Pain in the right upper quadrant front. Reasons for possible diseases, if severe, aching, burning. Treatment, diagnosis

The causes of pain in the right upper quadrant front can be inflammatory liver disease, gallbladder and its ducts, and pathology of the data, the development of which is associated with destruction of their tissues.

The causes of pain under the front edges

On the front side of the abdomen vital organs they are located directly under the ribs.

The occurrence of an acute, aching, spazmiruyutsya, pulsating pain in this part of the body can be caused by:

• obtaining mechanical trauma bone tissue edges, the surface of the abdominal viscera, or injury which has occurred as a result of falling from a height, bumps, collisions with blunt objects;
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• presence of benign or malignant tumors in the liver, stomach;
• Tensile abdominal muscle fibers;
• concrements in the gallbladder, as well as its duct obstruction;
• adhesions in the abdominal cavity, which arose as a complication after undergone surgical intervention;
• chronic infection which develops in the interior abdominal cavity;
• tissue pathological processes caused by abuse of alcohol and drugs (cirrhosis, alcoholic hepatitis or intoxication);
  
• concomitant diseases of the internal organs of the digestive system.

Pain arising in the right upper quadrant in front, must not only be eliminated with the help of analgesics. It is essential to diagnose the patient's abdominal cavity as soon as possible to establish the cause of pathology.

Types of diseases in which pain occurs under the front edges

Pain in the right subcostal area in the front, the causes of which may be associated with visceral disease manifests itself in acute form spasms, or else is dull and occurs periodically. The table below shows the diseases, the presence of which provokes the appearance of pain from the front edges.

Disease	Characteristics of pain
Cholecystitis	It is an inflammation of the gall bladder, the presence of which a person can feel as sharp and aching. It appears short spasms from the right costal margin.
hepatic colic	The man has a severe throbbing pain that is possible to remove only a potent analgesic. It develops as a complication of primary liver disease.
gastric ulcer	It appears sharp or aching pain that occurs periodically during increasing acidity of the stomach, or else eating spicy, hot, acidic, highly salty foods. Saturation pain and breadth of its distribution in the subcostal part depends on the area and depth of ulcer formation.
Hepatitis	It characterized by periodic appearance aching pain, which may be associated with a feeling of heaviness in the right side and the presence of bitterness in the mouth. Pathology is the viral nature of intoxication or origin.
gastroduodenit	It is a chronic or acute inflammation of the intestinal mucosa. The disease is difficult to diagnose because the pain is so extensive that it can be felt in both the left and from the right costal margin. In most cases the pain is so strong that a person suffering from this disease, is forced to take a horizontal position, as it is not able to stand up straight.
Cirrhosis of the liver	Heavy state of the digestive organ tissue, which is characterized by a total loss of its cells - hepatocytes. The disease is characterized by severe pain and heaviness in the hypochondrium of the abdomen. Localization of pain - right side of the body. During palpation of the body part detected strongly enlarged liver tissue affected. Joins the yellowness of the skin, bitter taste in the mouth, nausea, loss of appetite.
Myocardial infarction gastralgicheskogo type	The most rare type of disease of the heart muscle. During the attack the person feels the pain in the middle and at the bottom of the chest, with its extension to the front of the ribs. Some patients confuse this type of pain from diseases of the gastrointestinal tract.
Pleurisy	This is inflammation of the pleural sheets separating the abdominal organs from those who are inside the chest. If the disease struck the bottom part of the pleura, the pain can be felt from the front edges. Accompanied by a dry or wet cough, as well as the accumulation of fluid in the thorax.
The inflection of the gallbladder	In all cases there is a sensation of severe pain, which is permanent. Only the restoration of the gall bladder normal position facilitates the patient's suffering.
Liver cancer	Heavy oncological disease, the development of which is accompanied by degeneration of the digestive organ cells. As a result of this process a person experiences severe acute pain in the right upper quadrant, which increases in proportion to the progression of the disease and its transition to the next stage of the flow.
acute leukemia	Development of the disease of the hematopoietic system is characterized in that it is able to engage in the pathological process of liver tissue. Body significantly increases in size. A patient experiencing aching, and sometimes throbbing pain in the hypochondrium right.
Biliary dyskinesia	It appears as a consequence of the formation of stones in the gallbladder, which fall within the ducts, and exclude the normal flow of bile. The pain in this case a sharp and stinging, and stops after crushing and removing stones
hydatid disease of the liver	Heavy parasitic disease which occurs due to liver tissue helminth infection - echinococcosis. Once in the body of the larva worm creates its own capsule, which later turns into a cyst. With abundant insemination possible multiple echinococcosis (polycystic). Spazmiruyutsya person feels pain in the form of attacks, which are enhanced when lying on his right side.

Pain in the right upper quadrant front, the causes of which are caused by the above pathologies, it must be eliminated by complex therapy. As the patient's recovery, pain will come to naught, and the tissue of internal organs begin to gradually recover.

Symptoms of diseases in which pain occurs under the front edges

Pain in the right subcostal area in the front, the reasons of which are directly related to the presence of concomitant diseases of internal organs, accompanied by the following external and internal features.

They are as follows:

• a feeling of heaviness in the right upper quadrant;
  
• bitter taste in the mouth;
• loss of appetite, nausea, vomitus selection;
• discoloration of the stool;
• change the color tone of urine, which becomes saturated with dark brown shade, resembling in appearance black tea;
• sense spasm from the front side edges (the pain can wear, both acute and aching in nature);
• frustration of a chair, alternating diarrhea or constipation is prolonged;
• internal bleeding opening, if the cause of the pain from the front side of the ribs lies in the presence of ulcer formations on the gastric mucosa;
• physical weakness, fatigue, loss of vital energy;
• headaches, sleepiness during the day and insomnia at night.

The most common cause of pains from right hypochondrium, are pathological conditions of the liver and gallbladder. Therefore, in addition to all the foregoing symptoms of the disease, a symptom joins as jaundice of the skin and whites of the eyes. This is due to an increase of bilirubin level in the blood and systemic dysfunction of liver tissue.

Diagnosis of pain under the front edges

Pain in the right upper quadrant front, the causes of which are caused by diseases of the internal organs should be removed only after a thorough examination of the body. patient diagnostics with specified symptoms and the presence of pain characteristic of localization, has been physician, gastroenterologist or surgeon.

All depends on the attendant features, as well as matter which disease provoked the occurrence of pain.

The primary stage of the survey is to examine the patient profile specialists, hearing complaints and making history history.

After that, the patient is discharged on the direction of the passage of the following types of diagnostics:

• Ultrasound of liver, stomach, gall bladder, and its duct;
  
• MRI abdominal viscera;
• ECG if the patient shows signs of disorders of the cardiovascular system;
• gastroscopy if there is suspicion of ulcerative lesion of the gastric mucosa;
• Clinical analysis of capillary blood for the determination of its overall performance;
• liver function tests for an exception such serious diseases of the body such as cirrhosis, cancer;
• analysis of venous blood for the presence of infectious organisms, and parasitic life forms (hepatitis, tuberculosis bacillus, tapeworm larvae);
• biochemical urine.

According to the results of the above tests the doctor exposes the patient to a final diagnosis and prescribe treatment. The principle of development and selection of regimens based on the fact, which disease caused the appearance of a sharp, aching, burning, or throbbing pain.

When to see a doctor

Pain syndrome arising in the right upper quadrant, can be invoked as usual stretching of the muscle fibers of the abdominal cavity, as well as pathological processes. Therefore, in the case of pain, as well as prolonged feelings of discomfort in the body, immediately consult a doctor, therapist.

Doctor this profile performs primary examination, analyzes designate the change or the right direction to prescribe the surgeon or gastroenterologist (if it will be a strong base). Delaying the campaign to the doctor can cause a deterioration of health of the patient and cause complications.

Prevention of pain under the front edges

Pain syndrome can occur suddenly, and it is one of many symptoms of the main disease. Minimize the appearance of pathologies that cause pain by the right hypochondria, perhaps, but for this it is necessary to carry out preventive measures.

They are as follows:

• in a timely manner to eliminate a chronic infection in the tissues of the internal organs;
• after undergoing surgery on the abdomen, follow the rules of the rehabilitation, as well as guidance of the attending physician, to prevent the development of adhesions;
• renounce the use of alcohol, drugs, and avoid contact with the vapors of chemicals;
  
• observe good personal hygiene before eating food always wash your hands with warm water and soap in order to prevent infection of the digestive tract and liver tissue parasites;
• regulate food intake, eliminating fat from the menu, fried, smoked food, saturate it with cereal cereals, lean meat, fish, ocean, fresh vegetables, fruits and herbs;
• at least 1 time per year undergo a scheduled medical examination;
• to avoid injury of the internal organs as a result of shock or falling from a height.

People who have blood relatives suffering from liver disease, stomach, intestines, gall bladder and ducts, are particularly at risk, as the tendency to disease of these organs may be of genetic character. Therefore it is recommended to treat their own health with increased attention.

Methods of treatment of pain under the front edges

Before using the drug therapy of traditional treatment or other procedures, it is necessary initially to be examined and determine the cause of the disease. In general, the following methods of combating acute gnawing or burning pain at the front side edges may be used.

Medications

Using traditional medicines can be removed inflammation, eliminate pockets chronic infection, to restore normal operation of the organs of the abdominal cavity, as well as easy to stop pain syndrome.

The following formulations may be used for this purpose:

• Gepabene - natural remedy for relieving pain in the right subcostal area and restore liver function gallbladder, take 1 capsule 3 times daily for 14 days (the cost of the drug - 550 rubles. per piece);
  
• Essentiale - contains in its composition of phospholipids that restore liver functionality, it takes 1-2 capsules 3 times a day (directly during a meal) and the total therapy is at least 3 months. (Price for 1 pack of medication is 670 rub.);
• ketonal - complex nonsteroidal antiinflammatory drug which possesses analgesic effect, is introduced into the body by intramuscular injection 1-2 ampoules, if unable to determine the cause of pain, but you need to quickly relieve patient suffering (the cost of the drug - 300 rub. for packaging, consisting of 10 vials);
• allohol - medicines containing in its composition the dry bile is shown to receive an upset digestive system, lack of enzyme dysfunction liver tissue (Take 1 tablet 3-4 times a day after meals with a duration of 4 weeks of therapy, and the price of the drug is 180 rub.).

Purpose of the above medications carries physician or a gastroenterologist, but only after a detailed examination of the digestive system and other organs of the abdominal cavity, which are located at the front of ribs.

Traditional methods

Alternative medicine offers the alternative ways of dealing with pain in the right hypochondrium front.

For these purposes, it is recommended to use the following recipes:

• pickle cabbage - need to take the 1 head cabbage weighing 2-3 kg, chop it, pour 3 tablespoons. l. salt and leave for 3 days in the refrigerator, so that there was a separation of juice (the resulting product is to eat as a salad, and the healing cabbage juice take 1 tbsp. l. 3 times a day for 15 minutes. before meals over the next 2 months).;
  
• decoction of fennel seeds - you must take 2 tbsp. l. fennel seeds, fill them 0.5 liters of boiling water, and then further boiled at low heat for 10 minutes. (After cooling the resulting broth is taken for 100 g in the morning and evening for 20-25 days);
• peppermint tea - normalizes the digestive system, restores the metabolic processes in the body, reduces inflammation of the gallbladder wall, and its preparation is enough to take 1 hour. l. of dried plants, and then fill it with 250-300 ml of boiling water (when the tea acquires a comfortable temperature, it is drunk for 20 min. before meals);
• compote of wild rose - this tool has a great choleretic effect, so it will be particularly useful to people, suffering from pain due to biliary dyskinesia (for its preparation must boil in 2 liters boiling water 3 tbsp. l. hips, and taken home cure for 5-7 days 2-3 times a day with 300 ml of 1 times).

Folk remedies for the treatment of pain in the right upper quadrant are really effective, but they are best used in combination with other drugs. Furthermore, they are not recommended for use in the presence of severe liver and other internal organs (oncology, ulcerative formation, echinococcosis, internal bleeding, bruises).

Other methods

For other methods of treating the causes of the manifestation of pain in the right upper quadrant, are the following regimens:

• surgical intervention - was shown in tumor malignancy in the liver but also in the case of cyst removal occurred during echinococcosis;
• laser fragmentation - used for crushing concretions formed in the cavity of the gallbladder and ducts;
  
• warming electrophoresisIf a patient is under recovery after surgery.

Other methods of therapeutic intervention can be used depending on the etiology of the pain. They are used as an independent direction in the treatment of disease, or also used in conjunction with other agents.

possible complications

The lack of effective treatment of the causal factors behind the occurrence of pain in the right upper quadrant, is fraught with the development of a variety of complications and associated health problems.

Not ruled out any of the following pathologies:

• cirrhosis of the liver;
• the opening of internal bleeding in the presence of ulcerative lesions of the stomach;
• growth of cancerous tumors in the liver tissues, and metastatic spread to adjacent organs;
• rapid loss of body weight;
• extensive insemination organism larvae of parasites, if the cause of pain is associated with echinococcosis;
• violation of metabolic processes in the body, caused by the inability to complete the work of the digestive system;
• complete blocking of biliary calculi channels to further the beginning of necrosis of the gallbladder;
• steatosis;
  
• blood infection and the onset of septic shock, if the cause of acute pain associated with inflammation in the abdominal cavity (in most cases leads to the onset of death);
• accumulation of fluid within the cell breast, squeezing the lung tissue, which disrupt the operation of the respiratory system (this complication occurs in patients with concomitant diagnosis - pleurisy).

No matter what reasons caused the pain in the right upper quadrant in the front, each of them is able to serve as a prerequisite for the development of complications and adverse effects. The presence of pain arising in this part of the body is only a symptom of the underlying disease.

It is therefore very important that the doctor together with the patient to make the maximum amount of effort, and as soon as possible establish the etiology of the pain. In such a case it is resolved not only a sign of disease, but also directly to the very source of the pathological process.

Registration of the article: Lozinski Oleg

Video of pain in the right upper quadrant front

What hurts in the right upper quadrant. Live healthy: