What to do if the side hurts under the ribs on the right: diagnosis of diseases

Pain in the side on the right side, right under the ribs, was felt at least once in a lifetime by every person. This is not necessarily a sign of a serious illness - a completely healthy person can suddenly get sick in the right side. The explanation for these pains, lying on the surface, is the high density of contact of the hypochondrium with the organs that are in the right side and the peculiarity of their structure. But if the symptom is repeated repeatedly, the pain is strong, it is necessary to urgently consult a doctor to make a clear diagnosis.

What is under the ribs in the right side

Most often, despite the fact that all high school students, without exception, studied human anatomy at school, there are few adults who do not professionally related to the field of medicine, who will immediately answer the question of which internal organs are located on the right under ribs.

Important! In the right hypochondrium, there are two vital organs: the liver and the gallbladder. Also here is the right side of the diaphragm, which is a muscular septum that separates the chest cavity from the abdominal cavity, and part of the intestine.

On the right, although not under the ribs, but behind, is the right kidney, and from right to left is the pancreas. It is worth taking into account the appendix, as well as the right lung, problems with which cause pain in the right hypochondrium.

Liver

This organ is an active participant in metabolism, in which blood is filtered and bile is formed, sugar is maintained, compounds are formed, and fermentation takes place. A kind of chemical laboratory that allows you to keep the constituent components of blood plasma in balance. The liver is very important for the normal functioning of the body. Inflammation of this organ can occur for various reasons, which will be discussed below. The first symptom of such inflammation is pain on the right under the ribs.

Gall bladder

Should a person overeat or consume a lot of fatty foods that take a lot of food to digest. the amount of bile, he will feel pain in the right side under the ribs, the reason for which will be the inflamed bile bubble. In addition, stones can form in the gallbladder, which will also cause pain.

Pancreas

This organ, although not entirely on the right under the ribs (only its head is located here), should be considered as a source of pain in the right side. The pancreas produces enzymes, gastric juice, insulin, and when it is inflamed (pancreatitis), the right side hurts.

Bud

The right kidney, located in the back, on the right, in the lower back, can also become inflamed. In addition, stones, purulent formations, and tumors may appear in the kidneys. In case of damage to the right kidney, the pain, including, can be localized in the right hypochondrium.

Appendix

Not at all under the ribs, but in the lower abdomen, but also on the right is such an organ as the appendix. It becomes inflamed so often that at the first concern it is surgically removed. Pain in the right hypochondrium may be one of the signs of inflammation of the appendix.

Lung

Inflammatory processes affecting the right lung give painful sensations under the right ribs.

Why does the right hypochondrium start to hurt in front

Several factors can provoke pain at this point in the human body. But first of all, when pain occurs, it is necessary to differentiate its severity. Severe pain can become a threat to human life if you do not take immediate medical measures. Therefore, it is necessary to carefully study and remember the following table.

Table. Differentiation of pain in the right hypochondrium and the necessary measures.

The nature of the pain	Measures taken
Severe aching pain on the right under the rib, which lasts more than an hour.	Calling an ambulance.
Sudden sharp pain.	Immediate call for an ambulance.
Pain in the right side is accompanied by nausea.	Seeing a doctor on the same day.
Stitching pain that occurs with any movement, if it lasts more than half an hour.	Immediate medical attention.
Pain under the rib on the right, caused by trauma.	Immediate medical attention.
Pain that constantly occurs when walking and subsides after stopping movement.	It is advisable to see a doctor as soon as possible.

Physiology and pathology

The right hypochondrium can hurt due to physiological or pathological reasons. In the first case, there are no visible disturbances in the work of the body. In the second, they are present.

Physiological causes

If the physical condition of a person is normal, pain in the right side may occur due to physiological reasons. Such pains are a consequence of natural processes in the body. An example is pregnancy or menstruation in women, uneven skeletal formation in adolescence in both sexes, impaired digestion or improper exercise.

1. The most common case that can cause pain in the right side in both men and women is non-observance of the diet, as a result of which fecal blockages are formed in the intestines. Unprocessed foods that remain and settle in the large intestine put pressure on the diaphragm and cause pain.
   

   Fecal stones

2. Pregnancy at a certain stage, it almost always causes periodic pain in the right hypochondrium, especially when walking. With an increase in the term, the uterus enlarges, presses on the other organs, in particular, the liver, which gives off pain to the right side.
   

   Pregnant women may have pain in their right side when walking.

3. Menstruation - Another "female reason" to feel pain in the right side. Since during menstruation, the dying off and rejection of the endometrium occurs, with an increase in the load, which increases with walking, physical activity or running, the rate of rejection is also increases. As a result, the discharge of blood becomes more abundant and is accompanied by pain.
   

   Menstrual pain

4. Physical exercisesIf performed incorrectly, they can cause physiological pain under the right rib if they are performed a short time after a meal. On a full stomach, you should not engage in any exercise; after eating, at least three hours should pass. Also pain occurs when using the wrong breathing technique. If breathing during exercise is shallow, blood stagnates in the liver and contributes to its increase.
   

   If exercise is done on a full stomach, the right side may hurt

Advice. In all cases of physiological pain, you should not ignore them, especially with regular repetition. They can be a harbinger of dangerous diseases that are easier to prevent at the first symptoms.

Pathological causes

Pathological pain is always based on the presence of a disease or some kind of disorder. For example, if it is possible to consider normal side pain that occurs when walking in the late stages, shortly before the baby appears, then pain in pregnancy developing outside the uterine cavity is a pathology and requires immediate therapeutic or surgical interference.

Cholestasis

Cholestasis is a liver disease in which the flow of bile is disrupted and stagnant is formed. Distinguish between intrahepatic and subhepatic cholestasis.

The disease is rare, but it can occur for several reasons:

• virus infection;
• pregnancy;
• taking certain medications (chlorpromazine);
• taking male sex hormones;
• blockage of the bile ducts (stones);
• helminths;
• mechanical squeezing;
• tumor.

Both types of cholestasis can be recognized not only by painful sensations in the right side under the ribs, but also by altered feces and urine. The feces acquire a grayish tint and a strong odor, the stool becomes more frequent, the urine becomes darker. Also, with the onset of the disease, visual acuity begins to decrease.

By the way. To diagnose this disease, it is necessary to pass a urine, blood test, undergo an ultrasound examination of the liver or MRPHG.

Jaundice

This disease is widespread. Jaundice is also divided into two types: suprahepatic and subhepatic. In the first variant of the development of the disease, increased blood breakdown occurs. In the second, the outflow of bilirubin is disturbed, due to the weakening of its binding.

Jaundice and cholestasis are almost always combined with each other. As a treatment, it is used:

• drug therapy;
• special diet;
• taking vitamins;
• physiotherapy;
• massage.

Important! With prolonged and untreated jaundice, hepatic failure may form, then hepatic encephalopathy and sepsis.

Fatty hepatosis

This disease, one of the first symptoms of which is pain in the right side in front under the ribs, is a consequence of metabolic disorders.

Causes of hepatosis:

• protein deficiency;
• hepatitis of any group;
• the presence of diabetes mellitus;
• taking narcotic and toxic substances;
• food poisoning (mushrooms);
• chemical poisoning (pesticides, household chemicals);
• gassing;
• insufficient oxygen supply in cardiovascular, bronchial and pulmonary diseases.
  

  Fatty diabetic hepatosis (fatty infiltration of the liver) - a disease included in the group of liver pathologies caused by the destruction of hepatocytes

Important! With fatty hepatosis, there is a dangerous substitution of fat for the active structures of hepatocytes, which ultimately leads to death. In most cases, this process is activated by alcohol dependence. If after another stormy feast your right side hurts, immediately stop drinking and go for a diagnosis.

To diagnose the disease, it is necessary to conduct an ultrasound or computed tomography, as well as donate blood for examination and undergo a biopsy of liver tissue.

In order to cure fatty hepatosis, it is necessary to eliminate factors that negatively affect liver cells. Moderate exercise, diet, medication and herbal restorative preparations are also indicated.

Cirrhosis

This disease is widespread and is the final stage of liver damage that can result from many diseases. The most dangerous of them are chronic hepatitis, metabolic disorders.

As a result of liver cirrhosis, hepatocytes undergo necrosis.

1. At the first stage of local necrosis, hepatic coma occurs. Voids are formed in the liver tissue, filled with nodular formations. At this stage, the pain is already quite severe and is felt almost constantly.
2. The second stage is the replacement of dead hepatocytes with connective tissue, which creates partitions that interfere with blood circulation.
3. The third stage is characterized by complete closure of the hepatic vessels; the person experiences incessant aggressive pain.

Outwardly, cirrhosis is manifested by yellowing and darkening of the skin, itching, drying and coarsening of the skin. Blood discharge begins to flow from the gums. It enlarges, as if the abdomen "swells". The feces become very light and the urine dark. The patient is tormented by constant constipation and diarrhea, belching, heartburn, heaviness in the stomach and abdomen.

It is necessary to diagnose cirrhosis at all stages in stages. First, the patient is questioned, examined visually, and then a complete laboratory, immunological and biochemical study is carried out. Biopsy, ultrasound, tomography and radionuclide scanning are also performed.

Important! It is possible to cure cirrhosis of the liver with medicines and diet. But if the disease has passed into the last stage, surgical treatment should be applied.

Cholecystitis

This is a lesion of the gallbladder, accompanied by the appearance of stones in it and acute paroxysmal pain.

Why is a person affected by gallstone disease:

• irregular meals;
• regular overeating;
• no loads;
• infections;
• liver disease;
• genetics.

Cholecystitis is chronic and acute. Exacerbation is complicated by purulent inflammation or gangrenous death of a part of the gallbladder membrane. It goes into the chronic acute stage if the disease proceeded without complications.

Pain impulse in two forms is different. Although the pain is localized to the right under the rib in both cases, in an acute attack it is very strong, sharp and intensifying, with concomitant vomiting, a decrease in pressure and an increase in temperature. In a chronic course, the pain is rather aching, not acute, accompanied by nausea and belching, which has a bitter taste.

Important! In both forms, if one or more stones block the neck of the gallbladder, biliary colic occurs. It can be triggered by overeating, stress, too much physical activity or a cold. In this case, the pain is practically unbearable, and it will stop only if the stone spontaneously returns to the gallbladder or passes into the intestines.

For diagnostics, ultrasound, research in the laboratory, radionuclide studies are carried out.

Treatment consists of relieving pain symptoms with medication and, if necessary, surgical or shock wave extraction of stones. In some cases, the entire gallbladder is removed. Also, the patient is prescribed a special diet.

Flexion of the gallbladder

This rare pathology, however, can cause pain in the right side under the ribs, and it is not always possible to diagnose it immediately. With this pathology, which is usually congenital or received after an injury, the patient not only complains about pain, but feels nauseous, suffers from heartburn, diarrhea, constipation, bloating, may feel weak and bitter during mouth.

To make a diagnosis accurately, ultrasound is the best method. In the process of treatment, medication and physiotherapy are used, a compulsory diet.

By the way. If the bending is strong, and timely diagnosis and treatment was not followed, a break with excretion of bile into the peritoneum, which will entail peritonitis and a possible death, if urgent help.

Appendicitis

Perhaps the most common and common cause of pain under the ribs on the right is inflammation of the appendix. Arising in the right side, pain can be given to the left, be encircling all over the abdomen and back. The pain becomes stronger, and its area is wider with movement. Fever, upset bowel movements, nausea, sweating, blanching of the skin, heartburn are possible.

Appendicitis can be acute or chronic. An acute attack begins with the shell of the organ, then tissue rupture with purulent masses and the release of pus into the peritoneum may occur. In chronic inflammation, it either fades away or becomes active, increasing or decreasing pain.

Inflammation of the appendix is ​​almost always treated surgically, by removing the entire organ.

Relief for pain in the right side under the ribs

Of course, without being a doctor, it is impossible to accurately determine the cause of the pain that has arisen. Therefore, the patient's primary task is to understand at least the nature of the cause. It is physiological or pathological. If menstruation, jogging on a full stomach and other phenomena that can cause physiological pain are present, if the pain is not very disturbing and quickly passes, it may be worth waiting and not taking emergency measures. With the disappearance of the physiological cause, the pains will also disappear.

But if everything repeats, intensifies, is present for a long time, is accompanied by accompanying symptoms, there is only one advice - immediately seeking medical help.

Advice. A doctor who can be consulted in case of aggressive pain: therapist, gastroenterologist, oncologist, surgeon - depending on the nature of the existing pathology.

While awaiting medical help, you can independently take the following actions.

1. Reduce pain by taking antispasmodics (if the pain is very severe, paradoxically, it is not recommended to take medication in order to maintain a clear clinical picture until an ambulance arrives).
2. Apply a cold compress to the sore spot (not hot!).
3. Get into a comfortable position, at which pain is felt the least, and wait for an ambulance.

If the diagnosis is established and drug treatment is prescribed, folk remedies can help in recovery and relieve pain:

• spleen diseases - rosehip decoction;
• liver disease - half honey and cinnamon;
• gallbladder disease - a decoction of potatoes, boiled in their uniform.

Preventive actions

They exist. To avoid sharp pains in the right hypochondrium and not to be on the operating table, you need to follow the food regimen and adhere to a healthy lifestyle.

1. Moderate physical activity.
2. No alcohol abuse.
3. Proper nutrition, without excessive amounts of spicy, fatty, salty.
4. Seeking advice at the very beginning of the onset of pain.
5. Annual examination of internal organs, especially with anxious heredity.

Pain under the right rib may be a temporary phenomenon that will occur several times and no longer disturb, but may indicate a serious illness that has already "settled" in your body. It is important to prevent its development, the aggravation of the situation and the consequences that may turn out to be dire. That is why, having experienced even once unusual pain for you, on the right under the ribs, you should be alert and listen to your body.

Video - What hurts in the right hypochondrium