Which gut is on the right. Symptoms of acute intestinal ischemia

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Thin intestines is the part of the digestive tract that is located between the stomach and the large intestine. The main processes of digestion of food occur in it. The small intestine is divided into the following sections:

• Duodenum- the initial part of the small intestine, which follows immediately after the stomach. This name is due to the fact that its length is approximately twelve finger widths. Anatomically and functionally, it is closely associated with the digestive glands - the pancreas and the liver with the gallbladder.
• Jejunum- This is the middle part of the small intestine, located between the duodenum and ileum. Its name is due to the fact that during autopsies, doctors usually find it empty. Loops of the jejunum are located in the upper left abdomen, so pain in the intestines on the left are often associated with the pathology of this particular department.
• Ileum- this lower part of the small intestine, following after the jejunum, and in front of the blind, from which it is separated by the Bauhinian damper (ileocecal valve). The ileum, in comparison with the jejunum, has a thicker wall, a larger diameter, and is richer supplied with blood vessels. It is located in the right lower abdomen, respectively, pain in the intestines on the right can be a manifestation of diseases of the ileum.

Causes of pain in the intestines in pathologies of the small intestine

The main diseases of the small intestine that provoke the occurrence of pain in the intestines:

• enteritis;
• Crohn's disease;
• peptic ulcer of the duodenum;
• intestinal obstruction;
• intestinal dyskinesia;
• intestinal diverticula, or volvulus;
• intestinal dysbacteriosis;
• malabsorption syndrome;
• maldigestion syndrome;
• celiac disease;
• ischemia and infarction of the intestine;
• tumors of the small intestine.

Pain in the intestines with enteritis

Enteritis is an inflammation of the small intestine. By localization inflammatory process in humans, inflammation of the duodenum (duodenitis), jejunum (eunit) and ileum (ileitis) is isolated. Also, the inflammatory process in the small intestine often proceeds in a generalized manner, or in combination with gastritis and / or colitis.

Sharp pains in the intestines with acute enteritis

Acute enteritis develops with infectious diseases, food poisoning, allergic lesions etc. Manifested this pathology the following symptoms:

• sudden sharp pains;
• pain on palpation in the epigastric region;
• often vomiting and diarrhea;
• in severe cases, symptoms of general intoxication of the body, cardiovascular disorders and dehydration are observed.

The intensity of such pain is most often expressed very significantly. It should be noted that the occurrence of a pain attack is often not related to food intake. But in many cases, its appearance is provoked by stressful situations.

In chronic duodenitis, patients complain of:

• constant unsharp pain in the epigastric region, which is dull, aching in nature;
• rumbling in the intestines;
• a feeling of fullness and fullness in the upper abdomen that occurs after eating;
• nausea and sometimes vomiting;
• pain on palpation, which is determined deep in the epigastric region;
• weakness and diarrhea.

Due to malabsorption of substances in the intestine, various eating disorders and vitamin deficiencies can also develop.

Intestinal pain in Crohn's disease

Crohn's disease is quite severe special case enteritis, i.e. chronic inflammation gastrointestinal tract. Theoretically, this pathology can affect all parts of the gastrointestinal tract - from the oral cavity to the rectum. But mainly it is localized in the ileum. Crohn's disease is characterized by damage not only to the mucous membrane, but also to all layers digestive tube. In addition, it causes inflammation of the lymph nodes. abdominal cavity, as well as the formation of ulcers and scars on the intestinal wall.

The clinical picture in this pathology is very diverse, and strongly depends on the severity and duration of the course, as well as on the frequency of exacerbations.
"Intestinal symptoms" of Crohn's disease:

• abdominal pain, which often mimics acute appendicitis;
• nausea and vomiting;
• diarrhea, bloating;
• loss of appetite and weight.

General symptoms:

• increased fatigue;
• weakness;
• an increase in body temperature, often undulating in nature.

In addition, Crohn's disease can affect many other organs and systems in which the development of extraintestinal manifestations of this pathology is observed:

• stomatitis in the oral cavity;
• uveitis, keratitis and conjunctivitis in the organs of vision;
• arthritis and spondylitis in the joints;
• pyoderma gangrenosum, angiitis and nodular erythema on the skin;
• fatty degeneration and cirrhosis of the liver;
• inflammation of the excretory ducts and the formation of stones in the gallbladder;
• pyelonephritis, cystitis, amyloidosis of the kidneys in the urinary system.

Pain in the intestines - a symptom of duodenal ulcer

One of the main manifestations of duodenal ulcer is pain. Pain in this case can occur both in the epigastric and epigastric regions. In half of the patients, the pain syndrome has a slight intensity, and about a third, on the contrary, complains of a pronounced, excruciating pain, which they characterize as sucking, stabbing and cramping.

If the ulcer is located in duodenum, pain in the intestines appears no earlier than one and a half to two hours after eating. In addition, pain attacks in such patients often develop at night. They are called "hunger pains".

Often, the development of acute ischemic intestinal lesions is preceded by chronic circulatory disorders in the abdominal cavity, which are called abdominal toads, by analogy with angina pectoris in angina pectoris. Just like with angina pectoris, with abdominal toad pain occurs with an increase in functional loads on digestive system. Patients complain of cramping pains in the intestines after eating, which do not subside for several hours. This pain can cause fear of meals - patients try to eat less, or refuse to eat at all.

In chronic intestinal ischemia, patients complain of cramping abdominal pain, usually occurring half an hour to an hour after eating. The pain is localized in the epigastric region, but can spread throughout the abdomen. Pain sensations decrease, or disappear completely after taking analgesics, antispasmodics, vasodilators. At the onset of the disease, constipation is usually observed due to a decrease in the amount of food taken. Subsequently, constipation is replaced by diarrhea, which is caused by a violation of the absorption of fats.

Pain in bowel cancer and other tumor processes

Pain syndrome in cancer of the small intestine does not have a pronounced intensity. On the early stages diseases, only sometimes mild, mild abdominal pains that do not have a specific localization can occur. The symptom complex of the so-called "small signs" comes to the fore here:

• increased fatigue;
• weakness;
• loss of appetite;
• general depletion of the body.

In the future, as the tumor grows, it can overlap or squeeze the intestinal tube, which provokes symptoms of intestinal obstruction. The disintegration and necrosis of the tumor is characterized by the development of an inflammatory process in the small intestine, and the occurrence internal bleeding with the appearance of melena. Perforation of the intestine by a collapsed tumor - acute condition which is characterized by severe weakness, pallor, loss of consciousness, development of peritonitis. Such a patient should be immediately taken to a surgical hospital. Before use, you should consult with a specialist.

Pain in the bowel may be a symptom various diseases, and some of them are not related to it. In order to determine true reason pain and prescribe appropriate treatment, it is necessary to pay attention to concomitant symptoms. May be required full examination organism so that the specialist can make an accurate diagnosis.

Pain in the intestinal area

Pain in the abdomen in the intestinal region can be dull, stabbing, sharp, cramping, throbbing, aching and sharp. Sometimes it is a consequence chronic diseases gastrointestinal tract or one of the symptoms of acute inflammation of the peritoneum. Not always the cause of pain is problems with the intestines.

Often, pain in the intestines occurs after eating. The feeling of discomfort is especially manifested after fatty, smoked and salty foods, which irritate the intestinal walls. Such pain is most often dull cramping in nature, but can also be stabbing. Drinking alcohol and drinking too much coffee can also cause pain.

Various pathologies of the intestine, its colonization with helminths or stretching with gases cause pain. With colitis, pain occurs due to intestinal spasm. The appearance of adhesions, volvulus and tumors can provoke acute pain and problems with intestinal patency. Accompanying symptoms play an important role in determining pain.

Important! In order for the specialist to be able to prescribe studies and tests, it is necessary to clearly characterize the nature of the pain, additional symptoms and duration of discomfort.

If you experience pain in the intestines, you should contact the following specialists:

1. Gastroenterologist.
2. Surgeon.
3. Proctologist.
4. Gynecologist.

The gastroenterologist prescribes an endoscopic examination of the stomach and intestines. To determine the exact diagnosis, the following studies can be offered:

1. Fecal analysis.
2. Colonoscopy.
3. Abdominal ultrasound.
4. Fibrogastroduodenoscopy.
5. Blood tests, etc.

To exclude the possibility of inflammatory and infectious diseases, reproductive organs urinalysis and PCR diagnostics are prescribed. Women need an examination by a gynecologist, men - by a urologist.

Treatment of pain is to eliminate the cause that caused discomfort. In the case of infectious diseases, appoint antibacterial drugs. If the pain is due to a violation of the intestinal microflora - probiotics. With severe acute pain, antispasmodics and painkillers are prescribed.

irritable bowel syndrome

According to the Roman criteria III, IBS is diagnosed if recurrent abdominal pain or discomfort occurs for at least 3 days per month in the last 3 months, with a total duration of symptoms of at least 6 months, and:

• pain decreases after defecation;
• combined with a change in stool frequency;
• combined with a change in the consistency of the stool.

With this pathology, there is bloating, impaired stool (constipation or diarrhea) and pain. Most commonly affected by the disease emotional people with unstable mentality. Only in rare cases does it occur due to proper nutrition, after past infections and lack or excess of fiber in the diet.

Symptoms

The main signs of pathology:

1. Abdominal pain. The patient may characterize the pain as vague, burning, dull, aching, constant, dagger, twisting. Localization is predominantly in the iliac regions, more often on the left. The pain usually increases after eating, decreases after the act of defecation, gas passage, the use of antispasmodic drugs. In women, it increases during menstruation. An important distinguishing feature is the absence of pain in IBS at night.
2. Bloating. Less pronounced in the morning, increases during the day, increases after eating.
3. Chair disorder. Diarrhea usually occurs in the morning after eating. The frequency of stool fluctuates from 2 to 4 or more times in a short period of time. The urge to defecate usually occurs after every meal. Pieces of undigested food can be observed in the stool. With constipation, it is possible to release “sheep” feces, feces in the form of a “pencil”, as well as the presence of a cork-like stool (discharge of dense, shaped feces at the beginning of defecation, then mushy or even watery feces).

Against the background of IBS, nausea and vomiting, significant weight loss, dry mouth and general weakness can occur. The person can feel headache, trembling, pain in the back, in the lumbar region, muscle and joint pain. It is also characterized by sleep disturbance and depression.

Important! With a psychogenic cause of the disease, it is very important for a person to visit a psychotherapist and treat problems nervous system.

Treatment

Treatment of irritable bowel syndrome is quite long. First of all, a person needs to adhere to proper nutrition and refuse harmful products. Special preparations to restore the intestinal microflora, it must be consumed throughout the course of treatment.

In case of malfunctions of the nervous system, increased emotionality, depression and anxiety disorders it is very important to visit a psychotherapist. In some cases, it was possible to get rid of irritable bowel syndrome only after a course of sedatives, which must be prescribed by the attending physician.

Normalization of the intestinal microflora is carried out with the help of probiotics and prebiotics:

Name of the drug	Application
Linex	2 capsules in the morning, afternoon and evening. Course of treatment - 2 weeks
Laktofiltrum-Eco	3 tablets 2 times a day one hour before meals. Course - 3 weeks
Bifidumbacterin	2 sachets 3 times a day. The course of treatment depends on the severity of the disease and can be 4 weeks.
Polybacterin	12 doses are used per day. The use of the drug is recommended one hour before meals. Treatment - 10 days
Bifiform	3 capsules per day. The course of treatment - up to 3 weeks

Appendicitis

It is an inflammation of the process of the caecum. Pain is localized in the right iliac region, but first a person feels pain in the epigastric region, which gradually shifts.

Symptoms

Other symptoms of inflammation of the appendix are:

1. Vomiting.
2. Chills.
3. Defecation disorders.
4. High body temperature.

At the first sign of appendicitis, you need to seek qualified help. Otherwise, the walls of the appendix may burst, and its contents will be released into the abdominal cavity, causing serious inflammation and peritonitis - this is a direct threat to human life.

Important! Appendicitis can only be treated with surgery.

Treatment

There are several methods for removing the appendix. In case of complications, the operation is the removal of the appendix through an incision. A more modern type of treatment is laparoscopic surgery. It is performed using special optical equipment and small punctures in the abdominal cavity through which instruments are inserted.

intestinal colic

The pain comes on suddenly and is caused by intestinal spasms. It has an acute character and is accompanied by stool disorder, nausea, flatulence, mucus secretion from anus. intestinal colic may occur after stressful situations and nervous shocks.

Provoke pathology can:

1. Ulcers.
2. Gastritis.
3. Pathology of the gallbladder and liver.
4. Failure of the pancreas.

Sometimes acute pain occurs after eating too cold or hot food, food poisoning and intestinal infections. Lead to spasms of the intestine can helminthic invasion, viral and infectious diseases of the body.

Treatment of the disease is reduced to the elimination of the cause that caused the pathology. To do this, you need to visit a specialist who, depending on the symptoms, will prescribe the necessary types of tests and studies. During acute pain until the ambulance arrives, you can alleviate the condition with the help of No-shpy or Smekty.

Important! If colic occurs after a nervous shock, sedatives are recommended.

Gastritis

Pain appears both in the stomach and in the location of the intestine. Other symptoms:

1. Nausea and vomiting.
2. Paleness of the skin.
3. Heaviness and pain in the stomach.
4. Chair disorder.

Treatment of gastritis takes about 2 weeks and depends on the type of stomach acidity. For removal pain syndrome painkillers may be prescribed. It is very important to follow the diet during the entire course of treatment.

Diseases of the pelvic organs

When pathogenic microorganisms enter the body sexually, inflammatory processes of the reproductive organs occur. They can cause sharp and pulling pains in the lower abdomen. Pain can be localized on the right or left side, depending on the organs affected by the infection. Occurs when:

1. Chlamydia.
2. Gonorrhea.
3. Trichomoniasis.
4. Mycoplasma.

Some sexually transmitted infections may be asymptomatic and manifest only with pain, but in most cases there are:

1. Nonspecific discharge from the vagina or urethra.
2. Itching and burning of the genitals.
3. Frequent urge to urinate.
4. Bad smell from the genitals.

Treatment is carried out only after passing the tests and identifying the microorganisms that caused the disease. In most cases, antibacterial drugs are prescribed, the course of treatment of which is about 14 days:

1. Metronidazole.
2. Trichopolum.
3. Azithromycin.
4. Tetracycline.
5. Ofloxacin.

Poisoning

When ingested substandard products food, chemicals and a large number alcohol causes intoxication. In addition to pain in the intestines, there is a disorder of the stool, general weakness, chills. Treatment consists in taking sorbents that remove toxic substances. At severe poisoning gastric lavage and antibiotics may be required.

Peritonitis

Peritonitis, or inflammation of the peritoneum, is a serious condition that requires surgery. It develops due to many reasons (a general infectious process in the body, tuberculosis, as a complication of injuries and operations, etc.). With this disease, there is constant pain, tonic muscle tension abdominal wall, positive symptoms of peritoneal irritation.

Peritonitis is complicated by the addition of abdominal sepsis. The patient has pale skin and a dejected look. Body temperature over 38° or below 36°, heart rate 90 or more per minute, respiratory rate over 20 per minute. Intestinal obstruction may develop.

Every hour the condition of a person worsens, and in the absence of medical care, death may occur. Treatment is surgical.

Occurs due to various pathologies that make bowel movements impossible. Mechanical occurs due to blockage of the intestine foreign bodies such as helminths or undigested food. Dynamic obstruction- a consequence of intestinal spasm. In most cases, the cause of obstruction is adhesions, which in turn can provoke intestinal volvulus.

The pain is acute. It can be so strong that the patient is in a state of shock. As the disease progresses, the following symptoms are observed:

1. Bloating.
2. Heart palpitations.
3. Dry mouth.
4. Violation of bowel emptying.

In severe cases, intestinal obstruction can be fatal. Do not use laxatives or self-medicate. It is very important to visit a specialist at the first symptoms of the disease.

Important! Treatment for intestinal obstruction surgically.

Video - Bowel obstruction

Intestinal tumors

Most often, the tumor is in the blind or rectum. Cancer is caused by:

1. Wrong nutrition.
2. Frequent constipation.
3. Colitis.
4. hereditary predisposition.
5. Infectious diseases of the intestine.

Symptoms oncological diseases may not be present at the initial stage. In the future, there is a dull aching pain in the intestines. As the tumor progresses, blood may be seen in the stool. The patient loses weight, the skin becomes pale, there is no appetite. Bowel cancer has similar symptoms to other diseases and in order to make an accurate diagnosis, the doctor gives direction to:

1. Irrigoscopy.
2. Colonoscopy.
3. Biopsy.
4. Analysis of feces for occult blood.

Cancer is treated with surgery. In addition, it can be assigned radiation therapy. The prognosis of the disease depends on the size of the tumor and its location.

Pain in the intestinal area is one of the signs of a malfunction in the body. In no case should you ignore this symptom or self-medicate. In order to eliminate discomfort, it is necessary to visit a qualified specialist, undergo the necessary studies. Only then can you choose an effective treatment regimen for a particular disease.

Pain is a protective signal of our body in response to the appearance of some kind of disorder. In most cases, discomfort causes anxiety and worries. Many are faced with a choice: call an ambulance or try to solve the problem on their own.

To make a diagnosis, it is extremely important for a doctor to know the severity of pain, its nature, localization and duration. Pain in the intestines on the right is not a disease, but only a symptom, and in order to eliminate it, the root cause should be identified and eliminated.

Often people do not understand why the intestine hurts on the right. Discomfort in everyone separate case can acquire the most diverse character: pulling, stabbing, cutting. This localization pain is a symptom of diseases of the small and large intestines. The cause of pain can be pathologies of the urinary system.

AT female body this symptom may be a sign of gynecological problems.

Acute appendicitis

Appendicitis is an acute surgical pathology that requires surgical intervention. A typical localization of pain in appendicitis is pain in the intestine on the right, but this is not always the case. Soreness can appear even on the left side, it depends on the location appendix.

It is believed that the inflammatory process provokes bacterial infection that penetrates into the intestinal lumen. With good internal protection of the immune system, bacteria do not cause harm, the problem arises when the body's resistance has sharply weakened.

This can happen for a number of reasons:

If pain in the right side is caused by acute appendicitis, an emergency health care

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 down. The attack of pain immediately acquires a cutting and stabbing character, after which it is replaced by pressing, bursting and burning.

Coughing, a sudden change in 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 viscera of the abdominal cavity into the inguinal canal. Often an inguinal hernia is diagnosed in boys under the age of ten. 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, swelling is visually visible. Depending on which part of the intestine is in hernial sac, there may be cramps, constipation, flatulence. In the prone position, the protrusion is hidden and outwardly becomes invisible.

dangerous complication requiring surgical intervention is the infringement of the inguinal hernia. It causes severe pain in inguinal region, nausea, vomiting, stool retention. The hernia becomes dense, tense and does not reduce.

Intestinal adhesions

Adhesions are formations that lead to fusion of the serous membranes of organs. adhesive process provoke abdominal trauma, surgery, inflammatory processes, infections, radiation therapy, heredity. Signs of the pathological process appear only with 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. Discomfort increases with physical activity. Violation of the bowel leads to a feeling of fullness, bloating, constipation.

With minor functional disorders, patients are prescribed antispasmodic and analgesic drugs.

In addition, it is extremely important to keep diet food. Starvation and overeating will only exacerbate the pathological process. If the blood supply is interrupted, immediate surgery will be required. essence surgical intervention reduced to the dissection of adhesions.

Adhesions in the intestines cause pulling pains

Diverticulitis

Diverticulitis is an 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 increase due to insufficient fiber intake. The disease causes attacks of severe pain and impaired stool. The abdomen becomes tender on palpation.

Medical 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 elevated temperature, antibiotic and infusion therapy is indicated.

irritable bowel syndrome

Digestive disorders are not associated with an organic lesion of the intestine itself. Pain in the abdomen is slightly reduced after the act of defecation. Patients are concerned about flatulence, rumbling, false urge to defecate, a feeling of insufficient emptying, alternating constipation and diarrhea.

Emotional people with an unstable psyche suffer from irritable bowel syndrome. The following factors can serve as a catalyst for the pathological process:

• nutritional errors;
• sedentary lifestyle;
• hormonal disorders;
• gynecological diseases;
• intestinal infections;
• dysbacteriosis.

All of the above reasons cause a change in the sensitivity of receptors in the intestinal wall, and this provokes the appearance of changes in work. intestinal spasm, increased gas formation, overstretching of the intestinal walls - all this causes soreness.

Normalization of the emotional state is an important part medical 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 of the gastrointestinal tract. The disease is different chronic course. Any part of the digestive tract, from the esophagus to the rectum, can be involved in the process. Remission periods change acute attacks.

The following factors contribute to the development of Crohn's disease: hereditary factor, allergic reactions, autoimmune disorders, smoking, alcoholism, taking certain drugs, poor environmental situation. Illness causes severe pain, diarrhea, decreased appetite. Ulceration of the intestinal wall provokes bleeding. Pathogenetic treatment of Crohn's disease is still in development.

Medical tactics aimed at eliminating the inflammatory process and preventing complications.

Cancer of the caecum

malignant neoplasm can cause harmful working conditions, heredity, errors in nutrition. Cancer is expressed in the form of blood and mucus in the stool, weakness and unreasonable fatigue, weight loss, nausea. The main method of treatment is surgery.

Prevention consists in early detection and removal of precancerous diseases, quitting smoking and alcohol, using high-fiber foods in the diet. Doing active image of life is the cornerstone of cancer prevention.

Tuberculosis of the intestine

It's chronic infection, which are caused by mycobacteria. Intestinal infection can occur by the hematogenous, lymphogenous route, as well as by swallowing sputum with 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 low intensity occur, which do not have a clear localization. Nausea, constipation, and diarrhea may also occur. Next join common signs intoxication. The lack of adequate treatment threatens with 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. A diet with a sufficient content of proteins, fats, carbohydrates, high nutritional value is prescribed. Additionally, vitamin therapy is carried out.

So, pain in the right lower abdomen is a symptom of many diseases, we have considered only some of the many causes. The treatment in each case is different, it all depends on the underlying cause that caused the symptom.

In inflammatory processes, the basis of treatment is diet and anti-inflammatory therapy, but if it's all about malignancy, then surgery is necessary. Any disease is much easier to eliminate in the early stages, so do not delay contacting a doctor and follow his recommendations in everything.

Weight loss is a sign of colon pathology.

Pain in the pathology of the colon has a peculiar localization. Often they are felt on the side of the abdomen and near the anus.

Less common discomfort in the epigastric region, as well as above.

Even in the absence of pain, there will be pain on palpation of the zone in the iliac region on the right and left.

They become more intense if a person drank milk, ate a lot of vegetables or coarse cereals. The main character of the pain is aching, accompanied by a feeling of fullness.

If the intestines are freed from feces, the pain subsides. However, immediately before the act of defecation, the pain may become stronger. Sometimes they are of a convulsive nature.

1. weight loss;
2. metabolic disease;
3. hypovitaminosis.

However, signs of general malaise are also present. Patients quickly get tired, feel weakness, irritability, tearfulness, their sleep is disturbed. In general, there are signs of intoxication, which is often provoked.

Ulcerative colitis starts in the rectum.

Among the diseases of the colon, perhaps the only pathology leading to a sharp weight loss.

Ulcerative colitis develops inflammation of the mucous membrane. Most often affected, here the disease originates.

And only then, in the absence of adequate treatment, it quickly spreads further through the large intestine. The disease is chronic, with exacerbations occurring quite often.

Analyzing the causes ulcerative colitis, the researchers concluded that the participation hereditary factor. 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 hemorrhages directly in the intestine itself. May be accompanied by the formation of other neoplasms.

Local signs of manifestations of colitis include. In this case, patients find blood in the stool almost constantly. Even without an exacerbation, blood may be present. Another important local sign, which has already been discussed above, is a violation of the chair.

As a rule, such treatment is sufficient. However, the process is lengthy, and drugs have many 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 a pathological narrowing of the vessels responsible for the blood supply to the colon.

The disease begins with the appearance of inflammation in areas that receive less 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 the blood supply:

• atherosclerosis;
• vein diseases.

These pathologies lead to ischemic colitis after long time. Therefore, the main age group patients - the elderly, the elderly.

It is necessary to think about the possibility of developing ischemic colitis if after eating (after 15 minutes) pains are felt in the abdomen on the left, there are blood impurities in the stool. As the disease progresses, these two symptoms will become more pronounced.

It was noted that the likelihood of the disease is increased in those who took drugs orally, while combining them with others.

For example, with laxatives. Due to the ingestion of substances dangerous to microorganisms, mass destruction of the useful occurs, it is washed out (as is the case with laxatives).

Under such conditions, Clostridium begins to multiply actively. This is a dangerous microbe, the secretions of which adversely affect the condition of the intestinal wall. Its toxic secretions lead to the destruction of the intestinal mucosa and can even cause perforation.

The hallmark of this disease is considered to be plaques that can be found on the mucosa everywhere. They are called membranes in a different way, and colitis itself is called.

Depending on the severity of the patient's condition, 3 stages of the disease are distinguished: mild, moderate, severe.

1. 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.
2. Moderate severity is characterized by the continuation of the manifestation of symptoms even after the abolition of antibiotics. Pain before defecation is added to frequent watery diarrhea. Gradually, signs of intoxication increase. There is a feeling of weakness, which can develop into vomiting.
3. Severe form. Signs characteristic of a state of moderate severity are aggravated. There are problems with the heart: the pulse quickens, and the pressure can drop significantly.

In order not to bring the condition to a critical one, it is better to stop taking them when diarrhea occurs during antibiotic treatment, consult a doctor. This will prevent 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.

If the intestine hurts on the right, this may indicate a mass of diseases, but sometimes non-pathological reasons lie in this. Most often, such pains are associated with the well-known inflammation of the appendix (), although this is not the only pathology that can make itself felt in this way. If the pain bothers you often, or the pain lasts more than an hour, you should consult a doctor, as, most likely, immediate treatment is necessary.

Possible causes of intestinal pain on the right

The causes of abdominal pain on the right can be divided into pathological and non-pathological. The latter include overeating, food poisoning, diet violations or intense exercise after abdominal surgery. In addition, short-term pain is sometimes manifested due to a strong psycho-emotional load, such as stress. Aching pains on the lower right may appear due to excessive gas formation.

Painful sensations on the right in the abdominal cavity do not always occur in the intestines. The danger is that they are often hard to tell apart. To pathological reasons Pain on the right in the intestines include the following diseases:

• the occurrence of neoplasms;
• Crohn's disease;
• colitis (including ischemic);
• dyskinesia;
• diverticulum;
• inflammation of the appendix;
• tuberculosis;
• dysbacteriosis;
• irritable bowel syndrome;
• nonspecific ulcerative colitis;
• infectious bowel diseases, etc.

Appendicitis or inflammation of the appendix is ​​one of the most common bowel diseases that is localized in the right side, often in the hypochondrium. The treatment of pathology is often surgical, so you should consult a doctor at the first manifestations of the pain syndrome. This will only help conservative methods treatment. Painful sensations are often confused with pain in the stomach. Pain can disturb not only on the right, but also in the navel, in the hypochondrium. characteristic feature is that the pain can shoot into the leg. Abdominal pains are changeable, usually they are not very intense. Over time, pain may radiate down the abdominal cavity, and become stronger. Patients note that when moving, the discomfort increases. Perhaps an increase in temperature, nausea and vomiting.

Colon inflammation

Colitis is an inflammatory process in the large intestine that occurs due to infection. Painful sensations are localized to the right of the navel, sometimes in the hypochondrium. Pathology affects not only colon, it can also be extended to small intestine, as evidenced by pain in the right side of the abdomen. The disease also manifests itself:

• elevated temperature;
• bloating;
• frequent bowel movements;
• vomiting;
• general weakness;
• headaches;
• the presence of mucus and blood in the stool.

A disease that is characterized by the development of an inflammatory process in the intestine, which occurs due to obstruction of the vessels that are located there. The disease is accompanied by cramping pains in the abdominal cavity, which sometimes appear not only on the right side. Pathology is dangerous. Lack of treatment can lead to irreversible consequences.

Pain in the intestines on the right may appear due to Crohn's disease - chronic inflammation intestines, which extends to the vessels and lymph nodes. Ulcers and scars form on the walls of the intestines. Pathology can affect other organs and systems. The patient also complains about:

• weakness;
• lack of desire to eat;
• jumps in body temperature;
• weight loss;
• diarrhea;
• bloating, etc.

IBS (irritable bowel syndrome)

Irritable bowel syndrome is a functional disorder of the organ, when it hurts to the right of the navel or in the lower abdominal cavity, but no physiological sign of the disease was found. Painful sensations are aching in nature. The cause of the disease often lies in the psycho-emotional state of the patient. TFR can also manifest itself:

• flatulence;
• mucus in feces;
• violation of the chair;
• feeling that the bowels have not emptied after a bowel movement;
• general weakness;
• a slight increase in temperature;
• headaches;
• aching muscles, etc.

Neoplasms

The appearance of neoplasms is often accompanied by discomfort and pain in the abdomen. The most common tumors are polyps and cancer. Pain in the intestines on the right side is not strong, they can also appear in other parts of the abdominal cavity (on the left, in the navel, in the hypochondrium, etc.). If the neoplasm is small, the symptoms are often completely absent. When the tumor grows, it compresses or blocks the passage in the organ. As a result, intestinal obstruction is formed.

Tuberculosis

Bloating and heaviness in the abdomen can be a symptom of tuberculosis.

Tuberculosis most often begins in the caecum. Symptoms of the disease practically do not differ from other intestinal pathologies:

Diverticulitis is a bulging of the intestinal wall. Initially, the pathology is not accompanied by any signs. Symptoms appear when complications of the disease develop. In this case, the patient is concerned about acute pain to the right of the navel, as well as:

• temperature rises;
• diarrhea appears with impurities of blood and mucous fluids.