Pain in the right side from behind, from the back

The article was prepared by a specialist for informational purposes only. We urge you not to self-medicate. When the first symptoms appear, consult a doctor.

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.

Muscles of the back or spine
Respiratory system diseases:
Pneumonia;
Pneumothorax;
Bronchial and lung cancer.
Digestive system diseases:
Acute cholecystitis
Appendicitis.
Diseases of the urinary system:
Hydronephrosis;
Glomerulonephritis;
Pyelonephritis;
Kidney abscess;
Renal colic (kidney stones).
Lesions of the spine, spinal cord:
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.

The main causes of belching and pain in the hypochondrium

Gilbert's disease

What are the causes of bitterness in the mouth and belching? These symptoms are characteristic of such a rare disease as Gilbert's syndrome. This term hides a pathology that is characterized by episodes of jaundice due to an increase in the level of indirect bilirubin in the blood.

In Gilbert's disease, in addition to jaundice syndrome, dyspeptic disorders are also observed. After eating food, the patient experiences heartburn, nausea, vomiting, bitter taste in the mouth, burning sensation in the mouth, and flatulence.

Gilbert's disease is also characteristic of:

Increased fatigue.
High body temperature.
Drowsiness or insomnia.
The appearance of age spots on the face and body.
Heaviness in the right hypochondrium combined with colic.
Swelling of the limbs.
Pain in the epigastric region.

The pathology cannot be completely cured. The goal of therapy is to relieve symptoms.

Hepatitis

When considering the question of why, after eating, a person may experience pain in the hypochondrium, belching and a bitter taste in the mouth, hepatitis should be mentioned. This pathology is characterized by an acute or chronic inflammatory process in the liver.

Hepatitis mainly develops due to the penetration of viral agents. Pathogenic microorganisms first enter the blood, and then penetrate the liver through the portal vein and become embedded in hepatocytes. There are viral hepatitis A, B, C, D, E, F, G.

There are also autoimmune, drug and alcohol forms of the disease. From the names you can understand the etiology of the inflammatory process. In addition to bitterness in the mouth, nagging pain in the hypochondrium and belching air, with hepatitis a person complains of:

Asthenic syndrome.
Increased body temperature (increases to subfebrile values).
Pain in joints and muscles.
General weakness.
Changes in skin color and eye whites. Viral hepatitis C and B can be anicteric.
Colic in the right hypochondrium.
Dyspeptic disorders.

With viral forms of hepatitis, even headaches and dizziness may occur. According to some reports, viruses can penetrate through the blood into the brain, as a result of which a person experiences asthenia in combination with migraine.

Cirrhosis

Cirrhosis is an advanced stage of fibrosis. The pathology is characterized by the degeneration of parenchymal tissue into fibrous connective tissue. With cirrhosis, the pressure in the portal vein system increases, portal hypertension and ascites are observed.

The disease is asymptomatic in 20% of cases. But much more often there are signs. Thus, the patient complains of dyspeptic disorders, aching or sharp pain in the right hypochondrium, and jaundice syndrome.

Cirrhosis also manifests itself:

"Drumstick syndrome." The patient has thickening of the phalanges of the fingers.
“Watch glasses” - a modification of the nail plates.
Palmar erythema. The skin of the palms of a person turns red, he experiences local hyperemia, burning, and itching. A rash and even pustules may appear on the skin.
Spider veins. This definition refers to the protrusion of blood vessels on the face, body, abdomen, and legs.
Increased bleeding of gums.
Varicose veins of the esophagus and rectum.
Bitter taste in the mouth.
“Bitter” belching, burning in the mouth.

Men with cirrhosis may also experience gynecomastia, testicular atrophy, and impotence. Women with this diagnosis experience menstrual irregularities.

Cholecystitis

Cholecystitis is an inflammatory process in the gallbladder. There are two types of disease - stone and stoneless. In the first case, cholesterol or bilirubin stones form in the gallbladder. The stoneless form is less common.

Due to the inflammatory process in the gallbladder, the functionality of the digestive system as a whole is disrupted. As a result, a person often burps something bitter, experiences an unpleasant taste in the mouth, and complains of chronic diarrhea, flatulence, and bloating.

Cholecystitis is also accompanied by:

Biliary colic.
Pain in the hypochondrium, which can radiate to the shoulder blades, lower abdomen, and chest.
Vomiting and nausea. Black impurities may appear in the vomit.
Chills, elevated body temperature.
Jaundice. It develops due to a violation of the outflow of bile and the entry of indirect bilirubin into the blood.

Biliary dyskinesia

Biliary dyskinesia is a pathology accompanied by impaired motility. The main causes of ADHD are autonomic dysfunction, liver disease, and acute calculous cholecystitis.

Biliary dyskinesia may be completely asymptomatic in the early stages. But over time, after eating, drinking alcohol and intense physical activity, a person begins to experience heaviness in the stomach.

In addition, JVP manifests itself:

Bitter taste in the mouth.
Hepatomegaly.
Pain on palpation of the gallbladder and liver.
Bad breath.
Nausea and vomiting.
Increased body temperature.

The severe stage of the course of ADHD is often accompanied by cardiovascular disorders, including tachycardia, chest pain and “jumps” in blood pressure.

Muscles of the back or spine

According to the National Institute of Neurological Disorders (NINDS), 80% of adults experience low back pain on a regular basis. Most of this pain is caused by mechanical problems such as:

Excessive stretching or tearing of a ligament due to improper lifting.
Degeneration of the shock-absorbing spinal disc due to aging or normal wear and tear.
Muscle tension due to poor posture.

Treatment depends on the cause and severity of your condition. Your doctor may initially recommend more conservative options, such as physical therapy or medications to reduce inflammation. If conservative treatments don't help or if your condition is severe, your doctor may recommend surgery. [1]

Spondylosis

With this pathology, spiky bone growths grow along the edges of the affected vertebrae. The pain syndrome is not constant, it can ache on the right under the ribs at the back, at the back under the ribs, in the lower back. The person feels tired, stiff, and the pain will intensify when weather conditions change. When a neurological examination has been performed, the doctor will prescribe an X-ray examination, CT scan, and MRI. Therapeutic measures are complex, symptomatic, physiotherapeutic procedures are used. Surgery is performed according to indications.

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.
Pleurisy and other pleural disorders are treated with: [2]
Removing fluid, air, or blood from the pleural space (if large amounts are present).
Treatment of the underlying condition.
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. This is a condition in which air enters the lungs (pleural space). Typically, the doctor will deflate the air using a needle or tube; this procedure does not require general anesthesia.
Lung cancer is a disease characterized by nagging pain localized in the back on the right; seizure of the shoulder blade and right shoulder is also possible. The syndrome becomes more active as the tumor grows, during movement, coughing, and breathing.

Causes of pain under the ribs on both sides

The occurrence of unpleasant sensations under the ribs causes a lot of anxiety. Most often, the pain is aching and tends to radiate to the shoulder, back and other parts of the body. The clinic corresponds to various diseases of the gastrointestinal tract, spleen, liver, pancreas, gallbladder and its ducts.

If it hurts on the left side and radiates slightly to the right, then the cause is an enlarged spleen. And changes in size can be caused by diseases such as hemolytic anemia, acute infectious pathologies, autoimmune disorders, and septic conditions.

Discomfort or a burning sensation in the hypochondrium on both sides are signs that appear against the background of acute and chronic pathologies. The only difference is the severity, since in the acute course of the pathological process the pain syndrome is stronger.

Unpleasant sensations under the ribs have causes:

Injury to the spleen, liver or other organs of the hepatobiliary tract.
Formation of retroperitoneal hematoma.
Gastrological type of myocardial infarction - there is pain on both sides of the ribs, and it hurts to breathe.
Pathologies of the respiratory and urinary system.
Osteochondrosis.
Neurological disorders, etc.

The symptoms that accompany the pain syndrome will be of great help in the diagnostic process - cough, tightness in the chest, fever, increased body temperature, nausea, digestive dysfunction, etc.

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, 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.
Traditional treatment is to remove the appendix (appendectomy). In some cases, it can be treated with antibiotics alone, meaning you may not need surgery. In one such study, nearly 75% of people who received antibiotics during appendicitis did not require an appendectomy. [3]
Read also: IV. Benign and malignant swellings of the colon, diagnosis, treatment.

When emergency help is needed

It is necessary to consult a doctor if the pain in the subcostal area is quite severe and does not disappear after 30-40 minutes. A person needs to be wary if discomfort does not decrease while taking antispasmodics. An ambulance should be called when there is a rapid increase in body temperature, persistent vomiting or diarrhea. Immediate medical intervention will be needed if at the same time the patient feels severe dizziness, vision problems, or loses consciousness.

If you have at least one of these symptoms, you need to call a doctor at home, and while he is driving, lie down on the sofa and take the position in which the pain is felt the least. In such cases, it is impossible to warm up or apply ice, as well as take strong painkillers. You should also not use folk remedies, because until a diagnosis has been established, any measures can be harmful. If the symptoms described above are absent, but discomfort and pain periodically return, you need to make an appointment with a doctor as soon as possible. The sooner the cause of the problem is determined, the faster it can be eliminated.

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.
Stones in the kidneys. Renal colic (obstruction of the ureter by a stone) causes acute pain in the lumbar region, nausea, vomiting, and hematuria. Also, this type of pain may indicate renal artery thrombosis.
Despite the fact that kidney stones account for about 30-40% of all causes of hospitalization in urological departments of hospitals, pain in the kidneys can also be caused by infection (pyelonephritis). The most common cause of kidney infections is bacteria (E. coli) that enter the urinary tract through the urethra. [4]

Pain with radiculitis

The soreness will appear unexpectedly and may disappear suddenly. When it appears again, it becomes intense. It will also intensify if you lift your straight leg while lying on your back. The leg will reflexively bend if a person wants to sit down from a lying position. Acute pain will appear when a person sneezes or coughs. The pain will intensify if you tilt your head forward. It is difficult to remain in one position for a long time, and if a person is motionless, the pain will subside.

It may sting in the side

At night, a person’s health worsens, he sweats, his face turns pale.

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.

Troubleshooting methods

How to deal with pain and belching is decided by the attending physician, based on the root cause of these symptoms. For example, if the cause was viral hepatitis, it is necessary to take immunomodulators, antiviral drugs, hepatoprotectors, and ursodeoxycholic acid.

And, say, gastritis requires a diet and a number of medications, including antibiotics, antacids, antiemetics, prokinetics, enzyme agents, and proton pump inhibitors. In general, by eliminating the root cause, you can count on success.

Doctors also give a number of general recommendations:

Follow a diet. Low-carbohydrate diets table 5 and table 6 will come to the rescue. To support the gastrointestinal tract, a person needs to abstain from high-calorie and difficult-to-digest foods. Fatty foods, spicy foods, smoked foods, sweets, processed foods, carbonated and alcoholic drinks are prohibited.
Take enzymes. Help is provided by such drugs as Pancreatin, Creon, Festal.
Take hepatoprotectors. Taking these medications is recommended for liver diseases. But it is quite possible to take hepatoprotectors for prevention. The best are considered to be Karsil Forte, Essentiale Forte N, Fosfontiale, Ursosan, Ursofalk, Heptor, Hepa-Merz, Tiogamma.

Treatment with folk remedies can be carried out with the permission of a doctor. A decoction of turmeric, oat jelly, calendula tincture, a decoction of oak bark, a potion made from flax seeds and honey work well against pain and dyspepsia.

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. 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.

Diagnosis of rib pain

If you are suffering from rib pain, contact the CELT Pain Clinic. We employ doctors of various specialties who will use the entire arsenal of diagnostic and treatment capabilities of our multidisciplinary clinic to solve your problems. Since there are many reasons that cause pain in the ribs, it is very important to correctly diagnose. This is the only way to correctly diagnose and prescribe treatment.

If you experience pain, contact one of our specialists:

therapist;
neurologist;
traumatologist;
pulmonologist;
cardiologist.

Diagnosis in our Pain Clinic, in addition to examination by a doctor and medical history, may include:

laboratory research methods;
cardiography;
computed tomography;
magnetic resonance imaging.

When your right side hurts

The following options are possible here:

If cramps are accompanied by nausea, acute or chronic pancreatitis with inflammation of the head of the pancreas should be considered. Sometimes not only the right side hurts, but also the back. Additional symptoms are general weakness and indigestion.
Inflammation of the liver. The sensations are dull and are accompanied by pallor, yellowing of the skin, dyspepsia, and loss of appetite.
Duodenitis. Unpleasant pulling sensations spread simultaneously to the back and shoulder blade.

For people susceptible to pain, spasms are not limited to the side only, so a feeling of discomfort in the upper right shoulder is possible.