In medical practice, pain in the hypochondrium on the right side is a special syndrome that accompanies many ailments with a different nature. These include therapeutic, surgical, gynecological, skin and parasitic pathologies. What can hurt under the right rib in front? A person in this area of the body has several very important organs. Therefore, discomfort indicates a serious problem that requires a thorough medical examination. Only a qualified doctor can determine the cause and make a diagnosis. Problems in which organs give unpleasant sensations, what kind of pain happens and how to get rid of it? More on this in our article.
What is in the right side under the rib?
Pain in the indicated place is due to pathological processes occurring in the internal organs. On the right are the organs that perform the functions:
- digestion;
- allocations;
- sexual;
- endocrine.
The torso is conditionally divided into the hypochondrium zone, in which the gallbladder, liver, right kidney and adrenal gland, ileum, and the pelvic zone - the cecum with the appendix and the ascending segment of the colon, in women - the right ovary. Due to the fact that the lungs begin above the right hypochondrium, the pain is a consequence of the inflammatory process occurring in the lower lobe of the right lung.
Localization of pain depending on the pathology of internal organs
The nature of discomfort depending on the possible diagnosis:
- Inflammation of the gallbladder, myocardial infarction - pain is acute, sharp, squeezing in the right hypochondrium.
- Lactose deficiency, overeating - short-term, aching pain in the middle of the abdomen.
- Gastritis, gastric ulcer, gastroduodenitis - the nature of the pain syndrome in the epigastrium is diverse: cutting or stabbing, dull or sharp, arching or aching.
- Appendicitis - a sharp, dull pain in the right lower abdomen radiates to the rectal area, when you try to take a horizontal position, that is, lie on your left side, and also increases when walking.
- Gynecological diseases in acute or chronic form - unstable, sharp, sudden, pulling pain in the lower abdomen.
Pain when coughing in the right side. Reasons
Pain when coughing under the right rib in front occurs for the following reasons:
- Chronic bronchitis - as a result of regulardiaphragm muscle tension.
- Injury - pain is aching and has a limited distribution, unlike lung disease, when the pain is diffuse. On inspiration, as well as at the slightest movement and cough, the pain syndrome in case of a fracture of the ribs intensifies, the pain becomes strong and sharp. Immediate medical attention and x-rays are needed to rule out lung damage.
- Right-sided pleurisy - if you lie on your right side, the pain goes away. A dangerous symptom is its strengthening under the ribs on the right when coughing and irradiation into the abdominal cavity. If the patient has bloating, increased sweating at night, and fever, then tuberculosis can be suspected.
- Right-sided pneumonia - when coughing in the chest area, pain occurs aching in nature. The main signs of pneumonia are a strong cough and pain in the right side. However, the patient does not feel it on palpation. Individual required urgent hospitalization.
- Intercostal neuralgia - as a result of a pinched nerve, any movement or cough intensifies acute pain that radiates under the ribs on the right. On palpation and pressure, discomfort will be only in the area of \u200b\u200bthe irritated nerve ending. If the individual adopts a position of the body that excludes compression of the nerve, then the pain disappears.
- Oncology - the doctor may suspect cancer of the right lung when pain occurs in the side during a fit of coughing. Examination is required to confirm the diagnosis.
Causes of pain when coughing,non-respiratory
Pain in the right side when coughing can be triggered by other pathologies not related to the respiratory tract:
- Inflammation of the intestines - if the pain on the right under the ribs occurred independently of coughing, then most likely it is appendicitis.
- Cholelithiasis - when coughing, pain intensifies on the right side. With the spread of discomfort in the hypochondrium, an attack of cholecystitis is not excluded.
- How and where the liver hurts - ailments with this organ are characterized by aching dull pains on the right under the ribs, aggravated by a strong cough.
- Pancreatitis - causes intense sharp pain on the right side, which is aggravated by coughing.
- Diseases of the diaphragm - tingling under the lower rib on the right side is possible with diaphragmatic hernia.
- Heart ailments - with angina pectoris and myocardial infarction, cramps from the region of the heart radiate to the right hypochondrium along the nerve fibers.
Acute pain syndrome
Sharp pain on the right under the ribs - a disappointing symptom. Most often, in this case, the patient requires emergency medical care. The reason for this condition may be:
- Pinched kidney cyst.
- Rupture of the liver, kidney as a result of injury. Liver hematomas, kidney prolapse due to torn ligaments, broken ribs.
- Acute attack of cholecystitis or pancreatitis.
- Colic - hepatic or renal.
All of the above injuries and diseases are accompanied by such unbearable, burning pain under the right rib in front,that the individual can hardly bear it and often loses consciousness. With his sanity preserved, he behaves restlessly, trying to find a comfortable body position in order to alleviate the condition. The patient in this case needs urgent medical assistance.
Dull and aching pain
Permanent or periodic long-term pain under the rib on the right is due to the following ailments:
- inflammation of the liver in acute and chronic form;
- cholecystitis, pyelonephritis, chronic pancreatitis;
- presence of parasites in the liver and biliary tract, such as amoeba and Giardia;
- cirrhosis of the liver;
- duodenal ulcer;
- polyps in the right kidney;
- inflammation of the small intestine - enteritis;
- atypical course of appendicitis;
- female diseases - an inflammatory process in the ovaries and fallopian tubes;
- ailments associated with an enlarged spleen - mononucleosis, leukemia, rheumatoid arthritis.
When dull, aching constant or periodic pain appears under the right rib in front, the patient must definitely visit a doctor, only after a thorough examination he will make the correct diagnosis and prescribe the necessary therapy. Self-medication is dangerous!
Pain in vegetovascular dystonia
Vegetovascular dystonia is associated with a failure of the vascular tone of the blood and is complex. Its frequent cause is psycho-emotional disorders that appear in excitable people. One of the signs of weakness isfeeling of pain in the right hypochondrium. It differs in different intensity and nature of manifestation. When examining a patient, the symptoms of the above ailments are not detected. But people who complain of a bad condition sometimes feel severe pain under the right rib in front near the stomach. Such symptoms are called psychogenic. A patient in this condition needs to see a neurologist or a psychotherapist who will help alleviate the condition.
Pain on the right side under the rib in he althy people
Sometimes colic under the right rib occurs in apparently he althy people. This manifests itself in such cases:
- Pregnancy. Pain occurs in the second half of pregnancy, when the grown fetus presses on the mother's internal organs.
- Physical activity. When performing intensive physical work or sports exercises, a person who is not constantly engaged in physical labor and sports feels that he has a prick under his right rib. Why is this happening? An increased amount of adrenaline is released into the blood, increasing blood flow. A large blood vessel called the vena cava, located in the region of the right hypochondrium, exerts pressure on the liver as a result of expansion. A lumbago occurs under the rib, which disappears on its own after a short period of time after the cessation of classes.
Premenstrual syndrome. Sometimes a woman's body produces a significant amount of estrogen, and before menstruation, she feels how much it pricks under her right rib. At the same time, bitterness in the mouth is felt, as well as nausea. This happens due to spasm of the bile ducts caused by estrogens. To correct the condition, it is recommended to visit a gynecologist
Which doctor should I contact?
In case of acute cramps, which is accompanied by loose stools, nausea, vomiting and other disturbing symptoms, it is necessary to call emergency help. The cause of this condition may be inflammation of the appendix, blockage of the bile duct or ureter with a stone. In other cases, if the patient is tormented by pain in the right hypochondrium, he should definitely consult a doctor in the near future. The question immediately arises as to which doctor to make an appointment with. What is under the right ribs in a person, approximately everyone from the school biology course knows, but it is impossible to determine which organ is unwell, so you need to make an appointment with a general practitioner, therapist. After examination and research, if necessary, he will give a referral to a specialist: a surgeon, traumatologist, cardiologist, neurologist, infectious disease specialist or other narrow profile doctor.
Diagnosis
As already mentioned, on the right side of a person there are very important organs involved in digestion, excretion of waste substances from the body, reproduction, and respiration. Pain syndrome indicates serious problems. Diagnosis will help determine what can hurt under the right rib in front. For a comprehensive study of the patient is carried out:
- Collecting an anamnesis - a doctor talks with a patient or his relatives, all complaints, symptoms, chronic diseases are clarified.
- External inspection -attention is drawn to the skin, palpation of the abdominal cavity is performed.
The doctor, based on the general condition of the patient and the nature of the pain, determines the preliminary diagnosis and prescribes the following studies to clarify it:
- Laboratory study of biological fluids using special equipment.
- Ultrasound of the abdomen.
- ECG to determine the work of the myocardium.
- Endoscopic examination of the biliary tract, rectum, stomach.
- CT or MRI of the peritoneum.
After studying all the results of the examination, the therapist has an opinion that it may hurt under the right rib in front, a preliminary diagnosis is made and the patient is referred to the appropriate specialist, who will continue his treatment.
Therapy
Pain in the right side is only a symptom of an ailment that arose when some organ was damaged. Neglecting it, self-administration of painkillers and vasodilators makes it difficult to diagnose and often leads to a chronic form of the disease. Therefore, if you find any discomfort in the area under study, you should consult a doctor. He will determine what can hurt under the right rib in front. After the diagnosis is made, therapy is prescribed, in which different methods are used. To do this, use:
- Diet food. The patient is asked to give up fatty, spicy and fried foods. And with acute pancreatitis, fasting is indicated for the first few days.
- Drug treatment. With inflammation of any organ, antibacterial agents are used; for malignant neoplasms, radiation, chemotherapy and radiotherapy are prescribed. Analgesics and antispasmodics are used to relieve severe pain.
- Surgical intervention. Assign in exceptional cases, when there are no other methods of dealing with acute, sharp, stabbing and pressing pain under the right rib in front.
- Folk remedies. They are suitable only as an additional drug to the main drugs. Use infusions, decoctions, ointments, oils prepared on the basis of various medicinal herbs and vegetables. All prescriptions are used only after consultation with your doctor.
During treatment, you must follow all the doctor's recommendations, diet and daily routine.
What to do with pain in the right side under the ribs?
It is recommended to call a medical team if pain is felt in the right hypochondrium, which has the character:
- spicy;
- aching and lingering for a long time;
- stabbing that appears on movement and lasts more than half an hour.
In other cases, before visiting a doctor, you should put a cold compress under the right ribs.
Strictly prohibited:
- Put a warm heating pad on the diseased area, the condition of the individual will worsen.
- Take painkillers and antispasmodics, the symptoms of the disease will be erased, making it difficult to diagnose.
Soon afteran attack, you must definitely consult a doctor!
Conclusion
To the question of what is under the right ribs of a person, many will answer - the liver, therefore, they believe that pain in this place can only be from this organ. As explained above, colic, pain and aches depend on various ailments in the internal organs. Therefore, when the first symptoms appear, it is necessary, without delay, to consult a doctor.
