Discomfort and pain symptoms in the hypochondrium of the right side experienced over a lifetime of more than 30% of people in the world. Many factors can serve as a reason for this.
First of all, ribs and kidney are covered in this area, which can become inflamed, increase in size or move from their anatomical bed.
To provoke pain in the right side under the ribs, of varying intensity and nature, the pathologies of the internal organs may occur. In addition, pain symptoms can be localized in various projections.
Contents
- 1 Causes of pain in the right side under the rib from the front
- 2 Pain in the right side of the back
- 3 Pain on the right side of the hypochondrium when moving
- 4 To which doctor should I go?
- 5 What should I do? Diagnosis and treatment of pain
Causes of pain in the right side under the rib in front
Pain in the right side under the rib in front provokes pathological processes in various organs and systems located in close proximity to the anterior wall of the peritoneum.
Acute inflammatory reactions in the gallbladder
Sharp stitching pain symptoms in the abdominal abdominal muscle zone running along the right side of its white line and costal arch - provoke infectious bacterial microorganisms or overlapping of the cervix or duct of the gall bladder with crystalline formations as a result of the development of choledocholithiasis.
In this case, they can be very intense:
- should be given to the shoulder area;
- is accompanied by a belching;
- by bile vomiting;
- with nausea and bitterness in the mouth.
The development of calculous and chronic cholecystitis is complementary to the symptomatology - flatulence( bloating), apathy towards food, insensitivity of fried and fatty foods, light yellowing of the eye proteins.
Liver diseases
It is from the right side under the ribs that the right lobe of the liver is located and the pain sensations in it can cause a number of pathologies:
1) Structural change of the liver as a result of cell death and the formation of nodes in cirrhosis. Nodal neoplasms lead to compression of blood vessels and bile ducts, causing permanent painful sensations in the side.
As a result of blood clots in the portal vein, varicose veins, bleeding in the esophagus, ascites( fluid in the peritoneum) develop. In the future, the liver reduces its size and reduces efficiency.
Any type of manifestation of hepatitis - alcohol, toxic, or viral - precedes the disease.
2) Similar to cirrhosis, painful symptoms can cause hepatic cell carcinoma in the liver. Differentiate it only with tissue biopsy.
3) Cystic formations filled with fluid caused by a helminthic parasite echinococcus. The localization of cysts is often in the right lobe of the liver.
Gradual increase in their size causes squeezing of the liver capillaries and ducts, uneven liver enlargement. Suppuration provokes the development of hepatic abscess and intensification of painful sensations.
Digestive tract problems
1) The pathological processes of the colon caused by various diseases or injuries cause pain in the right side laterally. While the process of inflammation does not affect the cavity of the peritoneum, they are weakly expressed, radiating into the umbilical and inguinal zones on the right.
2) Prolonged inflammatory processes in the intestine and development of granulomatous inflammations in all parts of the gastrointestinal tract are the causes of obstruction and necrosis of the intestinal tissues, manifested by spasmodic pain symptoms in the hypochondrium on the right.
3) Malignant neoplasms in the intestine are similar to those of the intestinal obstruction or acute abdomen, also cause soreness in the projection of the right side under the ribs.
4) Different degrees of inflammatory reactions in the appendix start in the epigastric region, gradually turning into the right hypochondrium, causing pain.
Cardiac pathologies
As a result of impaired cardiac function causing circulatory disorders in the closed vascular pathway, the liver increases in size. This causes swelling in the abdominal wall and accumulation of fluid in the abdominal cavity.
Irreversible stage of heart failure leads to changes in the liver similar to cirrhosis.
The result of myocardial infarction, the abdominal variant, is a burning pain and a feeling of pressure in the subcostal area of the flank on the right. Sometimes they radiate into the scapula or chest area.
Pain in the right side of the back
On the pathological changes in the kidney, diseases of the adrenal gland, violations in the functions of the large vena cava, the injuries of the ribs or intercostal neuralgia say pain in the right side of the back under the ribs.
Diseases accompanying this symptom are due to:
1) acute infectious inflammation of the kidneys( pyelonephritis), diffuse purulent process in the body, the formation of carbuncle or abscess( apostatomy pyelonephritis).
2) Injury of the renal and ureteral cavity by stones or sand( with urolithiasis).It manifests a paroxysmal pain in the lower zone of the ribs, in the lateral and lumbar region.
3) Due to papillary necrosis( ischemic infarct of renal papillae).This pathology develops with diabetes or is a consequence of the infectious process. Pain symptomatology is constant. Greater likelihood of septic shock in the development of the disease.
4) Inflammation in the fatty tissue of the kidney caused by the action of foci of infection present in the body( tonsillitis, caries).The feeling of pain increases with a sharp change in body position, movement, or with complete breathing. Similar symptoms appear in intercostal neuralgia.
5) Due to lumbar osteochondrosis, manifested by the clamping of muscles, limitation of mobility and various intensity of pain manifestations in this projection.
6) Consequence of contusion of ribs, fractures or lesions of the body by shingles.
7) It hurts the right side under the rib and gives in the back, when a malignant neoplasm overlaps or disturbs the outflow of urine and with tumors of the adrenal gland.
Similar signs, but with the addition of irradiation under the shoulder blade soreness, is observed with thrombosis of the hollow lower vein.
Pain right to the hypochondrium when moving
Pain sensations on the right side of the hypochondrium during movement often appear in people who are practically healthy. This may be due to the effects of physical exertion unusual for a person.
At this point, an intensive release of the epinephrine hormone and the acceleration of blood flow, causing the process of dilating the organs and the vena cava passing in the zone of the right hypochondrium - this causes morbidity.
The same pain symptoms can cause sudden changes in position when walking - tilts, turns - this is due to rib contact with the organs. Such painful symptoms quickly pass.
If they are of a piercing nature and last more than half an hour - it can talk about the possible infringement of the relevant bodies, which requires urgent medical intervention.
To which doctor should I apply?
Any pain, and subcostal including - are symptoms of malfunctions in the body. In this area of the body, very important organs are localized, and pathological changes in them can lead to a fatal outcome.
Severe pain symptomatology in this area may be a consequence of:
- isolated gallbladder rupture and ducts;
- injuries to organs;
- of renal paraphimosis( cystic infringement);
- rupture or collapse of the kidney( nephroptosis).
Such pathologies require urgent surgical treatment. Long-lasting pains in the subcostal area of the side to the right, require timely examination and treatment.
Self-administration of pain medication is not recommended. The symptomatology is eliminated temporarily, but the disease remains. In addition, taking medications "smoothes out" the symptoms and complicates the diagnosis.
The first step is to visit the therapist - he will conduct an initial examination and diagnosis. If necessary, appoint a consultative examination of a neuropathologist or endocrinologist, cardiologist or surgeon.
What should I do? Diagnosis and treatment of pain
Diagnosis begins with a patient's questioning about the nature of pain manifestations, intensity and primary localization. About their connection with the diet. There is an anamnesis of diseases, infection and trauma. Attention is drawn to the condition of fatty tissue and the tone of the muscles of the peritoneum.
The palpation and general tests are conducted - biochemical indicators, functional tests. Diagnosis should be comprehensive, including an organ examination and its functional capabilities.
If suspicion of pathological processes lying in this projection organs is assigned instrumental diagnostics, including:
- excretory urography;
- radioisotope renography and scintigraphy;
- vertical aortography;
- X-ray of the gastrointestinal tract;
- ultrasound of bile ducts, kidneys and liver;
- biopsy, for the detection of tumor processes.
There is no single protocol for treating pain in the right side under the rib. After identifying the cause and establishing an accurate diagnosis, a treatment plan is prepared that corresponds to a particular pathology.
It includes a set of activities:
- drug therapy aimed at treating the disease and alleviating the symptoms;
- surgical treatment( if necessary);
- vitamin therapy;
- diet correction.
Regardless of the pain and where it is localized, diagnosis and treatment should be the prerogative of a specialist.
