The pain in the side can be acute or aching, constant or arising periodically, passing on its own, or persisting for a long time, despite the measures taken. The pain can change its character: dull suddenly aggravate and become sharp and strong, and, on the contrary, acute pain turns into aching of low intensity. All this should be told to the doctor.

Since the situation when the right side is aching can be critical, it is impossible to postpone the visit to the hospital, and in case of severe pain, especially in the case of an increase in body temperature, general weakness, a decrease in blood pressure, an increase in heart rate, it is necessary to seek medical help immediately.

Diseases of the liver and biliary tract

Gallstone disease is a disease characterized by the formation of stones in the gallbladder and ducts. Pain with gallstone disease is often dull, aching, radiates to the right shoulder blade and shoulder. There is an increase in pain during stress, a violation of the diet, shaking, and a sharp change in weather. With the progression of the disease, there is an intense, cutting, stabbing pain in the right side from above, radiating to the region of the right scapula, shoulder. such a painful attack is called biliary colic. During an attack, patients are restless, rushing, screaming or moaning. Vomiting, nausea may occur.
Hepatitis is an acute or chronic inflammation of the liver caused by viruses, alcohol abuse, autoimmune diseases, and toxins. Any hepatitis is characterized by pallor, weakness, a slight increase in body temperature, weight loss, poor appetite, yellowness of the skin, itching, pain in the right side under the ribs.
Cholecystitis (acalculous) is an inflammation of the gallbladder. The main symptom of cholecystitis is pain in the right hypochondrium. It intensifies with the use of abundant spicy, fatty foods, alcohol, carbonated water. Can give to the right shoulder, scapula. In most patients, it is accompanied by vomiting, nausea, eructation, bitter, itchy skin.
Biliary dyskinesia (BAD) is a violation of the conduction of bile into the intestine. With hypotension of the gallbladder, pain in the right side is usually aching, constant, sometimes manifested only by a feeling of heaviness under the ribs on the right. Occur an hour after eating. At the same time, patients may feel nausea and weakness. With hypertension of the gallbladder, pains are noted in the right side under the ribs and near the navel, strong in nature, paroxysmal, cutting, similar to biliary colic. Appear half an hour after eating. Most often, DVP accompanies the course of cholecystitis.

Diseases of the stomach and duodenum

Duodenal ulcer. The main symptom is pain in the right side of the abdomen from above. It can be aching, cramping, cutting, sometimes weak, dull. The ulcer is characterized by periodic pain, the appearance of which is replaced by a period of relative rest. Associated symptoms: heartburn, belching, nausea and vomiting, constipation.
Duodenitis is accompanied by aching pain in the right side under the ribs two hours after eating. The pain can radiate (give) to the right shoulder blade, back, it can be encircling. Also, patients may be disturbed by vomiting, heartburn, belching bitter, weakness, sweating, diarrhea.
Gastritis. It is characterized by dull mild periodic pains in the right side under the ribs and sternum, appear more often two hours after eating, or on an empty stomach in the morning. Patients complain of decreased appetite, sour air belching, constipation or diarrhea.
A diaphragmatic hernia is a displacement of a part of the esophagus, the upper part of the stomach, and sometimes the intestine through a hole in the diaphragm into the chest cavity. With this disease, there may be a girdle dull pain that appears after a heavy meal, with a cough, while lying down. Reduce pain by belching, deep breaths, and vomiting.

Kidney and bladder diseases

Glomerulonephritis is an inflammation of the kidneys of an immune origin. Children and young people get sick more often. With glomerulonephritis, pain is felt in the right and left sides, in the lower back, which is accompanied by an increase in body temperature, the release of red urine. Patients complain of shortness of breath, increased blood pressure, the appearance of edema on the face in the morning. In the absence of edema, body weight may increase due to fluid retention in the body.
Pyelonephritis is an infectious inflammation of the kidneys. Pain with pyelonephritis occurs more often on one side. If the right kidney is affected, then aching severe pain is noted in the right side behind, in the lower back, it can hurt in the right side of the abdomen from below. The main manifestations of pyelonephritis: an increase in body temperature in the evening, painful urination, constant thirst, pallor with dark circles under the eyes, morning swelling on the face, headache, and may be vomiting. Urine is excreted with an unpleasant odor, cloudy.
Urolithiasis is manifested by aching, dull pain in the lumbar region, frequent urination, blood in the urine, especially after exercise. The passage of a kidney stone through the ureter is accompanied by severe acute pain radiating to the lower back – the patient is restless, rushing about. This is how renal colic occurs.

Bowel and pancreas diseases

Enteritis is an inflammation of the mucous membrane of the small intestine. Pain in the lower right side (in the right iliac region) appears when the ileum is affected. With enteritis, the nature of the pain can be constant or paroxysmal. Accompanied by rumbling in the abdomen, bloating, diarrhea.
Appendicitis begins with the appearance of acute pain, often in the right side under the ribs. Gradually, the pain descends to the navel and then down to the iliac region. At the same time, the temperature rises, there may be nausea and vomiting, weakness and decreased appetite.
An inguinal hernia on the right is accompanied by transient acute pain in the right side and groin, which appears after physical exertion and lifting weights, and radiates to the leg. In addition, during an attack of pain in the right side from below, a protrusion appears, disappearing in the supine position.
Pancreatitis is an acute or chronic inflammation of the pancreas. It is characterized by the appearance of bouts of intense girdle pain, accompanied by vomiting, which does not bring relief. With the defeat of the head of the pancreas, pain bothers in the right side. Darkening of urine, jaundice, light (almost white) feces, and itching are also observed.

Gynecological diseases

An ectopic pregnancy leads to the onset of intermittent pain in the lower abdomen, against which bleeding from the genital tract may appear. The longer the pregnancy develops, the stronger the pain becomes, starting to give to the scapula and rectum. If the tube ruptures, it is accompanied by very sharp pain and internal bleeding, which often leads to loss of consciousness.
Adnexitis is an inflammation of the ovaries and fallopian tubes. With this disease, there is an attack of acute pain in the lower abdomen on the right or left, it can give to the lower back. The attack is very similar to renal colic. Chronic adnexitis can cause pain in the right side during intercourse.
Apoplexy (rupture) of the ovary leads to severe pain in the lower abdomen, which may be accompanied by nausea and vomiting, loss of consciousness. Ovarian apoplexy very often occurs in the middle of the menstrual cycle (during ovulation). Sexual intercourse or physical activity can provoke a rupture.
Ovarian cyst (endometroid) is manifested by the occurrence of aching constant pain in the lower abdomen, which intensifies during menstruation. When a cyst ruptures, twists or suppurates, patients feel a sharp dagger pain.

Diagnostic methods

The diagnosis begins with interviewing and examining the patient. This takes into account the nature, duration, frequency of occurrence of a pain symptom, as well as additional symptoms, the presence of chronic diseases and taking any medications. As an additional diagnosis, such studies as X-ray, ultrasound, MRI, laparoscopy can be prescribed.

Diseases of the urinary system

In terms of strength and pain, renal colic can compete with biliary colic. It is caused by the same reasons – the stone blocks the lumen of the ureter and causes a spasm of its wall. Often, an attack is provoked by plentiful food and alcohol – often patients are delivered to the admission department of the clinic right from the feast.

Dull, aching lower back pain on the right side can be caused by pyelonephritis, an inflammatory kidney disease. Other possible manifestations: fever, frequent urination, pus and blood in the urine, weakness.

Spine problems

If we talk about lower back pain on the right, first of all, “the most popular diagnosis” comes to mind – osteochondrosis of the lumbar spine. The pain is usually aching, occurs on one, less often on both sides, intensifies during physical exertion, prolonged stay in a monotonous position.

Another common cause is a herniated disc, which most often occurs in the lumbar spine, due to the rather high mobility and high loads that the lower back has to experience. The pain occurs, as a rule, on one side, spreads to the buttock, down the back of the leg.

What to do if it hurts in the right side?

Of course, you really want to figure out what it is? … We are very smart people and have already been taught do not believe doctors and trips to the clinic, or rather, there is simply no time for this in the current intense rhythm of life. So we are often looking for answers to the question “why does it hurt in the side”, where it will be necessary and how it will turn out. Relatives and friends can tell, or the Internet can also. But…

Initially feeling that it hurts in the right side and after some time, if the pain does not subside, you need to determine what kind of PAIN that has appeared and disrupted your usual life? There is pain in the upper abdomen or lower abdomen. The pain in the right side can be acute (with any movement there is a sudden feeling of pain, as if cutting with a knife) or dull (prolonged, constant aching pain). The pain in the right side of the abdomen can be both in the upper right side and in the lower right side of the abdomen.

You need to determine all this not in order to self-medicate, but in order to competently and thoroughly answer the doctor's questions. It is impossible to make a diagnosis on your own if pain occurs.

When the described pain appears, it is necessary to contact a gastroenterologist, surgeon, infectious disease specialist. Women should make an appointment with a gynecologist. If you suspect acute abdomen syndrome, you need to call an ambulance. It should also be remembered that no pain relievers should be taken before a medical examination for pain in the right side of the side – in order to avoid an incorrect diagnosis!

What to do when your side hurts due to appendicitis?

But back to appendicitis. You should not give up this thought immediately. Feeling that the right side hurts in the lower abdomen, it is best to check everything carefully and clearly. And even better, if you find in your busy work schedule a window for going to the clinic and visit a specialist who has not in vain spent many years on training and studied all the symptoms of various diseases. And it is he who is the professional in these matters! It is the doctor who, after listening to your complaints, having carried out all the necessary examinations, will make the correct and correct diagnosis.

The appendix is a very serious diagnosis that can be ignored not just to the detriment of yourself, but to the detriment of your existence, your life. You can dismiss these words and try to diagnose yourself. This is quite possible, but you should not tempt fate, because there are people who have lost this battle with guesses and paid for it with the most valuable.

The nature of the pain

There are several options for characteristics that help identify the cause of the painful condition. By the nature of the pain, unpleasant sensations are sharp and sudden, dull and aching, stabbing, pulling or cutting. Less often, there are unpleasant pulsating sensations. Each type of pain is associated with specific signs that indicate a specific disease.

Sharp

Acute painful process that occurs suddenly. With pronounced intensity, it may indicate signs of hepatic colic in the presence of gallstone disease. The patient most often feels unpleasant effects after eating. Immediately, the right side begins to hurt so much that the patient begins to feel unwell. Other symptoms accompanying the pathological process may join, including – light-headedness, nausea and vomiting, chills, fever. In severe cases, you need to call an ambulance.

Dumb

The dull nature of pain usually refers to a chronic course. Pain develops gradually and slowly, in response to a provoking factor. If the patient has a chronic disease of the abdominal organ, then dull pains will occur periodically. It is important not to allow the transition of dull pain to acute, otherwise it will indicate an exacerbation of a chronic inflammatory process. To prevent flare-ups, you must adhere to the lifestyle prescribed by your doctor.

Aching

Aching type of pain in the right side also belongs to chronic inflammatory processes. Pain syndrome, often reminiscent of long-term discomfort, is usually associated with inflammation of the mucous membrane of the small intestine (colitis). Similar symptoms are observed with the development of chronic cholecystitis – a sluggish and prolonged inflammation of the gallbladder. Aching discomfort develops gradually, in response to the adverse factor that caused the attack. The pain lasts an average of several hours. For any chronic disease, it is important to prevent exacerbations, so the patient must follow a sparing lifestyle, take medications.

Pulling

Drawing pains in the right side are also characteristic of a sluggish inflammatory process. Usually, this discomfort is associated with chronic cholestasis (bile congestion), which is often accompanied by a feeling of fullness in the right side, nausea in the morning and vomiting after eating fatty foods. Pulling pains occur in response to a violation of the diet with an excessive accumulation of viscous bile secretion. The attack lasts an average of several hours. The patient must adhere to the principles of proper nutrition and take prescribed medications on time so that discomfort occurs less often.

Stabbing

Stabbing in the right side can be due to a sharp spasm. This condition is typical of intestinal spasm. If a patient has such seizures often, it is necessary to consult a doctor in order to exclude such psychogenic diagnoses as irritable bowel syndrome or proctalgia. In any case, the patient needs to normalize nutrition so that excess intestinal peristalsis decreases. The sooner the patient see a doctor, the faster it will be possible to get rid of the discomfort.

Sharp

Any sharp pain indicates the development of an exacerbation. Conditions such as exacerbated gastritis or stomach ulcers can cause severe and severe pain. The main culprit of these diseases is the bacterium Helicobacter Pylori. In addition to sharp and severe pain in the right side, there is flatulence, a feeling of heaviness and distention, heartburn, belching or nausea. You must take the appropriate medication as directed by your doctor.

Pulsating

Pain in the right side can throb with inflammation of the uterine appendages in women or with an entrapment of an inguinal hernia. The first option is common. Most modern women at least once in their lives have encountered functional cysts or inflammation of the ovaries and fallopian tubes. Less commonly, an ectopic pregnancy occurs.

If you do not take therapeutic measures, the throbbing pain associated with the inflammatory process, over time, develops into an acute and unbearable one. If pain in the ovary is accompanied by a sharp attack of weakness, fainting and fever, an urgent need to call a doctor. Similar complications indicate peritonitis – rupture of a cyst, ovary.

Exercise response

Sometimes the right side hurts not at all due to malfunctions in the work of internal organs (which we discussed above). If you felt pain on the right during (or immediately after) physical activity, chances are that it is:

Muscle spasm caused by weakness in the muscles of the back or peritoneum.
Diaphragm spasm. It is most often encountered while running: rapid breathing causes the diaphragm to contract faster, which can cause it to spasm and “give off” pain in the right side.
Enhanced liver function. This organ is considered the “blood” depot of the body. During exercise, the liver may slightly increase in volume and “press” on its outer capsule, where there are many nerve endings, which will feel like pain in the right side. And similar discomfort can arise due to the wrong diet: for example, if before training you “went over” with carbohydrates or fats. In this case, during the lesson, the liver will be forced to work with increased stress, which can also provoke pain syndrome.

How to determine why your right side hurts

Of course, you will not be able to make an accurate diagnosis on your own. However, you can get some idea of it, starting from how exactly your right side hurts. “In acute diseases, pain occurs suddenly, increasing in intensity in a short period of time (hours, sometimes days),” says Bulat Yunusov. “If the reason is some kind of chronic disease, then the pain syndrome is either permanent or wavy in nature, not differing in great intensity.”

It's also important to check for additional symptoms. “To correctly determine the cause of the pain in the right side, it is necessary to listen to the nature of this pain. For example, muscle pain is usually dull and aching, – commented the invited specialist. – However, muscle pain can be acute, because in addition to muscles in the right side there are intervertebral joints, which can be a source of discomfort. With gallstone disease or acute cholecystitis, an increased temperature joins the pain. This situation can be called “pain-plus” – pain and temperature. The discomfort caused by renal colic can also be “pain-plus”, but already pain plus frequent urination or the presence of blood in the urine. Pain caused by bowel problems – pain plus diarrhea. “

Which doctor should I go to for pain in the right side?

Since pain in the right side can be a symptom of various diseases, then you need to contact doctors of different specialties for its presence, depending on the alleged disease. Accordingly, the definition of a specialist doctor who should be consulted in case of pain in the right side depends on the nature of the pain syndrome and accompanying symptoms.
Below we provide a list of doctors who need to be consulted for pain in the right side, depending on its nature and accompanying symptoms:

If pain in the right side is combined with fever, a sharp deterioration in health over time, then this is a reason to call an ambulance immediately, as it indicates a serious illness that requires urgent treatment.
With a clear localization of pain at a certain point on the right side, its intensification when changing posture, walking, running or raising hands, as well as a burning, sharp, stabbing-cutting nature of it, it is necessary to consult a surgeon, and on an emergency basis, since pain is similar character can be a sign of severe pathology (acute appendicitis, perforation of a stomach or duodenal ulcer, volvulus, pancreatitis, etc.), requiring immediate treatment and, accordingly, calling an ambulance.
Pain in the upper part of the right side, which has a dull character, aggravated by coughing, breathing, after a heavy meal, in the supine position, decreasing after belching, deep inhalation and vomiting and radiating to the right hand, also requires a visit to a surgeon (but in planned), since it is most often a symptom of a hernia, which is treated with surgery.
Dull, aching, not too strong pains in the right side under the ribs and sternum, appearing 1 – 2 hours after eating or on an empty stomach, combined with vomiting, heartburn, sour or bitter belching, loss of appetite, diarrhea or constipation require a visit to a gastroenterologist (sign up) or a therapist (sign up), since such symptoms indicate the presence of gastritis or duodenitis.
Pain in the right side of any nature that periodically appears several times a day (aching, cramping, stabbing, cutting, dull, etc.), subsiding on its own and combined with heartburn, belching, nausea, vomiting, constipation, requires referral to a therapist or gastroenterologist, since such symptoms are usually accompanied by gastric ulcer or duodenal ulcer.
If the pain in the right side is sharp, cramping, occurs periodically, more often after or during meals, radiates to the navel and can be combined with nausea, vomiting, rumbling in the abdomen, bloating and pale skin, then you should consult a gastroenterologist or therapist, since such symptoms are usually provoked by colitis and enterocolitis.
Pain in the right side under the ribs, present constantly or occasionally, combined with skin itching, decreased appetite, weakness and a slight increase in body temperature, requires an appointment with an infectious disease doctor (sign up) or a hepatologist (sign up), since such symptoms indicate the presence hepatitis A.
Dull, aching pain in the upper part of the right side, radiating to the scapula and shoulder, intensifying or even becoming stabbing and cutting with stress, changing weather or shaking, combined with nausea or vomiting, requires contacting a surgeon, therapist or gastroenterologist, since similar symptoms indicate gallstone disease. At the same time, you need to know that if a person wants to receive conservative treatment, then you should contact a therapist or gastroenterologist, and if the patient wants to remove the gallbladder or stones by surgery, then you need to go to the surgeon.
Dull, aching pain in the right hypochondrium, which does not go away over time, aggravated by the use of fatty and abundant food, alcohol, carbonated drinks, radiating to the right shoulder and scapula, combined with a feeling of heaviness in the hypochondrium, with vomiting, nausea, belching bitter, requires a visit to a general practitioner or gastroenterologist, since such symptoms indicate cholecystitis or biliary dyskinesia.
In case of intense sharp, cutting, dagger pain in the right side, combined with darkening of urine, itching and light feces, you should consult a surgeon or gastroenterologist, since such symptoms indicate pancreatitis.
Periodically occurring acute pain in the right side, radiating to the groin and leg, provoked by physical exertion, requires contacting a surgeon, since such symptoms indicate an inguinal hernia.
Pain in the right side from the back, which can be combined with back pain, pain when urinating, edema on the face, headache, fever, blood in the urine, require an appointment with a nephrologist (sign up) or urologist (sign up), since such symptoms indicate kidney disease. If for some reason it is impossible to get to a nephrologist or urologist, then you can contact a therapist or surgeon.
If the pain is localized in the upper part of the right side or radiates to the right side, and at the same time is combined with high fever, cough, shortness of breath, profuse sweating, painful hiccups or chest pains when swallowing, then you need to consult a physician or pulmonologist (sign up), since such symptoms indicate a lung disease.
If pain in the right side appears in a woman during intercourse, and outside of intimate intercourse there are various pains in the lower abdomen, combined with bloody or inflammatory discharge from the vagina, aggravated during menstruation, physical exertion or sexual intercourse, then you should consult a gynecologist (sign up), since such symptoms indicate diseases of the genital organs.
Pain in the right side, increasing over time, increasing with pressure and movement, not combined with other visible symptoms, requires contacting a physician or orthopedic traumatologist (sign up), as it indicates the development of myositis.
Very severe pain in the right side, which does not go away with time, is constantly present and combined with blistering rashes in the ribs, requires a visit to a general practitioner, infectious disease specialist or dermatologist (sign up). In addition, a therapist, infectious disease specialist or dermatologist can prescribe a consultation with an allergist-immunologist (sign up).
Periodically appearing pain in the right side can also be a sign of helminthiasis (ascariasis or enterobiasis), and in such cases, you need to consult an infectious disease doctor, parasitologist (sign up) or helminthologist.

Pregnant women in cases of pain in the right side should see the same doctors as non-pregnant women. And children should be taken to see the same doctors as adults, only for children (for example, a pediatric gastroenterologist, pediatric surgeon, pediatric infectious disease specialist, pediatrician (sign up), etc.).

What tests can a doctor prescribe for pain in the right side?

Since pain in the right side can be caused by various diseases, the list of examinations for this symptom is very diverse, and in each specific situation depends on the nature of the pain and accompanying symptoms indicating the defeat of one or another organ. Below is a list of examinations and tests that a doctor can prescribe for different types of pain in the right side and associated symptoms.
So, with severe burning, sharp, stabbing-cutting pain, felt at a certain point on the right side, aggravated by changing posture, walking, running or raising hands, the doctor will necessarily prescribe a general blood test, a biochemical blood test (amylase, alkaline phosphatase activity, AST, ALT, lipases, urea, creatinine, bilirubin in the blood), general urine analysis, andUltrasound of the abdominal organs, ECG, and sometimes X-ray of the abdominal organs with contrast.
With dull pain in the upper part of the right side, aggravated by coughing, breathing, after a heavy meal, in the supine position, subsiding after belching, deep inhalation and vomiting, and radiating to the right hand, the doctor may prescribe a general blood and urine test, ultrasound of organs abdominal cavity and X-ray with contrast of the abdominal organs. If technically feasible, computed or magnetic resonance imaging can be prescribed .
With dull aching pain in the right side under the ribs and sternum, which can appear 1 to 2 hours after eating or on an empty stomach, combined with vomiting, heartburn, sour or bitter belching, loss of appetite, diarrhea or constipation, the doctor prescribes the following examinations:

General blood analysis;
Fibrogastroduodenoscopy (FGDS)
Computed tomography or magnetic resonance imaging;
– Identification of Helicobacter Pylori in the material collected during EGD;
The presence of antibodies to Helicobacter Pylori (IgM, IgG) in the blood;
Serum levels of pepsinogens and gastrin;
The presence of antibodies to parietal cells of the stomach (total IgG, IgA, IgM) in the blood.

The same above studies and analyzes are prescribed when pain in the right side that appears several times a day, subsides on its own, having any character (aching, cramping, stabbing, cutting, dull, etc.), which can be combined with heartburn, belching, nausea, vomiting, constipation.
In practice, in most cases, the doctor prescribes a general blood test, a blood test for the presence of antibodies to Helicobacter Pylori and fibrogastroduodenoscopy, since these examinations make it possible to diagnose gastritis and duodenitis with high accuracy. Computed or magnetic resonance imaging can be prescribed instead of fibrogastroduodenoscopy if technically feasible, if a person cannot undergo FGDS. An analysis for the level of pepsinogens and gastrin in the blood is usually prescribed as an alternative to EGD if it is possible to perform it, but in practice this study is not used very often, since it almost always has to be done in a private laboratory for a fee. But an analysis for antibodies to parietal cells of the stomach is prescribed only if atrophic gastritis is suspected, and often instead of FGDS,
With a sharp cramping pain in the right side, appearing with pain in the navel, which occurs periodically after or during meals, combined with nausea, vomiting, rumbling in the abdomen, bloating and pallor of the skin, the doctor prescribes the following tests and examinations:

General blood analysis;
Analysis of feces for worm eggs;
Analysis of feces for scatology and dysbiosis;
Sowing feces on Clostridia;
A blood test for the presence of antibodies to Clostridia;
Ultrasound of the abdominal organs;
Colonoscopy (sign up) or sigmoidoscopy
Irrigoscopy (X-ray of the intestine with contrast agent)
A blood test for the presence of antineutrophilic cytoplasmic antibodies and antibodies to saccharomycetes.

First of all, the doctor prescribes a general blood test, fecal tests for eggs, worms and scatology, ultrasound of the abdominal organs and colonoscopy. These examinations usually allow diagnosis and treatment to be initiated. However, in doubtful cases, an irrigoscopy may additionally be prescribed. If you suspect that the pain in the right side is associated with taking antibiotics, a culture of feces for Clostridia and a blood test for the presence of antibodies to Clostridia are prescribed. If irrigoscopy, colonoscopy or sigmoidoscopy cannot be done for any reason, and the patient is suspected of ulcerative colitis or Crohn's disease, then a blood test is prescribed for the presence of antineutrophilic cytoplasmic antibodies and antibodies to saccharomycetes.
In case of pain in the right side, combined with itching and yellowing of the skin, decreased appetite, weakness and a slight increase in body temperature, it is necessary to consult an infectious disease doctor or hepatologist, since such symptoms indicate a high risk of hepatitis. The doctor without fail first of all prescribes blood tests to detect hepatitis, such as:

Blood test for the presence of antibodies to the hepatitis B virus (Anti-HBe, Anti-HBc-total, Anti-HBs, HBsAg) by ELISA;
Blood test for the presence of antibodies to the hepatitis C virus (Anti-HAV-IgM) by ELISA;
Blood test for the presence of antibodies to hepatitis D virus (Anti-HAD) by ELISA;
Blood test for the presence of antibodies to hepatitis A virus (Anti-HAV-IgG, Anti-HAV-IgM) by ELISA.

In addition, a biochemical blood test (bilirubin, AST, ALAT, alkaline phosphatase, total protein, albumin) and a coagulogram (APTT, TV, PTI, fibrinogen) are required.
If antibodies to hepatitis C or B viruses were detected in the blood, the doctor prescribes a blood test to determine the presence of the virus by PCR, which will allow to assess the activity of the process and choose a treatment.
With a dull aching pain in the upper part of the right side, radiating to the shoulder and scapula, which intensifies with stress, changes of weather, when eating fatty and abundant foods, alcohol, carbonated drinks or shaking, becoming stabbing and cutting, and is combined with nausea, vomiting, or belching bitter, the doctor prescribes a general blood test, a general urine test, ultrasound of the abdominal organs, retrograde cholangiopancreatography, as well as a biochemical blood test (bilirubin, alkaline phosphatase, elastase, lipase, AST, ALAT). If it is technically feasible, computed or magnetic resonance imaging is also prescribed.
In case of intense sharp, cutting, dagger pain in the right side, which is combined with darkening of urine, skin itching and light-colored feces, the doctor must prescribe a general blood and urine test, a biochemical analysis of feces (amylase in blood and urine, pancreatic elastase, lipase, triglycerides, calcium), scatology, ultrasound of the abdominal organs, and, if technically feasible, MRI. These studies make it possible to diagnose pancreatitis.
With periodic pain in the right side and at the same time in the groin, radiating to the leg, provoked by physical exertion, the doctor prescribes a general blood test, an ultrasound of the abdominal organs, and also performs an external examination and in some cases produces an X-ray of the intestines and urinary organs with contrast.
When pain in the right side is localized in the back, combined with back pain, pain when urinating, edema on the face, headache, fever, blood in the urine, the doctor must prescribe an ultrasound of the kidneys, a general urinalysis, determination of the total protein concentration, and albumin in daily urine, urine analysis according to Nechiporenko, Zimnitsky's test, as well as a biochemical blood test (urea, creatinine). In addition, the doctor may prescribe a bacteriological culture of urine or scraping from the urethra to identify the pathogenic causative agent of the inflammatory process, as well as the determination by PCR or ELISA of microbes in the scraping from the urethra. If glomerulonephritis is suspected, then the doctor may additionally prescribe the following tests:

Antibodies to the basement membrane of the glomeruli of the kidneys IgA, IgM, IgG (anti-BMC);
Antineutrophilic cytoplasmic antibodies, ANCA Ig G (pANCA and cANCA);
Antinuclear factor (ANF);
Antibodies to the phospholipase A2 receptor (PLA2R), total IgG, IgA, IgM;
Antibodies to C1q complement factor;
Antibodies to endothelium on HUVEC cells, total IgG, IgA, IgM;
Proteinase 3 (PR3) antibodies;
Antibodies to myeloperoxidase (MPO).

When the pain is localized at the top of the right side, combined with a high fever, cough, shortness of breath, profuse sweating, painful hiccups or chest pains when swallowing, the doctor will first of all prescribe a general blood test, a general urine test, a chest X-ray (sign up) and microscopy coughing up sputum. If the disease is difficult to treat, then the doctor may prescribe blood tests, sputum and bronchial lavages for the presence of chlamydia, streptococcus, mycoplasma and Candida fungi in order to understand exactly which microorganism triggered the infectious and inflammatory process.
For pain in the right side during intercourse in a woman, the doctor will prescribe the following tests and examinations:

Ultrasound of the pelvic organs
General urine analysis;
– General blood analysis;
Vaginal swab for flora
Tests for genital infections (gonorrhea, syphilis, ureaplasmosis, mycoplasmosis, candidiasis, trichomoniasis, chlamydia, gardnerellosis, fecal bacteroids, etc.), for the detection of which they donate vaginal discharge, scraping from the urethra or blood;- Colposcopy.

With very severe pain in the right side, which is combined with blistering rashes in the ribs, the doctor may prescribe a blood test for antibodies to herpes viruses. However, with this pathology (shingles), analyzes are usually not prescribed, since the visible picture and the patient's complaints are sufficient to make a diagnosis.
In addition, with periodically appearing and independently disappearing pain in the right side, regardless of the accompanying symptoms, the doctor may prescribe a feces or blood test to identify helminths (ascaris or pinworms). There are contraindications. Before use, you must consult a specialist.

Causes of pain

Pain in the internal organs, which are located in the area of the right hypochondrium, can mean a short-term dysfunction (spasm), a chronic disease (hepatitis, cholecystitis, colitis, etc.) or a rapidly developing pathology (appendicitis). Pain receptors react to irritation of the mucous membranes, swelling and stretching of tissues, violation of their integrity. Sometimes the pain syndrome in the hypochondrium on the right also occurs in healthy people as a result of physical activity, before menstruation in women. If, with physical effort, while inhaling or when coughing, it hurts on the right side under the ribs, it is highly likely that it may be gallstone or kidney stones. The load causes the movement of stones, which becomes a possible cause of painful sensations in the right upper quadrant in front.

Symptoms

Colic on the right side of the abdominal cavity occurs unexpectedly and is often acute.

Depending on why they have these sensations, the symptoms vary:

Intestinal colic. It manifests itself in sharp attacks, but the pain disappears if you press on the peritoneum. Usually it pricks the lower abdomen on the right, sometimes the pain spreads to the entire area. The condition may be accompanied by vomiting, nausea, severe flatulence, bloating and distension of the abdomen.
Renal colic. It is the strongest. Painful sensations fall on the lumbar region, while giving it to the lower abdomen, genitals, navel, groin and above – in the hypochondrium. The most common symptoms of this condition are constipation, vomiting, bloating, and frequent and painful urination.
Hepatic colic. A person has a feeling that it stabs in the right side of the chest, the pain radiates to the right shoulder blade and shoulder, then spreads throughout the abdomen. The attacks mostly occur in the afternoon. In addition, bloating, fever, vomiting, increased sweating, and dry mouth are noticeable.
Women's diseases and PMS. The appearance of a pulling sensation before menstruation is normal for many. True, these can be signals about pathologies. For example, if it pulls and pricks in the lower abdomen on the right in women, this indicates inflammation, cyst or rupture of the ovary. The condition may be accompanied by nausea, hyperthermia, and loss of consciousness.

If abdominal pain occurs, medical advice is required. You cannot delay a visit to a specialist, otherwise there is a risk of serious consequences.

When walking

Each of us is familiar with a similar phenomenon and has encountered at least once. If your right side hurts while running, it doesn't have to be related to illness. Due to the sudden rush of adrenaline, the blood flow in the body becomes more intense. This leads to the expansion of the vena cava, which presses on the liver, thereby causing discomfort. Other causes of side pain when walking:

cholestasis;
fatty hepatosis;
cirrhosis;
calculous cholecystitis;
kink of the gallbladder;
appendicitis;
vena cava thrombosis.

Cardiovascular pathology

As you know, a person's heart is on the top left side. But in some pathological conditions (heart failure, deterioration of blood circulation, myocardial infarction), blood stagnation occurs below the vena cava, which can manifest itself as pain on the right side of the body, under the ribs. Additional symptoms of this pathology are the accumulation of fluid (blood plasma) in the abdominal cavity, swelling of the arms and legs, and rapid breathing. With a heart attack, there is a very severe pain in the sternum, which can radiate under the ribs.

Bursting paroxysmal pain is manifested by vena cava thrombosis. With thrombosis, there may be a sharp and very severe pain in the right hypochondrium. The thrombus comes from the iliac veins and clogs the hollow, resulting in sometimes thrombosis of the hepatic segment. A person has a pain in the right hypochondrium and gives it under the right shoulder blade.

In men

It is worth talking in more detail about the ailments of the genitourinary system, which cause an unpleasant symptom, characteristic of those who represent the stronger sex. Pain in the right side in men occurs due to:

Balanoposthitis. Inflammation of the head of the penis, accompanied by a pulling pain in the abdomen.
Cavernite. Inflammation of the cavernous bodies of the penis. In the acute form, the man's side on the right hurts and cuts badly, in chronic aching.
Colliculitis. Inflammation of the seminal mound. Accompanied by a pulling feeling on the right.
Presence of stones in the prostate gland. With this pathology, the side on the right hurts. Can give it to the lower back.
Prostatitis. The abdomen at the lumbar level hurts a lot.
Adenomas of the prostate gland. An oppressive feeling.

Discomfort while walking and breathing air

With physical strain, especially when walking or jogging after eating, the pain may have physiological causes. With excessive production of adrenaline, the biliary tract relaxes and stretches. Also, under stress, the liver fills with blood, it increases in size, which affects the nerve endings of its capsule, causing pain.

Exercise in untrained individuals can lead to diaphragm spasm. The pain is felt when inhaling. When breathing is normal, the condition improves.

Diseases of the organs of bile secretion

Bile synthesized in the liver enters and accumulates in the gallbladder. Further, with the help of muscle contractions, it moves along special ducts into the duodenum. The path runs alongside the pancreatic duct. Together they secrete a secret through the sphincter of Oddi.

Sharp cramping pains are caused by spastic contraction of the muscle layer. They are called colic. Localized in the right hypochondrium, spreading to the center of the abdomen, in the right lateral zone.

They are removed with antispasmodic drugs. At the same time, the patient has belching, vomiting of bitterness, pain in the epigastrium (biliary gastritis). Pathology is caused by dyskinesia (impaired motility of the bladder), inflammation, and movement of stones.

Cholecystitis (inflammation of the bladder) is caused by pathogens. The most prone to illness are overweight women who do not engage in physical activity. Inflammation of the inner lining promotes the production of mucus, thickening of bile, changes the acid-base balance and creates conditions for the precipitation of bile salts (cholelithiasis).

The resulting calculi then stick together to a stony density and are the cause of cholelithiasis. While there are no stones, the pain is dull, but the movement of the calculus along the bile ducts causes irritation and local spasm. This is manifested by an intense painful attack in the upper right half of the abdomen, with irradiation to the collarbone, scapula, lower back, and shoulder. The attack lasts up to several hours.

Cholangitis is an inflammation of the bile ducts. He is rarely isolated without cholecystitis. Almost always accompanied by cholelithiasis. At the same time, pain in the epigastrium and right hypochondrium is very strong, cramping with high fever, jaundice.

Gallbladder neoplasms are rare. People with a long course of cholecystitis and gallstone disease have the greatest risk. The pain syndrome becomes stubborn, becomes permanent. For pathology, a tendency to rupture of the bladder and peritonitis is typical.

Pain in children

In a child, discomfort can develop after junk food, since the baby's body has not yet been formed and is not ready for serious stress.

Functional disorder is usually manifested by spasm in violation of gastric motility, when the threshold of excitability decreases and the tone of the vagus nerve increases.

Gastrospasm is characterized by cramping pains that occur with stress.

In addition, helminths are a common cause of colic. Ascariasis, giardiasis and enterobiasis are accompanied by a deterioration in sleep and appetite, itching of the anus, rash, and teeth creak.

In general, pain in a child is:

Organic. Caused by pathologies of organs and tissues of the gastrointestinal tract.
Functional. They arise when the functionality of the digestive system is impaired.

Abdominal myocardial infarction

The symptoms of this disease can be easily confused with the manifestations of pathologies in the functioning of the gastrointestinal tract. Symptoms of the abdominal form of myocardial infarction can vary depending on whether the course of the disease is complicated or uncomplicated. It is possible to draw conclusions about the presence of the disease on the following grounds:

severe pain in the epigastric region on the right side – an inexperienced person in medicine may decide that it hurts the liver, but in this case the disease is completely different and the liver has nothing to do with it;
over time, pain can migrate to the chest or, conversely, go down to the navel;
nausea, dyspepsia, bloating – all these symptoms are characteristic of the abdominal form of a heart attack;
violation of adequate nutrition of the mesanterial vessels of the intestine, as a result of which the risk of thrombosis of the veins and arteries of the intestine increases (this condition is dangerous because it can lead to the development of peritonitis).

If there is such a combination of symptoms, be sure to see a doctor, and as soon as possible. With abdominal infarction, there is a high risk of developing internal bleeding, which can easily lead to death.

Stretching the muscles of the abdominal wall

Why does the right side of the back hurt? Remember, have you lifted weights lately? Stretching of the muscle of the abdominal wall in front or behind is often the cause of the appearance of pain of a pulling and excruciating nature. Stretching can occur due to sudden heavy lifting, injury and jumping from a height.

Pain relieving ointments should be used to relieve this kind of pain. But even in the absence of treatment, as a rule, the pain goes away on the third or fifth day. The main thing is to stay in bed and not lift weights anymore.

Localization of pain in men and women

Because of what the side hurts on the right side, you can roughly determine, given the place of pain. The subsequent diagnosis depends on whether the symptom arose under the ribs or below.

At the level of the ribs

Side pain at the level of the ribs is more often associated with diseases of the digestive tract:

pancreatic disease;
decreased contractile function of the gallbladder, accompanied by stagnation of bile;
the appearance of stones in the gallbladder;
inflammatory and destructive processes in the liver.

Another reason for the appearance of pain is intercostal neuralgia. Irritation of the nerve roots with infringement or inflammation causes severe pain. Sometimes, with neuralgia, it is so strong that a person, trying to reduce the discomfort that has arisen, takes a forced position and breathes shallowly.

The side hurts on the right side at the level of the ribs with appendicitis. Gradually, as the attack progresses, the pain goes down to the iliac region.

Under the ribs

Just below the ribs are intestinal loops, so pain in the right side provokes:

nonspecific ulcerative colitis;
enteritis;
intestinal infections;
flatulence;
intestinal intussusception.

The appearance of reflected pain in inflammation of the bladder or kidney, and in pathologies of the female reproductive system is possible.

Pain in the right side is a symptom of appendicitis

Lower abdomen

If the groin on the right hurts, then the thought of appendicitis immediately arises. But, in addition to inflammation of the appendicular process, painful discomfort is caused by pathologies of the colon.

Pain in the right side of women in the groin appears due to diseases of the reproductive organs:

adnexitis;
tubal pregnancy;
ovarian apoplexy.

An inguinal hernia often provokes pain in the right side in men. Hernial formations in the groin occur in persons of both sexes, but in women, pathology is almost never found.

At the waist

The pain on the right in the waist area is due to the infringement of the nerve process by a hernia or a displaced vertebra in pathologies of the spine.

Less often, it hurts in the right side due to irradiation from the pelvic organs (prostate gland, bladder, uterus and ovary, intestines).

Analyzing where the right side hurts, it is possible to assume the nature of the pathological process. It is impossible, having independently diagnosed the cause of the pain, to self-medicate. Without additional examination, it is impossible to make a diagnosis, and incorrectly selected medicines will harm health and aggravate the course of the disease.

Acute cholecystitis

The most dangerous form of the disease develops rapidly, accompanied by pronounced symptoms:

severe paroxysmal pain in the gallbladder;
deterioration of health;
nausea and repeated vomiting;
an increase in body temperature;
lack of appetite;
indigestion (constipation, diarrhea, increased gas production in the intestines).

Chronic cholecystitis

The main symptom of chronic cholecystitis is pain in the right hypochondrium – prolonged or paroxysmal, radiating to the scapula and right shoulder. It can spread to a fairly wide area of the chest and back. Sometimes the pain is accompanied by weakness, cardialgia, fever, and other symptoms.

Outside of exacerbations, the patient from time to time experience a dull pain in the epigastric region and in the right hypochondrium. During exacerbations, the symptoms of chronic cholecystitis are similar to those of the acute form of the disease.

Cholelithiasis

While the stones are in the gallbladder, the patient may not even be aware of his illness. A person can suspect this disease only during the first warning signs: bitterness in the mouth, discomfort in the right hypochondrium, heartburn, belching and nausea.

If a stone from the gallbladder comes out into the bile ducts, then at this moment an attack of gallstone disease (biliary colic) occurs.

Chronic pyelonephritis

Despite the non-specificity of the symptoms of the disease, there are some signs of chronic pyelonephritis that should be paid attention to.

an unreasonable increase in temperature in the evening up to 38 ° C and above,
fatigue, weakness,
frequent headaches
feeling that the lower back is constantly freezing,
the occurrence of pain in the lumbar region, especially when walking,
frequent urge to use the toilet,
changes in the color of urine, its clouding,
the appearance of an uncharacteristic unpleasant odor in urine.

The clinical picture of the disease depends on the presence of concomitant urological diseases and on its pathogenesis.

Common symptoms of hepatitis C

In general, hepatitis C is an asymptomatic disease, diagnosed more often by accident when people are examined for other diseases. Therefore, analyzes are important in timely diagnosis.

More often than other symptoms, asthenia, weakness, and fatigue are noted. But these symptoms are very nonspecific (their presence alone does not allow talking about hepatitis C). With cirrhosis of the liver, jaundice may appear, the abdomen (ascites) increases in volume, spider veins appear, and weakness increases.

Treatment

If it hurts under the ribs on the right, the therapist usually prescribes a consultation with the following specialists:

Gastroenterologist;
Infectionist;
Cardiologist;
Gynecologist;
Surgeon;
Traumatologist;
Endocrinologist;
Neuropathologist.

Without establishing an accurate diagnosis in a medical institution, it is forbidden to self-medicate. In the event of acute pain, it is recommended to call an ambulance, apply cold (if it helps relieve pain).

In this case, pain relievers should not be taken, so as not to distort the clinical symptoms and not complicate the correct diagnosis.

Biliary dyskinesia and colic

This is another reason for right-sided pain. The duration of attacks and sensations are individual in nature, which depends on the type of disease. If dyskinesia develops according to the hypertensive type, the pain is concentrated in the area of the liver. Most often, patients complain of excruciating cutting pains. With dyskinesia of a hypokinetic form, there may not be any painful sensations at all, but often the disease is manifested by aching cramping attacks against the background of general malaise, weakness.

Often, this symptom is mistaken by patients for hepatic or biliary colic, which are also localized on the right, but are of a stronger and intolerable nature. Increased heart rate, heart failure, anxiety, panic fear are not excluded. Similar signs also precede myocardial infarction, therefore, when they appear, an ambulance must be called urgently. Regardless of which organ hurts from those that are located on the right in the abdomen in men and women, it is especially important to exclude a pre-infarction state. The patient needs to describe his state of health as accurately as possible in order to prevent the likelihood of a medical error – it can cost the patient's life. An easy way to determine what is causing the pain is to do an EKG.

Pancreatitis

In the acute form of this disease, pain is felt not only in the right upper quadrant of the abdomen, but also around the entire perimeter. Even the back and sides seem to hurt. The reason for the development of pancreatitis is the abuse of alcoholic beverages and an unbalanced diet. In the absence of treatment and the desire to change the lifestyle, the disease can be fatal.

Injury and damage

We are talking about mechanical damage to internal organs in this part. For example, a broken rib or bruise can also cause unpleasant feelings in the upper segment and in the lower right abdomen. We have already figured out what is in this area. In a fall from a height, in a collision in an accident and other traumatic circumstances, the liver, kidneys, and bladder most often suffer. The pain increases with coughing, sneezing, sudden movements. Patients with contusions of internal organs require urgent surgical treatment. Before the operation, the patient is referred for ultrasound, X-ray or MRI.

Shingles

The causative agent of this disease is the herpes virus. The symptoms of shingles are very similar to those of complicated pancreatitis. At the initial stage, the disease brings uncomfortable sensations on the left side, but sometimes the pains are localized on the right, they are constant and have a strong penetrating character. Just as with pancreatitis, with shingles, there is nausea, vomiting, diarrhea. Dyspeptic disorders make diagnosis difficult. Only when a characteristic herpetiform rash appears on the abdomen, with the diagnosis, everything becomes clear. No specialist will confuse blistering rashes located in a ribbon around the body. By the way, this is where the name of the disease comes from – shingles.

How to treat right side pain

It is important to remember that nothing can be done to relieve pain in the right side of the abdomen on your own. It is strictly forbidden to apply a heating pad to the stomach in case of severe pain. You can try to relieve severe pain with a cold compress on ice. This will slow the development of inflammation and reduce internal bleeding.

It is important to stop taking any pain medications until a diagnosis is made or the arrival of an ambulance specialist. The point is that pain relievers can change symptoms and make diagnosis more difficult. Alternatively, folk remedies should not be used, since they are often ineffective for pain in the right abdomen.

Acute pain always requires urgent medical attention. In most cases, hospitalization is done for surgery. With severe abdominal pain in pregnant women, gynecological care is required. When mild pains begin to disturb, it is recommended to consult a therapist as soon as possible. Only after consulting a specialist and establishing a diagnosis, it will be possible to perform any pain relief measures.

Sources used and useful links on the topic: https://doctor-365.net/bol-v-pravom-boku/ https://fishki.net/3139376-bolit-pravyj-bok-verojatnye-zabolevanija-i-sposoby- lechenija.html https://medica24.ru/simptomy/bol-v-pravom-boku https://nlo-mir.ru/bezrubriki/51088-boli-v-pravom-boku-prichiny.html https: // puzyr .info / v-pravom-boku-bolit / https://www.gmsclinic.ru/gms/press/articles/int-pochemu-bolit-pravyj-bok https://www.tiensmed.ru/news/bolvpravboku- c2s.html https://gb4miass74.ru/pervaya-pomoshch/bolit-pravyj-bok.html https://labuda.blog/247464 https://pechenka.online/sim/bol/v-pravom-boku.html https://yandex.ru/health/turbo/articles?id=3961 https://FB.ru/article/383590/chto-nahoditsya-sprava-v-jivote-opisanie-stroeniya-vnutrennih-organov-cheloveka-ih-naznachenie-vozmojnyie-prichinyi-boli-i-neobhodimost-vrachebnoy-diagnostiki https: //bolit.net/bol-v-boku/57-bolit-pravyj-bok.html

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