Bucuresti- clinica de gastroenterologie, endoscopie digestiva

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Durerea de burta in dreapta

Dr Alecse Valerian Ditoiu, Spitalul Fundeni

Abdominal pain / quadrant superior right (engl).

Durerea de burta in dreapta poate fi data de boli de ficat (rar), fiere (frecvent), colon, ovar drept, apendice sau rinichi sau coloaana vertebrala -detalii in articol

De ce doare burta in dreapta

Durerea abdominala localizata in dreapta sub coaste (hipocondrul drept), poate fi data teoretic de urmatoarele boli:

  • Boli de fiere (colecist) – cel mai frecvent

    • colecistita acuta -cele mai importante simptome sunt durere, greata, varsaturi, febra+icter
    • dischinezie biliara -cele mai importante simptome sunt durere moderata, greata, dupa grasimi
    • litiaza biliara (pietre la fiere) -cele mai importante simptome sunt durere in crize, eventual cu icter si febra
  • Boli de colon- relativ frecvent

    • tumori de colon -cele mai importante simptome sunt durere recenta (luni), constipatie/diaree, scadere in greutate, borborigme, lipsa poftei de mancare
    • boala inflamatorie intestinala -cele mai importante simptome suntdureri cronice pe tot traiectul intestinului gros, diaree cu sange/mucus/puroi
    • colon iritabil -cele mai importante simptome sunt durere ce dureaza ani, diaree/constipatie, borborigme, stare generala buna – este relativ frecventa
  • Boli de ficat - cauza mai rara de durere in dreapta sub coaste

    • tumori de ficat -cele mai importante simptome sunt durere, ficat mare, scadere in greutate
    • hepatita acuta -cele mai importante simptome sunt icter si urina colorata portocaliu
    • icter mecanic – se asociaza cu icter, urina portocalie, scaune decolorate
    • hemangiomul hepatic – da rar dureri, de obicei este asimptomatic
    • colangite (infectii ale cailor biliare) -cele mai importante simptome sunt icter si febra
    • boli de inima – cele mai importante simptome sunt oboseala la efort, edeme (picioare umflate)

    De mentionat ca ciroza hepatica de obicei nu da dureri de ficat sau in zona ficatului.

  • Boli ale peretelui abdominal

    • hernie - se vede ca o umflatura ce se mareste la efort si pozitia in picioare
    • eventratie – se vede ca o umflatura la fel ca hernia
    • inflamatie/infectie locala -cele mai importante simptome sunt durere, caldura+roseata+umflare locala
    • zona zoster -cele mai importante simptome sunt durere pe o linie orizontala, erutie tip herpes ca un sirag de margele
  • Durere iradiata din alte zone

    • plaman/pleura -cele mai importante simptome sunt durere accentuata de respiratie, tuse
    • boli de rinichi -cele mai importante simptome sunt durerea care merge in spate, febra, urini rosii/tulburi
    • coloana vertebrala -cele mai importante simptome sunt durerea ce  merge catre coloana, accentuata de miscare (spondiloza/hernii de disc) si calmata de repaus, sau accentuata noaptea si ameliorata de miscare (spondilita anchilozanta)

4 Responses to Durerea de burta in dreapta

  1. avatar reghina ludovica moldovan says:

    buna sunt dorin …sotia mea a fost szivara in romania si a facut nn control medical dela a-z si i sa spus ca are fierea strangulata.Acuma are si a avut si inainte dureri in partea dreapta sub coaste si mai jos am fost la medic ia dat medicamentul BUSCOPAN tablete de 10mg dupa ce ia medicamentul are niste crize de durere este normal.ar fi bina sa faca o operatie de fiere? va multumim foarte frumos.

  2. avatar iulian says:

    am o stare de rau sunt operat de fiere,ce pote sa fie simtomele astea?in doctori nu mai am incredere pntru ca aceleasi simtome leam avut si pina sa dau fierea afara,si cred ca mia dat fierea degeaba afara pentru ca nu am avut piatra dar cred ca pentru bani mia dato afara…../va rog ajutatima cu o explicatie?

  3. Pingback: Probleme cu fierea.. intrebari si raspunsuri : despreboli.ro

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