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Pain under the right rib
Last reviewed: 23.04.2024
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Pain under the right rib is a reliable sign of diseases of nearby organs, namely: diaphragm, liver, gall bladder, pancreas head, intestine loops, right kidney. During the detection of painful sensations, it will not be superfluous to contact the appropriate specialist for additional examination and determination of the source of pain.
The pain on the right under the rib can be of a certain nature, intensity, duration. Knowing the main causes and characteristics of pain, you can independently assume the possible state of the body.
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What causes pain under the right rib?
Diseases that can cause this condition can be:
- The defeat of the right lung and pleura (pneumonia, pleurisy);
- Cardiac diseases (angina pectoris, myocardial infarction);
- Defeat of the diaphragm (hiatal hernia, neoplasm, inflammatory lesion);
- The pathological condition of the liver (hepatitis A, B, C, cirrhotic lesion);
- The pathology of the gallbladder (cholelithiasis, inflammation processes);
- The defeat of the pancreas;
- Problems in the intestine (appendicitis, ulcerative process in the PDK);
- Kidney disease (pyelonephritis, ICD - especially renal colic);
- Osteochondrosis of thoracic and lumbar spine;
- Tumor formations of the abovementioned organs, as well as their traumatic damage.
Symptoms of pain under the right rib
For each individual organ inherent characteristic of pain: character, duration, intensity. Acute pain is caused by traumatic organ damage, the formation of hematomas and some acute inflammatory diseases. Such pains under the right rib usually cutting and for their elimination will require immediate provision of qualified diagnostics. Chronic pain can be present for months, years; To disappear and appear again, is determined by a dull, aching character. On the example of some diseases, we consider the variants of the course of the pain syndrome. By localization (relative to the right rib), pain can be located as follows:
Pain under the right rib in front
This localization of pain can occur as a result of the presence of diseases:
- Pneumonia;
- Hepatitis (acute and chronic);
- Cholecystitis;
- Pancreatitis;
- Pyelonephritis, glomerulonephritis, polycystic kidney disease;
- Ulcerative lesion of the duodenum;
- Acute appendicitis;
- Parasitic diseases;
- Inflammation of the appendages in women;
- Oncological diseases of the lungs, lungs, liver, gall bladder.
Pain under the right rib behind
The appearance of pain under the right rib at the back can act as a symptom of inflammation of the pancreas or kidney and distinguish these two states under the power and most. If the problem is hidden in the kidneys, the symptom of effleurage, which can be checked at home, will be positive. You need to get straight and rub your palm lightly on the back of the lower rib on the right. A positive symptom will be considered with the appearance of pain under the right rib behind. To defeat the pancreas is characterized by girdle pain - pain will be under the right rib behind and in front, as well as in the left side.
Pain under the right lower edge
To the occurrence of pain under the lower rib can lead not only the nearby organs: liver, lungs. Pain in the heart, with angina pectoris or myocardial infarction, can irradiate (give off) under the right lower rib. With appendicitis, pain can spread under 12 ribs. It is impossible to exclude osteochondrosis of the spine, tumor process of the chest and abdominal cavity organs or metastatic lesion, pulmonary tuberculosis, spinal cord. Independently, these diseases can not be identified, so timely treatment in a medical institution will correct the situation.
Pain under the right rib at the top
The pain under the right rib at the top can arise not only as a result of liver diseases, but also of the lungs - pneumonia, the presence of a hernia of the esophageal aperture of the diaphragm, even intercostal neuralgia can cause such a symptomatology. In order to determine the true cause, the specialists do not only examine the patient, but also differential diagnostics that help distinguish one disease from another.
If we consider the features of the pain syndrome, we can distinguish the following:
Aching under the right rib
The aching pain under the right rib is correctly prolonged, it can be drowned out by anesthetics and does not go to the hospital, although the chronic course of such diseases as hepatitis, pyelonephritis, cholecystitis, pancreatitis; helminthic invasion, cancer of the liver, kidneys, gall bladder can be accompanied by just such an option of pain syndrome. And these diseases can be life-threatening.
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Sharp pain under the right rib
Sharp pain under the right rib is most often accompanied by cholecystitis, with pain spreading to the right side of the chest. In addition to pain, there will be a feeling of bitterness in the mouth, vomiting can be ruled out with bile, after which there is relief. However, it is not necessary to exclude other causes of this condition: renal or hepatic colic, acute cholecystitis, pancreatitis.
Dull pain under the right rib
Dull pain under the right rib is often combined with aching and can be a consequence of similar diseases of the liver, gall bladder, kidneys. Do not underestimate this state of the body, since with such a symptom, they do not usually seek help, but eliminate it medically. Prolonged presence of dull pain may indicate a complicated course of the disease or about the chronization of the process, so to avoid exacerbation of the condition you need to seek help.
Acute pain under the right rib
Acute pain under the right rib is one of the most serious symptoms, the appearance of which requires immediate medical intervention. As a rule, the source of this condition is surgical pathology: traumatic organ damage, up to their rupture, organ perforation, acute cholecystitis, pancreatitis, overlap of the lumen of the bile duct or urinary tract with stone. The pain syndrome can be so pronounced that a person either tries to accept a position of the body that alleviates the pain, or can lose consciousness.
Severe pain under the right rib
Acute illnesses can lead to severe pain under the right rib. Another reason may be taking drugs that are toxic to the liver. Alcohol also has a harmful effect, with excessive use of which there may be hepatitis with further development in cirrhosis of the liver. In this case, self-medication should not be dealt with, but it is best to consult a doctor with the purpose of prescribing hepatoprotectors and abolishing the "heavy" drug, the appointment of an adequate treatment. Severe pain under the right rib, in combination with acute or cutting pain, can be dangerous to human life.
Drawing pain under the right rib
Drawing pains under the right rib often appear due to the increase in the liver, the transition of hepatitis to the chronic stage and will be accompanied by yellowing of the skin and sclera, deterioration of well-being. But these are not the only reasons, any chronic disease can trigger the emergence of trailing pain. Inflammation of the appendages in women also leads to a similar development of pain.
Stitching under the right rib
Stitching pain under the right rib is inherent not only pathology of the liver, gallbladder, but also problems from the urinary system. The cause of this variant of pain can serve as a pyelonephritis and urolithiasis. These diseases will be accompanied by fever, painful urination. Even excessive water stress in kidney diseases can provoke the appearance of stitching pain under the right rib.
There's no point in ignoring the body's warning about the problem, since the pain under the right rib is a signal of distress, to which attention should be paid.
Diagnostic features of pain in the right hypochondrium
To diagnose pain under the right rib you can independently on their own sensations, and to establish the source and eliminate the pain can help the doctor. To determine the disease, the doctor necessarily learns all about the pain that preceded this condition and will carry out a series of studies, starting with ultrasound and biochemical studies, to establish an accurate conclusion and in the future will be able to give directions to the surgeon, the oncologist, if necessary. There are situations when people do not hurry to go to the doctor to get medical help because of the painful pain, but if acute pain in the right side, despite taking the drugs, continues for half an hour, you need to call an ambulance.
Treatment of pain under the right rib
With the advent of this state, appropriate measures must be taken. If the pain is long and there are doctor's appointments, then you should adhere to the doctor's prescriptions. For any pain attack, there are specific features of therapy that are associated with each disease individually. But there are common points:
- Mode. It is necessary to adhere to bed rest with the exception of various loads and nervous overstrain, since the state of the nervous system is reflected in the course of the disease and the rate of recovery;
- Diet. Compliance with the diet recommended by the doctor (exclude smoked products, including food, fried, fatty, acute). For example, Pevzner's diet No. 5 provides for the exclusion of fried foods, muffins, fatty foods, eggs; allowed the use of boiled low-fat meat or fish, vegetables, fruits. This diet is used in diseases of the liver and gallbladder to "unload" the fat and cholesterol metabolism. Table №10 "salt-free diet" according to Pevzner is appointed in case of pyelonephritis development, diseases of the cardiovascular system. Prepare for a couple or eat food in a boiled form without using salt;
- Acceptance of medications, according to prescription.
At home, you do not need to use medication, because it may be difficult to form a diagnosis in the future, just by using a hot-water bottle with ice that will dull the pain before the arrival of a specialist. The doctor who came to the home to the patient, in connection with the pain relief under the right rib, will use antispasmodics and pain medication until he arrives at the medical institution:
- drotaverin 1-2 tablets do not chew 2-3 times during the day (with zhelchekamennoy, urolithiasis-cows) or
- ditsitel - 50 mg 2-3 times a day or 100 mg twice a day during each meal (cholecystitis, colic)
- nitroglycerin 1 tablet under the tongue to eliminate the attack of angina pectoris. After 5 minutes, it is recommended to take nitroglycerin repeatedly.
A very important point is acute and sharp pain in the right hypochondrium. Therefore, it is strictly forbidden to remove the attack of pain by taking medication yourself, warming, because surgical pathology is possible, and such self-medication can only harm and cause serious and serious consequences. The essence of surgical treatment consists in the elimination of the source of pain under the right rib: removal of the stone in the LAD, appendix in appendicitis. Before the operation, an examination is performed to exclude complications in the course of surgical intervention and in the postoperative period. Criteria for the effectiveness of treatment is the normalization of the patient's condition, as well as biochemical indicators and organ functioning.
Most people use alternative methods to kill an attack of pain under the right rib.
- 10g cones of hops need to cover 200ml of water. Reception is conducted up to 3 times a day;
- A mixture of rose hips (its fruits), plantain, corn stigmas, take up to two weeks about 2-3 months;
- Prepare a decoction: 1 volume of chamomile flowers, 2 volumes of buckthorn bark, 3 pieces of sporicha, 4 volumes of immortelle, and the same number of St. John's wort. All this pour 1 liter of cold clean water and leave to infuse. After 12 hours, infuse the boil for 10 minutes, allow to cool and take 1 glass at once. Follow the tricks to exercise after every meal, an hour later.
Prevention of pain under the right rib
In order to avoid repetition of episodes of pain in the right hypochondrium, the source of this condition should be removed, a complete examination should be made, in the future, all the prescriptions and recommendations prescribed by the doctor should be observed, because in each specific situation they are different.
There may be an order in restricting the choice of foods that adversely affect the affected body. It makes no sense to stay at home and expect when everything goes by itself, it's better to go to a specialist once more than to suffer from untimely treatment for pain under the right rib, as this is a very serious problem that should not be put off for a long time.