Why there is severe pain in his right side

The pain in his right side more often speaks of appendicitis - this condition is almost always occurs suddenly and requires urgent action. At this point, the most important thing - do not get lost and time to call an ambulance, because the disease is almost always ends in surgery. There are pains in the right side as in diseases of the gallbladder and biliary tract.

Severe pain in the lower right side of the abdomen is most often associated with appendicitis - inflammation of the appendix of the cecum (the cecum - this is the beginning of the large intestine). Appendix (appendix) - a hollow gut of a small diameter. Acute appendicitis occurs when plugging holes between vermiform appendix and cecum due process of inflection, closing his fecal stones and so on. In the wall of the appendix of the intestine introduced bacteria that cause inflammation.

Another cause of pain in the right side can be inflammation of the bile ducts and gall bladder Gall bladder: structure and function . This phenomenon occurs when the stagnation of bile, which is often accompanied by the formation of stones. Inflammation causes the aching pain in the right upper quadrant of the abdomen near the middle, and infringement of a stone - acute pain in the same area - an attack of gallstones.

Pain in the right side at an acute appendicitis

Pain in the right side of appendicitis at first did not have a particular place, that is, first hurt the entire abdomen. But after some time (when the inflammation increases) localized pain starts in one small area in the lower abdomen on the right. In this area there is also a protective muscle tension - all these signs of "acute abdomen", they say that the patient needs extra help. At this temperature can increase, nausea and vomiting. These are signs of transient bowel obstruction Ileus - the reasons may be different .

If acute appendicitis is not the time to operate, it may come perforation of the wall of the appendix, the infection gets into the abdomen and cause inflammation of the peritoneum - the inner membrane covering the inside of the abdominal cavity (peritonitis). This is very dangerous, because it leads to inflammation of all the organs in the abdominal cavity.

In some cases, acute appendicitis can cause intestinal paresis (complete cessation of its motor activity) that can lead to intestinal obstruction. A sign of this complication is the growing bloating Bloating - if you are bursting inside , Nausea and vomiting.

Therefore, in cases of suspected appendicitis urgently need to call an ambulance and go to the hospital. The only help that can be given to such a patient - surgery removal of the appendix.

Pain in the right side at an acute cholecystitis

In acute cholecystitis is most often first appears in the right upper quadrant colic. Typically, this occurs several hours after the violations in the diet (fatty foods, alcohol). The pain occurs because of blockage of the bile duct stone and lasts from a few minutes to several hours. Then she goes, or yourself, or withdrawn drugs - antispasmodics, which causes relaxation of the muscles of internal organs (such as papaverine).

By stagnation of bile joins inflammation caused by infection, the pain intensifies, give back, up under the right clavicle, there is vomiting, fever, and sometimes the skin becomes yellow (bile pigments into the blood). Stomach painful at a palpation can be seen strain of abdomen muscles, which prevents the stomach probe deeply - a sign of "acute" abdomen, this indicates that the patient is in need of urgent assistance.

In the surgical ward for patients there and, if necessary, carry out surgery - remove the stone that caused the blockage of the ducts or the gallbladder is full.

Pain in the right side in chronic cholecystitis

In chronic inflammation of the gallbladder (cholecystitis), there may be stones, but sometimes they may not be. The walls of the gallbladder become dense, poorly reduced, which contributes to the stagnation of bile.

In this disease there is acute pain, but occasionally (usually in violation of the diet, or after exercise), there is a feeling of heaviness and pain in the right upper quadrant, which is accompanied by a bitter taste in the mouth, belching, nausea, vomiting.

Chronic calculous (with the formation of stones), cholecystitis, complicated forms nekalkuleznogo (without stones) cholecystitis treated promptly. In some cases conservative treatment as well as treatment in a sanatorium (but without exacerbation).

Remember, when a severe pain in the abdomen Severe abdominal pain: possible causes   In no case should not take pain medicine, as they may change the pattern of disease and lead to the fact that will not be seen the moment of perforation of the appendix or gallbladder.

Galina Romanenko

What to do if you hurt your back muscles

In most cases, pain in the muscles after exercise or heavy physical work is a sign that the little man did not calculate the forces. Usually it does not interfere with daily activities, and quite quickly. If muscle pain persists for several weeks, is to see a doctor - perhaps, it is a serious injury. In other cases, will help ease the pain of the following recommendations:

• Make cold packs. Cold helps to relieve inflammation and has a local anesthetic effect, slowing the transmission of pain signals. Dampen a towel with cold water for 10-15 minutes, place it in the refrigerator (or five minutes in the freezer), and then apply it to the area of ​​the back, where you have sore muscles. As a compress can also use ice packs or frozen vegetables. Do not apply ice directly to the skin - it can quickly relieve pain, but you can get a slight frostbite, which is not dangerous, but still very desirable. Instead, compress, or in addition to it, you can take a cool shower or bath.
• Do warm compresses. Exposure to heat stimulates blood circulation, and this contributes to the repair of damaged tissues. Take a hot bath, apply a heating pad or the back of the bottle with hot water.
• Massage - an excellent remedy for pain in the muscles of the back. Refer to a professional massage therapist and tell him exactly what you have sore muscles - it will do massage to suit your condition. However, if you have the slightest doubt that it hurt muscles, see a doctor - sometimes back pain are caused by a disorder in which a regular massage can only worsen the state of health of the patient.
• Use a support belt during strength training. If the pain in the muscles of the back to you - not a reason to interrupt the exercise, be sure to buy a support belt - it will help reduce the load on your back and avoid further damage, due to which the recovery of muscle tissue may be delayed.

What to do when back pain during pregnancy

Back pain during pregnancy - a very common complaint, and it is not surprising. Expectant mothers bear the few extra kilos, they have changed the center of gravity and hormones lead to relaxation of muscles and ligaments. However, back pain during the childbearing may be, if not completely eliminated, then at least substantially alleviated.

• Take care of a comfortable position of the body in space, when you sit or stand. Choose a chair that supports your back well, or put between the lower back and back of the chair a small pillow. If you are within a few hours work sitting, if possible put your feet on a low stool. Once an hour or two certainly stand up and walk a couple of minutes. If the work you have to stand for long periods, shifting from foot to foot and / or alternatively put your feet on a low bench (instead it can be used, for example, a small box or a stack of old magazines, tied with a rope). Keep your back straight and do not strain your shoulders - this spin tired faster.
• Wear comfortable shoes. It is important for all pregnant women, especially for those who have a lot of work to walk or stand. Choose low-heeled shoes or platform (up to 4-5 cm), the sole which is made of a material having good cushioning properties. Shoes very flat sole, as well as a very high heel, wear as little as possible.
• Wear a bandage. Scientific evidence of the efficiency of tires for a little while pregnant, but many women say that they really make life easier during pregnancy, in particular, weaken back pain and help you better cope with stress at work.
• Continue to play sports. Most women exercise during pregnancy is possible and necessary. If the doctor has forbidden you to sport, choose a moderately heavy loads, and exercise at least 3-4 times a week. Pregnant women are excellent swimming and water aerobics Water aerobics: Lose Weight with pleasure Yoga, brisk walking.
• At the time, contact your doctor. Seek immediate medical attention if you feel an intense, constant or increases sharply back pain, if the pain is caused by injury or is accompanied by fever, if you have decreased feeling in one or both legs. You should also call your doctor if in the late second or early third trimester, you have a back pain Low back pain: the spine signals Especially if before there was such a pain - it can be a sign of preterm labor. Back pain - one or both sides, accompanied by fever, nausea Nausea - there may be problems with the nervous system   and hematuria (blood in the urine) is sometimes a symptom of kidney infection - in this case a violation is also required medical assistance.

What shots do if the back pain

Typically, injections are assigned if back pain is so severe that because these patients can not function properly and / or if they are unable to cope in other ways. Previously the patient should be examined with the use of medical imaging techniques (usually computed tomography or magnetic resonance imaging) to identify the causes of back pain Back pain: Do not start the process .

For pain relief may be used the following types of injections:

• Epidural injections. Prick do when the patient is lying on his stomach on a special couch or table. Previously it can give a sedative, but in most cases this is not required. The doctor cleans the skin with alcohol and introduces a local anesthetic. Then, guided by the images obtained with the help of fluoroscopy, the doctor inserts a needle into the epidural space. That's where the drug is injected; usually use a combination of corticosteroids and analgesics;
• Drug blockade. When using this method in the area adjacent to the nerve, through which pain signals, an injection of painkillers; In most cases this is applied lidocaine.