What are the common symptoms of an epigastric hernia. How is an epigastric hernia diagnosed. What treatment options are available for epigastric hernias. Are there any complications associated with untreated epigastric hernias. What is the recovery process like after epigastric hernia surgery.

Understanding Epigastric Hernias: Causes and Prevalence

An epigastric hernia is a specific type of abdominal hernia that occurs in the epigastric region, located above the belly button and just below the sternum. This condition affects both adults and children, accounting for approximately 2-3% of all abdominal hernias. Interestingly, epigastric hernias can also be present in infants.

The exact cause of epigastric hernias remains a subject of ongoing research. However, one prevailing theory suggests that these hernias may result from tension in the area where the abdominal wall in the epigastric region attaches to the diaphragm. Additionally, incomplete closure of abdominal tissues during development may contribute to the formation of these hernias.

Prevalence and Demographics

Epigastric hernias are relatively common, although their true prevalence may be underestimated due to the lack of symptoms in many cases. They can occur in individuals of all ages, from newborns to adults. Some studies suggest that men may be more susceptible to developing epigastric hernias than women, but further research is needed to confirm this observation.

Recognizing the Signs and Symptoms of Epigastric Hernias

Identifying an epigastric hernia can be challenging, as symptoms may vary from person to person. In many cases, individuals with epigastric hernias experience no symptoms at all, leading to underreporting of the condition. However, when symptoms do occur, they can range from mild discomfort to more noticeable physical changes.

Common Symptoms

• A visible bump or lump in the epigastric region
• Tenderness or pain in the affected area
• Discomfort that worsens with coughing, sneezing, or laughing
• A mass that becomes more prominent during physical exertion

Is it possible to have multiple epigastric hernias simultaneously? Yes, it is possible to have more than one epigastric hernia at a time. This occurrence highlights the importance of a thorough medical examination to identify all potential hernia sites.

Diagnostic Approaches for Epigastric Hernias

Accurately diagnosing an epigastric hernia is crucial for determining the appropriate treatment plan. Healthcare professionals employ various diagnostic methods to confirm the presence and assess the severity of an epigastric hernia.

Physical Examination

The primary diagnostic tool for epigastric hernias is a physical examination. During this examination, the healthcare provider will:

1. Visually inspect the epigastric region for any visible bulges or asymmetry
2. Palpate the area to feel for any abnormal protrusions or tenderness
3. Ask the patient to cough or perform a Valsalva maneuver to potentially make the hernia more prominent

Imaging Studies

In some cases, imaging studies may be necessary to confirm the diagnosis or assess the extent of the hernia. These may include:

• Ultrasound: A non-invasive method that can help visualize soft tissue structures
• CT scan: Provides detailed cross-sectional images of the abdominal area
• MRI: Offers high-resolution images and can be particularly useful in complex cases

How accurate are imaging studies in diagnosing epigastric hernias? While imaging studies can be highly accurate, their effectiveness may vary depending on the size and location of the hernia. In some cases, small hernias may be missed, emphasizing the importance of combining imaging with a thorough physical examination.

Treatment Options for Epigastric Hernias

When it comes to treating epigastric hernias, surgery is the primary and most effective option. Unlike some other types of hernias, epigastric hernias do not resolve on their own and may lead to complications if left untreated.

Surgical Repair

The surgical approach to repairing an epigastric hernia typically involves one of two methods:

1. Suture repair: For smaller hernias, the surgeon may simply close the defect using sutures.
2. Mesh repair: Larger hernias often require the implantation of a surgical mesh to reinforce the abdominal wall and prevent recurrence.

The choice between these methods depends on factors such as the size of the hernia, the patient’s overall health, and the surgeon’s preference.

Minimally Invasive Techniques

Advancements in surgical techniques have led to the development of minimally invasive approaches for epigastric hernia repair. These include:

• Laparoscopic surgery: Involves small incisions and the use of a camera and specialized instruments
• Robotic-assisted surgery: Utilizes robotic technology for enhanced precision and control

Are minimally invasive techniques suitable for all epigastric hernia repairs? While minimally invasive approaches offer benefits such as reduced recovery time and smaller scars, they may not be appropriate for all cases. The suitability of these techniques depends on factors such as the size and complexity of the hernia, as well as the patient’s overall health status.

Potential Complications of Untreated Epigastric Hernias

Leaving an epigastric hernia untreated can lead to several complications, some of which may require emergency medical intervention. Understanding these potential risks underscores the importance of timely treatment.

Common Complications

• Hernia enlargement: The hernia may grow larger over time, potentially allowing parts of the bowel to protrude through the abdominal wall.
• Increased pain and tenderness: As the hernia progresses, discomfort in the affected area may intensify.
• Bowel obstruction: In severe cases, a portion of the intestine may become trapped in the hernia, leading to a potentially life-threatening blockage.
• Loss of domain: Extremely large hernias can cause significant displacement of abdominal organs, making surgical repair more challenging.

How quickly can complications develop in untreated epigastric hernias? The progression of complications varies from person to person. Some individuals may live with an untreated epigastric hernia for years without significant issues, while others may experience rapid progression and complications. Regular medical monitoring is crucial for those who choose to delay surgical intervention.

Recovery and Postoperative Care After Epigastric Hernia Surgery

The recovery process following epigastric hernia surgery plays a crucial role in the overall success of the procedure. Proper postoperative care can help minimize complications and promote optimal healing.

Immediate Postoperative Period

In the hours and days following surgery, patients can expect:

• Pain and discomfort at the surgical site, managed with prescribed medications
• Limited mobility, with gradual increase in activity as advised by the healthcare team
• Dietary restrictions, typically progressing from clear liquids to a regular diet
• Close monitoring for signs of infection or other complications

Long-term Recovery

The long-term recovery process may extend over several weeks to months and typically involves:

1. Gradual return to normal activities, with restrictions on heavy lifting for 4-6 weeks
2. Follow-up appointments to monitor healing and address any concerns
3. Scar management techniques to minimize visible scarring
4. Lifestyle modifications to reduce the risk of hernia recurrence

What factors can influence the recovery time after epigastric hernia surgery? Recovery duration can vary based on several factors, including the size of the hernia, the surgical technique used, the patient’s overall health, and adherence to postoperative care instructions. Generally, patients undergoing minimally invasive procedures may experience shorter recovery times compared to those having open surgery.

Preventing Recurrence and Maintaining Abdominal Health

While epigastric hernia surgery is highly effective, taking steps to prevent recurrence and maintain overall abdominal health is essential for long-term well-being.

Lifestyle Modifications

To reduce the risk of hernia recurrence and promote abdominal health, consider the following lifestyle changes:

• Maintaining a healthy weight to reduce pressure on the abdominal wall
• Engaging in regular, low-impact exercises to strengthen core muscles
• Avoiding heavy lifting or straining, especially in the weeks following surgery
• Quitting smoking, as it can impair wound healing and increase the risk of complications
• Managing chronic cough or constipation, which can put stress on the abdominal wall

Ongoing Monitoring

Regular follow-up with healthcare providers is crucial for:

1. Detecting any signs of hernia recurrence early
2. Addressing any ongoing discomfort or concerns
3. Adjusting treatment plans as needed
4. Providing guidance on safe physical activities and exercise routines

Can epigastric hernias recur after surgical repair? While surgical repair significantly reduces the risk of recurrence, it is still possible for epigastric hernias to recur. The recurrence rate varies depending on factors such as the initial size of the hernia, the surgical technique used, and the patient’s adherence to postoperative care instructions. Some studies suggest recurrence rates between 1-10%, emphasizing the importance of ongoing monitoring and preventive measures.

Advances in Epigastric Hernia Research and Treatment

The field of hernia research and treatment continues to evolve, with ongoing studies and innovations aimed at improving outcomes for patients with epigastric hernias.

Emerging Surgical Techniques

Recent advancements in surgical approaches include:

• Robot-assisted laparoscopic repair, offering enhanced precision and visualization
• Single-incision laparoscopic surgery (SILS), potentially reducing scarring and postoperative pain
• Tissue engineering techniques for developing biocompatible mesh materials

Genetic Research

Ongoing genetic studies aim to:

1. Identify genetic markers associated with increased hernia risk
2. Develop personalized treatment approaches based on individual genetic profiles
3. Enhance understanding of hernia formation and progression at the molecular level

How might future research impact the management of epigastric hernias? As our understanding of hernia pathophysiology expands, we may see more targeted prevention strategies, improved diagnostic tools, and personalized treatment plans. Additionally, advancements in materials science could lead to the development of more effective and biocompatible mesh options, potentially reducing long-term complications and improving patient outcomes.

In conclusion, epigastric hernias represent a common yet often underreported abdominal wall defect. While many cases may remain asymptomatic, proper diagnosis and timely treatment are crucial to prevent potential complications. Surgical repair remains the gold standard for treatment, with ongoing advancements in techniques and materials continually improving outcomes. By understanding the signs, symptoms, and available treatment options, individuals can make informed decisions about their health and work closely with healthcare providers to manage this condition effectively. As research in this field progresses, we can anticipate even more sophisticated and personalized approaches to epigastric hernia care in the future.

Epigastric Hernia: Symptoms, Diagnosis, and Treatment

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

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Epigastric Hernia: Symptoms, Diagnosis, and Treatment

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

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  READ MORE

• What Are the Signs That You Should See a Doctor After Ankle Surgery?

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  READ MORE

Diagnostics and methods of treatment of intercostal hernia

Free appointment
and diagnostics

Pain relief
in 1-2 sessions

Author’s method
treatment

Internships in the USA,
Israel, Germany

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.

1

Positive dynamics in 97% of cases

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

2

No side effects

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

3

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.

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

Free medical consultation and diagnostics

• Chiropractor
• Vertebrologist
• Osteopath
• Neurologist

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.

1

Perform functional diagnostics of the spine

2

Let’s perform a manipulation that significantly relieves pain

3

We will create an individual treatment program

Book a free appointment

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.

Material checked by expert

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.

Applying today will help

avoid surgery tomorrow!

Relieve pain and inflammation

After 2-3 treatments, exhausting pain goes away, you feel better.

Eliminate the cause of the disease

Comprehensive rehabilitation of the spine improves well-being: you feel a surge of strength and energy.

Let’s start the process of regeneration

The process of restoration of damaged tissues begins, hernias and protrusions decrease.

Let’s strengthen the muscular corset

Strong back muscles support the spinal column, preventing the recurrence of the disease.

We treat

• Inflammation of the joint due to arthrosis of the knee
• Treatment of osteochondrosis of the thoracic spine
• Pain in the back between the shoulder blades
• Osteoarthritis of the shoulder joint
• Effective treatment of sciatica
• Chronic spinal spondylodiscitis

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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:

1. Examination and palpation are the initial methods of examining a patient, allowing to evaluate objective data about his state of health.
2. 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.
3. Laboratory research – biochemical blood test, detailed clinical blood test, coprogram, etc.
4. 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.