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A feeling of discomfort or a sharp spasm on the right under the ribs or in the lower abdomen is always alarming. Many people immediately think of the appendix or the liver, however, in fact there are significantly more causes. On the right side of the body there are organs of the digestive and urinary systems, part of the intestines, as well as structures of the musculoskeletal system, so pain on the right side can have different origins.

Sometimes the symptom appears after physical exertion or a dietary slip, sometimes — suddenly and without an obvious reason. It can be aching, stabbing, dull, or sharp, radiate to the back, or worsen with movement. To understand what exactly the body is signaling, it is important to consider the location of the pain, its nature, and accompanying manifestations. In this article, we will review what can hurt, which causes are most common, and when you should seek medical attention immediately.

What Can Hurt on the Right Side

When a patient says that the right side hurts, the doctor first уточнює локалізацію. This area includes the upper abdomen under the ribs, the lower abdomen, and the lumbar region. That is why even a similar complaint — pain on the right side — may be associated with different organs depending on where exactly the discomfort is felt.

What Can Hurt on the Right Side Under the Ribs

In the right upper abdomen under the ribs, the source of pain is most often the organs and structures located directly under the costal arch:

  • the liver;

  • the gallbladder and bile ducts;

  • the duodenum;

  • a section of the large intestine (the hepatic flexure of the colon);

  • the upper part of the right kidney;

  • the right dome of the diaphragm.

If it hurts under the right rib in the front, it is important to consider whether there is a connection with eating, a deep breath, or physical exertion, since these details help determine more precisely which organ may be the source of symptoms.

What Can Hurt on the Right Side in the Lower Abdomen

In the lower abdomen on the right, several important structures are also located, so a situation where it hurts on the right side in the lower abdomen requires careful уточнення локалізації and accompanying manifestations.

In this area, pain may come from:

  • the appendix;

  • the cecum and the initial parts of the large intestine;

  • loops of the small intestine;

  • the right ureter;

  • the urinary bladder (pain is sometimes felt asymmetrically);

  • in women — the right ovary and fallopian tube.

If it hurts on the right side, it matters whether there is nausea, fever, changes in stool, or discomfort during urination, because this helps distinguish intestinal, urological, and gynecological sources of pain.

What Hurts on the Right Side from the Back

Pain on the right side from the back is most often felt in the lumbar region and may be associated not only with the kidney, but also with the structures of the spine and the muscles of the back.

The source of pain in this area may be:

  • the right kidney;

  • the right ureter (upper sections);

  • the lumbar muscles;

  • the lumbar spine;

  • the intercostal nerves;

  • the sacroiliac joint.

If pain on the right side radiates to the back, it is worth assessing whether it depends on movements and body position, and whether there are urological symptoms, since these signs often indicate which specific mechanism underlies the pain.

Why It Hurts on the Right Side

Why It Hurts on the Right Side

Pain is a symptom that signals functional disorders or organic changes in a particular organ. To understand the cause, the location, the nature of sensations, the duration, as well as accompanying manifestations — fever, nausea, changes in urination or bowel movements — are assessed.

Why the Right Side Hurts Under the Ribs

If it hurts on the right side under the ribs, most often pathology of the gallbladder or liver is suspected. In this area, pain can also radiate from the pancreas or the duodenum.

Main causes:

  • gallstone disease;
  • inflammation of the gallbladder;
  • spasm of the bile ducts;
  • inflammatory lesions of the liver;
  • reactive pain in gastroduodenal diseases.

Often, pain under the right rib worsens after eating or during physical exertion and may be accompanied by nausea or a bitter taste in the mouth. In some cases, when it hurts under the right rib when coughing, this may be associated with irritation of the diaphragm or increased intra-abdominal pressure against the background of an inflammatory process.

Why It Hurts on the Right Side in the Lower Abdomen

The lower part is one of the most common locations of acute pain. If it suddenly hurts on the right side and the pain gradually increases, it is necessary to rule out surgical pathology, therefore a consultation with a surgeon is mandatory.

The most common causes:

  • inflammation of the appendix;
  • infectious and inflammatory processes of the intestines;
  • intestinal obstruction;
  • passage of a stone through the ureter;
  • gynecological diseases in women.

Doctors at «Oxford Medical» warn: special attention is required in a situation where it hurts on the right side in the lower abdomen and the pain is accompanied by fever, nausea, or general weakness. These may be symptoms of appendicitis.

Why the Right Side Hurts from the Back

If pain is localized in the lumbar region, most often the source is the kidneys or the musculoskeletal system. In this case, pain on the right side radiates to the back or вниз по ходу мочеточника — such irradiation is characteristic of urological problems.

Possible causes:

  • kidney stones;
  • inflammation of the kidney;
  • impaired urine outflow;
  • muscle overstrain;
  • lesions of intervertebral structures.

If the right side hurts and the pain depends on movements, increases with bending or prolonged sitting, a musculoskeletal cause is more likely.

Pain on the Right Side: What the Nature of Pain Means

Doctors at «Oxford Medical» warn: the nature of pain is one of the key guides for a preliminary assessment of the condition. Based on the description of sensations, a doctor can assume whether it is an acute process, chronic inflammation, a functional disorder, or a musculoskeletal problem. The same organ can produce different sensations depending on the stage of the process, so analyzing the nature of pain helps narrow the list of possible causes. It is important to consider intensity, duration, the relationship to movement, food, or body position. However, it is impossible to make an accurate diagnosis based only on the description of symptoms.

For an objective assessment of the condition of internal organs, a doctor may recommend having an abdominal ultrasound, which makes it possible to detect inflammatory changes, the presence of stones, structural abnormalities, or other pathological processes. It is the combination of assessing the clinical picture and instrumental diagnostics that makes it possible to determine the true cause of pain and choose the right treatment strategy.

Aching Pain on the Right Side

Aching pain usually has moderate intensity and can last for hours or even days. It often increases after physical exertion, dietary нарушения, or stress. This type of discomfort is typical of chronic inflammatory processes or functional disorders.

Aching sensations may be accompanied by heaviness, bloating, changes in stool, or periodic nausea. If the symptom recurs or gradually increases, this indicates the need for examination, even if the pain is not sharp.

Stabbing Pain on the Right Side

Such pain on the right side usually occurs suddenly and has a clear localization. It can be short-lived or приступообразной. It often worsens with movement, deep inhalation, or a change in body position.

This nature of pain is often associated with spasm, acute inflammation, or passage of a stone through the ureter. If the sensations are intense, increase, or are accompanied by weakness, fever, or nausea, this may indicate an acute condition requiring emergency care.

Dull Pain on the Right Side

Dull pain is usually less intense but can be постоянной. It is often described as a sensation of pressure or distension. This symptom is typical of inflammatory processes in the early stages or diseases that develop gradually.

Dull pain may worsen after eating or prolonged пребывания in one position. If it is combined with other symptoms — changes in appetite, weakness, digestive disorders — it requires a doctor’s consultation and clarification of the cause.

When You Need to Seek Medical Care Immediately

When You Need to Seek Medical Care Immediately

Pain does not always mean a dangerous condition, however, there are situations when медлить категорически нельзя. This especially applies to sharp, intense, or increasing pain that changes a person’s usual condition and is accompanied by other тревожными symptoms.

Seek medical attention immediately or call an ambulance if:

  • the pain is sudden, very severe, and does not decrease within 1–2 hours;
  • the pain gradually increases and changes localization;
  • a high temperature and chills appear;
  • nausea, vomiting, or inability to eat occurs;
  • there is dizziness, weakness, a sharp deterioration in well-being;
  • abdominal muscle tension is felt;
  • urination disorders or blood in the urine appear.

Special attention is needed when the right side suddenly hurts and the pain becomes постоянной, does not depend on body position, or is not relieved by usual painkillers. In such cases, it is necessary to rule out acute surgical pathology, in particular appendicitis, as well as urological or other emergency conditions.

If the pain is not acute but recurs or lasts for several days, you should not self-medicate. Timely диагностика allows you to determine the cause, prevent complications, and choose the optimal treatment strategy.

The information in this article is provided for informational purposes and is not an instruction for self-diagnosis or treatment. If symptoms of illness appear, you should consult a doctor.

Sources:

NICE Clinical Knowledge Summaries

American College of Radiology

European Association of Urology