Stomach pain under the ribs on the right
Pain in the right side of the abdomen is a symptom with which patients often consult a doctor. They can be aching or stabbing, strong or barely noticeable. Therefore, many people have a question about what causes discomfort under the ribs on the right. This segment contains important organs that, through pain, signal the presence of infection, injury or other problems.
Pathologies of internal organs can provoke pain in the right side under the ribs, of varying intensity and nature. In addition, pain symptoms can be localized in different projections.
- Pain in right side behind
- Pain in the right hypochondrium when moving.
Treatment of pain in the intestines in the lower abdomen
To diagnose the disease with pain in the intestines in the lower abdomen, the patient should consult a gastroenterologist. The medical expert will conduct an initial examination, which consists of palpation. The patient needs to determine the nature of the pain syndromes, their frequency and intensity. After the initial examination and consultation, the patient will be sent for tests, including a general blood test, stool and urine analysis. To more clearly determine the diagnosis, diagnostic studies are performed. If the patient has no contraindications, he is sent for computed tomography and magnetic resonance therapy.
These procedures are prohibited for pregnant and nursing mothers, children, and people with cancer. Alternative options include other tests, such as:
- Coprogram is a stool analysis that makes it possible to judge the completeness of food digestion. This examination determines whether the patient has gastrointestinal disorders.
- Bacteriological examination of stool. Bacteriological examination of feces allows you to determine the causative agent of intestinal infection and the ratio of bacteria of normal and opportunistic flora.
- Endoscopy. In an endoscopic examination, a fiber-optic tube with a camera and light is inserted into the upper or lower gastrointestinal tract. This diagnostic examination makes it possible to directly see the condition of the mucous membrane.
- Colonoscopy. The study is performed using a camera, which allows you to visually assess the condition of the intestines.
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Pain in the stomach and right side under the ribs
Pain in the right side of the abdomen is a symptom with which patients often consult a doctor.
They can be aching or stabbing, strong or barely noticeable. Short-term pain in the right hypochondrium has appeared at least once in everyone. This does not indicate the development of serious problems, but may be the result of physiological effects. The syndrome can be different: manifest itself abruptly or develop progressively, have the character of short-term colic or be present for a long time.
The main non-pathological causes of pain:
- Strong physical exertion resulting from increased local blood flow and blood flow to the liver . The cells of the organ become overstretched and irritation of the receptors occurs. The risk of discomfort increases if movements are not performed on an empty stomach.
- Late pregnancy. Starting from 27-28 weeks, active growth of the fetus inside the uterine cavity begins. The reproductive organ noticeably increases in size and puts pressure on nearby organs. If the woman's general condition is stable, there is nothing to worry about. Pain is a temporary problem caused by fetal movement. It will completely disappear after childbirth, but will be very noticeable during the third trimester.
- Changes in a woman's hormonal levels. The level of progesterone in a woman’s blood increases before menstruation, and the concentration of estrogen decreases. As a result, pain occurs in the lower abdomen, which can radiate to the right hypochondrium.
- Taking hormonal contraceptives. It has been proven that the drugs do not have the best effect on the gastrointestinal tract and provoke malfunctions of the biliary system. With long-term use, the bile ducts become narrowed and pain occurs. It also appears if an IUD (IUD) is inserted.
A fall or a strong blow can cause damage or even rupture of abdominal organs and pain in the right side. The most dangerous are rupture of the liver and kidney, which can provoke severe bleeding, which can lead not only to pain but also to death. Symptoms of bleeding are:
- strong heartbeat;
- “cold” sweat, chills;
- pale skin;
- dizziness, fainting.
This is an acute inflammation of the appendix, an extension of the intestine, which is felt as pain in the right side under the ribs. If it occurs, you cannot do without surgical intervention, otherwise peritonitis may develop - when all the organs of the abdominal cavity are involved in the inflammatory process.
Blockage of the intestinal lumen
The factors that led to this disease may include two reasons: intestinal volvulus and blockage of the intestinal lumen due to the action of foreign bodies.
When intestinal volvulus occurs, the disease develops very quickly, as nerve conduction is disrupted and blood supply to the walls of the intestine is stopped. When the intestinal lumen is blocked by a foreign body, peristalsis is disrupted.
If there is any factor that led to blockage of the lumen in the intestine, there is very severe pain in the abdominal area, which radiates to the right iliac region. An unpleasant feeling is usually accompanied by vomiting (in 95% of cases after eating), peristalsis is not observed.
Stomach pain under right rib in front
The first place among the possible causes of pain in the right side under the ribs in front is occupied by cholelithiasis and biliary tract problems, the second is pathological processes in the liver, swelling due to a lack of blood supply to this organ.
If you go from top to bottom, in this zone there are:
- the lower part of the right lung , covered with membrane;
- the liver lies under the lung - it occupies the entire space behind the right rib;
- the gallbladder lies under the liver bile ducts descend from it and the liver ;
- Below is the cecum with an appendix - the appendix ;
- closer to the back at the lumbar level are the kidneys , from which the ureters follow into the pelvis;
- In women, the ovaries .
It is in these organs that pain in the right side often occurs.
Among all the possible causes of pain in the right side, we can distinguish conditions that require urgent medical attention and those that do not require it. In the following situations, urgent help is needed if you feel sharp pain under your right rib.
Crohn's disease
Crohn's disease refers to inflammatory diseases of the terminal ileum. It is chronic in nature. In 20% of cases it is discovered completely by accident (when
surgery is performed to remove the appendix).
The symptoms of the disease are very similar to those of appendicitis. In order to correctly establish a diagnosis, it is necessary to carefully interview the patient. An acute period of disease in the intestines is often preceded by the following symptoms:
- very long (from 7 days to 2-3 years) period of indigestion;
- there is a tendency to severe digestive upset;
- no vomiting;
- the pain is located exclusively on the right side of the lower abdomen.
If these symptoms are detected, urgent hospitalization followed by surgical treatment is indicated.
Stomach pain under right rib
Pain syndrome is associated with irritation of receptors of internal organs, as well as muscles and nerves. Moreover, the affected area is not always located in the right upper quadrant; the culprit of the reaction may be areas distant from the area of the right hypochondrium:
- heart;
- kidneys;
- pelvic organs;
- lungs;
- vertebral segments in the thoracic region.
Most often impulses occur:
- in the liver;
- gallbladder;
- in the diaphragm;
- duodenum;
- adrenal glands;
- in the upper parts of the large and small intestines;
- appendix.
Often pain is the result of an injury to the ribs on the right.
Regular pain signals a malfunction in the body. The impetus for a pain reaction in the area of the right hypochondrium can be many diseases:
Localization of pathology | Causes of pain |
Liver | Hepatitis, cirrhosis, echinococcosis, cancer |
Gallbladder | Gallstone disease, cholecystitis, cholangitis, biliary dyskinesia, neoplasms |
Pancreas | Pancreatitis and cancer |
Duodenum | Ulcer and duodenitis |
Intestines | Enterocolitis, colitis, obstruction and diverticulosis |
Lungs | Pleurisy, inflammation of the right lung (pneumonia) |
Heart | Angina pectoris, abdominal form of myocardial infarction, cardiomyopathy |
Spine | Osteochondrosis of the lumbar and thoracic region, costochondritis, rib trauma, fibromyalgia |
Nerve trunks | Intercostal neuralgia, vegetative crisis |
Kidneys and adrenal glands | Pyelonephritis, ICD, tumors, prolapse |
Genitals | Ectopic pregnancy, adnexitis, ovarian cyst, endometriosis |
Diaphragm | Hernia |
In some cases, a characteristic symptom appears during an attack of acute appendicitis. The pain syndrome will spread, affecting the lower abdomen on the right and the right hypochondrium. The affected area will bulge. In case of suspicion, you should consult a doctor; the patient may need surgery.
Why does pain appear in the intestines on the lower right side of the abdomen?
Pain is a protective reaction to any pathological process occurring in the body.
If your stomach hurts, it always causes concern and anxiety. It is not clear whether it is necessary to call an ambulance, see a doctor on your own, or will it go away on its own? Pain in the abdominal area has a varied nature: it can be pulling, cutting, stabbing. If the patient experiences such pain in the right lower abdomen, this indicates symptoms of damage in the intestines. Often the disease is detected in the final part of the small intestine (ileum), in the cecum and ascending part of the large intestine.
And if the pain on the right side radiates to the lumbar, inguinal, pubic region, this is a reason to call an ambulance (it may be a symptom of an ulcer of the rectum and duodenum).
Pain in the stomach and right side under the ribs
Constant pain in the right hypochondrium may indicate various disorders in the functioning of internal organs, therefore their course should not be ignored. The list of problems that manifest themselves symptomatically in this way can include:
- From the liver: hepatitis, cirrhosis, tumor processes of a malignant and benign nature.
- Gallbladder: cholelithiasis, cholecystitis, cholangitis, bile duct dyskinesia, various neoplasms in the cavity.
- Pancreas: pancreatitis, diabetes, cancer.
- Intestines and duodenum: obstruction, colitis and enterocolitis, diverticulosis, duodenitis, peptic ulcer.
- Heart: angina pectoris, myocardial infarction, cardiomyopathy (various causative factors).
- Lungs: pleurisy, pneumonia.
- Musculoskeletal system: traumatic pinching of the thoracic and lumbar nerves, chondritis, rib injuries, intercostal neuralgia.
- Kidneys: urolithiasis, pyelonephritis, tumor processes, organ prolapse.
Acute pain in women can occur due to various gynecological diseases that are infectious and inflammatory in nature. Any problems affecting the ovaries and fallopian tubes can radiate to the right hypochondrium. That is why it is impossible to differentiate the diagnosis in women without the participation of a gynecologist. It is worth noting that this symptom appears during ectopic fertilization.
Causes of pain in the intestines on the right and left lower abdomen
Experts identify several reasons that could cause pain in the intestines on the left and right side of the lower abdomen.
If the patient feels severe pain in the lower right abdomen, then these symptoms indicate problems with the small intestine. They can be caused by metabolic disorders, microflora, poor diet, long-term use of medications, and alcohol. Pain may indicate the development of dangerous diseases - enteritis, cancer, celiac disease, dyskinesia, ischemia, dysbacteriosis, the appearance of neoplasms, ulcers, polyps, cracks.
If a few minutes after eating any food a person begins to belch, acute pain in the intestines in the lower abdomen, these symptoms indicate a weakness of the digestive process. Stomach pain and gastrointestinal disorders are associated with low acidity. The human body does not have enough gastric juice. As a result, the body does not properly digest food, which over time begins to ferment and cause pain.
Cutting pain in the lower abdomen may be associated with problems of the nervous system. Nervous tension causes the body to produce nonspecific ulcerative colitis. The pain goes away after a few days. If a person does not feel improvement, the disease enters the chronic stage.
- Pain in the intestines on the right and left lower abdomen in women is associated with the genital tract.
During menstruation, blood flow into the pelvis increases, so this process is accompanied by pain.
- This can provoke stagnation in girls who are prone to developing varicose veins.
Pain in the intestines can appear with decreased vascular tone and observed weakness of connective tissue. The patient begins to experience painful sensations, pain during bowel movements, an increase in the size of hemorrhoids, and gastrointestinal disorders.
The disease is accompanied by painful sensations in the intestines in the lower abdomen. Diverticulitis occurs due to inflammation in areas of protrusion of the colon. Painful sensations occur when feces and food stagnate in these areas.
The appearance of tumors in the human body is accompanied by severe pain in the lower abdomen on the left and right. The pain syndrome increases with changes in the size of the tumor.
- Irritable bowel syndrome.
Irritable bowel syndrome is characterized by severe acute pain in the lower abdomen, and the patient has no appetite. This disease is accompanied by gastrointestinal disorders, diarrhea and constipation, diarrhea, and flatulence. Sometimes the patient notices weakness, an increase in the size of the abdomen, bloating and discomfort in the intestinal area.
- Problems with the genitourinary system
Stitching pains in the lower abdomen on the left and right indicate problems with the kidneys and bladder. The patient should visit a urologist and get tested.
In pregnant women, the size of the uterus increases. This process can affect the appearance of pain in the intestines in the lower abdomen. The enlarged uterus puts pressure on the intestinal walls, which can be accompanied by severe cutting pain, nausea, vomiting and flatulence.
The next cause, which is characterized by pain in the intestines in the lower abdomen and nausea, is pancreatitis. With pancreatitis, the patient experiences severe cutting pain in the upper abdomen. In some cases, the size of the abdomen increases. Gastrointestinal disorders, including constipation, accompany pancreatitis.
- Duodenal ulcer.
With a duodenal ulcer, the patient is bothered by severe sharp pain in the intestines in the lower abdomen. They are accompanied by vomiting and upset.
Stomach and right side hurt under the ribs after eating
In the right hypochondrium, pain often occurs after eating. Most often this indicates the development of diseases of the gastrointestinal tract, but sometimes it has a non-pathological basis. Intensity and frequency will help determine the character. Acute pain can indicate serious problems that require immediate attention. If the gallbladder is affected, the nerve endings will pulsate from above. Periodic pain is often associated with poor diet. A single attack can be associated with poisoning or natural distension of the stomach due to overeating.
Pain in the right hypochondrium after eating can occur frequently in the following cases:
- the rhythm of the patient’s life is physical inactivity;
- a woman has been taking oral contraceptives for a long time;
- the female cycle (menstruation) has recently ended;
- eating fatty foods on an empty stomach;
- the course of pregnancy;
- oversaturation of the body, distension of the stomach;
- drinking large amounts of water after meals.
In such cases, pain is associated with the influence of unfavorable factors, considered as normal, but controlled. During an attack, you must not move.
Classification of pain syndromes in the intestines
Medical experts classify several types of pain syndromes:
- Acute pain in the intestines. Acute pain in the intestines is accompanied by disorders of the gastrointestinal tract. The patient suffers from diarrhea and constipation. The feeling of discomfort disappears after bowel movement.
- Aching dull pain in the intestines. Aching pain intensifies with coughing and physical activity. Such pain syndromes are characteristic of inflammatory bowel diseases.
- Cramping pain is typical in advanced cases.
- Colicky pain in the intestines recurs at intervals of several minutes and lasts for several days.
My stomach and right side hurt under my ribs, what should I do?
The first thought of many people when there is pain under the right rib is to take any painkiller or antispasmodic. However, this can blur the clinical picture - create a short-term illusion of recovery, although in fact the disease continues to progress. That is why it is better to first undergo a full diagnosis - the causes of pain in the right hypochondrium under the ribs can be very different. In most cases, simply relieving pain is not enough; the underlying disease must be treated. You can drink an analgesic only in case of intense pain under the supervision of a doctor.
If there is pain on the right under the ribs due to a violation of the outflow of bile, a heating pad on the area of the right hypochondrium (if there are no stones in the bladder) can help relieve pain at home. Choleretic drugs and antispasmodics relieve an attack. For cholelithiasis in advanced cases, surgery is performed to remove the bladder.
Liver diseases usually require long-term and continuous treatment. To relieve discomfort, antispasmodic tablets and drugs that stimulate bile production are used. For liver and intestinal diseases, stomach diseases, it is important to follow the diet prescribed by your doctor. It is necessary to take antiparasitic drugs only when Giardia is detected - this should not be done for prevention, since all such tablets are highly toxic.
Sources
https://laparos kopiya.ru/bol-v-pravom-podrebere
https://nrb2.ru/bolezni/prichiny-boli-v-pravom-boku-pod-rebrami-bol-v-pravom-podrebere-speredi.html
https://puzyr.info/bol-v-pravom-podrebere/
https://pechen .infox.ru/zhelchnyj-puzyr/boli-v-pravom-podrebere#i-3
Diverticula
Diverticula are pathological sac-like formations in the intestinal wall. They communicate with the lumen, and as a result, stagnation of intestinal contents occurs there. As a result, the process of inflammation occurs.
If there is pain in the right lower abdomen, Meckel's diverticulum (the final section of the small intestine) may occur. The development of the disease can be observed in the cecum and/or ascending colon.
The symptoms of the disease practically coincide with the symptoms of acute appendicitis:
- the anterior abdominal wall is tense;
- painful sensations when touching the affected area in the intestines;
- positive neurological symptoms.
A distinctive feature is the long course of the disease with attacks of exacerbation: constipation, alternating with digestive disorders.
If, when observing these symptoms, you ignore a visit to the doctor and do not start timely treatment, suppuration, perforation, the formation of fistulas with the subsequent development of peritonitis may occur.
Diseases of the small and large intestines
The small intestine plays an important role in digesting food. It undergoes final processes, as a result of which food is broken down into relatively simple substances. When the small intestine malfunctions, the body does not fully receive the substances it needs. The main principle of operation and task of the colon is to push food, through spasms, further into the rectum. These spasms are not felt because they are a reflex movement of the body.
Colon diseases
Dyskinesia is a disease that impairs intestinal motor function. As a result, the functioning of the gastrointestinal tract is disrupted. In this case, infections, ulcers, and unnatural formations in the intestine do not occur. Diverticula is a sac-shaped formation on the intestinal walls measuring 1-2 centimeters. When pressure increases in the esophagus, in weak areas the mucous membrane is pushed into the gaps between the muscle fibers.
Nonspecific ulcerative colitis is a disease of the inflamed intestine, but (unlike chronic colitis) in an acute form (with the formation of ulcers). The causes are not fully known. Colon cancer can occur at any age and does not depend on gender.
Enteritis inflammation of the mucous membrane of the small intestine
Diseases of the small intestine
Enteritis is inflammation of the mucous membrane of the small intestine. It occurs in acute or chronic form. The reasons for the appearance are: poisoning, infections, irritation from spicy food or alcohol. Whipple's disease is a systemic (affects different body systems) infectious disease. The disease usually manifests itself with symptoms not associated with intestinal diseases.
Small intestine cancer - this disease is extremely rare, occurring in only 1-2% of cases of tumor formation in the gastrointestinal tract. Small intestine cancer affects older people, over 60 years of age. The disease occurs more often in men.
How to treat intestinal diseases
Proper selection of therapy will not only reduce the inflammatory effect, but also prevent complications. Treatment can be done with medication or surgery and diet. Anti-inflammatory, antibacterial, antibiotics, and drugs containing live bacteria are prescribed. You need to be prepared to take medications for a long time.
Surgical intervention is used extremely rarely, only in emergency cases. During surgery, the affected part of the intestine is removed. After which the recovery process begins, associated with medications and diet.
What to do when you have pain in the lower abdomen?
Treatment of the disorder
What to do when there is colitis in the lower abdomen or the symptoms of the disease are simply incomprehensible? If acute pain in the abdominal area has an acute manifestation and lasts more than 60 minutes, then you need to urgently call an ambulance. Before the medical team arrives, you must take a calm body position (lie down on a bed or sit in a chair), do not eat food and do not apply various heating pads/compresses. After hospitalization, a gastroenterologist or surgeon may order diagnostic tests.
The mechanism of effective treatment of the disorder is based on the qualitative elimination of pain, namely:
- If the underlying disorder is an infectious disease, the patient will need to undergo antibiotic therapy;
- In case of imbalance of microflora in the intestines, probiotics will help;
- Ulcerative colitis of a nonspecific type is eliminated with the help of immunosuppressants;
- Acute intestinal obstruction and appendicitis in the last stages of the disease are eliminated through surgical intervention in the human body.
Quite often, enzymatic preparations are used to normalize intestinal function. If the pain is very severe (lower abdominal cavity), then the doctor may prescribe antispasmodic drugs. The patient should remember that any pain pills taken are only symptomatic treatment. But the original causes of the disease will not be eliminated. Diseases of the small and large intestines are successfully eliminated with non-steroidal anti-inflammatory drugs.
The storehouse of knowledge of traditional medicine has a large stock of recipes for eliminating pain in the lower abdomen. But even taking a herbal remedy must be agreed with your doctor.
Let's consider several treatment options for the disorder:
- For intestinal atony, a special infusion of honey and aloe leaves is used. To do this, steam 300 g of honey and carefully crush 3 aloe leaves. The mixture is infused for about 24 hours. The “potion” is taken 60 minutes before a meal in a warm form. You can use healthy potato or cabbage juices;
- Use 0.5 tsp. ground green tea leaves (up to 4 times a day) helps normalize intestinal function;
- During intestinal dyskinesia, it is necessary to use a decoction based on a complex herbal mixture. The liquid contains equal parts of mint, motherwort, yarrow flowers, St. John's wort, sage, and oak bark. 2 tbsp. pour 500 ml of boiling water and simmer over low heat for 2 hours. Next, the liquid should be cooled and strained.
Prevention
Any disease that is known to medicine is much easier to prevent. After all, the treatment process can be protracted and provoke the development of various kinds of complications. This is especially true for new formations in the bladder. Women need to be very careful when organizing childbirth
Close attention should be paid to representatives of the fairer sex who have a narrow pelvis and a large fetus (including one located transversely in the womb)
In order to minimize the number of pathologies, it is necessary to adhere to certain rules, namely:
- Maintain personal hygiene standards;
- Do not bring the body to hypothermia;
- Systematically maintain the immune system in good shape (hardening, taking vitamins and minerals);
- Drink water daily (up to several liters per day).
Compliance with the basic rules will prevent the development of a large number of intestinal diseases. The set of these preventive measures includes:
- Balanced diet;
- Complete cessation of bad habits;
- Attentive attitude to medications;
- Creating psychological comfort;
- Effective fight against excess body weight;
- Timely visit to a qualified doctor.
If pain in the lower abdomen is accompanied by prolonged constipation (on the right and left sides), doctors recommend leading an active lifestyle. An effective way is also the process of establishing a regime for emptying the suction organ. You can do a relaxing abdominal massage.