Back pain can be everywhere.Pain in the back, under the ribs is the most difficult to diagnose pain. It seems that there is nothing easier, look at the anatomical reference and draw a parallel between the "geographical" position of the body and localized pain. However, the situation is difficult here:
Some diseases have a similar clinical picture. The pain is often not concentrated in one place, and can cover a very wide field, and also move through the body
Why back pain under ribs
Even with seemingly the same symptoms each disease has only its own characteristics, that enable to diagnose.
Usually this disease can be divided into 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
- Hematoma and creation of retroperitoneal space
- Intercostal neuralgia
- Osteochondrosis
- Neurological disorders of the autonomic
Back pain left side under ribs
Pancreatitis
In the chronic form, pain in left rib moderate intensity, radiate to the back and under the left shoulder blade. Often take around the character, rigid and right, front and rear. Appears after intake of fatty, sweet foods
In the acute form the pain is sudden and sharp, it does not change from the change position, when breathing or coughing. Accompanied by nausea and does not relieve the vomiting. In acute pancreatitis there is increased toxicity, cyanosis of the skin, followed by petechial bleeding in the navel area and sides
Cancer of the pancreas
The pain of a nature similar to the syndrome of pain in chronic pancreatitis, but is not associated with food intake. Cancer of the body and tail of the gland occurs attack of pain in the left subcostal region of high intensity production in the back
Myocardial infarction gastralgia forms
Special rare form, which affects the lower part of the left ventricle. The pain at first, back in the heart and is reminiscent of the attack gastritis with nausea, hiccups, intestinal disorders. It is very difficult to diagnose. Then after taking analgesics pain attack is becoming typical infarction: localization of a painful pressing pain behind the sternum to return to the left under the shoulder blade, collarbone, neck, hands and fingers
Diseases of the spleen
Often the spleen increases the error of the following diseases:
- Hemolytic anemia
- The leukemia and lymphoma
- Lymphoma
- Hypertension in liver diseases
- Infectious mononucleosis
- Endocarditis, lupus, etc ..
Symptoms:
- Dull pain under left rib
- The veins of the esophagus and subcutaneous venous vessels dilate
- In parallel with this the development of liver failure
Pain in back right side under ribs
Diseases of the liver (cirrhosis, hepatitis, joint swelling, steatosis, congestion)
- The cause of dull pulling pain right below the ribs (it does not hurt the liver and its capsule)
- A blood test shows liver failure
- Occur diseases of the circulatory system
- Can jaundice
Acute cholecystitis
- A sharp pain in the right costal margin, in the right of the blade, above the collarbone and in the neck
- Nausea with vomiting, fever
- Yellowing of the skin and whites of the eyes (optional feature)
Cholelithiasis:
- Works from the unbearably sharp pain right under the ribs, with the recoil in the back
- Vomiting is absent, in contrast with the cholecystitis,
- When the stone from the bile ducts, the pain immediately subsides
Chronic cholecystitis
- The pain is mild, which occurs after the ingestion of fatty fried spicy foods
- Belching and vomiting, bitter taste in the mouth
Pancreatitis head of pancreas cancer
Have similar symptoms, reminiscent of dyskinesia of bile ducts:
- Give pain in the right upper quadrant
- May be accompanied by jaundice
The pain symptoms under the ribs in the middle
Ulcers of the stomach and duodenum
- Give pain pugione type-ahead in the middle part of the hypochondrium and space, which may be granted in the back. The peculiarity of these pains: they increase on an empty stomach, after a meal and also after stress
- The patient is in a forced position, in which the pain syndrome is somewhat alleviated
- It should be noted in the stool presence of blood (the stool may be tarry black appearance)
- Pain when perforation accompanied by deterioration of General condition due to beginning peritonitis: nausea, vomiting, fever
Stomach cancer
- Gives the pain attacks that usually occur at a late stage, when the tumor invades the wall of the stomach and pressure on adjacent organs
- Disease is accompanied by nausea, weight loss
- Changes in taste preferences (for example, appears aversion to meat)
Pathology of the diaphragm
- Subphrenic abscess most often occurs after trauma to the abdomen or after surgery
- Is extreme pain during inhalation on the front side under the ribs (middle), broadcasting 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 poisoning
Pain under ribs different translations
Right-side pneumonia
- Pain under the ribs that occurs during inspiration and coughing without a clear localization, and accompanied by a high temperature
- Possible irradiation of the attack the abdomen with a simulated appendicitis
- While running is breathing hard
- Nasolabial triangle — blue color
Dry pleurisy
- Result in lung disease (tuberculosis, lung cancer)
- Pain in the left and right under the ribs, worse still, not only for breathing, but regular exercise, giving back
- Accompanied by shortness of breath and peripheral cyanosis
Internal injuries
Often breaks from the spleen or liver due to mechanical injury (accident, fall from height) or pathological processes (leukemia, cirrhosis), breach of internal structure.
Symptoms:
- Severe pain in the left ribs (with spleen trauma) or right (liver), increase due to the accumulating under the capsule of the blood in the horizontal position
- Due to severe blood loss, heart rate quickens, the blood pressure drops, pale skin
The risk of injury in their secrets: the victim may feel nice and even to walk, and his condition worsens, and may die. Especially often it occurs in those cases when the first damaged liver parenchyma, 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, belly
- Due to the progress of the concrement in the ureter moves from the rib region of the back in the lower lumbar, and then the ilio-sacralis region
- Pain attack is a treatable antispasmodics and warm treatment
- Surgical treatment is indicated when there is: Obstruction (blockage) of the ureter or hydronephrosis of the kidney
Hematoma retroperitoneal
- Formed primarily as a result of injury to the kidney, adrenal gland and retroperitoneal section 12 duodenal ulcer
- Accompanying the pain in subcostal region back in the back and a large loss of blood:
- the patient suddenly falls into HELL
- in the blood, decrease hemoglobin
- increasing pallor and weakness
Intercostal neuralgia
- Searing, poignant (sometimes silly) paroxysmal pain on the left or right under the ribs, which occur when you breathe
- Is given a wide scope: under the scapula, lower back, heart
Reasons:
- the compression of the intercostal nerves
- increased tone and extensor of the shoulder scapular muscles
In order to encourage the intercostal neuralgia following diseases: osteochondrosis, overcooling, awkward posture, stress
Osteochondrosis
- In the chronic form, which is manifested in the form of constant pain, back pain in the back below the ribs
- The characteristic of pain is its distribution in the area of innervation of the affected nerve In the lumbar region on the rear surface of the buttocks, thighs and drumsticks
- During acute pain, the syndrome has a character of lumbagoes, which derives from movement, tilt or rotation of the torso. The patient is forced to stand still in one position
Neurological disorders of the autonomic
Pain occurs unexpectedly and is not justified by objective reasons. The examination does not show serious abnormalities in addition to dystonia, with these symptoms:
- spasmodic pressure
- symptoms of respiratory failure
- shortness of breath, palpitations, angina
- irritable bowel syndrome
- insomnia and irritability
- It hurts everywhere: on the left, then right, then in the middle of the upper quadrants
Pain under the ribs in the back may be the cause of many diseases, even the most unexpected.