9 causes of right upper quadrant pain and everything you need to know (2023)

gastric ulcer

Agastric ulcerA stomach ulcer is an open sore that develops when inflammation occurs in the lining of the stomach.

This inflammation of the stomach is caused by the bacterium Helicobacter pylori (H. pylori) and prolonged use of painkillers such as ibuprofen or aspirin. Chronic inflammation causes acid to damage the lining of the stomach and an ulcer can form.

Smoking, drinking alcohol, stress, and spicy foods can make ulcers worse but don't cause them.

Symptoms include burning pains in the stomach; Acid; nausea; and swelling.

The pain may be worse between meals or at night. Antacids only work for a short time. There may be dark red blood in the vomit or stool.

Left untreated, the wounds can bleed and cause anemia. They can perforate the stomach and cause peritonitis (severe infection of the abdomen).

Diagnosis is by physical examination and breath and stool tests for H. pylori. Endoscopy is sometimes used.

Treatment includes a range of antibiotics to kill the bacteria and medications to block excess acid and heal the stomach.


Main Symptoms:Fatigue, nausea, loss of appetite, moderate abdominal pain, abdominal cramps (stomach cramps)

Symptoms that never appear with stomach ulcers:pain in the lower left abdomen

Urgency:family doctor

Digestive disorders (dyspepsia)

indigestion, also called stomach pain, dyspepsia or functional dyspepsia, is not a disease but a set of very common symptoms. Note: Heartburn is a separate medical condition.

Common causes include eating too much or too quickly; greasy or spicy foods; excessive caffeine, alcohol, or fizzy drinks; Smoke; and Anxiety Some antibiotics, pain relievers, and vitamin and mineral supplements can cause indigestion.

The most common symptoms are pain, discomfort and swelling in the upper abdomen immediately after eating.

Indigestion that lasts more than two weeks and does not respond to simple treatment may indicate a more serious condition. Upper abdominal pain radiating to the jaw, neck, or arm is a medical emergency.

(Video) Abdominal Pain Explained Clearly - Right Upper Quadrant

The diagnosis is made by the patient's history and physical examination. If symptoms come on suddenly, laboratory tests of blood, breath, and stool may be ordered. An upper gastrointestinal endoscopy or an abdominal x-ray may be done.

In functional dyspepsia ("common" indigestion), treatment and prevention are the same. Eat five or six smaller meals a day with lighter, simpler foods; manage stress; and finding alternatives to some medications will provide relief.


Main Symptoms:Nausea, flatulence, dyspeptic symptoms, flatulence after eating, vomiting

Symptoms that always occur with indigestion (dyspepsia):dyspeptic symptoms

Symptoms that never occur with indigestion (dyspepsia):Vomiting (old) bloody or dark stools, rectal bleeding, bloody diarrhea, fever

Urgency:self treatment

Hepatitis B

Hepatitis B, or "hepatitis B," is a viral infection of the liver. It is transmitted through direct contact with an infected person's blood or other bodily fluids, particularly through sexual contact and/or sharing needles. A baby can be infected from the mother during birth; However, the newborn can be vaccinated for protection.

Symptoms appear one to four months after exposure and include abdominal pain; nausea and vomiting; joint pain; Fever; dark urine; and jaundice, which is yellowing of the skin and whites of the eyes.

Left untreated, hepatitis B can become chronic, especially in children. This increases the risk of developing liver failure, liver cancer, or cirrhosis (damage caused by scarring). Hepatitis B is a medical emergency and requires immediate treatment.

Diagnosis is made by blood tests and sometimes a liver biopsy.

Acute hepatitis B can be controlled with rest, fluids, and good nutrition while the body fights the virus. However, chronic infection can be treated with antiviral drugs or a liver transplant.

There is a vaccine against hepatitis B that is recommended for all people at risk.

Hepatitis A

Hepatitis AIt is a liver infection caused by the virus. It can seriously impair the functioning of the liver.

The disease is highly contagious and transmitted through fecal debris. Hepatitis A can be transmitted through contaminated food or water, especially in places with poor sanitation; sharing hypodermic needles; or through close contact with an infected person, including sexual contact.

There may be few symptoms or fatigue; nausea and vomiting; pain in the upper right side of the abdomen; dark urine; and yellowing of the skin and eyes, called jaundice.

Anyone with symptoms of hepatitis A should be seen by a doctor. Most patients make a full recovery, but in rare cases acute liver failure can occur.

(Video) Abdominal Pain (Right upper abdominal Pain) - Symptoms, Signs and Causes

The diagnosis is made by blood tests.

Treatment consists of rest and observation of symptoms, since antibiotics cannot cure a viral disease. Mild cases usually go away on their own.

Frequent and thorough hand washing is the best prevention. Vaccines are for the most vulnerable people, such as B. medical staff available.


gallstonesare small, pebble-like mineral deposits that can form in the gallbladder. They may not cause symptoms unless lodged in a duct that originates from the gallbladder.

Gallstones are thought to be caused by high cholesterol, which can turn into crystals in the gallbladder; due to cirrhosis or scarring of the liver; or by incomplete emptying of the gallbladder.

Women over 40 are more susceptible. Other risk factors include obesity, lack of exercise, poor diet and rapid weight loss, such as occurs with gastric bypass surgery.

Symptoms include sudden, sharp pains in the middle or upper right part of the abdomen, right shoulder, and upper back. You may also experience nausea and vomiting, yellowing of the skin and eyes, fever and chills.

It is important to see a doctor if you experience these symptoms. Gallstones can cause pain, infection, and other complications.

Diagnosis is made through physical exam, CT scan, blood tests, and sometimes special tests to examine the gallbladder system.

Treatment usually involves surgery to remove the stones and sometimes the gallbladder itself.

Gallbladder inflammation (cholecystitis)

gallbladder infection, also called cholecystitis, means a bacterial infection of the gallbladder with or without gallstones.

The gallbladder is a small organ that stores bile, which helps digest fats. When something blocks the flow of bile from the gallbladder (gallstones, damage to the bile ducts, or gallbladder tumors), the bile stagnates and bacteria multiply in it, causing an inflamed gallbladder.

Risk factors include obesity, a high-fat diet, and a family history of gallstones.

Symptoms include fever; Chills; Abdominal pain in right upper quadrant radiating to right shoulder; and sometimes nausea and vomiting. Gallbladder infection is an acute (sudden) condition, while gallstone symptoms appear gradually.

Untreated cholecystitis can lead to rupture of the gallbladder, which can be fatal.

Diagnosis is by physical exam, ultrasound or other imaging tests, and blood tests.

Treatment includes the patient's hospitalization for intravenous fluid fasting to rest the gallbladder; antibiotics; and painkillers. Surgery to remove the gallbladder is often done to keep the condition from recurring.

(Video) Liver Pain? - Right upper abdominal pain. Right upper quadrant pain


Main Symptoms:Abdominal pain (stomach ache), nausea, loss of appetite, diarrhea, constipation

Symptoms that always occur with inflammation of the gallbladder (cholecystitis):abdominal pain (abdominal pain)

Symptoms that never occur with gallbladder infection (cholecystitis):Upper left abdominal pain, lower left abdominal pain

Urgency:hospital emergency


Appendicitis is inflammation of the appendix, the small, finger-shaped pouch that protrudes from the large intestine in the lower-right part of the abdomen.

Inflammation is caused by anything blocking or irritating the opening or walls of the appendix, such as: B. hard stool or damage from other intestinal diseases. The blocked appendix can quickly become swollen with bacteria and pus.

Appendicitis is most common between the ages of 13 and 30, but it can affect anyone.

Symptoms include sudden, severe abdominal pain that begins near the belly button and then spreads to the lower right side. There may be low fever; nausea and vomiting; bloating; and constipation or diarrhea.

Left untreated, an infected appendix can rupture and cause a life-threatening abdominal infection called peritonitis. BecauseAppendicitisit is a medical emergency. If suspected, take the patient to the emergency room or call 9-1-1.

Diagnosis is based on the patient's medical history, physical examination, blood and urine tests, and imaging tests such as ultrasound or X-rays.

An inflamed appendix should be surgically removed as soon as possible.

acute Pancreatitis

acute PancreatitisIt is an inflammation of the pancreas, which makes and releases insulin and glucagon to keep blood sugar levels stable. It also creates the enzymes that digest food in the small intestine. When these enzymes are accidentally activated in the pancreas, they digest the pancreas itself, causing pain and inflammation.

You have to go to the emergency room. There, the diagnosis is made by physical examination, imaging tests, and blood tests. Treatment usually involves intravenous (IV) fluids and medication to control pain.


(Video) Abdominal Pain Causes by Location and Quadrant [Differential Diagnosis Chart]

Main Symptoms:constant abdominal pain, nausea or vomiting, serious illness, severe abdominal pain, fever

Symptoms that always occur with acute pancreatitis:constant abdominal pain

Urgency:hospital emergency

acute Hepatitis C

scharfHepatitis Cis an inflammation of the liver caused by hepacivirus C. The acute form of the disease means that it comes on suddenly within six months of exposure.

Hepatitis C is transmitted through infected blood, usually by sharing hypodermic needles for injecting drugs or by sharing personal items such as toothbrushes or razors. It can also be transmitted sexually.

Injecting drug users are most vulnerable; hemodialysis patients; HIV patients; and babies born to infected mothers.

Initial symptoms may be mild, with fatigue, fever, upper right abdominal pain, and loss of appetite. Some patients develop dark urine, pale stools, and jaundice, which is yellowing of the eyes and skin.

Diagnosis is made by history, physical examination, and blood tests.

About half of all cases resolve on their own, but it's still important to see a doctor to prevent further liver damage from inappropriate medications, supplements, or alcohol.

Otherwise, treatment includes antivirals and other drugs. In severe and complicated cases, a liver transplant may be necessary.

Rarity:very rare

Main Symptoms:Fatigue, nausea, loss of appetite, muscle pain, fever

Symptoms that never appear in acute hepatitis C:Upper left abdominal pain, Lower left abdominal pain, Lower right abdominal pain, Pain around the navel

Urgency:family doctor

Questions your doctor may ask about upper right abdominal pain

  • Were you sick?
  • Have you had a fever today or in the past week?
  • Have you lost your appetite lately?
  • Have you felt more tired than usual, lethargic, or exhausted despite getting normal sleep?

Self-diagnosis with ourbuoy companionIf you answered yes to any of these questions.

(Video) Ultrasound of Acute Right Upper Quadrant Pain


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