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Pain on the upper right side can also be a sign of a kidney issue. We have two kidneys, one on either side of the body, and the right kidney is situated just under the liver.
Dr. Wasan shares that there are several organs located on the right side of the body that can cause pain, including the lungs, gallbladder, pancreas, appendix, colon or even kidneys.
"Although appendicitis most often causes pain in the right lower quadrant, it can sometimes present with pain higher up in the abdomen on the right side," Dr. Weine says. 8. Musculoskeletal problems
Differentiating upper right quadrant pain In medicine , Murphy's sign (also known as Sweeney’s sign ) is a maneuver during a physical examination as part of the abdominal examination . [ 1 ] It is useful for differentiating pain in the right upper quadrant .
Anterior cutaneous nerve entrapment syndrome (ACNES) is a nerve entrapment condition that causes chronic pain of the abdominal wall. [1] It occurs when nerve endings of the lower thoracic intercostal nerves (7–12) are 'entrapped' in abdominal muscles, causing a severe localized nerve (neuropathic) pain that is usually experienced at the front of the abdomen.
During breathing, the diaphragm contracts and flattens, displacing the viscera and producing an outward movement of the upper abdominal wall (epigastric region). It is a convergence of the diaphragm and the abdominals, so that "when both sets of muscles (diaphragm and abdominals) tense, the epigastrium pushes forward". [ 1 ]
Digestive issues such as acid reflux can radiate pain into the right side of the chest. Several musculoskeletal problems, such as broken ribs and pulled chest or back muscles can also result in pain.
There is usually also tenderness on palpation of the right upper abdomen and tenderness to percussion of the lower ribs which protect the liver. Patients may also report fevers, malaise, back pain, pelvic pain, dyspareunia, vaginal discharge, and dysuria. [13] [14] Patients are most often women of childbearing age.
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