Hernia under right rib cage. Epigastric Hernia: Symptoms, Diagnosis, and Treatment Options

06.05.202316.07.2023 by alexxlab

What are the main symptoms of an epigastric hernia. How is an epigastric hernia diagnosed. What are the treatment options for an epigastric hernia. What complications can arise from an untreated epigastric hernia. How is surgery performed to repair an epigastric hernia. What are the potential risks of epigastric hernia surgery. How can epigastric hernias be prevented.

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Understanding Epigastric Hernias: Causes and Risk Factors

An epigastric hernia is a type of abdominal wall hernia that occurs in the epigastric region – the area between the breastbone and the navel. These hernias develop when there is a weakness or defect in the abdominal wall, allowing fat or internal organs to protrude through.

The exact cause of epigastric hernias is not fully understood, but researchers have proposed some theories:

Developmental defects during fetal growth
Increased tension between the abdominal wall and diaphragm
Weakness in the linea alba (the fibrous structure in the middle of the abdominal muscles)
Genetic predisposition

While epigastric hernias can affect anyone, certain factors may increase the risk:

Obesity
Pregnancy
Heavy lifting or straining
Chronic coughing
Family history of hernias

Recognizing the Symptoms of Epigastric Hernias

Epigastric hernias can vary in their presentation, with some individuals experiencing no symptoms at all. However, common signs and symptoms may include:

A visible bulge or lump in the upper abdomen
Pain or discomfort in the affected area
Tenderness when touching the hernia site
Worsening of symptoms when coughing, sneezing, or straining

Can epigastric hernias cause digestive issues? In some cases, individuals with epigastric hernias may experience gastrointestinal symptoms such as nausea, vomiting, or constipation, especially if the hernia becomes large enough to affect the digestive organs.

Diagnostic Approaches for Epigastric Hernias

Diagnosing an epigastric hernia typically involves a combination of physical examination and imaging studies. The process may include:

Medical history review: The doctor will ask about symptoms, lifestyle factors, and family history.
Physical examination: The healthcare provider will inspect and palpate the abdominal area to detect any bulges or tenderness.
Imaging tests: Ultrasound, CT scan, or MRI may be used to confirm the diagnosis and assess the hernia’s size and contents.

Is a biopsy necessary for diagnosing epigastric hernias? Generally, a biopsy is not required for diagnosing epigastric hernias. The combination of physical examination and imaging studies is usually sufficient for an accurate diagnosis.

Treatment Options for Epigastric Hernias

The primary treatment for epigastric hernias is surgical repair. However, the approach may vary depending on the size of the hernia and the patient’s overall health. Treatment options include:

Watchful Waiting

For small, asymptomatic hernias, doctors may recommend monitoring the condition without immediate intervention. This approach is typically reserved for cases where the risk of complications is low.

Surgical Repair

Surgery is the definitive treatment for epigastric hernias. The two main surgical techniques are:

Open hernia repair: The surgeon makes an incision over the hernia site to access and repair the defect.
Laparoscopic repair: Minimally invasive surgery using small incisions and specialized instruments.

During surgery, the protruding tissue is pushed back into place, and the abdominal wall defect is closed using sutures or mesh reinforcement.

Post-Surgical Care

After surgery, patients are typically advised to:

Avoid heavy lifting for several weeks
Gradually increase physical activity as recommended by the surgeon
Follow wound care instructions to prevent infection
Attend follow-up appointments to monitor recovery

Potential Complications of Untreated Epigastric Hernias

While some epigastric hernias may remain asymptomatic, leaving them untreated can lead to serious complications:

Incarceration: The hernia contents become trapped and cannot be pushed back into the abdominal cavity.
Strangulation: Blood supply to the trapped tissue is cut off, leading to tissue death.
Bowel obstruction: Large hernias may interfere with normal digestive function.
Chronic pain: Ongoing discomfort can significantly impact quality of life.

How quickly can complications develop in untreated epigastric hernias? The timeline for complications varies widely among individuals. Some hernias may remain stable for years, while others can rapidly progress to serious complications. Regular monitoring by a healthcare professional is essential for early detection of potential issues.

Surgical Techniques and Advancements in Epigastric Hernia Repair

Surgical techniques for repairing epigastric hernias have evolved significantly in recent years. Modern approaches focus on minimizing invasiveness and improving outcomes:

Tension-Free Repair

This technique uses mesh to reinforce the abdominal wall without putting tension on the surrounding tissues. It has been shown to reduce the risk of hernia recurrence.

Robotic-Assisted Surgery

Robotic systems provide surgeons with enhanced precision and control during laparoscopic procedures, potentially leading to better outcomes and faster recovery times.

Biological Mesh

In some cases, surgeons may use biological mesh made from animal or human tissue. This type of mesh may be preferred in certain situations, such as when there is a risk of infection.

What factors influence the choice of surgical technique? The decision depends on various factors, including:

Size and location of the hernia
Patient’s overall health and medical history
Surgeon’s expertise and preference
Availability of advanced surgical equipment

Recovery and Long-Term Outlook After Epigastric Hernia Surgery

Recovery from epigastric hernia surgery varies depending on the surgical approach and individual factors. Generally, patients can expect:

Short hospital stay (often outpatient or 1-2 days for more complex cases)
Gradual return to normal activities within 2-4 weeks
Full recovery and return to strenuous activities after 4-6 weeks

Long-term outcomes for epigastric hernia repair are generally favorable. However, there is a small risk of recurrence, typically around 1-3% for mesh repairs.

Can lifestyle changes reduce the risk of hernia recurrence? Yes, maintaining a healthy weight, avoiding heavy lifting, and quitting smoking can all help reduce the risk of hernia recurrence after surgery.

Preventing Epigastric Hernias: Lifestyle and Health Considerations

While not all epigastric hernias can be prevented, certain lifestyle modifications may help reduce the risk:

Maintaining a healthy body weight
Practicing proper lifting techniques
Avoiding straining during bowel movements
Managing chronic cough
Strengthening core muscles through targeted exercises

Is it possible to strengthen the abdominal wall to prevent hernias? While strengthening core muscles can help support the abdominal wall, it’s important to note that some individuals may have a genetic predisposition to hernias. Regular exercise and maintaining a healthy lifestyle can contribute to overall abdominal health, but they cannot guarantee prevention of hernias in all cases.

In conclusion, epigastric hernias are a common type of abdominal wall hernia that can affect individuals of all ages. While some may remain asymptomatic, others can cause discomfort and potentially lead to serious complications if left untreated. Surgical repair remains the gold standard for treatment, with various techniques available to suit individual needs. By understanding the causes, symptoms, and treatment options for epigastric hernias, individuals can make informed decisions about their health and seek appropriate medical care when necessary.

Epigastric Hernia: Symptoms, Diagnosis, and Treatment

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Medically reviewed by Andrew Gonzalez, M. D., J.D., MPH — By Diana Wells — Updated on August 29, 2017

Overview

A hernia is a generic term for a hole caused by a weak spot in your abdominal wall. An epigastric hernia is a type of hernia in the epigastric region of the abdominal wall. It’s above the belly button and just below the sternum of your rib cage.

This type of hernia is a somewhat common condition in both adults and children. About 2 to 3 percent of all abdominal hernias are epigastric hernias. It’s also seen in infants.

Most of the time, you’ll have no symptoms or only minor symptoms with an epigastric hernia. A lack of symptoms means that this condition tends to go unreported.

An epigastric hernia usually causes a bump to occur in the area below your sternum, or breastbone, and above your belly button. This bump is caused by a mass of fat that has pushed through the hernia.

The raised area may be visible all the time or only when you cough, sneeze, or laugh. This bump, or mass, can grow and become larger in some cases. You can have more than one epigastric hernia at a time.

An epigastric hernia can also cause tenderness and pain in the epigastric region. However, it’s common for an epigastric hernia not to show any symptoms.

An epigastric hernia can occur when the tissues in the abdominal wall don’t close completely during development. Research continues to look for the specific causes of this type of hernia. Not as much is known about epigastric hernias possibly because they aren’t reported many times due to a lack of symptoms.

However, one theory has gained some credibility. It’s believed that the epigastric hernia may be caused when there is tension in the area where the abdominal wall in the epigastric region attaches to the diaphragm.

This type of hernia won’t go away on its own, and complications will eventually lead you to surgery. Surgery is the only way to repair an epigastric hernia. It’s the recommended treatment, even for infants, due to the risk of the hernia enlarging and causing additional complications and pain.

To complete the repair, you might only need sutures, or you may require an implanted mesh. The use of mesh or sutures is determined by the size of the hernia and other factors.

If your epigastric hernia hasn’t been treated, you should get medical treatment immediately if you have vomiting or fevers and an increase in abdominal pain. These may indicate a bowel blockage.

Surgery to repair an epigastric hernia can lead to certain serious complications. If you have any of the following symptoms after surgery, you should seek medical attention:

high fever
difficulty urinating
discharge from the surgical site
an increase in pain or swelling at the surgical site
bleeding that won’t stop
nausea
vomiting

The complications for an untreated epigastric hernia include the following:

enlarged hernia, which eventual allows parts of the bowel to push through
increase or onset of pain and tenderness
bowel blockage
loss of domain, in which the hernia becomes so large that’s nearly impossible to repair even with a mesh

The complications for the surgical repair of epigastric hernia includes any basic complications surrounding surgery and general anesthesia as well as those related to this specific surgical procedure. These complications may include:

bleeding
pain
wound infection at the surgical site
scarring left after healing
blood clots
development of a lump that isn’t a hernia
a low chance of the hernia recurring
mesh infection (in the event an artificial mesh is used to repair the hernia)

Surgical repair of an epigastric hernia is a common procedure and has a very positive outlook. Most people are able to go home the same day as the surgery.

You might even be able to return to work or school within a day or two with some minor restrictions. Specifically, most surgeons don’t want you lifting any weight heavier than a gallon of milk for six to eight weeks.

Your doctor will tell you how quickly you should return to your normal activities. Usually, your restrictions will include no heavy lifting and no strenuous activities or sports for a brief period of time.

Last medically reviewed on August 28, 2017

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

Coats RD, et al. (2000). Presentation and management of epigastric hernias in children [Abstract]. DOI:
10.1053/jpsu.2000.19242
Corsale I, et al. (2000). Diagnosis and treatment of epigastric hernia. Analysis of our experience. [Abstract].
ncbi.nlm.nih.gov/pubmed/11155474
Debrah SA, et al. (2013). Epigastric hernia in pregnancy: A management plan based on a systematic review of literature and a case history. DOI:
10.1007/s12262-012-0632-3
Epigastric hernia repair. (n.d.).
ruh.nhs.uk/patients/services/upper_gi/documents/epigastric_hernia4.pdf
Parsons S. (2010). Epigastric hernia repair.
bmihealthcare.co.uk/treatments/general-surgery/epigastric-hernia-repair
Ponten JE, et al. (2012). Pathogenesis of the epigastric hernia. [Abstract]. DOI:
10.1007/s10029-012-0964-8
Venkatesh M, et al. (n.d.). Epigastric hernia.
radiopaedia.org/articles/epigastric-hernia

Share this article

Medically reviewed by Andrew Gonzalez, M.D., J.D., MPH — By Diana Wells — Updated on August 29, 2017

Epigastric Hernia: Symptoms, Diagnosis, and Treatment

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Medically reviewed by Andrew Gonzalez, M. D., J.D., MPH — By Diana Wells — Updated on August 29, 2017

Overview

This type of hernia is a somewhat common condition in both adults and children. About 2 to 3 percent of all abdominal hernias are epigastric hernias. It’s also seen in infants.

Most of the time, you’ll have no symptoms or only minor symptoms with an epigastric hernia. A lack of symptoms means that this condition tends to go unreported.

An epigastric hernia can also cause tenderness and pain in the epigastric region. However, it’s common for an epigastric hernia not to show any symptoms.

To complete the repair, you might only need sutures, or you may require an implanted mesh. The use of mesh or sutures is determined by the size of the hernia and other factors.

If your epigastric hernia hasn’t been treated, you should get medical treatment immediately if you have vomiting or fevers and an increase in abdominal pain. These may indicate a bowel blockage.

Surgery to repair an epigastric hernia can lead to certain serious complications. If you have any of the following symptoms after surgery, you should seek medical attention:

high fever
difficulty urinating
discharge from the surgical site
an increase in pain or swelling at the surgical site
bleeding that won’t stop
nausea
vomiting

The complications for an untreated epigastric hernia include the following:

enlarged hernia, which eventual allows parts of the bowel to push through
increase or onset of pain and tenderness
bowel blockage
loss of domain, in which the hernia becomes so large that’s nearly impossible to repair even with a mesh

bleeding
pain
wound infection at the surgical site
scarring left after healing
blood clots
development of a lump that isn’t a hernia
a low chance of the hernia recurring
mesh infection (in the event an artificial mesh is used to repair the hernia)

Surgical repair of an epigastric hernia is a common procedure and has a very positive outlook. Most people are able to go home the same day as the surgery.

Last medically reviewed on August 28, 2017

How we reviewed this article:

Coats RD, et al. (2000). Presentation and management of epigastric hernias in children [Abstract]. DOI:
10.1053/jpsu.2000.19242
Corsale I, et al. (2000). Diagnosis and treatment of epigastric hernia. Analysis of our experience. [Abstract].
ncbi.nlm.nih.gov/pubmed/11155474
Debrah SA, et al. (2013). Epigastric hernia in pregnancy: A management plan based on a systematic review of literature and a case history. DOI:
10.1007/s12262-012-0632-3
Epigastric hernia repair. (n.d.).
ruh.nhs.uk/patients/services/upper_gi/documents/epigastric_hernia4.pdf
Parsons S. (2010). Epigastric hernia repair.
bmihealthcare.co.uk/treatments/general-surgery/epigastric-hernia-repair
Ponten JE, et al. (2012). Pathogenesis of the epigastric hernia. [Abstract]. DOI:
10.1007/s10029-012-0964-8
Venkatesh M, et al. (n.d.). Epigastric hernia.
radiopaedia.org/articles/epigastric-hernia

Share this article

Medically reviewed by Andrew Gonzalez, M.D., J.D., MPH — By Diana Wells — Updated on August 29, 2017

Diagnostics and methods of treatment of intercostal hernia

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Pain relief
in 1-2 sessions

Author’s method
treatment

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Intercostal hernia in female and male patients is diagnosed with the same frequency. Pathology is accompanied by degeneration of muscle tissue. The probability of the appearance of dystrophic changes increases under the influence of an inactive lifestyle, impaired posture, and alcohol abuse.

Positive dynamics in 97% of cases

The results of the treatment course are confirmed by control MRI images.

No side effects

The methods used in our clinic are safe and have no side effects.

Long-term effect

Treatment minimizes the risk of new hernias in other segments, as well as hernia recurrence.

What is the disease

The patient is diagnosed with an abnormal location of the pleural membrane, which is accompanied by defragmentation of the lung alveolar tissue. In this case, the hernial sac protrudes into the formed hole. With such a disease, the condition of the intercostal muscles worsens.

In the spine treatment clinic of Dr. Length, it is possible to correct intercostal hernia without surgery. Manual therapy helps to eliminate the defect in muscle tissue in the affected area, which reduces the risk of recurrence.

The main causes of development

As a rule, the formation of a hernia occurs under the influence of several provoking factors:

Previous injuries (fractured ribs, sprain, contusion of the chest).
Scoliosis.
Osteochondrosis, accompanied by degenerative-dystrophic changes. With this disease, the condition of the cartilaginous tissue of the structures of the ribs and spine worsens.
Bronchial asthma. This pathology is characterized by attacks of shortness of breath and cough. In this case, there is an increase in intracavitary pressure in the chest, which causes protrusion of the intercostal space.
Chronic pathologies of the respiratory system (pleurisy, emphysema, chronic bronchitis of various nature, chronic obstructive pulmonary disease).
Ascites, which is accompanied by a sharp increase in intra-abdominal pressure.
Occupational activities of the patient. The high-risk group includes musicians who play wind instruments, glassblowers.

One of the reasons for the appearance of pathology is the deterioration of the tone of the intercostal muscles, which develops against the background of the formation of Schmorl’s hernia. In this case, the motor fibers of the spinal roots are infringed.

Types of disease

Selected types of intercostal hernia are listed in the table below.

Type of intercostal hernia	Appearance mechanism
Spontaneous	Develops in conditions that are accompanied by severe hypoxia. In this case, there is a rapid increase in pressure in the lungs. Spontaneous intercostal hernia occurs with a sharp rise in heavy objects, a critical situation on the water. At such moments, there is a rapid protrusion of the parenchymal lung tissue.
Postoperative	Such a hernia is one of the serious complications of a thoracotomy (a surgical operation on organs located in the chest area). Postoperative hernia is one of the consequences of an unsuccessful dissection of the intercostal muscles.
Post-traumatic	Occurs against the background of penetrating wounds, bruises, falls, blows. A rupture of the intercostal muscles remains at the site of injury, causing a cyst or hernia.
Chronic secondary	It develops in violation of the functions of the bronchopulmonary system, the main symptom is a prolonged, painful cough. These pathologies include: • recurrent pneumonia; • bronchial asthma; • whooping cough; • individual forms of tuberculosis; • chronic obstructive pulmonary disease

Treatment success is 90% dependent on experience
and physician qualifications.

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During the consultation, we carry out a thorough diagnosis of the entire spine and each segment. We are exactly
we determine which segments and nerve roots are involved and cause symptoms of pain. As a result of the consultation
We give detailed recommendations for treatment and, if necessary, prescribe additional diagnostics.

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Let’s perform a manipulation that significantly relieves pain

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The most dangerous location of the hernia is in the upper intercostal spaces (on the left side). Such a pathology often provokes a deterioration in hemodynamics in the systemic circulation. At the initial stage of the disease, a partial dislocation of the heart muscle is often diagnosed.

When the pathology is localized in the region of the apex of the lung, the cicatricial deformity of the organ progresses rapidly. This can lead to the development of chronic respiratory failure.

Main signs and diagnosis

Degenerative intercostal hernia is often characterized by lability. It is noticeable during a deep breath, a prolonged attack of coughing. In a normal state, such a hernia completely disappears. Pathology has no pronounced symptoms. A degenerative intercostal hernia is often discovered by chance, during an examination by an osteopath. Such a pathology is dangerous because with its sudden infringement, necrosis of lung tissue can occur.

When an intercostal hernia is located on the right side, there is a periodic tingling sensation in the affected area. Discomfort is aggravated by a sharp turn in the prone position. Increased pain is provoked by:

fall;
increased physical activity;
pathology of the abdominal organs.

One of the most informative methods is magnetic resonance imaging. This technique is used for the differential diagnosis of intercostal hernia with cancer.

Computed tomography is an x-ray method that involves layer-by-layer scanning of tissues. The technique allows you to accurately identify the localization of adverse changes.

Methods of treatment

When treating a disease, the following therapeutic methods are used:

performing a special course of therapeutic exercises designed to strengthen the muscular frame of the back;
reflexology to stimulate the process of regeneration of affected tissues;
osteopathy, which improves the circulation of lymphatic fluid in the focus of pathology.

The course of treatment is developed individually. You should first make an appointment with a chiropractor in our clinic.

Medicines

Your doctor may prescribe the following drugs:

Non-steroidal anti-inflammatory drugs. Such drugs have a complex effect. Non-steroidal anti-inflammatory drugs eliminate pain, reduce swelling, and eliminate the inflammatory process. Medicines are taken strictly for a limited time. Otherwise, there is a negative effect on the mucous membrane of the digestive tract.
Glucocorticoids. Means are prescribed for severe pain syndrome. Glucocorticoids are known for their pronounced anti-inflammatory and analgesic properties. Means are taken strictly in the dosage prescribed by the doctor.
Vitamin and mineral preparations that enhance immunity. These products provide the body with essential nutrients.
Cough suppressants. Assign as part of a comprehensive treatment of the disease in the event that a cough provokes an increase in hernia. In this case, mucolytics, expectorant drugs, preparations for inhalation and rinsing are used.

Traditional methods

As part of complex therapy, traditional methods can be used:

Herbal teas based on oregano, St. John’s wort, chamomile, thyme. Medicinal plants have antiseptic, anti-inflammatory properties. Herbal teas stimulate the rapid discharge of sputum. Homemade drinks have a soothing effect on the irritated pharyngeal mucosa in people with tobacco dependence.
Rubbing camphor oil on the chest. The warming procedure has a positive effect on blood circulation. Rubbing with camphor oil improves blood microcirculation in the affected part of the lungs.

Folk methods are resorted to only after consulting a doctor. Before using such products, you should make sure that there is no allergic reaction to the components.

Possible complications

In the absence of timely treatment, the risk of the following complications increases:

Pleurisy. The inflammatory process in the region of the pleural petals occurs due to the compression of part of the lung by the ribs.
Shortness of breath, breathing problems.

One of the consequences of the disease is an increase in the size of the protruding lung fragment. This often causes the patient considerable discomfort in everyday life.

Other diseases that are successfully treated in the spine clinic Doctors Length

You should also contact the clinic if you have the following pathologies:

arthrosis of the knee joint;
pain in the tendons;
bursitis of the knee;
spinal dysplasia in adults.

Doctors Length’s Spine Clinic also provides assistance in the treatment of gonarthrosis. As part of the complex therapy of the disease, taping, orthopedic insoles, and the unique Di-Tazin therapy method are used.

Treatment of intercostal hernia in the clinic helps to get rid of pain. When using effective therapeutic methods, the nutrition of the affected tissues improves.

We are recommended by 94% of patients.
Thank you for your trust and your choice.

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Mikhailov Valery Borisovich

Manual therapist, vertebrologist, neurologist

Work experience – 25 years

Video reviews of patients

Articular block in the neck neck

Dr. Length clinic I came with spinal problems. With two intervertebral lower hernias and two intervertebral hernias in the neck. I was assigned a comprehensive 10 step program. For 4 months, my lower vertebrae completely disappeared and crunches in my neck disappeared …

Lumbo-sacral hernia

“After the first time, my back stopped hurting. I felt relieved. Now 7 sessions have already passed and the back really does not hurt. I began to forget about it. And at first it hurt a lot.”

Inflammation of the sciatic nerve

“For 4 months I suffered from severe inflammation of the sciatic nerve on the right side. After the first visit, relief came immediately within six hours. After 6 courses, the pain was almost gone.

Pain in the lower back and leg

Yakovleva Natalya Mikhailovna
Head of the department, surgeon of the highest category, oncologist-mammologist
I want to express my deep gratitude for the fact that I was put on my feet in the truest sense of the word. I came to the clinic a month and a half ago with severe pain in the lower back and leg. These complaints were long enough and the treatment that I used in the past was ineffective. Fortunately, I ended up in the clinic of Dr. Length and his team of super professionals!

Osteochondrosis of the cervical spine

“I applied 2 months ago with osteochondrosis of the cervical spine. I have a sedentary job and my neck muscles were very cramped. It was impossible to work. Before that, I went to other doctors, but this did not solve my problem. For 2 months I have a fairly positive dynamics. Every week it gets better and better.”

Bechterew’s disease

“I have had Bechterew’s disease for 10 years. The vertebrae began to move out, I began to slouch. I turned to other chiropractors, very famous, media ones. In the end, I didn’t get any results. After 2 sessions I felt much better. Now I don’t have any pain.”

Pain in the spine

“I came in with problems in my back, cervical, thoracic and lumbar spine. I was prescribed procedures, had a massage, and was assigned to do physical education at home. This made it much easier for me. I’m already turning my head. I have no pain.”

Shoulder shoulder periarthrosis

I went to the clinic with severe pain in my shoulder. My hand did not rise, I could not sleep at night, I woke up from pain. After the first treatment session, I felt much better. Somewhere in the middle of the course, my hand began to rise, I began to sleep at night.

Arthrosis of the knee joint, 2nd degree

She came in with a very serious illness. I could not walk, I have arthrosis of the 2nd degree of the knee joint. I went through a course of treatment at the Clinic and now I am going 100%.

Herniated disc

“I came to the clinic after I had back pain and it turned out to be a herniated disc. I went to other places, but they only relieved attacks of pain. Hope for a return to normal life was given only by Sergei Vladimirovich, his golden hands!

Scoliosis

“Since I was a teenager, I have suffered from scoliosis in the thoracic region. I felt a feeling of discomfort, tension, periodic pain in the spine. I turned to various specialists, a massage therapist, an osteopath, but I did not feel a strong effect. After treatment, Length S.V. I almost have a straight spine. Currently, I do not feel any problems and discomfort.”

Intervertebral hernia

“At the 5th-6th session there was an improvement. I felt much better. The pain is gone. Improvement progressed more and more each time. Lesson 10 today. I feel great.”

Pain in the lumbar and cervical region

“I am 21 years old. I went to the clinic with discomfort in the lumbar and cervical region. I also sometimes had sharp pains. After undergoing therapy, I felt a significant improvement in my back. I have no pain. The condition as a whole has improved.”

Pain in the back

“At the beginning of the path of treatment, my back hurt very badly. I could no longer walk. I take 5 steps and stop. My entire journey consisted of such stops. In the very first procedure, I left the office with no pain in my spine.”

Cervical hernia

“I came in with a problem in my neck and my right arm was very sore. The neck did not turn, the hand did not rise. After the 3rd session, I felt better. After the 5th, all this pain began to decrease. It turns out I have 2 hernias in my cervical vertebrae. After the sessions, I did an MRI and one hernia decreased. Now he began to move, his hand earned.

Pain in the neck

“I went to Dr. Long because I had a very bad pain in my neck on the right side. I fell on a snowboard 5 years ago, even went to an osteopath, but somehow it didn’t really help. Now everything is fine, there are some consequences left, the muscles were spasmodic. When I came, I had steel muscles, now my neck is very soft.”

Pain in the thoracic region

“I came to the clinic with back pain, namely in the thoracic region. After 10 sessions of treatment, I could already calmly go about my usual business, stay at work until lunch, without howling in pain. Now I’ve come back for an adjustment after 2 months. I’m fine, my back doesn’t hurt.”

Hernia and protrusion

“I came to the clinic with L4-L5 hernia and L5-S1 protrusion. Today the course of treatment has ended. Lower back hurt, it was difficult to bend down. After completing the course and receiving instructions in the form of physical exercises, it became much easier. After a month of treatment, I do not feel any stiffness of movements. ”

Pain in the lower back and hip joint

“I have been suffering from back pain since I was young. When they became unbearable, I went to Dr. Length’s clinic. Already after the first procedure, the pain in the hip joint was gone. After the third procedure, the shooting pains in the lower back stopped.

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Right side hurts under the ribs – symptoms and treatment in St.

Petersburg | Medical Center

Multidisciplinary Medical Center MedProsvet
St. Petersburg, Engels Ave. 147 building 1
+7 (812) 374-84-00

Pain in the right side under the ribs can be a serious symptom, indicating any changes in the human body. The development of a symptom can be triggered by trauma to organs, the presence of acute or chronic diseases of the abdominal cavity, and so on. The difficulty lies in the fact that it is almost impossible to find out on your own why the right side hurts under the ribs, due to the fact that several vital organs of the digestive, genitourinary systems, etc. are located in this area at once. In this case, a comprehensive diagnosis is necessary.

If you or your loved ones experience such a symptom as pain in the right hypochondrium, you should immediately contact a medical institution.

In the clinic “MedProsvet” you can get advice from doctors and pass all the necessary examinations on high-precision equipment. The staff of our center will conduct a complete detailed examination of the abdominal organs and answer the question “Why does the right side hurt under the ribs, and what should be done to eliminate the symptom?”.

What is on the right side under the ribs?

The abdominal region of the human body consists of three parts: the hypogastric region, the mesogastric region and the epigastric region. The hypogastric region is the lower third of the abdomen, the mesogastric region is near the navel (also includes adjacent lateral sections), the epigastric region is in the upper region, immediately below the ribs.

The epigastrium, in turn, is divided into the left and right hypochondrium. In the right are:

liver;
right stomach;
pancreas;
gallbladder;
duodenum;
small intestine;
part of the large intestine.

At a medical examination, the doctor can determine what exactly hurts on the right side under the ribs, by the nature and localization of the pain syndrome.

Pain classifications

Pain in the right side under the ribs is classified according to several criteria that help the doctor determine the nature of its occurrence.

Thus, a sharp pain in the right side may be a manifestation of renal colic. Long-lasting pain of a dull nature is often a sign of the chronic course of pathologies of the digestive system. Aching pain in the right hypochondrium is a characteristic symptom of inflammation of the intestine or gallbladder. A cramping character may indicate intestinal spasms.

In addition to the nature of the pain, the localization of the symptom is of great importance in the diagnosis. So, pain in the epigastric region of the abdomen can be a sign of an inflammatory process in the gallbladder, stomach or pancreas. Pain in the middle occurs with intestinal diseases or renal colic. Lower abdomen – appear with appendicitis, acute or chronic diseases of the genitourinary system.

Causes of the symptom

Pain under the ribs on the right side is not always the result of severe pathologies. In some circumstances, the occurrence of this symptom may be a completely physiological phenomenon.

In healthy people

Pain may be caused by some physiological conditions. So, for example, a completely healthy person can feel pain on the right side under the ribs during intense physical exertion (for example, running). The situation is associated with the peculiarities of the functioning and blood supply of the liver during physical activity. In order to avoid the occurrence of this symptom, it is necessary to warm up well before sports activities. You should also refrain from eating 30-40 minutes before the expected workout time.

Most women feel unpleasant pulling pains in the abdomen in the middle of the cycle, when the egg from the follicle enters the abdominal cavity. In some cases, such pain radiates to the lower abdominal cavity (right inguinal region), from which it may seem to a woman that her right side under the ribs hurts.

During pregnancy, women may also experience discomfort under the right ribs. The explanation is quite simple: a rapidly growing fetus exerts strong pressure on the internal organs of a woman, which can cause an unpleasant symptom in the form of pain.

Diseases of the biliary tract

The biliary tract is a system of ducts that transport bile from the liver and gallbladder to the duodenum. Bile plays a significant role in the body: it removes metabolic components that cannot be utilized and excreted in the urine. In addition, bile is involved in the process of digestion of food.

In recent years, cases of diseases of the biliary tract have become more frequent. This is due to the peculiarities of the lifestyle of a person of the 21st century – irregular meals, frequent stress, high consumption of fatty fried foods and foods with an increased amount of salt, sugar and preservatives.

The most common pathologies of the liver and biliary system that can provoke pain in the right hypochondrium:

cholelithiasis;
cholecystitis;
bile duct dyskinesia;
cholesterosis of the gallbladder;
hepatitis.

Pathologies of the stomach and duodenum

No less common pathologies are diseases of the stomach and duodenum. These organs are the most important segments of the digestive tract. They process the food that enters the body. In this regard, any violation of the functioning of these organs negatively affects the general health of a person.

The main causes of pathologies of the stomach and duodenum, doctors include: unbalanced diet, overeating, hunger, consumption of fried, smoked, heavily salted foods in large quantities, as well as alcohol-containing drinks.

Diseases of the stomach and duodenum accompanied by pain under the ribs on the right side:

gastritis;
duodenitis;
gastroduodenitis;
peptic ulcer;
functional dyspepsia;
cancer of the stomach and duodenum.

Fibrogastroscopy is often required for their diagnosis.

Diseases of the bladder and kidneys

The human urinary system is a complex set of interconnected organs that form, store and excrete urine. Every day, urine is produced in the kidneys and excreted through the urinary tract. If some link falls out in this mechanism, this affects the functioning of the organism as a whole.

The most common causes of diseases of the urinary system include: infection with pathogenic microorganisms, especially against the background of hypothermia, malnutrition, stress, injury to the bladder.

The most common diseases:

urolithiasis;
pyelonephritis;
glomerulonephritis;
cystitis;
renal colic;
renal failure.

Diseases of the pancreas

The role of the pancreas in the body is great. Pancreas is directly involved in the regulation of energy metabolism, providing digestion and helping to digest protein, fatty and carbohydrate foods.

In most cases, problems with the pancreas occur in people who abuse alcohol. Overeating, eating fatty, spicy or fried foods also negatively affect the functioning of the body.

The most common diseases in which it hurts in front under the ribs on the right:

pancreatitis;
pancreatic necrosis;
pancreatic cancer.

In addition, normal glucose levels depend on the correct functioning of the islets of Langregans, which secrete insulin. Violations in the work of the gland can affect all body systems. Serious systemic diseases, such as diabetes mellitus, may occur.

Intestinal pathologies

The intestine is a vital organ of the digestive tract that transports and digests nutrients. It is customary to distinguish two main sections: the small intestine (includes the duodenum, jejunum and ileum) and the large intestine (includes the caecum, colon and rectum).

Bowel disease is affected by many factors: intestinal infections, malnutrition, sedentary lifestyle, stress, intestinal microflora disorders, etc.

The most common bowel diseases:

ulcerative colitis;
enteritis;
irritable bowel syndrome;
appendicitis;
Crohn’s disease;
intestinal obstruction.

Diagnostics

The main thing in the treatment of pain in the right side is to eliminate not only the pain syndrome, but also the cause of its occurrence. To do this, before choosing a treatment tactic, MedProsvet doctors send the patient for a comprehensive diagnosis of the body, which includes the following studies:

Examination and palpation are the initial methods of examining a patient, allowing to evaluate objective data about his state of health.
Ultrasound is the most commonly used method for examining the organs of the abdominal cavity and retroperitoneal space. During the study, the doctor evaluates the condition of the liver, kidneys, gallbladder, biliary tract, stomach, pancreas, spleen.
Laboratory research – biochemical blood test, detailed clinical blood test, coprogram, etc.
MRI or CT of the internal organs is a modern way of obtaining images to assess the state of the internal organs of a person. During the examination, the doctor examines the structure of the abdominal organs in layers, determining and specifying the location of pathological changes.

In addition, depending on the localization of pain, gastroscopy, endoscopic examination, colonoscopy, radiography with contrast, etc. can be performed.

tract – to a gastroenterologist, in case of pathologies of the urinary system – to a urologist / nephrologist.

Treatment

Having carefully studied the results obtained during the research, the doctors of the clinic individually select the methods of therapy. Conservative or surgical treatment may be used. Tactics is selected depending on the cause that provoked pain on the right side under the ribs.

In order to relieve pain, the patient is prescribed antispasmodics and analgesics. Also, drug therapy may include taking anti-inflammatory, antimicrobial drugs, antacids, enveloping and enzymatic agents.

Where to turn if the right side hurts under the ribs?

If you feel pain under your right side, you should seek medical help.

Hernia under right rib cage. Epigastric Hernia: Symptoms, Diagnosis, and Treatment Options

Understanding Epigastric Hernias: Causes and Risk Factors

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Diagnostic Approaches for Epigastric Hernias

Treatment Options for Epigastric Hernias

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Post-Surgical Care

Potential Complications of Untreated Epigastric Hernias

Surgical Techniques and Advancements in Epigastric Hernia Repair

Tension-Free Repair

Robotic-Assisted Surgery

Biological Mesh

Recovery and Long-Term Outlook After Epigastric Hernia Surgery

Preventing Epigastric Hernias: Lifestyle and Health Considerations

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Right side hurts under the ribs – symptoms and treatment in St.

What is on the right side under the ribs?

Pain classifications

Causes of the symptom

In healthy people

Diseases of the biliary tract

Pathologies of the stomach and duodenum

Diseases of the bladder and kidneys

Diseases of the pancreas

Intestinal pathologies

Diagnostics

Treatment

Where to turn if the right side hurts under the ribs?

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