Tingling in the side develops with damage to the hepatobiliary zone (hepatitis, cholecystitis, dyskinesia of the gastrointestinal tract), chronic pancreatitis, intestinal diseases (colitis, IBS, polyposis). Less commonly, the symptom is associated with an increase or injury to the spleen, abdominal hernia, gynecological diseases in women. To establish the causes of tingling, ultrasound, X-ray and endoscopic studies, laboratory tests of blood and feces are prescribed. Treatment of stabbing sensations in the side involves the use of analgesics and antispasmodics, etiotropic drugs, the selection of physiotherapeutic methods.
Tingling in the side is possible with physical exertion. The symptom is caused by an overflow of blood in the liver or spleen. A person suddenly feels a stabbing pain at the moment of maximum activity, which forces him to stop, grab his side with his hand. An unpleasant feeling lasts no more than 10-2 minutes, disappears on its own after rest. If the manifestation bothers you too often and with little training, this may indicate a pathological process.
Chronic diseases of the liver and biliary tract are the main cause of tingling in the side on the right. Discomfort is provoked by spasms of the smooth muscles of the gallbladder, ducts or sphincters. Stitching sensations are localized just below the ribs, sometimes they are felt from the back or along the midline of the abdomen. The symptom is usually accompanied by heaviness in the right hypochondrium, nausea, stool disorders. Tingling is manifested:
Unpleasant tingling on the left side, closer to the ribs, occurs with splenomegaly. The symptom is caused by various pathologies: hemolytic anemia, infectious processes (cytomegalovirus, Epstein-Barr virus), autoimmune disorders (systemic lupus erythematosus, vasculitis, periarteritis nodosa). Strong tingling is felt with mild to moderate injuries to the spleen that do not lead to rupture of the organ or bleeding.
This disease is characterized by periodic tingling in the left side, which occurs when eating large amounts of high-calorie, fatty or fried foods. Discomfort is maximally manifested half an hour after the end of a meal and persists for several hours. In addition to stabbing sensations, the patient is worried about nausea, heaviness in the abdomen, and increased gas formation. Pancreatitis should be considered when tingling is accompanied by steatorrhea.
Stinging pains of moderate intensity are a characteristic symptom of irritable bowel syndrome (IBS). The patient reports that the maximum discomfort occurs in the morning, when colic appears in the right and left sides due to severe flatulence. After defecation, unpleasant symptoms decrease or completely disappear. With IBS, exacerbation of stabbing pains is observed against the background of psycho-emotional stress.
Periodic tingling occurs in chronic inflammatory processes in the intestines: colitis, sigmoiditis, diverticulitis. Usually there is an erased clinical symptomatology: unsharp pain and colic, stool instability, flatulence and gas incontinence. Increased discomfort is provoked by errors in nutrition, physical or mental overwork.
Pathologies of the uterus and appendages are a common cause of tingling in the side in women. Symptoms appear on the side of the lesion. Stitching pain is predominantly found in adnexitis and endometriosis of the appendages, less often in endometritis. Patients complain of stabbing sensations in the side, which are noticeably aggravated by active movements, sharp turns or bends, coughing or sneezing, bowel movements, urination.
Tingling in the side is observed with uncomplicated reducible hernial protrusions. Occurs with an increase in intra-abdominal pressure due to cough paroxysm, straining during defecation, heavy physical exertion. Stitching pains are combined with the appearance of a hernial sac in the form of an elastic "tumor" covered with unchanged skin. Education is reduced into the abdominal cavity independently or with manual help.
Due to the variety of causes of tingling in the side, the patient is recommended a comprehensive examination. The primary examination is carried out by a gastroenterologist, if necessary, a consultation of a hepatologist, gynecologist, surgeon is prescribed. Physical data are often uninformative, so the diagnostic search includes a number of instrumental and laboratory studies:
Ultrasound of the hepatobiliary zone
Since tingling in the side can be caused by various reasons, it is usually impossible to eliminate an unpleasant symptom without a visit to the doctor. To relieve colic, use antispasmodics or painkillers in accordance with the instructions. If the symptom is accompanied by dyspeptic disorders, the diet should be normalized, provocative foods should be excluded. With severe stabbing pains and deterioration of health, you should immediately seek medical help.
To quickly eliminate soreness and tingling, gastroenterologists use antispasmodics, which relax smooth muscles, and analgesics from the group of non-steroidal anti-inflammatory drugs, which have a universal effect. The tingling in the side is of medium intensity, so there is no need to resort to strong painkillers or novocaine blockades.
The further course of therapy is selected taking into account the underlying disease. In hepatobiliary pathologies, choleretics and cholekinetics, hepatoprotectors, etiotropic antimicrobial and antiprotozoal drugs are prescribed. To normalize the condition of the intestines, probiotics, anti-inflammatory drugs (NSAIDs or glucocorticoids), intestinal antiseptics are taken. To improve digestion, medicines with pancreatic enzymes, bile components are recommended.
For the relief of chronic pain, physiotherapeutic methods of treatment are effective: SMT and reflexology. In order to purposefully deliver drugs to the lesion, the technique of drug electrophoresis is used. Hepatobiliary diseases occurring with stagnation of bile require individual selection of therapeutic mineral waters.
Surgical intervention is performed extremely rarely, in case of a complicated course of pathology or ineffectiveness of conservative methods. The help of abdominal surgeons is indicated for strangulated or irreducible hernias, total intestinal damage in UC or Crohn's disease, exacerbation of calculous cholecystitis. Some diseases of the reproductive sphere in women also require surgical treatment with wedge resection of the ovary, oophorectomy.