Pain In The Right Side From Behind, From The Back

2024 Author: Josephine Shorter | [email protected]. Last modified: 2024-01-07 17:49

Pain in the right side from behind, from the back

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.

Content:

• When does the pain start?
• Muscles of the back or spine
• Respiratory system diseases
• Digestive system diseases
• Diseases of the urinary system
• Spinal cord problems, spine
• How to calculate the "diseased organ"?
• Do I need to call an ambulance?

When does the pain start?

Pain in the right side, felt in the back, is a symptom that may occur with the following diseases.

1. Muscles of the back or spine

2. Respiratory system diseases:

   • Pleurisy ("dry");
   • Pneumonia;
   • Pneumothorax;
   • Cancer of the bronchi, lungs.

3. Digestive system diseases:

   • Intestinal colic;
   • Acute cholecystitis
   • Appendicitis.

4. Diseases of the urinary system:

   • Retroperitoneal hematoma;
   • Hydronephrosis;
   • Glomerulonephritis;
   • Pyelonephritis;
   • Kidney abscess;
   • Renal colic (kidney stones).

5. Lesions of the spine, spinal cord:

   • Osteochondrosis;
   • Spondylosis
   • Intervertebral hernia.

The list of 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, to the accompanying symptoms.

Muscles of the back or spine

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

1. Excessive stretching or tearing of the ligament due to improper lift.
2. Degeneration of the shock-absorbing spinal disc due to aging or normal wear and tear.

3. 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 work, or if you have a serious condition, your doctor may recommend surgery. ^[1]

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) is exudative and dry, in both cases it can manifest itself with sharp pain when breathing. With a purulent form, inadequate breathing from the affected side is added to severe pain on the right. The dry form reports itself by cutting pain attacks, which are activated by movement, coughing.

  Pleurisy and other pleural disorders are treated with: ^[2]

  1. Relief of symptoms (ibuprofen, cough syrups).
  2. Removal of fluid, air, or blood from the pleural space (if large amounts are present).
  3. Treatment of the underlying condition.
• Inflammation of the lungs (right-sided pneumonia) is accompanied by symptoms such as fever, wheezing in the lungs, and coughing. The intensity of pain varies.
• Spontaneous pneumothorax gives a sharp, sudden pain radiating to the scapula. It is a condition in which air enters the lungs (pleural space). As a rule, the doctor releases air with a needle or tube; this procedure does not require general anesthesia.

• Lung cancer is a disease that is characterized by pulling pains localized in the back on the right; it is also possible to capture the scapula, right shoulder. The syndrome is activated as the tumor grows, in the process of movement, coughing, breathing.

Digestive system diseases

Pain that focuses on the right side in the back may indicate problems related to the digestive system.

• Acute cholecystitis is a disease in which pain is concentrated in the right intercostal space, can be given to the shoulder girdle, scapula, and right shoulder. In some cases, a burning sensation in the lower back also joins. The duration of an attack can range from several days to several hours. Additional symptoms are an increase in temperature, bouts of vomiting.
• 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 of the back. This rare symptom appears if the appendicular process is localized behind the cecum, enlarged, swollen.

  Traditional treatment is to remove the appendix (appendectomy). In some cases, treatment with antibiotics alone is possible, 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]

Diseases of the urinary system

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

• Glomerulonephritis, hydronephrosis, kidney abscess and other pathologies are marked by aching, pulling, dull and sharp pains. The pain increases if you press on the lumbar region.
• Stones in the kidneys. Renal colic (obstruction of the ureter with calculus) gives acute pain in the lumbar region, nausea, vomiting, hematuria. Also, this type of pain may indicate renal artery thrombosis.
• Despite the fact that kidney stones account for about 30-40% of all reasons for hospitalization in urological departments of hospitals, pain in the kidneys can also be triggered by an infection (pyelonephritis). The most common cause of kidney infections is bacteria (E.coli) that enter the urinary tract through the urethra. ^[4]

Spinal cord problems, spine

Herniated discs, osteochondrosis, spondylosis, pinched nerve roots - all these problems can cause severe pain localized to the right in the back. In order not to confuse the pathology of the spine with other diseases, it is worth studying other signs. A feeling of stiffness appears in the back, the painful attack increases with movement, gives to the chest, limbs, groin area. The occurrence of numbness, "goose bumps" is also possible.

Severe pain is possible with a fracture of the scapula, ribs on the right. It is activated by coughing, taking a deep breath, and moving.

How to calculate the "diseased organ"?

Often, people who experience pain concentrating in the right side from the back have no idea which specialist to contact, 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 painful attacks can tell about something:

• Right under the shoulder blade. Perhaps the problem is of a neurological nature, it 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. The problem is most likely related to kidney disease.
• Lower back right. Painful attacks can indicate pathology and trauma of the spine, hernia. Disruptions in the urinary system are also likely. In the latter situation, the pain does not diminish in any position.

Back pain on the right can bother a person in the morning. Probable problems causing pain after waking up are improper mattress, muscle dystrophy.

Do I need to call an ambulance?

There are diseases that require urgent treatment, in some cases it is a question of surgical intervention. Often, the patient's life directly depends on the speed with which medical assistance comes. You should definitely call an ambulance if a symptom such as a sharp, unexpected and unstoppable pain appears on the right side of the back. Additional symptoms are weakness, fainting, dizziness.

In any case, you cannot independently prescribe medication to yourself without going through a medical examination. As a last resort, you can use pain relievers to temporarily eliminate the symptom. However, it is possible to completely get rid of pain only after eliminating the cause of its appearance.

Links to sources

1. Low Back Pain Fact Sheet
2. Pleurisy and Other Pleural Disorders
3. Salminen P. et all. Antibiotic Therapy vs Appendectomy for Treatment of Uncomplicated Acute Appendicitis: The APPAC Randomized Clinical Trial. 2015 Jun 16; 313 (23): 2340-8. doi: 10.1001 / jama.2015.6154.
4. Kidney infection

The author of the article: Gorshenina Elena Ivanovna | Gastroenterologist

Education: Diploma in the specialty "General Medicine" received at the Russian State Medical University named after N. I. Pirogova (2005). Postgraduate studies in the specialty "Gastroenterology" - educational and scientific medical center.