious stress. At the same time, eating food becomes a real problem. In such people, immediately after eating food, it begins to hurt in the abdomen and there is a urge to defecate. In this case, the only method of therapy is psychotherapy, as well as correction of the patient's behavior. When conducting a diagnostic study, the patient does not notice any pathologies in organs and systems.
Other violations
There may also be other causes of pain after eating food. Inflammation of the muscles of the peritoneum and chest can be accompanied by shooting and cramping pains. Unpleasant manifestations can intensify with sudden movements and tilts of the body. When probing, determine the compaction in the affected area. Also, various types of neoplasms can provoke pain. Discomfort may be associated with breathing or food intake.
Inflammation of the intercostal nerves can provoke acute burning pain in the hypochondrium on the affected side. The disease is characterized by an increase in painful manifestations when eating and bending, redness of the skin. In the case of herpes zoster in the area of localization of pain, a small rash is also observed.
In some cases, pain after eating can provoke diseases of the cardiovascular system, as the liver begins to increase in size due to circulatory disorders. This causes swelling in the peritoneum and fluid accumulation in this area.
However, it happens that after eating the right side ceases to hurt. This is due to the fact that the feeling of hunger also provokes discomfort. That is why you need to try to eat on time, and also if you experience unpleasant sensations, immediately contact a doctor.
The main symptoms
Since pain in the right hypochondrium after eating often occurs in the presence of various diseases, this symptom will not be the only one in the clinical picture. If the cause of the discomfort is physiological, then there will be no additional signs. In some cases, there is a strong increase in this unpleasant sensation. For example, aching pain in the side can become acute with:
- the consumption of fatty foods;
- movement;
- excessive physical activity;
- coughing or sneezing;
- a sharp change in body position;
- clicking on the problem area.
If pain after eating occurs due to the presence of diseases of the stomach or intestines, then among the main signs it is necessary to distinguish such as:
- excessive gas formation;
- bloating;
- nausea;
- violation of the act of defecation;
- heartburn and burning in the sternum;
- weakness and malaise;
- belching with air;
- heavy sweating;
- decreased performance;
- a slight increase in temperature.
If pain occurs in the right side under the ribs during coughing, then this indicates the presence of problems from the heart or lungs. If there are violations from the liver, severe pain in this area after eating is also additionally accompanied by such signs as:
- bitter taste in the mouth;
- yellowness of the skin;
- nausea and vomiting;
- darkening of the color of urine;
- white coating on the tongue;
- depression.
It is worth noting that these are only external manifestations of the pathology, therefore it is not always possible to determine the presence of the disease only by available signs. It should be borne in mind that in children the disease progresses much faster than in an adult. Therefore, if even minor pain occurs in a child, you should immediately consult a doctor.
Which doctor to contact
Why the right side hurts after eating, only a qualified doctor can determine, since this is only one of the signs of the presence of disorders in the body. Very important organs are localized in this area and pathological changes in this area can lead to death of a person. Doctors say that you should not engage in self-diagnosis, as improper treatment can only significantly aggravate the course of the problem. Severe pain in this area can occur as a result of:
- rupture of the gallbladder and ducts;
- renal paraphimosis;
- organ injuries;
- prolapse or rupture of the kidney.
All these pathologies require very urgent surgical intervention. Initially, you need to visit a therapist or pediatrician who will conduct an examination and diagnosis. In addition, consultation and examination of an endocrinologist, surgeon, neuropathologist, cardiologist is required.
Diagnostics
In case of pain in the right hypochondrium, even if they are periodic, you should definitely contact a pediatrician or therapist, who will then refer to specialists with a narrow profile. Diagnosis should be comprehensive so that you can correctly determine which disease provoked the violation. Diagnostics includes:
- familiarization with the medical history to determine the provoking factor;
- history collection and analysis;
- thorough physical examination of the patient;
- percussion of the abdomen and palpation;
- skin condition assessment;
- measurement of pressure, temperature;
- detailed survey of the patient.
A questioning of the patient is required for the doctor to obtain the required information regarding the existing symptoms, which may indicate the cause of the pain. After the initial diagnosis, aimed at determining the condition that provoked the onset of pain, studies such as:
- analysis of urine and blood;
- study of feces;
- liver tests;
- serological tests and PCR;
- ultrasonography of the peritoneum;
- radiography;
- endoscopic examination;
- tomography.
Only after a thorough study of the results of diagnostic measures, the doctor selects the method of treatment.
Treatment features
To get rid of the pain under the ribs on the right side, you need to treat the underlying disease. The tactics of therapy is selected purely individually for each patient. Despite this, almost all patients are prescribed:
- physiotherapy;
- oral administration or intravenous administration of drugs;
- diet therapy;
- passing a course of therapeutic massage;
- exercise
- the use of folk remedies and techniques.
It is worth noting that only a doctor individually selects all treatment methods. Drug therapy is aimed at treating the disease and relieving symptoms. It also requires vitamin therapy, diet correction.
Surgery is resorted to only in the most extreme cases. The operation is required in case of a serious condition of the patient or when therapeutic measures are ineffective. In any case, the therapy should be strictly monitored by the attending doctor.
Preventive measures and prognosis
So that there is no pain in the right side under the ribs, there are no specific preventive measures. However, it is possible to reduce the likelihood of developing complex pathological conditions by observing a number of simple measures. The main preventive measures are such as:
- complete rejection of bad habits;
- healthy and balanced diet;
- maintaining an active lifestyle;
- taking only those drugs that the doctor prescribed;
- avoidance of any bruises, injuries, injuries;
- compliance with the regime of work and rest;
- earlier identification and rapid elimination of provoking pathological factors.
In addition, periodically you need to undergo a full laboratory and instrumental examination in the hospital, which is accompanied by a mandatory visit to all specialists.
The prognosis of the course of the pain syndrome is quite favorable, therefore, usually without problems, it lends itself to therapeutic methods. However, it is worth remembering that treatment will not be complete without eliminating the provoking factors, both diseases and physiological causes.
But it must be remembered that the lack of comprehensive treatment of the underlying disease can lead to various complications that do not even exclude the possibility of a fatal outcome.