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Drawing pain in the right hypochondrium in front. Causes and treatment

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Content

  1. Where is the right hypochondrium, what organs are located there
  2. What can hurt in the front right hypochondrium?
  3. Pathological causes of pulling pain under the right rib in front
  4. Diseases of the gallbladder and biliary tract
  5. Liver disease
  6. Kidney disease
  7. Diseases of the pancreas
  8. Diseases of the digestive system
  9. Heart disease
  10. Respiratory diseases
  11. Gynecological pathologies
  12. Diaphragm pathology
  13. Neurological diseases
  14. Diseases of the musculoskeletal system and spine
  15. Adrenal pathology
  16. Reflected pain
  17. Drawing pain under the right hypochondrium in front of healthy people
  18. Diagnostics of which doctor to contact for pain in the right hypochondrium
  19. When urgent help is needed, how to relieve an acute attack?
  20. Serious injury
  21. Acute appendicitis
  22. Acute cholecystitis
  23. Acute intestinal obstruction
  24. Acute myocardial infarction
  25. Treatment
  26. Conservative therapy
  27. Surgery
  28. Video about pain in the right hypochondrium

Drawing pain in the right hypochondrium the front can be one of the symptoms of a pathological condition of the liver, the walls of the gallbladder, and individual segments of the intestine. Diagnostics of the gastrointestinal tract disease is carried out using hardware examination methods using ultrasound, endoscopy, and radiography.

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Where is the right hypochondrium, what organs are located there

The right hypochondrium is located in front below the rib cage to the right of the center of the abdomen. This area of ​​the abdominal cavity is separated by pleural sheets.

In this part of the body there are the following internal organs, the disease of which is manifested by a feeling of pulling pain:

  • liver;
  • a segment of the duodenum;
  • gallbladder;
  • the head of the right edge of the pancreas;
  • part of the colon and small intestine.
Drawing pain in the right hypochondrium in front. Causes, treatment
Drawing pain in the right hypochondrium

In the presence of an infectious-inflammatory lesion of the right kidney, a person simultaneously experiences aching pain from the lumbar spine, as well as in the area of ​​the right hypochondrium in front. Painful sensations increase during palpation of the abdominal cavity. In patients with acute appendicitis, pain from the iliac region may extend to the right hypochondrium.

What can hurt in the front right hypochondrium?

Pain in the right hypochondrium indicates the development of an inflammatory process, or the occurrence of edema of the tissues of internal organs. Discomfort in this part of the abdomen provokes diseases of the liver, gallbladder walls, pancreas, and small intestine. The specific type of pathology that provokes pain syndrome is established by the doctor based on the results of a comprehensive examination of the patient.

In some cases, pulling pain in the right hypochondrium is caused by the following diseases of the body:

  • extensive myocardial infarction;
  • inflammation of the bronchopulmonary tissue;
  • neurological disorders associated with dysfunctional disorders in the work of peripheral nerves (occur due to hypothermia or infection of the nervous system);
  • malignant tumors in the digestive tract;
  • stomach ulcer;
  • infectious and inflammatory processes in the organs of the female reproductive system.

The advanced stage of helminthiasis is manifested by periodic bouts of pulling pain in the right hypochondrium. Similar symptoms occur in men and women with acute diseases of the genitourinary system.

Pathological causes of pulling pain under the right rib in front

A pulling pain in the right hypochondrium in front is always a pathological sign indicating the development of an acute or chronic disease of internal organs.

Diseases of the gallbladder and biliary tract

There are the following diseases of the gallbladder and bile ducts, the occurrence of which provokes attacks of pulling pain:

  • chronic form of cholecystitis;
  • exacerbation of gallstone disease;
  • cholangitis;Drawing pain in the right hypochondrium in front. Causes, treatment
  • dyskinesia of the gallbladder;
  • cholesterosis.

The above diseases develop due to the hereditary predisposition of the patient, infection of the gallbladder with infectious and parasitic organisms, and malnutrition. Depending on the severity of the pathological process, pulling pains in the right hypochondrium may increase.

Liver disease

A pathological condition of the liver is becoming one of the most common causes of aching pain under the right rib.

This symptom is provoked by the following diseases of this organ:

  • hepatitis of a viral, parasitic or intoxicating nature;
  • cirrhosis;
  • sclerosing cholangitis of the primary type;
  • damage to liver tissue due to chronic alcoholism;
  • fibrosis;
  • steatosis;
  • malignant tumor.

Drawing pains in the right hypochondrium, which are provoked by liver diseases, are accompanied by additional symptoms in the form of nausea, drowsiness, impaired cognitive functions, and physical weakness. Patients with similar pathologies complain of loss of appetite and rapid weight loss.

Kidney disease

A pulling pain in the right hypochondrium in front is an unpleasant symptom that can occur due to a destructive process in the kidney.

Similar sensations are caused by the following diseases of this organ:

  • nephroptosis (displacement and prolapse of the kidney);
  • tumor neoplasm in the tissue structure of the organ;
  • chronic renal failure (this pathology is a complication of one or several diseases of the excretory system);
  • hydronephrosis;Drawing pain in the right hypochondrium in front. Causes, treatment
  • urolithiasis in the acute stage;
  • pyelonephritis;
  • glomerulonephritis;
  • nephropathy caused by a complication of diabetes mellitus.

In the presence of these diseases, a person experiences not only aching pain in the front of the abdomen on the right, but suffers from increased body temperature, chills, and frequent urination. Kidney disease causes physical weakness and fatigue.

Diseases of the pancreas

The main part of this organ is localized on the left side of the peritoneum. The head of the pancreas is displaced to the right side. In acute pancreatitis, the pain inside the abdomen is so strong that a person feels discomfort in the right hypochondrium. This disease of the pancreas can be caused by a hereditary predisposition, chronic alcoholism, abuse of acidic, fatty, fried foods.

Diseases of the digestive system

Attacks of pulling pain in the right hypochondrium can be triggered by the following pathologies of the digestive system:

  • chronic gastritis;
  • ulcerative lesion of the stomach and walls of the duodenum;
  • chronic colitis;
  • gastroduodenitis;
  • irritation of the mucous membrane of the large intestine.Drawing pain in the right hypochondrium in front. Causes, treatment

The development of these diseases is accompanied by flatulence, stool disorders, and loss of appetite. Patients with gastrointestinal tract pathologies complain of constant heartburn, nausea. In severe cases, vomiting may open.

Heart disease

Myocardial infarction is a complication of ischemic heart disease, which is manifested by necrosis of certain areas of its tissues. In the presence of this pathology of the cardiovascular system, a person experiences a burning and pulling pain in the chest with its spread throughout the abdominal cavity, including the right hypochondrium.

Myocardial infarction is accompanied by the following additional symptoms:

  • dizziness;
  • dyspnea;
  • nausea;
  • weakness or pain in the left arm;
  • discomfort in the muscles of the shoulder and neck on the left;
  • feeling short of breath.

The main danger of this cardiac disease is the significant risk of death. The painless form of myocardial infarction can manifest as a slight spasm in the chest and inside the abdominal cavity.

Respiratory diseases

Pathological processes in the lower part of the lungs and bronchial tree can cause pulling pain in the area of ​​the right hypochondrium on the right.

This symptomatology is provoked by the following respiratory diseases:

  • whooping cough;
  • benign and oncological neoplasms in the lower segment of the lungs on the right;
  • bronchiectasis;
  • acute form of bronchitis;
  • tuberculosis, as well as related complications caused by mycobacteria;
  • obstructive pulmonary disease;
  • cystic fibrosis;
    Drawing pain in the right hypochondrium in front. Causes, treatment
    Cystic fibrosis. Symptoms
  • tumors, as well as cystic neoplasms in the mediastinal region;
  • emphysema of the lungs;
  • pleural mesothelioma.

Attacks of aching pain in the right side from the hypochondrium occur in people with long-term dependence on smoking. In this case, the development of chronic bronchitis of a smoker is possible.

Gynecological pathologies

A pulling pain in the right hypochondrium in front is a symptom that is periodically diagnosed in women with diseases of the reproductive system.

There are the following gynecological pathologies that provoke similar sensations:

  • extraneous neoplasms in the ovaries (pain and discomfort cause benign and cancerous tumors);
  • adnexitis;
  • salpingo-oophoritis;
  • oophoritis;
  • salpingitis;
  • parametritis;
  • endometritis;
  • pelvioperitonitis.

Timely start of treatment of gynecological diseases allows you to completely get rid of discomfort in the area of ​​the right hypochondrium in front.

Diaphragm pathology

Diaphragmatic hernia is a chronic pathology, one of the signs of which is pulling pain under the right rib, as well as in the center of the abdomen.

Drawing pain in the right hypochondrium in front. Causes, treatment

This disease can be recognized by the following additional symptoms:

  • constant bloating of the intestines;
  • feeling of heartburn;
  • repeated belching of air;
  • local internal bleeding that enters through the tissues of the hernial sac;
  • spread of pain to the cardiac stomach and lower chest
  • anemia caused by intermittent blood loss.

Pain and other symptoms of this pathology gradually increase as the size of the diaphragmatic hernia increases. In especially severe cases, dysfunctional disorders in the work of the esophagus are possible.

Neurological diseases

A pulling pain in the right hypochondrium in front can occur due to pathological changes in the structure of peripheral nerves.

There are the following neurological diseases that provoke similar symptoms:

  • intercostal neuralgia;
  • neuroses;
  • polyneuropathy;
  • neuritis.

The emergence of neurological diseases is caused by infectious microorganisms, prolonged hypothermia, severe trauma to the skull and pathology of the spine. Treatment of these diseases should begin immediately, since there is a risk of neuralgia spreading to other parts of the musculoskeletal system.

Diseases of the musculoskeletal system and spine

Myofascial syndrome and hernia of the lumbar spine are diseases of the human musculoskeletal system that can cause aching pain in the right hypochondrium. The increase in discomfort occurs in direct proportion to the increase in physical activity. These pathologies of the musculoskeletal system cause stressful situations, hypothermia, heavy physical work.

Adrenal pathology

There are the following acute and chronic diseases of the right adrenal gland, the development of which causes a feeling of pulling pain in the area of ​​the right hypochondrium in front:

  • Itsenko-Cushing's syndrome;Drawing pain in the right hypochondrium in front. Causes, treatment
  • Connes syndrome;
  • pheochromocytoma (the growth of this tumor is combined with the simultaneous hypersecretion of adrenaline and norepinephrine);
  • estroma;
  • androsteroma;
  • a benign tumor of the adrenal cortex that is not hormonally active.

The danger of adrenal gland pathologies is not only that they cause pain symptoms. These diseases provoke too active or slow secretion of vital hormones.

Reflected pain

The occurrence of reflected pain is a consequence of the pathological condition of one or several internal organs at once. For example, in the presence of diseases of the urinary system, painful symptoms spread to the tissues of the upper segment of 1/3 of the thigh, as well as the entire area of ​​the right hypochondrium. Especially if the right kidney is involved in the pathological process. Reflected pain in this area of ​​the abdominal cavity provokes diseases of the stomach, gallbladder and its ducts, liver.

Drawing pain under the right hypochondrium in front of healthy people

Absolutely healthy people who do not have chronic diseases of the body can also periodically feel a pulling pain in the hypochondrium in front.

The appearance of this symptom is due to the following reasons:

  • overwork of the muscles of the anterior abdominal wall;
  • brisk walking or long distance running without proper physical training;
  • the consequences of lifting heavy objects;
  • binge eating;
  • abuse of fatty, fried or smoked foods.

The regular appearance of a feeling of aching pain under the right rib requires additional examination of the body. A single case of the manifestation of this symptom is not a cause for concern.

Diagnostics of which doctor to contact for pain in the right hypochondrium

Periodic or regular bouts of pulling pain in the right hypochondrium is a reason for seeking medical help from a general practitioner, hepatologist or gastroenterologist. Doctors of this specialization will conduct a comprehensive examination of the body to determine the causes of the pathological symptom.

The table below describes the main diagnostic methods that are prescribed to patients with similar complaints.

Drawing pain in the right hypochondrium in front. Causes, treatment
Inspection method The purpose of the diagnosis average cost
MRI Detection of tumor neoplasms and signs of pathological tissue proliferation. RUB 9,000
Ultrasound Determination of foci of the inflammatory process, calculi in the gallbladder and bile ducts. 1200 RUB
X-ray Examination of bronchopulmonary tissue for inflammation, tumors. 1300 RUB
Endoscopy Study of the internal contents of the intestine, detection of ulcers of the intestinal mucosa, benign and cancerous neoplasms. 2300 RUB

In addition to the methods of hardware diagnostics, the patient is prescribed the delivery of morning urine, blood from a finger and a vein. According to the results of a comprehensive examination, the pathological causes that cause pain under the right rib are determined.

When urgent help is needed, how to relieve an acute attack?

An acute attack of pain in the right hypochondrium can be caused by pathological conditions, the elimination of which requires urgent therapeutic measures.

Serious injury

Patients with signs of traumatic injury to internal organs, which are located in the right side of the abdominal cavity, are shown hospitalization in the trauma or therapeutic department.

Provided that the integrity of the tissues is preserved, the patient is prescribed the following treatment regimen:

  • intravenous administration of saline with glucose 40% concentration;
  • forced cleansing of the stomach from food debris in order to reduce the pressure on the injured tissues of the internal organs;
  • intramuscular administration of anesthetic drugs to relieve pain;
  • prescribing a course of antibiotic therapy for the prevention of inflammatory and infectious processes inside the abdominal cavity.Drawing pain in the right hypochondrium in front. Causes, treatment

A serious injury resulting in a rupture of the tissues of internal organs requires surgical treatment. The patient undergoes emergency surgery to eliminate the source of internal bleeding and stabilize the general condition.

Acute appendicitis

Relief of an attack of pain caused by acute appendicitis requires surgery. The patient is given general anesthesia, and then the doctor removes the inflamed segment of the cecum. The average duration of the operation is from 30 minutes. up to 1 hour Patients with this diagnosis are in the hospital of the surgical department from 3 to 7 days, depending on the dynamics of the restoration of the operated tissues.

Acute cholecystitis

An attack of acute cholecystitis is manifested by an intense pain syndrome, which is localized in the right hypochondrium, and also spreads to the lumbar spine.

To stabilize the patient's condition on an emergency basis, the following methods of therapy are used:

  • the appointment of antimicrobial and antibacterial drugs to suppress infectious microflora (for example, if inflammation of the gallbladder is provoked by pathogenic microorganisms);
  • taking antispasmodics to relieve pain syndrome (No-Shpa, Platyphyllin, Papaverine);
  • enhancing the outflow of bile with the help of drugs (Allohol, Karsil, Artihol, Liv-52).Drawing pain in the right hypochondrium in front. Causes, treatment

Patients with acute cholecystitis, which is caused by gallstone disease, are shown to remove extraneous calculi that interfere with the outflow of bile. Otherwise, pulling pains in the right hypochondrium will become recurrent.

Acute intestinal obstruction

Elimination of the pain syndrome provoked by intestinal obstruction is impossible without a surgical operation. Patients with this diagnosis are urgently hospitalized in a hospital in a medical institution. Surgical intervention is aimed at restoring the previous bowel functions.

The average duration of a surgical operation is from 2 to 6 hours, depending on the severity of the clinical case, as well as the presence of concomitant pathologies of the body in the patient. The rehabilitation period for surgical treatment of intestinal obstruction is about 1-2 months.

Acute myocardial infarction

Patients with signs of acute myocardial infarction, which provoked an attack of pulling pain in the right hypochondrium, drug therapy is prescribed with drugs of the following pharmacological groups:

  • pain relievers and antispasmodics;
  • RAAS blockers;
  • lipid-lowering drugs to reduce the concentration of cholesterol in the arterial blood flow;
  • beta-blockers;
  • antiplatelet agents to prevent blood clots;
  • anticoagulants that thin the blood.Drawing pain in the right hypochondrium in front. Causes, treatment

The rehabilitation period after acute myocardial infarction lasts up to 6 months. In 30% of cases, this heart attack is fatal. Over the next 12 months, another 5 to 10% of survivors die from cardiac complications.

Treatment

The method of treatment of diseases that are manifested by attacks of pulling pain in the right hypochondrium is selected by the doctor based on the results of a diagnostic examination of the patient's body.

Conservative therapy

The use of conservative treatment is aimed at relieving a painful symptom, as well as restoring the stable functioning of internal organs.

For this purpose, medicines of the following categories are used:

  • antispasmodics;
  • antibiotics;
  • choleretic drugs;
  • non-steroidal anti-inflammatory drugs;
  • mucolytics (for example, if pain under the right rib is the result of an inflammatory process in the lower parts of the lungs).

The type of drug is selected by the attending physician depending on the diagnosed disease. The terms of conservative therapy vary from 10 days to 3-6 months.

Surgery

A radical method of treatment is a surgical operation. This method of therapy is used only in emergency cases to save the patient's life, as well as restore the functions of internal organs.

Surgery is indicated in the following cases:

  • perforated ulcer;
  • intestinal perforation;
  • removal of tumor neoplasms;
  • acute appendicitis;Drawing pain in the right hypochondrium in front. Causes, treatment
  • intestinal obstruction;
  • necrotizing cholecystitis;
  • rupture of liver tissue as a result of severe trauma.

Surgical treatment is indicated for patients with all types of internal bleeding and signs of peritonitis. These operations are performed under general anesthesia.

A pulling pain in the area of ​​the right hypochondrium in front is a pathological sign that indicates poor condition of the liver, gallbladder, large intestine or pancreatic head glands. As the underlying disease progresses, the pain syndrome intensifies.

To eliminate pathological symptoms, antispasmodics, antibacterial and choleretic drugs are used. Surgical treatment is indicated for patients with severe internal injuries. Ignoring the pulling pain under the right rib can lead to the development of more serious diseases such as cirrhosis, liver oncology, degenerative changes in the walls of the gallbladder.

Video about pain in the right hypochondrium

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