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

Back pain can be everywhere.The pain in the back under the ribs refers to the spirit the most difficulties in terms of diagnosis of the pain. Apparently, there is nothing more easy to look in a anatomical reference and to make a parallel between the "geographical" position of authority and the location of the pain. But the situation is difficult here:

Some of the diseases are similar on the clinical picture. The pain is often concentrated in a single location, and can capture a wide enough area and even browse on the body

Why is there evil in the back under the ribs

Even if apparently identical, the symptoms of each disease there is only their characteristics, which allow to diagnose.

Classically these diseases can be divided into several groups:

• The pathology of the gastrointestinal tract (GI)
• Diseases of the respiratory system
• Myocardial infarction gastralgia type
• Injuries of the internal organs
• The disease of the spleen
• The renal colic
• Pathology opening
• Of the hematoma and education in the retroperitoneal space
• Intercostal neuralgia
• Osteochondrosis
• Nerve vegetative of the violation

The pain in the back on the left side under the ribs

Pancreatitis

In the chronic form is a pain under the ribs to the left of moderate strength, radiating in the back and under the left shoulder blade. Often, takes on the character of enthusiasm and the right, to the front and to the rear. Appears after the intake of fatty meals, sweet

In the acute form is a sudden pain and brutal, is not the evolution of change of position, when breathing or coughing. Accompanied by nausea and does not facilitate the state of vomiting. When acute pancreatitis can occur increase of the poisoning, cyanosis of integuments, traces occasional hemorrhages in the region of the navel and on the sides

Cancer of the pancreas

The pain is similar in nature to the pain syndrome in chronic pancreatitis, but it is not linked to the ingestion of food. In cancer of the body and tail of the breast occurs the crisis of the left costal the area of high-intensity with the impact in the back

Myocardial infarction gastralgia form

Specific to a rare form that affects the lower part of the left ventricle. The pain is first recedes as the heart and reminds us of the crisis of gastritis with nausea, hiccups, disorders of the intestine. It is very difficult to diagnose. Then, after taking pain relievers, attack the pain is typical of the infarct: the location painful was crushing pain behind the sternum with the impact of the left-hand side below the shoulder blade, the collarbone, the neck, the hand and the fingertips

The disease of the spleen

Often the spleen increases the fault the following diseases:

• Hemolytic anemia
• Lymphocytic leukemia and
• Lymphoma
• High blood pressure, diseases of the liver
• Infectious mononucleosis
• Endocarditis, lupus erythematosus, etc

Symptoms:

• A dull aching pain under rib left
• The veins of the esophagus and venous subcutaneous arteries dilate
• In parallel develops liver failure

The pain in the back right under the ribs

A disease of the liver (cirrhosis, hepatitis, swelling, steatosis, stagnation)

• Cause a pulling pain on the right side under the ribs (bad if this is not the liver and its capsule)
• A blood test will show liver failure
• Occur circulatory disorders
• Can be jaundice

Acute cholecystitis

• The acute pain is under the right costal margin in the right side under the shoulder blade, above the collarbone and in the neck
• Nausea with vomiting, fever,
• Yellowing of the skin and eyes protein (optional feature)

Cholelithiasis:

• Crises of the abyss of acute pain right under the ribs, with the impact in the back
• Vomiting lack, in contrast to acute cholecystitis,
• When the output of the stone of the main bile duct, attack the pain subsides immediately

Chronic cholecystitis

• The pain is moderate, occurs after intake of fatty, fried, spicy foods
• Possible belching and vomiting, a taste of bitterness in the mouth

The pancreatitis of the head of the pancreas and cancer

Have symptoms like dyskinesia of the biliary tract:

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

Symptoms of pain under the ribs in the middle

Ulcer of the stomach and duodenum

• Give the pain pugione the type of the front in the middle part of the hypochondrium of the space and of the left, which may be given in the back. The peculiarity of these pains: they reinforce on an empty stomach, after a meal, and also after stress
• The patient is in a forced position, in which the pain syndrome some smoothed
• In calais, there is blood (cal can be black tarry type)
• The pain when the perforation is accompanied by a general deterioration of the state due to beginning peritonitis: nausea, vomiting, increased temperature

Cancer of the stomach

• Gives the pain attacks that usually appear at a later stage, when the tumor is a germ of the lining of the stomach and exerts on nearby organs
• The disease is accompanied by weakness, weight loss
• Change the taste preferences (for example, you may see the disgust of the meat)

Pathology opening

• Sub-phrenic abscess more commonly occurs when the lesion of the organs of the abdominal cavity, or after a surgical operation
• Different a sharp pain while breathing to the front under the ribs (in the middle), which is under the scapula and in the region, above the clavicle
• The patient may find himself in the position lying on the side or semi-sitting
• Starts with fever and high intoxication

The pain under the ribs of different localization

Right pneumonia

• The pain under the ribs, occurs when breathing and cough without a specific localization, and is accompanied by an increase of the temperature
• May be the irradiation heart attack in the lower abdomen with the simulation of a crisis of appendicitis
• During the conduct of shortness of breath occurs
• Nasolabial triangle — blue-colors

Dry pleural effusion

• Occurs when lung disease (tuberculosis, lung cancer)
• The pain left and to the right under the ribs, aggravated not only when the respiratory tract, but the movements of the routine, entrust in the back
• Accompanied by rapid breathing and peripheral cyanosis

Injuries of the internal organs

It is often the jumps of the spleen or the liver, due to mechanical damage (e.g., falls from height) or pathological process (leukemia, cirrhosis), contrary to the internal structure of organs.

Symptoms:

• A pain under the ribs on the left (when the lesion of the spleen), or to the right (of the liver), the elongation due to the accumulation under the capsule of blood in a horizontal position
• Because of the high loss of blood the pulse is accelerated, and the HELL of the grave, the skin turns pale

The risk of injury in their the secret: the victim may feel well and even to walk, and her condition deteriorates, and he can die. The more often it occurs in the case where the first damage to the parenchyma of the organ, then after a moment of rupture of the capsule and haemorrhage into the abdominal cavity

The renal colic (kidney disease)

• The pain attacks in the back under the ribs, atrocious, in the groin, the thighs, the belly
• Due to the progress concrement in the ureter moves to the edge of the back in the lower lumbar, and then, ilio-sacralis zone
• Attack the pain is used in the treatment of antispasmodic and procedures
• Surgical treatment is indicated, when having: Occlusion (blockage) of the ureter or hydronephrosis of the kidney

Hematoma of the retroperitoneal space

• Are primarily formed due to the injury of the kidneys, adrenal glands, and retroperitoneal division 12 duodenal ulcer
• Accompanied by pain in rib the area of the back in the back and the large loss of blood:
  • the patient can decrease the HELL
  • in the blood decreased hemoglobin
  • increasing pallor and weakness

Intercostal neuralgia

• Of the furnace, in the piercing (sometimes dull) pain breakthrough to the left or to the right under the ribs, emerging from the inspiration
• Given in a wide area: under the shoulder blade, lower back, heart

Reasons:

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

Cause intercostal neuralgia may the following diseases: osteochondrosis, hypothermia, uncomfortable posture, stress

Osteochondrosis

• In the chronic form is manifested by a permanent aching pain in the back in the back under the ribs
• Characteristic of the pain, its distribution on the affected area of the innervation of the nerve: the lumbar region Of the back surface of the buttocks, thighs and leg
• During the exacerbation of the pain takes the character of lumbagoes encountered during the driving of the tilting or rotation of the torso. The patient is forced to fade in the same position

Nerve vegetative of the violation

The pain comes unexpectedly and is not justified by objective reasons. The survey did not reveal serious medical conditions, with the exception dystonia, with symptoms such as:

• jerky pressure
• the symptoms of respiratory failure
• shortness of breath, palpitations, angina
• the irritable bowel syndrome
• insomnia and irritability
• Evil everywhere: it is to the left, right, in the middle part of the hypochondrium

The pain under the ribs in the back can be due to a lot of diseases, even the most unexpected of places.