What can hurt in the right hypochondrium? Pain sensations localized in this area can indicate the occurrence of an inflammatory process, as well as pathologies of organs that are located in this area. Speaking about what may hurt in the right hypochondrium, one should pay attention to the fact that such discomfort most often indicates the presence of chronic diseases or the development of acute infectious disease of the liver, gall bladder, pancreas or duodenum. Pain in the lesion of the small and large intestines and kidneys is also projected onto this area.
But discomfort can be triggered by other reasons that can only be determined by a qualified doctor. After he answers the question about what may hurt in the right hypochondrium, the doctor will prescribe appropriate therapy. We will talk more about this problem in this article.
What can hurt in the right hypochondrium: provoking factors
Painful sensations very rarely appear sharply even in the case of an anamnesis of a disease, a symptom of which may be. The exception will be only individual cases in which inflammatory processes in the nervous, digestive or endocrine system rapidly exacerbate. In addition, if the right hypochondrium hurts in a child or in an adult, then this may indicate an inflammatory process of the respiratory system, internal genital organs, and organs of the biliary and urinary tract.
Unpleasant sensations, as well as tingling, which are localized under the lower ribs, in some cases are noted in patients after physical exertion, eating, sexual intercourse. In addition, such pain often occurs in case of trauma to the abdomen, chest, and also with internal bleeding.
If the right hypochondrium suddenly hurts in a child or an adult who has an inflammatory process or pathology of internal organs, soreness and its nature can manifest itself as a reaction to the use of certain medications and additives. In addition, such a symptom can be triggered by the use of certain foods. Chronic ailments make themselves felt during the off-season, in the event of a loss of strength, a weakened immune system, prolonged emotional and physical overwork, hormonal changes and other conditions.
The main preventive measure to avoid pain in the right hypochondrium is, as in the case of other ailments, in the timely detection of even the slightest discomfort when contacting a specialist. If there are chronic inflammatory processes and pathologies, it is necessary to follow the recommendations of your attending physician regarding the diet and diet, the allowed duration and nature of exercise, the use of medications.
Most often, the cause of exacerbation of painful sensations of varying strength, which are localized mainly in the right hypochondrium, is the neglect of the recommendations of a specialist for certain ailments. Below you can find information about why the right upper quadrant hurts in men and women. However, for starters, you should deal with the localization of this discomfort.
Pain localization
The uncomfortable sensations that appear in the right hypochondrium can indicate a significant number of a wide variety of ailments. Even an experienced qualified specialist is not always able to make an accurate diagnosis only by this symptom. This area is located under two ribs on the right side of the body, while the pain can be localized in front or behind.
To significantly reduce the range of diseases that are accompanied by this symptom, it is possible by determining the nature and specific localization of painful sensations. For example, the patient must say exactly where it hurts under the ribs on the right: from behind from the back, side, front. To establish the diagnosis, additional studies, laboratory tests, an external examination and an oral examination of the patient at the time of administration are used. In addition, the attending physician should familiarize themselves with the patient's medical history.
For example, if there is discomfort in the front of the side of the trunk, then this may indicate liver pathology, gallbladder disease, sometimes myocardial infarction, intestinal diseases that are accompanied by flatulence, as well as other conditions. If it hurts on the right under the ribs from behind from the back, then most often it indicates urolithiasis, acute infectious inflammation of the right kidney, osteochondrosis, adrenal gland ailments, pathology in the inferior vena cava or intercostal nerves. Often, discomfort in the back is felt due to various mechanical damage: cracked ribs, fracture.
Nature of pain
So, if it hurts on the right under the ribs from the side, front or back, then this can indicate a wide variety of diseases. When diagnosing, it is also important to pay attention to the nature of the pain. If it hurts on the right under the ribs on the side, then this symptom may have a different character. Unpleasant aching sensations are characteristic in most cases for chronic diseases, and a dull throbbing pain is felt in case of impaired functioning of the kidneys and stomach, with cholecystitis, osteochondrosis, injuries and injuries of the ribs, mild forms of colitis and tumors.
Intolerable acute pain in the right abdomen under the ribs can result from a serious injury. Quite often, such discomfort, which is also accompanied by vomiting, low blood pressure, fainting, and fainting, provokes pain shock. This condition needs emergency medical attention, sometimes even surgical intervention is required. Otherwise, ignoring the symptom can even lead to death. Acute pain in the abdomen in medical practice is called an "acute abdomen."
Sometimes stitching pains and acute pains, which are accompanied by vomiting, can be a manifestation of the so-called pseudo-abdominal syndrome, which is typical for acute gastritis, pneumonia, myocardial infarction, pyelonephritis. Such conditions do not require surgical intervention, and they can be treated in the traditional way.
If heaviness is felt under the ribs, then this indicates an edematous state of the liver, some forms of heart failure, chronic cholecystitis, hepatitis, and biliary tract pathologies. Most often, the cause of the severities that are localized in the right hypochondrium is a gastroenterological disease.
Other concomitant symptoms
Soreness in the right hypochondrium is very rarely manifested as an independent symptom. In most cases, this discomfort is accompanied by other concomitant signs of an endocrine, respiratory and nervous system disease, gastrointestinal tract, as well as various inflammatory processes. Additional symptoms may include:
- Vomiting and nausea.
- Symptoms of intoxication: sweating, high fever, loss of strength.
- Digestive disorder: bloating, diarrhea.
- Fatigue, drowsiness, weakness.
- Increase or decrease in blood pressure.
- Pain in the area of the heart.
- Impaired consciousness.
- Fainting and dizziness.
- Bleeding of the mucous membranes.
- Tachycardia.
- Difficulty urinating, itching and cramping.
- Redness of the skin in the area of the ribs, the formation of rashes.
- Vaginal discharge in women.
- Spasm of the respiratory system, severe cough, as well as many other symptoms, depending on the specifics of a disease.
Quite often, concomitant symptoms in a patient are the only way to determine any specific pathology that provokes pain of a different nature, which is localized in the right hypochondrium. Thanks to such additional manifestations, the specialist can find out which particular system or internal organ is affected by the disease, after which appropriate therapy is prescribed.
Why does the right side of the hypochondrium hurt?
Pain that is localized in this area can indicate many pathologies, mean exacerbation of a chronic disease, the emergence of an emergency. In some cases, a similar symptom manifests itself during remission due to the negative effects of individual provoking factors.
In most cases, if there is discomfort on the right side, several or one pathology is diagnosed in the side of the ribs. The most common causes of such painful sensations of various nature are injuries, diseases of the gastrointestinal tract, the pathological condition of the bile ducts and gall bladder, and inflammation of the genitourinary system. The concomitant symptoms of pain are diverse, discomfort can even indicate cardiac pathology, diseases of the respiratory system, minor damage to the spine. However, these conditions will be rarely diagnosed.
Cholecystitis
If there is bitterness in the mouth, the right hypochondrium hurts, then this may indicate a disease such as cholecystitis. This disease is an inflammatory process that affects the bladder, which can develop in a chronic or acute form. Discomfort with cholecystitis can have a strong cramping or aching character. Painful sensations appear due to cramping in the bladder. If it hurts in the region of the right hypochondrium with cholecystitis, then the pain often gives to the region of the lower back, shoulder and shoulder blades. The back and sides begin to ache, in addition, discomfort often appears in the patient after the next meal. In some cases, the patient may feel such discomfort that due to pain shock, the patient may even lose consciousness.
In addition to bitterness, in the chronic stage of the disease, the stomach swells, belching, upset stool appears. In this case, the patient is disturbed by sleep, irritability appears, symptoms of intoxication of the body. Therefore, if you are wondering why the right hypochondrium hurts at night, then this may indicate the development of cholecystitis. During an exacerbation, the patient begins to experience colic, and soreness increases during inspiration, belching, or some time after eating. Such attacks can last for several hours.
To stop such symptoms, specialists prescribe antispasmodics to patients. In addition, the patient in this case is shown bed rest. To cure cholecystitis, you need to follow a special diet, take antibiotics, go to physiotherapeutic procedures, take mineral waters. In some cases, surgery is required to remove the gallbladder or stones in it.
Therefore, if you have a sore right shoulder blade and hypochondrium, and this symptom is accompanied by bitterness in the mouth, bloating, as well as the other symptoms described above, be sure to contact the clinic for help to prevent complications.
Cholelithiasis
Very often, the right hypochondrium hurts with the development of gallstone disease, that is, the formation of stones in the gallbladder due to metabolic disorders or organ function from the biliary system. In addition, cholelithiasis can act as a complication of other ailments, for example, chronic cholecystitis, endocrine disruption or malfunction of the biliary tract and liver. If lying in the right upper quadrant hurts, then this may indicate the development of cholelithiasis, especially if these symptoms occur if you are lying on your right side.
Other symptoms of kidney, bladder, or liver stones are as follows:
- Impossible or difficult urination.
- Soreness and pain in the urethra.
- Nausea and vomiting, accompanying aching, dull pain in the right upper quadrant.
- Yellowing of the skin and sclera of the eyes.
- Headaches, fever, weakness.
Currently, unfortunately, drug therapy can be carried out only if the size of the stones is up to 1.5 cm. Moreover, this treatment will be effective only in half of the cases. With the advanced form of the disease, surgical intervention is required, often the operation is the only effective method of therapy. And even after the successful dissolution of these stones with drugs, the disease is prone to relapse.
Gastric and duodenal ulcer
If the stomach and right hypochondrium are sore, this may indicate the development of an ulcer. Also, a similar symptom indicates a duodenal ulcer. The frequency, nature, strength and localization of soreness in this disease will depend on many factors. Discomfort may occur not only after eating or exercising, but also at night, on an empty stomach.
A duodenal ulcer and a stomach are characterized by the following symptoms: belching, heartburn, nausea, vomiting, which can bring slight relief to the patient, fever, tachycardia, indigestion, irritability, loss of strength. Therefore, if you feel sick and sore right hypochondrium, then be sure to consult a doctor, since an ulcer is a very dangerous disease.
Sometimes the disease can be asymptomatic, which greatly complicates the diagnosis of specialists. In the case of a neglected form, bleeding occurs, peritonitis, which requires surgical intervention, is considered a dangerous complication of the disease.
You can avoid possible complications of the disease that require emergency care if you follow the recommendations of your doctor, adhere to the prescribed diet, regimen and dosage of medications.
Pancreatitis
The right hypochondrium is constantly sore - what does this indicate? Constant pulling, bursting pains to the right under the ribs are often confused with the symptom of poisoning. However, sometimes this may indicate inflammation of the pancreas, which is called pancreatitis in medicine.
In addition to being very sore in the right hypochondrium, the patient's stomach swells, digestive disorders, intoxication of the body, increased fatigue, skin symptoms in the form of pallor, cyanosis or jaundice. In parallel with all this, the patient sharply loses body weight, he develops a syndrome of chronic fatigue, vomiting and nausea, while vomiting does not bring any relief. Concomitant diseases of chronic pancreatitis: jaundice and diabetes.
The treatment regimen for pancreatic inflammation is based on the relief of symptoms during exacerbations of the disease, and the patient is prescribed maintenance treatment, for which experts recommend observing the diet, taking some pharmacological drugs in order to prevent the active phase of pancreatitis. It will be very important to give up smoking, drinking alcohol. In addition, physiotherapeutic procedures are prescribed, as well as spa treatment.
Any treatment method must necessarily be agreed with your doctor, since pancreatitis can develop in several ways: a pseudocyst or pancreatic cyst, alcoholic pancreatitis, and purulent. In form, this disease can be chronic or acute.
Hepatitis
For what other reasons does the right side of the hypochondrium hurt? Often this happens in the case of the inflammatory process and necrosis, which are localized in the liver. This disease is called hepatitis. The disease is provoked by a wide variety of reasons: alcohol abuse, the negative long-term effects of certain drugs on the liver, a genetic predisposition, and the complication of certain pathologies.
In the case of hepatitis, pain in the right hypochondrium is pulling, and itching, vomiting, nausea, intolerance to fatty heavy foods, intoxication, cramping, and other signs that are standard for many diseases of the gastrointestinal tract appear in parallel with this.
One of the hallmarks of hepatitis is yellowing of the skin and sclera of the eyes, a violation of the liver, which can increase.
Hepatitis treatment involves the complete elimination or reduction of inflammation in the liver, as well as the prevention of complications such as cancer or cirrhosis. , , , . , : , , , .
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The nature of the occurrence of pain in this case will be as follows: physical activity stimulates the release of adrenaline, which reduces the tone of the bile ducts, provokes the filling of the liver with blood, as well as its stretching, which is why a beginner in sports begins to feel stitching pain in the right side, which often occurs when running.
In a healthy person, discomfort can also occur after eating too heavy or fatty foods, especially if it was eaten in large quantities. In addition to pain in the abdomen, overeating provokes tachycardia, drowsiness, nausea. As a rule, such sensations disappear after 1-3 hours.
Based on the foregoing, it can be concluded that it is better not to ignore if the right hypochondrium is painful for a man or a woman, as this may indicate the development of an inflammatory process or a serious disease.