In women, pain in the right lower abdomen can occur when gynecological pathology(right-sided lesion of the uterine appendages - ovary and / or fallopian tube).
In addition, pain radiates to this area in diseases of the urinary system (renal colic).
The first sign of the onset of a purulent process is the appearance of chills with a rise in temperature to high numbers, and then a decrease to subfebrile (37-38 o). Then symptoms of intoxication develop (sallow complexion, weakness, rapid pulse, low blood pressure, cold sweat).
In such cases, an emergency is indicated. surgery to avoid sepsis (blood poisoning) and death of the patient.
Drawing, aching or stabbing pain in the lower abdomen on the right with lesions
intestines
A pulling, aching or stabbing pain in the lower abdomen on the right is characteristic of lesions of the end of the small intestine (ileum) and the initial sections of the large intestine (cecum and ascending intestine). Repeated stabbing pain in the lower abdomen on the right with diverticulitis
Diverticula are called saccular formations of the intestinal wall, communicating with its lumen. Due to the structural features, intestinal contents often stagnate in diverticula, which contributes to the development of inflammation. Repeated stabbing pain in the lower abdomen on the right occurs with inflammation of the diverticula of the end section small intestine(Meckel's diverticulum), as well as with diverticulitis of the blind and ascending colon. Diverticula in these departments are usually single, and clinical picture their inflammation largely coincides with the clinical picture of acute appendicitis.
A characteristic feature of diverticulitis is a chronic recurrent course. Exacerbations often begin with constipation followed by diarrhea.
If acute or chronic diverticulitis is suspected, careful examination and conservative treatment are indicated.
In the absence of therapy, diverticulitis can lead to serious complications, such as: suppuration and perforation with the development of peritonitis, fistula formation.
Therefore, if an attack of severe pain in the lower abdomen on the right is accompanied by symptoms of local peritonitis, such as muscle tension in the anterior abdominal wall, soreness during percussion (tapping), a positive Shchetkin-Blumberg symptom (increased pain when the arm is removed after light pressure), an emergency admission to the hospital is recommended to resolve the issue of surgical treatment.
Severe pain in the lower abdomen on the right with Crohn's disease
Chronic inflammatory bowel disease - Crohn's disease - is detected in 20% of cases during surgery for acute appendicitis. Cause frequent mistakes in the diagnosis - the similarity of the clinical picture of these diseases.The fact is that the inflammatory process in Crohn's disease is most often localized in the terminal ileum, and is manifested by sharp pain in the lower abdomen on the right, similar in nature to the pain syndrome in appendicitis.
Collecting anamnesis can help in the diagnosis. Chronic diarrhea is usually the first sign of Crohn's disease. So an attack of severe pain in the lower abdomen on the right in this case is preceded by a rather long (from several weeks to several months, and even years) period of unstable stool with a tendency to diarrhea.
In addition, symptoms of appendicitis such as vomiting and pain migration from the central abdominal regions to the right iliac region are uncommon for Crohn's disease.
Without adequate treatment, Crohn's disease leads to serious complications, including perforation of the intestine, therefore, the symptoms of peritonitis are an indication for emergency surgical treatment this pathology.
Drawing, aching and stitching pains in the lower abdomen on the right with intestinal tumors
Drawing pains in the lower abdomen on the right can occur both with benign and with malignant tumors the final section of the small and initial sections of the large intestine. The mechanism of the onset of pain is most often associated with the pressure of the growing tumor on the surrounding tissue. The mesentery of the intestine, rich in nerve endings, is especially sensitive to such pressure.
With predominantly endophytic growth (proliferation into the intestinal lumen), pain occurs with the development of inflammation, destruction of the tumor or its growth through the intestinal wall into the surrounding tissues (observed in the later stages of malignant growth).
except pain syndrome, tumors right side intestines are prone to bleeding, and over time lead to the development of chronic anemia.
Malignant growth is often accompanied by symptoms of cancer intoxication (exhaustion, increasing weakness, impaired mood, sleep and appetite).
If you suspect a bowel tumor, a thorough examination in the hospital is necessary. Both malignant and benign tumors are subject to surgical removal.
Repeated pain in the lower abdomen on the right with acute mesenteric adenitis
Mesentery is an inflammation of the lymph nodes of the mesentery of the intestine. The pain syndrome in this disease can be of varying intensity. The pain in this case is most often localized in the lower abdomen on the right.The clinical picture of acute mesenteric adenitis consists of local manifestations of inflammation lymph nodes(periodic bouts of pain in the lower abdomen on the right) and common symptoms causing mesenteric disease.
Most often, mesenteric adenitis is of tuberculous origin, and develops already with an expanded picture of the disease.
Such characteristic symptoms, how:
- exhaustion;
- weakness;
- emotional lability;
- frequent rise in temperature to subfebrile numbers;
- high ESR.
Paroxysmal stitching pains in the lower abdomen on the right with diseases
upper urinary tract
Paroxysmal stitching pains in the lower abdomen on the right are often found in diseases of the upper urinary tract... They are especially characteristic of the so-called renal colic, which most often accompanies urolithiasis. Even experienced surgeons often find it difficult to differential diagnosis renal colic and appendicitis.
The fact is that in some cases the pain with appendicitis is paroxysmal, and with renal colic often irradiates along the ureters to the right iliac region.
Irradiation of pain in the groin can help in the diagnosis of diseases of the urinary system. Another characteristic feature of pain in renal colic is the constant anxiety of the patient, who cannot find a sparing position in which the pain would be felt the least. It seems that the change in body position brings some relief to the patient with renal colic, while in the case of acute appendicitis, the patient tries to lie motionless on the sore side, since unnecessary movements bring additional suffering.
In addition, pain in renal colic is accompanied by various urinary disorders (increased frequency and / or painful urination, sometimes visible blood in the urine).
And finally, an attack of renal colic is stopped by antispasmodics and analgesics, which are practically useless in the case of acute appendicitis.
Suspected renal colic is an indication for admission to a urological hospital for additional examination, on the results of which will depend medical tactics... In most cases, conservative treatment is indicated.
Dull periodic pain in the lower abdomen on the right during pregnancy
Dull recurrent pain in the lower abdomen on the right during pregnancy can be caused by physiological reasons.In the first trimester, pulling or aching pain in the lower right abdomen is associated with the functioning of the corpus luteum of pregnancy in the right ovary.
Subsequently, periodically appearing pains in the lower abdomen on the right and left are caused by an enlargement of the uterus and stretching of its ligamentous apparatus.
This kind of pain always has a pulling or aching character, it is more pronounced during the first pregnancy, and never reaches a high degree of intensity.
In addition, pain caused by physiological reasons does not have a characteristic irradiation, and is not accompanied by any symptoms indicating dysfunction of the digestive and / or urinary systems. At the same time, the general condition of the woman does not suffer.
Cramping pains during pregnancy always indicate pathology, therefore, in such cases, it is necessary to seek medical help. In the initial period, severe cramping pains may indicate an ectopic pregnancy.
A sharp pain in the lower abdomen on the right may indicate a surgical pathology of the digestive tract (acute appendicitis, diverticulitis, inflammatory or volumetric processes in the terminal section of the small intestine or the initial sections of the large intestine), gynecological problems (right-sided inflammation of the appendages or torsion of the leg of the cyst of the right ovary) or damage to the urinary system (renal colic).
Diagnosis of acute pathological processes during pregnancy is especially difficult in its second half, due to displacement of organs. Therefore, when a sharp pain in the lower abdomen on the right appears, an urgent visit to the hospital is necessary.
Which doctor should i go to for pain in the right lower abdomen?
Pain in the lower abdomen on the right side may be due to various reasons, therefore, when they occur, it is necessary to consult doctors of different specialties. Moreover, you need to consult a doctor, whose competence includes the diagnosis and treatment of the disease that provoked the onset of pain in the right lower abdomen. The choice of a specialist to whom one should go for pain in the lower abdomen on the right is carried out depending on the nature of the pain syndrome and accompanying symptoms, since it is these characteristics that suggest the disease that provoked the pain.First, you should know that with acute severe pain in the lower abdomen on the right, which does not subside over time, but remains or intensifies, it is combined with elevated temperature body, a sharp deterioration in general well-being, severe weakness, vomiting that does not bring relief, headache, decrease blood pressure or fainting, you must immediately call an ambulance and be hospitalized in a hospital. This must be done because such a symptom complex indicates an acute emergency, which requires a specialized health care in the shortest possible time, since without treatment a person can die.
And it is necessary to consult a doctor in a planned manner for pain in the lower abdomen on the right in cases where the pain syndrome is provoked by diseases that do not threaten a person's life.
With intense, cramping pain in the lower abdomen on the right, which does not radiate to other parts of the body, but can be simultaneously felt in the lower abdomen on the left or in the navel area, combined with constipation, diarrhea, frequent bowel movements with soft feces, bloating, flatulence, nausea, rumbling in stomach - you need to see a doctor - gastroenterologist () or therapist (), since such symptoms indicate intestinal diseases (colitis, enterocolitis, Crohn's disease, ulcerative colitis, diverticulitis, celiac disease, irritable bowel syndrome).
If a man or woman has a pulling aching pain in the lower abdomen on the right, with sudden movements, stress or physical exertion, intensifying, becoming sharp, stabbing, but not combined with digestive disorders, general weakness, fever, which are actually isolated pains, then you should contact to the doctor- surgeon (sign up), since such symptoms indicate the formation of adhesions in abdominal cavity that can form after the transferred operations or inflammatory diseases stomach, intestines, pancreas, gallbladder, etc.
With the appearance of constant, dull, moderate pain in the lower abdomen on the right, in the middle of the abdomen or in the upper abdomen (in all areas it hurts at the same time, the pain does not give off in them), which does not subside over time, is combined with vomiting, dry mouth, loss of appetite , surges in blood pressure, heart palpitations (up to 100 beats per minute) and breathing (40 breaths per minute) and increased body temperature - you should consult a surgeon, since the symptom complex corresponds to mesenteric adenitis (inflammation of the lymph nodes of the mesentery of the intestine).
With the appearance of paroxysmal pain in the lower abdomen on the right, radiating to the groin and lower part of the lower back, combined with urination disorders (blood in the urine, painful, frequent urination, etc.), forcing a person to constantly move, walk, looking for a position in which pain will be not so strong - you should urgently consult a surgeon or urologist (sign up), since we are talking about renal colic due to urolithiasis. Also see a urologist or nephrologist (sign up) need to be addressed if severe pain is localized in the center of the lower abdomen, radiates to the right in the lower abdomen, combined with frequent and painful urination, blood in the urine, since in this case we can talk about cystitis.
If a person develops pain in the lower abdomen, mainly on the left or right, combined with frequent, loose and scanty stools, rumbling, bloating, painful bowel movements, lack of relief after a bowel movement and possibly vomiting, then he needs to see a doctor - infectious disease specialist (sign up), since, most likely, we are talking about an intestinal infection.
Periodic pulling, dull, aching pains in the lower abdomen on the right, radiating to the groin, combined with a protrusion in the area of the right groin fold, aggravated by physical exertion, not combined with any other symptoms, require contacting a surgeon, since the symptom complex indicates inguinal hernia.
If a woman develops a sudden strong, paroxysmal pain in the lower abdomen on the right and left, after a while shifting to the right, or a dull, aching pain in the right half of the lower abdomen develops after stress, hypothermia, physical exertion, then it is necessary to consult a doctor- gynecologist (sign up), since most likely we are talking about inflammation of the appendages of the uterus (ovary and fallopian tubes) - adnexitis or salpingo-oophoritis. Concomitant symptoms of inflammation of the uterine appendages are the spread of pain to the sacrum, lower back, groin or rectum, as well as pain when urinating, irregular menstruation, hot temper, irritability, increased fatigue, inflammatory discharge (greenish, yellowish, grayish, with bubbles, flakes, pus, mucus, etc.) or an increase in body temperature.
If a woman periodically develops pulling-aching pains in the lower abdomen on the right, often provoked by sexual intercourse, combined with intermenstrual bleeding or lengthening of the menstrual cycle, then you should consult a gynecologist, since such symptoms suggest that the doctor has an ovarian cyst or cystoma.
In women, pulling, aching, dull pain in the lower abdomen on the right, aggravated during menstruation, extending to the lower back, tailbone, sacrum or rectum, combined with periodic bleeding, frequent trips to the toilet to urinate, the presence of clots in the menstrual blood, require contacting a gynecologist, since such symptoms indicate the presence of genital neoplasms organs (fibroids, polyps, etc.).
When pain appears in a man in the lower abdomen on the right, if it radiates to the right side, perineum, lower back, combined with difficulty urinating (slow urination, frequent trips to the toilet, etc.) and erectile dysfunction, possibly with blood in the urine, you should consult a urologist, as such symptoms indicate the presence of prostatitis or prostate adenoma.
If the pains in the lower abdomen on the right persist, they are present almost constantly, combined with a sharp deterioration in well-being, unreasonable weight loss, perversion of taste, persistent constipation, unpleasant discomfort in the abdomen, bloating and flatulence that cannot be treated, then you should consult a doctor - oncologist (sign up).
What tests can doctors prescribe for pain in the lower abdomen on the right?
Since pains in the lower abdomen on the right are provoked various diseases, then the doctor with this syndrome can prescribe various tests and examinations necessary to identify the pathology that provokes the pain syndrome. The list of tests and examinations is determined by the nature of the pain and accompanying symptoms, which suggest a disease provoking pain syndrome.When a man or woman periodically has pains in the lower abdomen on the right, which do not radiate to other parts of the body, but can be simultaneously felt in the left lower abdomen, in the navel, combined with constipation, diarrhea, frequent bowel movements with soft feces, bloating, flatulence, nausea, rumbling in the abdomen, the doctor may prescribe the following tests and examinations:
- General blood analysis ;
- Scatological analysis feces;
- Analysis of feces for dysbiosis;
- Stool culture or blood test for clostridia;
- Ultrasound of the abdominal organs (sign up);
- Colonoscopy (sign up)/sigmoidoscopy (sign up);
- Irrigoscopy (X-ray of the intestine with contrast) (sign up);
- Computer or magnetic resonance imaging (sign up);
- Stool analysis for calprotectin;
- A blood test for the presence of antineutrophilic cytoplasmic antibodies;
- A blood test for the presence of antibodies to Saccharomycetes.
If a person develops a dull, moderate pain localized simultaneously in the lower right, lower left abdomen or in the navel (or in any one of these areas), which does not subside over time, combined with vomiting, dry mouth, loss of appetite, jumps in blood pressure, rapid heartbeat (up to 100 beats per minute) and breathing (40 breaths per minute) and increased body temperature, the doctor prescribes the following tests and examinations to identify and distinguish mesenteric adenitis from other diseases of the abdominal organs:
- General blood analysis;
- General urine analysis;
- Biochemical blood test (bilirubin, urea, creatinine, total protein, amylase, ASAT, ALAT, alkaline phosphatase, LDH);
- Fecal occult blood test;
- Scatological analysis of feces;
- Mantoux test, diaskintest or blood test for the presence of mycobacterium tuberculosis;
- Blood test for antibodies to hepatitis A, B, C viruses (by ELISA);
- Blood culture for sterility;
- Blood test for the presence of Epstein-Barr virus, enteroviruses, Yersinia, streptococci, staphylococci, campylobacter, salmonella (sign up), Escherichia coli by PCR method;
- Tests for ascariasis, enterobiasis, opisthorchiasis, giardiasis;
- Ultrasound of the abdominal organs;
- Abdominal X-ray (sign up);
- Colonoscopy;
- Computed tomography or magnetic resonance imaging;
- Diagnostic laparoscopy (sign up) with the collection of pieces of tissue from the inflamed lymph nodes for histological examination.
If a person has paroxysmal pain in the lower abdomen on the right, radiating to the groin and lower part of the lower back, combined with urinary disorders (blood in urine, pain during urination, frequent trips to the toilet, etc.), forcing the person to move persistently, since he cannot find a position in which the pain subsides a little, then the doctor prescribes the following tests and examinations:
- General urine analysis;
- General blood analysis;
- Kidney ultrasound (sign up) and Bladder;
- Cystoscopy (sign up);
- Urography (X-ray of the urinary system with the introduction of a contrast agent) (sign up);
- Kidney scintigraphy (sign up) and urinary tract;
When in the lower right part of the abdomen there are periodically arising pulling-aching pains that intensify or appear with sudden movements, stress or physical exertion, at moments of intensification they become sharp and stitching, but not combined with digestive disorders, fever and, as it were, isolated from other symptoms , the doctor prescribes a general blood test, a general urinalysis, an ultrasound of the abdominal organs, an X-ray with contrast, or a tomography. Other studies, as a rule, are not prescribed, since these are quite enough to identify adhesions formed in the abdominal cavity after surgery or inflammatory processes.
When a woman has severe paroxysmal pain in the lower abdomen on the right, which arose suddenly, and at first it was localized both on the right and on the left, and then shifted to the right, or if after stress, hypothermia, physical exertion, a dull, aching pain appeared in the right half of the lower abdomen ( moreover, both types of pain can be combined with the spread of pain in the sacrum, lower back, groin or rectum, as well as pain during urination, irregular menstrual cycle, irascibility, increased fatigue or fever), the doctor may prescribe the following tests and examinations to identify the causes of inflammation of the uterine appendages:
- General blood analysis;
- General urine analysis;
- Vaginal flora smear (sign up);
- Analysis of blood, vaginal discharge and scraping from the urethra for genital infections (for chlamydia, mycoplasma, gardnerella, ureaplasma, Trichomonas, gonococcus, fungi
When a woman has a pulling-aching pain in the lower abdomen on the right, which occurs sporadically, especially often provoked by intercourse, combined with intermenstrual bleeding or lengthening of the cycle, the doctor usually prescribes an ultrasound of the pelvic organs and a smear from the vagina on the flora, as he suspects an ovarian cyst. In addition, for ovarian cysts, the doctor may prescribe a blood test for the concentration of luteinizing hormone (LH), follicle-stimulating hormone (FSH), testosterone, and prolactin (sign up).If a woman develops a pulling, aching, dull pain in the lower abdomen on the right, which intensifies with menstruation or physical exertion, is given to the lower back, tailbone, sacrum or rectum, combined with episodic bleeding, frequent urination, clots in menstrual blood - the doctor prescribes an ultrasound of the pelvic organs, hysteroscopy (sign up), and if possible - computed or magnetic resonance imaging. Additionally for evaluation general condition the body can be assigned a general and biochemical blood test, a general urine test, a coagulogram, a blood test for sex hormones (LH, FSH, testosterone, etc.).
If a man has pain in the lower abdomen on the right, combined with pain in the perineum, radiating to the right side and lower back, which is accompanied by difficulty urinating, erectile dysfunction, then the doctor prescribes the following tests and examinations:
- General urine analysis;
- General blood analysis;
- Palpation of the prostate through anus finger;
- Ultrasound prostate(sign up);
- Microscopy of prostate secretion;
- Bacteriological culture of urine, prostate secretions and a smear from the urethra to identify the pathogen microbe and its sensitivity to antibiotics;
- Prostate secretion analysis (sign up), a smear from the urethra or blood for genital infections (chlamydia, candidiasis, ureaplasmosis, mycoplasmosis, trichomoniasis, gonorrhea, bacteroids);
- Blood test for syphilis;
- A blood test for the content of sex hormones and tumor markers (globulin that binds sex hormones, testosterone, prostate-specific antigen).
If a person has persistent persistent pains down the abdomen on the right, which are combined with a sharp deterioration in health, causeless weight loss, taste perversion, persistent constipation, bloating and flatulence, then the doctor prescribes wide range surveys - x-ray (sign up) and ultrasound of the abdominal organs, computed or magnetic resonance imaging, general and biochemical analyzes blood and urine tests, colonoscopy, sigmoidoscopy, etc. If a tumor is detected using these methods, the oncologist may prescribe blood test for tumor markers (sign up), the list of which will be selected by a specialist depending on the type of neoplasm and the affected organ.
Before use, you must consult a specialist.
Often people do not understand why the intestines hurt. One of the most common causes of pain in the intestines, on the right or left side, is the formation of inflammation in the intestinal mucosa, which can appear due to the negative effect of the infection in the body. The inflammatory process can develop in the appendix, sigmoid colon, large intestine, small intestine and cause the formation of severe pain in the intestines, both on the right and on the left.
From intestinal ailments, and, as a result, pain in the intestines, quite a few people are affected. Intestinal diseases differ from stomach diseases in that they are not associated with the absorption of food. The only exception is inflammation of the transverse colon. Salient feature this ailment lies in the fact that the patient begins to experience pain after eating. This kind of sensation occurs due to reflex bowel contractions that occur when food enters the stomach. Often, the pain lasts until the patient has a bowel movement. There are also other diseases in which pain occurs during bowel movements.
There are several types intestinal pain- sharp and aching, as well as pains similar to contractions (so-called intestinal colic). The aching pain lasts a long time and gets worse when the patient strains or starts coughing. While intestinal colic appears in the form of short and short attacks. And acute pains are clearly expressed and differ in their intensity. Such pains are characteristic of an inflamed appendix. In any case, whatever the nature of the pain and whatever its duration, they signal obvious inflammatory processes occurring in the body.
Quite often, when pain occurs on the right side of the intestine, most patients mistakenly think that this is an attack of appendicitis. And all because it is the most common and widely known disease among the population. Only now, inflammation of the appendix is not the only disease that can develop in the right side of the abdomen. Other inflammatory processes can also cause unpleasant and painful sensations, while they are not always pathological. Therefore, do not panic ahead of time and frantically think about where the pain is concentrated and what needs to be done. The only exception is when severe pain in the intestines, lower abdomen becomes chronic and begins to bother the patient constantly.
You should not panic if the intestines on the right are very sore, you should seek medical help as soon as possible and find out the cause of the abdominal pain. You should not endure pain in the intestines, if it is very strong and unbearable, if the condition worsens, other painful symptoms appear, it is better to cause ambulance.
Causes of pain in the intestines on the right side
Painful sensations in the right side of the intestine, similar to contractions, can occur with a sharp contraction of the intestine. These are the so-called intestinal colic, which can result from the presence of an inflammatory process (colitis, enterocolitis) and helminthic invasion. Poisoning is considered another factor causing intestinal colic. food or the usual overeating. Quite often, it is the adhesions between the intestinal loops, which were formed due to the inflammatory process in the body or after surgical intervention are the cause of intestinal cramps. Eating spicy and heavy foods, as well as alcoholic beverages, physical activity and a sharp change in body position can provoke the onset of pain. Stressful situation can also provoke short intestinal cramps on the right side of the intestine.
Common causes of pain in the right lower abdomen are intestinal colic. A problem such as intestinal colic causes cramping pains in the intestines on the right, which appear due to the inflammatory process.
The intestines on the right hurt - the reasons
Aching pain in the intestines may indicate the usual accumulation of gas in that part of the intestine. But there are more serious reasons for such pain. For example, a patient may have volvulus or intestinal obstruction, a cancerous growth, or a ball of worms. Often the appearance of aching pain in the intestines on the right side is likely to signal a large accumulation of gas.
The root cause intestinal obstruction intestinal colic is considered, accompanied by chronic aching pain on the right side. In this situation, intestinal colic occurs with an increased contraction of the muscle fibers of the intestine over the blocked section of the intestine.
Dull pains on the right in the iliac region usually signal an inflammatory process in the cecum. Such pains can change to intestinal colic and appear 5-6 hours after the patient has eaten. In addition, if the patient was on his feet for a long time or subjected the body to severe stress, then these factors could cause spasm or increase the pain. In this situation, it seems to the patient that his stomach is bursting. Added to everything else is nausea and belching, as well as rumbling and bloating.
During an attack of acute appendicitis, pain occurs in the intestines on the lower right side of the abdomen. The pain appears in the umbilical region and gradually moves to the lower right side. Sometimes the pain can be given to the leg. To the main symptoms of appendicitis, you can add nausea and vomiting, as well as an increase in body temperature.
Intestinal colic and aching pains in the lower abdomen on the right, in the intestinal region, can signal the appearance of intestinal obstruction.
What to do with pain in the intestines on the right side?
If the patient is sure that he has exactly intestinal colic, and the pain does not cause severe discomfort and does not intensify with movement, then he himself can try to get rid of these pain sensations. First of all, the patient needs to lie down and take comfortable posture... In no case should you eat food, as well as apply cold or hot compress... An antispasmodic can be taken to relieve pain symptoms a little. If within 20 to 30 minutes the symptoms become less pronounced, then you can proceed to further methods rehabilitation.
What to do if the intestine hurts on the right, if the pain is on the right in the lower abdomen?
The first thing that should be done if the intestines on the right are very sore, if the lower abdomen hurts on the right side, it is to check the patient for appendicitis. Inflammation of the appendix is very dangerous disease, which can threaten not only health, but also human life. Therefore, it is recommended that when symptoms of appendicitis appear, immediately call emergency medical help. Appendicitis must be treated with surgery.
You should not endure the situation when pain in the intestines on the right side is accompanied by an increase in body temperature, bouts of nausea with vomiting, the appearance of dizziness, weakness or pallor of the skin, you should as soon as possible show the patient to a doctor in such a situation, and if necessary, call an ambulance. if the patient's condition only worsens and is accompanied by very severe pain in the lower right abdomen.
First, it is very important to remember the last time the patient had a bowel movement. If the patient has bloating, it is necessary to take Activated carbon or smecto. Highly important fact in treatment and prevention intestinal diseases is an proper nutrition, so stick to your diet and drink at least two liters of water a day. In addition, the patient should perform a series of physical exercise that stimulate intestinal motility.
In order to exclude serious intestinal diseases, the patient in mandatory you need to pass an analysis for the presence of helminth eggs, as well as an analysis of feces. The cause of pain may be dysbiosis caused by frequent use of antibiotics. In addition, the patient will not be hurt by a consultation with a gastroenterologist, who will prescribe some procedures to check the health of the gastrointestinal tract and, if necessary, diagnose the disease.
In any case, only a doctor will be able to tell what caused the pain in the intestine, on the right or on the left side. Therefore, even if the pains passed quickly and do not bother you anymore, do not be too lazy to consult a specialist.
Weight loss is a sign of colon pathology.
Pain in the pathology of the colon has a peculiar localization. They are often felt on the side of the abdomen and near the anus.
Less often, there are unpleasant sensations in the epigastric region, as well as above.
Even in the absence of pain, palpation of the zone in the iliac region on the right and left will be pain.
They become more intense if a person drank milk, ate a lot of vegetables or coarse cereals. The main nature of the pain is aching, accompanied by a feeling of bloating.
If the intestines are freed from feces, the pain subsides. However, just before the act of defecation, the pain may become worse. Sometimes they are cramping in nature.
- weight loss;
- metabolic disease;
- hypovitaminosis.
However, signs of general malaise are also present. Patients get tired quickly, feel weakness, irritability, tearfulness, their sleep is disturbed. In general, there are signs of intoxication, which are often provoked.
Ulcerative colitis begins in the rectum.
Among the diseases of the colon, perhaps the only pathology leading to a sharp weight loss.
With ulcerative colitis, inflammation of the mucous membrane develops. Most often it is affected, here the disease originates.
And only then, in the absence of adequate treatment, it quickly spreads through the large intestine further. The disease is chronic, with exacerbations occurring quite often.
Analyzing the causes of ulcerative colitis, the researchers came to the conclusion that a hereditary factor is involved. After all, the disease begins in the case of a genetic defect in the immune system.
The disease manifests itself in the appearance of ulceration, erosive surfaces, foci of hemorrhage directly in the intestine itself. May be accompanied by education, other neoplasms.
Local signs of colitis include. In this case, patients find blood in the feces almost constantly. Even outside the flare-up, blood may be present. Another important local attribute, which was already discussed above, is a violation of the chair.
This treatment is usually sufficient. However, the process is long, and the drugs have a lot side effects... Therefore, in order to avoid negative consequences therapy should be carried out under the supervision of a physician.
Ischemic colitis
Atherosclerosis is the cause of ischemic colitis.
This disease is caused by abnormal narrowing of the blood vessels responsible for the blood supply to the colon.
The disease begins with the appearance of inflammation in areas that do not receive useful material... Then ulceration begins in these places.
At the end, the intestinal lumen narrows, leading to obstruction. The main causes of ischemic colitis are - serious illness, the consequence of which is a violation of blood supply:
- atherosclerosis;
- diseases of the veins.
The listed pathologies lead to ischemic colitis after long time... Therefore, the main age group of patients is the elderly, the elderly.
It is necessary to think about the possibility of the development of ischemic colitis if, after eating (after 15 minutes), abdominal pains are felt on the left, there are blood impurities in the stool. As the disease progresses, these two symptoms will become more pronounced.
It is noted that the likelihood of the disease increases in those who took oral medications, while combining them with others.
For example, with laxatives. Due to the ingress of substances dangerous to microorganisms into the intestines, a mass destruction of the beneficial one occurs, its washing out (as is the case with laxatives).
In such conditions, Clostridium begins to actively reproduce. This is a dangerous microbe, the secretion of which adversely affects the condition of the intestinal wall. Its toxic discharge leads to the destruction of the intestinal mucosa and can even cause perforation.
The hallmark of this disease is considered to be plaques, which can be found on mucous membranes all over the place. In another way, they are called membranes, and colitis itself is called.
Depending on the severity of the patient's condition, there are 3 stages of the disease: mild, moderate, severe.
- The mild form is manifested only by diarrhea. It continues as long as antibiotics enter the body. After the end of the course, the symptoms disappear.
- Moderate severity is characterized by the continuation of the manifestation of symptoms even after the withdrawal of antibiotics. Pains before stool are added to frequent watery diarrhea. Signs of intoxication gradually increase. Feeling weak, which can develop into vomiting.
- Severe form. Symptoms typical of a moderate condition are aggravated. Heart problems appear: the pulse quickens, and the pressure can drop significantly.
In order not to bring the condition to a critical one, it is better, if diarrhea appears against the background of antibiotic treatment, to suspend their intake, to consult a doctor. This will avoid the development of the disease.
If it is necessary to continue treatment, drugs that kill Clostridia are prescribed. For example, metronidazole, vancomycin. If the situation cannot be normalized, the patient is hospitalized.
The first thing most people think about when they feel unpleasant painful sensations in the right half of the intestine is what it is. This is perhaps the most famous disease among the entire population of all surgical nosology. However, inflammation of the appendix is not the only cause of pain in the right side of the abdomen. They can also be caused by other conditions, while not always pathological. Therefore, you should not immediately panic, as well as think feverishly:
the intestine on the right hurts, what to do and how quickly. This does not apply to conditions when the pain is very severe or has become permanent.
Bowel hurts on the right: causes
In the intestine on the right, resulting from a sharp contraction of the intestine and called intestinal colic, may be the result of an inflammatory process (colitis,) or the presence of helminthic invasion. Colic can also be caused by poisoning or banal overeating. Often the cause of intestinal spasms is adhesions between the loops of the intestine, formed as a result of inflammation or after surgery. A provoking factor in this case may be errors in nutrition (heavy, spicy food, alcohol), significant physical activity or abrupt changes in body position. Brief intestinal cramps can pay off for a stressful situation.
If the pains in the intestines on the right are aching in nature, it is possible that gases have simply accumulated in this part of the intestines. However, the reason for such painful sensations may be this dangerous condition, as an obstruction of the intestine caused by a tumor, a ball of worms, a knot from the very same intestine or as a result of its volvulus. Pains of this nature are aching, long-lasting.
Against the background of constant aching pains in the right side of the intestine may be a sign of intestinal obstruction. In this case, colic is caused by increased contraction of the muscle fibers of the intestine above the blockage site.
A dull pain in the right iliac region may signal inflammation of the cecum. It can be replaced by intestinal colic and appear 5-6 hours after a meal. Prolonged standing or physical exertion can provoke a spasm or increase in pain. In this case, the pain is often accompanied by a feeling of fullness in the abdomen, rumbling, nausea and flatulence.
A symptom of acute appendicitis is pain in the intestines on the right side of the lower abdomen. It can arise in the navel and move down and to the right, it can give to the leg. In addition, the disease can manifest itself with symptoms such as nausea, fever.
The intestines on the right hurt: what to do
When intestinal colic lie down in a comfortable position. Food intake, heating pads and cold on the stomach are excluded. You can alleviate the condition by taking an antispasmodic. If the pain has not gone away within an hour, you cannot do without an ambulance.
In any case, to answer the question as accurately as possible: the intestine on the right hurts, what to do, only a doctor will be able to you. He will also prescribe the correct and suitable treatment for you. Recall that the reason for urgent medical attention is sharp, severe pain in the intestines, vomiting, heat, as well as long-term pain that does not go away.
Pain is a protective signal from our body in response to the appearance of some kind of disorder. In most cases, discomfort is anxiety and worry. Many are faced with a choice: call an ambulance or try to solve the problem yourself.
To make a diagnosis, it is extremely important for a doctor to know the severity of pain, its nature, location and duration. Pain in the intestines on the right is not a disease, but only a symptom and to eliminate it, the root cause should be identified and eliminated.
Often people do not understand why the intestines on the right hurt. Discomfort in everyone a separate case can acquire the most varied character: pulling, stabbing, cutting. This localization of pain is a symptom of diseases of the small and large intestines. Pathologies of the urinary system can become the cause of pain.
V female body this symptom may be a sign of gynecological problems.
Acute appendicitis
Appendicitis is an acute surgical pathology that requires surgery. A typical localization of pain in appendicitis is pain in the intestines on the right, but this is not always the case. Soreness may appear even on the left side, it depends on the location appendix.
It is believed that the inflammatory process provokes bacterial infection that penetrates the intestinal lumen. With good internal protection of the immune system, bacteria do not harm, the problem arises when the body's resistance has dramatically weakened.
This can happen for a number of reasons:
Emergency medical attention is required if pain in the right side is caused by acute appendicitis.
At the very beginning, the pain does not have a clear localization, so the patient cannot indicate where it hurts. Only after a few hours, the pain in the epigastric region moves downward. An attack of pain immediately acquires a cutting and stabbing character, after which it changes to pressing, bursting and burning.
Coughing, abrupt change of position, straining - all this only increases the discomfort. The pain is accompanied by nausea and vomiting. The anterior wall of the abdominal cavity is sharply tense. The general state of health also worsens, a person's temperature rises, he becomes lethargic and pale.
The pathological process is based on the exit of the insides of the abdominal cavity into the inguinal canal. Often, an inguinal hernia is diagnosed in boys under ten years of age. A number of factors can provoke the appearance of a hernia, namely:
- peculiarities anatomical structure;
- hereditary predisposition;
- trauma;
- excess weight;
- pregnancy;
- passive lifestyle or, conversely, intense physical activity;
- chronic cough;
- frequent constipation.
Pain on the right side may appear due to inguinal hernia
In the groin area, a swelling is visually visible. Depending on which part of the intestine has entered hernial sac, cramps, constipation, flatulence may appear. In the prone position, the protrusion is hidden and outwardly becomes invisible.
Dangerous complication, requiring surgery, is the entrapment of an inguinal hernia. It provokes severe pain in groin area, nausea, vomiting, stool retention. The hernia becomes dense, tense and does not reposition.
Intestinal adhesions
Adhesions are formations that lead to fusion of the serous membranes of organs. Adhesion process provoke abdominal injuries, operations, inflammation, infections, radiation therapy, heredity. Signs of a pathological process appear only over time, this is due to the fact that the process of formation of strands is quite long.
The pain in the abdomen takes on a pulling character. The discomfort increases with physical activity... Violation of the intestines leads to a feeling of fullness, bloating, constipation.
With minor functional disorders, patients are prescribed antispasmodic and analgesic drugs.
In addition, it is imperative to adhere to diet food... Fasting and overeating will only aggravate the pathological process. If the blood supply is disturbed, immediate surgery will be required. The essence of the surgical intervention is reduced to the dissection of adhesions.
Intestinal adhesions cause pulling pains
Diverticulitis
Diverticulitis is inflammation and protrusion of the intestinal wall. The causes of the pathological process are still not fully understood. Experts note that the risks of diverticulitis are increasing due to insufficient fiber intake. The disease causes bouts of severe pain and stool disturbance. The abdomen becomes sensitive to palpation.
Drug treatment includes taking antispasmodics and prokinetics. In this case, you should not use laxatives, this increases the pressure in the intestines. At acute process, accompanied by fever, antibacterial and infusion therapy is indicated.
Irritable bowel syndrome
Digestive disorders are not associated with organic damage to the intestines itself. The pain in the abdomen decreases slightly after the act of defecation. Patients are worried about flatulence, rumbling, false urge to defecate, a feeling of insufficient emptying, alternating constipation and diarrhea.
Irritable Bowel Syndrome emotional people with an unstable psyche. The following factors can serve as a catalyst for the pathological process:
- inaccuracies in nutrition;
- sedentary lifestyle;
- hormonal disorders;
- gynecological diseases;
- intestinal infections;
- dysbiosis.
All of the above reasons cause a change in the sensitivity of receptors in the intestinal wall, this provokes the appearance of changes in work. Bowel spasm increased gassing, hyperextension of the intestinal walls - all this causes pain.
Normalizing your emotional state is an important part treatment process with irritable bowel syndrome. It is best to contact both a psychologist and a gastroenterologist. The first specialist will eliminate the very cause of the disease, and the second - its manifestations.
Normalization of the emotional state is the most important part of the treatment process for irritable bowel syndrome.
Crohn's disease
Crohn's disease is an inflammatory process in the gastrointestinal tract. The disease is different chronic course... The process can involve any part of the digestive tract, from the esophagus to the rectum. The periods of remission alternate acute attacks.
The following factors contribute to the development of Crohn's disease: hereditary factor, allergic reactions, autoimmune disorders, smoking, alcoholism, taking certain medications, bad environmental situation. The disease causes severe pain, diarrhea, decreased, appetite. Ulceration of the intestinal wall provokes bleeding. Pathogenetic treatments for Crohn's disease are still in development.
Therapeutic tactics is aimed at eliminating the inflammatory process and preventing complications.
Cecum cancer
Malignant neoplasm can be caused by harmful working conditions, heredity, and nutritional errors. Cancer manifests itself in the appearance of blood and mucus in the stool, weakness and unreasonable fatigue, weight loss, and nausea. The main method of treatment is surgery.
Prevention consists of early detection and removal of precancerous diseases, quitting smoking and alcohol, and using foods high in fiber in the diet. Leading an active lifestyle is fundamental to cancer prevention.
Intestinal tuberculosis
It is chronic infection, the causative agents of which are mycobacteria. Infection of the intestine can occur by hematogenous, lymphogenous pathways, as well as by swallowing sputum in pulmonary tuberculosis. The process develops against the background of a weakening of local and general immunity.
At the first stage of the disease, pains of weak intensity occur, which do not have a clear localization. Nausea, constipation, and diarrhea may also occur. Further, the general signs of intoxication are added. Lack of adequate treatment threatens perforation and the development of peritonitis.
Treatment of intestinal tuberculosis is carried out in anti-tuberculosis dispensaries. It includes not only drug therapy but also diet. Nutrition is prescribed with a sufficient content of proteins, fats, carbohydrates, high nutritional value. Additionally, vitamin therapy is carried out.
So, pain in the right lower abdomen is a symptom of many diseases, we have considered only a few of the many reasons. Treatment is different in each case, it all depends on the underlying cause of the symptom.
In inflammatory processes, the basis of treatment is diet and anti-inflammatory therapy, but if it's all about malignant formation, then an operation is necessary. Any disease is much easier to eliminate on early stages, so do not delay the visit to a doctor and follow his recommendations in everything.
Journalist Alexander Prokhanov: biography, personal life, family
"Aibolit and the Sparrow" tale K
What is repentance in Orthodoxy
Coloring cards for March 8 kids
Read and listen to the tale of Charles Perrault