Pain in the right side develops with damage to the digestive organs - appendicitis and mesadenitis, Crohn's disease, hernias and malignant neoplasms. Among other causes of the symptom, urolithiasis is distinguished, in women - pathologies of the internal genital organs. To diagnose diseases manifested by pain in the side, ultrasound, X-ray and endoscopic studies are performed. Be sure to prescribe a standard package of laboratory tests of blood, feces, urine. Treatment includes medications (analgesics, antibiotics, hormones and cytostatics), surgical interventions.
Most often, the right side "pricks" during fast walking, running, physical activity. Painful sensations are due to the redistribution of blood flow, the deposition of blood in the liver. Pain occurs at the time of maximum load or immediately after exercise. Due to sharp stabbing sensations, a person stops, grabs his side. Discomfort disappears after a few minutes of rest.
Pain in the right side of the abdomen often appears in untrained people who begin to pump the press intensively. Myalgias develop, which last 2-3 days. Soreness becomes stronger with laughter, straining, turning the torso. Another common cause of myalgia and myositis is the effect of hypothermia or draft. In this case, the entire right side and lower back hurt, the pain is aggravated by awkward movements.
With inflammation of the appendix, severe pain occurs in the right iliac. The pain syndrome develops suddenly, is not associated with typical provoking factors. Pain sensations are constant or cramping, in order to alleviate them, the patient lies on his side, pulling his legs up to his stomach. Abdominal pain on the right is accompanied by fever, weakness. Sometimes there are dysuric and dyspeptic disorders.
With appendicular infiltrate, a different nature of pain is specific. Patients experience aching pain that lasts up to several weeks. The pain syndrome is aggravated by bending the torso, physical activity. Sometimes patients themselves grope in the right side for a volumetric formation, with pressure on which a sharp pain is determined.
In the acute form of mesadenitis, pain in the right side begins suddenly. They disturb a person for several days, are cramping in nature. Sometimes soreness spreads throughout the abdomen, and a person cannot indicate its exact localization. Gradually, the pain becomes dull or aching, exacerbation is characteristic when coughing or changing position. The symptom is accompanied by fever, nausea and dry mouth, diarrhea.
With this intestinal infection, there are sharp spastic pains in the upper abdomen and in the right side. In most cases, a "Salmonella triangle" is detected: patients complain of pain in the right iliac region, near the navel, in the epigastrium. The intensity of symptoms increases before defecation. Simultaneously with the pain syndrome, repeated diarrhea develops, the feces become greenish and acquire a fetid odor.
With the invasion of intestinal parasites, a person feels periodic dull or cramping pains in the right side. Their strengthening in the evening and at night is characteristic. There are stool disorders, flatulence and rumbling in the abdomen. For helminthiases, a combination of abdominal manifestations with other syndromes is typical: asthenovegetative, hepatolienal, bronchopulmonary.
The most common localization of the lesion is terminal ileitis, so pain occurs on the right in the lower abdomen. During the period of exacerbation of pain, acute, paroxysmal, and when the inflammatory process subsides, periodic aching sensations and discomfort in the indicated area predominate. With the spread of the disease to other parts of the intestine, the localization of the pain syndrome changes. Pain in the right side is accompanied by diarrhea with impurities of blood in the feces, weight loss.
Pain in the right side
Pain on the right lower abdomen is a sign of the right inguinal (more often in men) or femoral (more often in women) hernia. The intensity of pain depends on the size of the hernial protrusion, the presence of complications. At first, dull pains in the right side are disturbing, aggravated by physical exertion, straining. With strangulated hernias, the pain becomes severe, paroxysmal.
Severe pain in the right flank of the abdomen is noted in cancer of the blind or ascending colon. Soreness as the first symptom of a tumor occurs in pseudo-inflammatory or enterocolitis form of oncopathology. The pain syndrome persists constantly, periodically it intensifies to excruciating spasms. Pain in the side is combined with a decrease in appetite, weight loss, the appearance of blood in the stool.
In women, pain in the iliac zone on the right is often associated with gynecological diseases. Their intensity varies from dull or aching sensations to severe spasms. In most patients, there is a clear relationship between the nature and strength of the pain syndrome with the menstrual cycle. Typically increased pain during intercourse (dyspareunia). Most often, pain in the right side is manifested by:
Occasionally, unbearable pain in the right side is a symptom of renal colic. With ICD, the pain syndrome begins suddenly, quickly reaches its maximum intensity. At the time of the attack, the patients are restless, rushing around the room, moaning in pain. Pain usually radiates to the lower back, thigh, external genitalia. The symptom is accompanied by dysuric disorders, excretion of pink or reddish-brown urine.
The examination of patients with complaints of pain in the right side is carried out by a gastroenterologist, if necessary, other specialists are involved - a surgeon, gynecologist, nephrologist. Physical examination checks for peritoneal symptoms, specific signs of appendicitis, and deep palpation of the abdomen. To establish the diagnosis, laboratory and instrumental methods are recommended:
Non-intense pain in the right side, associated with hypothermia or physical exertion, does not require medical treatment. Mostly they pass on their own after 1-3 days. If the pain syndrome bothers you for a long time or the intensity of pain increases rapidly, you should immediately seek medical help. With excruciating pain, the doctor at the prehospital stage uses analgesics.
To relieve pain, non-steroidal anti-inflammatory drugs, narcotic analgesics, antispasmodics are used in practical medicine. For quick anesthesia, blockades are made with local anesthetics. These measures give a temporary effect, therefore, in the future, to eliminate pain in the right side, etiotropic therapy is prescribed, which affects the underlying disease. In surgery and gastroenterology, the following groups of medicines are used:
To improve the patient's condition, symptomatic therapy is carried out. Antidiarrheal or laxative drugs, drugs with pancreatic enzymes, prokinetics are selected. In order to correct metabolic processes, vitamin-mineral complexes with iron content are shown. In the recovery period of chronic diseases, courses of physiotherapy, the use of mineral waters, and spa treatment are recommended.
Urgent surgery is performed for acute appendicitis (laparoscopic or classical appendectomy), strangulated hernia (revision of abdominal organs and hernioplasty). In the formation of fistulas and abscesses in those suffering from Crohn's disease, their opening and sanitation is shown. If a total lesion of all layers of the intestinal wall develops, the operation of choice is resection of the intestine.
With an interrupted ectopic pregnancy, urgent surgical care is needed. The type of operation is selected taking into account the severity of complications and the desire of the woman to have children in the future. Organ-preserving tubotomy or radical tubectomy is performed. When the ovarian cyst is ruptured, a wedge resection or oophorectomy is performed. Some forms of endometriosis require elective surgical treatment.