Why does the right side hurt and feel sick. The right side hurts and feels sick. The right side hurts under the ribs.

Patients who have not previously experienced problems with the digestive system may also suffer from belching and pain in the right side. Since even in the stomach of healthy (and patients with other diseases not related to the gastrointestinal tract) people have a certain amount of gases, the parameters of which depend on the diet, age and even lifestyle. And they may burp with air for the following reasons:

  • due to excessive swallowing of air (aerophagy) that occurs in the process of eating. The cause of the symptoms can be overeating, eating too fast, and even talking. Sometimes excess air can enter the esophagus during smoking;
  • due to non-compliance with the recommended half-hour break between meals and the start of exercise;
  • due to the wrong diet, which includes foods that cause both heartburn and belching - for example, cabbage, legumes and fresh bread.

Frequent consumption of carbonated drinks and chewing gum can also cause belching and pain in the hypochondrium. And sometimes they suffer from it after making too sudden movements (for example, bending over) immediately after eating. And because of wearing a tight belt or belt, squeezing the stomach.

People may suffer from the above symptoms:

  • having overweight but not suffering from gastrointestinal diseases;
  • using inhalers;
  • caught in stressful situations, which also increase the likelihood of burping with air.

Appearance during exercise

Physical activity causes discomfort, pain under the ribs, heartburn and belching in those people who are taken for severe physical work or begin to engage in strength sports without appropriate training. An active release of adrenaline into the blood leads to a decrease in the tone of the bile ducts (BG) and stagnation of bile, which, due to increased pressure, enters the stomach and intestines. The liver fills with blood, causing pain in the right side.

Problems in pregnant women

Pregnancy in most women is associated with many not always pleasant symptoms. These include not only toxicosis, but also pain in the hypochondrium, and air belching. All this can be observed for the following reasons:

  1. due to the growth of the uterus, which puts pressure on nearby organs - in particular, on the gallbladder and bile ducts. As a result, the uniformity of bile flow is disturbed, it accumulates and stagnates. And the gallbladder begins to become inflamed, causing pain on the right side and indigestion (which, in turn, leads to belching);
  2. due to the exacerbation of digestive problems (especially chronic ones), which were observed before. In order to avoid such problems, it is recommended to cure such diseases even before the planned pregnancy.

In such a situation, therapy is required that would not harm either the woman or his child. First of all, it consists in following a certain diet, which involves the rejection of a number of products. In addition, patients are prescribed drugs that normalize the flow of bile and eliminate congestion. And after childbirth (about a month later), problems with pain and air belching usually disappear on their own.

Symptoms in patients with various diseases

The appearance of pain on the right side, accompanied by belching, in most cases is not associated with physical activity and the ingress of excess air into the esophagus, but with various types diseases. In this way, the body reports a serious pathology in the gastrointestinal tract and the appearance of problems with other organs. For example, with the cardiovascular system or the liver.

Diseases of the stomach and duodenum

Air belching and pain under the ribs can be associated with diseases such as:

  • gastritis, the symptoms of which also include loss of appetite, constipation and diarrhea. And pain attacks under the ribs appear 1.5 hours after eating;
  • duodenitis, in which pain radiates to the back and shoulder blade, about 2 hours after eating, and additional symptoms include diarrhea, weakness, sweating and vomiting;
  • duodenal ulcer, which is also manifested by stabbing pains in the epigastrium, burning and constipation.

Diaphragmatic hernia

With a diaphragmatic hernia (HH), the esophagus, intestines, and stomach may be partially displaced. The result of this shift is pain, worse after eating and bouts of severe coughing. Additional symptoms include vomiting and nausea.

Liver problems cause symptoms in the form of belching and pain in the hypochondrium if the patient has:

  • viral and chronic hepatitis;
  • fatty liver;
  • cirrhosis.

You can find out that it was the liver that caused the onset of symptoms by elevated body temperature, itching, sleep problems, mental disorders, hypovitaminosis, and even stool disorders. In order to get rid of the problem, it is recommended to take drugs that protect the liver cells. When complications occur, surgical methods may be used.

gallbladder

An inflamed gallbladder leads to the appearance of various symptoms, among which air belching and pain on the right side are often found. The causes of violations in the work of this body are often malnutrition, stressful situations and viruses. Antibiotics and pain medications may be used as treatment. With an exacerbation of the disease, surgical intervention is possible.

Pancreas

With inflammation of the pancreas, symptoms in the form of severe pain in the side and regurgitation are also accompanied by such signs:

  • prolonged bouts of vomiting;
  • dark urine;
  • clarification of feces;
  • the appearance of itchy skin.

When determining the cause of pain on the right and air belching, one of the main “suspects” is the intestines. With the appearance of severe nausea and weakness, as well as the complete unwillingness of the patient to eat, he may have the initial stage of appendicitis. If symptoms are accompanied by rumbling in the abdomen and diarrhea, possible reason- enteritis. And the appearance of pain in the groin, radiating to the leg and aggravated by physical exertion, as well as protrusions on the right side, the symptoms may indicate an inguinal hernia.

Heart and blood vessels

Pain in the hypochondrium, along with belching with air, are sometimes signs of a heart attack. At the same time, pain is also observed in the interscapular region and even on the right side of the abdomen. An additional symptom may be vomiting. With gastrocardial syndrome, pain and belching appear immediately after eating, and are accompanied by causeless weakness, cold sweat, dizziness and increased blood pressure. Sometimes patients cause such an eructation on their own to improve their well-being.

Oncological diseases

Oncological diseases of the digestive system are often characterized by the same symptoms - especially in the last stages of cancer and with a significant increase in the size of the tumor. In this case, the patient loses weight and loses appetite. They try to eliminate the problem in the same ways as the main disease - the use of potent drugs, surgery and radiotherapy.

Problem solving strategy

If you experience severe pain in the right hypochondrium and air belching, you should first consult a doctor (or call him at home). Before a medical examination, it is forbidden to drink any antispasmodics such as No-shpy and Drotaverin, as they can complicate the diagnostic process. It is also forbidden to use warming objects such as heating pads. Treatment is carried out both with the help of drugs and traditional medicine, and even using non-drug methods.

Therapy without the use of drugs

Non-drug methods to eliminate the problem with pain and belching include:

  • sleeping with your head elevated (for example, on two or more pillows);
  • making immediately after eating slow walks for 30 minutes;
  • free wearing of a belt or belt (without tightening);
  • refusal of any physical exertion on the abdominal press (prohibition of bending, lifting weights, twisting the body).

The use of drugs

The same symptoms can be treated with special drugs. Most often used:

  • antacids such as Phosphalugel and Maalox, which allow you to get rid of belching and burning in the stomach;
  • Smektu and regular activated charcoal, which also cope with heartburn and belching;
  • Motilak or Espumizan, which eliminates excessive accumulation of gases and stagnation in the stomach;
  • Festal, Pancreatin and Mezim, which allow you to get rid of heaviness and improve digestion;
  • Omez and Omepramezol, which bring the acidity of the stomach back to normal;
  • Bactisubatil and Bactrim, restoring the microflora in the gastrointestinal tract.

ethnoscience

For the treatment of the same symptoms, it is recommended to use folk remedies, among which the most famous is goat milk. Half a liter of liquid is divided into 3 equal portions and drunk throughout the day. A week after applying this technique, belching and pain disappear. The only contraindication is an allergy to the casein protein contained in such milk.

With the appearance of belching and pain on the right, it is also recommended to drink special herbal decoctions. With their help, you can stop gas formation and improve digestion. One of the most common remedies is made from peppermint and yarrow leaves, as well as St. John's wort and dill seeds. They are taken in a ratio of 1:1:1.5:1 and poured with boiling water (if 10 g of the components are taken as one part, 300 g of heated water is required). After that, they are kept in a water bath for about half an hour and the resulting solution is taken after meals (2 tablespoons each).

Another popular recipe is based on flaxseed and is simple enough to take just a few minutes to make. It is enough just to take 1 tbsp. l seeds and brew with boiling water. The resulting remedy is infused for about half an hour and consumed 50 g shortly before meals. Two to three weeks of treatment usually lead to positive results. Not bad also helps a mixture in equal proportions of potato and carrot juice, which is also taken before meals.

It is best to treat symptoms not only with folk remedies or medications, but use them in combination.

The doctor who made the diagnosis should help with the choice of drugs of traditional and traditional medicine.

Disease prevention

In order to reduce the likelihood of pain and air belching, it is recommended in the future:

  • adhere to a diet that is prescribed taking into account the disease that caused the symptoms;
  • observe a certain regimen, including the prohibition of talking during meals, chewing food thoroughly, switching to more frequent meals, but with smaller portions;
  • stop smoking completely - especially immediately after eating.

You should also minimize the consumption of alcohol, milk, onions, ice cream, spicy, fatty and salty foods, too cold and hot, as well as carbonated drinks. It is advisable for the patient to refuse to eat or drink in the supine position, eat more often fresh vegetables and fruits, consume dairy products.

As can be seen from the description of the causes of the onset of symptoms, various diseases and even stressful situations can cause belching of air and a feeling of pain in the right hypochondrium. However, regardless of the origin of the problem, it should be eliminated by all available means. At the same time, without self-medication and without delaying the appeal to a specialist.

One of the most common causes of air belching is gastritis and stomach ulcers. And the elimination of these symptoms is associated with the treatment of underlying diseases.

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If serious disturbances occur in the body, a certain signal is given, more often it is belching and pain in the right hypochondrium. These two symptoms, first of all, indicate the development of pathology of the gastrointestinal tract. They may appear in different time or simultaneously, and more often characterize long-term pathological processes. Pain in the right side of the abdomen and belching with air can appear once in a healthy person, but if the symptom complex is constantly disturbing, a serious pathology has developed. Only a doctor can correctly determine the cause, make a diagnosis and prescribe treatment.

The exit of air from the stomach with simultaneous pain in the right side is a symptomatology of a number of dangerous pathologies of the gastrointestinal tract.

Causes of belching with air and pain in the right hypochondrium in healthy people

With an increase in intragastric pressure, belching and sharp pains in the front in the epigastrium, in the right hypochondrium, may occur. Reasons for this:

  • swallowing air during a hasty meal;
  • deep breaths through the mouth;
  • frequent swallowing of saliva;
  • hasty speech;
  • smoking;
  • abuse of soda and chewing gum.

Painful belching can occur due to the following factors:

  • overeating;
  • sudden movements and tilts of the body forward immediately after eating;
  • wearing tight belts, squeezing the stomach area.

Often, obese people suffer from painful belching, in which discomfort not associated with disease. "Shooting" in the right hypochondrium, belching with odorless air accompanies people who abuse strong coffee, tea, garlic, onions, and high-calorie dishes. The symptom complex is accompanied by:

  • people using inhalers;
  • women during pregnancy due to squeezing of organs or before / during menstruation.

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When exercising

Absolutely healthy people can complain of pain in the right side of the abdomen and belching, if, in the absence of training, they take on hard work, they begin to play sports intensively.

The pathogenesis lies in the fact that with an active release of adrenaline into the blood, the tone of the bile ducts (biliary ducts) decreases, which provokes stagnation of bile. Against the background of an increase in pressure in the bile duct, valves begin to work, separating the duodenum and stomach. There is a reverse reflux of bile into the stomach and further into the esophagus, which causes belching with a bitter aftertaste. At the same time, the liver is overfilled with blood, its capsule is stretched, therefore it begins to prick in the right hypochondrium. Symptoms are especially pronounced if:

  • start physical activity (tilting, lifting weights) immediately after eating;
  • start running long distances without breathing preparation.

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Pregnancy

There are many reasons for the appearance of pain in the right hypochondrium with recoil to the side and belching with air during the period of bearing a child. The most basic:

  1. Stretching of the uterus in the second trimester. The organ begins to put pressure on the gastrointestinal tract, shifting its sections upward. Bends of the gallbladder and bile ducts begin to form. Bile is unevenly distributed, stagnates in the bladder. There are pains, flatulence, digestion is disturbed, which is accompanied by belching.
  2. Exacerbation of existing pathologies of the gastrointestinal tract.
  3. A heavy load on the liver, which needs to work twice as hard due to the increase in the volume of blood needed to supply the organs of the mother and the growing baby with a placenta.
  4. An increase in the concentration of the hormone progesterone, which is responsible for muscle relaxation, as a preparation of the mother's body for the upcoming birth. The sphincters do not close tightly, there is a constant gastroesophageal reflux with irritation of the mucous membranes of the 12 duodenal process, stomach, esophagus. There is an eructation and colic in the right hypochondrium.

Diseases

Most often, a symptom complex, including pain in the right area of ​​​​the body and belching, signals the development of severe pathology, but not only in the gastrointestinal tract, but also in other organs and systems, for example, the heart and blood vessels.

Stomach and duodenum

Belching with pain is accompanied by pathologies such as:

  • Gastritis, which is characterized by:
    • dull, non-intense, short-term, periodic pain attacks from the right side, under the ribs, in the sternum, appearing 1.5 hours after a meal and on an empty stomach;
    • loss of appetite;
    • belching with a sour aftertaste;
    • constipation or diarrhea.

  • Duodenitis, which manifests itself:
    • aching pain in the right, upper epigastrium, radiating to the back, shoulder blade, with / without girdling, occurring 2 hours after eating;
    • vomiting;
    • heartburn, belching bitterness;
    • weakness, sweating;
    • diarrhea.

    With a diaphragmatic hernia of the esophagus, a partial displacement of the esophagus, stomach or intestines into the retrosternal space occurs. Symptoms of pathology are as follows:

    1. dull, girdle pain syndrome, aggravated after a heavy meal, with coughing spells, lying on your back;
    2. belching, bringing relief;
    3. nausea and occasional vomiting.

    Liver and gallbladder

    • Inflammation of the gallbladder, manifested by:
      • prolonged pain;
      • belching with a bitter taste;
      • nausea with vomiting.
    • Hepatitis. Acute / chronic inflammation of the liver, provoked by viruses, alcohol abuse, autoimmune pathologies, intoxication, is accompanied by:
      • icteric pallor;
      • general weakness;
      • subfibrality;
      • weight loss due to refusal to eat;
      • itching on the skin;
      • colic in the right upper epigastrium;
      • bitter burp.

    • GSD, when stones form in the gallbladder and / or ducts. The disease is characterized by:
      • dull, aching pain in the right shoulder blade, shoulder;
      • increased symptoms with strong excitement, malnutrition, shaking, changing weather conditions;
      • periodic attacks of biliary colic with strong, cutting sensations;
      • nausea, vomiting, belching with a bitter aftertaste.
    • Dyskinesia of the biliary tract, when the flow of bile in the duodenum is disturbed. There are two types of the disease with different symptoms:
      • hypotension, when there are aching, persistent pain and heaviness in the hypochondrium, bloating that develops 60 minutes after eating, nausea, belching, weakness;
      • hypertension, when strong, stabbing, paroxysmal pains appear in the right side under the ribs and near the navel, appearing 30 minutes after eating and accompanied by belching.

    pancreas

    When an organ becomes inflamed with pancreatitis, the patient may feel:

    • attacks of girdle severe pain in the right side under the ribs (more often with inflammation of the head of the organ);
    • powerful vomiting without relief;
    • regurgitation.
    • dark urine;
    • clarified feces;
    • skin itching.

    • Appendicitis. The initial stage of inflammation of the duodenum is manifested by acute pain on the right with a gradual lowering to the umbilical, then to the iliac zone. At the same time observed:
      • severe nausea, vomiting;
      • weakness;
      • refusal to eat.
    • Enteritis. With inflammation of the mucous membrane of the small intestine, the pain syndrome spreads below, to the right of the abdomen. Paroxysmal pains are manifested along with rumbling in the abdomen, diarrhea, bloating, regurgitation.

    • An inguinal hernia is characterized by acute colic on the right and in the groin with recoil in the leg. Feelings intensify with physical activity, lifting weights. A protrusion may appear in the right side, which disappears when lying on the back.

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    Heart and blood vessels

    Pain in the right hypochondrium and in the retrosternal space occurs with myocardial infarction and angina attacks. The sensations are strong, burning, accompanied by odorless eructations, shortness of breath, hypoxia, disturbances in the rhythm of the heartbeat and pulse, severe fear, pale skin, and profuse sweating. The pain syndrome radiates to the right arm and under the shoulder blade.

    First steps

    If an attack of severe pain in the right hypochondrium begins with a systematic belching, you should immediately call a doctor, especially when the causes are unknown. When it hurts in the hypochondrium, it is forbidden to drink antispasmodics ("Drotaverine", "No-shpu"), non-steroidal anti-inflammatory drugs. They can smooth the clinical picture and complicate the diagnosis of pathology. It is forbidden to put heating pads in the area where it hurts.

    With belching and pain in the right side under the ribs, it is forbidden to use pills that reduce pain and apply warming objects.

    With constantly disturbing aching, dull pains with frequent belching, you should be examined by a therapist, surgeon, neuropathologist, cardiologist, endocrinologist.

    If you know why it hurts and belching has appeared (for example, with chronic inflammation of any part of the gastrointestinal tract), you should take the medications previously prescribed by your doctor. If they are ineffective, a second consultation and examination by a specialist with course adjustment will be required.

    Non-drug treatments for mild but disturbing discomfort:

    • sleep with a raised headboard;
    • slow walking after eating for half an hour;
    • loose belts;
    • refusal of any physical activity on the abdominal muscles after eating (you can not bend over, lift the torso and weights, twist).

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    Treatment of belching and pain in the right hypochondrium is to stop the underlying disease that caused this symptom complex. Therapy is always complex and lengthy. To normalize the activity of the gastrointestinal tract, it is often prescribed:

    1. "Almagel", "Phosphalugel", "Maalox" - antacids for flatulence, belching, heartburn;
    2. "Motilium", "Espumizan", "Motilak" - from stagnation in the stomach;
    3. "Pancreatin", "Panzinorm", "Festal", "Mezim" - to improve digestion, relieve heaviness;
    4. "Omeprazole", "Omez" - to adjust acidity;
    5. "De-Nol", "Trichopol" - to inhibit infection in the gastrointestinal tract;
    6. "Smecta", "Activated charcoal" - to get rid of heartburn, belching;
    7. "Baktisubtil", "Bactrim" - to restore the microflora in the stomach and intestines.

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    Diet and prevention

    To eliminate problems with the gastrointestinal tract, accompanied by pain on the right under the ribs, symptomatic belching, it is necessary to follow a diet for a long time. Proper nutrition is a good preventive measure that prevents the appearance of a symptom complex or treats periodic attacks. The basics of the regimen and healthy eating:

    1. eating without talking, drinking liquids;
    2. thorough chewing, slow food intake;
    3. fractional, frequent meals in small one-time portions;
    4. quitting smoking, especially after eating;
    5. minimizing beer, milk, onions, sweets, ice cream, soda, alcohol in the diet;
    6. refusal to drink drinks through straws, lying down immediately after a meal;
    7. selection of a balanced menu with its saturation with fresh fruits, vegetables, slime soups and cereals, sour-milk products.
    8. refusal or minimization of the use of fresh bread, legumes, mushrooms, cabbage, as well as too fatty, spicy, salty foods, excessively cold or hot drinks.

    Right side pain nausea vomiting

    Pain in the side brings severe suffering, deprives us of rest and disability, but it also plays the role of a guardian of the integrity of our body and is an important biological factor that ensures the preservation of life. Therefore, you should not drown out pain, whether in the hypochondrium or lower abdomen, with painkillers without a doctor's prescription and until the exact cause of their appearance is established. Pain in the right side under the ribs is dangerous because important organs are located there, such as: liver, gallbladder, pancreas, right kidney. The health risk increases if belching, nausea, and pain in the hypochondrium or lower abdomen are accompanied by indigestion.

    Symptoms requiring emergency hospitalization

    In cases where the provision of medical care and treatment at home poses a danger to both the patient and others, the issue of hospitalization is decided.

    This may be due to the following reasons:

    temperature of about 40 ° C and above, accompanied by delirium, headaches are strongly manifested; weakness appears, the patient drinks a lot, dry skin develops, cheeks tumble in, facial features are sharpened; frequent urge to empty the stomach, 7-10 times a day, diarrhea; unusual color liquid feces interspersed with green-yellow color and the appearance of blood; dark vomit; yellowed eyes and skin; severe chills that “teeth chattering”, followed by intense heat; sharp, stitching pains under the ribs.

    Major diseases

    Appendicitis

    Inflammation of the appendix is ​​called appendicitis. Usually, the organ is located below the liver, in the right iliac region at the bottom right, has a small cavity that opens into the caecum through a small flap valve. The cause of the disease are microorganisms-saprophytes, which under certain conditions show their pathogenic properties. The disease can be facilitated by clogging of the process with feces, which occurs with constipation.

    There are acute and chronic appendicitis.

    For acute appendicitis pain appears suddenly in the lower abdomen, often on the right. The pain tends to increase, increases with coughing, with a change in body position, accompanied by nausea, vomiting, and diarrhea appears. The pains are so strong that sticky sweat appears, the temperature rises sharply, a person, as they say, “throws it into heat, then into cold.” Diagnosis is carried out with fingers. If signs of appendicitis appear, the patient must be put to bed, put cold water or ice on his right side and call for medical help. The patient is subject to hospitalization, and assistance is provided surgically. Otherwise, the walls of the appendix can collapse, pus enters the abdominal cavity, which can cause peritonitis, which is characterized by a very severe general condition of the patient.

    Chronic appendicitis develops when, for medical reasons, it is impossible to remove the appendix. Diseases can haunt for years and disturb with painful attacks below in the right side. Usually they appear when the body is concussed from a long drive along a country road in a car, riding a horse. Working in the garden also provokes pain. Constant pain "knocks out" of the usual rhythm of life and can overtake anywhere and at any time: when walking in the evening, after pleasant troubles on the occasion of a holiday, after eating, belching may also appear. Treatment consists in following a diet that reduces the load on the intestines, and in case of exacerbations, drug therapy is indicated.

    Liver disease

    The liver is the largest digestive gland and is located on the right under the ribs. It takes part in the metabolic process, in the synthesis of blood proteins, produces bile, promotes the breakdown and absorption of fats. Most often, the liver suffers from various hepatitis. There are several types of this disease:

    Acute infectious disease. Its other name is Botkin's disease. Virus A is transmitted through contaminated food and water, by the fecal-oral route, with inadequate sanitation. The disease is dangerous because they fall ill not one at a time, but immediately in whole groups. The virus is resistant to high temperatures, up to +60 degrees, persists for up to several months in fresh and salt water, the incubation period lasts from 15 days to two months. An additional factor influencing the spread of the disease is population migration.

    Symptoms of the disease are:

    general weakness, accompanied by a slight chill; nausea and indigestion, diarrhea; loss of appetite; in the mouth after eating there is a bitter salty taste and belching; there is muscle pain and joint; a sharp increase in body temperature up to + 40 degrees; manifestation of pain under the ribs on the right side and in the lower abdomen.

    As the disease intensifies, the skin becomes yellowish with an orange tint, the whites of the eyes become yellowish, the urinary discharge darkens and takes on the color of strongly brewed tea, the color of the feces becomes whitish-gray, the pain under the ribs intensifies, it can hurt both from the back and below belly.

    Diagnosis of the disease is carried out by examining blood, urine and feces in the laboratory. Treatment is carried out in a hospital. The duration of treatment depends on the severity of the disease. During the hospitalization and fulfillment of all the requirements of the doctors, as a rule, they have a positive result.

    In order to restore liver function, you can use folk method, using oats.

    For half a glass of oats, 500 ml of water is taken, left for two weeks under a loosely closed lid. After this period, the lid is tightly twisted and put on a slow fire for half an hour, removed from the fire and placed in a dark place for 11-13 hours. After that, the resulting mass is filtered through gauze and water is added so that a volume of 600 ml is obtained. Consume three times a day before meals for half an hour.

    For 1 year, after discharge from the hospital, you can not:

    lift weights, run, jump, play sports; drink alcohol, incl. beer; eat fried, smoked, fatty foods, marinades and chocolate;

    all cereals, without the addition of meat broths; fish meals; dairy products - kefir, milk, cottage cheese; light soups with chicken broth; rabbit meat, turkey.

    With the next appearance of pain in the hypochondrium, you need to contact your doctor.

    Unlike hepatitis A, form B is more severe, as various forms of complications develop. The danger of infection does not disappear at temperatures both below zero and towards high. High temperatures can reach 100 degrees, and negative temperatures up to minus 20-25 degrees.

    Infection occurs sexually, domestic and artificial. The infection can be found in saliva, urine, semen, vaginal secretions, menstrual blood. In everyday life, infection occurs when using shared toothbrushes, towels, nail scissors. Infection occurs when the human skin is broken: cuts, open injuries, cracked heels, skin inflammations, burns, injections in medical institutions, infection can occur during childbirth. People who use drugs are more susceptible to the disease. The incubation period lasts from 60 to 180 days.

    Common symptoms of the disease can be:

    Cough and runny nose; Belching and nausea, fever up to 39-40 degrees; Yellowing of the palms and whites of the eyes; Changing the color of urine (urine becomes like the color of dark beer and foams); Dizziness; Itching and rash all over the body; Drawing pains in right hypochondrium; Diarrhea.

    The disease is characterized by a transition from an acute to a chronic active form, which further leads to cirrhosis of the liver.

    clinical and biochemical blood tests; general urine analysis; computed tomography or ultrasound scan of the liver; biopsy of liver tissue.

    Patients undergo medical treatment in a hospital, where a complex course is carried out aimed at detoxification, correction of impaired liver functions and extrahepatic manifestations. If the disease proceeds with severe complications - diarrhea and vomiting appear, pain under the ribs and in the lower abdomen, in which the patient loses weight sharply, then special treatment is used to replenish fluid losses. In severe form, cerebral edema, hepatic encephalopathy may develop, which is manifested by a disorder of the psyche, consciousness, and inappropriate behavior.

    The disease is also called the "silent killer". For a long time, there are no clinical manifestations of the disease, and people accidentally find out that they have contracted hepatitis C during blood tests and routine medical examinations. The disease from patients who are carriers of active hepatitis C is transmitted to healthy people when certain conditions occur:

    the same syringe is used by many drug addicts; tattooing on the body in unsanitary conditions: personal hygiene items are used by several people when living together in hostels, hiking, hotels; during blood transfusion; sexually; from mother to fetus during childbirth.

    In cases of infection, in the period of 14-21 days, the following symptoms appear:

    pain in muscles and joints; increased fatigue and weakness; indigestion, belching, diarrhea; temperature increase, but not significant.

    In order to identify this virus, laboratory diagnostics are carried out using serological and molecular biological research methods.

    In some cases, the body's immune system itself suppresses the virus, and such people do not need treatment, but there are few such lucky ones. Most are prescribed drug therapy, which can last from 12 to 48 weeks.

    Acute hepatitis C becomes chronic gradually: over several years, the number of damaged liver cells increases, fibrosis develops. Liver function may be preserved for a long time. Certain signs of the disease - yellowness of the skin, increased volume of the abdomen, the appearance of spider veins on the skin of the abdomen, may appear already with cirrhosis of the liver, which requires surgical treatment.

    Gallbladder diseases

    Cholecystitis

    A dangerous disease of the gallbladder that occurs when there are stones in the gallbladder. According to statistics, it occurs in women 6 times more often than in men. According to the course of the disease, acute and chronic are distinguished.

    Causes of cholecystitis can be:

    violation of the outflow of bile; irregular meals and overeating, especially at night; sedentary image life; constipation; pregnancy.

    Also, the causes of the disease can be various infections in the form of Escherichia coli and other pathogens that enter the bloodstream from the intestines.

    The acute course of the disease is manifested by an attack of pain in the right hypochondrium and is accompanied by nausea, vomiting, fever up to 38-39 degrees, diarrhea and belching with bitterness. Sudden unbearable pain radiates to the right shoulder and shoulder blade. An attack of acute cholecystitis can appear 3-4 hours after eating fatty foods. 3-4 days after the attack, the skin may acquire a yellowish tint, and the color of the urine will change and become dark.

    In this case, a doctor is called and the patient is subject to hospitalization, sometimes an operation is necessary. Before the arrival of the doctor, you can not apply heating pads, rinse the stomach, use laxatives.

    Chronic cholecystitis develops after acute attacks, especially in the presence of stones in the biliary tract. Accompanied by nausea and dull pain in the right hypochondrium, there is a feeling of heaviness in the upper abdomen, diarrhea. Pain and belching appear when the diet is not followed and fatty foods are eaten.

    The following products are helpful:

    curdled milk, kefir, low-fat cottage cheese; fruits, vegetables containing coarse fiber, which contributes to better bowel movements; low-fat dishes from boiled fish, poultry, meat; compotes, kissels, tea; vegetarian soups; various cereals.

    A sanatorium-and-spa treatment has a favorable effect on the course of the disease.

    The indication for surgery may be persistent debilitating pain and the presence of stones in the gallbladder.

    Biliary dyskinesia

    It is an independent disease in violation of the motility of the gallbladder and ducts. The disease is manifested by prolonged dull aching pains in the right hypochondrium and side, there may be belching. Sometimes pain under the ribs appears after unrest and stressful situations, pressure rises, which can provoke the appearance of headaches.

    The goal of the treatment is to normalize the function of the autonomic nervous system, for this purpose mineral waters and physiotherapeutic procedures are used.

    It occurs as a result of catarrhal or purulent inflammation of the extrahepatic and intrahepatic bile ducts. The cause is a bacterial infection.

    There are acute and chronic cholangitis.

    Acute cholangitis is manifested by pain in the right hypochondrium and an enlarged liver. Pain under the ribs is accompanied by chills, fever, nausea, increased pallor, and profuse sweating occurs. The disease is dangerous with a possible complication in the form of an abscess of the liver, liver failure.

    Chronic cholangitis is not so violent. Pain attacks are not as bright as those of acute cholangitis. The pain comes in waves, with periods of increase and decrease, but the liver is also enlarged.

    Mud therapy, sodium chloride baths, paraffin and ozokerite therapy, UHF, diathermy are used in the treatment of cholangitis.

    Diseases of the pancreas

    located on the left, but the head of this organ is located on the right. If it is damaged, then the right side hurts, respectively.

    Pancreatitis

    Pancreatitis is the most common disease of the pancreas.

    There are acute and chronic pancreatitis.

    The disease is diagnosed by laboratory tests, and the following hardware methods are used:

    ultrasonic, radiopaque; radioisotope; gastroscopy; colonoscopy; esophagoscopy.

    In acute pancreatitis, severe girdle pains appear in the upper abdomen, in the side, radiate to the back and are accompanied by nausea, vomiting, sticky sweat, increased pallor, and belching. With a pronounced nature of such pain, shock may occur. In this case, it is necessary to call an ambulance, and before it arrives, put a cold on the upper half of the abdomen to the patient.

    The causes of inflammation of the pancreas are:

    vascular damage; infectious diseases; injury; inflammatory processes in the abdominal cavity; the formation of stones in the gallbladder; alcohol abuse or alcoholism; malnutrition, overeating.

    Acute pancreatitis is treated in a hospital. The basis of treatment is:

    antibacterial drugs; means of suppressing the enzymatic activity of the pancreas; strict diet; bed rest.

    In some cases, surgery is possible

    Acute pancreatitis with untimely treatment can become chronic. With exacerbation of chronic pancreatitis, pain manifests itself in the upper abdomen, radiates to the back. Pain symptoms are not as bright as in acute pancreatitis.

    nausea and vomiting; bloating and lack of appetite; belching and heartburn; feces are sometimes greasy and clay-like.

    Treatment of chronic pancreatitis is based on an individual approach to the patient. It is important to strictly follow the doctor's recommendations regarding a diet that excludes fatty foods and alcohol. Anti-inflammatory drugs and tablets are widely used in the treatment of pancreatitis: papaverine hydrochloride, No-shpa, Phenicaberan. For pain relief: Atropine, Metacin, Chlorosil.

    Diseases of the duodenum 12

    The duodenum plays an important role in the digestive process. Part of this organ is located on the right, and with its disease, pain is localized on the right side, although pain can also appear on the left.

    This disease occurs during inflammatory processes of the mucous membrane of the duodenum. There is a disease due to the accelerated passage of acidic gastric juice from the stomach to the intestines, and which does not have time to be neutralized in the pancreas.

    In the upper abdomen under the ribs, pain appears, which intensifies after 2-3 hours, after eating. Pain is accompanied by a feeling of heaviness in the epigastric region.

    For the purpose of diagnosis are carried out:

    duodenal sounding; biochemical blood test; study of gastric juice; radiography of the stomach and 12 duodenal ulcer.

    The main factor in the cure of the disease is the establishment of a diet and the exclusion from the diet of fatty, spicy, pickled, salty foods. To normalize the intestinal flora and restore the digestive function of the intestine, enzyme preparations are used: Pancreatin, Mezim, Penzital, Creon. The use of drugs without the permission of a doctor is dangerous to health

    This is an acute inflammation of the duodenal bulb and is a type of duodenitis. The bacterium Helicobacter pylori contributes to the development of this disease, which changes the acidity of the contents of the bulb.

    The disease is manifested by aching pain in the right hypochondrium. Sometimes a sharp pain occurs in the epigastric region, radiating to the right hypochondrium. Pain often occurs two hours after eating and causes nausea, vomiting with an admixture of bile and bitter belching, and bad breath appears. This happens due to a violation of the motor function of the duodenum 12.

    The disease is diagnosed using laboratory methods of research and radiography.

    Treatment of this disease begins with the establishment of a diet, diet and quitting smoking and alcohol. Foods that irritate the mucous membrane are excluded - salty, fried, fatty, spicy foods. In the treatment, a course of antibiotics, phytotherapy is used. Medicines with an enveloping effect are used - Gastal, Maalox, Almagel.

    kidney disease

    kidney failure

    The human urinary system is represented by the kidneys, ureters, bladder, and urethra. Violation of the work of any organ of this system negatively affects the work of the whole organism. The kidneys remove urea, creatinine, and uric acid from the body. But, the main thing in the work of the kidneys is the regulation of water and electrolyte metabolism, due to which important components of the body are preserved: the volume and osmotic pressure of blood and body fluids.

    If you do not see a doctor in time, in case of kidney disease, kidney failure may develop. As a result, the body accumulates toxic substances of protein metabolism.

    There are acute and chronic forms of renal failure.

    The acute form occurs with a sudden deterioration in kidney function and when a large part of the kidney is affected.

    The reasons may be:

    severe infectious diseases (typhus and typhoid fever, diphtheria); shock of various origins; damage to the vessels of the kidney itself;

    At the first stage, there is: chills, fever, headache, muscle and joint pain, nausea, vomiting.

    The second stage is characterized by such manifestations: a decrease in the amount of urine, which leads to extensive edema, resulting in an increase in body weight due to fluid accumulation. The patient's condition deteriorates sharply. There is nausea, vomiting.

    In the third stage, the amount of urine increases, it is even more than usual, and there is nothing in it except water and salts. No harmful substances are removed from the body. The danger to the patient remains.

    In case of a favorable outcome, a recovery period begins. At this stage, urine is excreted in small portions, then its volume increases and exceeds normal. Nitrogenous waste products are removed from the body. Subsequently, the amount of urine normalizes and the recovery phase begins.

    Treatment consists in removing harmful substances from the body. To free the body from nitrogenous slags, they resort to hemodialysis, in which blood is purified through an artificial membrane using an “artificial kidney” apparatus. Saline solutions are introduced. Diuretics and antibacterials are used.

    Chronic renal failure develops gradually, with gradual and irreversible death of kidney cells. As a result of the kidney losing its filtering surfaces, nitrogenous slags accumulate in the body.

    The symptoms of this disease are:

    urine output at night more than during the day; swelling on the face in the morning; malaise, weakness; pain in the lower abdomen.

    As the disease progresses, there are:

    shortness of breath; bad breath: blurred vision; white patches on the skin, accompanied by severe itching; blood in the urine.

    Treatment chronic form renal failure is solved in a complex way. Together with drug therapy, diet and diet are of no small importance. The goal of treatment is to maintain the functional duties of the kidney. Conduct detoxification therapy, which includes a set of therapeutic measures aimed at combating the disease and removing toxic substances from the body.

    Stones in the kidneys

    A disease of the urinary system in which conglomerates are formed from the constituent parts of urine. Urinary stones are the result of impaired metabolism of certain substances and functions of the endocrine glands.

    intermittent and excruciating pain in the lower back below the ribs; when urinating, there is an interruption of urine; urine with blood and cloudy; burning sensation when urinating; nausea and vomiting.

    Manifestations of urolithiasis depend on the location of the stone. If the stone is located in the kidneys, then it causes aching pain in the lumbar region, which increases with physical exertion, when driving on rough roads. Stones that are in the renal pelvis for a long time cause its expansion, which is accompanied by inflammatory processes. As a result, pain appears, accompanied by:

    nausea and vomiting; release of cold sweat; bloating; rise in temperature.

    In the treatment of urolithiasis, stones are removed, but the method of treatment depends on the size and location of the stone. Small stones are expelled from the kidneys and ureters with the help of medicines, physiotherapy procedures, and plenty of drinking under the supervision of a doctor. A stone is sometimes removed from the ureter with a special loop, if this is not possible, then surgical intervention is used.

    Gynecological diseases

    Pain in the right side can occur with a disease of the female genital organs. There can be many reasons. It can be an ectopic pregnancy, rupture or torsion of the ovary, ovarian cyst, various inflammations fallopian tubes. The pains can be very strong, they cannot be tolerated, it is urgent to call a doctor. Otherwise, death may occur.

    Which doctor should I contact?

    When admitted to the hospital for medical care usually make an appointment with a therapist. The therapist, after examining, after listening to the patient's complaints about the pain that bothers him, writes out referrals for testing - blood, urine, feces, passing a cardiogram, ultrasound. Based on the results obtained, a preliminary diagnosis is made and the person is referred to a specialist who can prescribe additional studies and then determine the course of treatment.

    Cardiologist - carries out diagnostics, treatment and prevention of diseases of the heart and blood vessels. Among the diseases that this doctor treats are ischemic disease, angina pectoris, hypertension, heart disease, various arrhythmias, expressed in increased heart rate.

    A gastroenterologist deals with the diagnosis and treatment of the digestive system, i.e. his specialization is diseases of the esophagus, stomach and pancreas, liver, gallbladder, intestines.

    An endocrinologist finds out the causes and treats the following diseases: diabetes mellitus, various hypothalamic-pituitary disorders, thyroid diseases, obesity.

    A urologist will help if the patient complains of pain and cramps when urinating, incontinence, colic in the lower back, frequent urges, i.e. symptoms associated with diseases of the kidneys and urinary system.

    Male / female urologist, i.e. andrologist / gynecologist, specializes in the diagnosis and treatment of diseases of the internal and external genital organs, as well as sexually transmitted infections (chlamydia, ureaplasmosis, genital herpes, etc.).

    Currently, it is necessary to undergo a medical examination by doctors every year, donate blood, urine and other tests, since many diseases can be painless at the initial stage, but when pains appear in the side, under the ribs on the right or left, in the lower abdomen, this already says about a progressive disease. And it is very important at this stage not to wait for everything to pass by itself, but to visit a doctor as soon as possible, since delay can lead to very serious complications.

    Do you still think that curing the stomach and intestines is difficult?

    Judging by the fact that you are now reading these lines, victory in the fight against diseases of the gastrointestinal tract is not on your side yet ...

    Have you thought about surgery yet? It is understandable, because the stomach is a very important organ, and its proper functioning is the key to health and well-being. Frequent pains in the abdomen, heartburn, bloating, belching, nausea, impaired stool... All these symptoms are familiar to you firsthand.

    But perhaps it is more correct to treat not the consequence, but the cause? Here is the story of Galina Savina, about how she got rid of all these unpleasant symptoms... Read the article >>>

    Nausea and pain in the right side Nausea and pain in the right side of the abdomen, provoked by kidney disease Nausea and pain in the right side, provoked by a malfunction of the pancreas If it hurts the right side of the abdomen and feels sick, vomiting - appendicitis (inflammation of the appendix) and nausea, severe nausea, the cause is liver disease Nausea, nausea and pain in the sides, provoked by a malfunction of the gallbladder Why does the right side hurt in the hypochondrium and feel sick, the causes are diseases of the reproductive system of organs When you need to see a doctor if nausea occurs and pain in the right side? 12 intense pain in the region of the ribs.

    Dull pain in the right side, causes of dull pain in the right hypochondrium What should I do if my right side hurts a lot, nausea, nausea or vomiting, when to seek help from a doctor?

    Nausea and pain in right side

    Pain in the right side, accompanied by nausea and vomiting, may signal the presence of serious problems with gallbladder, liver, intestines, stomach or reproductive organs. In the absence of timely diagnosis and treatment, the diseases of the above organs can progress rapidly, causing various complications - in some cases, incompatible with life. To exclude such a possibility, doctors advise not to postpone a visit to a specialist if nausea and pain persist for several days and are accompanied by fever, fever, chills, blanching of the skin, "numbness" of the abdominal muscles, upset stool and digestion. If it is not possible to get to the hospital on your own due to a sharp deterioration in the condition, you should call an emergency, take a horizontal position and try, as far as possible, not to disturb the area of ​​​​the abdominal cavity where the pain is localized (do not feel the muscles, do not press on the stomach, do not lie down on sore side).

    Nausea and pain in the right side of the abdomen, provoked by kidney disease

    The main task of the kidneys is to produce red blood cells and maintain a water-salt balance that affects blood pressure. Diabetes, helminthic invasion, overdose medicines, use of alcohol or drugs, diseases of the cardiovascular system, intestinal obstruction, poisoning with toxic substances, urolithiasis, tumor formations, abdominal trauma, infectious diseases can provoke kidney failure, the characteristic symptoms of which are high body temperature, weakness, nausea and severe pain in the area of ​​the affected organ (usually on the right, since the right kidney is located lower than the left and is more susceptible to the negative effects of external and internal factors).

    Often, pain in the side, accompanied by nausea, is caused by intense physical exertion, weight lifting, non-compliance with the daily norm of fluid intake, an unbalanced diet with a predominance of animal products, shaky driving - these factors provoke renal colic, which increase with movement and subside when taking a horizontal provisions.

    Nausea and pain in the right side, provoked by a malfunction in the activity of the pancreas

    The pancreas produces pancreatic juice containing enzymes involved in the digestion process. With the abuse of fatty, salty, spicy, smoked food, the body is forced to work in an enhanced mode, which negatively affects its condition. Failure in the activity of the pancreas entails the occurrence of such unpleasant symptoms as pain in the right side, diarrhea, nausea and vomiting with a sour taste. In most cases, a malfunction in the activity of the pancreas is of a short-term nature and is eliminated by following a special diet, including cereals boiled in water, stale bread, dietary (lean) soups, and steamed fish. If a change in diet does not lead to the desired result, it is necessary to consult a doctor: perhaps the cause of discomfort lies in something else.

    If it hurts a lot on the right side of the abdomen and feels sick, vomiting - appendicitis (inflammation of the appendix)

    Pain in the right side, coupled with nausea, can signal the onset of inflammation of the appendix, an appendage of the caecum that acts as an intestinal filter. With the accumulation of pus in the process, high body temperature, diarrhea, abdominal muscle tension, vomiting, and gradually increasing pain in the lower abdomen are often observed. If the patient is not given timely assistance, which consists in the surgical removal of the appendix, the appendix can rupture, provoking blood poisoning, as well as inflammation of the walls of the abdominal cavity (peritonitis) and organs located near the appendage, which in ninety-nine cases out of a hundred leads to death.

    If the pain is in the right side and is sick, very sick, the cause is liver disease

    The liver is the main filter of the body, the “breakage” of which can cause irreversible changes in other organs and lead to the death of a person. In order to prevent the dystrophy of this important organ, without which the full functioning of the body is impossible, it is important to learn to recognize the signs of an impending disaster in order to take timely measures to stabilize the liver. What should you pay attention to first of all? You should be wary if the pain in the right hypochondrium, which appeared, it would seem, for no apparent reason, is accompanied by nausea, vomiting, lack of appetite, darkening of the urine, discoloration of the sclera and skin (jaundice): if these signs are found, it is necessary to call emergency care . The sooner the cause that led to liver dysfunction is identified and treatment is started, the lower the likelihood of developing complications that pose a threat to human life.

    Nausea, nausea and pain in the sides, provoked by a malfunction in the activity of the gallbladder

    Biliary dyskinesia, cholelithiasis and cholecystitis are often accompanied by acute pain in the right side, radiating to the shoulder, nausea, bitter taste in the mouth, high body temperature, chills and tachycardia. The treatment of such diseases is a long process, requiring strict adherence to the recommendations of the attending physician. Refusal to visit a specialist and attempts to eliminate the disease with the help of folk remedies can lead to the development of serious complications that pose a threat to human life, so doctors strongly recommend not to self-medicate, but to entrust the elimination of gallbladder diseases to qualified medical staff.

    Why does the right side hurt in the hypochondrium and feel sick, the causes are diseases of the reproductive system of organs

    Pain in the right side, coupled with nausea, can lead to:

    1 torsion of the cyst leg;

    2 inflammation of the right appendage;

    3 adhesive process in the fallopian tubes;

    4 apoplexy (rupture of the membrane) of the right ovary.

    In addition to the above reasons, pain in the right side, coupled with nausea, can be provoked by an ectopic pregnancy, ovulation (rupture of the membrane of the dominant follicle is often accompanied by pain and a feeling of general malaise), as well as puncture of the follicles as part of the IVF protocol (in the process of egg collection, the ovary is washed several times from the inside with a special solution, and after the termination of anesthesia, the injured organ responds to any careless movement with pain and nausea).

    When is it necessary to consult a doctor if there is nausea and pain in the right side?

    Therapy in a hospital is essential in cases where treatment at home poses a threat to both the patient himself and his immediate environment. Dangerous symptoms for which hospitalization is indicated:

    1 high body temperature;

    2 intolerable headache;

    4 constant feeling of thirst;

    5 unhealthy dry skin, pointed facial features;

    6 incessant vomiting;

    8 uncharacteristic color of feces, impurities of blood in feces;

    9 dark vomit;

    10 yellowish skin color;

    11 alternating chill and heat;

    12 intense pain in the region of the ribs.

    Causes of pain in the right hypochondrium and nausea, feelings of nausea

    The following organs are located in the right hypochondrium: liver, bile, part of the small intestine and diaphragm, pancreas, kidney, duodenum.

    It is problems in the work of these internal organs that can provoke the appearance of pain in the right upper abdomen. These diseases include:

    1 Cholecystitis - an inflammatory disease of the gallbladder, leading to impaired patency of the bile ducts. This disease is characterized by acute, intense, sudden pain, which most often occurs at night. As a rule, the contractility of the bile increases, which provokes it to contract more often and stronger. As a result, sharp, short-term painful sensations appear. An increase in the tone of the gallbladder is often provoked by stressful situations and increased anxiety.

    2 In acute cholecystitis, gallstones block the ducts, causing bile stasis and inflammation. The characteristic symptoms of this condition are unbearable pain in the right hypochondrium, radiating to the arm, fever, nausea and vomiting.

    3 Ulcerative duodenitis of the duodenum is characterized by the appearance of stabbing, cramping pain in the epigastric region. The pathogenic bacterium Helicobacter Pylori provokes the appearance of this disease, which can destroy the intestinal mucosa. The stabbing pain usually appears at night and gradually disappears after eating. In addition to pain, ulcerative duodenitis is accompanied by fever, bloating, nausea and heaviness in the abdomen, and general weakness.

    4 Renal colic - attacks of sudden, stabbing pain in the region of the kidneys or along the ureter. Painful sensations at the same time arise unexpectedly and do not go away even with a change in the position of the patient's body. As a rule, pain appears due to ureteral stones, which interfere with the natural outflow of urine and damage the mucous membrane with sharp edges.

    5 Pancreatitis is an inflammatory disease of the pancreas characterized by throbbing pain in the right hypochondrium. The initial stage of the disease is characterized by very severe, girdle pain. Treatment of acute pancreatitis should be carried out exclusively in a hospital, as a rule, surgical intervention is used for this.

    If it aches and hurts in the right side, what could be the causes of the aching pain in the right hypochondrium?

    Aching pain in the right hypochondrium occurs with the following diseases:

    1 liver disease. Most people go to medical facilities only when there is acute pain. Although most often it all starts with aching pain. For example, one of characteristic symptoms viral hepatitis of any kind is a pain of a aching nature. For a long time, these diseases may not manifest themselves in any way, then the following symptoms appear, manifesting themselves to a greater or lesser extent: a constant feeling of fatigue, apathy, decreased performance, jumps in body temperature, aching pain in the right side, yellow skin tone, cloudy urine. Establishment accurate diagnosis possible only in laboratory conditions;

    2 aching pain is also characteristic of cirrhosis of the liver. However, pain in this disease appears only at the last stage. The onset of the disease is usually asymptomatic, although a significant number of liver cells die, instead of which connective tissue. Gradually, it becomes more and more difficult for the body to function, and during this period, aching painful sensations appear;

    3 liver cancer is also characterized by the appearance of aching pain in the abdomen on the right. In addition, the patient may experience weight loss, constant fatigue, liver enlargement, body temperature for a long time slightly elevated. With a combination of such symptoms, it is necessary to consult an oncologist;

    4 inflammatory processes in any of the internal organs located in the right side of the abdomen.

    Dull pain in the right side, causes of dull pain in the right hypochondrium

    The following diseases are distinguished, characterized by the appearance of dull pain in the abdomen on the right:

    1 Chronic cholecystitis is an inflammatory disease of the gallbladder, which has a recurrent character and takes place against the background of urolithiasis. The occurrence of the disease is facilitated by damage to the mucous membrane with sharp edges of stones, which provokes the appearance of ulcers and scars, which worsen the outflow of bile and contribute to its stagnation. The patient at the same time experiences a dull pain in the right side of the abdomen, he also has vomiting and bloating. Strengthening of the pain symptom occurs after eating spicy, fatty, fried foods and alcoholic beverages.

    2 Chronic pancreatitis. A prolonged inflammatory process in the pancreas mainly appears in the absence of treatment for acute pancreatitis or urolithiasis. This disease is characterized by dull pain in the upper abdomen that occurs after eating, bloating and a feeling of heaviness in it, nausea, vomiting and manifestations of dyspepsia. If the disease is not treated, then irreversible changes occur in the pancreas, contributing to the disruption of its functioning.

    3 Chronic pyelonephritis- an inflammatory process localized in the pyelocaliceal system of the kidneys. Dull pain in this disease increases after any physical exertion. This disease has other symptoms: fever, impaired urination, arterial hypertension, headache and decreased ability to work.

    4 Chronic hepatitis. This disease occurs as a result of the lack of treatment of the acute form of hepatitis. The course of the disease depends on the general health of the patient and the factors contributing to the onset of hepatitis. The main symptoms in this case can be as follows: dull, nagging pain in the right hypochondrium, nausea, vomiting, increased gas formation in the intestines, refusal to eat, intolerance to alcoholic beverages and fatty foods. During the examination, the liver is slightly enlarged, with pressure on it, the patient will experience a dull pain.

    5 Chronic duodenitis - inflammatory-dystrophic changes in the mucous membrane of the duodenum. In this case, the patient experiences a dull pain in the abdomen on the right, a feeling of nausea, vomiting, heartburn. In addition, he has diarrhea and lack of appetite.

    What to do if the right side hurts a lot, feels sick, sick or vomits, when to seek help from a doctor?

    In the following cases, you should not waste time trying to self-diagnose and eliminate the cause of nausea and pain in the right side, as delay is fraught with serious consequences:

    1 If the pain in the side is accompanied by vomiting mixed with blood, mucus, bile.

    2 If the interval between attacks of vomiting is gradually reduced, while the amount of vomit does not decrease, but increases.

    3 If nausea and pain in the side are accompanied by discoloration of feces and yellowing of the sclera and skin.

    4 If, in addition to nausea and pain, there is chills, high body temperature, blanching of the skin, weakness, fever, muscle cramps, dizziness, upset stool.

    5 If the pain in the side increases to such an extent that "do not straighten up."

    6 If nausea and pain in the side persist for a long period of time, while the standard methods for managing unpleasant symptoms (diet, no exercise, stopping medication, side effects which include nausea and abdominal pain, etc.) do not give a positive result.

    In such situations, it is necessary to urgently consult with a specialist (if the condition allows you to visit the clinic) or call for emergency assistance (if the condition does not allow you to get to the hospital on your own). While waiting for doctors, it is recommended to drink warm boiled water (to avoid dehydration) and lie on the bed with your head turned 30˚ - in this position, vomit during the next attack will not be able to block the airways.

In the right side, pain appears as a symptom of trouble in the body. Depending on the affected organ, the patient may feel pain in the right hypochondrium or pain in the right side of the lower abdomen, in the side itself, in the lateral part of the back. The pain syndrome can spread far beyond the place of maximum pain and give in one direction or another. In any case, the localization and nature of the pain gives a lot of information about the pathology that provoked it.

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Pain in the right hypochondrium

In this place, pain may occur due to:

  • diseases of internal organs;
  • injuries;
  • diseases of the musculoskeletal system;
  • neurological diseases.

Diseases of the internal organs as a possible cause of pain in the right side

Among diseases of the internal organs, the most severe pain is caused by the pathology of the gallbladder. Acute and chronic, and its complication - , , tumors of the Vater nipple and acute pancreatitis - with all these diseases, pain is localized in the right hypochondrium.

In acute cholecystitis, along with this symptom, there is an increase in temperature, bitter nausea appears with bouts of vomiting, which does not improve the patient's well-being. Contrary to popular belief, jaundice is not characteristic of this disease.

Chronic cholecystitis without exacerbation does not manifest itself in any way. Having become aggravated, in terms of symptoms in general and in terms of the nature of pain in particular, it is very similar to acute inflammation:

  • localized in the right hypochondrium;
  • are initially paroxysmal, and then permanent;
  • at the peak of inflammation, they increase with any action that increases intra-abdominal pressure - coughing, sneezing, straining, and even breathing.

Pain in the right hypochondrium with cholelithiasis does not occur so often. Gallbladder stones may not manifest themselves for years. Very often they are discovered incidentally during routine ultrasound examination or examination of the patient for other diseases.

But everything changes if the stone clogs the exit from the gallbladder.

At this moment, there are intense paroxysmal pains under the right costal arch of a cutting, stabbing, tearing character. Often they give in the lower back, under the right shoulder blade, in the arm and sometimes in the region of the heart. A person at the peak of an attack of biliary colic agrees to do anything, just to get rid of the pain, they are so strong.

Simultaneously with pain sensations, nausea occurs with repeated vomiting, the patient rushes about on the bed, since the pain does not subside in any position.

Tumors of the Vater nipple appear in a similar way - places where the bile ducts exit into the lumen of the duodenum. By itself, the tumor does not cause pain. However, if it is present, cholangitis inevitably occurs - inflammation of the biliary tract, in which pain is localized in the left hypochondrium. Along with them, the patient has fever, chills, severe jaundice.

With biliary dyskinesia, the nature of pain in the right side is quite diverse and depends on the type of its course.

With hyperkinetic type of dyskinesia, pain in the liver area is acute, sharp, paroxysmal. With the hypokinetic type, on the contrary, it is constant, dull, aching, sometimes completely absent. Dyskinesia of the type of biliary colic is also possible, in which the pain is highly intense, unbearable, occurs suddenly and is accompanied by interruptions in the heart, a feeling of fear. In the latter case, sometimes doctors can make a mistake in the diagnosis and make an incorrect preliminary diagnosis of myocardial infarction. However, the data of laboratory tests and the decoding of the ECG makes it possible to exclude cardiac pathology.

Pain in acute pancreatitis is often localized in the upper abdomen and is girdle in nature, capturing both sides and even the back.

This surgical pathology occurs most often against the background of the abuse of strong alcohol, which is accompanied by an abundant intake of fatty, spicy, fried foods. Without treatment, this disease can quickly lead to death.

Pain in the right side as a result of injuries

A bruised or broken rib can also lead to pain in the upper abdomen or pain in the right side under the ribs. Their strengthening is noted during breathing, body movements, coughing, sneezing. In the first hours after the injury, the pain is diffused in the area of ​​impact, but after a few hours it is precisely localized at the site of injury. The use of radiography makes it possible to detect a fracture of the ribs, and ultrasound of the internal organs makes it possible to separate the injury from the pathology of the liver or gallbladder.

Shingles as a possible cause of pain in the right side

Caused by the herpes virus, this pathology is very similar to acute pancreatitis in its symptoms. At the onset of the disease, there are severe pains in the left and less often in the right half of the abdomen, sharp, sharp, and permanent. Nausea and even vomiting characteristic of pancreatitis may occur. This symptom complex can mislead even experienced doctors who begin to treat inflammation of the pancreas. Fortunately, after a few days, characteristic blisters appear on the abdomen in the form of a ribbon (which is why the disease is called “shingles”). From this point on, the diagnosis becomes obvious and the patient is prescribed the correct treatment, if this has not been done before.

Pain in the right side of the abdomen

On the middle floor of the right half of the abdomen are loops of the small intestine and the ascending colon.

In the right side of the abdomen, pain can only be caused by damage to these organs. Usually they are constant, strong enough, not associated with food intake and are accompanied by other symptoms:

  • stool disorder;
  • an admixture of mucus and / or blood in the feces;
  • bloating;
  • anorexia;
  • progressive weight loss;
  • nausea and vomiting.

Pain in the lower right abdomen

In this area of ​​the abdomen, pain can be triggered by a variety of diseases. Their clinical picture is sometimes very similar to one another and depends on the affected organ.

Diseases that cause pain in the lower abdomen on the right

The most common surgical pathology.

Pain usually occurs in the upper abdomen or near the navel, after a few hours moving to the right iliac region (above the inguinal fold). At the same time, other phenomena of dyspepsia are possible in the form of a single diarrhea, nausea, and occasionally vomiting, loss of appetite and a slight rise in temperature.

Acute appendicitis has a number of characteristic symptoms that are determined by the surgeon during palpation of the abdomen.

In addition to appendicitis, Crohn's disease can provoke pain in the right side of the lower abdomen.

With terminal ileitis - a variant of the development of Crohn's disease - the pains are localized in the right iliac region and very much resemble "appendicitis". The rest of the symptoms also often resemble a picture of appendicitis, so diagnostic errors are not uncommon, when a “healthy” appendix is ​​already detected during the operation, but inflammation is detected in the terminal section of the small intestine.

Gynecological diseases as the causes of pain in the right side of the lower abdomen in women

In the suprapubic region or the right and left groin, pain may appear due to pathologies of the uterine appendages:

  • ovarian apoplexy;
  • torsion of the pedicle of an ovarian tumor;
  • salpingoophoritis.

In these diseases, the pain is often permanent, accompanied by a variety of secretions from the genital tract - from bloody to purulent, sometimes fever occurs simultaneously with them, often very high.

Any of the listed diseases is very dangerous, because if left untreated, it leads to the development of severe complications:

  • bleeding;
  • pelvioperitonitis;
  • etc.

Important:if pain occurs in the right side of the lower abdomen in pregnant women, a woman should immediately contact a gynecologist.

Treatment of pain in the right side

Since pain is a symptom, it is not necessary to treat it, but the disease that provoked it. How often do we take analgesics or antispasmodics in any situation! And how often then surgeons or gynecologists scold patients for not immediately seeking help. But any disease is easier to treat at the very beginning, and not at the stage of development of serious complications.

In the treatment of the described diseases, all methods available to medicine are used:

  1. Diet therapy:
    • refusal of fatty, fried, spicy - with diseases of the gallbladder;
    • the exclusion of coarse fiber, spices - with intestinal diseases;
    • complete hunger for several days - with acute pancreatitis;
  2. Medical treatment:
    • with inflammation in any area - antibiotics;
    • with oncological diseases - radiation, chemotherapy and radiotherapy;
    • with herpes zoster - antiviral drugs, the only effective in this pathology;
    • antispasmodics and analgesics - just as an element of complex treatment;
  3. Surgical intervention - as an extreme, and sometimes the only effective measure fight against pathology
    • appendicitis;
    • torsion of the pedicle of an ovarian tumor;
    • his apoplexy;
    • ectopic pregnancy;
    • cholelithiasis;
    • some forms of Crohn's disease;
    • tumors of Vater's nipple.

Whatever the pain in the right side - constant or paroxysmal, stabbing, aching or pressing - it is a symptom of trouble in any organ. Ignoring it, self-administration of analgesics and antispasmodics is the right way to a hospital bed, or even to the surgeon's table. Sometimes a person gets to the doctors too late and then all their efforts are in vain. Therefore, with any pain attack, even if it has passed, do not be lazy - contact at least a local therapist. It’s better for him to grumble that you came to him in vain than for a surgeon to operate on you or a pathologist to open.

Nausea and pain in the right side indicates the presence of dangerous diseases of the gallbladder, liver, gastrointestinal tract or organs of the genitourinary system.

If there is no timely examination and treatment of diseases of these organs, then the symptoms can progress, provoking all sorts of adverse consequences - in certain situations, they are incompatible with life.

To exclude this possibility, experts recommend not to delay visiting doctors when nausea does not disappear within 3-5 days and is associated with high fever, fever, chills, pallor of the skin, hardening of the abdominal muscles, impaired stool and digestive processes. When the right side hurts and feels sick, this is an alarming symptom.

Pain and nausea in right side

Nausea and pain in the right side cause significant discomfort, deprive of working capacity, however, they act as a protector of the integrity of the body and will be an important biological factor that ensures the preservation of life.

Therefore, pain should not be drowned out if they are in the hypochondrium or from the bottom of the abdominal cavity with anesthetic drugs without the recommendation of a specialist and until the factors that provoked their occurrence are clarified.

Pain in the right side in the hypochondrium is dangerous because there are vital organs in that place: the liver, gallbladder, pancreas, kidney.

The health risk is increased when nausea occurs, and pain in the right hypochondrium or in the lower abdomen is associated with disruption of the stomach. If the right side hurts and feels sick, you should pay attention to other symptoms.

Symptoms

In those situations where the provision of care and therapy at home poses a threat to the patient and loved ones, the patient should be hospitalized.

This can be caused by the following factors:

  • temperature of about 40 degrees or more, associated with delirium, there is a severe headache;
  • lethargy occurs, the patient drinks a large amount of liquid, dryness of the skin is formed, the cheeks begin to tumble in, facial features are sharpened;
  • constant urge to defecate, up to 10 times a day, diarrhea;
  • unusual shade of liquid feces with green-yellow impurities and blood streaks;
  • dark vomit;
  • yellowness of the eyes and skin;
  • intense chills, which are replaced by intense heat;
  • sharp, stabbing pain in the hypochondrium.

Major diseases

There are a large number of diseases that can cause such unpleasant symptoms.

To establish the specific causes that provoked the disease, it is necessary to consult with a specialist regarding the diagnosis and selection of appropriate therapy.

The inflammation of the appendix is ​​called appendicitis. Usually the organ is located below the liver, has a small cavity that opens into the caecum, thanks to a small flap valve.

Saprophytes are considered to be the provoking factor of the disease, showing their pathogenic characteristics under favorable conditions.

The disease is facilitated by clogging of the appendix with feces that occurs during constipation. There are acute and chronic forms of the disease:

In the acute form of appendicitis, pain occurs in the right side in the lower part of the abdominal cavity.

The pain tends to increase, intensify during coughing, in the process of changing the location of the body, is associated with nausea, vomiting reflex, diarrhea is observed.

The side hurts so much that sticky sweat appears, the temperature increases significantly. The examination is carried out by palpation.

If symptoms of appendicitis occur, the patient should be laid on the bed, put cold water or ice on the right side and call the doctors without delay.

The patient must be hospitalized, assistance will be provided by surgery.

Otherwise, the walls of the appendix are destroyed, pus penetrates into the abdomen, which is a provoking factor for peritonitis, characterized by an extremely severe general well-being of the patient.

The chronic form of the disease appears when, due to medical indications, surgical removal of the appendix is ​​contraindicated.

The disease is capable of disturbing painful attacks in the lower part of the right side of the abdominal cavity for many years.

Regular pain in the right side disrupts the usual way of life and overtakes in some place.

Therapy involves adherence to dietary nutrition, which reduces the load on the gastrointestinal tract, and during exacerbations it is prescribed medicinal treatment.

Liver disease

The liver is the largest digestive gland, located on the right side under the ribs. Participates in metabolism, in the synthesis of blood proteins, produces bile, helps break down and absorb fats.

Often the liver is prone to various hepatitis. There are several varieties of this disease.

Hepatitis A

Acute infectious disease. The A virus can be transmitted through contaminated food and water, the fecal-oral route, and under inadequate sanitary conditions.

The disease is dangerous because it is viral in nature and the sick person is able to infect others.

The causative agent will be resistant to elevated temperature, it remains up to 3-5 months in water, the incubation period lasts from 15 days to 2 months.

Symptoms of the disease:

  • general malaise, which is accompanied by a slight chill;
  • nausea and disruption of the stomach, diarrhea;
  • loss of appetite;
  • in the oral cavity after a meal, the formation of a bitter salty taste and belching is observed;
  • there is pain in the muscles and joints;
  • a significant increase in temperature up to 40 degrees;
  • the formation of pain in the hypochondrium in the right side and in the lower part of the abdominal cavity.

In the process of strengthening the disease, the skin becomes yellow, the whites of the eyes also turn yellow, the urine becomes dark, the feces are gray-white, the painful discomfort in the hypochondrium becomes stronger.

Pain can be observed near the back and in the lower part of the abdominal cavity.

Diagnosis of the disease is carried out by examining blood, urine and feces in the laboratory. Therapy must take place in a hospital.

The duration of treatment varies depending on the severity of the disease. Timely therapy and following all medical prescriptions give positive results.

In order to restore liver function, it is possible to use a folk remedy using oats. For half a glass of oats, take 0.5 liters of water, infuse for 14 days under a closed lid with little access to oxygen.

After this period, the lid must be tightly screwed on. The product is put on a small fire for 30 minutes, then removed from the fire and placed in a place inaccessible to sunlight for 12 hours.

Hepatitis B

This form of hepatitis differs from A in the greater severity of the course, since various adverse effects are formed. The risk of infection will not disappear at high and low temperatures.

Infection can occur through sexual contact, domestic and artificial. The viral agent is found in saliva, urine, semen, vaginal secretions, blood during menstruation.

At home, infection is carried out in the process of using shared toothbrushes, towels and other personal hygiene items.

Infection can occur if the integrity of the patient's skin is broken: scratches, open injuries, inflammation of the skin, burns, infection during childbirth.

Persons who use narcotic substances are also exposed to the disease.

The general symptoms of the disease are:

  • cough and rhinitis;
  • belching and nausea, fever up to 40 degrees;
  • yellowness of the skin and eye proteins;
  • change in the shade of urine;
  • dizziness;
  • itching and rash all over the body;
  • pain in the right side of a pulling character;
  • diarrhea.

The disease is characterized by a transition from acute to chronic form, which in the future provokes cirrhosis of the liver.

Patients undergo drug therapy in stationary conditions. The therapeutic course is aimed at removing toxins, correcting damaged liver function and extrahepatic manifestations.

When the disease passes with severe adverse consequences, diarrhea and a gag reflex occur, pain in the hypochondrium and in the lower part of the abdominal cavity, during which the patient significantly loses body weight, he feels sick.

In this situation, special therapy is used, which is aimed at replenishing the volume of fluid.

If a severe form of the disease is observed, swelling develops in the brain, liver encephalopathy, manifested by disorders of the psyche, consciousness, and inappropriate behavior.

Hepatitis C

For a long period of time, clinical signs of the disease are not observed. The patient learns randomly that he has hepatitis C during blood tests and during routine medical diagnostics.

The disease from people who are carriers of the active form of hepatitis C can be transmitted to healthy people during the onset of favorable conditions:

  • 1 syringe is used by a large circle of people who are addicted to drugs;
  • drawing a tattoo on the surface of the body with non-compliance with sanitary conditions;
  • hygiene items are used by several persons in the process of cohabitation;
  • during a blood transfusion;
  • during sexual contact;
  • from the mother's placenta to the baby during childbirth.

When infected, at 2-3 weeks the following symptoms are observed:

  • muscle and joint pain;
  • high fatigue and malaise;
  • disorders in the digestive processes, belching, diarrhea, nausea;
  • slight rise in temperature.

In order to detect such a viral agent, a clinical examination is carried out using serological and molecular biological diagnostic methods.

In certain situations, the immune system is able to suppress the pathogen. The patient in this case does not need therapy, but this is observed quite rarely.

Most of the patients begin drug treatment, lasting from 3 months to a year.

The acute form of hepatitis C becomes chronic in stages: over several years, the number of affected liver cells may increase, and fibrosis is formed.

The work of the liver is able to persist for a long period of time.

Specific symptoms of the disease are yellowness of the skin, an increase in the volume of the abdomen, the appearance of spider veins on the dermis of the peritoneum, the appearance of cirrhosis of the liver, which needs surgical intervention.

kidney disease

The main part of the pancreas is located on the left side, but the head of this organ is located on the right side. When she is struck, her right side hurts.

To establish the true causes that provoked such an ailment, it is imperative to consult with a specialist who will recommend effective treatment.

Pancreatitis

Among diseases of the pancreas, this is observed more often than others. There is an acute and chronic form of the disease. Pancreatitis is diagnosed by clinical methods, as well as through such methods of examination:

Ultrasound, X-ray with CV;
radioisotope method;
gastroscopy;
colonoscopy;
esophagoscopy.

In the acute form of the disease, intense pain in the right hypochondrium is of a girdle character, manifests itself in the upper part of the abdominal cavity, in the side, radiates to the back.

Discomfort is associated with nausea, gag reflex, sticky sweat, increased pallor of the skin, and belching.

With severe symptoms of such pain, a state of shock occurs.

In such a situation, you need to call for emergency help, and before it arrives, the patient needs to put ice on the upper part of the peritoneum.

The provoking factors of the inflammatory process in the pancreas are:

  • vascular lesion;
  • viral diseases;
  • traumatism;
  • inflammation in the abdominal cavity;
  • the appearance of stones in the gallbladder;
  • excessive consumption of alcoholic beverages;
  • unbalanced diet, overeating.

The acute form of pancreatitis is treated in stationary conditions. The basis of therapy are:

  • antimicrobial agents;
  • preparations for suppressing the enzymatic activity of this organ;
  • strict diet food;
  • bed rest.

In certain situations, surgical intervention is likely. The acute form of pancreatitis with untimely started therapy can be transformed into a chronic one.

During an exacerbation of this form of the disease, the upper part of the abdominal cavity hurts, discomfort radiates to the back. Pain symptoms are not as pronounced as during acute pancreatitis.

Associated with:

  • nausea and gag reflex;
  • bloating and loss of appetite;
  • belching and heartburn;
  • fecal masses are sometimes fatty and clayey.

Therapy of the chronic form of the disease is based on an individual approach to the patient. It is necessary to strictly comply with medical prescriptions regarding the diet, which excludes fatty foods, alcohol.

kidney failure

The human urinary system is represented by the kidneys, ureters, bladder, and urethra. A disorder in the functioning of any organ negatively affects the functioning of the body.

If you do not contact a specialist in time, in a situation of kidney disease, kidney failure develops.

This is due to the fact that toxic substances of protein metabolism accumulate inside the body. There is an acute and chronic form of the disease.

The acute form appears with a sharp deterioration in the functioning of the kidneys and with the defeat of most of the kidney. The provoking factors are:

  • severe viral diseases;
  • shock state;
  • vascular lesion;

Therapy is to remove toxins from the body. To release the body from nitrogenous wastes, hemodialysis is used, during which the blood is purified through an artificial membrane using the “artificial kidney” apparatus.

Enter saline solutions. Diuretics and antimicrobials are taken.

The chronic form of the disease is formed in stages. During this, a gradual and inevitable death of kidney cells occurs. Due to the loss of the filtering surface by the body, nitrogenous slags accumulate inside the body.

Stones in the kidneys

A disease of the urinary system, during which a conglomerate of the constituent elements of urine is formed. Urinary stones are the result of impaired metabolism and malfunctions of the endocrine glands.

Symptoms:

  • pain in the lower back in the hypochondrium;
  • during urination, the jet is interrupted;
  • urine with blood impurities;
  • burning during urination;
  • nausea and gag reflex.

Manifestations of urolithiasis vary from the location of the stone. When it is in the kidneys, it provokes aching pain in the lumbar region, which is aggravated during physical exertion.

Stones that have been in the renal pelvis for a long time provoke its expansion, which is associated with inflammation. As a result, there is pain in the right hypochondrium. It is associated with:

  • nausea and gag reflex;
  • cold sweating;
  • swelling;
  • elevated temperature.

In the process of treating urolithiasis, stones are eliminated, but the method of treatment varies depending on the size and location of the foreign body.

Small stones are expelled from the kidneys and ureters by medications, physiotherapy, heavy drinking under the supervision of a specialist.

In some situations, the stone is removed from the ureter with a special loop, when this is not possible, then surgical intervention is applied.

When to See a Doctor

If the patient is disturbed by the incessant sharp pain in the right side of the pulling nature and nausea, hospitalization is necessary.

The reason for calling doctors or immediate hospitalization are such factors that accompany discomfort:

  • elevated temperature up to 40 degrees;
  • severe headache and dizziness;
  • general malaise, desire to drink large amounts of water, dry skin, hollow cheeks;
  • diarrhea or frequent urination up to 10 times a day;
  • liquid feces interspersed with green-yellow color;
  • dark vomit;
  • yellowness of the skin and eye proteins;
  • severe chills and fever, alternating each other.

In all situations, the risk of adverse consequences, including death, is high. Therefore, you should not delay visiting a doctor or calling an ambulance.

Pain in the right side and nausea are symptoms of various diseases that should not be ignored. It is not recommended to eliminate such unpleasant symptoms by using painkillers.

Analgesic drugs cannot cure the underlying ailment, but only remove its manifestations, therefore, it will not be possible to do without the help of a specialist.

When the patient's right side hurts for the first time and feels sick, this is probably a common overeating and Mezim should be taken. However, when the situation repeats, you need to seek the advice of a doctor.

Useful video

Pain in the side brings severe suffering, deprives us of rest and disability, but it also plays the role of a guardian of the integrity of our body and is an important biological factor that ensures the preservation of life. Therefore, you should not drown out pain, whether in the hypochondrium or lower abdomen, with painkillers without a doctor's prescription and until the exact cause of their appearance is established. Pain in the right side under the ribs is dangerous because important organs are located there, such as: liver, gallbladder, pancreas, right kidney. The health risk increases if belching, nausea, and pain in the hypochondrium or lower abdomen are accompanied by indigestion.

Symptoms requiring emergency hospitalization

In cases where the provision of medical care and treatment at home poses a danger to both the patient and others, the issue of hospitalization is decided.

This may be due to the following reasons:

temperature of about 40 ° C and above, accompanied by delirium, headaches are strongly manifested; weakness appears, the patient drinks a lot, dry skin develops, cheeks tumble in, facial features are sharpened; frequent urge to empty the stomach, 7-10 times a day, diarrhea; unusual color liquid feces interspersed with green-yellow color and the appearance of blood; dark vomit; yellowed eyes and skin; severe chills that “teeth chattering”, followed by intense heat; sharp, stitching pains under the ribs.

Major diseases

Appendicitis

Inflammation of the appendix is ​​called appendicitis. Usually, the organ is located below the liver, in the right iliac region at the bottom right, has a small cavity that opens into the caecum through a small flap valve. The cause of the disease are microorganisms-saprophytes, which under certain conditions show their pathogenic properties. The disease can be facilitated by clogging of the process with feces, which occurs with constipation.

There are acute and chronic appendicitis.

For acute appendicitis pain appears suddenly in the lower abdomen, often on the right. The pain tends to increase, increases with coughing, with a change in body position, accompanied by nausea, vomiting, and diarrhea appears. The pains are so strong that sticky sweat appears, the temperature rises sharply, a person, as they say, “throws it into heat, then into cold.” Diagnosis is carried out with fingers. If signs of appendicitis appear, the patient must be put to bed, put cold water or ice on his right side and call for medical help. The patient is subject to hospitalization, and assistance is provided surgically. Otherwise, the walls of the appendix can collapse, pus enters the abdominal cavity, which can cause peritonitis, which is characterized by a very severe general condition of the patient.

Chronic appendicitis develops when, for medical reasons, it is impossible to remove the appendix. Diseases can haunt for years and disturb with painful attacks below in the right side. Usually they appear when the body is concussed from a long drive along a country road in a car, riding a horse. Working in the garden also provokes pain. Constant pain "knocks out" of the usual rhythm of life and can overtake anywhere and at any time: when walking in the evening, after pleasant troubles on the occasion of a holiday, after eating, belching may also appear. Treatment consists in following a diet that reduces the load on the intestines, and in case of exacerbations, drug therapy is indicated.

Liver disease

The liver is the largest digestive gland and is located on the right under the ribs. It takes part in the metabolic process, in the synthesis of blood proteins, produces bile, promotes the breakdown and absorption of fats. Most often, the liver suffers from various hepatitis. There are several types of this disease:

Hepatitis A

Acute infectious disease. Its other name is Botkin's disease. Virus A is transmitted through contaminated food and water, by the fecal-oral route, with inadequate sanitation. The disease is dangerous because they fall ill not one at a time, but immediately in whole groups. The virus is resistant to high temperatures, up to +60 degrees, persists for up to several months in fresh and salt water, the incubation period lasts from 15 days to two months. An additional factor influencing the spread of the disease is population migration.

Symptoms of the disease are:

general weakness, accompanied by a slight chill; nausea and indigestion, diarrhea; loss of appetite; in the mouth after eating there is a bitter salty taste and belching; there is muscle pain and joint; a sharp increase in body temperature up to + 40 degrees; manifestation of pain under the ribs on the right side and in the lower abdomen.

As the disease intensifies, the skin becomes yellowish with an orange tint, the whites of the eyes become yellowish, the urinary discharge darkens and takes on the color of strongly brewed tea, the color of the feces becomes whitish-gray, the pain under the ribs intensifies, it can hurt both from the back and below belly.

Diagnosis of the disease is carried out by examining blood, urine and feces in the laboratory. Treatment is carried out in a hospital. The duration of treatment depends on the severity of the disease. During the hospitalization and fulfillment of all the requirements of the doctors, as a rule, they have a positive result.

In order to restore liver function, you can use the folk method using oats.

For half a glass of oats, 500 ml of water is taken, left for two weeks under a loosely closed lid. After this period, the lid is tightly twisted and put on a slow fire for half an hour, removed from the fire and placed in a dark place for 11-13 hours. After that, the resulting mass is filtered through gauze and water is added so that a volume of 600 ml is obtained. Consume three times a day before meals for half an hour.

For 1 year, after discharge from the hospital, you can not:

lift weights, run, jump, play sports; drink alcohol, incl. beer; eat fried, smoked, fatty foods, marinades and chocolate;

all cereals, without the addition of meat broths; fish meals; dairy products - kefir, milk, cottage cheese; light soups with chicken broth; rabbit meat, turkey.


With the next appearance of pain in the hypochondrium, you need to contact your doctor.

Hepatitis B

Unlike hepatitis A, form B is more severe, as various forms of complications develop. The danger of infection does not disappear at temperatures both below zero and towards high. High temperatures can reach 100 degrees, and negative temperatures up to minus 20-25 degrees.

Infection occurs sexually, domestic and artificial. The infection can be found in saliva, urine, semen, vaginal secretions, menstrual blood. In everyday life, infection occurs when using shared toothbrushes, towels, nail scissors. Infection occurs when the human skin is broken: cuts, open injuries, cracked heels, skin inflammations, burns, injections in medical institutions, infection can occur during childbirth. People who use drugs are more susceptible to the disease. The incubation period lasts from 60 to 180 days.

Common symptoms of the disease can be:

Cough and runny nose; Belching and nausea, fever up to 39-40 degrees; Yellowing of the palms and whites of the eyes; Changing the color of urine (urine becomes like the color of dark beer and foams); Dizziness; Itching and rash all over the body; Drawing pains in right hypochondrium; Diarrhea.

The disease is characterized by a transition from an acute to a chronic active form, which further leads to cirrhosis of the liver.

clinical and biochemical blood tests; general urine analysis; computed tomography or ultrasound scan of the liver; biopsy of liver tissue.

Patients undergo medical treatment in a hospital, where a complex course is carried out aimed at detoxification, correction of impaired liver functions and extrahepatic manifestations. If the disease proceeds with severe complications - diarrhea and vomiting appear, pain under the ribs and in the lower abdomen, in which the patient loses weight sharply, then special treatment is used to replenish fluid losses. In severe form, cerebral edema, hepatic encephalopathy may develop, which is manifested by a disorder of the psyche, consciousness, and inappropriate behavior.

Hepatitis C

The disease is also called the "silent killer". For a long time, there are no clinical manifestations of the disease, and people accidentally find out that they have contracted hepatitis C during blood tests and routine medical examinations. The disease from patients who are carriers of active hepatitis C is transmitted to healthy people when certain conditions occur:

the same syringe is used by many drug addicts; tattooing on the body in unsanitary conditions: personal hygiene items are used by several people when living together in hostels, hiking, hotels; during blood transfusion; sexually; from mother to fetus during childbirth.


In cases of infection, in the period of 14-21 days, the following symptoms appear:

pain in muscles and joints; increased fatigue and weakness; indigestion, belching, diarrhea; temperature increase, but not significant.

In order to identify this virus, laboratory diagnostics are carried out using serological and molecular biological research methods.

In some cases, the body's immune system itself suppresses the virus, and such people do not need treatment, but there are few such lucky ones. Most are prescribed drug therapy, which can last from 12 to 48 weeks.

Acute hepatitis C becomes chronic gradually: over several years, the number of damaged liver cells increases, fibrosis develops. Liver function may be preserved for a long time. Certain signs of the disease - yellowness of the skin, increased volume of the abdomen, the appearance of spider veins on the skin of the abdomen, may appear already with cirrhosis of the liver, which requires surgical treatment.

Gallbladder diseases

Cholecystitis

A dangerous disease of the gallbladder that occurs when there are stones in the gallbladder. According to statistics, it occurs in women 6 times more often than in men. According to the course of the disease, acute and chronic are distinguished.

Causes of cholecystitis can be:

violation of the outflow of bile; irregular meals and overeating, especially at night; sedentary lifestyle; constipation; pregnancy.

Also, the causes of the disease can be various infections in the form of Escherichia coli and other pathogens that enter the bloodstream from the intestines.

The acute course of the disease is manifested by an attack of pain in the right hypochondrium and is accompanied by nausea, vomiting, fever up to 38-39 degrees, diarrhea and belching with bitterness. Sudden unbearable pain radiates to the right shoulder and shoulder blade. An attack of acute cholecystitis can appear 3-4 hours after eating fatty foods. 3-4 days after the attack, the skin may acquire a yellowish tint, and the color of the urine will change and become dark.

In this case, a doctor is called and the patient is subject to hospitalization, sometimes an operation is necessary. Before the arrival of the doctor, you can not apply heating pads, rinse the stomach, use laxatives.

Chronic cholecystitis develops after acute attacks, especially in the presence of stones in the biliary tract. Accompanied by nausea and dull pain in the right hypochondrium, there is a feeling of heaviness in the upper abdomen, diarrhea. Pain and belching appear when the diet is not followed and fatty foods are eaten.

The following products are helpful:

curdled milk, kefir, low-fat cottage cheese; fruits, vegetables containing coarse fiber, which contributes to better bowel movements; low-fat dishes from boiled fish, poultry, meat; compotes, kissels, tea; vegetarian soups; various cereals.

A sanatorium-and-spa treatment has a favorable effect on the course of the disease.

The indication for surgery may be persistent debilitating pain and the presence of stones in the gallbladder.

Biliary dyskinesia

It is an independent disease in violation of the motility of the gallbladder and ducts. The disease is manifested by prolonged dull aching pains in the right hypochondrium and side, there may be belching. Sometimes pain under the ribs appears after unrest and stressful situations, pressure rises, which can provoke the appearance of headaches.

The goal of the treatment is to normalize the function of the autonomic nervous system, for this purpose mineral waters and physiotherapeutic procedures are used.

Cholangitis

It occurs as a result of catarrhal or purulent inflammation of the extrahepatic and intrahepatic bile ducts. The cause is a bacterial infection.

There are acute and chronic cholangitis.

Acute cholangitis is manifested by pain in the right hypochondrium and an enlarged liver. Pain under the ribs is accompanied by chills, fever, nausea, increased pallor, and profuse sweating occurs. The disease is dangerous with a possible complication in the form of an abscess of the liver, liver failure.

Chronic cholangitis is not so violent. Pain attacks are not as bright as those of acute cholangitis. The pain comes in waves, with periods of increase and decrease, but the liver is also enlarged.

Mud therapy, sodium chloride baths, paraffin and ozokerite therapy, UHF, diathermy are used in the treatment of cholangitis.

Diseases of the pancreas

Most of

pancreas

located on the left, but the head of this organ is located on the right. If it is damaged, then the right side hurts, respectively.

Pancreatitis

Pancreatitis is the most common disease of the pancreas.

There are acute and chronic pancreatitis.

The disease is diagnosed by laboratory tests, and the following hardware methods are used:

ultrasonic, radiopaque; radioisotope; gastroscopy; colonoscopy; esophagoscopy.

In acute pancreatitis, severe girdle pains appear in the upper abdomen, in the side, radiate to the back and are accompanied by nausea, vomiting, sticky sweat, increased pallor, and belching. With a pronounced nature of such pain, shock may occur. In this case, it is necessary to call an ambulance, and before it arrives, put a cold on the upper half of the abdomen to the patient.

The causes of inflammation of the pancreas are:

vascular damage; infectious diseases; injury; inflammatory processes in the abdominal cavity; the formation of stones in the gallbladder; alcohol abuse or alcoholism; malnutrition, overeating.

Acute pancreatitis is treated in a hospital. The basis of treatment is:

antibacterial drugs; means of suppressing the enzymatic activity of the pancreas; strict diet; bed rest.

In some cases, surgery is possible

Acute pancreatitis with untimely treatment can become chronic. With exacerbation of chronic pancreatitis, pain manifests itself in the upper abdomen, radiates to the back. Pain symptoms are not as bright as in acute pancreatitis.

nausea and vomiting; bloating and lack of appetite; belching and heartburn; feces are sometimes greasy and clay-like.

Treatment of chronic pancreatitis is based on an individual approach to the patient. It is important to strictly follow the doctor's recommendations regarding a diet that excludes fatty foods and alcohol. Anti-inflammatory drugs and tablets are widely used in the treatment of pancreatitis: papaverine hydrochloride, No-shpa, Phenicaberan. For pain relief: Atropine, Metacin, Chlorosil.

Diseases of the duodenum 12

The duodenum plays an important role in the digestive process. Part of this organ is located on the right, and with its disease, pain is localized on the right side, although pain can also appear on the left.

Duodenitis

This disease occurs during inflammatory processes of the mucous membrane of the duodenum. There is a disease due to the accelerated passage of acidic gastric juice from the stomach to the intestines, and which does not have time to be neutralized in the pancreas.

Causes of the disease:

In the upper abdomen under the ribs, pain appears, which intensifies after 2-3 hours, after eating. Pain is accompanied by a feeling of heaviness in the epigastric region.

For the purpose of diagnosis are carried out:

duodenal sounding; biochemical blood test; study of gastric juice; radiography of the stomach and 12 duodenal ulcer.

The main factor in the cure of the disease is the establishment of a diet and the exclusion from the diet of fatty, spicy, pickled, salty foods. To normalize the intestinal flora and restore the digestive function of the intestine, enzyme preparations are used: Pancreatin, Mezim, Penzital, Creon. The use of drugs without the permission of a doctor is dangerous to health

Bulbit

This is an acute inflammation of the duodenal bulb and is a type of duodenitis. The bacterium Helicobacter pylori contributes to the development of this disease, which changes the acidity of the contents of the bulb.

The disease is manifested by aching pain in the right hypochondrium. Sometimes a sharp pain occurs in the epigastric region, radiating to the right hypochondrium. Pain often occurs two hours after eating and causes nausea, vomiting with an admixture of bile and bitter belching, and bad breath appears. This happens due to a violation of the motor function of the duodenum 12.

The disease is diagnosed using laboratory methods of research and radiography.

Treatment of this disease begins with the establishment of a diet, diet and quitting smoking and alcohol. Foods that irritate the mucous membrane are excluded - salty, fried, fatty, spicy foods. In the treatment, a course of antibiotics, phytotherapy is used. Medicines with an enveloping effect are used - Gastal, Maalox, Almagel.

kidney disease

kidney failure

The human urinary system is represented by the kidneys, ureters, bladder, and urethra. Violation of the work of any organ of this system negatively affects the work of the whole organism. The kidneys remove urea, creatinine, and uric acid from the body. But, the main thing in the work of the kidneys is the regulation of water and electrolyte metabolism, due to which important components of the body are preserved: the volume and osmotic pressure of blood and body fluids.

If you do not see a doctor in time, in case of kidney disease, kidney failure may develop. As a result, the body accumulates toxic substances of protein metabolism.

There are acute and chronic forms of renal failure.

The acute form occurs with a sudden deterioration in kidney function and when a large part of the kidney is affected.

The reasons may be:

severe infectious diseases (typhus and typhoid fever, diphtheria); shock of various origins; damage to the vessels of the kidney itself;

At the first stage, there is: chills, fever, headache, muscle and joint pain, nausea, vomiting.

The second stage is characterized by such manifestations: a decrease in the amount of urine, which leads to extensive edema, resulting in an increase in body weight due to fluid accumulation. The patient's condition deteriorates sharply. There is nausea, vomiting.

In the third stage, the amount of urine increases, it is even more than usual, and there is nothing in it except water and salts. No harmful substances are removed from the body. The danger to the patient remains.

In case of a favorable outcome, a recovery period begins. At this stage, urine is excreted in small portions, then its volume increases and exceeds normal. Nitrogenous waste products are removed from the body. Subsequently, the amount of urine normalizes and the recovery phase begins.

Treatment consists in removing harmful substances from the body. To free the body from nitrogenous slags, they resort to hemodialysis, in which blood is purified through an artificial membrane using an “artificial kidney” apparatus. Saline solutions are introduced. Diuretics and antibacterials are used.

Chronic renal failure develops gradually, with gradual and irreversible death of kidney cells. As a result of the kidney losing its filtering surfaces, nitrogenous slags accumulate in the body.

The symptoms of this disease are:

urine output at night more than during the day; swelling on the face in the morning; malaise, weakness; pain in the lower abdomen.

As the disease progresses, there are:

shortness of breath; bad breath: blurred vision; white patches on the skin, accompanied by severe itching; blood in the urine.

Treatment of the chronic form of renal failure is solved in a complex way. Together with drug therapy, diet and diet are of no small importance. The goal of treatment is to maintain the functional duties of the kidney. Conduct detoxification therapy, which includes a set of therapeutic measures aimed at combating the disease and removing toxic substances from the body.

Stones in the kidneys

A disease of the urinary system in which conglomerates are formed from the constituent parts of urine. Urinary stones are the result of impaired metabolism of certain substances and functions of the endocrine glands.

intermittent and excruciating pain in the lower back below the ribs; when urinating, there is an interruption of urine; urine with blood and cloudy; burning sensation when urinating; nausea and vomiting.

Manifestations of urolithiasis depend on the location of the stone. If the stone is located in the kidneys, then it causes aching pain in the lumbar region, which increases with physical exertion, when driving on rough roads. Stones that are in the renal pelvis for a long time cause its expansion, which is accompanied by inflammatory processes. As a result, pain appears, accompanied by:

nausea and vomiting; release of cold sweat; bloating; rise in temperature.

In the treatment of urolithiasis, stones are removed, but the method of treatment depends on the size and location of the stone. Small stones are expelled from the kidneys and ureters with the help of medicines, physiotherapy procedures, and plenty of drinking under the supervision of a doctor. A stone is sometimes removed from the ureter with a special loop, if this is not possible, then surgical intervention is used.

Gynecological diseases

Pain in the right side can occur with a disease of the female genital organs. There can be many reasons. This may be an ectopic pregnancy, rupture or torsion of the ovary, ovarian cyst, various inflammation of the fallopian tubes. The pains can be very strong, they cannot be tolerated, it is urgent to call a doctor. Otherwise, death may occur.

Which doctor should I contact?

When you go to the hospital for medical care, you usually make an appointment with a general practitioner. The therapist, after examining, after listening to the patient's complaints about the pain that bothers him, writes out referrals for testing - blood, urine, feces, passing a cardiogram, ultrasound. Based on the results obtained, a preliminary diagnosis is made and the person is referred to a specialist who can prescribe additional studies and then determine the course of treatment.

Cardiologist - carries out diagnostics, treatment and prevention of diseases of the heart and blood vessels. Among the diseases that this doctor treats are ischemic disease, angina pectoris, hypertension, heart disease, various arrhythmias, expressed in increased heart rate.

A gastroenterologist deals with the diagnosis and treatment of the digestive system, i.e. his specialization is diseases of the esophagus, stomach and pancreas, liver, gallbladder, intestines.

An endocrinologist finds out the causes and treats the following diseases: diabetes mellitus, various hypothalamic-pituitary disorders, thyroid diseases, obesity.

A urologist will help if the patient complains of pain and cramps when urinating, incontinence, colic in the lower back, frequent urges, i.e. symptoms associated with diseases of the kidneys and urinary system.

Male / female urologist, i.e. andrologist / gynecologist, specializes in the diagnosis and treatment of diseases of the internal and external genital organs, as well as sexually transmitted infections (chlamydia, ureaplasmosis, genital herpes, etc.).

Currently, it is necessary to undergo a medical examination by doctors every year, donate blood, urine and other tests, since many diseases can be painless at the initial stage, but when pains appear in the side, under the ribs on the right or left, in the lower abdomen, this already says about a progressive disease. And it is very important at this stage not to wait for everything to pass by itself, but to visit a doctor as soon as possible, since delay can lead to very serious complications.

Do you still think that curing the stomach and intestines is difficult?

Judging by the fact that you are now reading these lines, victory in the fight against diseases of the gastrointestinal tract is not on your side yet ...

Have you thought about surgery yet? It is understandable, because the stomach is a very important organ, and its proper functioning is the key to health and well-being. Frequent pains in the abdomen, heartburn, bloating, belching, nausea, impaired stool... All these symptoms are familiar to you firsthand.

But perhaps it is more correct to treat not the consequence, but the cause? Here is the story of Galina Savina, about how she got rid of all these unpleasant symptoms... Read the article >>>

Nausea and pain in the right side Nausea and pain in the right side of the abdomen, provoked by kidney disease Nausea and pain in the right side, provoked by a malfunction of the pancreas If it hurts the right side of the abdomen and feels sick, vomiting - appendicitis (inflammation of the appendix) and nausea, severe nausea, the cause is liver disease Nausea, nausea and pain in the sides, provoked by a malfunction of the gallbladder Why does the right side hurt in the hypochondrium and feel sick, the causes are diseases of the reproductive system of organs When you need to see a doctor if nausea occurs and pain in the right side? 12 intense pain in the region of the ribs.

Dull pain in the right side, causes of dull pain in the right hypochondrium What should I do if my right side hurts a lot, nausea, nausea or vomiting, when to seek help from a doctor?

Nausea and pain in right side

Pain in the right side, accompanied by nausea and vomiting, may indicate the presence of serious problems with the gallbladder, liver, intestines, stomach or reproductive organs. In the absence of timely diagnosis and treatment, the diseases of the above organs can progress rapidly, causing various complications - in some cases, incompatible with life. To exclude such a possibility, doctors advise not to postpone a visit to a specialist if nausea and pain persist for several days and are accompanied by fever, fever, chills, blanching of the skin, "numbness" of the abdominal muscles, upset stool and digestion. If it is not possible to get to the hospital on your own due to a sharp deterioration in the condition, you should call an emergency, take a horizontal position and try, as far as possible, not to disturb the area of ​​​​the abdominal cavity where the pain is localized (do not feel the muscles, do not press on the stomach, do not lie down on sore side).

Nausea and pain in the right side of the abdomen, provoked by kidney disease

The main task of the kidneys is to produce red blood cells and maintain a water-salt balance that affects blood pressure. Diabetes mellitus, helminthic invasion, drug overdose, alcohol or drug use, diseases of the cardiovascular system, intestinal obstruction, poisoning with toxic substances, urolithiasis, tumor formations, abdominal trauma, infectious diseases can provoke kidney failure, the characteristic symptoms of which are high body temperature, weakness, nausea and severe pain in the area of ​​the affected organ (usually on the right, since the right kidney is located lower than the left and is more susceptible to the negative effects of external and internal factors).

Often, pain in the side, accompanied by nausea, is caused by intense physical exertion, weight lifting, non-compliance with the daily norm of fluid intake, an unbalanced diet with a predominance of animal products, shaky driving - these factors provoke renal colic, which increase with movement and subside when taking a horizontal provisions.

Nausea and pain in the right side, provoked by a malfunction in the activity of the pancreas

The pancreas produces pancreatic juice containing enzymes involved in the digestion process. With the abuse of fatty, salty, spicy, smoked food, the body is forced to work in an enhanced mode, which negatively affects its condition. Failure in the activity of the pancreas entails the occurrence of such unpleasant symptoms as pain in the right side, diarrhea, nausea and vomiting with a sour taste. In most cases, a malfunction in the activity of the pancreas is of a short-term nature and is eliminated by following a special diet, including cereals boiled in water, stale bread, dietary (lean) soups, and steamed fish. If a change in diet does not lead to the desired result, it is necessary to consult a doctor: perhaps the cause of discomfort lies in something else.

If it hurts a lot on the right side of the abdomen and feels sick, vomiting - appendicitis (inflammation of the appendix)

Pain in the right side, coupled with nausea, can signal the onset of inflammation of the appendix, an appendage of the caecum that acts as an intestinal filter. With the accumulation of pus in the process, high body temperature, diarrhea, abdominal muscle tension, vomiting, and gradually increasing pain in the lower abdomen are often observed. If the patient is not given timely assistance, which consists in the surgical removal of the appendix, the appendix can rupture, provoking blood poisoning, as well as inflammation of the walls of the abdominal cavity (peritonitis) and organs located near the appendage, which in ninety-nine cases out of a hundred leads to death.

If the pain is in the right side and is sick, very sick, the cause is liver disease

The liver is the main filter of the body, the “breakage” of which can cause irreversible changes in other organs and lead to the death of a person. In order to prevent the dystrophy of this important organ, without which the full functioning of the body is impossible, it is important to learn to recognize the signs of an impending disaster in order to take timely measures to stabilize the liver. What should you pay attention to first of all? You should be wary if the pain in the right hypochondrium, which appeared, it would seem, for no apparent reason, is accompanied by nausea, vomiting, lack of appetite, darkening of the urine, discoloration of the sclera and skin (jaundice): if these signs are found, it is necessary to call emergency care . The sooner the cause that led to liver dysfunction is identified and treatment is started, the lower the likelihood of developing complications that pose a threat to human life.

Nausea, nausea and pain in the sides, provoked by a malfunction in the activity of the gallbladder

Biliary dyskinesia, cholelithiasis and cholecystitis are often accompanied by acute pain in the right side, radiating to the shoulder, nausea, bitter taste in the mouth, high body temperature, chills and tachycardia. The treatment of such diseases is a long process, requiring strict adherence to the recommendations of the attending physician. Refusal to visit a specialist and attempts to eliminate the disease with the help of folk remedies can lead to the development of serious complications that pose a threat to human life, so doctors strongly recommend not to self-medicate, but to entrust the elimination of gallbladder diseases to qualified medical staff.

Why does the right side hurt in the hypochondrium and feel sick, the causes are diseases of the reproductive system of organs

Pain in the right side, coupled with nausea, can lead to:

1 torsion of the cyst leg;

2 inflammation of the right appendage;

3 adhesive process in the fallopian tubes;

4 apoplexy (rupture of the membrane) of the right ovary.

In addition to the above reasons, pain in the right side, coupled with nausea, can be provoked by an ectopic pregnancy, ovulation (rupture of the membrane of the dominant follicle is often accompanied by pain and a feeling of general malaise), as well as puncture of the follicles as part of the IVF protocol (in the process of egg collection, the ovary is washed several times from the inside with a special solution, and after the termination of anesthesia, the injured organ responds to any careless movement with pain and nausea).

When is it necessary to consult a doctor if there is nausea and pain in the right side?

Therapy in a hospital is essential in cases where treatment at home poses a threat to both the patient himself and his immediate environment. Dangerous symptoms for which hospitalization is indicated:

1 high body temperature;

2 intolerable headache;

3 weakness;

4 constant feeling of thirst;

5 unhealthy dry skin, pointed facial features;

6 incessant vomiting;

8 uncharacteristic color of feces, impurities of blood in feces;

9 dark vomit;

10 yellowish skin color;

11 alternating chill and heat;

12 intense pain in the region of the ribs.

Causes of pain in the right hypochondrium and nausea, feelings of nausea

The following organs are located in the right hypochondrium: liver, bile, part of the small intestine and diaphragm, pancreas, kidney, duodenum.

It is problems in the work of these internal organs that can provoke the appearance of pain in the right upper abdomen. These diseases include:

1 Cholecystitis - an inflammatory disease of the gallbladder, leading to impaired patency of the bile ducts. This disease is characterized by acute, intense, sudden pain, which most often occurs at night. As a rule, the contractility of the bile increases, which provokes it to contract more often and stronger. As a result, sharp, short-term painful sensations appear. An increase in the tone of the gallbladder is often provoked by stressful situations and increased anxiety.

2 In acute cholecystitis, gallstones block the ducts, causing bile stasis and inflammation. The characteristic symptoms of this condition are unbearable pain in the right hypochondrium, radiating to the arm, fever, nausea and vomiting.

3 Ulcerative duodenitis of the duodenum is characterized by the appearance of stabbing, cramping pain in the epigastric region. The pathogenic bacterium Helicobacter Pylori provokes the appearance of this disease, which can destroy the intestinal mucosa. The stabbing pain usually appears at night and gradually disappears after eating. In addition to pain, ulcerative duodenitis is accompanied by fever, bloating, nausea and heaviness in the abdomen, and general weakness.

4 Renal colic - attacks of sudden, stabbing pain in the region of the kidneys or along the ureter. Painful sensations at the same time arise unexpectedly and do not go away even with a change in the position of the patient's body. As a rule, pain appears due to ureteral stones, which interfere with the natural outflow of urine and damage the mucous membrane with sharp edges.

5 Pancreatitis is an inflammatory disease of the pancreas characterized by throbbing pain in the right hypochondrium. The initial stage of the disease is characterized by very severe, girdle pain. Treatment of acute pancreatitis should be carried out exclusively in a hospital, as a rule, surgical intervention is used for this.

If it aches and hurts in the right side, what could be the causes of the aching pain in the right hypochondrium?

Aching pain in the right hypochondrium occurs with the following diseases:

1 liver disease. Most people go to medical facilities only when there is acute pain. Although most often it all starts with aching pain. For example, one of the characteristic symptoms of viral hepatitis of any kind is aching pain. For a long time, these diseases may not manifest themselves in any way, then the following symptoms appear, manifesting themselves to a greater or lesser extent: a constant feeling of fatigue, apathy, decreased performance, jumps in body temperature, aching pain in the right side, yellow skin tone, cloudy urine. Establishing an accurate diagnosis is possible only in the laboratory;

2 aching pain is also characteristic of cirrhosis of the liver. However, pain in this disease appears only at the last stage. The onset of the disease, as a rule, is asymptomatic, although a significant number of liver cells die, instead of which connective tissue grows. Gradually, it becomes more and more difficult for the body to function, and during this period, aching painful sensations appear;

3 liver cancer is also characterized by the appearance of aching pain in the abdomen on the right. In addition, the patient may experience weight loss, constant fatigue, liver enlargement, body temperature for a long time slightly elevated. With a combination of such symptoms, it is necessary to consult an oncologist;

4 inflammatory processes in any of the internal organs located in the right side of the abdomen.

Dull pain in the right side, causes of dull pain in the right hypochondrium

The following diseases are distinguished, characterized by the appearance of dull pain in the abdomen on the right:

1 Chronic cholecystitis is an inflammatory disease of the gallbladder, which has a recurrent character and takes place against the background of urolithiasis. The occurrence of the disease is facilitated by damage to the mucous membrane with sharp edges of stones, which provokes the appearance of ulcers and scars, which worsen the outflow of bile and contribute to its stagnation. The patient at the same time experiences a dull pain in the right side of the abdomen, he also has vomiting and bloating. Strengthening of the pain symptom occurs after eating spicy, fatty, fried foods and alcoholic beverages.

2 Chronic pancreatitis. A prolonged inflammatory process in the pancreas mainly appears in the absence of treatment for acute pancreatitis or urolithiasis. This disease is characterized by dull pain in the upper abdomen that occurs after eating, bloating and a feeling of heaviness in it, nausea, vomiting and manifestations of dyspepsia. If the disease is not treated, then irreversible changes occur in the pancreas, contributing to the disruption of its functioning.

3 Chronic pyelonephritis is an inflammatory process localized in the pyelocaliceal system of the kidneys. Dull pain in this disease increases after any physical exertion. This disease has other symptoms: fever, impaired urination, arterial hypertension, headache and decreased ability to work.

4 Chronic hepatitis. This disease occurs as a result of the lack of treatment of the acute form of hepatitis. The course of the disease depends on the general health of the patient and the factors contributing to the onset of hepatitis. The main symptoms in this case can be as follows: dull, nagging pain in the right hypochondrium, nausea, vomiting, increased gas formation in the intestines, refusal to eat, intolerance to alcoholic beverages and fatty foods. During the examination, the liver is slightly enlarged, with pressure on it, the patient will experience a dull pain.

5 Chronic duodenitis - inflammatory-dystrophic changes in the mucous membrane of the duodenum. In this case, the patient experiences a dull pain in the abdomen on the right, a feeling of nausea, vomiting, heartburn. In addition, he has diarrhea and lack of appetite.

What to do if the right side hurts a lot, feels sick, sick or vomits, when to seek help from a doctor?

In the following cases, you should not waste time trying to self-diagnose and eliminate the cause of nausea and pain in the right side, as delay is fraught with serious consequences:

1 If the pain in the side is accompanied by vomiting mixed with blood, mucus, bile.

2 If the interval between attacks of vomiting is gradually reduced, while the amount of vomit does not decrease, but increases.

3 If nausea and pain in the side are accompanied by discoloration of feces and yellowing of the sclera and skin.

4 If, in addition to nausea and pain, there is chills, high body temperature, blanching of the skin, weakness, fever, muscle cramps, dizziness, upset stool.

5 If the pain in the side increases to such an extent that "do not straighten up."

6 If nausea and pain in the side persist for a long period of time, while the standard methods of managing unpleasant symptoms (diet, not exercising, stopping medications whose side effects include nausea and abdominal pain, etc.) do not give a positive result.

In such situations, it is necessary to urgently consult with a specialist (if the condition allows you to visit the clinic) or call for emergency assistance (if the condition does not allow you to get to the hospital on your own). While waiting for doctors, it is recommended to drink warm boiled water (to avoid dehydration) and lie on the bed with your head turned 30˚ - in this position, vomit during the next attack will not be able to block the airways.

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The site provides reference information for informational purposes only. Diagnosis and treatment of diseases should be carried out under the supervision of a specialist. All drugs have contraindications. Expert advice is required!

One of the common causes of anxiety and visits to the doctor among patients is pain in right side or back. This symptom accompanies the development of many diseases of various organs. Some of them are very dangerous and can lead to death. That is why, if you experience pain in the side on the right, you must definitely consult a doctor to determine the causes.

Pain, localized in the right side, with different diseases differs in nature and localization.

The nature of the pain in the right side

In some cases, the localization of pain corresponds to the location of the affected organ. Pain can be of a different nature: dull and aching, sharp and sharp, constant or periodic. Such pain occurs when the pancreas is affected (pancreatitis).

Sometimes pain appears if the peritoneum is involved in the inflammatory process. At the same time, its location is well defined. It is more often characterized as burning, sharp or stabbing. The intensity increases when you change position, when running, walking, raising your hand.

If you feel such pain in the right side, then it is necessary to exclude surgical diseases:

  • appendicitis;
  • perforation of a stomach or duodenal ulcer;
  • intussusception and volvulus.
If the pain occurs when the diaphragm is damaged (the cause may be a hernia), then it intensifies with breathing and coughing, gives into the arm (in the shoulder area).

One of the manifestations of pain in the right side can be umbilical colic. It is manifested by sharp, periodic, cramping pain, which is due to increased peristalsis or intestinal distension. Occurs more often during or after meals. It is felt in the area near the navel, while nausea, pallor, vomiting are noted. Colitis and enterocolitis are accompanied by the appearance of umbilical colic. Prolonged and severe pain like colic in the right hypochondrium signals diseases of the liver and biliary tract (hepatitis, cholecystitis, biliary dyskinesia).

In a separate category should be allocated "reflected" pain. This is pain from the internal organs, which is carried out to certain areas of the skin. In diseases of the liver and gallbladder, it can radiate to the scapula, and in diseases of the pancreas and duodenum it radiates to the back and lower back, and is also felt under the ribs on the right and left.

Localization of pain in the right side

1. Pain in the right side from above:
  • diseases of the stomach and duodenum;
  • liver disease;
  • diseases of the biliary tract;
  • diseases of the right kidney;
  • diseases of the pancreas;
  • right-sided lower lobe pneumonia;
  • appendicitis;
  • abdominal form of myocardial infarction.
2. Pain in the right side in the middle:
  • volvulus or invagination of the intestines;
  • appendicitis;
  • disease of the right kidney.
3. Pain in the right side of the abdomen from below:
  • kidney damage;
  • damage to the uterine appendages;
  • bladder disease;
  • appendicitis;
  • inguinal hernia.

When does aching pain occur in the right side of the lower abdomen?

If you have pain in the right side of the lower abdomen, the pain is aching, dull, then some diseases should be suspected.
In women, these may be the following pathologies:
  • pyelonephritis;
  • glomerulonephritis;
  • appendicitis;
  • right-sided adnexitis;
  • ovarian cyst;
  • biliary dyskinesia of the hypotonic type;
  • cholelithiasis.
Also, pain in the right side below may manifest the moment of ovulation of the egg from the ovary.

In men, most often in the lower abdomen on the right, pain appears with the following diseases:

  • pyelonephritis;
  • glomerulonephritis;
  • appendicitis;
  • cholelithiasis;
  • urolithiasis disease;
  • biliary dyskinesia of the hypotonic type.
But quite often in men, the cause of such pain can also be an inguinal hernia.

Diseases accompanied by pain in the right side

Diseases of the stomach and duodenum

Gastritis. It is characterized by dull mild periodic pain in the right side under the ribs and sternum, appear more often two hours after eating, or on an empty stomach in the morning. Patients complain of loss of appetite, belching of sour air, constipation or diarrhea.

With dull aching pain in the right side under the ribs and sternum, which can appear 1-2 hours after eating or on an empty stomach, combined with vomiting, heartburn, sour or bitter belching, loss of appetite, diarrhea or constipation, the doctor prescribes the following examinations:

  • General blood analysis;
  • Fibrogastroduodenoscopy (FGDS) (enroll);
  • Computed or magnetic resonance imaging;
  • Detection of Helicobacter Pylori in the material taken during FGDS;
  • The presence of antibodies to Helicobacter Pylori (IgM, IgG) in the blood;
  • The level of pepsinogens and gastrin in the blood serum;
  • The presence of antibodies to the parietal cells of the stomach (total IgG, IgA, IgM) in the blood.
The same studies and analyzes above are prescribed for pain in the right side that appears several times a day, subsides on its own, has any character (aching, cramping, stabbing, cutting, dull, etc.), which can be combined with heartburn, belching, nausea, vomiting, constipation.

In practice, in most cases, the doctor prescribes a complete blood count, a blood test for the presence of antibodies to Helicobacter Pylori and fibrogastroduodenoscopy, since these examinations allow diagnosing gastritis and duodenitis with high accuracy. Computed or magnetic resonance imaging may be prescribed instead of fibrogastroduodenoscopy, if technically possible, if a person cannot undergo EGD. An analysis for the level of pepsinogens and gastrin in the blood is usually prescribed as an alternative to EGD if it is possible to perform it, but in practice this study is not used very often, since it almost always has to be done in a private laboratory for a fee. But an analysis for antibodies to the parietal cells of the stomach is prescribed only if atrophic gastritis is suspected, and often instead of FGDS, when a person cannot pass it.

With a sharp cramping pain in the right side, appearing with pain in the navel, occurring periodically after or during meals, combined with nausea, vomiting, rumbling in the abdomen, bloating and pallor of the skin, the doctor prescribes the following tests and examinations:

  • General blood analysis;
  • Analysis of feces for worm eggs;
  • Analysis of feces for coprology and dysbacteriosis;
  • Sowing feces on clostridia;
  • Blood test for the presence of antibodies to clostridia;
  • Ultrasound of the abdominal organs;
  • Colonoscopy (make an appointment) or sigmoidoscopy (make an appointment);
  • Irrigoscopy (intestinal X-ray with a contrast agent) (make an appointment);
  • Blood test for the presence of antineutrophil cytoplasmic antibodies and antibodies to saccharomycetes.
First of all, the doctor prescribes a general blood test, stool tests for worm eggs and scatology, ultrasound of the abdominal organs and colonoscopy. These tests usually allow a diagnosis to be made and treatment to begin. However, in doubtful cases, irrigoscopy may be additionally prescribed. If it is suspected that pain in the right side is associated with taking antibiotics, a stool culture for clostridium and a blood test for the presence of antibodies to clostridium are prescribed. If irrigoscopy, colonoscopy or sigmoidoscopy for some reason cannot be done, and the patient is suspected ulcerative colitis or Crohn's disease, then a blood test is prescribed for the presence of antineutrophil cytoplasmic antibodies and antibodies to saccharomycetes.

With pain in the right side, combined with itching and yellowing of the skin, decreased appetite, weakness and a slight increase in body temperature, it is necessary to contact an infectious disease specialist or hepatologist, since such symptoms indicate a high risk of hepatitis. The doctor without fail first prescribes blood tests to detect hepatitis, such as:

  • Blood test for the presence of antibodies to the hepatitis B virus (Anti-HBe, Anti-HBc-total, Anti-HBs, HBsAg) by ELISA;
  • Blood test for the presence of antibodies to the hepatitis C virus (Anti-HAV-IgM) by ELISA;
  • Blood test for the presence of antibodies to the hepatitis D virus (Anti-HAD) by ELISA;
  • Blood test for the presence of antibodies to the hepatitis A virus (Anti-HAV-IgG, Anti-HAV-IgM) by ELISA.
In addition, a biochemical blood test (bilirubin, AST, ALT, alkaline phosphatase, total protein, albumin) and a coagulogram (APTT, TV, PTI, fibrinogen) are mandatory.

If antibodies to hepatitis C or B viruses were found in the blood, then the doctor prescribes a blood test to determine the presence of the virus by PCR, which will allow you to assess the activity of the process and select a treatment.

With dull aching pain in the upper part of the right side, radiating to the shoulder and shoulder blade, which increases with stress, change of weather, when eating fatty and rich foods, alcohol, carbonated drinks or shaking, becoming stabbing, and is combined with nausea, vomiting or belching bitter, the doctor prescribes a complete blood count, a general urinalysis, an ultrasound of the abdominal cavity, retrograde cholangiopancreatography, as well as a biochemical blood test (bilirubin, alkaline phosphatase, elastase, lipase, AsAT, AlAT). If there is a technical possibility, computed or magnetic resonance imaging is also prescribed.

With intense acute, cutting, dagger pain in the right side, which is combined with darkening of urine, skin itching and light feces, the doctor must prescribe a general blood and urine test, a biochemical analysis of feces (amylase in the blood and urine, pancreatic elastase, lipase, triglycerides, calcium), coprology, ultrasound of the abdominal cavity, and if technically possible, and MRI. These studies allow diagnosing pancreatitis.

With periodic pain in the right side and at the same time in the groin, radiating to the leg, provoked by physical exertion, the doctor prescribes a general blood test, ultrasound of the abdominal organs, and also performs an external examination and, in some cases, produces an x-ray of the intestines and urinary organs with contrast.

When pain in the right side is localized in the back, combined with pain in the lower back, pain when urinating, swelling on the face, headache, fever, blood in the urine, the doctor must prescribe Ultrasound of the kidneys (make an appointment), general urinalysis, determination of the total concentration of protein and albumin in daily urine, urinalysis according to Nechiporenko (), Zimnitsky test (), as well as a biochemical blood test (urea, creatinine). In addition, the doctor may prescribe a bacteriological urine culture or scraping from the urethra to identify a pathogenic causative agent of the inflammatory process, as well as the determination of microbes in the scraping from the urethra by PCR or ELISA. If glomerulonephritis is suspected, then the doctor may additionally prescribe the following tests:

  • Antibodies to the basement membrane of the glomeruli of the kidneys IgA, IgM, IgG (anti-BMK);
  • Antineutrophil cytoplasmic antibodies, ANCA Ig G (pANCA and cANCA);
  • Antinuclear factor (ANF);
  • Antibodies to the phospholipase A2 receptor (PLA2R), total IgG, IgA, IgM;
  • Antibodies to C1q complement factor;
  • Endothelial antibodies on HUVEC cells, total IgG, IgA, IgM;
  • Antibodies to proteinase 3 (PR3);
  • Antibodies to myeloperoxidase (MPO).
When the pain is localized at the top of the right side, combined with high fever, cough, shortness of breath, profuse sweating, painful hiccups, or chest pain when swallowing, the doctor will first of all prescribe a complete blood count, a complete urinalysis, chest x-ray (book) and microscopy of expectorated sputum. If the disease is difficult to treat, then the doctor may prescribe blood tests, sputum and bronchial swabs for the presence of chlamydia,), gardnerellosis, fecal bacteroids, etc.), to identify which they give vaginal discharge, scraping from the urethra or blood;
  • Colposcopy (make an appointment).
  • With very severe pain in the right side, which is combined with blisters in the ribs, the doctor may prescribe a blood test for antibodies to herpes family viruses. However, with this pathology (shingles), tests are usually not prescribed, since the visible picture and the patient's complaints are enough to make a diagnosis.

    In addition, with periodically appearing and independently disappearing pains in the right side, regardless of the accompanying symptoms, the doctor may prescribe a stool or blood test to detect helminths (ascaris or pinworms).

    Before use, you should consult with a specialist.