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The causes of back pain under the ribs: causes, treatment

Pain in the back may everywhere.Back pain below the ribs is the most difficult to diagnose the pain. It seems that nothing is easier to look at anatomical reference and to draw a parallel between the "geographical" position of the organ and localized pain. However, the situation is difficult here:

back pain under ribs

Some diseases with similar clinical picture. The pain often is not concentrated in one place, and can capture quite a wide area, and even move through the body

Why the pain in the back below the ribs

Even with seemingly identical symptoms, each disease only has its own characteristic features that allow us to diagnose it.

As a general rule, these diseases can be classified in several groups:

  • Pathology of the gastrointestinal tract (GIT)
  • Diseases of the respiratory system
  • Myocardial infarction gastralgia type
  • Internal injuries
  • Diseases of the spleen
  • Renal Colic
  • Pathology of the diaphragm
  • The Hematoma and formation of the space retroperitoneal
  • Neuralgia intercostal
  • Osteochondrosis
  • Neurological autonomic disorders

The back pain left side under ribs

Pancreatitis

In the chronic form, the pain under the left rib of moderate intensity, radiating to the back and under the left shoulder blade. It often takes that surrounds the character, performance and the right, in front and behind. Appears after the consumption of fat, sweet foods

In the acute form the pain is sudden and strong, do not change from the change position, when breathing or coughing. Accompanied by nausea and not relieves vomiting. In the pancreatitis acute there is increase of the toxicity, cyanosis of the skin, the remains of petechial bleeding in the navel area and sides

Cancer of the pancreas

The pain of a similar nature in the pain syndrome in chronic pancreatitis, but is not associated with the intake of food. Cancer of body and tail of the gland produces pain attack in the left subcostal region of high intensity output in the back

Myocardial infarction gastralgia forms

Specific rare form that affects the lower part of the left ventricle. The pain in the first place, again under the heart, and resembles an attack of gastritis with nausea, hiccups, intestinal disorders. It is very difficult to diagnose. Then, after taking pain killers the pain attack is becoming typical of infarction: localization of the painful pressing pain behind the sternum to return to the left under the shoulder blade, collarbone, neck, arm and fingertips

back pain under ribs symptoms

Diseases of the spleen

Often the spleen increases the tolerance to the following diseases:

  • Anemia, hemolytic
  • The leukemia and lymphoma
  • Lymphoma
  • The hypertension in liver diseases
  • Mononucleosis infectious
  • Endocarditis, systemic lupus erythematosus, etc.

Symptoms:

  • Dull pain below left rib
  • The veins of the esophagus and subcutaneous venous arteries dilate
  • In parallel, develop liver failure

Back pain right side under ribs

Liver disease (cirrhosis, hepatitis, swelling, steatosis, congestion)

  • Cause a dull pulling pain just below the ribs (it does not hurt the liver and its capsule)
  • A blood test shows liver failure
  • Occur circulatory disorders
  • Can be jaundice

Cholecystitis acute

  • Sharp pain under the right costal margin, dans just below the shoulder blade, above the collarbone and in the neck
  • Nausea with vomiting, fever
  • Yellowing of the skin and the whites of the eyes (optional feature)

Cholelithiasis:

  • Episodes of unbearably sharp pain in the right side under the ribs, with the recoil in the rear
  • Vomiting is absent, in contrast with cholecystitis,
  • When the stone from the bile duct, a pain immediately disappears

Cholecystitis chronic

  • The pain is mild, occurs after the intake of fatty fried spicy foods
  • Eructation and vomiting, bitter taste in the mouth

Pancreatitis head of pancreas cancer

It has similar symptoms, which reminds us of dyskinesia of the bile ducts:

  • Give pain in the right upper quadrant
  • May be accompanied by jaundice

The pain symptoms under the ribs in the middle

Ulcer of stomach and duodenum

  • Give pain pugione type forward in the middle part of hypochondrium and of the space to the left, that you can give yourself on the back. The peculiarity of these pains: they increase with the empty stomach, after a meal and also after the stress
  • The patient is in a position that is forced in the pain syndrome is to mitigate a little
  • It is worth noting in the bench of the presence of the blood (the stool may be tarry black appearance)
  • Pain when the piercing is accompanied by the degradation of the General conditions due to the beginning peritonitis: nausea, vomiting, fever

Stomach cancer

  • Gives pain attacks, that usually occur in an advanced stage when the tumor invades the wall of the stomach and puts pressure on organs adjacent to
  • The disease accompanied by weakness, weight loss
  • The change in taste preferences (for example, you can get an aversion to meat)

Pathology of the diaphragm

  • Subphrenic abscess most often occurs when the trauma of the abdomen or after surgery
  • Is extreme pain during inhalation in the front under the ribs (in the middle), radiating under the shoulder blade and the area above the collarbone
  • The patient may be lying down on your side or semi-sitting
  • Fever and severe intoxication

Pain under the ribs of different localization

Right next to pneumonia

  • Pain under the ribs that occurs during inspiration and coughing without a clear location, and accompanied by high temperature
  • Possible irradiation of the attack of the abdomen with simulated appendicitis
  • When driving there is difficulty breathing
  • Nasolabial triangle bluish color
back pain under ribs causes

Dry pleurisy

  • Occurs in lung diseases (tuberculosis, lung cancer)
  • Pain in the left and the right below the ribs, what is worse, not only for breathing, but regular movements, radiating to the back
  • It is accompanied by shortness of breath and peripheral cyanosis

Internal injuries

Often the rupture of the spleen or liver due to mechanical damage (accident, fall from height) or pathological processes (leukemia, cirrhosis), damage the internal structure.

Symptoms:

  • Pain under the left ribs (with spleen trauma), or to the right (liver), the increase due to the accumulation under the capsule of blood in a horizontal position
  • Because of the severe loss of blood, the pulse quickens, the blood pressure falls, the skin clear
Danger of injuries in its secret: the victim can feel very good and even on foot, and his condition worsens, and may die. Especially often it occurs in those cases in which first damaged parenchyma liver, and then, after some time there is a rupture of the capsule and bleeding in the abdominal cavity

Renal colic (nephrolithiasis)

  • Pain attacks in the back below the ribs, painful, dans in the groin, hips, abdomen
  • Due to the advance of concrement in the ureter movements of the rib region of the back in the lower lumbar, and then to the ilio-sacralis region
  • Pain attack is treatable antispasmodics and warm treatments
  • The surgical treatment is indicated when there is: Obstruction (blockage) of the ureter or hydronephrosis of the kidney

Hematoma, retroperitoneal

  • Primarily as a result of the injury of the kidney, adrenal and retroperitoneal division 12 duodenal ulcer
  • Accompanied by pain in subcostal region back to the back and to the great loss of blood:
    • the patient may suddenly fall down to the HELL
    • in the blood reduction of hemoglobin
    • the increase stick.lidesa and weakness

Neuralgia intercostal

  • Searing, poignant (sometimes stupid) paroxysmal pain on the left or on the right side under the ribs that appear when you inhale
  • It gives a wide scope: under scapula, lower back, heart

Reasons:

  • the compression of the nerves intercostal
  • increase of tone and extenders of the shoulder scapular muscles
Cause neuralgia intercostal following diseases: osteochondrosis, overcooling, awkward posture, stress

Osteochondrosis

  • In the chronic form, manifests itself in the form of constant pain pain in the back in the back under the ribs
  • The function of pain is its distribution in the area of innervation of the affected nerve In the lumbar region on the back surface of the buttocks, thighs and drumsticks
  • During the exacerbation of the pain syndrome takes on the character of lumbagoes, which arises from the movement, the inclination or the rotation of your torso. The patient is forced to remain still in a position

Neurological autonomic disorders

The pain occurs unexpected and not justified for objective reasons. The examination does not reveal serious abnormalities in addition to dystonia, with these symptoms:

  • spasmodic pressure
  • symptoms of respiratory insufficiency
  • dyspnoea, palpitations, angina
  • irritable bowel syndrome
  • insomnia and irritability
  • Hurts everywhere: to the left, then right, then in the middle of the upper quadrant

Pain under the ribs on the back, can be the cause of many diseases, even the most unexpected.