Pain signals an inflammatory process, pathology or injury. This is a protective function of the human body, which indicates the need for treatment. Discomfort in the right hypochondrium, depending on the accompanying symptoms, can indicate diseases of the kidneys, gall bladder, ducts, female genital organs, digestive, respiratory or cardiovascular systems. The causes of pain of such localization are many. In any case, you should immediately consult a specialist so that the doctor establishes the correct diagnosis and prescribes the appropriate treatment.
The main causes of pain
What can hurt in the right side under the rib? As a rule, this is a sign of the presence of diseases of the abdominal organs, which include the liver, gall bladder and bile ducts, kidneys, hepatic bend of the colon, pancreas, or chest, spine. Pathology can be therapeutic, that is, not requiring immediate medical attention, or emergency. In the latter case, the patient needs help as soon as possible, because the problem can lead to serious consequences.
Therapeutic conditions
Severe pain in the right side under the ribs, extending to the back, is a clear sign of pancreatitis. In this condition, the patient feels nausea, general sweetness, suffers from digestive disorders. Dull pain accompanies inflammatory processes in the liver. It can be a tumor, hepatitis or cirrhosis. Other symptoms of these diseases are loss of appetite, general malaise, vomiting and a feeling of nausea, constant weakness, yellowness of the skin.
If discomfort occurs after eating, then the doctor may suspect duodenitis. In this case, the pain gives back and specifically to the scapula. Patients are also concerned about vomiting, belching with bitter air, digestive upsets and excessive sweating. Severe pain in the right side under the ribs and bitterness in the mouth are often caused by pathologies of the gallbladder and ducts that remove bile. In this case, discomfort is given to the shoulder, the patient may feel unwell, heaviness on the right side, general weakness, sometimes vomiting occurs.
Aching and paroxysmal pain
It whines in the right side under the ribs? Sometimes this can be due to the presence of stones or chronic cholecystitis. Such diseases are characterized by the cyclical nature of pain: discomfort often occurs, there are connections with meals. The occurrence of pain can be prevented if you eat right. Diet will reduce the frequency and intensity of seizures. Dull pain occurs due to dyskinesia of the gallbladder. This is a problem with the contractility of the body. Pain often disappears with a therapeutic diet and proper pharmacological treatment.
Attacks of pain in the right side under the ribs and belching are characteristic signs of the inflammatory process, localized in the bile ducts or the proximal part of the duodenum. If discomfort is accompanied by an indigestion, then this may indicate gastritis. In this case, the pain appears a few hours after eating or on an empty stomach in the morning. Also a characteristic symptom is belching with sour air.
Emergency conditions
Sometimes the severity in the right side under the ribs can be caused by life-threatening diseases in which the patient needs emergency care. In an acute inflammatory process, the pain radiates to the right shoulder, scapula, neck, the temperature rises sharply, the patient feels weak, chills, nausea and repeated vomiting. The disease is associated with the presence of stones that block the ducts, preventing bile from escaping.
With liver pathologies, the pain occurs sharp, paroxysmal, stitching, has the nature of hepatic colic. In the right side under the ribs, unpleasant sensations are caused by the presence of stones or a tumor, a pathological adhesive process. Disturbed outflow of bile leads to severe distension of the bladder. Usually in this state, repeated vomiting occurs. With kidney diseases, discomfort is felt in the genital area and in the back. Such pathologies are accompanied by nausea, urinary retention, and general weakness.
Sometimes severe pain in the right side under the ribs occurs with acute pyelonephritis. The disease is accompanied by impaired urination. Acute appendicitis is another cause of pain in the right side under the ribs. In this case, the source of unpleasant sensations is located in the lower abdomen, but sensations are felt under the ribs and at the top of the abdomen, which leads the patient astray.
Diseases of the heart and blood vessels, injuries
Pain in the hypochondrium accompanies lung and heart disease. Pericarditis, heart attack, pleurisy are accompanied by fever, shortness of breath, general weakness, frequent and painful cough. With pleurisy, pain occurs when swallowing, coughing and hiccups. On the right, it can hurt in acute pneumonia. The correct diagnosis can be made after consideration of the overall clinical picture. The doctor takes into account the presence or absence of cough with the release of pus and sputum, fever and previous cooling.
In injuries and tumors, severe discomfort can be caused by a change in the size of the diaphragm under the pressure of other organs, tumors or tears in injuries of the abdomen, hernia. Rib fractures, liver damage, rupture of the gallbladder or kidney can be diagnosed. But a feeling of fullness in the right side under the ribs can occur with unusual physical exertion, sharp turns, and inclines.
Pain in pregnant women
Pregnant women deserve special attention. During pregnancy, pains in the right side are not always caused by serious pathologies, but usually the expectant mother is very worried about unusual sensations. Usually, discomfort appears for physiological reasons: due to an increase in organs and their slight movement (so that the uterus can rise) inside the abdominal cavity. But in order to accurately exclude the disease, with frequent pains, a woman is recommended to consult a specialist. If necessary, you need to take tests, do an ultrasound diagnosis of the abdominal organs.
Nature of discomfort
By the nature of the pain, you can determine which disease causes discomfort. Usually, severe pain in the right side under the ribs is accompanied by diseases of the gallbladder and ducts, diseases of the liver and kidneys. With cholecystitis, cirrhosis, acute hepatitis, urolithiasis and hepatic colic, discomfort is accompanied by vomiting, nausea and a feeling of heaviness. This forces the person to take a comfortable position, and movements cause an increase in unpleasant symptoms.
With pathologies of the gallbladder and pathways, pain appears after eating too fatty or fried foods, and with hepatic colic the discomfort does not disappear even at rest. Unpleasant sensations under the ribs in the back are localized, but the localization can change, and the pain moves to the abdomen. With liver diseases, the color of urine can change, yellowness of the skin appears, a noticeable heaviness is felt.
Aching pain is characteristic of dyskinesia. Such a disorder is accompanied by weakness and fatigue, the appearance of bitterness in the mouth, apathy and impaired appetite. If such sensations arise quite often, then this may indicate the presence of stones in the biliary tract and stagnation. In some patients, symptoms appear with physical exertion or a violation of the diet.
Stitching pains often bother people during exercise or running. The main reason is that the liver capsule is stretched. This is due to a weak outflow of blood and problems in the operation of the diaphragm due to improper breathing. So that there is no unpleasant sensations during physical exertion, before training, you must definitely do a warm-up, breathe deeply in the stomach, and monitor the frequency of inspirations.
A sharp acute pain that appears, usually at night, indicates hepatic colic. The nature of the discomfort in this case is associated with the passage of the stone through the ureter. Acute pain can also occur with a stomach ulcer or duodenal ulcer. Among the accompanying symptoms, nausea, vomiting, belching and heartburn, intestinal disorders can be listed. If the discomfort is caused by the IRR, then the nature of the pain is intermittent.
Constant pain and heaviness in the right side under the ribs causes pancreatic and liver diseases. Such symptoms are characteristic of general intoxication of the body, with an enlarged liver, cancer, hepatitis, inflammatory processes affecting the head of the pancreas. Tinea pain is often caused by neuralgia, the development of pleurisy or impaired functioning of the pancreas, gall bladder, liver.
Too intense pain is a sign of acute pancreatitis. The disease is accompanied by small bruises and protruding wreaths around the navel and repeated debilitating vomiting. The skin becomes cyanotic, and the skin on the abdomen takes a "marble" hue. This requires urgent treatment.
Pain in the right side of women
Gynecological diseases that cause pain in the right hypochondrium can be dangerous. Very severe pain can be caused by an ectopic pregnancy. Normally, the egg is attached in the uterus, but in some cases, implantation can occur outside of this organ. At the same time, there is no menstruation, in home tests they show a positive result. Therefore, with a positive pregnancy test, it is recommended to consult a gynecologist to immediately rule out an ectopic pregnancy.
In acute or chronic adnexitis, pain in the hypochondrium can also be observed. In this case, the temperature rises, nausea appears, purulent discharge from the genital tract. Another cause of pain is cyst torsion. This is a dangerous condition that can be treated surgically. Concomitant symptoms are fever, bleeding from the genital tract, general weakness.
Differential diagnosis
The doctor can determine the diagnosis by specifying the location of the pain. If sensations are given in the back, then this may indicate the presence of intercostal neuralgia or acute pancreatitis. The condition is accompanied by repeated vomiting, fever? Perhaps there was an attack of acute cholecystitis. Usually, this gives pain to the back, in rare cases, to the scapula, region of the heart or collarbone. Pain in the right side under the ribs in the back can occur due to the development of a tumor in the region of the bronchi or lungs, pleurisy, pinching of a nerve or pneumonia localized on the right side. In case of violations of the pancreas, gall bladder or baking pain gives away to the shoulder blade or shoulder.
If the patient has inflammation of the kidneys, then severe pain appears with a weak palm stroke on the lower edge of the back. With urolithiasis, discomfort spreads from the back to the lower back. An increase in sensations during inspiration indicates the development of acute cholecystitis or local peritonitis.
What can hurt in the right side under the rib? If the discomfort gives in the front of the hypochondrium, then this may be a sign of pneumonia, gastritis, ulcers, erosion of the stomach, cirrhosis, hepatitis, degeneration of liver cells, chronic or acute cholecystitis. With diseases of the respiratory system, pain intensifies with inspiration, may be accompanied by temperature, general weakness.
Coughing pains that have a "shooting" character indicate the development of intercostal neuralgia. If discomfort is most felt after eating or drinking alcohol, then this is most likely a sign of cholecystitis. Alcohol consumption is a provoking factor for the development of hepatitis and cirrhosis.
Often the pain of this localization occurs during physical exertion. If during movement it pricks in the right side under the ribs, this may indicate acute appendicitis, inflammation of the liver, perforated stomach ulcer. Sometimes such pain appears due to inflammation of the uterus and gynecological diseases.
To accurately identify the disease, you need to see a therapist. The family doctor will be able to suggest a pathology and refer for an examination to an endocrinologist, gastroenterologist, gynecologist, surgeon, cardiologist, traumatologist or infectious diseases specialist. It is contraindicated to independently determine the diagnosis, because the above diseases in the absence of adequate treatment are very dangerous.
Emergency medical care
The patient needs immediate help if the following symptoms are present: repeated vomiting, diarrhea or constipation, which lasts throughout the day. An urgent reason to consult a doctor is an increase in temperature. If it pricks in the right side under the ribs and these disturbing symptoms are additionally felt, you should seek help as soon as possible.
How to relieve pain in the right side?
What in the right side under the ribs can only be ill is determined by the doctor. The specialist will prescribe the appropriate treatment. To relieve moderate pain before a visit to the doctor, you can use No-shpu, but you should not abuse painkillers, because this will smear the clinical picture. In no case should you apply a warm heating pad to the place of pain, only cold is possible.
Dieting
To prevent pain or completely get rid of them, you need to follow a therapeutic diet. This implies a complete rejection of spices and spices, fried and greasy foods, alcohol and smoking. It is necessary to exclude sweet soda, sweets and smoked meats, canned foods and semi-finished products. In chronic diseases, a proper diet will provide long-term remission. It is advisable to eat often, but little by little. This normalizes the metabolism and evenly distributes the load on the internal organs.