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To confirm the diagnosis by a doctor in the first place, appoint fibrogastroduodenoscopy (FGDS - a study of the internal surface of the stomach with the aid of the optics of the instrument). During the procedure, the doctor on the monitor can see the lining of the stomach and all the flaws. In the course of the study, you can determine the acidity of gastric juice and to take a piece of tissue for histological examination, if necessary. Often to establish a proper diagnosis is also named x-ray.
Sometimes, the pain on the left side under the ribs may appear in different diseases of the pancreas. In addition, they give in the back, but can appear at the front. In the course of the investigation reveals a precise diagnosis.
These pains can be related to diseases and injuries of the spleen. The spleen is located on the side and on the left side under the ribs, it is contained in a capsule, in which are many nerve endings. Certain diseases of the spleen increases in volume and squeezes the capsule, which causes the pain. Are very characteristic of the pain in the spleen for such an infectious disease, such as mononucleosis. Simultaneously to the increase and the liver, so that the pain can disturb, and in the upper right quadrant. The spleen may be increased, and in certain hematologic diseases, for example, when the leukemia.
It is very dangerous to trauma of the spleen, which can lead to rupture of this organ and a strong internal bleeding. Sometimes, rupture of the spleen is not associated with trauma, disease, and comes suddenly on a background of physical stress or even at rest.
The pain in the rear to the left under the ribs can be the sign of a disease of the pancreas or the left kidney. The pancreas is located under the belly and the head (located at the center and to the right in the area of the duodenal ulcer), the body and the tail (located at the rear and to the left). The pain in the rear and to the left under the ribs can be related to inflammatory processes or tumors of the pancreas. For example, in chronic pancreatitis pain may appear at the center of the stomach and give the left back. When the cancer in the area of the tail of the pancreas the pain can wear standing climbing.
Pain in left side and back, below ribs can be the sign of a disease of the left kidney. Thus, acute or chronic left-sided pyelonephritis pain can wear stupid aching of a permanent nature. When the gallstone pain related to the crossing of small stones. Such pain bear the name of the attacks of renal colic, they appear suddenly and are very strong, acute.
Evil in diseases of the heart
At the different heart diseases can also experience pain on the left side under the ribs. In ischemic heart disease and the attacks of pain of angina pectoris are sudden, severe nature, do not last long and are nitroglycerin. If such a pain not to shoot, the patient may develop a myocardial infarction.
In inflammatory conditions, and exchange-degenerative process in the area of the heart muscle (myocarditis, myocardiodystrophy) the pain in the heart often aching or dry cleaning and are often accompanied by disorders of the heart rate.
Evil osteochondrosis of the thoracic spine
Pain on the left side under the ribs can be the sign of a degenerative disc disease of the thoracic spine. They can have more of a different character, therefore, the osteochondrosis is easy to confuse it with any other disease, can cause pain in the left subcostal area.
Pain on the left side under the ribs can appear in many diseases. Therefore, it may be better to contact a doctor immediately.
In the left part of the abdomen below the ribs is of the stomach, the pancreas, the spleen. In the case of illness or injury of one of these organs can produce pain, confides in the back.