The reasons for back pain under the ribs: causes, treatment

Pain in the back can be everywhere.Back pain under ribs is difficult to diagnose 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:

Some diseases have similar clinical picture. The pain often is not concentrated in one place, and you can catch a fairly wide space, and even move through the body

Why back pain under ribs

Even with seemingly identical symptoms, each illness has only its own characteristics that enable to diagnose.

Conventionally, these diseases 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 esophagus
• Hematoma and the formation of the retroperitoneal space
• Intercostal neuralgia
• Osteochondrosis
• Neurological disorders autonomic

Back pain left side under ribs

Pancreatitis

In the chronic form, pain under the left rib moderate intensity, radiating to the back and under the left shoulder blade. Often takes around the character, yielding and right, forward and back. Appears after the intake of fatty, sweet foods

In the acute form the pain is sudden and sharp, does not change by the change of position, when breathing or coughing. Accompanied by nausea and relieves vomiting. In acute pancreatitis there is increased toxicity, cyanosis of the skin, traces of petechial hemorrhages in the navel area and sides

Carcinoma of the

Pain nature similar to the pain syndrome in chronic pancreatitis, but are not associated with food intake. Cancer of the body and tail of the gland occurs pain attack in the left subcostal region of the 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, back under the heart and resembles an attack of gastritis with nausea, hiccups, intestinal disorders. It is very difficult to diagnose. Then, after the taking of analgesics 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, hand, and fingers

Diseases of the spleen

Often the spleen increases the wines of the following diseases:

• Hemolytic anemia
• Leukemia and lymphoma
• Lymphoma
• Hypertension in diseases of the liver
• Infectious mononucleosis
• Endocarditis, lupus erythematosus, etc.

Symptoms:

• Dull pain under left rib
• The veins of the esophagus and subcutaneous venous arteries spread
• In parallel, the development of liver failure

Pain in back right side under ribs

Of the liver (cirrhosis, hepatitis, swelling, steatosis, congestion)

• Reason dull pulling pain right under the ribs (it does not harm the liver and its capsule)
• A blood test shows liver failure
• Happened circulatory disorders
• Can be jaundice

Cholecystitis acute

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

Cholelithiasis:

• The attacks of the unbearably sharp pain right under the ribs, with the recoil in the back
• Vomiting is absent, in contrast to cholecystitis,
• When the stone from the bile duct, the pain subsides immediately

Cholecystitis chronic

• The pain is mild, occurs after the ingestion of fatty fried spicy food
• Belching and vomiting, bitter taste in the mouth

Pancreatitis head of pancreas cancer

Have similar symptoms, reminiscent of dyskinesia of bile ducts:

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

The pain under the ribs in the middle

Ulcers of the stomach and of the duodenum

• Give pain pugione type-ahead in the middle part of the hypochondrium and the space to the left, which can be given in the arms. The peculiarity of these pains: they increase on an empty stomach, after a meal, and also after stress
• The patient is in the forced position in which the pain syndrome is somewhat mitigated
• It is noted in the stool presence of blood (the stool may remain black appearance)
• Pain when perforation is accompanied by deterioration of General condition due to beginning peritonitis: nausea, vomiting, fever

Cancer of the stomach

• Gives the pain attacks, that usually occur in the late stage when the tumor invades the wall of the stomach and puts pressure on neighboring organs
• The disease accompanied by weakness, weight loss
• Change in the taste parameters (for example, you may receive an aversion to meat)

Pathology of the esophagus

• Subphrenic abscess most commonly occurs when injuries to the abdomen or after surgery
• Is extreme pain during inhalation on the front side under the ribs (middle), radiates 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

The pain in the ribs of different localization

Right-side pneumonia

• Pain under the ribs, which occurs during inspiration and coughing without a clear localization, and accompanied by high temperature
• Possible irradiation of the attack the stomach with a simulated inflammation of the appendix
• When driving there is a lack of breath
• Nasolabial triangle — blue color

Dry pleurisy

• Occurs in lung pathologies (tuberculosis, lung cancer)
• Pain left and right under the ribs, and even worse, not only for breathing, but regular movements, radiates to the back
• Is accompanied by shortness of breath and peripheral cyanosis

Internal injuries

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

Symptoms:

• Severe pain under the left ribs (with spleen trauma), or right (liver), increase due to the accumulating under the capsule of the blood in a horizontal position
• Due to the severe loss of blood, the pulse quickens, the blood pressure drops, pale skin

Danger of injury their secret: the victim may feel nice and even to walk, and his condition deteriorate and he may die. Especially often it happens in those cases when the first damaged hepatic parenchyma, and then after some time there is a rupture of the capsule and haemorrhage into the abdominal cavity

Renal colic (nephrolithiasis)

• Pain attacks in the back under the ribs, painful, dans in the groin, hips, abdomen
• For the purposes of promotion of the concrement in the ureter moves from the rib region of the back in the lower lumbar, and then to the ilio-sacralis region
• Pain attack is a treatable antispasmodics and warm treatments
• Surgical treatment is indicated when there are: Obstruction (blockage) of the ureter or hydronephrosis of the kidney

Hematoma retroperitoneal

• Formed mainly as a result of the violation of the kidney, adrenal and retroperitoneal division 12 duodenal ulcer
• Accompanied by pain in subcostal region back in the back and a large loss of blood:
  • the patient may suddenly fall into HELL
  • in the blood reduction of hemoglobin
  • increasing pallor and weakness

Intercostal neuralgia

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

Reasons:

• compression of nerves intercostal
• increased tone and extensor of the shoulder scapular muscles

To provoke intercostal neuralgia following diseases: osteochondrosis, overcooling, awkward posture, stress

Osteochondrosis

• In the chronic form, manifests itself in the form of constant pain pain in the back part of the back below the ribs
• The feature of pain is its distribution in the area of innervation of the affected nerve From the lumbar region of the back surface of the buttocks, thighs and drumsticks
• During exacerbation of pain syndrome takes on the character of the lumbagoes, which derives from movement, tilt or rotation of the torso. The patient is forced to stand still in one position

Neurological disorders autonomic

The pain appears unexpectedly and is not justified by objective reasons. Examination does not reveal serious abnormalities in addition to dystonia, with these symptoms:

• spasmodic pressure
• the symptoms of respiratory failure
• shortness of breath, palpitations, angina
• irritable bowel syndrome
• insomnia and irritability
• It hurts everywhere: left, then right, then in the middle of the upper quadrant

Pain under the ribs in the back may be the cause of many diseases, even the most unexpected.