Diseases that affect the organs of the abdominal cavity or retroperitoneal space are often accompanied by a variety of unpleasant sensations. Their localization depends on the location of the affected organ. If you start to worry about pain in the right hypochondrium, extending to the right shoulder or supraclavicular area on the right, look for its causes, especially in the liver.
What causes it? Firstly, an increase in the size of the liver during various pathological processes, for example, with hepatitis, stretches its fibrous membrane. It causes pain and discomfort. Liver diseases can occur with nausea and vomiting, worsening of general well-being, the appearance of yellow staining of the skin and sclera, dark urine. Dull pain in the right hypochondrium occurs with hepatitis of various origins, with an increase in the liver that accompanies cardiac pathology, or with cirrhosis.
The second source of trouble is the biliary system of the liver. It includes the gallbladder and ducts of the liver, through which bile is removed from it. Pathological processes in them are accompanied by unpleasant symptoms of varying intensity. Often the causes of pain in the right hypochondrium are associated with dyskinesia (impaired tone) of the biliary tract or their inflammation (cholecystitis, cholangitis).
Stones in the bile ducts and gall bladder often lead to an acute attack, the so-called hepatic colic. The pain during it is acute, stitching and can be very intense. Her stones cause on the path of the outflow of bile, leading to the fact that the bile ducts above them and the gall bladder stretches. Cholangitis, cholecystitis, cholelithiasis usually cause acute pain in the right hypochondrium. In some cases, it spreads throughout the abdomen, may be constant or cramping.
Fatty and spicy foods, alcohol and spices, riding on a shaking road, physical activity can provoke an attack of hepatic colic .
There are painful symptoms in the right hypochondrium and extrahepatic origin. Their cause may be appendicitis with a high location of the appendix, duodenal ulcer, pancreatic head disease. Sometimes they occur with stones of the right kidney or lesions of the angle of the colon.
With a duodenal ulcer and diseases of the head of the pancreas, pain in the right hypochondrium gives to the back. With renal origin, it will spread to the groin on the right, in men - to the testes.
With appendicitis, the pain can be of varying intensity, but more often it is moderate, constant. It is often accompanied by a worsening condition with fever up to high numbers, nausea and vomiting. With this disease, an important diagnostic sign is the symptom of Shchetkin - Blumberg. It consists in the following: if, when pressing on the abdominal wall, the hand is quickly removed, with a positive answer, the abdominal pain increases sharply.
In all cases, when there is a sharp pain in the right hypochondrium and other symptoms of an acute disease, urgent need for medical help. The doctor during the examination will determine what is the source of pain and prescribe the necessary laboratory and other studies. If necessary, he will refer the patient to a surgeon or other specialist. If you do not seek medical help on time, serious complications are possible, sometimes even threatening the patient's life. With minor pain of a dull nature or short tingling in the right hypochondrium, you can be examined on an outpatient basis, but contacting a doctor is still necessary.
Carefully monitor your health! Good luck to you!