Pain in the right hypochondrium radiating to the back: causes, diagnosis and treatment

If you feel pain, discomfort when turning the body to the side, this may be an indication of liver, kidney, pancreas.

pain in right side and back

But most often pain in the right hypochondrium, radiating to the back suggests that patients developing degenerative disc disease or the disease is in the acute phase.

What hurts, why and how to treat can only tell the doctor, after examination, diagnosis.

Causes of pain in side and back

If you experience oppressive, sharp or dull pain in the back or right side need to immediately go to the hospital.

Because the symptoms will only get worse, and for several reasons:

  1. Acute hepatitis with jaundice, high temperature and fatigue. Normally, inflammation develops due to poisoning poisons, chemicals and medicines;
  2. Pain radiating to the back, right under the ribs speaks of the defeat of the gallbladder, presence of stones. But then symptoms such as tightness in the liver area, fever, nausea and discomfort in the shoulder area, hands;
  3. If it hurts right under the ribs or in the right side, giving the spasm in the shoulder, collarbone, then patients may be diagnosed with pancreatitis – inflammation of the pancreas;
  4. Pain under the right costal margin can talk about heart failure;
  5. Kidney disease, the appearance of stones in the urogenital system;
  6. Exacerbation of lumbar osteochondrosis, rheumatism, or arthritis.

What you need to do immediately?

Surrounding the side of the pain often indicate the development of inflammatory processes in the aggravation of certain chronic diseases.

We must act based on the main symptoms:

  • Sharp pain under right rib or side that comes on suddenly and radiates to the back usually says about the appendicitis, pancreatitis, so hurry to call an ambulance;
  • Aching, short-term, retreating and antispasmodic arching side pain on the background of aggravation of degenerative disc disease or arthritis should be treated in accordance with the written therapy: medication, rubbing and ointments.


To determine the cause of pain under the ribs on the right, when gives back and arms, you need to go to the hospital and to a number of specialists:

  1. Gastroenterologist;
  2. Surgeon;
  3. Infectious diseases physician;
  4. The podiatrist.

Of the standard tests, each patient must go through are:

  • Letting the General analysis of blood and urine;
  • External inspection;
  • Ultrasound, tomography, radiography;
  • A gastroscopy.

But even then you should focus on the common symptoms pain right side under ribs in back:

  1. With the appearance of nausea, red eyes, high temperature is better to start with a visit to the infectious diseases;
  2. If you have problems with the kidneys during urination pain, it becomes common and you are suffering from high temperature, then go to a surgeon;
  3. In the presence of diseases of the stomach and digestive tract, vomiting or diarrhea should be examined by a gastroenterologist;
  4. Wrong posture during sleep, high physical activity, hypothermia tells about the defeat of the right side of lumbar osteochondrosis and, therefore, is to go to podiatrist or physician.

Pain in the lower back of osteochondrosis: causes

If you feel pain not only right side but also in the ribs in the upper quadrant or back, the reasons of their appearance are a few:

  • Sedentary work, lack of physical activity;
  • Wrong posture and accessories during sleep;
  • Displacement of a vertebral disk;
  • Great physical exertion;
  • Obesity;
  • Hypothermia;
  • Inflammatory processes in tissues;
  • Infectious and autoimmune diseases.

Classification of pain in the hypochondrium

To determine the cause of the discomfort, cramps and pain on the right side, you can not only focusing on the location of the body, but also on the character of the pain:

  • Aching symptoms talking about osteomyelitis, the growth of cartilage due to degenerative disc disease of the lumbar;
  • Long, recurring pain caused due to trauma, physical exertion and cold. It is especially manifested during movement, turn to the right, when tilted;
  • Nagging pains and spasms occur because of hepatitis and other infectious processes in the body.
  • With the appearance of acute pain should immediately contact the surgeon to conduct x-rays and diagnosis. Otherwise, the probability of a lethal outcome, surgical removal of the gallbladder, Appendix.

Treatment of pain in right side and back

To self-medicate is not recommended, but after diagnosis you can use the techniques that are described in the table below:

Low back pain, arthritis and rheumatismTaking pain and anti-inflammatory drugs, treatment with ointments, visiting massage and reflexology, therapeutic exercises.
The kidney disease, kidney stonesTreatment in a hospital, antibiotics, diet, decreased physical activity, intake of vitamins.
Heart failureTreatment only under medical supervision, development of individual course.
Appendicitis, hernia, and osteitisImmediate doctor's visit, surgery, antibiotics, rehabilitation in the hospital.
PancreatitisUrgent hospitalization, pain medicine under the supervision of a physician, elimination of inflammation and its causes.

Assign the correct treatment can only doctor

It is easier to get rid of inflammation pain in right side upper quadrant, which causes low back pain, displacement of the vertebrae or inflammation of the nerve.

Since then the patient is discharged:

  • Remedial gymnastics and physiotherapy;
  • Massages;
  • Reflexology or acupuncture;
  • Taking anti-inflammatory drugs;
  • Diet vitamins;
  • Dry heat and hardware procedures.


Whatever the nature of the pain doesn't hurt you, it is not necessary to postpone treatment or to reject medical help.


As discomfort in the right side, the back or upper quadrant may indicate serious violations in the activities of the bodies, deformation of the vertebrae and muscle tissue.

Then the time plays into the hands of the patient, reducing the rate of recovery.