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Symptoms of the disease are pain in the hypochondrium. Pain in the right and left hypochondrium - what problems does it indicate?

Pain in the left hypochondrium often causes bewilderment; the reasons for its occurrence are unclear; right hypochondrium, nevertheless, it is worth dealing with the left side.

Left hypochondrium- This upper area abdomen and area in the lower left chest. This place contains many important organs for humans. This is the edge of the stomach, spleen and upper limit kidneys It is problems with one of these organs that can cause pain in the left hypochondrium.

In addition, there may be radiation into this area," give away» pain from the heart, esophagus, lung, intestines, pancreas and even the spine.

So there are quite a few reasons why there is pain in the lower left hypochondrium. That is why you first need to figure out what is the cause of the pain on the left under the rib and only then make decisions regarding treatment.

Causes of pain in the left hypochondrium

  • Very common cause the occurrence of pain in the hypochondrium is .

In this case, the pain becomes stronger with attacks of dry cough and is accompanied by heavy breathing. Additional symptoms symptoms that indicate this disease are alternating chills and weakness.

  • Attacks of pain associated with stomach problems.

When you have pain in the left hypochondrium after eating food, you should reconsider your diet. The reason may lie simply in regular use large quantity alcohol, low-quality food, and even regular physical overexertion, in particular after eating, influence the occurrence of pain in the left side.

In this case, to prevent the development of pathology of the stomach organs, it is enough to simply return to a regular, moderate and vitamin-rich diet.

  • Severe stabbing pain immediately after eating food indicates the presence of tumors, or pinched diaphragm.

This can be understood by the presence of shortness of breath in the symptoms.

  • Nausea and vomiting immediately after eating.

Attacks of pain occur when stomach ulcer, duodenal ulcer or gastritis, often accompanied by vomiting and nausea.

Due to the types of gastritis, painful manifestations can be varied, for example, a burning dull pain when eating food occurs if a person has, on an empty stomach there may be pain in the left side if the acidity is low.

Diarrhea, vomiting, a feeling of bloating, and belching with a bad smell may occur.

In case of ulcer, the patient noticeably loses weight. IN advanced stage ulcers, perforation may appear (the formation of a through hole through which the contents of the stomach may end up in abdominal cavity).

In this case, a strong piercing pain will appear, comparable to the penetration of a dagger, as well as increased tension in the abdominal muscles, increased temperature, tachycardia, vomiting with a bloody or black component.

Such unbearable pain forces a person to curl into a fetal position lying on his side, and in rare cases Loss of consciousness is also possible.

  • Prolonged pain in the upper abdomen can be observed with stomach cancer.

It occurs regardless of food intake. The patient also exhibits a general decrease in appetite, periodic vomiting and expectoration of slightly yellow, thick mucus. In the later period, the stool becomes dark.

  • Pain on the upper left - screams pancreas.

This organ reacts sharply to fatty foods, sweets and alcohol. Unbearable pain of a girdling nature, which is localized in the upper left part of the abdomen, and disturbing only after eating, directly indicates.

Such sharp pain can bring pain shock. Purulent pancreatitis causes vomiting and sharp increase temperature. It is important to immediately conduct an examination so that there are no complications in the form of concomitant development of diabetes mellitus or oncological pathology.

  • Pain when inhaling - ?

Indeed, shooting, aching or sharp pain under the left rib, appears both after eating and at other times, due to compression of the nerves. When coughing, making a sharp turn, taking a strong breath, or putting pressure on the left side of the body, discomfort appears under the ribs, which indicates neuralgia.

Such manifestations may occur due to Tietze syndrome(inflammation of the cartilages that connect chest and ribs).

Expand the pain on left side may be due to inflammation of the pleural membranes of the lungs ( pleurisy), which is often caused by staphylococcus, streptococcus or E. coli.

Including pain in the left hypochondrium due to physical injuries, falls, body injuries and rib fractures.

  • Pain under the left rib is evidence of heart disease

Pain syndrome under the left hypochondrium can be caused by heart diseases, for example, ischemia. Most often the heart area hurts, but the pain can spread under the ribs. The nature of the pain is varied and at the same time there is an irregular pulse and high fatigue, this may indicate.

If it hurts under the ribs on the left side and the pain radiates to left hand, neck and shoulder blade area - this may indicate pre-infarction state or on your own . But such pain should be accompanied by increased sweating, nausea, high temperature, as well as darkening of the eyes.

In this situation, appetite is sharply lost, health deteriorates, diarrhea is observed, which does not stop even after taking pills against it, vomiting occurs and subsequently dehydration develops.

First aid for pain in the lower ribs

Treatment depends on how severe the symptoms are.

Patients who are aware of their existing diseases should also know how to eliminate the pain that occurs. Self-medication can distort the symptoms of the disease and complicate its course, which can lead to sad consequences. You need to see a doctor and get examined.

It is strictly forbidden to heat the area where the pain occurs; you can only apply a little cold. You should also not take antispasmodics, because numbing the pain will make it difficult to diagnose the disease.

The need to call an ambulance may arise in the following cases:

1. Acute pain that suddenly appeared.

2. Blunt pain, running parallel to coughing and vomiting blood.

3. When the aching sensation does not go away within an hour.

4. If the stabbing pain does not subside within 30 minutes, but, on the contrary, may intensify with a change in position.

Diagnostics

It is often difficult to determine the diagnosis of pain in the left hypochondrium due to the fact that the patient cannot accurately describe the nature and location of the pain. But in this case, success in treatment depends on the speed of diagnosis.

At primary diagnosis At the therapist, who is most often the first person the patient turns to, the patient himself should take the examination of a specialist seriously. The fact is that the correctness of the diagnosis depends on his truthful and accurate explanations about the pain. It is very important to describe exactly where and how it hurts.

Tell us at what point the pain began, when it manifests itself most strongly, what is accompanied by the pain, whether there was a fever, whether there is vomiting, diarrhea, etc. Every little detail can be decisive in making a diagnosis for pain in the left hypochondrium.

If you describe your problem correctly, the doctor will quickly make a diagnosis. Often, for pain in the lower left hypochondrium, the therapist can refer you to the following doctors:
— Cardiologist;
— Surgeon (the most dangerous is suspicion of oncology, acute conditions requiring surgical intervention);
— Endocrinologist;
- Urologist;
- Gynecologist, etc.

Treatment of pain in the left hypochondrium

Treatment is often carried out with medication, but sometimes there is a need for surgical intervention.

Once a diagnosis has been established, you can treat and support the organs that caused pain in the left hypochondrium at home:

1. When pain appears due to problems in the gallbladder or pancreas, the first thing to do is to remove fatty, fried, spicy and salty foods from your diet. Often one change in diet is enough to eliminate pain syndrome.

2. It can help with spleen disease. This decoction is also used to prevent kidney diseases.

You can also use this composition for treatment: grate beets, radishes and carrots, strain the juice. Pour the mixture into a glass bottle. Without completely twisting, place in a slightly heated oven. Let the liquid evaporate a little, take it out after three hours and cool it. Drink a tablespoon 3 times a day for 2-3 months.

3. If the cause of the pain is cardiovascular diseases, then painful sensations can be relieved with tincture of birch leaves or motherwort.

4. When there is pain under the ribs due to the liver, honey will help relieve the pain within two days. Place three teaspoons of ground cinnamon in half a liter of honey. You need to consume it before and after meals, one spoon at a time.

No less effective method is a mixture olive oil With apple cider vinegar, honey and lemon juice. Drink a tablespoon three times a day before meals.

5. A symptom of pain appears due to problems in the gallbladder, then you need to drink water from boiled potatoes. To do this, boil unpeeled potatoes, adding a little salt to the water. Without draining the water, mash the potatoes until pureed. Let the pulp settle and drink the mixture that remains on top. Take two tablespoons every day in three divided doses.

6. The following decoction will help relieve pain in the left hypochondrium due to pathologies of the gallbladder and liver: crushed celandine, rose hips, mint, buckthorn bark, etc. Mix everything and add 250-300 ml of water to a teaspoon. Leave for 15 minutes, strain and drink everything at once.

Pain in the left hypochondrium - conclusion

All healing procedures strictly associated with a disease that causes pain in the left hypochondrium. And for everyone individual person a separate course of treatment is required, which is prescribed based on the severity of the disease, condition, concomitant diseases and other factors. Therefore, before choosing a treatment for yourself, even folk remedies, you must first be examined by a specialist.

Pain is a defense mechanism. Its appearance signals that not everything is in order with the body. Pain in the right hypochondrium is a common occurrence. Pain in this part of the body can overtake a person one day by surprise or remind itself periodically.

Causes of pain in the right hypochondrium

Under the ribs on the right side of a person there are several organs: the liver, gallbladder with bile ducts, part colon, as well as the diaphragm. Pain in the right hypochondrium can occur directly when these organs are damaged. However, there is also so-called referred pain from unhealthy organs located in another part of the abdominal and even chest cavity. For example, pain in the right hypochondrium may occur with or.

Diseases of the hepatobiliary system

According to statistics, in most cases, pain in the right hypochondrium is caused by pathology of the gallbladder, for example. As a rule, cholecystitis develops against the background of existing. The stone clogs the bile duct, bile stagnates, and intravesical pressure increases. This is how the feeling of pain arises.

In acute cholecystitis, pain occurs suddenly and is intense. Pain sensations are concentrated mainly in the right hypochondrium and epigastrium. Often the pain radiates to right shoulder, back. Because of the pain, a person literally cannot find a place for himself, and he experiences some relief if he lies on his side with his legs pulled up to his stomach.

In favor acute cholecystitis The following symptoms also indicate:

  • Increased body temperature;
  • bitterness in the mouth;
  • bile;
  • Stool disorders.

Among chronic diseases of the biliary system that occur with pain in the right hypochondrium, it is necessary to highlight. A person with this diagnosis periodically experiences moderate or severe pain in the right hypochondrium, lasting twenty minutes or more. Sometimes the pain can radiate to the right side or back. Bitterness in the mouth, flatulence, and loose stools may also occur.

Important! When a person complains to his friends about pain in the right hypochondrium, one can often hear the assumption that it is the liver that hurts. In fact, there are no pain receptors in the liver, and therefore it cannot hurt. However, the liver is covered by a capsule, the stretching of which can cause pain. So, people with a viral infection may feel some heaviness, moderate bursting pain under the right rib.

Associated signs of hepatitis are loss of appetite, weight loss, weakness,... To be fair, it should be noted that hepatitis often occurs “latently” when general health the person does not suffer and he learns about his diagnosis by chance when conducting appropriate research.

Diseases of the gastrointestinal tract

Pain in the right side can also occur with. With this illness, a person is bothered by severe diffuse pain in the upper abdomen. That is, it hurts both under the left ribs and under the right. Often the pain becomes irritating and spreads to the back. In favor acute pancreatitis Symptoms such as nausea, vomiting, and stool disorders also indicate.

Pain in the right hypochondrium can also be observed with damage to the colon due to infectious and non-communicable diseases intestines. But pain cannot be the only symptom of existing intestinal disease. Therefore, you must always take into account the full clinical picture to determine the correct diagnosis.

Intercostal neuralgia

Pain in the hypochondrium is not always caused by pathology internal organs. Thus, pain in the rib area can occur due to skeletal diseases. Such a common disease occurs with degeneration of spinal cartilage. The altered cartilage puts pressure on the nerves, which leads to pain.

At thoracic osteochondrosis with damage to the lower thoracic vertebrae, a person is bothered by pain in the ribs and hypochondrium. This phenomenon is called intercostal neuralgia. The pain often becomes irritating. Patients describe this pain as burning and excruciating. It is typical that the pain increases significantly after movement, coughing, or taking a deep breath. That is why a person tries not to move again. Also, over the affected nerve, a disturbance in the sensitivity of the skin in the form of numbness, a sensation of “crawling goosebumps” can be detected.

A similar clinic is observed with. The fact is that the Herpes Zoster virus affects nerve fibers. Intercostal nerves are often affected by the virus. In the area of ​​the ribs, the hypochondrium, a person begins to suffer from pain, a feeling of tingling and itching of the skin occurs. Moreover, the pain is usually concentrated in one half of the chest.

At the same time, the patient notes some weakness, fatigue, and a rise in body temperature. After a couple of days, rashes appear on the skin at the site of the lesion in the form of red spots and small blisters with serous fluid. Soon the bubbles open, the liquid flows out and dries into crusts. Within a couple of weeks, all skin phenomena disappear. But at the same time, postherpetic neuralgia may persist for some time, manifested by pain in the intercostal spaces.

Rare causes of pain in the right hypochondrium

There are cases in medical practice when pain in the right hypochondrium is not at all associated with damage to the abdominal organs. So, when inflammation is localized in the lower lobe of the right lung, a person feels pain in the right hypochondrium. Pneumonia is also indicated by fever, distinct weakness,

It is no secret that most of The population of our country is in no hurry to go to the hospital if they experience pain in the left or right hypochondrium. To begin with, they make attempts to independently diagnose and treat on their own. And few people think that incorrect treatment may not lead to very good consequences. Pain in the hypochondrium is very alarming symptom. Let's consider what diseases can be accompanied by the appearance of such pain and what actions need to be taken.

If the pain is localized under right breast and in the upper right abdomen, this may indicate poor liver function, infection or gallstones. The abdomen also houses the pancreas, which secretes insulin, digestive enzymes and juices. The most common cause of pancreatic pain is inflammation - pancreatitis. Attacks of acute pancreatitis are characterized by severe pain, accompanied by nausea, vomiting and copious discharge sweat. The pain may radiate to the back and intensify when lying down.

Rarely, pain in the right hypochondrium is associated with renal pathology.

Pain in the left hypochondrium

In the left hypochondrium are the spleen, pancreas, stomach, intestinal loops and left side diaphragm. In this area, the occurrence of painful sensations can often be associated with the spleen, whose main job is to remove red blood cells from the blood. Discomfort in the area of ​​the left hypochondrium may be associated with injury to the spleen, overstretching of its capsule in case of excessive enlargement, intercostal neuralgia, myositis (inflammation of the muscles), various injuries soft tissues, ribs. The spleen tends to increase in volume in some diseases. It is located close to the surface of the body, and therefore can rupture due to injury and various diseases, for example, infectious monoculosis.

When pain is felt in the left hypochondrium, it may be caused by problems with the superficial layers human body(chest and abdominal walls) or with internal organs. Pain on the left side in the area of ​​the ribs may be associated with pancreatitis. Pain in the pleura and lungs, as well as heart pain, can radiate to this same area. In some cases, pain in the left hypochondrium may occur in the presence of diseases of the stomach, duodenum, and transverse colon. In addition, pain can be caused by inflammation of the stomach - gastritis, which is characterized by the appearance aching pain, in some cases accompanied by nausea and vomiting.

A common reason for a visit to a gastroenterologist or therapist is patient complaints of pain in the right hypochondrium. Discomfort in this area of ​​the abdomen can sometimes occur in healthy people during physical activity.

This symptom often occurs as a result of stagnation of bile in the biliary tract. When the anterior wall of the abdominal cavity is tense, pressure occurs on the gallbladder and, as a result, it contracts. Such an attack is usually short-lived and usually ends loose stools and improvement of the patient's condition. In some cases, acute, sharp pain in the right hypochondrium may be an indication that you should immediately consult a doctor to avoid severe consequences and complications.

Possible causes of pain in the right hypochondrium.

Pain in the right hypochondrium can occur as a result of inflammation various organs: small intestine, gallbladder, duodenum and colon, right kidney, diaphragm, pancreas.

Pain in the upper abdominal cavity and in the area of ​​the right hypochondrium can be caused by injuries to the above organs. The strength and nature of the pain felt are determined by the location and various features pathological process.

There are often cases when sharp pain in the right hypochondrium occurs as a result of diseases of organs that are located in another part of the abdomen. In this case, pain sensations are transmitted through nerve fibers.

Diseases accompanied by pain in the right hypochondrium.

Most often, acute pain in the right hypochondrium occurs when. Bile, which contains enzymes necessary for digesting food, is produced in the liver. Excess bile is stored in the gallbladder, and from there the bile enters the duodenum.

Reception of large quantities fatty foods, various infections, the formation of stones in the gall bladder provokes the occurrence of an inflammatory process -. The main acute symptoms are vomiting, nausea, burning pain in the right hypochondrium, which can extend under the shoulder blade or into the shoulder. In some cases it may start severe itching skin or, surgical treatment is required.

Severe pain in the right hypochondrium is possible with the disease due to the inflammatory etiology of the liver. can occur due to poisoning, various chemical poisons or as a result of infections. may be accompanied by an increase in body temperature, intoxication of the body and sharp deterioration general condition.

Nagging pain in the right hypochondrium is characteristic of chronic, accompanied by an enlarged liver and intolerance to fried foods. For a long time, with chronic disease, the patient does not show any symptoms, since the liver usually does not hurt. However, at this time there is a gradual process of replacement of liver cells connective tissue, as a result of which it develops. Therefore, if you suspect liver problems, your course of treatment should include drugs to support the liver - the most effective of which are drugs based on.

Dull pain in the right hypochondrium indicates chronic inflammation gallbladder, accompanied by nausea after eating, yellowing of the sclera and skin. In this case, treatment is carried out using antispasmodics, antibiotics, and diet.

Aching pain in the right hypochondrium is provoked by a disorder of the biliary system - resulting from a violation of its motor function. This disorder most often has a psychosomatic origin. The patient experiences pressing pain in the right hypochondrium, bitterness in the mouth, decreased appetite, fatigue, and bad mood.

Stitching pain in the right hypochondrium can be provoked by pathology of the right kidney, accompanied by nausea, vomiting, fever, intoxication, weakness, painful frequent urination. With urolithiasis and pyelonephritis, painful sensations occur in the side and back, radiating to the stomach. When a pronounced destructive process and stones large sizes required surgery. At conservative treatment antispasmodics, antibiotics, and detoxification are used.

Throbbing pain in the right hypochondrium bothers patients, which is characterized by shingles strong pain in the epigastric region, nausea, constant vomiting mixed with bile, bloating, diarrhea and increased body temperature. Chronic is accompanied by bursting pain in the right hypochondrium, enzymatic deficiency, and flatulence. Medical therapy when carried out with the help of fasting, anti-enzyme drugs, cytostatics and antispasmodics. At acute process therapy is carried out only in inpatient conditions to avoid serious complications.

The appearance of night pain in the right hypochondrium is characteristic of a duodenal ulcer, the symptoms of which also include pain on an empty stomach or immediately after eating, flatulence, nausea, bloating, belching, and sometimes vomiting with blood. If the patient is worried, has stabbing pain, dizziness and weakness, you should immediately call an ambulance, as this may indicate a perforation of the ulcer.

Other causes of pain in the right hypochondrium:

So, there can be many reasons for pain in the right hypochondrium. To accurately clarify the problem, you must contact qualified specialist, in this case to a gastroenterologist, to undergo examination and prescribe appropriate treatment.

Pain in the right hypochondrium is a sign of many diseases, so put accurate diagnosis Even an experienced and qualified specialist will not be able to do this on the basis of this symptom alone.

Can cause pain syndrome harmless reasons, such as overeating or excessive exercise. But more often, discomfort in the area of ​​the right hypochondrium provokes an inflammatory process, acute and chronic diseases of the digestive system, genitourinary system, internal organs (liver, kidneys), bile ducts.

Why does the right hypochondrium hurt, in which cases is this symptom not dangerous, and in which cases does it require immediate appeal behind medical care? You will find answers to all questions in our material.

Pain under the right hypochondrium in healthy people

Pain in the right hypochondrium can be caused by a variety of reasons. In some situations, discomfort also appears in completely healthy people: in this case we're talking about about the option physiological norm. However, often the problem lies in the development of pathologies of the gastrointestinal tract and other organs.

Physiological reasons why it hurts in the right hypochondrium:

  1. Pregnancy. In pregnant women in the third trimester, the uterus is enormously stretched and puts pressure on all the organs it comes into contact with, displacing the intestines, pressing on the stump and gall bladder. Therefore, for healthy pregnant women, stabbing or pressing pain in the right hypochondrium is not uncommon. In addition, progesterone, which maintains pregnancy for later, expands biliary tract and stimulates bile stagnation. And if you give physical activity to such a belly, then some discomfort can be felt with a high probability.
  2. Pain on exercise. Surely many have noticed how after intense physical activity there is pain in the right side. This occurs due to excessive stretching of the liver tissue, which, in turn, is caused by a sharp flow of blood to the organ. This happens especially often after a heavy meal. This condition does not pose any danger.
  3. Pain in women. At the end menstrual cycle Some women experience a sharp imbalance between low progesterone and high estrogens, which leads to spasm of the biliary tract and can also cause colic in the right hypochondrium. Reception hormonal contraceptives may worsen the course premenstrual syndrome and increase the frequency of stabbing pain due to disruption of the passage of bile.

Pathological causes of pain under the right rib

Anatomically, the upper right quadrant of the abdomen includes: the liver, gallbladder, part of the diaphragm and small intestine, duodenum, right kidney, pancreas.

Other reasons

Other diseases and pathologies, the symptoms of which may include painful sensations of various types in the area of ​​the lower ribs with right side bodies are as follows:

  • From the outside nervous system: squeezing nerve endings which are located in the intercostal space (intercostal neuralgia), characterized by acute pain, the appearance of rashes, itching;
  • From the outside digestive system: , peptic ulcer, various inflammatory processes, intestinal obstruction, colitis, pancreatitis, spasms and pain simulating gynecological diseases, peritonitis, etc.;
  • From the urinary system: with damage predominantly to the right kidney (otherwise the pain is localized on the left side, and not in the area of ​​the lower ribs on the right), renal colic, stones;
  • From the outside respiratory system: (pneumonia) either in acute or chronic course- cough provokes spasms of the respiratory system, which are felt painful sensations in the right hypochondrium;
  • inflammation of the uterine appendages, osteochondrosis, appendicitis, etc.
  • From the liver: liver dystrophy, cirrhosis, abscess, hepatitis, C and others, accompanied by stagnation of blood in the liver, and other chronic diseases and acute inflammatory processes.

Pain in the right hypochondrium behind

If the patient complains that there is pain in the back under the right shoulder blade, the causes of this phenomenon may be associated with injuries to the lower ribs, damage to the intercostal nerves. Pain appears from behind under the right shoulder blade from the back and with lesions of the right kidney and adrenal gland. The causes of back pain may also be associated with diseases of the inferior vena cava.

  1. Urolithiasis disease. Diseases of the right kidney and, first of all, urolithiasis disease can cause intense pain. A stone or sand that began its journey from renal pelvis, scratches it, and then the ureter, so pain with renal colic will be not only in the projection of the lower ribs, but also in the lower back and in the lateral abdomen. The pain is paroxysmal and severe. It radiates to the thigh and genitals. When you tap the edge of your palm on the lower back, the pain intensifies and can radiate to the groin. In this case, traces of blood may appear in the urine. In some patients renal colic accompanied by vomiting.
  2. Pyelonephritis. Development of acute infectious inflammation kidneys is accompanied by pain in the kidney area, intoxication, and fever. It also hurts when urinating, periodic false urges, swelling appears on the face.
  3. Necrosis of the renal papillae. It may be a consequence oxygen starvation renal tissue when the vessels that feed it are blocked (by infectious agents or when diabetes mellitus). In this case, the pain is constant, combined with blood in the urine. The patient may die from septic shock.
  4. Kidney cancer. This condition may not appear for a long time. Mild pain and bleeding appear as early as late stages diseases. Sometimes the tumor interferes with the flow of urine, and then there is acute pain. Pain in the hypochondrium also occurs with tumors of the right adrenal gland, provided that the tumor is large.
  5. Acute upper paranephritis. This is an inflammation of the fatty tissue at the top of the kidney due to infection from the tonsils, carious teeth or other foci of inflammation. First, there is a temperature of up to 38, moderate pain in the lower back on the affected side. After 2-3 days, the pain moves to the right hypochondrium, intensifies when deep breath. Lower back pain increases with sudden straightening of the body and when walking.
  6. Intercostal neuralgia. The reason that a person’s right side feels tight and numb in the hypochondrium area may be intercostal neuralgia. In this state, sometimes there is a pulling from the back, the ribs hurt on both sides in front. With neuralgia, there is a strong tingling sensation in the different areas, up to restriction of mobility. The pain becomes stronger when bending or turning. Also, the cause of a sudden tingling sensation in the pit of the stomach or twitching on both sides can be myositis, when a person’s muscles are inflamed.
  7. Osteochondrosis lumbar region. It produces pain of varying intensity, which is accompanied by limited mobility, muscle tightness and tension symptoms. The pain can range from aching to shooting varying degrees intensity.
  8. Shingles. In this case, herpetic eruptions appear along the nerve in the form of bubbles with cloudy liquid, and the skin turns red. Itching, burning, and pain develop at the site of the lesion. This means that you need to see a dermatologist.
  9. Thrombosis of the vena cava. A rare variant of thrombosis of the inferior vena cava (when a blood clot comes from the iliac veins and clogs the main trunk of the vein) causes pain in the lower back (right hypochondrium from the back) and a clinical picture similar to the late stage of kidney tumors. If the liver segment is thrombosed, then intense pain will occur in the right hypochondrium in front and will radiate under right shoulder blade. This will cause fluid accumulation in the abdominal cavity and jaundice.

If there is pain in the right hypochondrium in front

Tingling or sharp pain in the right side occurs due to diseases of the organs that are adjacent to this area. Some conditions are accompanied by pain from the back, sometimes it radiates to the leg, shoulder blade, kidney, etc. There may also be pain in the lungs when taking a deep breath. With some diagnoses, pain may be periodic and manifest when walking or coughing. With others - discomfort They bother me constantly.

  1. Hepatitis. Viral, alcoholic or toxic hepatitis gives a picture of intoxication (weakness, lethargy, loss of ability to work) and dyspepsia (nausea, loss of appetite, vomiting). At the height of the disease, jaundice occurs with a lemon tint to the skin and whites of the eyes. During the same period, urine becomes the color of beer, and feces - the color of clay due to disturbances in the exchange of bile pigments.
  2. Cirrhosis of the liver. In patients with cirrhosis, liver cell death and changes in its structure are observed. People with this diagnosis have pain in the right side at the waist level, sometimes the pain is felt in the back. With cirrhosis, a person may notice pain in the right side below the ribs, already at the very beginning of the disease. At the same time, the burning sensation in the right side is persistent. On late stages With cirrhosis, the liver shrinks, its performance decreases, and the patient develops hepatic coma, death is likely.
  3. Echinococcosis. These are cysts with liquid contents, which are caused by the worm Echinococcus. Cysts are most often located in the right lobe of the liver and, as they grow, they compress the capillaries and intrahepatic bile ducts, causing severe heaviness in the hypochondrium and uneven enlargement of the liver. If the cyst festeres, a cavity filled with pus develops - a liver abscess. In this case, the pain intensifies, the body temperature rises and inflammation of the peritoneum or even blood poisoning may develop.
  4. Congestive heart failure. Why discomfort in the right hypochondrium in this case is bothersome is explained by the patient’s condition. Initially, his blood circulation deteriorates, as a result, the liver enlarges, and fluid accumulates in the abdominal cavity. A nagging pain appears in the right side, a feeling of heaviness. A nagging pain is disturbing as the disease progresses. With abdominal myocardial infarction, the patient experiences severe, burning pain in the lower right hypochondrium. Sometimes the patient complains that there is pressure in the side. But in some cases, the onset of pain is sometimes very sharp, similar to the blow of a knife; the pain appears in the shoulder blade and sternum. As a rule, this happens with the development of heart attacks. back wall heart muscle. Sometimes it seems to the patient that this painful sensation manifests itself in waves: periodically it decreases and intensifies. In this case, pallor, heart rate disturbances, and a drop in pressure may be noted.
  5. Gallbladder diseases. They give the greatest percentage of intense and sharp (cutting or stabbing pains), which are characteristic of acute inflammation. In this case, a displaced stone may be to blame for the inflammation, closing the lumen of the bladder neck or bile duct, or bacterial flora. Pain when acute inflammation arise at the point between the rectus abdominis muscle on the right and the costal arch. They are cramping, strong, and radiate to the right shoulder or left hypochondrium. There may be a bitter taste in the mouth, belching of air, nausea and vomiting of bile. Sometimes the body temperature rises. For calculous cholecystitis typical development obstructive jaundice with a yellow-green tint to the skin and mucous membranes.

Pain after eating

Eating accelerates the secretion and movement of bile, increases blood flow to the liver and stimulates intestinal peristalsis. Therefore, food provokes pain in pathologies of the liver, gall bladder, and intestines.

In this case, the nature of the pain can be different: nausea and dull pain are characteristic of cholecystitis, sharp pain of a spastic nature accompanies colitis and intestinal dysbiosis, stabbing pain accompanies biliary dyskinesia or.

After load

Unpleasant sensations in the form of pulling or stabbing pain occur after physical exertion in people with hepatitis, cirrhosis, congestive liver. After the shaking physical activity an attack may occur. Also periodic pain during exercise they appear in patients with myositis, intercostal neuralgia, osteochondrosis, rib fractures, and vena cava thrombosis.

Pain in acute appendicitis

The appendix is ​​a lymphoid organ that takes part in immune defense digestive system. It is located in the area of ​​the right ilium, but its position is quite variable. This causes difficulties in diagnosing inflammation of the appendix. Appendicitis has its own distinct stages of development, which only a surgeon can diagnose.

Are:

  1. Diffuse pain in the navel and stomach;
  2. The pain is localized in the right half of the abdomen for three hours;
  3. Reducing pain when lying on the right side;
  4. Increased pain when walking and lying on the left side;
  5. Against the background of pain, general health worsens, body temperature rises, vomiting and diarrhea occur.

In such cases, emergency surgical treatment in a surgical hospital.

Pain differentiation

Depending on the kind of pain felt by a patient who consults a doctor with this problem, it is possible to identify which organ disease is associated with certain painful sensations.

So, pain in the right hypochondrium, what could it be:

  1. Burning pain in the right hypochondrium is often the cause of acute cholecystitis.
  2. Acute pain in the right hypochondrium is most likely associated with diseases of the gallbladder.
  3. Severe pain in the right hypochondrium is usually felt by patients suffering from hepatitis.
  4. Dull pain may be a consequence inflammatory processes in the gallbladder.
  5. Aching or pressing pain can be attributed to the symptoms manifested by biliary dyskinesia.
  6. Nagging pain is characteristic of chronic hepatitis.
  7. A bursting type of pain can be caused chronic diseases pancreas.
  8. Throbbing pain is typical for patients diagnosed with pancreatitis.
  9. Stitching pain is observed in patients with problems with the right kidney.

Also, pain in the right hypochondrium can only occur in the evening or at night. As shown medical practice, constant night pain in this area is often the first sign of a duodenal ulcer.

Diagnostics

If the doctor complains of pain in the right hypochondrium, he has the right to prescribe:

  • blood chemistry;
  • analysis of urine samples for bilirubin;
  • Abdominal ultrasound

If the results are uncertain, an MRI, CT with an emphasis on the abdominal organs, or a liver biopsy may be needed. And only after receiving all the research results, the doctor will prescribe a course of treatment and diet, and also determine the need for hospitalization.

How to relieve pain?

In order to relieve pain, you can drink no-spa, but you should not abuse the painkiller - this will not make it possible to correctly determine the cause of the discomfort.

It is necessary to immediately call an ambulance if the patient exhibits the following symptoms:

  • incessant vomiting;
  • fainting and presyncope;
  • delay or complete inability to urinate;
  • the pain is acute, unbearable, lasts more than a few minutes (not attacks - spasms, characterized by cramping painful sensations, but constant significant discomfort);
  • uterine bleeding;
  • blood in vomit, feces, urine;
  • significant increase in body temperature (above 38.5°C);
  • diarrhea or constipation lasting several days.

If there is pain in the right hypochondrium and the causes have been clarified, the question remains of what to do. The main thing that the patient should know is that under no circumstances should you self-medicate. Taking antispasmodics, analgesics and them similar drugs significantly blurs the picture and complicates the doctor’s work.

First aid recipes widely circulated on the Internet are also ineffective, but also dangerous. Under no circumstances should you accept alcohol tinctures, putting heating pads on the stomach and the like: for unknown reasons, this can cause fatal outcome. The main thing the patient should do is consult a doctor. In this case, it is not necessary to go to the local police officer. At intense pain you need to contact an ambulance.

Treatment is almost always medicinal and includes taking analgesics, antispasmodics, diuretics, choleretic drugs etc. These medications are prescribed exclusively by a doctor. Surgical assistance required in extreme cases emergency cases, like intestinal obstruction, perforated ulcer etc. In all other cases, conservative therapy is indicated.

Prevention

Preventive measures to prevent pain in the right hypochondrium boil down to following the following recommendations:

  • reception medicines only as prescribed by a doctor;
  • avoidance of stressful situations;
  • compliance with personal hygiene rules;
  • healthy and active image life;
  • rejection of bad habits;
  • proper and nutritious nutrition;
  • use of barrier contraceptives during sexual intercourse, refusal of casual relationships.

Regular medical examination (once a year) will allow you to prevent or promptly detect any health problems and receive the necessary treatment.