What are the causes and what to do if it hurts the right side from the back?

To determine why right side that hurts around the waist from behind, the patient will visit the doctor and undergo a series of diagnostic studies. Especially if the discomfort prevents the exercise of normal motor activity is accompanied by debilitating symptoms. Almost half of the disease, characterized by right-sided pain, is grounds for immediate surgery. The rest pathology, manifested by discomfort, you should stop immediately due to risk of transition into long-form.

Abdominal pain

That might hurt in the right side at waist level

At waist level there are many agencies that can come pain. These include the liver, kidneys, pancreas, intestines. Also the doctor is considering the development of problems with the spine and back muscles. Discomfort causes inflammatory, infectious, neoplastic, destructive, erosive process. Sometimes unpleasant feeling is a consequence of the irradiation – when the range of the damage is another part of the body, and the pain covers the waist area.

Localization of pain

On the back

Violation of the structure of the spine, inflammation of muscles, kidney damage being the localization of the pain. These include nephroptosis, renal colic, myositis, osteochondrosis. Also listed pathology may be combined.

Under the front edge

Specified localization of the discomfort manifested pathology of the hepatobiliary system (liver, gall bladder and biliary tract). Pain, spasticity, girdle. The main pathologies include liver cirrhosis, the presence of concrements in the gallbladder, cholecystitis, hepatitis.

Pain in right side and smacks down belly

These symptoms are accompanied by appendicitis, ectopic pregnancy, colitis (inflammation of the colon). Similar location discomfort occurs when the ovarian cyst, ectopic pregnancy.

Diseases of the liver and gallbladder

In 70% of cases the search for reasons why hurts right side near the waist from the back, lead to detection of problems with the hepatobiliary system. Abdominal ultrasound and complaints of the characteristic symptoms allow you to quickly differentiate the pathology of the liver and gallbladder.


Why back pain

The characteristic features of cholecystitis:

  1. Bitter taste in the mouth
  2. The presence of white or gray plaque on the tongue
  3. Regular bloating
  4. The tension of the anterior abdominal wall
  5. Diarrhea, regardless of the nature of food intake
  6. A feeling of heaviness in the right hypochondrium
  7. Regurgitation of food, heartburn
  8. The pain of the herpes type, or localized in the right side


Pathology is characterized by formation of stones inside the gallbladder. The causes of the disease – the abuse of fatty, salty and spicy foods, pastries and meats. The intake of alcohol, caffeine, acidic fruit drinks, yogurt also predisposes to the formation of stones. Sedentary lifestyle, genetic predisposition and helminthiasis.

After a bumpy ride or other factors stones inside the gall bladder can change the position, which is accompanied by discomfort, bitter taste in the mouth, nausea. The overall condition is complemented by neurological disorders – patients restless, shout, impede inspection. The cause of the behavior – severe pain, which, in conjunction with other characteristics, is the definition of "biliary colic".


Inflammation of the liver that develops as a result of entering viruses in the body, abuse of fatty foods, alcohol, medicines. Also found in autoimmune hepatitis. The common symptoms for all forms of liver injury – hyperthermia, weakness, lack of appetite, heaviness in the right hypochondrium, yellowing of the skin and sclera. If the disease for a long time not to stop – it takes a prolonged duration, it predisposes to the development of cirrhosis.

Cirrhosis of the liver

The liver, which leads to destruction of parenchyma. Heavy and dangerous condition arising from drug, alcohol intoxication, long-term hepatitis.

Characteristic features:

  • Weakness, lethargy, lack of appetite
  • Sharpening of the contours of the face
  • The accumulation of fluid in the abdominal cavity
  • The appearance of spider veins on the face
  • Weight loss
  • Yellowing of the skin and sclera
  • Diarrhea, hypovitaminosis, anemia, thereby reducing the pressure level, paleness and dizziness

Kidney disease and urinary tract

Kidney damage have symptoms that coincide with the manifestation of intestinal diseases, pathologies of the spine and violations of the condition of the reproductive system. To exclude other diseases need to undergo ultrasonography of the abdomen and pelvic.



  • Pain zoster nature, radiating to the suprapubic region
  • Changing color and smell of urine
  • The increase in body temperature to high numbers
  • Frequent urination
  • Nausea turning into vomiting

The disease affects mostly women.

Pain in left side


Is a prolapse of the kidney, which is caused by the weakening of its ligaments. Predisposing factors – heavy physical labor, multiple pregnancy, infectious-inflammatory process, is transferred to a back injury. The tone of the ligaments that hold a kidney, had a negative impact and rapid weight loss. The main symptom of the disease – pain at waist level that persists in the supine position.


Is a lesion of the glomerular apparatus of the kidneys. Caused due to stay in a humid environment, viral infections, weak immune system. The decrease in the protective properties of the organism contributes to:

  • hypothermia
  • low-quality food
  • recent blood transfusion
  • transferred surgery
  • seasonal hypovitaminosis


Symptoms moving the stone by Department of the ureter (renal colic):

  • Pain zoster nature
  • Burning in the urethra
  • Hypertension caused by renal artery compression (when the calculus is located uncomfortable and can't go outside)
  • Nausea turning into vomiting
  • A slight increase in body temperature, accompanied by chills, high intensity
  • The appearance of blood in the urine (caused by injury to the walls of the urethra stones)

Bowel problems

Pain syndrome is a manifestation of underlying inflammation, the presence of a lesion, formation of ulcerations in the intestinal tissues. Bowel problems can be caused by a violation of diet, past injuries of the abdomen, poisoning, changes in the microflora. Predisposing aspects – excessive production of cleansing enemas, problems of emotional nature, helminthiasis.


Inflammation of the appendage of the cecum. Predisposing factors – changes in intestinal microflora, the blockage of the Appendix by the tumor, parasites. Symptoms – sharp pain, localized in the right hypochondrium with the transition to the lower abdomen and the area around the navel. Unpleasant feeling is colicky, then there is a vomiting, rise in body temperature to high numbers, weakness, intense production of sweat. The Appendix is filled with a Muco-purulent content, excised.

Inflammatory processes in the intestine

Occur due to unhealthy eating habits, intoxication, alcoholism, wrong mode of the day.

Symptoms of pathology:

  1. The accumulation of intestinal gas
  2. Unpleasant taste in mouth before and after eating
  3. Loud intestinal peristalsis, leading to diarrhea
  4. An unpleasant sensation in the abdomen, right upper quadrant
  5. The presence of mucus in the stool
  6. Lack of appetite

Colon cancer

Symptoms of colon cancer:

  • Abdominal pain when you go back
  • The emergence of constipation with increasing tumor (it blocks the passage of stool through the intestines)
  • The appearance of streaks of blood and pus in the stool
  • The increase in body temperature up to high levels

Diseases of the spine

The most common lesions of the spine, which causes pain at waist level, lumbar degenerative disc disease.

The reasons for the thinner cartilage tissue of intervertebral discs:

  • Sedentary lifestyle, prolonged stay in the same position
  • Metabolic disorder
  • Tall, extra weight
  • Performing repetitive stereotypical movements
  • The weakness of the muscular system

Diseases of the reproductive sphere

According to the clinical manifestations of the disease sexual sphere resemble the signs of intestinal inflammation. The same localization of the pain and 70% of symptoms, the presence of which the patient complains. To exclude the presence of lesions of the gastrointestinal tract, perform abdominal ultrasound and optionally EGD.

Ectopic pregnancy

The symptoms of the condition:

  • Pain in the lower abdomen, but only on one side
  • Bleeding from the vagina (if there is a violation of the integrity of the Department, which is a fertilized egg)
  • Dizziness and weakness, the decline blood pressure
  • Loss of consciousness

Women with diagnosed ectopic pregnancy hospitalitynet in the Department of gynecology for the operation.

Cyst right ovary

A tumor arising inside tissues on the reproductive system in women. Has the appearance of a bubble with serous or purulent contents. The size of the tumors varies depending on the individual characteristics of the female body.

Predisposing factors to the development of cyst:

  • Frequent curettage (including abortion), abortion in other ways
  • Hormonal disorders caused by irregular sexual life
  • Inflammatory processes of the reproductive system
  • The presence of endometriosis
  • Implantation of intrauterine devices at the beginning of sexual life
  • The factor of hereditary predisposition

To what doctor to address

In all cases, the discomfort should visit a therapist. The doctor will examine, prescribe passing hardware and radiological methods of diagnosis. Based on the primary causes, the patient is referred to specialized professionals.

Specialty physician What diseases eliminates doctor Preferential treatment
Gynecologist Eliminates the pathology, causing discomfort in the right side: ovarian cyst, endometriosis, ectopic pregnancy. These pathologies are docked surgically. Attempts to suppress the growth of cyst hormonal products only in 10% of cases lead to a positive result.
Urologist Eliminates the pyelonephritis, glomerulonephritis, neoplastic processes of the kidney. Mostly conservative, but large stones removed by lithotripsy, and tumors, among other measures, still operational.
Spine Treats patients of both sexes suffering from back problems. By a conservative treat pain attacks the lungs and inflammation. Operation – the method used in severe cases. Spine appoints auxiliary methods of treatment – the use of bandages and corsets, visit to swimming, performing therapeutic exercises.
Gastroenterologist Relieves inflammation of the intestines, polyps, hepatitis, cholecystitis, cirrhosis of the liver. Involved in the preparation of the treatment of tumor processes of the gastrointestinal tract. Predominantly conservative
Surgeon Treats emergency conditions that caused right-sided pain in the waist from the back (appendicitis, gall stones). Mostly operational
Oncologist This specialist visit in the direction not only from the therapist but also from doctors narrow profile. Is preparing the treatment of neoplastic processes in various organs (bowel, uterus, ovaries). Chemotherapy, radio wave, hormonal effects
Neurologist Conducts therapy in relationship to the discomfort in my side and myositis. Very conservative methods


To establish a correct diagnosis, patients are referred to the passage of the comprehensive examination. Depending on the anticipated pathology, it is necessary to obtain the response of laboratory, instrumental and instrumental examinations, among which:

  1. Bacteriological analysis of urine (culture)
  2. Biochemical blood
  3. Ultrasonography, methods, complicated ray imaging (MRI, CT)
  4. Excretory urography
  5. Clinical examination of blood, urine
  6. Cystoscopy
  7. X-ray examination
  8. EGD


Pyelonephritis, adnexitis treated with antibiotics, anti-inflammatory drugs. Urolithiasis requires an individual approach. Modern urology allows to achieve elimination of stone without performing incisions. The cyst is removed surgically. Cropped low back pain non-steroidal anti-inflammatory drugs, vitamins of group B. Appendicitis, ectopic pregnancy – indications for immediate surgery.Glomerulonephritis is treated with antibiotics, vitamins, immunomodulators.


To avoid dysfunction of the digestive or urogenital tract, it is recommended to do the following:

  1. Not SuperCool, refuse from swimming in contaminated bodies of water
  2. To fully implement the manipulation on hygiene
  3. Orderly sex life – no random sexual relations
  4. To stop drinking alcohol, to normalize the conditions of work and life
  5. To take a course of vitamins in the off-season

It is equally important to stop thinking of abortion as a method of contraception and to choose the best method of protection from unwanted pregnancy. To eliminate all of the risks of hormonal fluctuations, emotional stress, exhausting physical work, lack of sleep. You should also review the quality and diet – to reduce the amount of salty, fatty and acidic foods. Extra weight creates additional stress on bones and joints, contributes to development of multiple violations in the activities of the body. Therefore body weight it is desirable to normalize.