Right kidney pain
introduction
The kidneys are duplicated in almost everyone and are located on the left and right of the spine in the upper rear part of the abdomen. The right and left kidneys are largely protected from outside influences by the costal arch and a thick fat capsule.
The right kidney is about 2-3 cm lower than the left kidney, as the right kidney is pushed slightly towards the pelvis by the liver. The stomach, the duodenum (= duodenum, the first part of the small intestine), the liver and the pancreas are still in the immediate vicinity around the right kidney.
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The immediate neighbors of the left kidney are the stomach, the large intestine, the spleen and the elongated end of the pancreas (= pancreas). The two can be found sitting directly on the kidney Adrenal glandswhich are completely different in their function from the kidneys.
The adrenal glands produce a wide variety of hormones, most notably this adrenaline and Cortisol are important.
The kidney itself does that To cleanse blood of metabolic waste products and excess fluids and salts. If waste materials accumulate in the body, they are released into the blood and then broken down either in the kidney in the liver or in both organs. The kidney works like a filter through which all of the blood is pressed. The unwanted substances are filtered out while the rest of the blood flows back into the body. The pressed liquid is called Primary urine. This will be roughly in the body 180 liters per day educated.
So that this enormous amount is not excreted as urine and the person does not dry out within a very short time, the primary urine in the kidney is extremely concentrated and its composition is changed until ultimately only 1.5-2 liters of liquid are left, which is then eliminated throughout the day. The final urine then comes from the kidney via the so-called ureter (= Ureter) into the bladder in the basin and from there over the urethra (= Urethra) from the body. In addition to the filter and detoxification function, the kidney is also crucial Regulation of our blood pressure, involved in stimulating the production of red blood cells and controlling the salt balance.
Illustration causes and therapy of kidney pain
Kidney pain
(Flank pain in the
lateral abdominal region)
- Left kidney - Ren sinister
- Spine -
Columna vertebralis - Right kidney - Ren dexter
- Ureter - Ureter
Causes:
A1 - Acute primary
(uncomplicated)
Pelvic inflammation -
Pyelonephritis
(triggered by bacteria in the urinary tract)
A2 - Acute secondary
(complicated)
Pelvic inflammation
(due to drainage disturbances, congestion
in urinary tract, enlarged prostate)
B - kidney stones - nephrolites
Urolithiasis -
(Urinary stone formation in the kidney)
C - kidney cancer (malignant kidney tumor) -
Renal cell carcinoma
Therapy:
D - Antibiotic Treatment -
Broad spectrum antibiotics, paracetamol,
Novalgin
E - Sufficient drinking amount (2-3 liters),
regular exercise
F - home remedies and nettles
Cranberry supplements, kidney and
Bubble tea, juniper, dandelion leaves
G - heat application, hot water bottle,
Use of heat lamps,
warming baths, kytta ointment,
Horse balm
You can find an overview of all Dr-Gumpert images at: medical illustrations
causes
The tasks of the kidneys can be just as varied as they are Causes of Kidney Pain be on the right or left. In principle, each of the two kidneys can be individually or both simultaneously from one illness to be affected. Every person all ages may suddenly develop kidney pain in the right or left side, but women are slightly more likely to have kidney problems than men.
The kidney itself is not always the cause of Pain in the kidney area. It is always important to distinguish between kidney pain and back pain, which is admittedly not easy, and not infrequently radiate kidney pain to the back. However, if the kidney is the cause of the pain, then count one Pelvic inflammation (= Pyelonephritis), one Inflammation of the kidneys (= Glomerulonephritis) or a renal colic kidney stones are among the most common causes of pain.
Another less common cause of pain in the kidneys can be fluid-filled cavities (=Cysts), with children Malformations, overload through medication or Tumors be. Most of these causes can only affect one kidney while the other remains completely healthy. Women also frequently report pain in the kidney area during their pregnancy Menstrual period.
A right-sided renal pelvic inflammationg (= pyelonephritis) describes an inflammation of the so-called right renal pelvis. In this part of the kidney, the pressed and processed urine collects before it can flow through the ureter to the bladder. This type of inflammation occurs like a bladder infection Germswhich go up into the body through the ureters and urethra and cause inflammation there.
The triggers are mostly bacteria, rarely too Mushrooms. Most of the time, kidney inflammation is already going on Cystitis before the germs spread further towards the kidneys. Since the kidney a very well perfused organ Once in the right kidney, germs can easily pass into the bloodstream and become a Blood poisoning (= Sepsis), which must be treated in hospital, as it can be life-threatening in extreme cases. In order to prevent this, it is always necessary to have a kidney inflammation antibiotic take to effectively kill the germs.
The kidney itself can also become inflamed, which is then referred to in medicine as nephritis. A Inflammation of the kidneys Often occurs after a renal pelvic infection, but is not infrequently the result of other harmless diseases. In the case of children, for example, a simple result Respiratory infection be when the Immune system antibodies caught in the filter structures of the kidney causing inflammation. Many too Medication can cause kidney inflammation as a side effect.
At a right-sided renal colic (= Nephrolithiasis) bacteria are not the cause of the pain in the affected kidney. Comparable to Gallstones form from the urine pressed in the kidney Urinary stoneswho then the Clog the discharge ducts. Various substances in the urine, such as uric acid, can precipitate in the urine and form stones if they are contained in too large quantities. The ureter, made up of muscles, then tries to transport these stones towards the bladder by means of wave-like muscle movements.
If these stones appear in the kidney, they are called Kidney stones, they then migrate along the ureter they are then called Urinary stones designated. A cyst describes a fluid-filled cavity. At a Kidney cyst this is located in the kidney tissue. The cysts are mostly hereditary conditional, but symptoms usually only appear in adulthood. It is not uncommon for a cyst to be an incidental finding as part of a Ultrasound examination.
At the Kidney infarction the right renal artery becomes a Blood vessel of the kidney like a heart attack blocked by a blood clot and can no longer be supplied with blood. Through the Lack of oxygen, which is normally transported away by the red blood cells (= erythrocytes), most of the unsupplied cells behind the closure die off within a very short time due to the lack of oxygen. Here, too, are sudden strong pain the signs on the right side of the kidney.
Symptoms
General symptoms:
Kidney pain usually does not and does not occur all day rather dull and oppressive, instead of piercing. Correct allocation of accompanying symptoms such as a headache, nausea or Vomit.
The pain occurs in the right side after an accident or one Violence the kidney must be checked by a doctor any injuries to be examined.
Is the right kidney of one Pelvic inflammation affected, the inflammation manifests itself in strong dull and oppressive Pain in the lateral right flank. Come to this Exhaustion, Problems urinating and fever. Since a fever is a sign that germs have entered the bloodstream and can easily infect the whole body, it should start when nausea or vomiting occurs, but no later than when you have a fever Consulted a doctor become. The most accompanying Inflammation of the bladder leads to an increased urge to urinate and pain when urinating. A clear sign of this is visible Blood in the urinewhich then turns reddish.
During the examination, the doctor will use the Pat your back and in the area of the right kidney, the so-called renal pelvic inflammation occurs typical "knocking pain" when tapping the right kidney region.
In the renal colic the body tries the right kidney Stone over the ureter Towards the bladder and further out of the body. This takes place via the wave-like muscle movements of the ureter, which is made up of muscles, at short intervals. This wave-like contraction causes the affected person to have recurring contractions strongest pain on the right kidney region or below, if the stone is already moving forward towards the bladder.
Here the pain can extend into the Lower abdomen or the Genitals radiate and falsely suggest the cause here. Urination usually works without impairment if only one side is affected. If the urinary stone is not treated and is that Urine blocked in the drain can easily be found below the stone Urinary tract infections arise when the actually cleansing urine flow is missing, which washes up bacteria to the outside.
Right kidney pain and nausea
Right side kidney pain that may be accompanied by nausea may be caused by kidney stones blocking the right kidney or ureter on the right side. This clinical picture is called renal colic and in many cases it is accompanied by nausea and vomiting. The most typical symptom of renal colic of the right urinary tract is cramp-like flank or right kidney pain, which occurs in episodes and, depending on the position of the stone, radiates to the back, the lower abdomen or the groin or genital region.
Renal colic can be confirmed by an ultrasound examination. It is treated with pain relievers and antispasmodic drugs. Most kidney stones pass spontaneously after 48 hours. If this does not happen (or if the stone is too big), the kidney stone can be removed through various surgical procedures.
Right kidney pain and nausea can also occur with acute pyelonephritis, an acute inflammation of the renal pelvis. In addition to kidney pain on the affected side, inflammation of the kidney pelvis causes high fever, including chills. Nausea, nausea, and pain when urinating are also possible.
Renal pelvic inflammation is treated with antibiotics that are selected according to the spectrum of germs determined by a urine test.
Read more about this at:
- Kidney stones
- Nephritis
- Kidney pain with nausea
Kidney pain right and cystitis
A Cystitis is through bacteria or other pathogens that infect the urinary tract.
Symptoms of a bladder infection include: Difficult urination with Pain, frequent urination and thus increased urination frequency with reduced urine volume. Sometimes patients complain too much Lower abdominal pain or suffer from urinary retention or (especially older patients) new incontinence.
A bladder infection will be with over a day to a few Antibiotics treated. Kidney pain are not a symptom one simple cystitis. However, a cystitis can be a complication Pelvic inflammation (Pyelonephritis), which presents with kidney pain on the right, when the causative agents of the bladder infection ascend the urinary tract and eventually infect the right kidney.
Even if the pelvic inflammation can develop from a "simple" bladder infection, it is much more serious and therefore has to be treated with antibiotics for a longer period of time. Therapy should be successful a few days after the end of the treatment with a new one Urinalysis be checked.
Right kidney pain and blood in the urine
50% of patients who present to the doctor with visible blood in their urine have one Tumor disease. Blood in the urine plus kidney pain right can affect one Kidney tumor Clues. Other possibilities are Bladder cancer or Cancer of the right ureter or a Pelvic tumorwhich is near and growing into the right ureter. The kidney pain is then the result of Urine build-up in the right kidney.
For example, other non-malignant reasons for kidney pain and blood in the urine are Kidney stoneswhich can damage the lining of the urinary tract and cause bleeding. If a blood clot settles in one of the right renal arteries or its lower branches, it is caused by the oxygen deficiency Kidney infarctioncausing blood in the urine and kidney pain.
Kidney tissue disorders (e.g. systemic lupus erythematosus, IgA nephropathy, glomerulonephritis) are also causes of kidney pain and blood in the urine.
Fever, painful urination, right kidney pain, and blood in the urine speak for one Pelvic inflammation the right side.
- Causes of blood in the urine
- Lupus erythematosus
- Kidney cancer
Right kidney pain and abdominal pain
Kidney pain on the right side are usually not clearly localized and those affected often feel the pain emanating from the kidney in the abdomen as stomach pain or in the back as back pain.
The pain is also felt in the abdomen, as the ureter runs directly behind the abdomen and pain that is there is perceived as abdominal pain Nerve pathways around the kidney laterally in the abdominal wall to the groin. Kidney pain can also be considered as a for this reason stomach pain or Groin pain be perceived.
Pain in the lower abdomen with Painful urination and frequent urination indicate a Cystitis that spreads to the right kidney.
Sudden onset of kidney pain on the right with Abdominal pain, nausea and Nausea are typical of renal colic. A renal colic is through a Causes kidney stoneblocking the kidney or ureter. Renal colic pain is spasmodic and comes on in attacks. Very often shine them in the Groin or genital region.
Right kidney pain and abdominal pain can also be an indication of a Pelvic inflammation that presents itself atypically (i.e. without the classic symptoms).
Other causes of kidney pain and abdominal pain are Hantavirus infections as well as various Diseases of the tubular system of the kidney. However, these usually occur on both sides and are not the cause of kidney pain on just one side.
Right kidney pain and back pain
Often times it is difficult to get pain from the right kidney Back pain as the Spine and the surrounding muscles can be found in the immediate vicinity. An important differentiator from back pain is that Dependence of pain on movement, back pain usually changes through movement, kidney pain usually remains the same in intensity with movement and only changes through other circumstances such as heat or cold.
Right kidney pain and urge to urinate
Indications of kidney problems are also there Changes in the water to let. Unusual and in need of clarification are almost all changes in urination. Urinating both very frequently and very rarely, but also an unusually large or small amount of urine Changes in color and smell or even foamy urine should urgently be clarified. Also Painful urination are uncomfortable and should always be clarified by a urine test at the doctor. The urge to urinate depends on the level of the bladder and since it is also irritated with most diseases, the urge to urinate changes and you have to go to the toilet unusually often with unusually small or large amounts of urine.
Kidney pain on the right side and Urge to urinate can through a Inflammation of the renal pelvis be caused. Renal pelvic inflammation also occurs fever, possibly chills, nausea, vomiting, and painful urination.
Another cause can be a tumor or Stones the urinary bladder, which trigger a strong urge to urinate and a Urine backlog into the kidneys and thus lead to right kidney pain.
Right kidney pain at night
If the kidney pain on the right side only occurs at night or in the morning after getting up, it could be due to a urine outflow problem that only occurs when lying down. At night, the position of the body while sleeping disturbs the drainage, the urine stagnates and causes pain in the right kidney. This drainage disorder can be assessed with the help of various methods and can usually be corrected.
Read more on this topic at: nocturnal kidney pain
Right kidney pain when lying down
Usually kidney pain not changeable by the position of the body. However, e.g. in the case of renal colic, the pain when lying down can be unbearable because Movement creates distraction.
Kidney pain becomes common confused with back pain. If pain in the kidney region occurs mainly when lying down, a problem with the spine is a likely cause. A doctor can do a quick physical exam to determine if the pain is more likely to be kidney or spine-causing.
therapy
Home remedies / natural remedies / homeopathy:
Many of the natural remedies department are suitable vegetable substances to support Kidney pain. Sea buckthorn, Nettles, parsley, or the homeopathic ones Berberis or eucalyptus can reduce inflammation in the kidney area.
When it comes to nutrition, you should rely on one Low-salt, low-sugar, low-protein and low-fat diet pay attention to the Acid-base balance to keep the body as balanced as possible. Are suitable as home remedies Warm or cold pillows. The pillow that brings relief should be used. For most causes, heat pillows in the form of are particularly suitable Hot water bottles or Cherry stone pillowthat can be carefully placed on the kidney area in the back or on the side of the stomach. Can also be supportive Oils, gels or ointments such as Kytta-Salbe® can be applied, which bring additional relief.
With renal colic are suitable from naturopathy Verbena, Broom, Woodruff, celery, Hawthorn or dandelion to alleviate the discomfort. Homeopathic remedies like acidum benozoicum, Acidum oxalicum, Berberis vulgaris are also suitable.
General therapy:
A Pelvic inflammation will be with a antibiotic Treated to prevent permanent inflammation, chronic kidney disease and the spread of bacteria through the bloodstream. If fungal infections are the cause, a so-called comes Antifungal agent for use.
The severe pain caused by renal colic can be treated well with pain relievers or medications that relax the cramped ureter.
Buscopan® as the best known representative has one relaxing effect on the muscles and can thus solve the painful cramps well. In many cases, kidney stones find their way out of the body as they are transported forward in the ureter. You can go through this process Drink plenty of fluids accelerate, as the kidney is literally "flushed through" and the stone is washed out of the kidney and ureter with the flow of fluid.
Also various drugs can solve urinary stones and be tried for treatment. If it is not possible to remove the stone with all these procedures, it can be removed with a Ultrasound therapy Grind into smaller pieces, which are then transported away with the urine.
Very rarely need kidney stones surgically removed become. Since the urinary stones are dependent on the substances that they form, one can through a appropriate diet largely prevent the formation. Since the often responsible Oxalate in bulk in spinach, Wood sorrel, Meat products, or Swiss chard occur one should avoid these foods as possible. Preventive is also used Lemon juice recommended, which should prevent the formation of urinary stones through the acid it contains.
A tumor in the right kidney is mostly done through an operation as well as a subsequent one radiotherapy treated.
A cyst is usually not a reason for surgery or therapy. It often has to be checked with an ultrasound examination and otherwise does not require any further treatment. A kidney injured by force is usually observed in the hospital for several days and only in extreme cases and with severe injuries does the kidney have to be surgically removed.
diagnosis
As always in medicine, the basis of the investigation is the detailed survey (=anamnese) of the person concerned. Often that helps Examination of the urine in finding the cause. Can provide important evidence of kidney disease Blood in the urine because it is free of blood in healthy people. It can continue to multiply protein and White blood cells can be proven. Even these are only present in small amounts, if at all, in healthy people.
Another important study is the imaging tests like that Computed Tomography (= CT), Magnetic resonance imaging (= MRT) or the one that is easy to perform Ultrasound examination. During the physical exam always will Tapping the back performed. By tapping the back with the edge of the hand, it is checked whether there is pain in the kidney region. If you experience knocking pain, it is a sign of kidney disease.
prophylaxis
The kidney is one of the organs with the best blood supply our body. The more fluid we drink and so absorb into our body, the more fluid it has to excrete through the kidneys in order to keep our fluid balance in balance. Both pelvic inflammation and renal colic can be partially prevented by drinking plenty of clear liquids such as water or tea. The kidney then produces so much urine that Renal pelvis such as Urinary tract and Urinary bladder regularly flushed out and possible pathogenic germs will be transported out of the body with the fluid flow. In addition, the urine is greatly diluted by the amount of fluid and the formation of urinary stones due to too much uric acid and other substances is prevented. Ideally, the Urine almost colorless be.
Kidney Pain During Pregnancy
Most women will experience pain from various organs throughout their pregnancy. By the steadily growing kind will gradually many organs in the womb of the expectant mother displaced from their normal position. In addition to stomach pain, this also not infrequently leads to Kidney pain.
If the growing uterus presses on the ureter or other structures that are responsible for the evacuation of the urine formed in the kidney, the urine can build up and it can cause Urinary obstruction come along with kidney pain in the worst case too permanent kidney damage through inflammation.
Pregnancy is also always at an increased risk for Urinary tract infections like one Cystitis or one Pelvic inflammation afflicted and women should consult a doctor for symptoms typical of the infection.
About 5% of all women have it Bacteria in the urinebut which do not cause symptoms. About a third of these women with asymptomatic bacteriuria develops acute pyelonephritis, an inflammation of the renal pelvis, during pregnancy.
Except the Right side kidney pain occur in these pregnant women too high fever (often with chills). Nausea, nausea, and pain when urinating are also possible. A Pelvic inflammation is treated with antibiotics selected according to the spectrum of germs determined by a urine test.
To prevent kidney inflammation in pregnancy, everyone Medical check-up During pregnancy, the urine is examined for bacteria and the pregnant woman is treated with antibiotics for bacteria in the urine. Kidney pain right during pregnancy in pregnant women who have a known kidney disease can be an indication of a Worsening kidney disease be.
Sudden severe pain can go through Changes in the child's position occur when, for example, it enters this region. This pain usually disappears on its own the next time the child changes position. At Right kidney pain women should consult a doctor as soon as possible if they are unsure, because Pain in the liver can also be misinterpreted as kidney pain and liver pain in pregnant women as a warning sign for the potentially life-threatening HELLP syndrome apply and require immediate treatment.
If you are unsure or have unclear complaints, pregnant women should prefer one more often See a doctor than to avoid a doctor's visit out of false shyness.
