It hurts in the back can be everywhere.Pain in the back under the ribs refer to the mind the most difficult in terms of the diagnosis of pain. Seemingly, nothing is more easy a look at anatomical pocket and to draw a parallel between a "geographical" position of principle and the location of the pain. However, the position is hindered by this:
Some diseases have similar clinical picture. The pain often concentrates in one place, it can capture quite a wide area, and even to navigate through the body
Why does it hurt in the back under the flaps
Even when seemingly identical signs, each disease there is only the features that allow the diagnosis of.
Under these diseases can be divided into several groups:
- Pathology of the gastrointestinal tract (the DIGESTIVE system)
- Disease of the respiratory system
- Myocardial infarction gastralgia type
- Injury to internal organs
- Diseases of the spleen
- Renal colic
- Pathology of the diaphragm
- Hematoma and education retroperitoneal space
- Intercostal neuralgia
- Osteochondrosis
- Neuralgic disorders of the autonomic
Pain in the back left under the flaps
Pancreatitis
In chronic form, pain under the ribs left moderate power, radiates to the back and under the left shoulder blade. Often adopts herpes character, tradition and right, front and back. It appears after taking of the fat, sugar, food
In the acute form the pain is sudden and sharp, it's not alive by change of position, when breathing or coughing. Accompanied by nausea and does not facilitate a state of vomiting. In acute pancreatitis there is increased poisoning, pallor of the skin, the traces of the bleeding site in the region of the navel, and the sides
Cancer of the pancreas
The pain from the nature similar to the pain syndrome in chronic pancreatitis, but is not associated with food intake. When the cancer of the body and tail of the breast occurs pain attack on the left on the subcostal area of increased tension with impact on the back
Myocardial infarction gastralgia shape
This rare form, amazing the bottom part of the left ventricle. The pain initially back down from the heart and it looks like attack of gastritis with nausea, hiccup, disturbance of the bowel. It is very difficult to diagnose. Then, after taking analgesics pain attack is typical for a heart attack: identification of gnawing pressing pain in the sternum with the retreat on the left under the shoulder blade, the collarbone, the neck, the hand and fingers
The disease of the spleen
Often the spleen is increased due to the following diseases:
- Hemolytic anemia
- Lymphoblastic leukemia and
- Lymphoma
- Hypertension in liver diseases
- Infectious mononucleosis
- Endocarditis, lupus erythematosus, etc.
Symptoms:
- Dull pain under the left flap
- The veins of the esophagus and subcutaneous venous arteries dilate
- At the same time, develops liver failure
Pain in the back right under the ribs
Diseases of the liver (cirrhosis, hepatitis, the volume of adipose hepatosis, congestion)
- Cause dull pulling pain right under the ribs (it hurts when that is not the liver, and the capsule)
- A blood test shows liver failure
- Occur disorders of the circulatory
- It can be observed jaundice
Acute cholecystitis
- Acute pain under the right costal margin, dans right below the scapula, over the clavicle and neck
- Nausea with vomiting, fever
- Yellowing of the skin and of ocular proteins (optional)
Jelchnokamennaya disease:
- Bouts of unbearable acute pain right under the ribs, with impact on the back
- Vomiting does not exist, in contrast with cholecystitis,
- At the exit of stones from the common bile duct, a pain attack immediately subsides
Chronic cholecystitis
- The pain is reasonable, occurs after the ingestion of fatty, fried spicy food
- I don't swear and vomiting, the taste of bitterness in the mouth
Pancreatitis head of pancreas and cancer
Have similar symptoms, like hypertension diskineziu biliary:
- Give pain syndrome in the right hypochondrium
- May be accompanied by jaundice
The symptoms of pain under the ribs in the middle
Ulcer of stomach and duodenum
- Give pain pugione in front of the middle part hypochondrium area, and the left, that can be given back. Feature of these headaches: you will is enhanced with an empty stomach, after meals, and after the stress
- The patient is in a forced position in which the pain syndrome some smooth
- In calais it is noted the presence of blood (in cal this can be black degteobraznogo species)
- Pain during the perforation is accompanied by a deterioration of the general condition from the beginning peritonitis: nausea, vomiting, increase of temperature
Cancer of the stomach
- Gives painful crises, occurring usually at an advanced stage, when the tumor grows in the wall of the stomach and compresses the adjacent organs
- The disease is accompanied by weakness, weight loss
- They change the taste of addiction (for example, you may receive the aversion to meat)
Pathology of the diaphragm
- Subphrenic abscess is more likely to occur when injury of the abdominal cavity, or after surgery
- A sharp pain during inhalation from the front under the ribs (in the middle), giving the bottom of the shoulder blade and the area above the clavicle
- The patient may be in a position that is located on the side or half-sitting
- Starts with fever and severe poisoning
Pain under the ribs of various localization
Right pneumonia
- Pain under the ribs, resulting in breathing and cough without a clear identification and is accompanied by increased temperature
- Maybe radiation attack under the belly with a simulation of a ruptured appendix
- When movement occurs shortness of breath
- Nasolabial triangle — blue color
Dry pleurisy
- Occurs when pulmonary pathologies (tuberculosis, lung cancer)
- Pain left and right under the ribs, growing not only in the respiratory tract, but the usual movements, giving back
- Accompanied by shortness of breath and peripheral cyanosis
Injury to internal organs
Most often is rupture of the spleen or of the liver due to mechanical damage (destruction, falling from a height) or pathological processes (leukemia, cirrhosis), violate the internal structure of the institutions.
Symptoms:
- Severe pain under the ribs of the left (injury to spleen) or right (of the liver), increased due to accumulation beneath the capsule of the blood in a horizontal position
- From the strong loss of blood, increased heart rate, and the HELL falls, skin pales
Risk of injuries to the secrecy: the victim may feel good and even to go, and then the situation deteriorates dramatically and may die. Especially often it occurs in cases, when first damaged parenchyma authority, and then, after a while it happens to rupture capsules and bleeding in the abdominal cavity
Renal colic (kidney stone disease)
- The pain crises in the back below the ribs, agonizing, dans in the groin, hips, belly
- For the promotion of a concrement in the ureter moves with side-back in the lower lumbar section, and then — iliac-sacralis area
- Pain crisis served treatment spazmolitikami and warm processes
- Surgical treatment is indicated when there are: Obturation (occlusion) of the ureter or hydronephrosis kidney
Hematoma retroperitoneal space
- Formed mainly as a result of injury to the kidney, adrenal and retroperitoneal section 12 duodenal ulcer
- Accompanied by pain in subcostal region back in the back and large loss of blood:
- the patient may fall to HELL
- reduction of hemoglobin in the blood
- increasing pallor and the weakness of
Intercostal neuralgia
- Burning, tubing (sometimes blunt) paroxysmal pain on the left or to the right under the ribs, appear during inhalation
- Given in a wide area: below the shoulder, the waist, heart
Causes:
- compression of intercostal nerves
- increased tone, extensor, and shoulder-scapular muscle
Cause intercostal neuralgia may the following diseases: back pain, hypothermia, annoying attitude, stress
Osteochondrosis
- In the chronic form manifests itself in the form of permanent pain back pain in the back under the flaps
- Characteristic of pain — the distribution in the area of innervation of the nerve: the lumbar region of the back part of the buttocks, the thighs and the shins
- In the acute pain syndrome acquires the lumbagoes, arising during the movement, the tilt or turn of the torso. The patient is forced to freeze in the same position
Neuralgic disorders of the autonomic
The pain occurs unexpectedly, and is not objectively justified causes. Examination reveals serious diseases, apart from vascular dystonia, with symptoms like this:
- sharp pressure
- the symptoms of respiratory failure
- shortness of breath, heartbeat, angina
- irritable bowel syndrome
- insomnia and irritability
- It hurts everywhere: on the left, to the right, in the middle part of the hypochondrium
Pain under the ribs in the back can be cause for many diseases, even the most unlikely.