If you regularly worry about the severity or pain on the right side of the abdomen, you should definitely consider visiting a doctor. Discomfort of this kind may indicate the presence of a pathological process in the body. What can hurt on the right side? Depending on the combination of symptoms, this may be the liver, gall bladder, appendicitis, abdominal hernia, etc. Only a doctor can make an accurate diagnosis after receiving the results of all the necessary tests. After reading the article, you will learn what can hurt on the right side and what are the ways to treat these pathologies.
Diseases of the stomach and duodenum
The human body is arranged in such a way that pain in one organ can radiate through the nerve endings to the neighboring region. This phenomenon is characteristic of diseases of the kidneys, intestines. In addition, with pathology, for example, of the stomach, pain can be given to the left or right side of the epigastric region. Why does the stomach ache on the right side? Quite often, this condition can be triggered by the presence of the following diseases of the stomach and duodenum:
- gastritis;
- irritable bowel syndrome;
- ulcer;
- gastroenteritis;
- duodenitis;
- stenosis;
- colitis.
Let us consider in more detail each of these diseases and the symptoms characteristic of them.
- If the right side hurts when you inhale, and the patient suffers from increased gas and bloating, then most likely the patient has irritable bowel syndrome. This condition requires the administration of carminative drugs - Espumisan, activated charcoal, etc. It is also very important to normalize nutrition, refuse to eat bakery products, grapes, fatty foods.
- Colitis of the duodenum often leads to pain on the right side of the peritoneum. Part of the duodenum is located just to the right. If this condition is not treated, then peptic ulcer can develop, which can lead to internal bleeding and death. If colitis is suspected, be sure to contact your gastroenterologist.
- Gastritis can be localized in different parts of the stomach. If gastritis develops on the right side of the mucosa, then the pain, respectively, will disturb the right. However, the further the pathological process goes, the more the location of the pain will change. She will bother the patient to the left, then to the right - but at the same time always in the epigastric region. The pain will increase if a person is hungry or has eaten foods high in acid - for example, citrus fruits or some hot sauce.
- Peptic ulcer of the stomach or duodenum makes itself felt by the presence of aching pains on the right side of the epigastric region, as well as in the center - in the solar plexus. Peptic ulcer may also be accompanied by acute pain. Much depends on the size of the ulcer and the fact how far the process has gone. If there is a suspicion of peptic ulcer, the patient should contact a gastroenterologist as soon as possible, switch to therapeutic nutrition, and refuse to drink alcohol.
Liver diseases as a cause of discomfort in the right side
Often people, having begun to experience heaviness or abdominal pain on the right, begin to wonder: what is in the right side, which organs? Well, if you start from such a question, the first suspicion falls on the liver. It is the liver that occupies most of the human right hypochondrium. What is in the right side besides the liver? Also on this side, the gallbladder is raped. These two organs - the liver and gall bladder - are closely interconnected, in case of a malfunction of one, a malfunction of the other develops.
Pathologies of the liver, as a rule, do not cause pain, they cause only a feeling of discomfort. There are no nerve endings in the liver, but in some diseases this organ increases in size and presses on the peritoneum. The liver can only hurt in the late stages of cirrhosis or with oncology. Pathologies such as fibrosis, toxic hepatitis, viral hepatitis, and the presence of hemangiomas speak of problems with this organ. Moreover, much depends on the individual state of health of the patient. Even in the quite advanced stages of hepatitis, the liver may not hurt or increase in size. Therefore, for diagnosis it is very important to pass the necessary tests - at least a biochemical blood test.
The reasons why liver diseases develop:
- hereditary predisposition;
- alcohol abuse;
- improper nutrition (an abundance of fats in the diet);
- obesity and impaired lipid metabolism;
- hepatitis virus infection;
- inflammation in the cells of an organ.
Methods of treating liver diseases
The main condition for the restoration of liver cells is the refusal to drink alcohol in any, even the smallest amount, as well as a special diet. Medical Table No. 5 was specifically designed to reduce the load on the liver and gall bladder. Such nutrition implies a restriction of fats in food. It is forbidden to eat fatty meat, fresh bakery products, egg yolks, pastries, pastries, sweets rich in fats. Also banned almost all seafood and oily fish. In general, the diet is quite simple and does not require fasting from the patient.
As a rule, for many patients, refusing to drink alcohol is of great difficulty. But this is a necessary step if you want the liver to be healthy. Alcohol is the cause of intoxication. If you continue to drink, then even taking hepatoprotectors will not help improve the condition of the liver.
Against the background of a change in nutrition and rejection of bad habits, the patient should take hepatoprotectors (special drugs that contribute to the restoration of liver cells):
- "Essential".
- "Carsil."
- Heptral.
- Liv-52.
- Legalon.
The practitioner concludes about the advisability of taking this or that drug and the necessary duration of therapy. For some patients, only a therapeutic diet is enough, some can not do without taking hepatoprotectors.
Pathologies of the functioning of the gallbladder
What is in the right side besides the liver? The gall bladder is a small organ that is rarely considered by any patient. Meanwhile, the gallbladder even stronger than the liver reacts to malnutrition and alcohol abuse, in connection with which the production of bile is disturbed. If you are considering what might hurt on the right side, then check for an ultrasound gall bladder. Also, pathologies in this organ are indicated by increased total bilirubin in the biochemical analysis of blood, bitterness in the morning in the mouth (bile), and vomiting mixed with bile.
A common biliary pathology that causes pain on the right is cholecystitis. It can be chronic or acute. In the first case, the pain is aching in nature. In the morning, the patient suffers from a bile taste in the mouth. If the disease is acute, then the pain can be sharp and paroxysmal.
If you suspect a pathology of the gallbladder, you should consult a doctor and undergo an examination. Modern pharmacology helps even in advanced cases. For example, the constant use of the drug "Ursosan" in some cases promotes the dissolution of gallstones without surgery.
Pancreatitis (inflammation of the pancreas)
If it hurts under the ribs on the right side, back and front, while the pain intensifies after eating, then this can be a symptom of pancreatitis or even pancreatic necrosis. Pancreatitis is an inflammation of the pancreas. The main part of this organ is located in the left area of the peritoneum. However, along the nerve endings, the pain extends to the right side.
If there is a suspicion of pancreatitis, you should contact your gastroenterologist and check your suspicions. If the diagnosis is confirmed, then you will have to change your diet and give up bad habits. If the production of enzymes is impaired, then enzyme preparations will have to be taken on an ongoing basis.
Suspicion of appendicitis: what to do?
If the patient observes symptoms such as a rare unbearable pain on the right in the peritoneum, which gives off to the left side, if there is no appetite and workability has sharply decreased, then this may be inflammation of the appendix.
In no case should you try to self-treatment: this can be fraught with serious complications, even death. If the patient suspects inflammation of the appendix, an ambulance should be called. Most likely, a person needs urgent medical intervention. If the inflammation of the appendix is not confirmed, then a complete examination of the body must be done to identify the cause of pain in the right side of the peritoneum.
Abdominal myocardial infarction
The symptoms of this disease are easily confused with the manifestations of pathologies of the functioning of the gastrointestinal tract. Symptoms of an abdominal infarction may vary depending on whether the disease is complicated or uncomplicated. We can draw conclusions about the presence of the disease on the following grounds:
- severe pain in the epigastric region on the right side - a person inexperienced in medicine can decide that it hurts the liver, but in this case the disease is completely different and the liver has nothing to do with it;
- over time, pain can migrate to the chest or, conversely, go down to the navel;
- nausea, dyspepsia, bloating - all these symptoms are characteristic of an abdominal form of heart attack;
- violation of the proper nutrition of mesenteric vessels of the intestine, resulting in an increased risk of thrombosis of veins and arteries of the intestine (this condition is dangerous because it can lead to the development of peritonitis).
If such a combination of symptoms is present, be sure to consult a doctor, and as soon as possible. With abdominal infarction, there is a high risk of developing internal bleeding, which can easily lead to death.
Kidney disease as a cause of discomfort on the right side of the peritoneum
What can hurt on the right side of the lower back? If the pain is deployed in the lumbar region, then we can talk about inflammation of the kidneys. If the side on the right side from the back hurts, then also pay attention to the presence of the following symptoms:
- temperature rise;
- decreased urine output;
- weakness and nausea;
- decreased performance;
- discolored urine;
- pallor of the skin.
If all these symptoms are present, then most likely the person has unilateral pyelonephritis. The faster treatment is started, the more likely it is that the disease will not become chronic and will not lead to the development of renal failure.
If the lower abdomen hurts on the right side, and at the same time the separation of urine is impaired, then we can talk about cystitis. This is inflammation of the bladder, which, if untreated, will lead to inflammation of the kidneys. It is necessary to consult a therapist or nephrologist to prescribe treatment.
Stretching the muscles of the abdominal wall
Why does the right side of the back hurt? Remember, have you been lifting weights lately? Stretching the muscles of the abdominal wall in front or behind is often the cause of pain of a pulling and painful nature. Stretching can occur due to a sharp lifting of weights, injuries and jumping from a height.
To get rid of this kind of pain, painkillers should be used. But even if untreated, as a rule, the pain goes away on the third to fifth day. The main thing is to observe bed rest and no longer lift weights.
Ovarian cysts as a cause of pain and discomfort
If it hurts on the right side of the abdomen in a woman, then it makes sense to come to an appointment with a gynecologist. Perhaps this pain is a signal that ovarian cysts have developed on one or both sides. This condition can lead to hormonal imbalance, and in the long run even to infertility. In the body, everything is interconnected, so you can not let the disease drift.
The presence of ovarian cysts can also be signaled by the fact that the side on the right side from the back hurts. The growth of cysts may be accompanied by chronic pyelonephritis, in which case the pain will be from the side of the abdomen, and from the back on the right side.
Chest and rib injuries
Why do the ribs on the right side hurt? Remember if you fell in the last days? Were there any chest injuries? Usually pain in the ribs indicates fractures or cracks in the bone tissue.
If in the last days there were no injuries, then intercostal neuralgia, pleurisy, thoracic osteochondrosis, osteoporosis can cause pain. Without a doctor’s examination and examination, a diagnosis cannot be made. There are many reasons why the ribs on the right can hurt. Most often, the cause is still a fracture of the rib or a crack in the bone tissue. In this case, the patient is shown complete rest and taking drugs that accelerate splicing.