If your right side hurts from your back. The right side of the back hurts: what to do? Pain in the right side from the back: serious pathology or temporary disorder

There are many concentrated on the right side vital organs, and therefore pain arising from the side or behind is a reason for urgent appeal to the doctor. The cause of pain may be:

Disorders of the urinary system, for example, pyelonephritis, kidney stones or renal artery thrombosis;
- respiratory diseases such as pleurisy, pneumonia and spontaneous pneumothorax;
- damage to the peripheral nervous system, for example, radiculitis.

If pain appears in the right side behind, you should first do an ultrasound of the organs abdominal cavity, ECG and fluorography.

Sometimes pain in the right side behind appears with appendicitis. Atypical localization of pain with this diagnosis is characteristic primarily of pregnant women, young children, overweight and elderly people. In this case, immediate surgical intervention is required, and therefore you should not postpone a visit to the doctor, even if there are no other signs of health problems.

Pain in the right hypochondrium

Pain in the right side under the rib most often indicates illness digestive system. Additional symptoms will help make the diagnosis easier. When the liver is damaged, the pain is aching, dull and constant. It is felt deep inside the body. In severe cases, for example, with hepatitis, they turn yellow skin and sclera of the eyes.

Pain in the right side from the back can also be a sign of cholecystitis - inflammation of the gallbladder. Associated symptoms in this case are fever, bloating, nausea and vomiting.

In addition, the right side may also hurt due to pancreatitis - inflammation of the pancreas. The pain most often radiates to the spine and intensifies when walking and lying down. Nausea and vomiting may also occur in this case, but the temperature with pancreatitis, unlike cholecystitis, increases extremely rarely.

If pain occurs, do not take painkillers or apply a heating pad until visiting a doctor. This can blur the picture of the disease and make diagnosis difficult.

Despite the seriousness of the diseases that pain on the right side may indicate, pain in the left side behind should not be ignored. In this case, as in the above, you should immediately consult a doctor for advice.

Today we offer an article on the topic: “The right side of the back hurts.” We tried to describe everything clearly and in detail. If you have any questions, ask at the end of the article.

Pain in the right side from the back may occur with various reasons. Most often with illness respiratory organs, urinary tract, circulatory, reproductive system. Only after a thorough diagnosis can an accurate diagnosis be made.

1. Cramping pain occurs due to the fact that the muscles in the hollow organs sharply contract.

2. Constant pain appear when the outer membrane in the parenchymal structure is stretched.

3. Increasing pain indicates an inflammatory process.

4. A sharp dagger indicates that some formation has been ruptured, a vessel has become clogged, or internal bleeding has suddenly occurred.

5. Shooting pain is characteristic of diseases spinal cord, pathologies of the nervous system.

6. Pulling, dull, It's a dull pain.

7. Long and short.

Please note that every pain is very dangerous; it signals that there are serious disorders in the body.

When to call the emergency room for pain in the right side of the back?

In some situations, to get rid of pain, you need to urgently call ambulance to save a person. An ambulance is called if a person has the following symptoms:

1. The pain is sharp and sudden, for a long time does not pass, is localized with right side.

2. Severe unbearable pain arose under the ribs, the person loses consciousness, becomes dizzy, and becomes weak.

Causes of pain on the right side of the back

When making a diagnosis, it is important to pay attention to the nature and location of pain. Only the attending doctor can clarify the diagnosis. It is important to consider the following factors:

1. Back pain in the center right, this indicates serious kidney disease.

2. Pain in the back under the shoulder blade on the right. This symptom is characterized neurological disease, he says that the nerve is pinched. When the back on the right under the shoulder blade hurts severely, it means the person has a serious pulmonary disease– cancer of the lungs, bronchial tubes, pneumonia, pleurisy.

3. Pain under the rib on the right side characterizes serious liver pathology or diseases of the gallbladder, pancreas. When the pain is prolonged, it is imperative to examine the liver. If the pain does not go away for a long time, it is observed febrile state, vomiting, nausea, abdominal muscles are tense, which means the person has cholecystitis. In such a situation, pain can radiate to the shoulder blade, shoulder, or chest.

4. Pain in the lower back on the right indicates pathological process in the spine, intervertebral hernia, problems with urinary system. The condition can be alleviated only after the person takes a different position.

5. My back hurts in the morning due to muscular dystrophy if a person has chosen the wrong mattress.

Treatment of pain in the right side from the back

You cannot take a lot of medications at once; you must first find out the opinion of your doctor; do not self-medicate. On the right side there are organs that are important for full life. To relieve pain, you need to take a painkiller. The pain will pass after the exact cause has been identified.

Please note that symptoms may indicate various diseases. In this situation, it is very important to contact a specialist, so you can protect yourself from complications in time.

When does severe pain occur in the right side from the back?

1. Diseases of the respiratory organs - during pneumonia, pleurisy, with malignant tumor in the bronchi, lungs.

2. Diseases of the digestive system - with acute cholecystitis, intestinal colic, appendicitis.

3. Diseases urinary tract– with hydronephrosis, retroperitoneal hematoma, pyelonephritis, glomerulonephritis, kidney abscess.

4. For problems with the spinal cord, spine. When a person has osteochondrosis, intervertebral hernia, spondylosis.

Features of pain in respiratory diseases

With pleurisy, sharp pain bothers you. The purulent form is accompanied by severe pain and poor breathing. Attacks of pain that intensify when a person coughs or moves indicate a dry form of pleurisy.

With pneumonia, in addition to pain, the body temperature rises sharply, there is a strong cough, wheezing, and intense pain. Pneumothorax is characterized by sudden pain that radiates to the scapula area.

Features of pain in diseases of the digestive system

The pain is localized in the back of the right side, most often speaks of acute cholecystitis, radiating to the shoulder girdle, right intercostal space, shoulder, and scapula. Sometimes it burns a lot lumbar region. The attack can last several hours or days. The temperature rises sharply and severe vomiting occurs.

Often pain can characterize intestinal colic, in in this case you need to take No-shpa. It is dangerous when pain occurs during acute appendicitis, it is localized in the right side, giving back. The symptom is rare, only when the appendicular process is located behind the cecum, it has big sizes, swelling.

Characteristics of pain in the urinary system

Pain in the right side behind may indicate a serious kidney disease - abscess, hydronephrosis. Unpleasant sensations can be different, often disturbing are nagging, dull, sharp pains, which can increase when pressure is applied to the lumbar region. With renal colic, the pain is acute, and the symptom also indicates thrombosis of the renal artery.

So, the right side of the back can hurt for various reasons. It should be taken into account that in addition to diseases of the internal organs, symptoms indicate intervertebral hernia, spondylosis, osteochondrosis, and pinched nerves. The pain is often sharp and radiates to the right side of the back. In order to distinguish pathology in the spine from diseases of the internal organs in time, you need to pay attention to other symptoms - pain when moving, stiffness, numbness.

Pain in the right side, manifested from the back, is a symptom that can indicate many diseases, including serious ones. If the patient gets to a specialist on time, this will allow him to avoid fatal complications and receive proper treatment.

• When does the pain appear?
• Diseases respiratory system
• Do I need to call an ambulance?

When does the pain appear?

Pain in the right side, felt in the back area, is a symptom that may appear when the following diseases.

Respiratory system diseases:

• pleurisy (“dry”);

  pneumonia;

  pneumothorax;

  cancer of the bronchi and lungs.

Digestive system diseases:

• intestinal colic;

  acute cholecystitis;

  appendicitis.

Diseases of the urinary system:

• retroperitoneal hematoma;

  hydronephrosis;

  glomerulonephritis;

  pyelonephritis;

  kidney abscess;

  renal colic.

Lesions of the spine, spinal cord:

• osteochondrosis;

  spondylosis;

  intervertebral hernia.

List possible diseases, in which there is pain in the right side, localized in the back, is quite long. You should definitely pay attention to the nature of the pain and the accompanying symptoms.

Respiratory system diseases

Painful sensations in the right side, manifested from the back, are among characteristic features pathologies of the respiratory system.

Inflammation of the pleura (pleurisy) can be exudative and dry, in both cases it can manifest itself with sharp pain when breathing. At purulent form In addition to severe pain on the right side, poor breathing on the affected side is added. The dry form makes itself known by cutting pain attacks, activated by movement and coughing.

Pneumonia ( right-sided pneumonia) is accompanied by symptoms such as fever, wheezing in the lungs, and cough. The intensity of pain varies.

Spontaneous pneumothorax causes acute sudden pain, extending into the shoulder blade.

Lung and bronchial cancer are diseases that are characterized by nagging pain localized in the back on the right; seizure of the scapula and right shoulder is also possible. The syndrome becomes more active as the tumor grows, during movement, coughing, and breathing.

Digestive system diseases

Pain that is concentrated in the back right side may also indicate problems related to the digestive system.

Acute cholecystitis is a disease in which pain is concentrated in the right intercostal space and can radiate to the shoulder girdle, scapula, right shoulder. In some cases, a burning sensation in the lower back is also present. The duration of the attack can range from several days to several hours. Additional symptoms– rise in temperature, attacks of vomiting.

Intestinal colic can also cause pain in this area. You can eliminate it with the help of No-Shpa; it often disappears on its own.

Acute appendicitis can also cause pain in the right side behind. This rare symptom appears if the appendicular process is localized behind the cecum, enlarged in size, and swollen.

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Diseases of the urinary system

Many kidney diseases can cause pain in the back of the right side.

Glomerulonephritis, hydronephrosis, kidney abscess and other pathologies are marked by aching, drawing, dull and sharp pain. The pain increases if you put pressure on the lumbar area.

Renal colic causes acute pain, the same symptom may indicate thrombosis of the renal artery.

Problems of the spinal cord, spine

Intervertebral hernia, osteochondrosis, spondylosis, pinched nerve roots - all these problems can cause sharp pain, localized on the right side of the back. In order not to confuse spinal pathology with other diseases, it is worth studying other signs. A feeling of stiffness appears in the back, a pain attack increases with movement, radiates to chest, limbs, groin area. Numbness and “pins and needles” may also occur.

Severe pain is possible with a fracture of the scapula or ribs on the right. It is activated by coughing, deep breathing, and movements.

How to calculate a “sick organ”?

Often, people experiencing pain concentrated in the back right side have no idea which specialist to contact or which organ the problem is associated with. Of course, only a specialist can make an accurate diagnosis after completing a full examination.

However, the location, intensity and nature of pain attacks can tell us something:

Right under the shoulder blade. Perhaps the problem is neurological in nature and is the result of a pinched nerve. You can also suspect lung diseases: pneumonia, pleurisy, lung cancer.

Under the ribs. Here are the liver and pancreas, located gallbladder. Pathologies of any of these organs can be a source of pain. For prolonged pain, the liver is checked first.

Right in the central part. Most likely, the problem is related to kidney disease.

Lower back right. Painful attacks may indicate pathologies and injuries of the spine, hernias. Disruptions in the urinary system are also likely. In the latter situation, the pain does not subside in any position.

Back pain on the right side can also bother a person in the morning. Possible problems that cause pain after waking up are an incorrect mattress, muscle dystrophy.

Do I need to call an ambulance?

There are diseases that require emergency treatment, in some cases we are talking about surgical intervention. Often the patient’s life directly depends on the speed with which it comes medical assistance. You should definitely call an ambulance if a symptom appears such as a sharp, unexpected and non-stop pain felt on the right side of the back. Additional symptoms are weakness, fainting, dizziness.

In any case, you should not prescribe medications on your own without undergoing a medical examination. As a last resort, you can use a pain reliever to temporarily relieve the symptom. However, it is possible to completely get rid of pain only after eliminating the cause of its occurrence.

Any pain is a sign of dysfunction of internal organs. There are no exceptions when the right side begins to hurt from the back. Therefore, you should not ignore changes in your health: if you have any doubtful symptoms, consult your doctor. He will help to identify diseases in time and prescribe appropriate treatment.

Causes

One of the causes of pain appearing from the back on the right side is a disruption of the respiratory system. Thus, pleurisy, pneumonia, tumors affecting the bronchi or lungs appear.

Often the right back hurts in people whose digestive system is not in order. Pain can be a sign of cholecystitis, and it usually lasts up to several days. The disease is accompanied by fever, nausea, vomiting, and abdominal muscle tension. Unpleasant sensations can radiate to the chest and shoulder blade.

In some cases, pain occurs in the right side due to disturbances in the functioning of the urinary system. For example, with renal colic - blockage of the ureter with a stone, blood clots, as a result of the inflammatory process. It causes discomfort to the patient, since it is almost impossible to find a position in which the pain would ease. It usually develops in patients suffering from urological diseases, after drinking liquid in large quantities, physical stress and less often at rest. Impaired urine flow leads to its accumulation, causing it to put pressure on the urinary tract. All this causes swelling of the kidney and pain. If the right side hurts from the back, the right kidney is affected accordingly. When a stone moves along the ureter, the pain moves down the abdomen and back, spreading to the genitals and area Bladder. When the stone comes out, the sharp pain disappears; instead, the patient feels a dull pain in the right side, which is associated with damage to the urinary tract.

Pain felt in the side may be a sign of diseases such as pyelonephritis, tuberculosis, thrombosis of the kidney vessels, kidney prolapse, etc. Pyelonephritis in case of damage right kidney is expressed by a sudden and increasing sharp pain localized in the upper back in the right side. For chronic form characterized by incessant nagging pain. At the same time, the body temperature rises, swelling occurs, changes in the urine are observed - it becomes cloudy or acquires a red tint, and the process of urination is also disrupted.

Problems with the nervous system or spinal cord may also cause problems in the right side painful sensations. The pain in this case has the character of a lumbago.

On the right under the ribs there is the liver, pancreas, and gall bladder. Pathology in these organs can lead to pain. If it is long-term, the liver should be checked first.

If the spine is damaged or intervertebral hernia forms in the lower back, pain may also occur. If your back hurts in the morning, a possible cause is muscle dystrophy or an incorrect mattress.

These are the main reasons why a person may feel pain in the right side. There are others - this is a fairly common symptom that can signal the most various ailments. Some diseases can be very serious, so it is important to get a diagnosis and treatment promptly.

Types of pain

As a rule, pain is localized in the place where the diseased organ is located. But sometimes it can arise in a completely different area: it spreads to the most unexpected areas of the body.

Side pain can be different:

• cramping- occur with a sharp contraction of the muscles of the genital organs,
• growing accompany the inflammatory process,
• spicy may indicate rupture of internal organs, blockage of blood vessels, sudden bleeding,
• shooting through indicate disturbances in the functioning of the nervous system or spinal cord.

In addition, the pain can be nagging, dull, aching, short or long-lasting.

When the right side of the back hurts, first of all, you need to understand why this happened. In some cases, painkillers help, in others, immediately call an ambulance. Immediate intervention a doctor is required if there is a sharp feeling on the right side, strong pain, which does not subside for a long time, is accompanied by weakness, dizziness, and loss of consciousness.

Pain during pregnancy

Pregnant women should be sensitive to their health. Any pain that occurs during this period requires medical intervention. Female body during pregnancy is vulnerable, as a result of which it often worsens chronic diseases. Pain that occurs in the right side of the back can be a manifestation of hepatitis, pyelonephritis, pathology of the biliary tract and other diseases, each of which poses a danger to both the child and the woman. In addition to acute pain, there may be a frequent urge to urinate. Pain may indicate an ectopic pregnancy.

During pregnancy, the right side of the back may hurt for other reasons:

• osteochondrosis, poor muscle development,
• lumbar radiculitis,
• hormonal changes
• incorrect posture due to a shift in the center of gravity,
• uterine pressure on nerve endings at the base of the spine.

In all these cases, it is necessary to abandon high-heeled shoes, use a bandage, and engage in physical therapy.

How to relieve the condition

Remember that before making a diagnosis, self-medication is unacceptable; without consulting a doctor, take medications not advisable. On the right side of the body are located important organs. Therefore, you cannot do without the help of professionals. For quick fix pain, you can take a painkiller, but the problem will not go away. Pain will leave you forever only if the disease that caused the pain is cured.

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Pain in the right side, manifested from the back, is a symptom that can indicate many diseases, including serious ones. If the patient gets to a specialist on time, this will allow him to avoid fatal complications and receive proper treatment.

When does the pain appear?

Pain in the right side, felt in the back area, is a symptom that can appear with the following diseases.

Respiratory system diseases:

• pleurisy (“dry”);

  pneumonia;

  pneumothorax;

  cancer of the bronchi and lungs.

1. intestinal colic;

   acute cholecystitis;

   appendicitis.

Diseases of the urinary system:

• retroperitoneal hematoma;

  hydronephrosis;

  glomerulonephritis;

  pyelonephritis;

  kidney abscess;

  renal colic.

Lesions of the spine, spinal cord:

• osteochondrosis;

  spondylosis;

  intervertebral hernia.

The list of possible diseases that cause pain in the right side, localized in the back, is quite long. You should definitely pay attention to the nature of the pain and the accompanying symptoms.

Respiratory system diseases

Pain in the right side, manifested from the back, is one of the characteristic signs of pathologies of the respiratory system.

Inflammation of the pleura (pleurisy) can be exudative and dry, in both cases it can manifest itself with sharp pain when breathing. In the purulent form, severe pain on the right side is accompanied by poor breathing on the affected side. The dry form makes itself known by cutting pain attacks, activated by movement and coughing.

Pneumonia (right-sided pneumonia) is accompanied by symptoms such as fever, wheezing in the lungs, and cough. The intensity of pain varies.

Spontaneous pneumothorax causes acute, sudden pain radiating to the scapula.

Lung and bronchial cancer are diseases that are characterized by nagging pain localized in the back on the right; seizure of the scapula and right shoulder is also possible. The syndrome becomes more active as the tumor grows, during movement, coughing, and breathing.

Pain that is concentrated in the back right side may also indicate problems related to the digestive system.

Acute cholecystitis is a disease in which pain is concentrated in the right intercostal space and can radiate to the shoulder girdle, scapula, and right shoulder. In some cases, a burning sensation in the lower back is also present. The duration of the attack can range from several days to several hours. Additional symptoms are fever, bouts of vomiting.

Intestinal colic can also cause pain in this area. You can eliminate it with the help of No-Shpa; it often disappears on its own.

Acute appendicitis can also cause pain in the right side behind. This rare symptom appears if the appendicular process is localized behind the cecum, enlarged in size, and swollen.

Diseases of the urinary system

Many kidney diseases can cause pain in the back of the right side.

Glomerulonephritis, hydronephrosis, kidney abscess and other pathologies are marked by aching, drawing, dull and sharp pain. The pain increases if you put pressure on the lumbar area.

Renal colic causes acute pain, the same symptom may indicate thrombosis of the renal artery.

Problems of the spinal cord, spine

Intervertebral hernia, osteochondrosis, spondylosis, pinched nerve roots - all these problems can cause sharp pain localized on the right side of the back. In order not to confuse spinal pathology with other diseases, it is worth studying other signs. A feeling of stiffness appears in the back, a pain attack increases with movement, radiating to the chest, limbs, and groin area. Numbness and “pins and needles” may also occur.

Severe pain is possible with a fracture of the scapula or ribs on the right. It is activated by coughing, deep breathing, and movements.

Often, people experiencing pain concentrated in the back right side have no idea which specialist to contact or which organ the problem is associated with. Of course, only a specialist can make an accurate diagnosis after completing a full examination.

However, the location, intensity and nature of pain attacks can tell us something:

Right under the shoulder blade. Perhaps the problem is neurological in nature and is the result of a pinched nerve. You can also suspect lung diseases: pneumonia, pleurisy, lung cancer.

Under the ribs. The liver and pancreas are located here, and the gallbladder is located. Pathologies of any of these organs can be a source of pain. For prolonged pain, the liver is checked first.

Right in the central part. Most likely, the problem is related to kidney disease.

Lower back right. Painful attacks may indicate pathologies and injuries of the spine, hernias. Disruptions in the urinary system are also likely. In the latter situation, the pain does not subside in any position.

Back pain on the right side can also bother a person in the morning. Possible problems that cause pain after waking up are an incorrect mattress, muscle dystrophy.

Do I need to call an ambulance?

There are diseases that require emergency treatment, in some cases we are talking about surgical intervention. Often, the life of a patient directly depends on the speed with which medical help comes. You should definitely call an ambulance if a symptom appears such as a sharp, unexpected and non-stop pain felt on the right side of the back. Additional symptoms are weakness, fainting, dizziness.

In any case, you should not prescribe medications on your own without undergoing a medical examination. As a last resort, you can use a pain reliever to temporarily relieve the symptom. However, it is possible to completely get rid of pain only after eliminating the cause of its occurrence.

The occurrence of painful sensations - body's signal of failure. If you have pain on the right side of your back, pay attention to the symptom and take care to eliminate it. It is possible to independently determine the cause of the pain that has arisen only approximately, to determine accurate diagnosis need a doctor's help. If you are unclear about which doctor you need, make an appointment with a therapist. He will refer you for examination and outline a plan for further action.

If the pain is unbearable, sharp, or sharp, call an ambulance. You may need urgent medical attention!

Listen to your body and determine where exactly it hurts, where the pain goes and whether there are additional symptoms. With problems with the spine or muscles, pain occurs in any part of the back and depends on the location of the problem. It is often situational and occurs after physical exertion or uncomfortable body position. Acute inflammatory processes internal organs, as a rule, are accompanied by additional symptoms: weakness, nausea, cough, fever. In the initial stages of the disease there may be no special manifestations other than pain, so for early detection illness, it is important to consult a doctor.

The location of the pain is characterized by the organ to which you need to pay attention:

Ask your question to a neurologist for free

Irina Martynova. Graduated from Voronezh State University medical University them. N.N. Burdenko. Clinical resident and neurologist of the BUZ VO \"Moscow Polyclinic\".

1. Upper back on the right under the shoulder blade. Diseases of the respiratory system and spine manifest themselves here.
2. The middle part of the back on the right under the ribs. This is the zone of the lower parts of the lungs, digestive system, pancreas, gall bladder, and liver.
3. The lower part of the back on the right near the waist is the area of ​​the urinary system, the right kidney.
4. Lumbar on the right - possible problems with the intestines, gynecology, urinary system.
5. The entire back on the right - the digestive system, spine, muscles.

Expert opinion

Astafiev Igor Valentinovich

Neurologist - Pokrovsk City Hospital. Education: Volgograd State Medical University, Volgograd. Kabardino-Balkarian State University them. HM. Berbekova, Nalchik.

If the pain appears only in the morning and goes away within an hour, pay attention to sleeping area. Perhaps you sleep in an uncomfortable position or it's time to change your mattress.

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Possible reasons

Respiratory diseases

Peculiarity - increased pain when taking a deep breath. For treatment, contact a therapist, who, if necessary, will refer you to a pulmonologist.

1. Pleurisy is inflammation of the pleura. The pain is stabbing or cutting in nature, intensifies with deep breathing, sudden movements and weakens if you lie on the sore side. Additional symptoms: cough, elevated temperature, shortness of breath. Diagnosed by radiography and ultrasound. Treatment uses antibiotics, various medical procedures, and sometimes surgery.
2. Pneumonia is an inflammatory process of the respiratory sections of the lungs. The pain is felt under the shoulder blade or under the ribs, worsens with deep breathing or coughing. IN in rare cases on initial stage There are no other symptoms of the disease, then the temperature rises, cough, sputum production, and weakness appear. It is treated with antibiotics, which the doctor will select.
3. Pneumothorax is an accumulation of gases in pleural cavity lungs. The pain is very strong, sharp, stabbing, radiates to the arm, shoulder, and intensifies when coughing. The person wants to sit or take a reclining position, shortness of breath and cold sweat, panic. Diagnosed by radiography and pulmonary puncture. Required urgent help doctor!
4. Lung cancer. Unbearable and constant severe pain occurs only when late stages cancer, if the tumor grows into the pleura.
5. Pulmonary infarction is the death of part of the lung and the saturation of this organ with blood when an artery is blocked by a blood clot. The pain is very strong, sharp, cutting right under the shoulder blade. Additional symptoms: shortness of breath, tachycardia, hemoptysis. We urgently need to call an ambulance!

Digestive system diseases

They are usually accompanied by additional symptoms: abdominal pain, nausea, vomiting. Your GP may refer you to a gastroenterologist.

1. Flatulence is the accumulation of gases in the intestines. The pain is dull, nagging, accompanied by bloating. Appears after taking certain foods (legumes, soda, etc.), as a result of intestinal diseases or neurosis. Painful symptoms eliminated by antispasmodics, sorbents and defoamers.
2. Appendicitis is inflammation of the appendix. If the appendix is ​​located behind the cecum, then painful sensations do not occur in the abdomen, as happens in most cases, but in the lower right lower back. The pain is acute, constant, radiating to the leg, groin, and pelvic area. If you lie on your left side, it will intensify. Additional symptoms: nausea, weakness, sometimes temperature above 38 degrees. Urgent surgery required!
3. Intestinal colic is a spasm of the intestinal muscles. The pain in the lower back is burning, cramping: it intensifies, then decreases, after a while it moves to the abdominal area. Additional symptoms: weakness, frequent urination, nausea, diarrhea. Possible reasons: poisoning, stress, intestinal diseases, gastritis. For intestinal colic, take antispasmodics and apply a heating pad.

Expert opinion

Mitrukhanov Eduard Petrovich

Doctor - neurologist, City Polyclinic, Moscow. Education: Russian State Medical University, Russian State Budgetary Educational Institution of Further Professional Education medical Academy postgraduate education of the Ministry of Health of the Russian Federation, Volgograd State Medical University, Volgograd.

Severe intestinal colic may indicate serious illnesses, in which under no circumstances should you use a heating pad, but you must urgently call an ambulance!

1. Acute cholecystitis is inflammation of the gallbladder. Pain in the right side of the abdomen, in the hypochondrium, radiates to the area below right scapula. It may go away on its own after some time (half an hour to an hour). Occurs more often at night or in the morning, after consumption fatty foods or alcohol. Additional symptoms: bitter taste in the mouth, nausea, vomiting bile, white coating on the tongue. Diagnosed by blood, urine, stool tests, and ultrasound of the gallbladder. Treated with surgery or medicines, be sure to follow a diet.
2. Acute pancreatitis is inflammation of the pancreas. Pain in the side of the abdomen, radiating to the lower back on the right. In rare cases, sensations from the abdomen are absent and are felt only in the back, in the central part on the right. The pain is dull, cramping: it intensifies and then weakens. Additional symptoms: nausea, vomiting without relief, the face acquires a grayish tint, bloating. If the pain intensifies, call an ambulance! While waiting for the doctor, you can take an antispasmodic. At chronic pancreatitis arises Blunt pain in the right side from the back after overeating or.

Diseases of the urinary system

Most common reason pain in the right side behind, if it is not associated with the spine and muscles. Your doctor will refer you to a urologist or nephrologist.

1. Retroperitoneal hematoma or retroperitoneal hemorrhage – internal hemorrhage in case of damage to the abdominal organs. Occurs as a result of injury: a fall from a height, a blow to the stomach. Pain in the back and abdomen depends on the degree of damage: from the absence of symptoms to painful shock. Diagnosed by the results of ultrasound, computed tomography and radiography. Requires medical attention!

Sometimes the onset of kidney and urinary system disease only appears pain syndrome in the lumbar region without additional symptoms!

1. Nephroptosis – displacement of the kidney. At the beginning of the disease, the pain in the right side from the back is intermittent and dull. Appears in vertical position bodies, mainly after severe cough or physical activity. It goes away if you lie down. In the future, the pain increases, and renal colic may occur. Diagnosed by palpation, ultrasound in a lying and standing position, MRI. The first degree of kidney prolapse is treated conservative methods: gymnastics, bandages, sanatorium treatment, massage. Second and third degrees may require surgery.
2. Renal colic is a blockage of the upper urinary tract. The pain is strong, cramping in the waist area on the right, radiates to the pubic area, and later spreads to the entire lower back. Body temperature may rise, vomiting, and bloating may occur. Before the ambulance arrives, you can drink or inject antispasmodics. If there are no other symptoms besides pain, a warm heating pad helps. While waiting for the doctor, you should lie down so that your kidneys are higher than your bladder (semi-sitting body position).
3. Urolithiasis - urolithiasis - the formation of stones in the urinary system. Depending on the location of the stones, pain may occur in different parts back: in the renal calyx - dull pain deep in the lower back, in the renal pelvis - radiates to right hypochondrium, V upper sections ureter - acute unbearable pain in the lower back when moving, which can spread to the area from the hypochondrium to the groin. If there is a stone in lower section ureter - severe pain in the lower lumbar region, spreading to the genitals. Diagnosed by urine tests, ultrasound, MRI. Treated conservatively or operative method(at the doctor's choice). Doctors often prescribe herbs: dill, violet, calendula, cinquefoil, lingonberry leaves, St. John's wort, sage, bearberry, rose hips and others. The pharmacy sells special herbal kidney preparations.
4. Hydronephrosis – expansion renal pelvis. The pain is aching and does not depend on body position. The urine may darken and turn reddish, which is a sign of the presence of blood. The pain is aching, sometimes symptoms of renal colic, weakness, and nausea are felt. Diagnosed using ultrasound and radiography. It is treated in a hospital setting, requiring urine excretion to reduce pressure in the kidney.
5. Pyelonephritis – bacterial inflammation kidney The pain is aching, dull, sometimes, does not depend on body position, may be similar to renal colic. Additional symptoms: frequent urge to urinate, swelling of the face and limbs. Diagnosed by blood and urine tests, ultrasound, computed tomography, x-ray. It is treated with antibiotics, which must be prescribed by a doctor based on test results.
6. Kidney abscess - purulent inflammation. Rare: as a consequence of pyelonephritis or urolithiasis. The pain is sharp, acute. The symptoms are similar to pyelonephritis; in addition, chills and thirst may appear. An ambulance call and urgent surgery are required!

Problems with the spine, spinal cord

The peculiarity of this type of pain is that it intensifies or subsides depending on the movements and position of the body. The doctor can refer you to an orthopedist, neurologist, or chiropractor.

1. – dystrophic disorders in articular cartilage. The pain is dull, depending on the location, radiates to the shoulder, arm or legs, and buttocks. It is difficult for a person to bend over and straighten his back. At physical activity, sudden movements, long static posture, the sensations intensify, while at rest they subside. To alleviate the condition, remove muscle spasm and inflammation. During treatment, anti-inflammatory drugs, painkillers, warming ointments are used, and doctors often prescribe physiotherapy: paraffin applications, phonophoresis, laser therapy. For osteochondrosis, therapeutic massage is useful.
2. – deformation of the vertebrae due to proliferation bone tissue. The processes compress the surrounding nerve endings and cause aching, dull, one-sided pain, which does not depend on body position and time of day. If you press on the painful area during palpation, an acute lumbago will occur. With the lumbar form, numbness in the legs sometimes occurs. Diagnosed using X-rays and MRI. It is treated with painkillers, anti-inflammatory drugs, massage and electrophoresis are useful.
3. Intervertebral – protrusion of the intervertebral disc. It is characterized by a constant nagging, aching pain that intensifies towards the end of the day. With sudden movements, a feeling of lumbago and acute lightning-fast pain may occur. The sensations intensify when turning to the side, bending over and subside when lying down. To alleviate the condition, you can take painkillers (paracetamol, analgin, novocaine). Treatment is aimed at relieving pain and inflammation; exercise therapy and massage are prescribed. Surgery- rarely and for serious indications.
4. Radiculopathy () – damage to the roots of the spinal cord. In most cases, it is a consequence of osteochondrosis, intervertebral hernia or stenosis (narrowing of the spinal canals). The pain is severe - sharp or dull, radiates to different departments spine. Characterized by loss of sensitivity in some areas of the back muscles, this process is accompanied by numbness or tingling, a burning sensation. Treatment is aimed at identifying and eliminating the causes of symptoms. To relieve the condition, take painkillers, massage, use special ointments(Bystrumgel, Voltaren). From folk remedies A bath and applying natural wool to the sore spot help.

The pain has different character, arises for all sorts of reasons, and is not always easy to determine.

Main - consult a doctor quickly. Many diseases can be treated much easier, less time-consuming and cheaper in money if they are identified early stages appearance. Take care of your health!

Remember

1. Back pain on the right can be observed due to pathologies various systems body.
2. First of all, determine the location of the pain, the connection between its occurrence and any factor and the accompanying symptoms.
3. Diseases of the respiratory system. Bronchitis, pneumonia, pleurisy, pneumothorax, pulmonary infarction, oncology. The main difference is the occurrence of pain when inhaling, accompanied by shortness of breath and cough. Diagnostics - blood test, chest x-ray.
4. Diseases of the digestive system. Flatulence, appendicitis, intestinal obstruction, cholecystitis, pancreatitis. Abdominal pain can radiate to the lower back, there are dyspeptic symptoms, heartburn, belching, nausea, vomiting, bloating, bitterness in the mouth, coating on the tongue. Diagnostics: blood and stool tests, FGDS, ultrasound.
5. Diseases of the urinary system. Nephroptosis, pyelonephritis, renal colic, hydronephrosis, kidney stones. The pain is accompanied by changes in urine, swelling, and temperature. Diagnostics – urine and blood tests, ultrasound, radiography, MRI.
6. Diseases lumbar region spine. All stages of osteochondrosis, radiculitis. The pain is aching, dull, and when a nerve is pinched, it is intense and shooting. Pain, burning, tingling and numbness occur in the lower extremities. Diagnostics – examination, x-ray, MRI, blood tests.
7. Contact your physician for examination. Treatment is established after determining the disease that caused the pain.

Back pain that occurs on the right side in the lumbar region may be a sign large quantity diseases: from diseases musculoskeletal system to inflammatory processes in the lungs. It is quite difficult to determine the origin of pain on your own, so if you experience recurring symptoms, you should consult a doctor. Timely consultation with a specialist and professional diagnostics will allow you to determine the cause of pain as accurately as possible, begin appropriate treatment in time, and therefore avoid various kinds complications.

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Causes of pain in the lumbar region

Similar symptoms are typical for a number of diseases:

• lower respiratory tract;
• musculoskeletal system (spine, back muscle tissue);
• Gastrointestinal tract (pancreas, liver, gallbladder, intestines);
• urinary and reproductive systems(right kidney, right ovary).

To determine which organ requires additional attention, you need to analyze the nature of the pain and the characteristics of its manifestation:

• determine as accurately as possible the location of the occurrence of this symptom;
• describe the pain (stabbing, cutting, aching, pulling, burning, sharp, lumbago, weak, wavy, feeling of heaviness);
• understand where it goes (to the leg, arm, shoulder, etc.);
• identify whether additional symptoms are present (dizziness, nausea, vomiting, bowel movements, fever, cough, general weakness).

This will help you prepare for your doctor's visit. After all, the accuracy of the patient’s answers at the initial appointment determines what tests will be prescribed and how quickly a diagnosis will be made.

In addition, it is important to remember when pain first appeared and what events preceded it. Perhaps the pain that arises is situational and appeared after serious physical exertion or an uncomfortable body position, and inflammatory processes in the body have nothing to do with it. This can happen severely sports loads, a long bus ride or a long plane flight.

But if the pain does not go away or even intensifies, this indicates that the body has been struck by a serious disease.





Kidney diseases

If it hurts on the right under the ribs, from behind the back you feel constant dull, aching twitching, which intensifies when you lightly tap the fingertips on the lower rib on the part of the diseased kidney, is a clear sign acute pyelonephritis. In this case, the pain does not radiate anywhere, but is accompanied by high fever, often even chills, frequent urges to urination. On the background general decline nausea occurs, sometimes vomiting, and swelling appears.



With chronic right-sided pyelonephritis, the pain in the right side from the back in the lumbar region is also aching, but rather weak. It increases significantly in case of hypothermia. Additional symptoms accompanying this disease are almost no different from the signs of it. acute form: low-grade fever, frequent urination. But it happens that at the very beginning of the disease there are no accompanying signs, except pain symptoms.

When, at the beginning of the disease, an intermittent dull pain is periodically felt in the right side at waist level from the back , which often appears after exercise or coughing, suggest nephroptosis (kidney displacement). The peculiarity of the disease is that pain symptoms appear when a person is in an upright position and gradually disappear if he lies down. During the development of the disease, if left untreated , the pain in the side will only intensify, and colic may even occur.

If the right side from the back hurts badly, the attacks are similar to contractions, during which the pain radiates to the lower abdomen right up to the pubis, then spreads to the lower back, this most often indicates renal colic. This disease may be accompanied by fever and vomiting, and less commonly, bloating. At similar symptoms The best thing to do would be to call an ambulance and immediately take an antispasmodic. If additional signs there are no illnesses, it is good to use as a remedy for pain warm heating pad. It is better to take it half-sitting so that the urinary tract is lower than the kidney.

Aching pain in the back on the right side, independent of body position, sometimes reaching colic, indicates hydronephrosis (enlargement of the renal pelvis). With this disease, weakness and nausea may be felt, the urine darkens and acquires a reddish tint, which indicates the presence of blood in it. The presence of the disease can only be determined using ultrasound and x-rays.



When a sharp, piercing pain occurs in the back on the right, accompanied by symptoms similar to those of pyelonephritis and urolithiasis, as well as very heat, chills, thirst and dry mouth - this is a kidney abscess (purulent inflammation). In this case, all that is required is to call an ambulance and prepare for the operation.

A dull pain of varying intensity in the right side behind the lumbar region, which increases with running, fast walking and traveling in transport, as well as from drinking a large amount of liquid, indicates the presence of urolithiasis. Difficulty urinating usually accompanies the disease.. WithThe degree of pain depends on the size of the stone in the urinary tract.



If the right side of the back hurts, and these sensations are long-lasting and aching in nature, intensify during physical activity, eating fatty and spicy foods, as well as after drinking alcoholic beverages, and weaken at rest, then liver disease is evident. Additional symptoms: nausea, possibly heartburn, bitter taste in the mouth, fatigue, yellow skin.





Diseases of the musculoskeletal system

Very severe pain in the right side under the ribs occurs due to a lumbar intervertebral hernia. Pain sensations may go down to: popliteal region, shin, on back surface hips. Often, people with illness complain of numbness in certain areas lower limbs, tingling and burning in the toes, paresis. The pain intensifies when walking, and becomes more tolerable in a lying position. Intervertebral hernias of the lumbar region are treated by an orthopedic surgeon.



The right side of the back in the hypochondrium area hurts with varying intensity for two days after the fall. This indicates trauma spinal column. In this case, you should definitely see a surgeon. In some cases, the incident may result in damage internal organs person. Depending on this, additional symptoms arise: pain, nausea, vomiting, headache. They must also be reported to your doctor.

If a dull, intermittent pain that occurs in the right side of the back, radiates to the shoulder, arm or leg, and prevents movement (bending over, straightening the back) - this is osteochondrosis ( dystrophic change in joint cartilage). The disease is one of the most common: to a greater extent or to a lesser extent it manifests itself in every fifth Russian. Provokes its occurrence sedentary lifestyle life. Pain in the back occurs during physical activity, sudden movement, and also when long stay in one pose. At the same time, in a state of rest, the painful sensations subside.

One-sided dull aching pain in the lower back, which is annoying, regardless of the mobility of the body and its position, and sharply turns into an acute lumbago when pressing with the fingertips on the disturbing part of the back, often indicates the occurrence of spondylosis (deformation of the vertebrae due to the growth of bone tissue). Sometimes this disease causes numbness in the legs. The presence of spondylosis can be determined using comprehensive examination(MRI and X-ray). The disease is treated with anti-inflammatory and painkillers.

If you constantly feel a nagging, aching pain in the lower back, which intensifies during the day and with sudden movements (turns, bends) gives a lumbago, most likely it is an intervertebral hernia. Acute pain subsides when lying down. To alleviate the condition, they take painkillers, visit a physical therapy room, and take a course of therapeutic massage.



Severe pain radiating to all parts of the spine, characterized by loss of sensitivity, numbness and tingling of the lumbar muscles, indicates radiculitis. With this disease, the roots of the spinal cord are affected. Sometimes the process is accompanied by a burning sensation in the affected area. To alleviate the condition, they take painkillers and massage sessions.

Lung diseases

Characteristic stitching or cutting pain, intensifying with deep breathing, as well as when performing sudden movements, suggests pleurisy. When the pleura is inflamed, the pain usually goes away if you lie on the affected side. Additional symptoms: cough, fever, shortness of breath. The disease can be diagnosed by ultrasound or x-ray.



If the pain is felt under the shoulder blade or under the ribs, and worsens with deep breathing or coughing, then this may be the beginning of pneumonia. Subsequently, the temperature rises, a cough appears, sputum is produced, and a feeling of weakness occurs.

If the pain is very strong, sharp, stabbing, radiates to the arm, shoulder, and intensifies with breathing and coughing, this is pneumothorax (accumulation of gases in the pleura of the lungs). A person wants to sit or take a reclining position, shortness of breath, cold sweat, and panic appear. Diagnosed by radiography and pulmonary puncture.

Unbearable and constant severe pain occurs only in the last stages of cancer, if the tumor grows into the pleura.

The pain is very strong, sharp, cutting on the right under the shoulder blade, indicating pulmonary infarction. Additional symptoms: shortness of breath, tachycardia, expectoration of blood.



Digestive system diseases

Usually accompanied by additional symptoms : abdominal pain, nausea, vomiting.

Flatulence is the accumulation of gases in the intestines. The pain is dull, nagging, accompanied by bloating. Appears after taking certain foods (legumes, soda, etc.), as a result of intestinal diseases or neurosis. Painful symptoms are removed by antispasmodics, sorbents and defoamers.



Appendicitis is inflammation of the appendix. If the appendix is ​​located behind the cecum, then painful sensations do not occur in the abdomen, as happens in most cases, but in the lower right lower back. The pain is acute, constant, radiating to the leg, groin, and pelvic area. If you lie on your left side, it will intensify. Additional symptoms: nausea, weakness, sometimes temperature above 38 degrees. Urgent surgery required!

Intestinal colic is a spasm of the intestinal muscles. The pain in the lower back is burning, cramping: it intensifies and then decreases. After some time it moves to the abdominal area. Additional symptoms: weakness, frequent urination, nausea, diarrhea. Possible causes: poisoning, stress, intestinal diseases, gastritis. For intestinal colic, take antispasmodics and apply a heating pad.

Acute cholecystitis is inflammation of the gallbladder. Pain in the right side of the abdomen in the hypochondrium, radiating to the area below the right shoulder blade. It may go away on its own after some time (half an hour to an hour). Occurs more often at night or in the morning, after eating fatty foods or alcohol. Additional symptoms: bitter taste in the mouth, nausea, vomiting bile, white coating on the tongue. Diagnosed by blood, urine, stool tests, and ultrasound of the gallbladder. It can be treated surgically or with medications; diet must be followed.

Acute pancreatitis is inflammation of the pancreas. Pain in the side of the abdomen, radiating to the lower back on the right. In rare cases, there is no sensation from the abdomen and is felt only in the back in the central part on the right. The pain is dull, cramping: it intensifies and then weakens. Additional symptoms: nausea, vomiting without relief, the face acquires a grayish tint, bloating. If the pain intensifies, call an ambulance! While waiting for the doctor, you can take an antispasmodic. In chronic pancreatitis, a dull pain occurs in the right side of the back after overeating or drinking alcohol.



Other reasons

Acute or nagging pain with tingling under the right rib may appear as a result psychosomatic diseases. It usually occurs periodically and does not last long. In this case, a neurologist or psychiatrist will help the person get rid of pain.



Discomfort in the lower right part of the back may be caused by diseases of the urinary system. With them discomfort do not pass or decrease, even if the person is stationary. Representatives of the fairer sex should take into account that pain concentrated under the right rib is a sign of a number of gynecological diseases. To diagnose them, you need to contact an antenatal clinic.

Pain in the right side, felt in the back area, is a symptom that can appear with the following diseases. Pain in the right side of the abdomen can be caused by diseases of the pancreas. Yes, aching pain on the right side closer to the ovaries can occur before menstruation.

But nagging pain in the lower back does not always indicate health problems. If it occurs after a night and then disappears without a trace, then its cause is an uncomfortable bed. In this case, the person just needs to change the mattress

To find out the cause of back pain on the right or left, you should not be guided by symptoms alone; it is very important to visit a doctor in a timely manner and conduct additional laboratory and instrumental examination.