Pain in the right side just below the waist. Presence of infection in the right kidney

Painful sensations in the right side near the waist can have different etiologies. Any pain signals a problem in the body: stagnation or an inflammatory process. Based on certain symptoms, you can guess which organ is affected and seek help from the appropriate specialist.

There are many causes of pain in the right side. Have unpleasant sensations of various etiologies– varying degrees of location, duration of pain. The nature of the pain always depends on pathological processes. By intensity pain symptoms one can also assume their cause:

If the nature of the pain is stabbing, such pain is called colic: renal, liver and intestinal. What indicates problems with the kidneys is that discomfort are localized not only on the right side of the abdomen, but also radiate to the lower back and groin area. Hepatic colic is always indicated by pain on the right side under the ribs above the waist level. Intestinal colic, on the contrary, are characterized by pain below the waist, often in the anterior zone of the peritoneum. It is usually accompanied by flatulence and bloating.

It is impossible to accurately guess the illness based on the nature of the pain - these are just guesses. The diagnosis must be confirmed by a doctor after appropriate studies (blood tests, urine tests, ultrasound, CT, MRI, radiography, colonoscopy). Moreover, the cause of pain can be pathological changes in the reproductive organs and even problems with the spine.

Diseases of the liver and gallbladder

Pathological changes in these organs most often project pain in the hypochondrium on the right, with diseases of the biliary tract leading. Inflammatory processes in the liver give pronounced pain syndrome only for late stages when stretching of the liver capsule is recorded.

This disease is caused by poor nutrition: an abundance of fatty dishes on the menu leads to disruption of bile flow. The acute secretion corrodes the wall of the bladder, which provokes inflammation.

Symptoms

The intensity of the pain depends entirely on the type of inflammatory process. With the catarrhal type of the disease, the pain syndrome will be moderate, while with the gangrenous type, symptoms of peritonitis will appear with acute pain under the ribs in the anterior part of the peritoneum. Additional signs of exacerbation of cholecystitis are:

• loss of appetite;
• temperature rise;
• weakness and weakness;
• bitter taste, more often in the morning.

Note that this disease occurs much more often in women than in the stronger sex.

Treatment

Cholecystitis is amenable to drug therapy aimed at relieving inflammation and normalizing the outflow of bile. The doctor may prescribe:

• antispasmodics (“Spazmalgon”, “Trigan”, “Renalgan”, “Drotaverin”, “No-shpu”);
• antibiotics (“Ceftriaxone”, “Ampicillin”, “Rifampicin”);
• choleretic pharmaceuticals (“Cyqualon”, “Liobil”, “Allohol” and “Hologon”).

A diet according to treatment table No. 5 is required.

Cholelithiasis

The appearance of gallstones is another cause of pain in the right side. Because of them, tissue intoxication with bilirubin is likely, which negatively affects almost all cells of the body.

Symptoms

The pain is similar to that of gangrenous cholecystitis. An additional symptom of the disease in the acute phase may be yellowing of the tissues and sclera. Jaundice occurs due to problems with the outflow of bile and requires calling an ambulance, because in this case tissue intoxication with bilirubin is possible.

Treatment

In the early stages of the disease, the doctor can select a therapeutic course. It includes the same choleretic medications and antispasmodics as for cholecystitis, as well as medications containing ursodeoxycholic acid to dissolve stones and liquefy bile - “Ursofalk”, “Urdoxa”, “Solutrate”, “Delursan”, “Ursosan”, “ Holacid" and others.

But most people turn to us when medications and diet no longer help. Therefore, cholecystectomy is most often prescribed. The operation is usually performed using a gentle laser method, but difficult cases you have to use abdominal surgery.

Hepatitis

Varieties of this infectious lesion quite a lot, and they all suggest inflammatory processes in the liver tissues. After a certain time, this leads to swelling and stretching of the liver capsule, which means pain.

Symptoms

Compression on the right side, under the ribs and general weakness occur in the second stage of the disease, with intensive reproduction of the virus. Then nausea and vomiting appear, the temperature rises, the skin and whites of the eyes turn yellow. In some hepatitis, this stage passes latently, smoothed out, and pain occurs only in a complicated form, when the liver cells have already been destroyed.

Treatment

If the temperature rises and the skin turns yellow, you need to call an ambulance. The doctor prescribes special antiviral and restorative drugs and a special diet.

Therapy against the virus depends on its strain. Thus, in the treatment of hepatitis B, C, D, chemotherapy drugs (Retrovir, Famciclovir), synthetic alpha interferons (Reaferon, Realdiron) and human leukocyte interferon are used. For hepatitis A, Phosphogliv is recommended. Liver damage requires the use of hepatoprotectors for cell restoration (Karsil, Progepar, Hepatosan). In most cases, inpatient treatment is recommended.

Cirrhosis of the liver

Pain in this case occurs already at serious stages of the disease - when the liver capsule is stretched. That is why the disease is extremely dangerous: the patient seeks medical care at a severe stage of the disease, when doctors can only mitigate the decline of the body. In this case, a person lives only a year or two after diagnosis.

Symptoms

In addition to pain, cirrhosis is indicated by an enlargement of the spleen and liver, a change in the color of the skin and sclera to jaundiced brown, and fluid accumulation in the abdominal cavity.

Treatment

Except for the initial stage, when the disease can be stopped, the disease is incurable. The appearance of pain signals that cirrhosis has entered the compensatory stage, and doctors can only keep the patient alive. Medicines are prescribed depending on the liver damage. Thus, for cholestasis syndrome, Heptral and Ursofalk are recommended. In case of protein loss, edema or ascites - administration of a 20% solution of "Albumin" or native plasma. Hepatoprotectors are required (as with hepatitis). In severe cases, liver transplantation is possible.

Upon cancellation bad habits And timely application to doctors, the death will be delayed, and the patient will live long enough.

Diseases of the liver and biliary organs quite often cause pain in the right side of the abdomen. Usually these diseases are inflammatory in nature, but can develop into a destructive form. In this case, pain sensations will begin to move to other areas of the peritoneum, and their intensity will increase.

Kidney and urinary tract diseases

Often pain in the right side at waist level indicates kidney problems. It is usually concentrated in the lumbar region, but can radiate to the side area.

Pyelonephritis

This is common inflammatory disease kidneys, leading to pain in the right side. More precisely, it arises near the lower back and radiates to the right side.

Symptoms

In addition to pain radiating to the right side, exacerbation of pyelonephritis is associated with an increase in temperature, weakness, change in the color of urine, and the appearance of blood in it.

Treatment

Antibacterial therapy (“5-NOK”, “Biseptol”, “Furamag”, “Furadonin”, “Furazolidone”, “Nolitsin”), uroseptics (“Canephron-N”, “Cyston”), drinking plenty of fluids. In severe cases it is possible surgical intervention.

Painful sensations in the right side can be caused by kidney prolapse. Here the organ changes its actual position due to weakening of the ligaments due to infection, traumatic injury or rapid weight loss.

Symptoms

Increased pain with physical activity. But in severe cases, discomfort persists even in a lying position.

Treatment

First of all, it is necessary to find out and treat the cause of the disease, for example, pyelonephritis. At physiological reason– weakening of muscles due to physical activity, injury or pregnancy, the doctor will prescribe:

• painkillers (“Paracetamol”, “Ibuprofen”, “Nurofen”, “Ibufen”);
• vitamins;
• diet according to table No. 7;
• therapeutic exercises.

It is necessary to use a special bandage that supports the anatomical location of the kidney. In difficult cases, surgery is possible.

Video - What does pain in the right side mean?

Glomerulonephritis

This disease, characterized by damage to the blood vessels of the kidneys, manifests itself against a background of inflammation and low immunity.

Symptoms

Dull aching pain on the right side of the back, swelling of body tissues, blood in the urine.

Treatment

Complex with a special diet and pharmaceutical therapy:

• antibiotics (“Penicillin”, “Oxacillin”, “Ampicillin”, “Ampioks”);
• immunosuppressants (“Prednisolone” or “Azathioprine”, “Cyclophosphamide”);
• diuretics (“Hypothiazide”, “Furosemide”).

The use of phytotherapeutic decoctions and sanatorium-resort treatment is useful.

Urolithiasis disease

A urological disease that manifests itself due to poor nutrition and poor quality water. All this contributes to the accumulation of salts and the formation of stones.

Symptoms

As long as the stones are small and localized in the kidneys, they do not cause discomfort. But when moving, they can clog the lumen of the ureter and cause severe pain - renal colic. Additional symptoms include dysuria and the appearance of blood in the urine.

Treatment

On initial stages ailments are used:

• antispasmodics (“Papaverine”, “No-shpu”);
• antibiotics (“Ofloxacin”, “Cefepime”, “Amikacin”, “Gentamicin”);
• anti-inflammatory drugs (“Urolesan”, “Canephron N”, “Ketoprofen”),
• pharmaceuticals that can dissolve stones and remove them naturally(“Allopurinol”, “Marelin”, “Prolit”, “Cyston”, “Blemaren” and others).

Attention! Large and dense formations are removed surgically.

Intestinal problems

Pain in the right side is often associated with intestinal diseases. Some of them, associated with overeating or impaired digestion of food, may go away on their own. But there are also those that require mandatory treatment.

Appendicitis

There are many causes of inflammation of the appendix. This includes poor nutrition, infection, and the appearance of blood clots in the vessels of the gastrointestinal tract. Severe pain on the right side is characteristic of acute appendicitis.

Symptoms

In addition to the acute pain, which increases with inhalation:

• nausea;
• bloating of the peritoneum;
• the appearance of icy sweat;
• sharp rise in temperature.

Before these signs appear, the patient usually experiences diarrhea and discomfort during bowel movements.

Treatment

Requires surgery. Without this, there is a high risk of death.

Painful sensations on the waist on the right can occur during inflammatory processes in the intestines (enteritis, colitis, duodenitis).

Symptoms

The main signs of the inflammatory process, except pain:

• diarrhea or constipation;
• weakness;
• dehydration;
• coated tongue.

Attention! In severe cases, a febrile state with rising temperature is possible.

Treatment

You will need to relieve symptoms of dehydration, cleanse the intestines of toxins, and diet according to table No. 4. The course of treatment is selected depending on the causes of the disease and the location of the inflammation. Antibiotics wide range actions (“Oleandomycin”, “Erythromycin”, “Sigmamycin”, “Oletetrin” and others) strictly as prescribed by the doctor. After them, it is useful to restore the microflora with the help of such products as “Colibacterin”, “Bifikol”, “Bifidumbacterin”, “Lactobacterin”. Vitamin and mineral complexes will be useful to prevent hypovitaminosis. For attacks accompanied by fever and fever, emergency care is necessary.

Colon cancer

The cause of pain on the right side may also be a malignant tumor.

Symptoms

This cancer Maybe for a long time leak hidden. The patient feels only weakness or weight loss. Additional “clues” about the presence of a serious illness are considered:

• periodic increases in temperature;
• bloating of the peritoneum;
• constipation;
• the appearance of blood in excrement;
• change in the color of stool.

In all cases, pain is recorded on palpation of the right side. Its intensity depends on the stage of the disease and the size of the tumor.

Treatment

It is carried out by surgically removing the tumor and prescribing a course of chemotherapy.

Video - Pain in the right hypochondrium

Spinal diseases

Usually, pain in the right side near the waist is associated with ailments of the liver, intestines, and sometimes kidneys. But such unpleasant sensations can also arise due to disorders in the thoracic or lumbar spine. The most frequent illnesses, which are characterized by a similar pain syndrome - osteochondrosis and intervertebral disc herniation. Pain occurs due to compression of nerve endings in the corresponding section and innervates the area of ​​the right side.

Symptoms

Painful sensations occur not only in the side, but also in the back and lower back. Their character is long, aching. They get worse when moving, turning, sneezing, coughing.

Treatment

The main emphasis is on physical therapy, kinesitherapy. In case of serious inflammation, it is likely to prescribe anti-inflammatory non-steroidal pharmaceuticals (Diclofenac, Meloxicam, Ketorolac, Ibuprofen), local injections of steroid drugs, novocaine blockades. Surgical removal of intervertebral hernias is possible.

Reproductive diseases

They are, of course, different for men and women. For representatives of the fair sex, an unexpected painful sensation in the waist area can be quite physiological and indicate ovulation. Also, pain in the abdominal area is common during menstruation due to active uterine contractions or during hormonal changes in the body.

On a note! Thus, an unpleasant syndrome often occurs in pregnant women. Pain on the right side in pregnant women is a common occurrence. It is usually associated with displacement of organs due to fetal growth and is physiological in nature.

But if the pain is severe, or is accompanied by additional alarming signs, you should definitely see a doctor.

Sometimes painful syndromes in the area of ​​the waist on the right in representatives of both the weaker and stronger sexes are of a pathological nature and suggest the following diseases:

Among women	Image	Essential medicines	In men	Image	Essential medicines
		Antibacterial drugs of different groups, for example, aminoglycosides and penicillins (“Oxacillin” and “Kanamycin”)			Instillation of the urethra with antiseptic solutions and the use of antibiotic drugs depending on the type of infection
		Hormonal drugs, for example, Rigevidon, Marvelon, Diane-35
		For minor tears, antispasmodics will help. The same “No-spa” and bed rest, the rupture requires laparoscopic surgery			Medicines to eliminate pain, swelling and inflammation (Diclofenac, Ibuprofen), with bacterial cause diseases - antibiotics (Amoxicillin, Amoxiclav, Erythromycin, Azithromycin)
		Required surgery and a course of chemotherapy	Prostatitis		Antibiotics (“Oxacillin”, “Sulfa-P”), as well as means for removing unpleasant symptoms and recovery (“Prostatilen”, “Prostan”, “Vitaprost”, “Prostamol Uno”)

Attention! If a woman has discomfort that lasts more than two days and is not related to menstruation, she should definitely visit a gynecologist. And if pain torments a representative of the stronger sex, you need to go to the doctor as soon as possible. Self-medication is impossible here; a course of treatment must be prescribed by a doctor. Otherwise, there is a risk of losing the ability to have offspring and the degeneration of illnesses into severe forms.

What to do before going to the doctor?

If there is no idea why it hurts on the right side of the waist, you need to take a number to see a therapist and do an ultrasound of the abdominal cavity. Then the cause of the unpleasant sensations will become clearer, and the appropriate specialist will prescribe a therapeutic course.

But before visiting a doctor, some time will have to pass. In order not to suffer, you can relieve painful sensations:

1. Non-steroidal painkillers. Such pharmaceuticals are sold without a prescription at any pharmacy. This could be Ibuprofen, Analgin, Paracetamol and their analogues. Release similar means both in tablet form and in the form of syrup, rectal suppositories (for children).
2. Antispasmodics. Unpleasant abdominal cramps are usually relieved with No-Spa and other papaverine-based medications.
3. Medicines for intestinal problems. If the pain is accompanied by bloating, flatulence, diarrhea, special means, relieving these symptoms, removing toxins and preventing the proliferation of pathogenic bacteria. Popular ones include: Activated carbon, “Imodium”, “Sulgin”, “Fthalazol”.

A folk remedy, a decoction of caraway seeds and lemon balm, also provides an analgesic effect. Vegetable raw materials are steamed in equal parts in boiling water (a couple of pinches per glass). Filter and drink during the period of pain exacerbation.

Attention! If the pain is accompanied by fever, vomiting and other alarming symptoms, you can’t drown them out with painkillers. You need to urgently call an ambulance.

Do not apply hot compresses to the sore area. If inflammation occurs, it will only intensify under the influence of heat. This means that the pain will become more intense.

IN human body on the right side of the peritoneum there is concentrated a lot of vital important organs. Even mildly intense pain can signal pathological changes and become a reason to go to the clinic. A quick response will help avoid chronicity of the disease and possible surgical intervention.

Thank you

One of common reasons anxiety and doctor visits among patients is pain in right side or back. This symptom accompanies the development of many diseases various organs. Some of them are very dangerous and can lead to death. That is why, if you experience pain in the side on the right, you must consult a doctor to determine the causes.

Pain localized in the right side varies in nature and location for different diseases.

Character of pain in the right side

Sometimes pain appears if inflammatory process the peritoneum is involved. At the same time, its location is well determined. It is more often characterized as burning, sharp or stabbing. The intensity increases when changing position, running, walking, or raising your arm.

If you feel such pain in the right side, then it is necessary to exclude surgical diseases:

• appendicitis;
• perforation of a stomach ulcer or duodenum;
• intussusception and volvulus.

One of the manifestations of pain in the right side may be umbilical colic. It manifests itself as a sharp, periodic, cramping pain, which is caused by increased peristalsis or intestinal distension. Occurs more often during or after eating. It is felt in the area near the navel, with nausea, pallor, and vomiting. Colitis and enterocolitis are accompanied by the appearance of umbilical colic. Prolonged and severe colic-type pain in the right hypochondrium indicates diseases of the liver and biliary tract (hepatitis, cholecystitis, biliary dyskinesia).

IN separate category“referred” pain should be highlighted. This is the pain of internal organs which is carried out on certain areas of the skin. In diseases of the liver and gallbladder, it can radiate to the scapula, and in diseases of the pancreas and duodenum, it radiates to the back and lower back, and is also felt under the ribs on the right and left.

Localization of pain in the right side

• diseases of the stomach and duodenum;
• liver diseases;
• diseases of the biliary tract;
• diseases of the right kidney;
• pancreatic diseases;
• right lower lobe pneumonia;
• appendicitis;
• abdominal form of myocardial infarction.

• volvulus or intussusception;
• appendicitis;
• diseases of the right kidney.

• kidney damage;
• damage to the uterine appendages;
• bladder diseases;
• appendicitis;
• inguinal hernia.

When does aching pain occur in the right side of the lower abdomen?

• pyelonephritis;
• glomerulonephritis;
• appendicitis;
• right-sided adnexitis;
• ovarian cyst;
• dyskinesia of the biliary tract of the hypotonic type;
• cholelithiasis.

Men most often experience pain in the lower right abdomen due to the following diseases:

• pyelonephritis;
• glomerulonephritis;
• appendicitis;
• cholelithiasis;
• urolithiasis disease;
• dyskinesia of the biliary tract of the hypotonic type.

Diseases accompanied by pain in the right side

Diseases of the stomach and duodenum

If there is a 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) (sign up);
• Computed or magnetic resonance imaging;
• Detection of Helicobacter Pylori in material collected during FGDS;
• The presence of antibodies to Helicobacter Pylori (IgM, IgG) in the blood;
• Level of pepsinogens and gastrin in blood serum;
• The presence of antibodies to gastric parietal cells (total IgG, IgA, IgM) in the blood.

In practice, in most cases the doctor prescribes general analysis blood, 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. Computer or magnetic resonance imaging may be prescribed instead of fibrogastroduodenoscopy if technically possible, if a person cannot undergo FGDS. An analysis of the level of pepsinogens and gastrin in the blood is usually prescribed as an alternative to FGDS if it is possible to perform it, but in practice this study It 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 gastric parietal cells is prescribed only if there is a suspicion of atrophic gastritis, and often instead of FGDS, when a person cannot undergo it.

If there is a sharp cramping pain in the right side, appearing with pain in the navel area, occurring periodically after or during meals, combined with nausea, vomiting, rumbling in the abdomen, bloating and pale skin, the doctor prescribes the following tests and examinations:

• General blood analysis;
• Analysis of stool for worm eggs;
• Stool analysis for scatology and dysbacteriosis;
• Stool culture for clostridia;
• Blood test for the presence of antibodies to clostridia;
• Ultrasound of the abdominal organs;
• Colonoscopy (make an appointment) or sigmoidoscopy (sign up);
• Irrigoscopy (intestinal x-ray with contrast agent) (make an appointment);
• Blood test for the presence of antineutrophil cytoplasmic antibodies and antibodies to Saccharomycetes.

For pain in the right side, combined with itching and yellowing of the skin, decreased appetite, weakness and slight increase body temperature, requires contacting an infectious disease specialist or hepatologist, since such symptoms indicate a high risk of hepatitis. Doctor in mandatory First of all, he prescribes blood tests to detect hepatitis, such as:

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

If antibodies to hepatitis C or B viruses are detected in the blood, the doctor prescribes a blood test to determine the presence of the virus using the PCR method, which will assess the activity of the process and select 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 in weather, when eating fatty and rich foods, alcohol, carbonated drinks or shaking, becoming stabbing and cutting, and is combined with nausea, vomiting or bitter belching, the doctor prescribes a general blood test, a general urinalysis, ultrasound of the abdominal organs, retrograde cholangiopancreatography, as well as a biochemical blood test (bilirubin, alkaline phosphatase, elastase, lipase, AST, ALT). If technically possible, computed tomography or magnetic resonance imaging is also prescribed.

With intense sharp, cutting, dagger pain in the right side, which is combined with darkening of the urine, skin itching And light-colored stool, the doctor must prescribe a general blood and urine test, a biochemical analysis of stool (amylase in the blood and urine, pancreatic elastase, lipase, triglycerides, calcium), scatology, ultrasound of the abdominal organs, and, if technically possible, an MRI. These studies allow you to diagnose pancreatitis.

For periodic pain in the right side and at the same time in the groin, radiating to the leg, provoked by physical activity, the doctor prescribes a general blood test, ultrasound of the abdominal organs, and also performs an external examination and, in some cases, performs an X-ray of the intestines and urinary organs with contrast.

When pain in the right side is localized in the back, combined with pain in the lower back, pain when urinating, swelling in the face, headache, fever, blood in the urine, the doctor must prescribe Kidney ultrasound (sign up), general urine analysis, determination of the total concentration of protein and albumin in daily urine, urine analysis according to Nechiporenko (), Zimnitsky test (), as well as a biochemical blood test (urea, creatinine). In addition, the doctor may prescribe bacteriological culture urine or urethral scraping to identify pathogenic agent inflammatory process, as well as determination by PCR or ELISA of microbes in scrapings from the urethra. If glomerulonephritis is suspected, the doctor may additionally prescribe the following tests:

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

In addition, if pain in the right side periodically appears and disappears on its own, regardless of the accompanying symptoms, the doctor may prescribe a stool or blood test to detect helminths (ascaris or pinworms).

The human abdominal cavity contains many internal organs, and when pain occurs, this should be a signal that you need to pay extra attention to yourself. If such conditions recur, then this is a direct reason to seek medical help. The consequences of ignoring an emerging illness can be serious, because pain in the right side at waist level can be due to many reasons. We will learn about them and how diseases are related to the nature of the discomfort that appears in this article.

Causes of pain in the right side

Each of the organs present in this area of ​​the human body can cause pain when inflamed. The reasons are:

• pathology genitourinary system;
• liver and kidney diseases;
• gynecological ailments;
• back pathologies;
• nervous disorders;
• dysfunction gastrointestinal tract;
• cholelithiasis.

As you can see, many systems in the body may be involved if pain occurs in the right side of the waist. Therefore, the doctor refers the patient for examination, and after the results obtained, diagnoses his condition.

What internal organs can hurt?

If it hurts on the right side in the waist, then there is an assumption that the disease has affected the pancreas or intestines. It may also be a pathology associated with gallbladder. If the lungs are involved, pain will be felt in the hypochondrium, which will be more noticeably felt when coughing or taking a deep breath.

At waist level on the right side pain may be associated with problems of the gastrointestinal tract, intestinal (colon) or kidney pathologies. The urinary system and respiratory organs can also cause similar sensations in the waist. It happens that there is discomfort associated with a strangulated hernia in the back or injury.

And if it hurts in the front of the abdominal cavity and in the lower right side at waist level, then this may indicate appendicitis. Inflammation of the appendix is ​​usually provoked by the presence of many fatty foods in the patient’s diet, as well as by the presence of infection or the occurrence of thrombosis of the arteries of the stomach and intestines. In case of appendicitis pain when inhaling and moving becomes more pronounced. This pathology can be recognized by palpation and by a number of symptoms:

• rapid rise temperature;
• presence of cold sweat;
• bloating and nausea.

If you only take painkillers with an inflamed appendix, it may burst. Its contents will enter the abdominal cavity, and severe inflammation will develop, which can be fatal. Therefore, with this disease, the patient needs timely surgical intervention.

In men

In men, pain in the lower right side can be caused by osteochondrosis, as well as pinched diaphragmatic or inguinal hernia. All this often becomes the result of excessive physical activity on the back. In diseases of the genitourinary system, the cause is hypothermia or venereal diseases. Prostatitis is formed due to a sedentary lifestyle, obesity, and various infections.

Among women

Women have pain in the lower right side of the waist even more often than men, because they have many reasons for this condition. This may be due to menstruation, inflammation in the ovaries, or endometriosis.

Pain during pregnancy is not always a sign of an illness. In midterm, discomfort may be due to stretching of the ligaments that hold the uterus in place.

In the last trimester, discomfort often appears in the abdominal area due to compression of internal organs by the enlarged fetus, and in the back due to increased stress on it. Unpleasant feelings They also arise with problems associated with the gallbladder, and if the pain makes itself felt to the right and center, then with insufficient emptying of the colon.

Pain in the right side with such female ailments:

• ovarian rupture;
• polycystic disease;
• adnexitis of appendages;
• malignant formations.

You need to know that the nature of pain in case of ovarian rupture and menstruation are similar. If it occurs, you must visit a doctor and make sure there is no serious pathology.

Important! There is another very dangerous disease- ectopic pregnancy. It is also accompanied by acute pain and requires immediate calling an ambulance.

What determines the nature of pain in the right side

Discomfort in the right side at the waist level and below with various ailments is expressed in different ways. The nature of pain can vary greatly with various pathologies, and it depends on the processes occurring in the abdominal area.

Pain is a symptom that tells a person that they have a problem. They may consist in the development of an inflammatory process, edema, and insufficient oxygen supply. Stagnation can also cause discomfort. Treatment is carried out after diagnosis, and it consists of eliminating the causes described above.

Feeling of heaviness

A feeling of heaviness in the waist usually occurs when there is a high level of toxins in human organs. It is also associated with poor liver function. With stagnation of bile or inflammation, this pain becomes more pronounced after eating fried and fatty foods.

Heaviness in the abdominal area is a symptom of insufficient bowel movement. Pain occurs due to chronic constipation.

Nagging pain

A nagging pain in the right side of the waist appears when inflammation forms in the liver - hepatitis.

This type of discomfort can also be caused by an ectopic pregnancy, and when normally expecting a child, these feelings are experienced by women whose smooth muscles of the uterus contract.

Important! The danger of this condition for expectant mothers is that if it lasts for a long time, it can lead to pathologies in the development of the baby’s brain.

Aching pain

Aching discomfort in the abdomen usually makes itself felt for a long time and means that there is mild inflammation in the human body. More This condition can cause toxicosis. Also aching pain occur in women with chronic ovarian disease, and in men with prostatitis.

Severe cutting pain

If the pain in the abdomen at the waist level is cutting in nature, then it accompanies the inflammatory process. This kind of pain also occurs when there are blood clots in the blood vessels. Acute cutting pain in the right hypochondrium indicates severe damage to some internal organ. Therefore, in this case, you should immediately contact a specialist.

Stitching pains

When a person suffers from colic, this condition is called colitis. Myocardial infarction is also characterized by this state of the body. Colic can occur in the hypochondrium, and this indicates a pathology of the liver or kidneys. In children of the first period of life, abdominal discomfort occurs due to bloating. This is also colic.

Common diseases that cause pain

When you have pain in your right side at waist level, it can happen due to many factors. In case of unpleasant sensations, it is necessary for the doctor to refer the patient for examination, diagnose correct diagnosis and prescribed treatment. The most common causes of pain are:

• osteochondrosis;
• urolithiasis;
• renal colic;
• herpes zoster;
• colon cancer;
• pancreatitis.

Usually a person does not know what to expect from pain in the right side, so diagnosis and timely treatment are necessary. This will save the patient from all kinds of complications.

Which doctor can help?

Before going to the doctor, you should be attentive to yourself and listen to exactly where it hurts and what the nature of the pain is, as well as what accompanies this condition: fever, nausea, frequent urination

You need to come to see a therapist and talk about additional features. Then the doctor will refer you for diagnostics or advise you to visit more specialized specialists for treatment.

Video: why the right side hurts at waist level

Painful sensations are a kind of signal about changes in the body, which indicate disruptions in the functioning of various organs and tissues. The causes of pain can be very different. The localization of pain in the abdomen and back does not always coincide with the location of the diseased organ. Particularly deceptive is a dull pain in the right side, appearing in the most unexpected points of the body.

Diagnosis of the causes of dull pain in the right side

Identifying the cause of pain in the right side is a difficult problem, despite the obvious sensations. It may be associated with pain:

Diagnosis is complicated by the fact that the pain impulse, under the influence various reasons, can be created by the nervous system, without a hearth in this body. Therefore, even with the most modern research, pathology is not detected. Let doctors look for nonspecific pain, we will only consider the obvious ones.

The causes of pain in the lower abdomen are associated with stimulation of the receptors of the internal organs of the right half of the body, joints, bones, and blood vessels of the right leg.

Organs located wholly or partially in the pelvic area:

• urethra;
• digestion (liver, small intestine, pancreas, appendix, large intestine, anal area);
• female genital organs (ovaries, uterus, oviduct, vulva, birth canal, clitoris);
• male genital organs (testicles, spermatic cords, scrotum).

Outside abdominal area, pain in the right side can cause illnesses hip joint , with pathogenesis in cartilage and bone tissue, muscles, blood vessels, ligaments, nerve fibers, lumbar bones, coccyx, sacrum and femur.

Diseases and pain arising in the right side

Such pains are always inaccurate and arise from physiological abnormalities and numerous diseases. As a rule, they appear with other symptoms that indicate the true cause.

Intestinal diseases. The most obvious reason pain in the navel and groin area - appendicitis. The main diseases that cause pain in the right side and lower abdomen:

Intestinal diverticulum. The symptoms are similar to appendicitis. Therefore, before the operation, an inspection of the intestine is performed to identify this pathology. Intestinal contents accumulate in the diverticulum pocket, which affects the nerve endings.

In severe cases it is accompanied by intoxication. In addition to pain, it is accompanied by fever, weakness, vomiting, diarrhea, and constipation.

Intestinal blockage. When intestinal volvulus occurs, the disease develops rapidly. This occurs due to the cessation of blood flow, the innervation of the walls is disrupted. When the intestines become blocked foreign body, peristalsis stops, severe pain appears in the groin, radiating to the right. It is associated with vomiting, immediately after eating, an enlarged intestinal lumen, and there are no peristaltic sounds.

Duodenitis. Inflammation thin section duodenum. Accompanied by pain radiating to the right side and lower abdomen. Combined with signs of indigestion.

Inguinal hernia. The omentum prolapses inside the abdominal wall. This pathology is eliminated surgically. Integrity skin, with a hernia, is not violated. It manifests itself as protrusion of the skin in the groin area. If the hernia can be reduced, it is a reducible hernia. When this cannot be done, it is a strangulated hernia.

The danger of the latter is that the omentum, intestinal loops and nerve fibers swell and swell. Their size begins to exceed the hernial ring. With physical activity, the pain intensifies. There are no difficulties in diagnosis. It is treated surgically - the hernial ring is sutured.

Liver disease. Hepatitis in the early stages does not cause pain. They appear at the stage of inflammation. In advanced cases, pain in the right side of the abdomen is caused by damage to the bile ducts (cholecystitis) and internal organs (cirrhosis of the liver).

Pancreatitis. Inflammation of the pancreas. The pain is girdling, radiating to the lower part. Damage to the rectum, pain radiates to the groin.

Adhesion of organ membranes. When nerve fibers are damaged, pain appears in the right side. The cause of adhesions is complications caused by surgery, acquired or congenital pathologies.

Bladder and kidney diseases

Pain when it is impossible to form urine. Painful sensations appear when the ability to produce urine, filter and release purified blood into the bloodstream is lost.

Accompanied inflammation of the renal glomeruli, parenchyma, cavities, pelvis, degenerative, oncological, dystrophic diseases. The pain appears within a short time. Often it is not eliminated even with strong drugs.

If it is impossible to excrete urine. Pain occurs when an obstruction occurs in the urethra and inability to pass urine from the body. Men suffer more severely from the pathology due to their structural features urethra. The disease is more often diagnosed in women.

Painful sensations when urinating:

1. Change in bladder size. The main reason is that the urethral canal is blocked by a urinary stone. Manifests itself in the inability to urinate.
2. Inflammation of the ureter. Ureters connect bladder with kidneys. When urine stops in his lower section there is pain in the groin on the right side. The greater the stagnation, the higher the level of pain. Treated with different methods to eliminate obstruction (surgery, ultrasound).
3. Urethritis. Inflammation of the channel through which urine passes. Both women and men are susceptible to the disease. First there is a burning sensation when urinating, and then pain. For inflammation lymph node, pain manifests itself in the right side of the groin area.

Diseases of the genital organs in men

Painful sensations appear due to injury, inflammation, infection. A sign of inflammation is pain radiating to the groin.

Causes of pain:

• inflammation foreskin, heads, testicles;
• inflammation of the testes;
• defeat of the seminal tubercle;
• damage to the prostate gland;
• damage to the cavernous bodies.

Gynecological diseases and cycle disorders

The structure of the genital organs in women is more complex than in men. Violation of the cycle always occurs along with pain. Painful cycles are not associated with pathologies. They are typical for nulliparous women and girls. Some infections and diseases of the pelvis accompanied by pain.

Algomenorrhea - menstrual pain. Occur due to increased blood flow into the pelvis and stagnation in the uterus. If there is no inflammation, the process occurs without pain. Sexual infection and gynecological inflammation are some of the causes of menstrual pain.

If the discharge is accompanied by pain and is irregular, it is algomenorrhea. Additional symptoms- blurred vision, dizziness, especially during sexual intercourse. Vaginal discharge appears in several pathologies.

Obstetric pathologies:

• Pain during pregnancy. The pain is short-term in nature and occurs due to hormonal changes, increased blood flow, stretching of ligaments in the abdominal cavity, and fetal growth. They occur periodically and pass quickly. Prolonged pain may be a sign of ectopic pregnancy and spontaneous abortion.
• Spontaneous abortion. Happens on early stage pregnancy. There are several stages: complete abortion, threatened abortion. Pain comes with vaginal bleeding. And they are given to the right area of ​​the abdomen. With significant blood loss, intoxication develops, which threatens the life of the child and mother.
• Pain when premature birth. Appears on later pregnancy, 28–37 weeks. Painful sensations are accompanied by toxicosis. To avoid pathologies, you need to go to the hospital for professional obstetric help.
• Pain during ectopic pregnancy. The fertilized egg implants outside the uterus. As the embryo develops, it compresses the fallopian tubes and blood vessels. There is a threat of rupture internal structures. It can only be treated with surgery.

Pain in gynecological diseases:

• Salpingitis is inflammation of the fallopian tube. The causes are mechanical (trauma after childbirth, abortion and medical procedures), microbial (inflammation, infection). Pain in the right side of the abdomen is accompanied by fever. Intensifies during sexual intercourse, physical activity, and urination.
• Adnexitis - inflammation fallopian tubes and ovaries. Young women and girls are usually affected. Symptoms are similar to salpingitis.
• Ovarian cyst - occurs when the ovary protrudes, due to an increase in size due to a translucent vesicle. Reason for formation - hormonal disorders. Pain appears in the right side of the abdomen. Some types heal on their own. In advanced cases, surgical intervention will be required.
• Apoplexy is a violation of the integrity of the ovarian cyst, accompanied by bleeding. Occurs when the walls of the ovary are stretched due to physical exertion. The pain resembles appendicitis, sometimes radiating to the right side of the thigh and abdomen. Once detected, urgent surgery is needed.
• Endometriosis is increased proliferation of the lining of the uterus. The disease is accompanied by inflammation, increased bleeding and abnormalities in hormonal background. The area of ​​pathology depends on the location. Pain appears on the right side of the abdomen and during sexual intercourse.
• Endometritis is inflammation of the upper layers of the walls of the uterus in some cases and deeper ones. The main causes are hypothermia, sexually transmitted infections, and hormonal disorders. In severe cases it appears purulent inflammations. Pain occurs in the lower abdomen.

Disease of the lymph nodes and blood vessels

Lymph nodes form in places where blood vessels accumulate. The most famous for the average person - submandibular lymph nodes, the increase of which causes pain.

Inguinal lymph nodes- increase with damage to the pelvic organs. Lymphatic system protects the body. When lymphocytes cannot cope with the threat, inflammation of the nodes occurs.

Lymphadenitis is inflammation of the inguinal lymph node. It can develop on both the right and left sides. Right-sided inflammation of the node manifests itself in the form of swelling in the lower abdomen.

Painful sensations for venous disease: as a result of poor circulation in the abdominal wall, the veins in the pelvis dilate and hurt. Varicose veins veins are typical for young girls and women. The reason for this is that blood stagnates in the vessels of the small pelvis.

Observed during hormonal changes, pregnancy, first puberty. The first stage is asymptomatic, with slight pain after or before menstruation.

Arterial pain:

• An aneurysm is the formation of a protrusion in an artery due to dissection of the walls. Below the site of the lesion, a deficiency of blood supply develops. Manifests itself with severe pain in the groin area.
• Vascular thrombosis is a narrowing of the lumen of an artery at the site of inflammation.

Pain due to damage to the hip joints:

Coxarthrosis - arthrosis of the joint. This disease is of a dystrophic-degenerative nature and is widespread among older people. Inflammation in the disease is a secondary process. One of the symptoms is pain radiating to the groin. Accompanied by lameness and joint stiffness. The causes are vascular disease, stress on the joints, congenital pathologies, injuries. On late stage can only be treated with joint replacement surgery.

1. Aseptic necrosis hip joint. It manifests itself in the necrosis of the cartilage and bone tissue of the joint. The diagnosis is made by X-ray results. Pain sensations radiate to the groin.
2. Perthes disease. It is characterized by impaired blood circulation around the femur and death of the tissues of the head of the hip joint. Joint pain radiates to right side belly. Possibly the formation of lameness due to joint deformation.
3. Diseases of the hip joint caused by inflammation. These include purulent, rheumatoid, infectious, gouty diseases. General symptoms- swelling and inflammation in the joint area, temperature, pain radiating to the right side.

Features of pain in the right side

Pain - defense mechanism body, appears when nerve endings are irritated. Pain in right side symptom of many diseases and pathologies. For correct diagnosis, it is important to find the original source. When describing your condition to the doctor, it is important to indicate the location of the painful sensation.

Blunt pain on the right side. It feels as if a blunt object is pressing into my right side. Low intensity indicates involvement large quantity receptors, internal organs. Dull pain in the lower abdomen is a sign of appendicitis, hepatitis, intestinal diverticulum, cirrhosis of the liver.

Dramatic improvement danger sign. In non-critical processes, pain impulses do not pass. Often accompanied by nausea, yellowing of the whites of the eyes, and general malaise.

Nagging pain in the side. Internal organs are pulled towards the abdominal wall, causing pain. Under the influence of physical activity, the intensity increases, forcing you to take a comfortable position.

Appears due to irritation of small receptors in the abdominal wall. In athletes with sprained inguinal ligaments or as one of the symptoms of kidney inflammation, appendicitis, adhesions, inflammation of the duodenum.

Sharp pain in the side. Defined as sudden, acute with a high level. The sensation is reminiscent of Providence running across the abdominal wall with a dull knife. Usually forms in a shallow focus. Probable Causes: disease of the intestine, urinary system, strangulation, gynecology.

Pain in the right side is one of the symptoms of apoplexy, inflammation of the ovary, pinched nerve, torsion of the ovary, volvulus, movement of a stone in the ureter. The sensation intensifies when turning the body, bending over, straining. Combined with blurred vision, headache, fainting.

Stitching pain in the side. Defined as tingling abdominal walls. Occurs periodically, forms in a small focus. It gets worse when bending over, when you sigh, when you cough and when you exercise.

Side symptoms for side pain

Pain is not the only symptom of diseases of the joints, internal organs, and bones. Frequent accompanying symptoms - nausea, burning, fever. Correct diagnosis of the disease is possible only by a specialist.

Temperature. Low temperature indicates a decrease in the vital functions of the body. High - about adaptation to the actions of external and internal pathogens. Fever and pain in right side Abdomen in women indicates gynecological diseases, inflammation of the liver and kidneys.

Types of fever:

• High temperature (1–2 degrees), for a long time a sign of an inflammatory disease.
• Temperature fluctuations of more than 2 degrees indicate purulent processes.
• Exhausting temperature - hyperthermia with differences of more than 2 degrees, a sign of septic processes.
• The absence of a pattern indicates rheumatic processes.

Nausea. In combination with abdominal pain indicates damage to the urinary, digestive, nervous system, gynecological disease. They are characterized by intoxication and stimulation of receptors.

Burning. Sign of defeat pelvic organs. Burning during sexual intercourse and urination indicates irritation of the urethral lining. Can act as independent symptom, and combined with pain in the lower abdomen.​

At waist level? This symptom may indicate a number of diseases of the internal organs. For determining exact reasons It is important to take into account the nature of the pain and the overall clinical picture.

What does it come from?

When there is pain in the right side at waist level, this is most likely a manifestation of the following pathologies:

• right-sided pyelonephritis;
• biliary dyskinesia;
• hepatitis occurring in chronic form;
• cholelithiasis;
• gynecological diseases.

Preliminary diagnosis

If your right side hurts on the side at waist level, pay attention to the nature of the pain and associated symptoms:

1. Acute pain - may indicate renal colic, acute appendicitis. The pain syndrome occurs suddenly and tends to increase. Often accompanied by fever, general malaise, and fainting. In such cases, you should immediately call an ambulance.
2. Aching painful sensations are characteristic of colitis, cholelithiasis, prostatitis in representatives of the stronger sex and inflammatory lesion appendages in women. It is important to pay attention to accompanying symptoms. For example, colitis is accompanied by disturbances in the gastrointestinal tract. With prostatitis, erectile disorders, problems with urination, and decreased libido are observed. When gynecological diseases failures are possible menstrual cycle, vaginal discharge with an unpleasant odor, pain during intimate contacts.
3. Dull pain- may indicate pancreatitis, pyelonephritis. If unpleasant sensations radiate to the lower abdomen, this may be a symptom of ectopic pregnancy, urolithiasis, or inflammatory intestinal lesions.
4. A sharp, pronounced pain syndrome requires immediate attention to specialists. If the pain is accompanied by bouts of vomiting, there is a high probability of hepatic colic. General weakness and shortness of breath indicate myocardial infarction. Nausea, diarrhea, constipation, dysfunction digestive tract- signs ulcerative lesions, colitis, cholecystitis. In pregnant women there is a sharp stabbing pain in the right side in the waist area may indicate a threat of miscarriage, rupture of the fallopian tubes, which is an extremely dangerous condition.
5. Nagging pain is often a sign of developing osteochondrosis. At the same time, it is often observed joint pain. For example, it hurts elbow joint left hand, knee-joint etc. Sometimes this symptom indicates the onset of ovulation, which is caused by the release of an egg from the ovaries. Similar phenomenon is considered normal, however, the discomfort is moderate and goes away within 24 hours.

What to do?

Complex, specialized treatment can only be prescribed by a doctor after preliminary diagnostic examination and identifying the causes of pain.

You should know how to alleviate your condition on your own before visiting a specialist. You can take a painkiller tablet, but it is highly not recommended to abuse analgesics without a doctor’s prescription.

If the pain does not go away within several days, it gradually increases, wears sharp character, are accompanied by a feverish state, nausea, vomiting, weakness - you should call an ambulance or go to the hospital as quickly as possible.