Colic in right side

Colic in the right side - a condition so acute and painful that thinking about whether to call an ambulance team is out of place. The situation is complicated by the fact that it is in this part of the abdominal cavity that the internal sexual, urinary and digestive organs are located, so that pain can "spread" all over the right side and be given to places located near the affected area.

Diagnosis of the disease can only be a qualified specialist, but depending on the nature and location of the painful sensations, you can determine it yourself.

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Causes of colic in right side

In order to accurately identify the causes of colic in the right side, you need to pay attention in which part of the painful sensations are the most acute. Depending on the location, there are three types of colic: hepatic (or biliary), renal and intestinal.

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Liver (biliary) colic

A sharp, sudden pain in the right upper quadrant, giving to the right shoulder and shoulder blade, which gradually covers the entire abdomen - an attack caused by chronic or acute liver diseases (hepatitis), and the bile excretory system (cholecystitis, motor biliary tract disorders).

Intestinal colic

Colic in the right side, felt in the lower abdomen - the cause of intestinal diseases (appendicitis), less often - female genital organs (inflammation of the fallopian tube or ectopic pregnancy). The pain arises from the abuse of fatty and abnormal food, but also the cause can be poisoning, intoxication, scars and adhesions in the peritoneal cavity and their inflammation.

Renal colic

If the colic in the right side is given in the back, then these are signs of kidney disease (swelling, pyelonephritis) or ureters.

The cause is the omission of the kidney, a violation of the outflow of urine due to the movement of stones and dense crystals in the kidneys, blockage of the ureter with a clot of blood. Most often, renal colic is associated with physical exertion, prolonged walking or jolting.

Colic in the right side is a symptom that can not wait to visit a doctor. And the nature of pain can talk about the dangers of the situation.

Relatively easy to carry are colics of an increasing nature, since they are a sign of the inflammatory process of one of the organs of the right hypochondrium. 

• Sharp cutting pains indicate a rupture of formations, intra-abdominal hemorrhage and the appearance of a hole in one of the affected organs. 
• Pain of a cramping character indicates damage to one of the hollow organs.

Symptoms of colic in right side

Colicles in the right side usually arise suddenly, seizures of pain differ sharply and quickly follow each other.

Depending on the localization of colic, the accompanying symptoms manifest themselves in different ways.

Hepatic colic pierces the patient often in the afternoon or at night and can be accompanied by: 

• Vomiting.
• Bloating.
• Dryness and bitterness in the mouth.
• Increase in temperature.
• Intensified perspiration.

With intestinal colic, the pain has a sharp cramping character and decreases with pressure on the abdomen. It is characterized by: 

• Nausea.
• Vomiting.
• Bloating.
• Excessive gas formation.
• Feeling of bursting.
• False and painful tenesmus.

In lead poisoning, intestinal colic is accompanied by a retracted abdomen and strained muscles, a gray border on the gums.

Pain in renal colic is considered to be the strongest; acute and bursting, they are localized in the lower back from the affected kidney and with increasing strength are given to the hypochondrium, the lower abdomen, the navel and groin, and the genitals. During the attacks, the patient behaves restlessly, and constantly changes the position of the body. In addition, concomitant symptoms are:

• Bloating.
• Constipation.
• Frequent and painful urination.
• Vomiting that occurs simultaneously with acute pain.

Treatment of colic in right side

Regardless of which organ is affected, during unbearable colic in the right side it is necessary to take antispasmodic and hypotensive drugs:

• nitroglycerin (one tablet under the tongue or three drops on a piece of sugar).
• but-shpa (two tablets no more than three times a day).

In order to urgently alleviate the suffering that the patient is receiving, the colic in the right side also resorts to the administration of the drugs intramuscularly and subcutaneously: 

• 1 ml of a 0.1% solution of atropine and 1 ml of promedol.
• 5 ml of baralgina and 2 ml of no-shp.
• Platifillin (subcutaneously 1 - 2 ml 1 - 2 times a day).
• papaverine (adults and children from 14 years - one or two tablets or 0.5-2 ml of 2% solution subcutaneously / intramuscularly no more than three times a day, for elderly patients - 0.5 ml).

If the cause of colic does not pose a danger (for example, when overeating), it is enough to take pain medication and adhere to the diet - within six to twelve hours after an attack, you can eat only stale bread and drink weak unsweetened tea.

Often the pain syndrome with colic in the right side is so acute that it can only be dealt with by anesthetizing blockade (chipping of the lesion with potent drugs) and further inalienable hospitalization.

Treatment of hepatic colic

With hepatic colic on the upper abdomen, you can make a warming compress or for 5-10 minutes apply a warm water bottle. Do not take choleretic drugs and herbs.

Since acute attacks are most often caused by movement of stones in the gallbladder, surgical intervention is necessary (to date, such operations are performed without an incision with an endoscope) and a strict diet with restriction of acute, fatty and fried foods, sweets.

Treatment of intestinal colic

To the standard spasmolytic drugs can be added the reception of one or two tablets of dry extract of belladonna. Good cope with intestinal colic of yarrow and caraway, valerian and motherwort. An enema is shown (one glass of heated infusion of mint or lemon balm). When intestinal colic is prohibited thermal physiotherapy and diet is necessary with the exception of hard, spicy and fatty foods.

Treatment of renal colic

In case of an acute attack of renal colic, the patient is immediately hospitalized in the surgical department, where an operation is performed to remove the stone (catheterization of the ureter, dissection of the mouth above the restrained stone).

However, in the case of stones that are small in size, they can withdraw spontaneously if the patient takes a horizontal position. In addition to drug treatment, with renal colic, a warm bath and a warmer on the waist are shown.

Do not forget that the colic in the right side is fraught with serious consequences not only for health, but also for life, therefore, in no case should one resort to alternative (folk) methods of treatment without receiving a qualitative medical examination and without knowing the exact diagnosis.