At least once in a lifetime, but every person is faced with the fact that begins to prick under the ribs. Unpleasant sensations often go away on their own, only a small part of patients turn to the hospital for help.
If it pricks on the right under the ribs for a long time, this may signal the development of some kind of pathology. Below we will consider which organs can provoke an unpleasant condition and what to do.
If it stabs in the right hypochondrium, the reasons can be varied.
If it stabs under the right rib in front, it may be due to bowel disease. The location of pain can change, often it affects the entire abdomen. In addition, there is bloating, upset stools, and impurities in the feces.
Right back pain
What may be associated with discomfort arising on the right under the ribs, but located closer to the surface of the body?
Most often, the reasons lie in the pathological processes developing in the kidneys:
- What pricks under the right rib? It is possible that chronic cholecystitis develops. The disease becomes the cause of the appearance of aching pain, which, in turn, gives to the lumbar region. In addition, there will be bitterness in the mouth, appetite will disappear.
- Stones in the kidneys... As the stones advance, the receptors in the ureter and pelvis will begin to irritate. The pain can be not only from the side, but also from the back. Discomfort radiates to the thigh area and groin. Blood clots may be present in urine or vomit.
- Pyelonephritis can lead to tingling... This is an inflammatory process in the kidneys that causes a tingling sensation under the ribs on the right. The disease is always accompanied by other symptoms: elevated temperature body, frequent and false urge to urinate, swelling of the face.
If it pricks on the right under the ribs, it can be seen a little higher. The nature of the sensations directly depends on what provoked them.
How to distinguish colic?
When, when inhaling, it pricks in the right side, or sensations appear in calm state, it is difficult to determine what they are associated with. And yet it is possible.
The nature of the pain can be:
- Intestinal. The pain is paroxysmal. If you put pressure on your stomach, the discomfort will become less pronounced. Accompanying symptoms are bloating, nausea, and vomiting.
- Renal. The pain in the lumbar region, under the ribs, is severe. In order to recognize it, you should pay attention to following symptoms- difficulties during bowel movements, problems with urination, increased gas production.
- Hepatic. Most often begins to disturb after lunch. This is pain under the ribs on the right, can spread to the entire abdomen, as well as to the area of the shoulder blades. In addition, there is dry mouth, increased sweating, fever and even vomiting.
All this is unpleasant and dangerous in its own way, which is why, after the appearance of unpleasant sensations, you should go to the hospital, because only a doctor can identify true reason discomfort.
Other causes of pain
In addition to the reasons listed above, other factors can provoke colic on the right under the ribs. So, for example, with intercostal neuralgia, a feeling of numbness and heaviness appears. There is a tingling sensation in the back.
Pain after exercise
Surely everyone has come across the fact that it pricks in the right side when running. Moreover, unpleasant sensations can occur after performing any other physical activity.
But why does the side prick when you run?
The gallbladder ducts begin to stretch with bile, since the walls are relaxed under load. As a result, a person begins to feel a tingling sensation, and in some cases, even severe pain.
Interesting! If a person has eaten before physical exertion, then the pain will bother you for sure. The liver is already working actively, and the additional load brings even more harm.
Pain during pregnancy
If stabs in the right rib in women, it is possible that this is due to a change in hormonal background... So, for example, on some days menstrual cycle pricks the lower left side. Sensations may also be present on the right, it depends on which side the follicle has ruptured.
One more frequent question, which doctors hear - why does the right side prick during pregnancy? These tingling sensations are also associated with hormonal changes. Thanks to progesterone, the bile duct is relaxed, congestion begins to form. The uterus grows, pressure is exerted on the liver and gallbladder, the woman feels pain.
If the liver suddenly pricks during pregnancy, you need to visit a doctor as soon as possible, because the disease can threaten the lives of two people.
Which doctor should I go to?
Diseases in which it stabs on the right under the ribs can be treated by specialists in various fields: surgeons, hepatologists, cardiologists, neuropathologists, etc. In order not to guess which doctor to go to, you should first visit a therapist.
This is a generalist specialist, according to a preliminary examination, the doctor can make a presumptive diagnosis. If necessary, the specialist will send you to additional examination to doctors in other areas.
In order for the diagnosis to be made accurately, it may be necessary to carry out instrumental and laboratory studies:
- blood test, general and biochemical;
- testing for viral hepatitis;
- Ultrasound diagnostics;
- X-ray;
- ECG and stuff.
If there is a tingling sensation in the right hypochondrium, after a while it does not go away, but the strength only grows, it is necessary to cause ambulance... It is possible that the disease requires an urgent surgical intervention.
What to do at home?
The tingling sensation that occurs mainly after eating requires you to be more attentive to food. Watch your body, maybe this way it will be possible to find out what exactly the body reacts to in this way. Sometimes it is enough to stick to a diet for a while and everything goes away.
Important! If you experience acute pain, you should not take pain medication until your doctor arrives. Clinical picture will be erased and the doctor will not be able to correctly interpret the symptoms.
It is forbidden to use heating pads and other hot compresses for treatment. With inflammation, heat cannot help; on the contrary, pathological changes will begin to develop faster. Only those patients who already know their diagnosis are allowed to take painkillers or antispasmodics.
You should not constantly think about why it pricks in the right god when running. It is better if you consult your doctor about this.
In the future, as soon as a tingling sensation appears during physical exertion, you should stop and lean forward slightly. After a few minutes, the discomfort should disappear.
Pain associated with pinching or inflammation can be treated at home. Patients are prescribed anti-inflammatory drugs, they can be used both externally and internally. It is useful to engage in physiotherapy exercises, but only the one that was recommended by the doctor.
It is impossible to diagnose on your own and even more so to start correct treatment... If pain or other discomfort occurs, it is recommended to visit the hospital, because this is the only way to preserve your health and protect yourself from complications.
Frequently asked questions to the doctor
Colic in the liver
If the liver hurts, the reasons and what to do in this case?
The first thing to do when colic occurs is to call an ambulance. Most often, hospitalization is required, because full diagnostics at home is impossible. To relieve pain, patients are injected intravenously with No-shpa, Atropine and other drugs.
Inhalation pain
Why does it prick when inhaling on the right under the ribs?
This may be due to subphrenic abscess... During sudden movements, the pain begins to intensify. They give discomfort under the scapula, in the area of the collarbone. The reasons for the development of such an abscess may lie in surgical intervention.
Another reason for the occurrence of pathology is trauma internal organs... In rare cases, an abscess is a consequence of peritonitis.
The main cause of pain in the right hypochondrium is diseases of the liver, gallbladder and biliary tract. In this article, we will consider the causes of acute stitching pains in the right hypochondrium and methods of first aid.Sharp stitching pains in the right hypochondrium are usually called biliary (hepatic) colic. Biliary colic- a sudden attack of intense pain in the right hypochondrium caused by a blockage or spasm of the bile ducts. Usually, such pains are caused by a stone from the gallbladder entering the bile ducts. However, there are a number of reasons that can cause such pain... In this article, we will consider the most common reasons.
Anatomy of the gallbladder and bile ducts
Biliary tract
The length of the biliary system in an adult exceeds 2 thousand meters. Bile begins to collect in the liver in the intercellular bile ducts, through which it enters the bile ducts (lobular, segmental). Later, when leaving the liver, the right left bile ducts (up to 2 cm long) are formed, which subsequently merge into one general hepatic duct
(length 3 cm). Further, the common hepatic duct connects with the gallbladder duct (length 1-3 cm, diameter 2-3 mm), and form general bile duct
(length from 4 to 12 cm, average diameter 5-6 cm). This duct ultimately removes bile into the duodenum. At the confluence of the common bile duct into the intestine, the pancreatic duct joins it. Before flowing into the duodenum, the common bile duct narrows. And it is here that the blockage of the duct with a stone, mucous plugs, and bile clots often occurs. Gall bladder
The gallbladder is a pear-shaped reservoir for the accumulation and storage of bile. It is located in right lobe liver in a special bed. Normally holds up to 70 ml of bile. The length is 7 cm, the width is 3 cm. The basis of the bladder is made up of muscle fibers running in the longitudinal and circular directions. Allocate the bottom, body, funnel and neck of the gallbladder. The movement of bile is regulated by special muscle sphincters, which carry out a unidirectional movement of bile towards the duodenum. However, sometimes a spasm of the sphincter (more often the sphincter of Oddi), becomes the cause of hepatic colic.
The innervation of the bile tract, pancreas and duodenum 12 has a common origin, which determines their close relationship and explains the similarity of symptoms.
Projection of the gallbladder onto the anterior abdominal wall
Knowing the location of the gallbladder will help navigate the diagnosis of the disease. Since it is in this place that the maximum pain sensitivity will appear. The gallbladder area is the intersection of the right costal arch and the outer edge of the rectus abdominis muscle.
Causes of hepatic colic
Diseases that can be acute an attack of pain in the right hypochondrium:
- Cholelithiasis
- Dysfunction of the sphincter of Oddi
- Functional dysfunction of the gallbladder
- Acute acalculous cholecystitis
- Exacerbation of chronic acalculous chelecystitis
- Choledocholithiasis (stones in the common bile duct)
- Acute cholangitis
- Crohn's disease (terminal ileitis)
- Colitis (inflammation of the large intestine)
Mechanisms of the occurrence of hepatic colic
The mechanism by which colic occurs is complex and has not been fully understood to date. Although the main points of pain are clear. In most cases, an attack of colic is associated with a violation of the outflow of bile from the gallbladder. In turn, a violation of the outflow of bile can cause the following reasons: - Cystic duct spasm
- Blockage of the bile duct with a stone or lump of mucus
- Violation of the discharge of bile by common bile duct:
- Spasm of the sphincter of Oddi;
- Blockage of the sphincter of Oddi with a stone or a lump of mucus;
- Passage of a stone through the common bile duct.
- The area accompanied by moderate pain is the funnel, the neck and the part of the gallbladder body adjacent to the neck.
- The area of sharp soreness is the bile ducts.
Hepatic colic symptoms
The main symptom of biliary colic is - pain.Characteristics of pain in biliary colic due to the ingress of a stone into the bile ducts:
 | Cause | Onset and duration | The nature of the pain | Where does it hurt? | Associated symptoms | |
| Pain with biliary colic | The ingress of a stone, mucus into the bile ducts | A sudden onset can last for hours. Usually the intensity of pain increases within 15-60 minutes, then it is almost constant for 1-6 hours. Then there is a gradual abatement of pain. But a sudden cessation of pain is also possible. An attack lasting more than 6 hours may indicate development acute cholecystitis(inflammation of the gallbladder). | Acute, paroxysmal character | Right hypochondrium, below the sternum (in the epigastrium). The pain can be given to the right shoulder blade and back. In some cases, pain can occur in the region of the heart, resembling an attack of angina pectoris. | Nausea, vomiting, not relieving. Temperature rise, chills are not observed. The pulse can be speeded up, the pressure practically does not change. With prolonged colic, mucous membranes and skin may acquire a yellowish tint. May appear itchy skin... The feces turn white. The urine takes on the color of beer. |
|
| The patient feels quite well between colic attacks. In 30% of cases, the patient does not have a second attack. |
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The mechanism of pain
When a stone enters the duct, its reflex spasm occurs, which sharply disrupts the blood supply to this area. A blocked duct leads to a violation of the outflow of bile and causes stretching of the overlying sections of the duct, increases physical activity duct, all this becomes the cause of severe pain.
Pain with functional dysfunction of the gallbladder
Reasons for violation:
- Psychoemotional stress
- Diet error
- Smoking
Mechanism
The pain is associated with the contraction of the muscle layer of the gallbladder. The spasm is caused by a problem with the emptying or filling of the gallbladder with bile.
Common Symptoms: irritability. sweating headache, heartbeat, increased fatigue, sleep disturbance. The temperature is not elevated. Pain in the projection area of the gallbladder.
Pain resulting from spasm of the bile duct or sphincter of Oddi
Very often the cause of biliary colic is a spasm of the bile ducts or the sphincter of Oddi. In case of dysfunction of the sphincter of Oddi, there is a violation of the outflow of bile and pancreatic juice in the area of junction of the bile duct with the pancreatic one. Most often, spasm of the sphincter occurs, usually against the background of psycho-emotional experiences, stress, during physical exertion, inappropriate nutrition (overeating, starvation, eating spicy, fatty fried foods, drinking alcohol). Spasm leads to a violation of the outflow of bile and pancreatic juice, which is accompanied by pain and indigestion.
Pain in the right hypochondrium or in the area below the sternum, may radiate to the back, right scapula, or occur in the left hypochondrium. Sometimes the pain is girdle, more often such pain is associated with food intake, accompanied by nausea, vomiting.
The main symptoms of dysfunction of the sphincter of Oddi are considered to be repeated attacks of severe or moderate pain lasting more than 20 minutes, occurring for 3 consecutive months.
Pain in acute acalculous cholecystitis
Acute acalculous cholecystitis is an acute inflammation of the gallbladder wall.
Causes:
The obstructed outflow of bile from the gallbladder contributes to the addition of infection and the development of an acute inflammatory process.
Symptoms:
More common in men. The onset is sudden. In the form of typical pains of biliary colic. Then the pain becomes permanent. Pain occurs more often in the right hypochondrium, less often above the navel and in the right abdomen. The body temperature rises to 37.2 C and above. The abdominal muscles in the right hypochondrium are tense. When tapping the edge of the palm along the right costal arch and the patient, the pain increases sharply. V general analysis blood, the number of leukocytes and ESR increases.
Acute cholecystitis requires urgent hospitalization in the surgical department, solving the problem conservatively (using antibiotics) or surgical removal of the gallbladder.
Pain in acute cholangitis
Acute cholangitis - inflammation of the bile ducts.
Reasons: violation of the outflow of bile contributes to the addition of infection (E. Coli in 50-60% of cases), which leads to inflammation of the bile ducts. Violation of the outflow of bile is often associated with the ingress of a stone into the bile duct.
Symptoms:
A triad of symptoms is characteristic: 1) pain in the right hypochondrium, 2) jaundice 3) fever with chills. In addition, it is possible: confusion, a decrease in blood pressure. The feces are discolored, the urine is dark.
Acute cholangitis requires urgent hospitalization and treatment in the surgical department.
Hepatic colic treatment. Urgent care.
Do I need to call an ambulance?
Symptoms of danger and compulsory hospitalization for hepatic colic:- Increase in body temperature 37 C and above, chills;
- The appearance of yellowness of the mucous membranes and skin;
- The appearance of diffuse pain throughout the abdomen;
- Confusion of consciousness;
- A sharp drop in blood pressure.
Hospitalization of patients with hepatic colic is performed in the surgical department. Where is the further tactics of treating the patient being decided? There are 2 main ways to solve the problem. The first is conservative treatment(use of antispasmodics and analgesics, if necessary antibiotics). The second is emergency surgery (removal of a stone and / or gallbladder).
How to relieve hepatic colic?
What you can do yourself before the ambulance arrives. The main medicines used to treat hepatic colic are antispasmodics (drugs that relieve smooth muscle spasms). The route of administration and the dose of the drug depends on the intensity pain syndrome and the possible cause of pain in the right hypochondrium. With pain of moderate intensity, it may be effective application medicines inside (duspatalin, no-shpa forte). If ineffective, you can increase the dose or add another drug. Nitroglycerin has a good antispasmodic effect, especially on the smooth muscles of the bile ducts and gallbladder (under the tongue 1 or ½ tab, 0.5 mg each). For severe pain, intravenous or intramuscular injection medicines (drotaverine, platifillin, papaverine). Combined preparations are also used (Bral, Spazgan, etc.), which contain an antispasmodic and analgesic substance. In case of unbearable pain, strong analgesics (ketorolac, tramadol, etc.) are used in addition to antispasmodics.
| A drug | Characteristics, mechanism of action | Method of application, dosage | Contraindications and side effects |
| Duspatalin (mebeverine) | The antispasmodic effect is higher than that of other known drugs. 30 times higher than the effect of platyphylline. Mechanism of action: has a direct relaxing effect on the smooth muscles of the gastrointestinal tract. Does not interfere with normal intestinal motility and does not reduce blood pressure. | Inside 200 - 400mg. 1-2 capsules. | The drug is practically not absorbed into the general bloodstream. Side effects rare. It can be used in pregnant women and during breastfeeding. |
| Buscopan (hiscine butyl bromide) | Relaxes the smooth muscles of the internal organs, reduces the secretion of the digestive glands. | Inside 1-2 tablets. Rectally 1-2 candles. | Contraindications: angle-closure glaucoma, myasthenia gravis, pulmonary edema. Side effects: dry mouth, drowsiness, tachycardia, urinary retention is possible. |
| Drotaverin (No-shpa, No-shpa forte) | It has a pronounced relaxing effect on the smooth muscles of internal organs and blood vessels, lowers blood pressure. | Inside 1-2 tablets (No-shpa 80 mg). Intravenously or intramuscularly 2% 2-4 ml. | Contraindications: hypersensitivity to the drug, glaucoma. Side effects: dizziness, fever, decreased blood pressure, palpitations. |
| Papaverine | Relaxes and reduces the tone of smooth muscles of internal organs and blood vessels. | Intramuscularly 1-2 ml of a 2% solution. Inside 40-60 mg. (1-2 tabs). The maximum single dose is up to 200 mg. | Glaucoma, severe liver failure, AV block. |
| Odeston (gimecromon) | The drug has a selective, relaxing effect on the sphincter of Oddi and the sphincter of the gallbladder. Therefore, the drug is especially effective for pain caused by spasm of the sphincter of Oddi and the gallbladder. | It is applied orally at 200-400 mg (up to 800 mg). 1-2 tablets per dose. Up to 4 tablets at a time. | Pregnancy breastfeeding. Renal or hepatic impairment. Obstruction of the biliary tract caused by blockage by a stone or pressure from a tumor. |
| Took, Spazgan | Combined antispasmodic and analgesic agent. It is used for pain of weak and strong intensity. | Inside table 1-2. Intramuscularly, intravenously 5 ml. | Contraindications: tachyarrhythmia, severe liver and kidney disorders, glaucoma, intestinal obstruction, low blood pressure. Pregnancy, lactation. |
| Ketorolac | Non-narcotic analgesic. Has a pronounced analgesic effect. | Intramuscularly or intravenously 15-30 mg, 1-2 ml. Inside 10 mg. | Severe renal impairment, pregnancy, breastfeeding. |
| Tramadol | Narcotic analgesic. Has a pronounced analgesic effect. | Intravenous, intramuscular, 50-100 mg. Tablets 100 mg. | Pregnancy, breastfeeding, severe renal and hepatic failure, a condition accompanied by severe respiratory depression. |
What if there is no medicine at hand?
In that case, when there are pains in the right hypochondrium of weak or strong intensity, and there is no necessary medication at hand. You can use the old Slavic technique of belly massage (on the present stage- viscral therapy, Ogulov A.T.). However, if you have pain in the background temperature, it is better not to do such manipulations. This technique is more suitable for cases of pain resulting from spasm of the gallbladder, bile ducts and sphincters. The essence of massage consists in the fact that with the help of mechanical pressure on a muscle or on a muscular organ, its reflex relaxation occurs. So by pressing on the area of the bile ducts and the area of the gallbladder, it is possible to relieve their spasm and thereby get rid of the pain.Execution technique:
Pressing should be done until pain appears, which is comfortable to bear, you should not press to such an extent that the pain is unbearable, everything should be comfortable. After pressing and the appearance of "comfortable" pain, you should hold the pressure until the pain disappears. This usually happens after 1-2 minutes. Then the pressure is deepened until the following pain sensations appear. And so on until the spasm and pain completely disappear. If this type of manipulation does not help, it is better not to overdo it and wait for qualified medical care.
Pressure area:
- First, pressure is made in the area of the 12-fold, This allows you to relax the sphincter of Oddi and the bile ducts. Projection on abdominal wall belly about 2cm below xiphoid process sternum.
- After it is pressed in the pancreas (left hypochondrium).
- The area of the gallbladder, the intersection of the right costal arch and the outer edge of the rectus abdominis muscle.
Prevention of hepatic colic
- Prevention of the formation of stones in the gallbladder, their timely identification, removal and removal.
- Diet (especially indicated for dysfunctions of the gallbladder and bile ducts):
- Exclude: alcohol, carbonated drinks, fatty, fried, smoked foods. Limit the use of egg yolks, strong coffee and tea, creams, muffins, nuts.
- Shown are products containing magnesium, which reduces the tone of smooth muscles (buckwheat, cereals, millet, wheat bran). Eating small amounts of food 5-6 times a day. Avoid overeating.
- Avoid psycho-emotional stress and heavy physical exertion with overwork of the body.
- To lead healthy image life (moderate physical activity, healthy eating, active rest, peace of mind and harmony).
Many people in their lives have experienced colic in the right side... This is not surprising, because the abdominal cavity contains a large number of organs, and malfunctions in at least one of them can cause severe pain. Why colic occurs and how to get rid of it?
Causes and localization of pain
In the right side of the abdominal cavity are the liver, appendix, digestive, urinary and genital organs. Most often, a stabbing pain in the right side occurs as a result of inflammation or disease of these organs. However, other processes can also cause discomfort. Let's consider each type of colic in more detail.
- Intestinal... It is felt in the lower right abdomen and indicates a disease of the digestive tract. In most cases, the cause of pain is:
- Inflammation of the appendix
- Eating too much fatty foods
- Intoxication
- Poisoning
- Scars and adhesions in the abdominal cavity, their inflammation
- Renal... If, it means that the problem is in the kidneys or ureters. The cause may be impaired urine flow, prolapse of the kidney, blockage of the ureter, inflammation of the kidneys, or a tumor.
- Hepatic... If it stings, this indicates the presence of an acute or chronic illness liver and bile problems. This can be a violation of the biliary tract, cholecystitis, hepatitis and other pathologies.
- Colic associated with female diseases ... These include inflammation, rupture, and swelling of the ovary. Discomfort occurs in the lower abdomen and often turns into an acute phase.
These are the main causes of colic. Pain in the right side may also be due to internal bleeding, pleural inflammation, infringement inguinal hernia and other rare pathologies. Quite often, severe pain is observed in women before menstruation.
Colic symptoms
Colic in the right side of the abdominal cavity appears suddenly and is often acute. Depending on the cause of their occurrence, there are different symptoms.
Intestinal colic
It is characterized by sharp seizures that disappear with pressure on the peritoneum. As a rule, it stabs in the lower abdomen on the right and sometimes pain is felt in its entire lower part.
In this case, the ailment is accompanied by the following symptoms:
- Vomit
- Nausea
- Excessive gassing
- Bloating and distension of the abdomen.
Renal colic
It is considered the most powerful and unpleasant. Painful sensations and give to the lower abdomen, genitals, navel, groin, hypochondrium.
The most typical symptoms are:
- Constipation
- Vomiting along with acute pain
- Bloating
- Painful and frequent urination
Hepatic colic
It differs in that it pricks on the right under the ribs, radiates to the shoulder and then covers the entire abdomen.
Seizures often occur in the afternoon and are accompanied by:
- Rising temperature
- Bloating
- Vomiting
- Dry mouth
- Increased sweating
Premenstrual Syndrome and Female Diseases
The onset of pain before menstruation is a common condition for many women. At the same time, they may indicate the presence of a disease. For example, It's a dull pain the lower abdomen is often the cause of inflammation, cysts or rupture of the ovary. In this case, the following symptoms are characteristic:
- Nausea
- Loss of consciousness
- Temperature increase
The occurrence of pain in the abdomen is always a great danger. Therefore, if it stabs in the right side, be sure to see a doctor. Do not delay the visit to the hospital, as any pathology can lead to irreversible consequences.
Colic treatment
Treatment for colic in the right side is aimed at eliminating the disease and relieving pain. Only an experienced specialist can establish the cause of the pathology. However, regardless of which organ is affected, if the right side pricks, it is necessary to take antispasmodic drugs. As a rule, to relieve an attack, doctors prescribe nitroglycerine(one tablet under the tongue, 3 drops per lump of sugar) or no-shpa(2 tablets up to three times a day). In any case, you should consult your doctor before taking these drugs.
Depending on the type of colic and the reason for which it is caused, appropriate treatment is prescribed.
- Renal... In case of an acute attack, the patient is hospitalized and, if necessary, operated on. Such a development of events is possible if the patient is found to have large stones that close the ureter. Small pebbles can move away on their own if a person accepts horizontal position... To relieve stabbing pains in the lower abdomen on the right, the patient is advised to keep a heating pad on the lower back and take a warm bath.
- Hepatic... Most often, acute attacks in the upper abdomen indicate the presence of stones in the gallbladder. In this case, a decision is made on surgical intervention, which today can be performed without an incision. The patient is prescribed a strict diet with the complete exclusion of sweets, spicy and fatty foods.
- Intestinal... Treatment depends on the type of disease and its course. The patient is prescribed an enema (warm infusion of mint and lemon balm) and a strict diet with the exclusion of fatty, spicy and hard foods. From medicines it is recommended:
- Nitroglycerine
- No-shpa
- Dry extract of belladonna (1-2 tablets)
- Valerian
- Motherwort
- Tea with caraway seeds and yarrow
Often, pain in the intestines and occur due to overeating. Then it is enough to adhere to the diet and take anesthetic. 6-12 hours after the attack, it is allowed to eat only stale bread and unsweetened tea.
Often, the right side in the lower abdomen stabs so sharply that only a strong pain reliever can cope with the pain. In this case, the patient should be urgently hospitalized. Also, do not forget that colic can turn into serious consequences, therefore, without knowing the exact diagnosis, do not resort to folk methods treatment.
Colic in the right side is quite common. If they are not associated with food intake, then the reason lies in inflammation or disease of the internal organs. With cutting pain in the lower right side, appendicitis is usually diagnosed. Acute pain on the right under the ribs can be the cause of liver disease. In any case, colic in the side does not bode well, so if they occur, you should consult a doctor. The earlier you visit the hospital, the more effective and efficient the treatment will be.
When it stabs in the right side under the rib, people usually think that this is how the liver makes itself felt. In fact, diseases of other organs are more often manifested by a similar symptom, and the liver rarely hurts, even with serious tissue destruction. Therefore, it is worth figuring out what can cause tingling in the right hypochondrium, what to do at home and which doctor to contact if your side hurts.
What can stab in the right hypochondrium
Many organs of the digestive system are located in the right hypochondrium.:
- Liver.
- Biliary tract and gallbladder.
- Pancreas (organ head).
- Part of the duodenum.
- The colon (its hepatic angle).
In addition, in the right hypochondrium can rise and the appendicular process the cecum (this placement of the appendix is considered abnormal), as well as the upper pole of the right kidney. With diseases of any of these organs, an intense or not very tingling sensation may occur in the right side.
If a person has an inflamed right lung and pleura, painful sensations may appear in the right hypochondrium, although the lung itself is located higher. Likewise, do not forget about the numerous nervous formations that extend from the spine and go to the ribs. With inflammation or pinching of these nerves, it can prick in the right side from above and along the costal arches.
Diseases of the liver, in which pricks on the right under the ribs
The liver is an organ that does not have nerve endings in its thickness. If any pathological changes occur in the hepatic parenchyma, the patient does not even know about it - nothing hurts. Due to this feature, such dangerous diseases, as chronic or can be completely asymptomatic until the moment when it occurs. Nerve endings are present only in the capsule that covers the organ. When it is stretched, which occurs against the background of an increase in the size of the liver, and the appearance of unpleasant sensations is possible. In what situations can the liver enlarge and tingle?
Diseases of the gallbladder, accompanied by pain in the right side
The gallbladder is a storehouse of bile, which is synthesized by the liver. Bile is directly involved in the digestion process. When a person eats, the gallbladder contracts and releases its contents into the bile duct, which carries bile into the intestines. Stones are often formed in the gallbladder. This disease is called. The stones can almost completely fill the organ, therefore, when it contracts, a sharp stabbing or cutting occurs. But if the stones are small and few of them, it is even worse, since they can clog the exit from the gallbladder or clog the bile duct. In this case, it develops - the strongest pain attack.
At inflammation of the gallbladder (), which is acute or chronic, pain in the right side also occurs. At acute current pathology, it is intense and growing. In the chronic variant of the pathology - moderate intensity, passing. The main factor provoking stabbing pain in cholecystitis is the intake of fatty foods.
Other causes of tingling in the right side under the rib
In the right hypochondrium, it can prick for various diseases:
- , especially when the inflammatory process is localized in the region of the head of the pancreas (cysts are often formed in it).
- Neoplasms of the head of the pancreas (with this disease, tingling occurs for two reasons - firstly, the organ capsule is stretched, and secondly, the bile duct is squeezed and bile stagnation occurs).
- Inflammation or.
- Narrowing, deformation, inflammation of the large duodenal papilla, through which pancreatic secretion and bile enter the intestine.
- Inflammation colon, accumulation of gases in it.
- if the appendix is atypical.
- Inflammation of the right lung.
- Diaphragmatic hernia.
- Inflammation of the intercostal nerves.
- Injuries to the ribs, liver.
- Pinched nerve roots with osteochondrosis and vertebral hernias.
- Inflammation or swelling of the right kidney.
How to determine the cause of tingling in the right hypochondrium
In order to somehow sort out why the right side pricks, it is necessary:
Which doctor to contact
Diseases in which it can hurt in the right hypochondrium are treated by doctors of various specialties: gastroenterologists, surgeons, neuropathologists, cardiologists, hepatologists. Therefore, in order not to guess who to go to, it is better to immediately contact a general practitioner, a general practitioner who understands many ailments and can make a preliminary diagnosis based on the results of a survey and examination of the patient.
To establish a more accurate diagnosis, an instrumental and laboratory examination may be required, including:
If the tingling sensation under the lower rib occurs suddenly and the pain does not go away for a long time, is of an increasing nature, you need to go to the hospital on your own or call an ambulance. So they can manifest surgical diseases requiring urgent surgical intervention - acute and.
What to do at home
If tingling occurs periodically after eating, it is advisable to monitor your diet and figure out which products the body reacts to. Perhaps you should go on a diet for a bit and it will all go away. In addition, it is imperative to find time to visit a gastroenterologist.
For acute abdominal pain, pain relievers should not be taken before a medical examination. Self-medication can "lubricate" the manifestations of the disease and the doctor will not be able to diagnose it correctly and in a timely manner.
In addition, heating pads and hot compresses should not be used to relieve pain. At inflammatory process in the gallbladder or pancreas, heat does not help, but, on the contrary, accelerates the progression of pathological changes in these organs.
Drinking enzyme preparations, antispasmodics, painkillers is possible only for those patients who know exactly their diagnosis and, accordingly, the cause of the tingling sensation in the right hypochondrium. For example, for acute pancreatitis enzymes are not used, and in chronic inflammation of the pancreas - they are indicated. But such subtleties are hardly known to a person far from medicine, therefore, self-medicating, he can greatly harm his health.
If the right side began to prick during physical exertion, it is worth stopping to lean forward a little, as if supporting the liver, and rest in this position for a while. The pain should go away. If it does not go away, be sure to see a doctor.
Pain in the right hypochondrium associated with inflammation or pinched nerves can be treated at home - with the help of anti-inflammatory drugs (they are used externally and internally), vitamins and exercise therapy. However, for this, again, a diagnosis must be made and prescriptions given by a neurologist.
Many people at the doctor's office complain that the right side hurts below the ribs. What does this state mean? What can cause painful sensations? When does a patient need urgent care? These questions are of interest to many.
The right side of the abdomen contains many organs, including the liver, pancreas, and intestines. And if the right side hurts below the ribs, then this may indicate a disruption in the work of almost any part of the digestive and genitourinary systems.
Soreness in the right side of the abdomen and liver disease
The liver is an organ located in the upper right side. Its importance can hardly be overestimated, because the liver is responsible for toxins and their neutralization, and also provides extremely important metabolic processes. And if the right side hurts below the ribs, then this may indicate a dangerous disease.
Most often, pains speak of hepatitis - viral disease affecting hepatocytes. Cirrhosis and fatty degeneration are also accompanied by pain. In addition, with liver damage, there are some other symptoms that must be paid attention to - nausea, vomiting, indigestion, fatigue, drowsiness, decreased performance. As the disease progresses, characteristic yellowness of the skin and sclera of the eyes appears. In such cases, the help of a doctor is simply necessary.
Pain in the right side of the abdomen due to abnormalities in the work of the gallbladder
The gallbladder is a hollow organ that stores bile. It is here that it becomes more concentrated, after which it enters the intestines through special ducts.
Stitching pains in the right side often occur in people during physical activity such as running fast. This discomfort can be explained by the rapid release of bile into the intestinal lumen. This phenomenon is not considered serious illness, but may indicate stagnation of bile. Therefore, it is better to consult a doctor just in case.
In addition, gallbladder inflammation is also associated with discomfort. Sharp pains appear during the formation of stones, their movement and blockage of the bile ducts. As a rule, such phenomena are accompanied by nausea, vomiting, digestive problems, increased discomfort after eating fatty foods.
Pain and pancreas
A portion of the pancreas is also located on the right side. This organ is not only involved in digestion processes, but is also part of endocrine system... Sharp pains in the right side, radiating to the back, may indicate pancreatitis - a disease that is Along with pain, nausea appears, frequent vomiting that does not bring relief, as well as increased sweating and fever.
Appendicitis is a common cause on the right side
Appendicitis - acute or chronic inflammation appendix intestines. With such a disease, pain, as a rule, occurs suddenly, they are sharp and strong. Inflammation of the appendix is also accompanied by fever, nausea and vomiting, diarrhea, and lack of appetite.
After a while, the main symptoms may disappear, but this is not at all evidence of recovery. A short-term improvement in the condition is observed with perforation (rupture) of the appendix and the release of its contents into abdominal cavity... In the absence of timely assistance, complications may occur, in particular, peritonitis.
Bowel diseases as a cause of pain in the right side
Of course, the right side of the abdomen is filled with loops of the small and large intestines. And any defeat intestinal tract will naturally be accompanied by pain. A similar symptom occurs with inflammation of the mucous membrane, perforation, Crohn's disease and many other disorders.
What diseases of the genitourinary system is indicated by pain in the right side of the abdomen?
Pain in the right side in the lower abdomen is often accompanied by certain diseases genitourinary system... For example, for urolithiasis(especially if the right kidney and ureters are affected), acute pains on the right side are often observed. Acute attacks soreness also appears with the so-called vagus kidney syndrome.
On the other hand, in right side the abdomen can give off pain caused by a malfunction of the pelvic organs. For example, in women, this may be a symptom of apoplexy of the right ovary, rupture of the right fallopian tube... This is often observed with ectopic pregnancy(when the fertilized egg is attached to the wall fallopian tube), intensive growth of a cyst or tumor.
Right pain during pregnancy - is it dangerous?
Many women at the reception of an obstetrician-gynecologist complain that the right side hurts below the ribs. On last months such phenomena can be completely normal. A rapidly growing baby grows in size, which leads to squeezing of internal organs. As a rule, the soreness disappears if you change your position, for example, to lie down, roll over to the other side, or take a walk.
But if the pain is sharp, strong and does not go away, then this is a cause for concern. During pregnancy, soreness in the right side may indicate all of the above diseases - hepatitis, pancreatitis, kidney problems and gallbladder... By the way, while carrying a child, a woman's body is much more susceptible to infections, because the immune system weakens. Therefore, intense or frequent pain is a reason to see a doctor.
Right side hurts - what to do?
Many people are interested in the question: "What to do if pain occurs with. As you can see, this symptom can signal significant and dangerous disturbances in the body. Therefore, the only reasonable way out is to consult a doctor. Do not take painkillers and self-medicate before examining a doctor and setting final diagnosis This can only aggravate the situation.
Some conditions require emergency care... The paramedic team should be called if:
- sharp, sharp pain appeared suddenly and does not go away for half an hour;
- the pain is so severe that it interferes with walking;
- severe nausea and vomiting appeared;
- soreness causes fainting or short-term loss of consciousness;
- the patient has a clouding of consciousness, hallucinations;
- if the pain radiates to the lumbar region, and there are blood impurities in the urine;
- abundant bleeding from the vagina.
Pain in the right side - dangerous symptom that should never be ignored!
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