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Why does it hurt in front under the ribs on the right from time to time? Causes of pain in the abdomen under the ribs Pain under the ribs what.

Pain under the ribs is an extremely common symptom. The most common diseases in which it hurts under the ribs are:

diseases of the gastrointestinal tract: diseases of the duodenum and stomach (ulcer), liver, gallbladder, pancreas.
enlargement of the spleen
liver and spleen injuries
retroperitoneal hematoma
subphrenic abscess
gastralgic form of myocardial infarction
diseases of the urinary system
lung disease
disorders of neuro-endocrine regulation
osteocondritis of the spine

In the diagnosis, the symptoms that accompany pain, in particular vomiting, nausea, fever, as well as the history of the onset of pain, including trauma, hypothermia, dietary errors, are of great help. A thorough analysis of these factors, taking into account the diseases that were previously diagnosed, makes it possible to accurately make a preliminary diagnosis and determine which specialist to contact for treatment.

Sharp pain under the ribs

Acute pain in the middle in front under the ribs is a characteristic symptom of a perforated ulcer of the duodenum and stomach. Experiencing severe pain, the patient is forced to lie down with his legs crossed. In the absence of adequate treatment, diffuse peritonitis may begin, which can lead to the death of the patient.

Surrounding acute pain under the ribs, which occurs suddenly and radiates under the shoulder blades, accompanied by repeated vomiting, is a symptom of acute pancreatitis. With this disease, severe intoxication of the body is possible, manifested in the cyanosis of the face, limbs and torso, marbling of the skin of the abdomen, petechial hemorrhages in the navel area, on the sides of the body.

If there is a sharp pain in front under the right lower rib, radiating upward under the shoulder blade, in the area above the collarbone and even in the neck, accompanied by severe fever, vomiting that does not bring relief, often jaundice of the sclera and skin, the cause of this pathological condition may be acute cholecystitis.

A sharp pain in front under the ribs with a breath can cause a subdiaphragmatic abscess that occurs after surgery or trauma to the abdominal organs.

When, after strong mechanical influences, such as car or railway accidents, falls from a height, a person cannot be in a horizontal position due to pain, crushing and rupture of the spleen and liver is possible. These injuries require immediate surgical intervention. Pain under the ribs in the back after a serious injury indicates a possible retroperitoneal hematoma resulting from a rupture of the abdominal organs.

In 2-3% of cases of myocardial infarction, it is accompanied by pain in the abdomen under the ribs, difficulty in exhaling, puffiness of the face and cyanosis of its hue.

Stitching pain in the side when coughing and inhaling, temperature - symptoms of pneumonia. Often such pains are preceded by bouts of fever, constipation - signs that are not characteristic of abdominal causes.

Pain on the left under the ribs on the side may be the first sign of such diseases of the nervous system as herpes zoster caused by the varicella-zoster virus of the herpes family. With this disease, the nerve endings in the intercostal region are affected, so the manifestations become noticeable immediately. First, aching pains in the left hypochondrium become sharp and then after a while there are blistering, fluid-filled rashes on the body.

If the patient complains of pain behind the left under the ribs, this may indicate kidney disease and osteochondrosis of the spine. Unbearable acute pain is a sign of renal colic, characteristic of urolithiasis, constant heaviness in the kidney area often indicates inflammation of this organ. With osteochondrosis, pains are usually aching, appear mainly after sleep or a long stay in one position, but there are also sharp daggers, weakening after a person freezes in one position.

Chronic pain under the ribs

The most common causes of sharp or dull pain in the front in the middle under the ribs are:

gastritis type A (gastritis with normal or high acidity)
gastritis type B (gastritis with reduced acidity)
stomach cancer
ulcer of the duodenum or stomach.

Type A gastritis is characterized by pain on an empty stomach, excruciating heartburn, and a tendency to constipation. With duodenal ulcers and stomach pains are cyclical, accompanied by constipation and heartburn, often the disease worsens in autumn and spring. Patients with a long course of the disease lose weight, they have increasing headaches, irritability, weakness. Type B gastritis is characterized by the appearance of pain and heaviness in the front left or in the middle under the ribs after eating, which is accompanied by vomiting that brings relief.

In gastric cancer, chronic pain under the ribs in the front left and in the middle, as a rule, manifests itself in the later stages of the disease, with compression of surrounding tissues and organs during the germination of the stomach wall by a tumor. Often the initial period goes unnoticed. It is possible to suspect the oncological origin of pain in the presence of weight loss, a general decrease in efficiency, progressive weakness, changes in taste habits, depression, and apathy.

Dull pulling or aching pain under the right rib is a characteristic sign of chronic liver diseases, which are accompanied by an increase in the organ, such as cirrhosis of the liver, chronic hepatitis, liver tumors. When aching, dull pain occurs under the left lower rib with severe symptoms of jaundice and anemia, an enlarged spleen may be the cause.

In infectious diseases, primarily infectious mononucleosis, a pulling pain on the left under the ribs has a diagnostic value. The constant symptoms of this viral disease are swollen lymph nodes, tonsillitis, and fever. It is also characterized by an enlarged spleen, which also contributes to the appearance of pain under the ribs.

Treating pain under the ribs

There are many causes of pain in the hypochondrium, therefore, a specialist should be engaged in their diagnosis and identify the source of pain by conducting a thorough examination of the patient. The only correct solution in case of pain under the ribs is a doctor's consultation and a full examination.

Depending on the nature of pain and anamnesis, the following specialists should deal with this problem: a surgeon, a cardiologist, a gastroenterologist, an infectious disease specialist, a traumatologist, an endocrinologist.

Pain under the ribs on both sides

If a person has acute or aching pain under the ribs on both sides, then it may indicate the development of very dangerous pathologies. It is hardly possible to consider an ordinary physiological phenomenon as a cause of discomfort in such a situation. That is why people who have pain under the ribs immediately and on the right and on the left need to contact a hospital for a consultation and a comprehensive examination.

Causes of pain in the hypochondrium on both sides at once

Burning and pain under the ribs on both sides may be a sign of the development of such pathological conditions:

Diseases that develop in the spinal column.
Heart attack.
Pathologies of the gastrointestinal tract, which usually include cholecystitis, pancreatitis, gastritis, gastroduodenitis, ulcerative foci.
Diseases of an infectious nature, the course of which usually takes place in a chronic form, for example, mononucleosis, tuberculosis.
Pathologies that develop in the genitourinary system, for example, urolithiasis, cystitis.
Mechanical damage to the liver or spleen, in which the integrity of the organ was violated.
Diseases that affect the respiratory tract, which can be both infectious and viral in nature.

The patient must monitor the intensity of pain.

If they can be described as acute, then you must immediately call an ambulance, which transports him to a hospital.

On the spot, narrow-profile specialists will examine the patient, after which they will prescribe a course of drug therapy. In the event that it is revealed that the cause of pain is a life-threatening pathology, the patient will undergo unscheduled surgical treatment.

Perforated ulcerative focus

Ulcerative pathology is most often detected in the stomach, as well as in the duodenum 12. If a person does not undergo drug therapy in a timely manner, then the disease will progress. The result may be a perforation of the focus, as a result of which a hole is formed at the site of its localization, through which the contents of the organ begin to penetrate into the retroperitoneal zone. In such a situation, peritonitis develops very quickly, in which intoxication occurs. If a person does not undergo surgical treatment within a short period of time, then everything will end fatally for him.

People who are faced with such a problem give the following description of painful sensations: dagger-like pain, it occurs suddenly, the attack lasts a short time. The place of localization of the focus of pain is initially the region of the solar plexus. After a while, he begins to move to the hypochondrium.

Acute pancreatitis

With the development of inflammation in the pancreas, people experience painful sensations of a girdle character. Their intensity increases with any tension or movement of the body. Most often, patients turn to specialists with complaints after heavy meals, which included sweet and fatty foods.

Excessive consumption of alcoholic beverages can also provoke an exacerbation of the disease. If a person first encountered inflammation of the gland, and promptly turned to a hospital for help, then he has a chance of being cured. In the event that drug therapy was carried out out of time, the disease will quickly turn into a chronic form and will periodically remind of itself with relapses.

Acute cholecystitis

With the development of inflammation in the gallbladder, people experience painful sensations that are initially localized in the right hypochondrium, but in the absence of timely drug therapy, they can radiate to other areas of the peritoneum. In parallel, characteristic symptoms appear:

feverish state;
there is a drop in pressure;
cold sweat emerges;
skin may become icteric;
suffering from constant nausea;
severe vomiting occurs, etc.

To reduce the intensity of discomfort in this category of patients, experts recommend applying a heating pad filled with ice to the pain during an attack. They should also adhere to bed rest for several days and limit their diet. In the case when the acute form of cholecystitis is accompanied by very intense pain, then people can alleviate the condition through analgesics or antispasmodics.

Subdiaphragmatic abscess

With the development of this pathology, people experience painful sensations of a shooting or tingling plan. Their intensity increases with any tension or movement of the body. Some patients have a feeling that there is a foreign object in the peritoneal region. In parallel, the following symptoms develop:

hiccups occur;
dry cough begins;
breathlessness appears.

The location of the focus of pain directly depends on where the abscess arose. In the case when it is located in the center, the discomfort will immediately spread to both hypochondrium zones.

Injury to the liver and spleen

Any mechanical effect on these organs can lead to the emergence of such a pathological condition. Most often, injury occurs when:

These organs do not have proper elasticity, so their integrity is very easily damaged. If a very severe injury has been inflicted, then internal bleeding is most likely to begin, in which there is a high probability of death. Patients faced with such a problem complain of acute pain that hampers movement and often leads to the development of a state of shock. The characteristic features are:

labored breathing;
hematoma at the site of mechanical impact;
loss of consciousness;
yellowness of the skin;
the appearance of shortness of breath;
a feeling of hot heat, which spreads very rapidly throughout all areas of the peritoneum.

heart attack

In the case when a person has an ailment that affects the ventricle, namely its lower wall, then there is a painful sensation in the area of the right hypochondrium. Discomfort can spread to other areas of the peritoneum, in particular to the left hypochondrium. You can suspect the occurrence of a heart attack by the characteristic symptoms:

hiccups appear;
nausea occurs;
severe vomiting begins;
cold sweat emerges;
there is an increase in defecation;
a panic attack occurs;
edema develops on the face;
lips turn purple;
there is a feeling of lack of air;
the skin of the face becomes bluish.

Colic renal

People who are faced with such a pathology experience shooting and cramping pain. Usually the cause of the development of this condition is urolithiasis. In the case when there is a strong progression of the disease, the pain can spread immediately to both hypochondral zones.

With colic, characteristic symptoms appear:

increase in temperature;
painful sensations that constrain movements, the intensity of which rapidly increases even with the slightest movement of the body;
lack of urination.

Retroperitoneal hematoma

Such a pathological condition occurs with a mechanical effect on the region of the retroperitoneal space. The hematoma can reach very large sizes and can provoke the opening of bleeding. It is quite difficult to diagnose this pathology in a timely manner, since its clinical picture is characteristic of a number of diseases, for example, an ulcer focus, osteochondrosis, etc. Patients complain of the occurrence of pulling and aching pains, the intensity of which increases with squats.

Pneumonia

When inflammation occurs in the lungs, people show characteristic symptoms:

aching and squeezing pain, which, with a strong lesion, can spread to both hypochondral zones;
high temperature, which is poorly controlled by drugs;
expectoration of sputum during coughing;
chills appear;
general health is rapidly deteriorating.

Why do ribs hurt

Discomfort in the chest area can indicate various diseases, with serious consequences or temporary malaise. If the ribs hurt, it is important to find the original cause and eliminate it. Let's look into this issue.

Pain in the ribs can indicate the development of various diseases

Causes of pain in the ribs

Pain sensations on one or both sides of the chest can be of a different nature (aching, sharp, short-term, paroxysmal, prolonged). Both diseases of the internal organs and injuries of varying degrees and prescription are capable of provoking such sensations.

Table "Possible causes of pain in the ribs"

Which doctor should I contact if my ribs hurt?

If there are discomfort in the left and right side with pressure, physical exertion or at rest, you need to contact a therapist. The doctor will conduct an examination with the help of palpation of the chest, analyze the patient's complaints and, if necessary, appoint a consultation of highly specialized specialists:

traumatologist;
neuropathologist;
pulmonologist;
cardiologist;
surgeon;
orthopedist.

Doctors will prescribe the necessary tests and instrumental examination, which will identify the cause of pain and select adequate therapy.

Diagnosis of pain in the ribs

In addition to palpation during examination, the doctor may prescribe a number of necessary studies:

general and biochemical analysis of blood, examination of urine, sputum;
electrocardiography;
computer and magnetic resonance imaging;
study of mediastinal vessels (dopplerography).

Comprehensive diagnostics allows you to accurately identify the source of pain and choose the right therapy.

To identify the causes of pain in the ribs, you need to do an electrocardiogram

What to do with pain?

The appearance of pain in the ribs should not be ignored. It is important not to leave the patient alone and go to the hospital.

First aid

If a person has a sharp pain in the chest area and the general condition worsens, appropriate measures should be taken:

lay the patient on a flat surface, organize free access of air and ensure peace;
try to find out the approximate source of discomfort (trauma, cardiac pathologies, unsuccessful change of body position);
in the event of an attack of angina pectoris, give the person the necessary medications (nitroglycerin, validol), if any;
call an ambulance.

Timely provision of assistance makes it possible to reduce pain and avoid possible complications.

If you have an attack of angina pectoris - take Validol

Drug treatment

Depending on the identified cause of pain in the ribs, the doctor may prescribe several groups of drugs:

non-steroidal anti-inflammatory substances - Citramon, Ibuprofen, Diclofenac, Cofitsil;
analgesics (painkillers) - Paracetamol, Analgin, Baralgin;
locally irritating drugs - Apizatron, Analgos, Finalgon;
heart drugs (in case of angina pectoris) - Nitroglycerin, Validol, Corvalol, Valocordin.

Citramon is an effective anti-inflammatory agent

For oncological tumors, specialists suggest chemotherapy or surgery based on the location of the neoplasm and its stage.

Ribs can hurt for many reasons. These are problems with the musculoskeletal system, and injuries, and excessive physical exertion, and pathological processes in the organs of the chest (heart, lungs, bronchi). After a comprehensive diagnosis, a specialist will help to understand the source of discomfort. It is important not to self-medicate and consult a doctor in time. Otherwise, severe complications are possible in the form of an aggravation of the disease.

It hurts in front under the ribs on the right, what could it be?

With different ailments, the symptoms are different, as is the localization. Poor health haunts people with tumors, shingles, osteochondrosis, pinched spinal nerves.

In the article: A detailed list of all diseases and the main symptoms for pain in front under the ribs and at the same time on the right. Brief and clear description of each cause of pain.

On the right side at the top of the abdomen are many vital organs:

Rezi in the right side speaks of diseases of the above organs. Sometimes discomfort appears due to damage to the central nervous system or vascular system. When the ridge is damaged, the right side hurts under the ribs on the side, but pain usually occurs behind the back on both sides - on the right and left.

As soon as pain syndrome appears on the right side under the ribs, it is correct to immediately go to the general practitioner and undergo an examination.

What hurts in the right side? Diseases, their causes

With different ailments, the symptoms are different, as is the localization. Poor health haunts people with tumors, shingles, osteochondrosis, pinched spinal nerves. With spinal injuries, it is painful to step on your feet.

Why does it hurt in front under the ribs on the right from time to time?

Everyone experiences a slight pain in the side sometimes, this is normal. Even in healthy people, it can hurt on the right side of the chest.

It hurts in the right side under the ribs in front of a teenager or child during increased growth. During pregnancy, women sometimes feel pain in the upper abdomen.

Such sensations are not dangerous. The main feature that distinguishes safe pain is short duration and low intensity.

Causes of “healthy pains”:

Engagement in physical labor. Cramps in the side are found in people with hypodynamia. When walking or running fast, adrenaline is released into the blood, the blood flow accelerates, it expands the vena cava, which is located on the right under the ribs. A large vessel presses on the liver and deforms it, which causes discomfort. Soreness appears even under the armpits.
The period of gestation. The third trimester of pregnancy is marked by the rapid development of the fetus, which puts pressure on nearby organs. A pregnant woman has difficulty breathing.
Premenstrual syndrome in women. Estrogens are released into the blood, causing pain in the abdomen. The bile ducts are constricted by spasm.

Why does constant pain occur?

Different diseases have their own individual symptoms.

Cirrhosis and hepatitis most commonly affect the liver. Rezi cirrhosis appear only in advanced forms of the disease. It is pain that gets worse with movement. With hepatitis, the symptoms are not bright, the pain syndrome has a squeezing dull character, localized in the right hypochondrium. A person may feel heaviness in the stomach and in the side after eating. When pressed, the pain becomes stronger.

Liver diseases are accompanied by bitterness in the mouth, yellowness of the face and palms, rashes. These symptoms do not require an ambulance call, but it is necessary to go to the doctor for an examination.

Lying in a comfortable position, the pain becomes less noticeable.

Painful sensations in diseases of the pancreas are strong, aggravated after drinking alcohol on an empty stomach or junk food: fatty, salty, fried.

Symptoms of inflammation of the pancreas - profuse vomiting, itching, yellowing of the skin, dark urine and fever.

The soreness of the tumor of the pancreas is similar to sciatica, that is, burning, shooting. The intensity is not constant. With cholecystitis, bouts of unbearable pain are felt in the upper abdomen.

If you find signs of pancreatic disease, you should consult a doctor as soon as possible.

During cholelithiasis, it hurts strongly in the area under the chest, pain can radiate to the shoulder blade or shoulder. Symptoms become more noticeable after physical activity, stress or climate change.

Stitching pains on the right side under the ribs is a serious reason for a visit to the doctor. In advanced cases, the organ is excised, after removal of the gallbladder, pain disappears.

In a person with cancer, the lungs ache and pull for no reason when there is no cough. Pain spreads throughout the chest when inhaling. Sometimes they are confused with heart due to the proximity of these organs, but if the heart is affected, then swallowing and coughing do not cause discomfort.

Painful bouts of coughing appear with pneumonia.

Intestines

It is difficult to localize, paroxysmal pain syndrome accompanies appendicitis.

When the duodenum becomes inflamed, there are painful sensations of a dull, pulling and pressing nature.

Severe pains all over the body and under the ribs haunt people with hernias. A swelling of the diaphragm is accompanied by sensations of medium strength, felt throughout the body.

The stomach hurts on the left and right, it becomes difficult to breathe. When inhaling, there is a strong pressure on the right side.

Angina pectoris strongly compresses and squeezes a person's chest. With a heart attack, acute pain is experienced, spreading to the chest and under it.

All cardiac pathologies require urgent medical attention.

Feelings with urolithiasis depend on the stage. The pain is either dull or sharp. Pyelonephritis is characterized by dull periodic pain.

ovaries

When the ovaries are infected, a woman may have pain under the ribs on both sides. The pain is localized in the right side of the lower abdomen next to the iliac bones, above the pubis, can give back.

With inflammation of the female appendages, stretch marks appear on the abdomen, menstruation disappears, hair falls out.

In pregnant women, discomfort may occur due to an ectopic pregnancy. If this pathology is detected, an urgent need to consult a doctor, as there is a risk of rupture of the fallopian tube.

What if the pain caught you by surprise?

Go get help from a specialist. Do not try to anesthetize the problem area with a hot compress - this can cause irreparable harm to health. Cold compresses are acceptable. Doctors do not recommend using painkillers or anti-spasm drugs (like no-shpa) on their own. The clinical manifestations of the disease will be erased, the task of making a diagnosis will be complicated.

When to call an ambulance:

Sharp pains suddenly appeared under the chest;
On the right side, it whines for a long time;
Stitching pains appeared for no reason, which last longer than 90 minutes and are aggravated by walking or running.

If the pain under the ribs is weak, but does not cease to disturb and you feel sick, you should immediately go to the doctor on the same day.

Which doctors should be contacted

First of all, you need to go to a therapist. His main task is to find out the cause of the pain syndrome, establish a preliminary diagnosis, and give a referral to a highly specialized doctor.

A surgeon and a traumatologist will help people with cracked ribs. A gastroenterologist and an infectious disease specialist will help with pathologies of the liver and intestines. The gynecologist will be able to save the patient from women's pain. An endocrinologist will help in cases where the soreness was caused by hormonal disorders. The help of a cardiologist will be needed for diseases of the cardiovascular system.

Only a highly specialized doctor should tell you what to take and what procedures to perform. Self-medication brings harm, not benefit.

The most common causes of pain

There are a number of diseases that most often cause unpleasant symptoms.

Cirrhosis of the liver

A pathology in which healthy liver cells are replaced by connective tissue. Because of this change, the whole body suffers, as the body cannot cope with blood purification and other functions.

The reasons include complications after hepatitis, disorders in the immune system, poisoning with chemicals or alcohol. Hereditary pathologies and long courses of certain medications are also causes.

In the early stages, there are no symptoms, soreness is felt only when you press on the hypochondrium. At the next stage, heaviness appears under the chest. At an advanced stage, cirrhosis makes a person's life unbearable, he has hematemesis, cerebral encephalopathy, and jaundice.

Pathology is treated individually, a therapeutic course is prescribed. A person is obliged to change his lifestyle and listen to the attending physician. Treatment with traditional medicine should be consistent with the recommendations of the physician.

Cholecystitis

Cholecystitis is a lesion of the gallbladder. The disease appears due to an unbalanced and inconsistent diet, low physical activity, the use of contraceptive pills, allergies and heredity.

The disease develops gradually, aggravated during stress and emotional overstrain. Due to overeating, soreness appears on the right side from below. Discomfort extends to the back area. The pain is manifested by attacks in the initial stages of cholecystitis.

Signs - frequent vomiting with bile, rapid pulse, weakness and bloating. An experienced doctor can immediately diagnose. Therapy is carried out with the help of antibiotics, analgesics and choleretic agents.

The gastroenterologist must deal with the selection of medications, who will take into account all the characteristics of the patient and tell you what to take.

In severe cases, the organ is excised; after removal of the gallbladder, pain no longer worries the patient. People with sudden pains should immediately consult a doctor, because timely treatment will stop the complications of cholecystitis.

Urolithiasis disease

This ailment leads to the appearance of stones (small stones) in the urinary tract. It is most often found in older men. The reasons lie in the wrong diet, dehydration, physical inactivity, heredity, infections. Hot climates and contaminated drinking water also cause urolithiasis. Some substances in the composition of drugs contribute to the formation of kidney stones.

The disease is initially asymptomatic. Often it is discovered at a random scheduled inspection. If a person does not undergo examinations, he may not know about his illness for a long time.

Some patients notice intermittent pain on the right side of the upper abdomen that gets worse with running, walking, exercising, and other movement.

A person has bloody discharge in the urine, tingling in the kidneys. With an increase in temperature and pressure, dizziness appears. In some patients, when walking, the area under the sternum hurts.

Nephrologist helps with urolithiasis. When the stones move away, it is recommended to be treated in special institutions under the supervision of doctors. A urologist will help make it easier to transfer this disease in men. Pain is relieved with analgesics and anti-inflammatory drugs. Small stones come out on their own, but large ones are crushed with ultrasound and physiotherapy, etc.

duodenal ulcer

Ulcers form in the duodenum. The disease develops due to stress, junk food, smoking, alcohol abuse.

Lying in a comfortable position, no symptoms are felt. However, when moving, the pain expands to the area under the ribs.

Gastric ulcer and 12 - duodenal ulcer

The ulcer is accompanied by heartburn and constipation, eructations with a sour smell. After drinking alcohol on an empty stomach, the symptoms worsen.

Treatment is carried out by a gastroenterologist, whose task is to reduce the acidity of the gastric environment and kill pathogens. If the patient is tormented by pain, he is prescribed antispasmodics and painkillers.

Lower rib fracture, bone fracture

Pain on the right side of the upper abdomen may occur due to an injury to the lower rib. A small crack will not greatly disturb a person, however, a fracture will cause severe pain and radiate to the back and shoulder blades. Blows and wounds usually result in broken ribs.

Tuberculosis of the bone or other chest infections also contribute to cracked ribs.

As we age, bones lose strength and elasticity, which makes older people more prone to accidental fractures.

Symptoms of a crack in the lower ribs first appear sharply, and then weaken. When you sit or lie in a comfortable position, no symptoms are felt. Edema indicates a fracture. Damaged ribs hurt and bulge. The patient has difficulty breathing. When pressed, a sharp pain is felt.

The diagnosis is made by the therapist, the doctor preliminarily examines the patient, prescribes X-rays and tomography. A traumatologist deals with the treatment of fractures. If the damage is not severe, the patient can be treated for the damage at home.

If the bone fragments are hooked on the insides, then hospitalization cannot be postponed.

Diaphragm damage

The diaphragm is a muscular membrane that separates the abdominal from the chest. Being a support, it plays an important role during inhalation and exhalation.

Pathologies arise due to mechanical damage, congenital diseases or age-related changes. The muscle weakens and thins, hernias appear.

The insides move from the abdominal to the chest, causing the patient severe discomfort. The lungs are bent and wrapped.

There is pressure under the ribs. There is a feeling of heaviness, palpitations and shortness of breath. When inhaling, pain is given to the sides and even to the shoulders. It hurts on both sides when walking.

The therapist diagnoses diseases of the diaphragm using an x-ray with a developing substance. Some fractional hernias can be treated with fractional diets, drugs to reduce stomach acid. Such hernias are not infringed. People are forbidden to carry heavy things and wear too tight clothes.

Conclusion. Should I be worried about pain?

Incessant pain on the right under the ribs in front is a serious reason for going to the hospital. However, remember that not strong periodic cramps in this area are normal if the cause is physical activity.

When unpleasant sensations appear, you need to carefully analyze your day. Remember what was eaten, what pills were taken. Understanding the body will help determine the time to go to the hospital.

What does pain under the ribs on both sides indicate?

Symptoms of many pathological diseases are pain under the ribs on both sides. A person feels severe discomfort, cannot unbend, clamps his stomach with his hands. Ignoring specialists when a symptom appears sometimes leads to death. Discomfort between the ribs indicates the development of a life-threatening disease.

Uncomfortable pain occurs for a number of reasons:

diseases of the stomach and duodenum, pancreas, gallbladder, liver;
enlargement of the spleen;
injury to the liver or spleen;
osteocondritis of the spine;
peritoneal hematoma;
myocardial infarction;
diseases of the genitourinary system;
lung diseases;
disorders of the nervous and endocrine systems.

No specialist in the initial symptoms will make a correct diagnosis. To do this, it is necessary to consider in detail the sensations that have arisen, pay attention to the accompanying symptoms that accompany pain. It is important to remember what actions became the precursors of pain.

Pain on both sides of the ribs with localization in front, which are complemented by acute relapses, indicates a duodenal ulcer and stomach. Severe pain makes a person take an unusual position for him: lying down, bending his knees. The attack occurs in the middle, and then gradually moves under the right hypochondrium, and the pain temporarily recedes. Untimely access to a specialist can lead to peritonitis, severe purulent inflammation of the abdomen, with persistent pain and, as a result, death.

In the stage of exacerbation of pancreatitis, there are sharp sensations encircling the lower back. Girdle pain radiates to the shoulder blades, a person, taking any posture, cannot alleviate his condition. Pain is accompanied by concomitant symptoms: nausea, vomiting, blue skin.

Usually an attack of pancreatitis occurs after eating fatty foods or alcohol.

Many patients say that they often have pain in the right hypochondrium, radiating to the back and forcing them to assume that they have some kind of incomprehensible disease.

The symptoms are actually non-specific: they can indicate not only diseases of the musculoskeletal system, but also pathological processes occurring in the internal organs.

What pathologies can cause pain syndrome

Unpleasant sensations are given to the right side for a number of reasons:

It happens that the pain does not radiate to the sides, but is concentrated in the middle (front or back). This state of affairs is caused by the following diseases:

The pains felt by a person in the lumbar region are considered characteristic manifestations of various ailments. Most often they indicate inflammatory processes that develop in the body.

Pathologies of the musculoskeletal framework, nervous, digestive and other systems and organs of the body should not be excluded. Pain in the right lower back is observed in people, regardless of gender, age, social and professional differences.

Elena Malysheva tells what to do with back pain.

Several groups of diseases can be identified, in the presence of which the patient feels pain in the back on the right:

If pain appears on the right in the lower back in men, then its causes may be of a different nature.

Inflammation in the testicles caused by venereal disease. In addition to intense pain in the abdomen and lower back on the right, patients have fever, nausea.
Girdle pain in the lower back, pain during urination are felt with prostate adenoma, prostatitis.
Benign and malignant neoplasms can also manifest as a pain reaction.

The reasons

If the back hurts in the back of the ribs, such manifestations cannot be ignored. Many extremely dangerous diseases can be accompanied by such a symptom.

It is possible to determine exactly what causes pain only after special examinations. Back pain under the ribs may not be so significant, but it is better to once again make sure of your health than to treat a dangerous disease at the peak of its progression.

Costal region injuries

As mentioned above, the density of organs in the right side is high. Here are:

Unpleasant sensations in the hypochondrium can be caused by problems with various organs and systems. To understand which doctor to contact in a particular case, you need to correctly determine what caused the pain. Common causes of discomfort include:

diseases of the gastrointestinal tract;
enlargement of the spleen caused by immune disorders or infections;
injury to the spleen or liver;
osteochondrosis;
diseases of the respiratory system;
intercostal neuralgia;
hematomas, etc.

To reduce the number of options, you need to try to conduct a self-diagnosis. Its goal is to determine the nature of the pain and the place of its localization as accurately as possible. Pay attention to the following points:

Where exactly is the pain concentrated?
where does it spread and in what ways;
how much the space under the ribs hurts;
what is the nature of the unpleasant sensations: dull, pulling, paroxysmal, shooting, etc.;
which increases discomfort: sneezing, coughing, sharp bends and turns, etc .;
what helps to reduce discomfort: taking painkillers, a certain position of the body, cold or heat;
if the hypochondrium does not hurt all the time, try to find out what the periodicity of the appearance of discomfort is connected with: the time of day, food intake, physical work, etc.

Other symptoms that are not directly related to back pain are also important: nausea, fever, chills, weakness, etc.

There are several diseases that most often cause discomfort in this area:

Liver

One of the most common causes of pain under the rib on the right is liver disease.

If it hurts in the side from the back, many factors of this manifestation should be considered. In the case when staying in a draft, hypothermia and muscle overstrain, as well as injuries are excluded, the cause must be sought in diseases of organs that are close to the focus of the manifestation of the pain syndrome.

Discomfort in the lumbar region

The causative agents of pain in the lower back are:

Pain on the left under the ribs is caused by various reasons, therefore, before making a diagnosis, it is necessary to clarify its characteristics, for which answer a number of clarifying questions.

Localization. Left front, back, side, on both sides, in the abdomen, shoulder blades.
The nature of sensations. The pain is severe or bearable. Sharp, shooting, dull, sharp, stabbing, aching. Spasms, burning, seething.
Circumstances . After exercise, eating. When turning, exhaling, inhaling, moving, shaking, coughing, sneezing.
A patient . Man, woman, child, pregnant woman, baby.
Additional and Specific symptoms.

Pain in the left side is a sign of heart disease. It is usually determined by the localization of pain spasms, if it is behind on the left.

A symptom of such pain appears with such deviations as:

angina;
pericarditis;
myocardial infarction.

After clarifying the complaints and clarifying the history of the development of the disease, the doctor examines the patient and prescribes additional methods of examination. It is modern techniques that make it possible to conduct differential diagnosis and clarify the diagnosis.

Basic examinations are general blood and urine tests. In addition, they examine biochemical blood tests that reflect the functioning of certain internal organs.

In almost all cases, an X-ray examination of the chest organs is prescribed. Ultrasound examination of internal organs reveals inflammatory areas of the parenchyma.

More expensive, but at the same time informative, are diagnostic methods such as computed tomography (CT) and magnetic resonance imaging (MRI).

From the point of view of the anatomy of the body, the manifestation of pain under the left shoulder blade on the left side is due to several main groups of causative factors.

Musculoskeletal pathologies. Cardiological diseases. Disorders in the bronchopulmonary system. Functional changes in the gastrointestinal tract and spleen. Pathological processes in the scapular bone itself.

Let's look at the points.

Musculoskeletal disorders

The reasons lie either in the scapula itself or in the ongoing internal disease.

Pain under the left shoulder blade when:

Quite often, a person complains about the presence of pain that is localized under the scapula on the back left, this indicates problems in the functioning of some organs located near this bone. The cause of discomfort is:

Quite often, pain in the left shoulder blade is provoked by psychological stress, as well as pathologies of a psychosomatic nature. The fact is that the body is not able to cope with some emotional upheavals on its own. Therefore, he gives a signal that he needs outside help.

Read more about common causes, symptoms and possible diseases in the Health program:

In addition to pain localized in the chest area, as well as behind the scapula, the following symptoms are additionally noted: lack of air, fever, cramps in the throat.

If the patient is hard on his condition, and is also nervous, anxious, then it worsens. If the cause of discomfort is indeed a psychosomatic reaction of the body, then it is better for a person to contact a psychologist, psychiatrist or psychotherapist.

Also, pain under the left shoulder blade can be caused not by a simple ulcer, but by a psychological one.

Constant stress lowers blood pressure, physical activity also worsens. Most often, this reason is the main one for people who work in the office.

Metabolic disorders or lack of certain elements and vitamins can also provoke discomfort. Usually, they go away with the replenishment of the missing substances in the body. Consider the common causes of pain under the scapula on the left side.

Osteochondrosis and pain

The most common pain is caused by disorders of the joints and muscles of the back, but other, more serious disorders can often contribute to this, especially if the pain in the lower back causes a high temperature.

The main causes leading to the implementation of the pathogenesis of the development of pain in the right side of the back can be divided into several groups. These include:

Damage to the structures of the musculoskeletal system.
Pathological processes in the internal organs, localized in the chest and retroperitoneal space on the right.
Traumatic damage to soft tissues and bone structures of a given localization.

Such a division into etiological groups of the causes of the development of pain in the back area on the right makes it possible to conduct a faster and more reliable diagnosis.

A frequent pathological process that is observed in modern people is back pain above the waist. The condition is also expressed in various ailments of the internal organs and the skeleton.

A certain disorder is diagnosed depending on where this process develops.

On the right side

Often, pain in patients is observed on the right side. There are several reasons for the development of the condition. The problem in this place appears when the intervertebral discs are displaced.

In this case, a right-sided intervertebral hernia is observed. The prerequisite for the appearance of this disease is myositis, which is inflammation of the skeletal muscles.

Stop enduring this joint pain! Write down the recipe.

In the presence of ailments that are characterized by fluid retention in the body, the pain is acute or chronic.

If patients experience acute pain, they explain this by the negative effects of drafts. At the same time, the person does not even suspect the duration of the anomalous process.

In order for it to manifest itself, the influence of a provoking factor is necessary. If a person is in the cold for a long time, then his blood vessels constrict.

In some cases, patients complain of the appearance of sensations of a pulling and aching nature. The condition is diagnosed with heart and kidney ailments. The back also hurts above the waist with various problems with the gastrointestinal tract.

Unpleasant sensations on the right side are associated with professional activities in which a person gives in to frequent physical exertion.

In this case, the pain in the back on the right above the waist, the causes of which are of a physical nature, disappears within a few weeks when taking appropriate medications.

Often chronic pain syndrome manifests itself on the right side. This can be explained by the fact that it is more likely to be stressed when lifting a variety of weights and performing other work.

READ ALSO: Causes and treatment of ankle pain

The disorder appears as a result of osteochondrosis. With the development of an inflammatory process in the muscles, patients also say that their back hurts on the right above the waist.

In frequent cases, pathology is diagnosed with radiculitis. An abnormal condition is observed if there is a swelling of the joint.

which develops as a result of tuberculosis.

In this department, the problem appears for various reasons. They are associated not only with diseases of the spine, but also with internal organs. That is why it is necessary in this case to seek medical help in a timely manner.

From the left side

When unpleasant sensations appear, it is possible to diagnose the course of a certain process. If a person has a backache on the left above the lower back, then it will be impossible to eliminate this unpleasant symptom by taking painkillers or traditional medicine.

For treatment, complex drug treatment or surgery is used. My patients use a proven remedy. thanks to which you can get rid of pain in 2 weeks without much effort.

Back pain on the left above the waist is felt as a result of ailments of the musculoskeletal system. This pathological condition is observed when:

Causes of back pain on the right above the lower back Most people often experience a feeling of back pain. This condition is generally not dangerous and goes away without treatment, but it happens that only the identification of concomitant pathology will help get rid of the pain.

Therefore, you should figure out what are the causes that provoke pain in the back above the lower back on the right.

Sometimes the manifestation of pain can be the result of inflammatory processes or even damage to internal organs. Therefore, it is very important to find the root cause that caused back pain and try to get rid of it.

How does the pain syndrome manifest itself?

There are many conditions that cause back pain. First of all, the following factors should be excluded:

Hypothermia of the body.
drafts.

Excessive muscle tension.
Traumatic injuries of the back.

If none of these conditions were present, then chronic diseases of the organs and systems of the body in which this symptom is observed should be considered.

Malfunctions of the cardiovascular system

Often, back pain is manifested by malfunctions in the work of the cardiovascular system.

Myocardial infarction is characterized by pain under the left shoulder blade from the back, gives to the neck and left arm. A person feels sudden weakness, difficulty breathing, nausea. Doctors should be called immediately to avoid unpleasant consequences.
Signs of angina pectoris are similar to those in the previous case. The pains differ in attacks, are localized in the middle and on the left side of the chest, are felt in the back under the left shoulder blade.

Signs of angina pectoris

Shooting pain on the left is characteristic of mitral valve prolapse. A person has shortness of breath, it is difficult for him to breathe, the rhythm of the heart is lost.
Aortic aneurysm will manifest itself as a burning, throbbing, unrelenting pain in the chest in the form of shootings, which are also felt in the back and left arm.

Respiratory problems

The left side of the back can hurt with diseases of the respiratory system. They are characterized by an exacerbation of pain on inspiration, a decrease in its intensity on expiration.

For example, if a person is diagnosed with inflammation of the pleura, then during breathing he experiences pain in the chest, which is also felt in the back from below (on the left - if the lesion is left-sided, and on the right - with right-sided pleurisy).

Pneumothorax is diagnosed if the left side of the back hurts, as well as the shoulder blade. Inflammation of the lungs is also characterized by intense or minor pain reactions not only in the chest, but also in the right or left side from the back.

In addition, the patient develops a cough, the temperature rises, wheezing is heard in the lungs.

With bronchitis, pain, most often, will be tolerable, it is accompanied by paroxysmal intense coughing, spasms in the bronchi, and shortness of breath.

Bronchitis is a diffuse inflammatory disease of the bronchi, affecting the mucous membrane or the entire thickness of the bronchial wall.

Back pain on the left side is a symptom of tuberculosis. But it manifests itself and often intensifies during a cough. A chest x-ray will help diagnose the disease.

The back in the left side can also hurt in the case of malignant neoplasms in the bronchi and lungs. But these pains appear in the later stages of the disease, so at the initial stage it will not work to diagnose the problem.

Acute pain in the back on the left side, accompanied by a change in the rhythm of the heart or breathing, requires urgent medical attention.

Gastrointestinal tract

In some situations, pain in the back from the side is caused by diseases of the gastrointestinal tract.

To determine why the back hurts at the bottom left, doctors will recommend a comprehensive examination, which will include the following manipulations:

You notice that the treatment hurts in the morning. Sometimes the pain in the pain of the part of the back bothers the x-ray time. And sometimes she makes unbearable recommendations, does not give rest and hand. To decide what the back is, you need to determine why the left left side is from the back.

No means pain from the left just back?

When this part of the back hurts, it is which testify both to the problems of the moment of the back and to diseases of the organs:

huge respiratory pathologies (pneumonia, pleurisy, pneumothorax, withdraw bronchi or lungs);
number of cardiac system (infarction drugs, aortic aneurysm, pericarditis, electrocardiogram);
pathologies of the urinary system (modern colic, renal thrombosis, retroperitoneal hematoma);
pathologies unpleasant brain and nervous system.

Time to determine for what reason, however, the left side from the back?

The surest way is always to go through the developed ones. Diagnostic methods can be the following:

ultrasonic research by the enterprises of bodies;
magnetic resonance therapy;
pharmacological blood and urine tests.

After all, the diagnosis of pathology has a sensation of the nature and intensity of pain, to solve its dislocation. When data on the left side hurts, analgesics should focus on the following characteristics of certain sensations:

1) Long time

only

back left under

problem

- evidence of kidney damage

drugs

The pain syndrome is accompanied

liquidate

signs:

The cause of lower back pain can be both inflammatory processes and diseases of the internal organs. So, pathological processes in the kidneys provoke pains of a dull type, which are permanent and pulling in nature.

With urolithiasis at the time of movement of stone formations, the pain becomes cutting, acute, there is a violation of the outflow of urine.

When diagnosing, you can notice an increase in the organ (kidney).

Types of pain under the shoulder blade

By type of pain are sharp, dull, constant, aching, cutting:

Acute, burning pain contributes to osteochondrosis, cardiac ischemia, pancreatitis, exacerbation of ulcers, neuralgia, increased physical activity;
Paroxysmal with pre-infarction syndrome, stomach ulcer;
Dull with pleurisy, scoliosis, initial osteochondrosis, pneumonia;
Constant, aggravated by inhalation, weight lifting: tuberculosis, pleurisy, bilateral pneumonia of the lungs, oncological diseases;
Cutting with heart disease, neuralgia, pathology in the lungs.

The intensity of the pain may vary depending on the position of the body, when stretching the left arm to the side or lifting it up.

It can be pulling with recoil down to the lower back or against the background of vomiting, appear sharply and briefly. In diseases of the cardiovascular system, it radiates to the region of the heart, aggravated by coughing, deep breathing.

Read about bursting pain in the right hypochondrium here.

Unpleasant feelings are different. It all depends on the disease that caused them, as well as the degree of complexity of the pathological condition. There are the following types of discomfort:

Girdle. This is a constant discomfort that spreads only in one area. The patient is not able to breathe normally, and coughing or the slightest movement only increases the intensity of sensations. This syndrome is caused by the fact that a nerve impulse passes between the ribs.
Burning. At the same time, some parts of the skin begin to go numb. He also feels an unpleasant tingling all over his body.

Growing. This type of pain travels down the arm. Provokes such symptoms of increased muscle tone.
Spicy. Here the pain is very intense. The patient is unable to lie on his left side, it is difficult for him to breathe. It becomes difficult for a person to move, so there is a reason to see a doctor.
Cutting. If at first the localization of discomfort is observed on the left rear, then later it moves closer to the center of the back.
Dull, aching. Whining under the shoulder blade will be when the patient raises his hand up.

Possible diseases and their symptoms

Pain on the right under the ribs, pain under the left rib is just one of the manifestations of any disease. For some minimal assistance to the doctor in making a diagnosis and self-awareness, it is necessary to know other characteristic symptoms of the most dangerous diseases.

Cancer of the stomach or pancreas

Pain in the hypochondrium at the back with oncological diseases is characterized by a very pronounced severity. They do not depend on the position of the human body or diet. There may be jaundice. In patients, body weight decreases, appetite disappears.

Diseases of the spleen

In addition to such a manifestation as pain under the ribs on the left, a person often has a fever, he has a fever. There are bouts of nausea and even vomiting.

When a person makes any movements, the pain syndrome worsens. In diseases of the spleen, dermatological diseases often appear that cause itching.

pancreatitis

Severe pathology of the digestive system, in which there is pain under the right rib, sometimes under the left rib. Pain is accompanied by very frequent nausea, poor appetite, weight loss.

Diarrhea is another sign of pancreatitis. Food is not digested completely and pieces of it are sometimes visible in the toilet bowl.

Why does the back hurt above the waist on the sides? All negative factors affecting the appearance of pain can be divided into two categories: those associated with diseases of the spinal column and diseases of internal organs.

Each specific pathology requires specific treatment, so do not delay the trip to the doctor by self-medicating.

Diseases associated with the spinal column

Most pathologies have a common symptom - pain. Discomfort indicates the area of localization of the problem, the severity of the lesions.

Diagnostics

To help the attending physician determine the cause of the pain as quickly as possible, it is necessary to conduct a self-diagnosis. A person understands better what exactly hurts him and can follow the sensations and describe them as accurately as possible. This description includes:

Determination of areas of the body in which the pain syndrome is most pronounced;
Assessing whether the pain radiates to some part of the body or is strictly localized;
The most accurate characterization of pain parameters;
Determination of pain behavior under different circumstances (body position, nutrition, lifestyle);
Determination of home methods for reducing pain;
Determination of symptoms accompanying pain (temperature, etc.)

READ ALSO: Back pain in early pregnancy: causes and possible consequences

It is important for doctors to identify the root cause, which contributed to the appearance of severe pain under the left shoulder blade from the back. The patient will be offered a number of comprehensive examinations: urine (blood) tests, biopsies (to exclude or confirm the possible development of oncology, other infectious, heart diseases).

Pain may well cause the development of myocardial infarction, neurological disorders that require urgent intervention by experienced doctors.

There are a lot of diseases that can respond with an unpleasant feeling under the shoulder blade. Therefore, the first thing the doctor does is to collect an anamnesis of the disease.

He asks in detail about pain in order to highlight some diseases and exclude others. The first thing the doctor wants to exclude is oncological diseases.

Only then does he move on to other "suspects".

Everything is not so difficult. First, the circle of suspicions is narrowed by the nature of the disease. That is, they determine where the root of the pain lies - in damage to the nerves, the cardiovascular system, the digestive system, etc.

Then appropriate examinations are prescribed:

If it is difficult for a person to inhale, he cannot lie quietly on his back or left side, certain areas of his skin begin to go numb, then he should urgently ask for help from specialists. The doctor will prescribe a complex of diagnostic procedures to the patient, which includes:

CT or MRI.
ECG (in the presence of cardiac signs).
Radiography.

In this video you will learn about the X-ray of the scapula, look carefully:

Determination of pulse rate, as well as pressure measurement.
General, as well as biochemical blood tests.
Esophagogastroduodenoscopy.
Detailed collection of the patient's history to establish the causes of the development of pain under the left shoulder blade.

To begin with, the patient needs to get a consultation from a therapist who can already refer to other specialists: a gastroenterologist, as well as a cardiologist and a neurologist. The help of a neuropsychiatrist is often needed if the causes are psychosomatic in nature.

When a person notices that the right side hurts from the back, he is interested in which doctor to consult. The following specialists deal with similar problems: surgeons, orthopedists, nephrologists, oncologists, gastroenterologists.

But to start finding out the reason why pains appear in the right half of the lower back, you need to visit a therapist who will rule out acute pathology and refer you to a specific specialist for advice.

To whatever specialist a person with pain in the back on the right side of the lower back is referred, the doctor is obliged to conduct a complete diagnostic study. Typically, patients do the following:

No doctor, without special devices, will be able to prescribe the correct course of treatment until an examination is made. It is for this reason that at the first symptoms it is necessary to urgently consult a general practitioner.

The doctor examines the patient and directs you to the necessary diagnostics and will say that you may be sick.

Initially, the patient should undergo several diagnostic procedures that will help to more accurately establish the cause of the pain. The first person to see a person with pain is a therapist. After he has studied the main symptoms, he will refer the person to a narrower specialist:

Orthopedist.
Urologist.
Neurologist.
surgeon.

Additional diagnostic procedures that the patient will need to undergo are ultrasound diagnostics. With its help, the state of the organs inside the body and the presence of a malignant tumor in it are determined.

Also, a person must pass a general analysis of blood and urine. They help to identify the development of the inflammatory process in him.

If these diagnostic procedures did not help to accurately diagnose, then the patient is sent for an MRI, X-ray, ECG.

Local or girdle pain above the lower back is a good reason to contact an orthopedist or surgeon. Depending on the initial examination data, it is possible to be redirected to such specialists as a gastroenterologist, an infectious disease specialist, a cardiologist, a urologist, a pulmonologist, a nephrologist.

The main diagnostic methods include urine and blood tests and such studies as X-ray, CT, ECG, MRI, ultrasound.

An important point in making a diagnosis in cases where the back hurts on the right above the lower back or on the left above it is the nature of the pain syndrome. Here it is important to answer the questions whether it is acute or dull pain, short-term or long-term, whether it spreads to other parts of the body, pain in the back above the waist appears during movement or at rest.

If certain diseases are suspected, additional diagnostic methods and tests may be prescribed and carried out.

Treatment

Whatever the reasons, it is necessary to consult a specialist in order to rule out pathology and prescribe adequate treatment, since therapy for pain in the left side and lower back is prescribed depending on what caused such symptoms.

Possible doctors for examinations can be a general practitioner, a cardiologist, a traumatologist, a urologist, a pulmonologist, a gastroenterologist, a nephrologist, a surgeon and a gynecologist.

In case of diseases of the heart system and respiratory organs, an immediate visit to a doctor is required - the sooner help is provided, the higher the chances of effective treatment. In some cases, it is about saving a person's life - therefore, immediate medical intervention is required.

Pain in the left side of the back, caused by diseases of the gastrointestinal tract (gastrointestinal tract), is treated by a gastroenterologist. He may prescribe a medical method of therapy, or may resort to an operation.

Untimely access to a specialist increases the likelihood of complications.

If the cause of pain in the left side of the back in women is premenstrual syndrome, then it is recommended to take pain medication prescribed by the doctor and apply heat to the stomach. Also, to alleviate unpleasant symptoms, massage is performed - exclusively by a specialist and also after the approval of a doctor.

There is no single protocol for the treatment of left-sided subscapular pain. Treatment tactics depend on the genesis of the disease. If the pain symptom is associated with disorders of the musculoskeletal functions, without taking into account somatic damage (injury), treatment includes:

Peace. Sometimes a good rest relieves the effects of muscle strain, restores their functions and relieves pain.
Drug therapy is used in the presence of inflammatory pathologies. Non-steroidal anti-inflammatory drugs are prescribed - Movalis, Voltaren or Cerebrex.
Antidepressants for chronic pain.
Muscle spasms are relieved by muscle relaxants. The safest drug today is Mydocalm. A more effective result is achieved when it is used in combination with nonsteroidal drugs, analgesics, massage, physiotherapy and exercise therapy.
The appointment of manual therapy sessions helps to remove muscle blocks, reduce pain and improve joint mobility.
Acupuncture - restores nerve conduction, reduces pain.
Massage techniques help relieve muscle spasms, improve blood circulation and general condition.

With bronchopulmonary, cardiological and gastrointestinal pathologies, an individual treatment program is prescribed with the selection of vitamin and drug therapy - antibiotics, anti-inflammatory and painkillers.

Patients with signs of heart attack and angina pectoris are hospitalized. When diagnosing aneurysms and severe pathologies of the gastrointestinal tract, surgical treatment is used.

Prevention

Prevention of pain consists in measures for their prevention.

Directed:

on the formation of a lifestyle without bad habits;
for a balanced diet;
the ability to properly distribute rest and loads;
timely detection and treatment of infectious diseases;
maintenance of psycho-emotional balance.

The basis of prevention is regular consultative medical examinations, which will help to correct pathological disorders in time.

When prescribing a treatment course, it is first of all important to identify the first causes that led to pain syndromes. In case of detection of heart diseases: angina pectoris and myocardial infarction, a cardiologist will deal with the treatment.

He will prescribe the appropriate drugs, diet, a number of physical sparing exercises.

For each disease, there is one template for treatment. First of all, pain is removed with the help of analgesics or NSAIDs. After that, medications are prescribed to stop the disease. Plus to it - a diet and physical gymnastics.

Depending on what diagnosis will be made to the patient, appropriate treatment is prescribed. At the same time, it is important not only to stop an unpleasant symptom, but also to get rid of the underlying disease that causes pain.

So, it is necessary to treat a pathological condition after its causes are accurately determined. Simply eliminating the symptoms will not work. You need to deal with the root cause of the condition. Otherwise, the symptoms will reappear.

In each case, the treatment regimen is different. Basically, drug therapy, physiotherapy, therapeutic exercises, and massage are prescribed for treatment. If the pathology is caused by a stomach ulcer, then the person will have to follow a strict diet.

With the low effectiveness of conservative therapy, the doctor may prescribe surgery. It is vital in case of bleeding due to a complicated ulcer or after a rupture of the spleen.

In the second case, the treatment process should be as fast as possible, since the patient may die even before the operation from a large loss of blood.

Some diseases of the skeleton cannot be completely eliminated, but therapy is still needed to improve the quality of human life. Pregnancy can provoke pain.

During this period, the female body experiences a strong load, and the fetus, increasing, compresses the surrounding organs. This causes discomfort, which disappears after childbirth.

During pregnancy, it is strictly forbidden to treat such a condition on your own, as you can harm the baby.

As soon as a person feels that his right side hurts, as well as his lower back, you need to consult a doctor, undergo the prescribed diagnosis, and then treatment.

Treatment is usually prescribed therapeutic, which relieves the pain syndrome itself. Further, everything depends on the main diagnosis, i.e., the pathology that caused a similar reaction of the body is treated.

Here are some things you can do at home:

Provide peace.
Take analgesics to relieve pain.
Try to eliminate provoking factors.

After determining the cause of pain in the lower back on the right, obtaining the results of the examination and making a diagnosis, the doctor sets the course of treatment.

Therapy for musculoskeletal problems usually includes three components:

anti-inflammatory drugs (Diclofenac, Voltaren) in the form of injections or tablets;
physiotherapy - hydroextraction, Charcot shower, therapeutic massage;
physical exercises - dosed power loads, swimming.

Treatment of problems of other organs and systems depends on the specifics of the disease. Acute surgical pathologies require hospitalization and surgical intervention. They do not tolerate delay or replacement by conservative methods.

Diseases of the genitourinary system, lungs, liver are treated with antiviral agents, antibiotics and anti-inflammatory drugs for pain relief. Sometimes patients are referred to a surgical hospital.

Usually the course of treatment of back pain, in particular, on the right side behind the lower back, takes from one to two months. But in the case of a protracted course of the disease, a longer course of treatment or a series of courses may be needed.

Pain in the right hypochondrium, acute or intermittent, manifests itself in some form in about a third of the population of our planet. Very often, patients are interested in what is on the right side of a person and why it presses, pulls, aches or hurts in the area of the right hypochondrium. According to medical statistics, in about ninety percent of cases, pain is the result of pathological changes in the internal organs. So, most often these symptoms cause diseases biliary tract and gallbladder , and the second most common place is occupied by liver pathologies and the development liver edema in case of circulatory disorders.

What is under the right rib?

To determine what is under the ribs on the right side of a person, one should turn to topographic anatomy. The right hypochondrium is a part of the anterior abdominal wall, which is limited by:

Extending the lower border of this area to the back, we see that it runs along the 12th rib and the third lumbar vertebra.

You can practically determine where the right hypochondrium is located in the following way: the palm of the right hand should be placed horizontally on the ribs, making it so that the wrist is in the middle of the side, while the edge of the little finger should coincide with the edge of the ribs from below. If you leave your wrist in the same position and clasp your back with your palm, you can get a posterior projection of the right hypochondrium.

In this area, pain may occur due to damage to such organs:

gallbladder, liver;
right kidney (upper part);
large intestine (its part is the bend of the colon);
peritoneal part of the right half of the diaphragm;
adrenal.

In addition, in this area, tingling and pain can be reflected from the duodenum, pancreas, inferior vena cava, bile ducts.

Why does pain appear in the right hypochondrium in healthy people

Sometimes discomfort and pulling pain on the side, behind, as well as pain on the right under the ribs in front can be felt even by a completely healthy person. Such manifestations are associated with certain physiological conditions.

Pain during and due to physical exertion

People who are not accustomed to undergoing heavy physical exertion, after hard work or playing sports, may notice that they have severe stabbing pain in the right side under the ribs in front. The reason for such manifestations is associated with the following process: when ejecting the tone of the bile ducts decreases, their stagnant stretching occurs. Meanwhile, the liver is actively filled with blood, its capsule is stretched, and tingling occurs. There may even be sharp pain in the back from the back and in front.

Pain after eating, especially dense, manifests itself in the hypochondrium during physical exertion almost always. If it hurts in the right side under the ribs in front, you should pay attention to the fact that after eating it is especially not recommended to run and do push-ups.

In addition, it is known that it can cause dull pain in the right hypochondrium in front and spasm of the diaphragm. A person feels it when inhaling, sometimes when inhaling and exhaling. The same sensations can be manifested when coughing. But such pain is usually short-lived. Sometimes it dulls when pressed. As a rule, if breathing evens out after exercise, this symptom disappears.

However, explanations of why the ribs on the right side hurt do not always correspond to the truth. Sometimes, why aching pain appears during exercise, some sources explain the expansion of the inferior vena cava due to the influence of adrenaline and its pressure on the liver. Before determining what hurts in the right side under the rib, it should be taken into account that under the influence of adrenaline, vasoconstriction occurs, and there are no pain receptors in the liver.

pain in women

In the last days of the monthly cycle, a certain part of women may develop a sharp hormonal imbalance . As a result, a spasm of the biliary tract develops, and a sharp pain appears, radiating to the back in some cases. Therefore, the explanation of what hurts in the right hypochondrium is sometimes precisely the characteristics of the female body.

In some cases, the course premenstrual syndrome worsens when taken hormonal contraceptives . In this case, both stabbing and dull pains, as well as burning, are manifested due to a violation of the passage of bile.

During pregnancy

What hurts under the right rib in front, explain the features of the physiology of the body of the expectant mother.

At and Crohn's disease spasmodic pain develops not only in the hypochondrium, but also in all lower abdomen. There is also bloating in the abdomen. People with this diagnosis may develop bleeding, mucus and pus are determined in the stool, the condition is sometimes complicated by intestinal obstruction, bowel necrosis .

In the case of tumor development, intestinal obstruction is most often noted, there is a picture of an acute abdomen, signs of peritoneal irritation, pressure drops, pallor and cold sweat are observed.

At an attack of appendicitis pain begins to develop in the epigastrium, after which it gradually spreads to the right hypochondrium and descends to the iliac region on the right.

Manifestation of pain in the right hypochondrium behind

If the patient complains that it hurts behind the right shoulder blade, the causes of this phenomenon may be associated with injuries of the lower ribs, damage to the intercostal nerves. There are pains behind the right shoulder blade from the back and with lesions of the right kidney, adrenal gland. The causes of back pain can also be associated with diseases of the inferior vena cava.

With urolithiasis

Burning and severe pain can bother people with urolithiasis . When moving, stones or sand scratch the renal pelvis, later the ureter. Consequently, with renal colic, it hurts both in the lateral abdomen and in the lower back. Pain attacks are noted, spasms radiate to the genitals, to the thigh, and are felt in the groin. If the edge of the palm is slightly beaten on the lower back, it hurts even more, and blood may appear in the urine. Sometimes there is vomiting.

With pyelonephritis

Development acute infectious inflammation of the kidney accompanied by pain in the kidneys, intoxication, fever. It also hurts when urinating, periodic false urges are noted, swelling appears on the face.

With apostematous pyelonephritis, purulent inflammation develops in the kidneys. Long-term pulling pain is disturbing, the temperature increases, the amount of urine excreted per day decreases.

With necrosis of the renal papillae

This phenomenon becomes a consequence of oxygen starvation of the kidney tissue if the vessels become clogged. Constant pain is accompanied by the appearance of blood in the urine. There is a possibility of death from septic shock.

With acute upper paranephritis

The inflammatory process of fatty tissue in the region of the upper part of the kidney manifests itself as a result of infection from carious teeth, tonsils, etc. First, the patient has a fever, there is moderate pain in the lower back. A few days later, it already hurts in the right hypochondrium, the pain intensifies with a deep breath, the condition and physical efforts worsen - pain is noted when moving, walking, sharply straightening the body.

For kidney cancer

This condition may not appear for a long time. Slight pain and bleeding appear already in the last stages of the disease. Sometimes the tumor interferes with the outflow of urine, then there is acute pain.

Soreness in the hypochondrium is also manifested with tumors of the right adrenal gland provided that the tumor is large.

With intercostal neuralgia

The reason that a person pulls the right side, becomes numb in the hypochondrium, may be intercostal neuralgia . In this state, sometimes it pulls from the back, the ribs hurt on both sides in front. With neuralgia, it tingles strongly in different areas, up to restriction of mobility. The pain gets worse when bending or turning. Also, the reason that suddenly stabbed in the stomach or twitches on both sides may be when a person has inflamed muscles.

For bruised ribs

Severe aching pains, aggravated by coughing, pressing, bending over, sighing, are manifested by bruises of the posterior segments of the ribs. At rib fractures a characteristic crunch is felt.

With osteochondrosis of the lumbar

If there is muscle stiffness, limited mobility, signs of tension, the right shoulder hurts, in the arm, then the causes of this condition may be associated with lumbar . Pain sensations can have different intensity, have both aching and shooting character, appear from above and below.

With shingles

In this case, there are herpetic eruptions along the nerve in the form of bubbles with a cloudy liquid, the skin turns red. Itching, burning, pain develops at the site of the lesion. This means that you need to see a dermatologist.

With thrombosis of the vena cava

If a thrombus comes from the iliac veins, after which it clogs the trunk of the vein, it hurts in the lower back on the right side of the back. The clinic is similar to a kidney tumor in the late stage. If it happens thrombosis of the hepatic segment , bursting intense pain occurs in front in the right hypochondrium and gives under the scapula on the right. Jaundice also develops, fluid accumulates in the abdominal cavity.

Acute pain

The sensation of acute pain in the right lobe of the hypochondrium is associated with the development of acute surgical conditions - the so-called "acute abdomen". In particular, strong cramps are noted in such diseases and conditions:

damaged internal organs (injury to the kidney, colon, kidney, damage to the gallbladder, hematoma of the kidney, liver);
bowel perforation, diverticulum rupture ;
acute inflammatory processes of the gallbladder, acute pancreatitis ;
initial stage appendicitis ;
blockage of the bile ducts , bowel obstruction ;
thrombosis of veins and arteries through which the internal organs are nourished.

In such conditions, very intense pain develops, which leads to the development of a painful shock, loss of consciousness, a decrease in pressure, and a disruption in the functioning of internal organs.

With an acute abdomen, the muscles of the peritoneum are tense, sometimes the pain is girdle, sometimes it is pinpoint, but very often unbearable.

Sharp, compressive pain sensations also appear with abdominal form of myocardial infarction , renal colic , sometimes with nonspecific ulcerative colitis , rib fractures .

dull pains

Dull pains very often indicate the development of the inflammatory process. They appear in such pathologies:

Heaviness in the right side

Heaviness in the right side and lower abdomen, as well as in the upper abdomen develops with various diseases. Often, heaviness in the right side under the ribs in front develops with an edematous liver. In addition, the causes of heaviness in the right hypochondrium may be associated with the development hepatitis A , fatty hepatosis , chronic cholecystitis , hypomotor biliary dyskinesia .

After meal

Many people note that they have a prickle in their right side after eating, heaviness develops in the epigastrium, rumbling. Often, expectant mothers are also interested in why it pricks in the right side during pregnancy. After eating food in the body, the process of excretion and promotion of bile is accelerated, the liver is filled with blood, peristalsis is activated. Therefore, in chronic diseases of the liver, intestines, gallbladder, pain is often manifested in the lower and upper abdomen after eating. Such manifestations can have a different character: a person feels sick, belching, diarrhea appears, rumbles in the stomach.

Dull pain after eating is noted with cholecystitis , sharp - at colitis and dysbacteriosis , stabbing - at cholelithiasis and biliary dyskinesia . Often the pain becomes more intense after hard drinking, persistent smoking.

After load

Unpleasant sensations in the form of pulling or stabbing pain occur after physical exertion in people with hepatitis , cirrhosis , congestive liver . After shaking, physical exertion, an attack may occur calculous cholecystitis . Also, periodic pain during exercise appears in patients myositis , intercostal neuralgia , osteochondrosis , rib fracture , thrombosis of the vena cava .

How to act?

About what to do if the gallbladder hurts, the liver pricks and other diseases appear that provoke pain in the right side, you need to ask a specialist. In no case should you make a decision on your own about what to drink for pain in the liver, or seek advice on the forum. After all, even mild pain requires the attention of a doctor. Self-treatment with pain relievers can improve the overall picture of symptoms in both the adult and the child. As a result, the doctor will not be able to make a correct diagnosis.

Pain under right rib after exercise

Therefore, it should be remembered that it is not necessary to take medicines and folk remedies for pain in the liver before consulting a doctor. You can not give painkillers injections to relieve soreness.

The use of non-steroidal anti-inflammatory drugs, the use of a heating pad is contraindicated, as these methods can provoke bleeding inside.

Do not give painkillers to children. With colic in infants, it is recommended to breastfeed the babies - sometimes this is enough for the baby to calm down.

If a person initially stabbed in his side, but later a sharp pain appeared, you should immediately call an ambulance. After all, only a doctor can adequately assess the entire spectrum of symptoms in this case and make the right decision. It is important to immediately consult a doctor if a seal or bump appears on the right under the ribs.

In the clinic, initially with complaints about such a symptom, you should contact the therapist, who will determine which specialist the patient should go to next.

If a person often has pain, heaviness, pulsates and bursts in the hypochondrium, gives to the shoulder blade, forearm, back, then this condition should not be tolerated in any case. Both men and women should be aware that a timely visit to a doctor will help prevent serious problems.

Thanks

The site provides reference information for informational purposes only. Diagnosis and treatment of diseases should be carried out under the supervision of a specialist. All drugs have contraindications. Expert advice is required!

Pain under the ribs. What could it be?

Pain under the ribs is a very common symptom. Most often it occurs in the following pathologies:
1. Diseases of the gastrointestinal tract:

diseases of the stomach and duodenum (gastritis, ulcers, stomach cancer);
diseases of the pancreas (acute and chronic pancreatitis, pancreatic cancer);
diseases of the gallbladder (acute and chronic cholecystitis, hepatic colic, biliary dyskinesia);
liver diseases (hepatitis, cirrhosis, neoplasms).

2. Enlargement of the spleen:

hemoblastic pathologies (leukemias and lymphomas);
hemolytic anemia;
acute infectious diseases (infectious mononucleosis);
septic conditions (bacterial endocarditis, septicemia);
chronic infections (tuberculosis, malaria);
immune disorders (systemic lupus erythematosus).

3. Trauma to the liver and spleen.
4. Subdiaphragmatic abscess.
5. Retroperitoneal hematoma.
6. Myocardial infarction (gastralgic form).
7. Lung diseases (right-sided lower lobe pneumonia, dry pleurisy, lung cancer).
8. Diseases of the urinary system (acute and chronic glomerulonephritis, acute and chronic pyelonephritis, urolithiasis).
9. Osteocondritis of the spine.
10. Violations of neuro-endocrine regulation (neurocirculatory dystonia).

A thorough analysis of the pain syndrome in conjunction with the accompanying symptoms, taking into account previously diagnosed diseases and the history of the onset of pain, will help determine which doctor to contact, and will allow a preliminary diagnosis to be made with sufficient accuracy.

Sharp pain under the ribs requiring emergency medical attention

Acute pain under the ribs in front in the middle with a perforated stomach ulcer and
duodenum

An unusually sharp pain under the ribs in the front in the middle is a characteristic symptom of a perforated ulcer of the stomach and duodenum. In medicine, it is called "dagger" pain, because patients compare their sensations to an unexpected stab in the stomach. The pain syndrome is so strong that the patient is forced to take a forced position: lying down with legs brought to the stomach.

Initially, the pain is localized in the epigastrium (under the pit of the stomach), and then shifted under the right lower rib. Such migration is associated with the spread of gastric contents in the abdominal cavity. After a severe pain attack, a period of imaginary well-being begins, often leading to erroneous waiting tactics. If the patient does not receive adequate treatment, diffuse peritonitis develops, which can cause the death of the patient.

The history of the disease can help in the diagnosis. As a rule, patients have a long history of ulcers, and the perforation of the ulcer is preceded by a period of exacerbation of the disease. The exception is the so-called acute ulcers, which sometimes occur in the postoperative period after serious surgical interventions, with polytrauma, septic conditions, etc.

First aid for perforation of a stomach or duodenal ulcer consists in emergency transportation to the surgical department of the hospital.

Sharp girdle pain under the ribs in acute pancreatitis

The first and main symptom of acute pancreatitis is a sharp girdle pain under the ribs, which, as a rule, occurs suddenly, quickly covers the entire upper half of the abdomen and radiates to the back under both shoulder blades. Another characteristic feature is that the intensity of pain does not change when coughing, inhaling, straining, changing body position.

The second characteristic sign of acute pancreatitis will help in the diagnosis - nausea and repeated vomiting, which occurs both spontaneously and when trying to eat or drink a few sips of water. Pain after vomiting does not decrease, and sometimes even intensifies.

The pancreas contains many enzymes, which, when it is inflamed, enter the bloodstream and cause severe intoxication, manifested by characteristic symptoms: cyanosis (cyanosis) of the face, trunk and extremities, marbling of the skin of the abdomen, petechial hemorrhages on the lateral surfaces of the body and in the navel area. In extremely severe cases, collapse develops (a sharp drop in blood pressure), often leading to the death of the patient.

When making a diagnosis, it should be taken into account that, as a rule, acute pancreatitis develops after a heavy intake of alcohol in combination with fatty sweet foods (doctors often call the pathology a "holiday" or "New Year's" disease).

If acute pancreatitis is suspected, emergency hospitalization in the intensive care unit is necessary, since delay is fraught with the death of the patient.

Severe pain under the lower right rib in front with acute cholecystitis and hepatic
colic

Acute pain under the lower right rib in front is the leading symptom of acute cholecystitis. The pain radiates to the back and up under the right shoulder blade, to the right supraclavicular region, and even to the neck. The pain syndrome, as a rule, is so intense that patients constantly rush about, trying to find a position that reduces pain.

The clinical picture is complemented by severe fever, nausea and repeated vomiting, which does not bring relief. Often there is jaundice of the skin and sclera (eyeball proteins).

Acute cholecystitis - inflammation of the gallbladder, should be distinguished from an attack of hepatic colic that occurs when a gallstone moves along the duct.

Hepatic colic is also characterized by acute pain under the right rib with the same irradiation, but repeated vomiting and fever are usually not observed. An attack of hepatic colic lasts several hours, and goes away on its own. The pain syndrome is relieved by antispasmodics, while in acute cholecystitis they are ineffective.

If acute cholecystitis is suspected, emergency hospitalization in the surgical department is indicated.

Sharp pain when inhaling under the ribs in front in the middle with a subdiaphragmatic abscess

Sharp pain when inhaling under the ribs in front under the left or right rib may be caused by a subdiaphragmatic abscess.

In such cases, the pain is quite intense, aggravated by coughing, sneezing, deep breathing, sudden movements, and makes the patient take a forced position (half-sitting in bed or lying on his sore side). The pain radiates under the scapula and into the supraclavicular region of the corresponding side.

Pain in a subdiaphragmatic abscess, as a rule, is accompanied by severe fever and severe symptoms of general intoxication of the body.

Significant assistance in the diagnosis of pathology will be provided by the fact that the most common cause of a subdiaphragmatic abscess is surgical intervention. Another common cause of pathology is trauma to the abdominal organs. Less commonly, a subdiaphragmatic abscess occurs as a complication of purulent processes in the liver and as a result of local peritonitis (acute cholecystitis, appendicitis, etc.).

Pain in the side under the ribs with severe injuries of the liver and spleen

Pain under the ribs is the leading symptom of severe injuries of the liver and spleen, requiring emergency surgical intervention. Such injuries (ruptures and crush injuries) are typical for strong mechanical impacts (railway and car accidents, falls from a height, the collapse of weights on the body).

Contribute to the rupture of the liver and spleen, some serious diseases that lead to disruption of the structure of the body (enlargement of the spleen in leukemia, cirrhosis of the liver, etc.). In such cases, a rupture can occur even with a slight force of the traumatic factor.

A characteristic difference in the pain syndrome in severe damage to the liver and spleen is the symptom of "roll-up": the victim cannot be in a horizontal position, since the pain in this case increases many times over. This feature is due to the ingress of blood under the dome of the diaphragm, and irritation of the nerve endings located there.

In addition to pain under the ribs on the corresponding side (with rupture or crushing of the liver - on the right, with damage to the spleen - on the left), the clinical picture is supplemented by symptoms of acute blood loss (pallor of the skin and visible mucous membranes, rapid pulse with reduced blood pressure, dizziness and weakness).

Separately, it is necessary to highlight the so-called two-stage ruptures of the liver and spleen. They occur in those cases when, during an injury, the parenchyma of the organ is torn, and the capsule remains intact.

The blood poured out from the affected area accumulates under the capsule and gradually stretches it. Then, as a rule, with a minor injury (a slight push, a careless turn in bed) or a slight physical effort (sometimes even when coughing or sneezing), the capsule ruptures, and the collected blood is poured into the abdominal cavity, causing symptoms of peritonitis. Bleeding from the damaged organ after the rupture of the capsule increases, so that a sharp drop in blood pressure and death of the victim is possible.

The difficulty in diagnosing two-stage ruptures of the liver and spleen is that immediately after the injury, the victims feel relatively well, do not go to the doctors, and sometimes even do physical work, which is extremely dangerous in their position.

Pain under the ribs with two-stage ruptures of the liver and spleen increases gradually, sometimes there are mild signs of blood loss (shortness of breath with little physical exertion, weakness, dizziness).

At the slightest suspicion of damage to the liver and spleen, you should contact the surgical hospital for an additional examination, since the sooner the operation is performed to suture the torn organ, the better the prognosis.

Pain in the abdomen under the ribs in front with gastralgic form of myocardial infarction

Pain in the abdomen under the ribs in front occurs with the so-called gastralgic form of myocardial infarction. Such a clinical variant of the course of a heart attack is observed in 2-3% of cases, and indicates damage to the lower or lower posterior part of the left ventricle.

Patients complain of pain and a feeling of support under the heart. The pain syndrome is often quite intense, the pain causes increased sweating and is accompanied by a fear of death, so that patients behave very restlessly.

Diagnosis of heart disease is complicated by the presence of symptoms such as nausea, vomiting, painful hiccups, frequent stools. Because of this, patients are often misdiagnosed and prescribed inappropriate treatment.

Help in the diagnosis will be the presence of symptoms such as expiratory dyspnea (difficulty in exhaling), which increases with the movements of the patient, and central cardiac cyanosis (a puffy, yellowish-pale face with a bluish tinge, purple-blue lips).

The pain may radiate downward and cause protective tension in the abdominal muscles. Therefore, with this pathology, patients are often diagnosed with acute appendicitis, and life-threatening surgical treatment is prescribed.

However, in contrast to the "acute abdomen", the pain in right-sided pneumonia does not have a clear localization, and the patient cannot name the exact time of the onset of the pain syndrome.

Other symptoms of pneumonia can be of great help in the diagnosis. Often the pain is preceded by one or more bouts of fever, which is not typical for abdominal catastrophes. Like all febrile diseases, pneumonia is accompanied by constipation, while diarrhea is more characteristic of pathologies that cause an "acute abdomen" picture. Often, with pneumonia, a very characteristic symptom is observed - flushing of the cheek or herpetic eruptions on the side of the lesion.

In addition, with abdominal catastrophes, the patient takes a forced position in bed, and with pneumonia, he can move, but often his movements increase shortness of breath. Shortness of breath and a pale bluish color of the nasolabial triangle is also a common sign of pneumonia and can be helpful in diagnosis.

And finally, for a preliminary diagnosis, a thorough history taking is necessary - pneumonia often complicates SARS.

If right-sided pneumonia is suspected, emergency hospitalization, additional examination and treatment in a hospital (therapeutic department) are necessary.

Pain under the ribs in chronic diseases

Dull aching or sharp pain under the ribs in front in the middle with chronic
diseases of the stomach and duodenum

The most common causes of dull or sharp pain under the ribs in the front in the middle are the following chronic diseases of the stomach and duodenum:

gastritis type A (gastritis with high or normal acidity);
stomach or duodenal ulcer;
gastritis type B (gastritis with reduced acidity);
stomach cancer.

Treatment of gastritis is carried out by a gastroenterologist, with peptic ulcer, surgical treatment is sometimes required, and if gastric cancer is suspected, they turn to an oncologist.

Pain under the ribs in the front in the middle with gastritis with high or normal acidity
For gastritis with increased or normal acidity, the onset of pain on an empty stomach is characteristic, caused by irritation of the mucous membrane with gastric juice. One and a half to three hours after eating, the pain may increase due to a mechanical effect on the inflamed mucosa, so gastritis patients are advised to take mucous soups and other dishes that have a softening and enveloping effect.

In addition to pain under the ribs in the front in the middle, gastritis with high acidity is characterized by such a symptom as excruciating heartburn. On the part of the intestines, there is instability of the stool with a tendency to constipation.

Sharp pain under the ribs in front in the middle and under the left rib with peptic ulcer of the stomach and duodenum
With a stomach ulcer and duodenal ulcer, a special cyclical pain is characteristic. Pain often occurs at night, while exacerbations of the disease are most often observed in spring and autumn. They can radiate under the left rib, in the back and lower back.

Often, to alleviate the pain syndrome, patients take a forced position: they squat, clasping their stomachs with their hands, press their stomachs against the edge of the table, or lie on their stomachs.

Just like with gastritis with high acidity, pain occurs on an empty stomach (especially for duodenal ulcers, “hunger pains” are characteristic) and 1.5-3 hours after eating. By the time interval between eating and the onset of pain, one can judge the location of the ulcer (the closer to the entrance to the stomach, the shorter this interval).

Provoke pain physical and nervous strain. Removes - taking antacids (often patients use baking soda) and a heating pad.

In addition to sharp pain under the ribs in front and under the left rib, stomach and duodenal ulcers are characterized by heartburn and constipation, flatulence. With a long course of the disease, patients lose weight, they develop asthenic syndrome: weakness, irritability, and headache increase.

Aching pain under the ribs in front in the middle and on the left with gastritis with reduced acidity
For gastritis with reduced acidity, pain and a feeling of heaviness under the ribs in front in the middle or on the left, after eating, are characteristic. Vomiting in this case brings relief, therefore, in the old days, gastritis with reduced acidity was called "indigestion."

The disease proceeds with a decrease in appetite and a tendency to diarrhea. Also very characteristic is the eructation of sour, bitter or eaten food.

With a significant violation of absorption, common symptoms appear: weight loss, hyperhidrosis of the extremities, seizures around the mouth. Chronic anemia associated with vitamin B 12 deficiency may develop.

Sharp or aching pain under the ribs in front in the middle and on the left with stomach cancer
Pain under the ribs in front, in the middle and on the left with stomach cancer, as a rule, manifests itself already in the later stages of the disease, when the tumor grows into the wall of the stomach and compresses the surrounding organs and tissues. The initial period often goes unnoticed.

It is possible to suspect an oncological cause of pain in the presence of the so-called "small signs" that appear already in the early stages of the disease:

weight loss;
change in taste habits, picky attitude to food, aversion to meat;
signs of anemia and early intoxication (yellowish-pale complexion, yellowness of the sclera);
progressive weakness, general decrease in performance;
psychological changes (depression, loss of interest in the surrounding reality, alienation, apathy).

Most often, gastric cancer occurs against the background of gastritis with reduced secretion of gastric juice. Polyps and ulcers of the cardia of the stomach are very prone to malignancy, therefore, with these diseases, special vigilance is necessary.

Girdle pain under the ribs in chronic pancreatitis and pancreatic cancer

One of the leading symptoms of chronic pancreatitis is pain under the ribs in front, extending to the left and right hypochondrium. Often the pains are girdle in nature, and radiate to the back under the left and right shoulder blades. Occurs after eating, especially sweet and fatty.

A characteristic feature of the pain syndrome in chronic pancreatitis is the intensification of pain in a horizontal position lying on the back, so that patients during an attack try to sit, leaning forward.

In addition to a specific pain syndrome, chronic pancreatitis is characterized by pronounced signs of malabsorption of substances in the intestine - diarrhea, "fatty feces", sometimes meat fibers can be detected in the feces with the naked eye. As a result of insufficient intake of nutrients in severe cases, patients lose a lot of weight (sometimes up to 20 kg), vitamin deficiency and general exhaustion of the body develop.

Pain under the ribs at the back with kidney damage has two mechanisms. In acute or chronic inflammation, an increase in the size of the organ occurs, which leads to stretching of the capsule. The pain in this case is constant, but they are not very intense, and most often have the character of a feeling of heaviness in the lumbar region.

At the heart of another mechanism for the occurrence of pain is a spasm of the smooth muscle muscles of the initial sections of the urinary tract. Such pain resembles renal colic, it is acute, paroxysmal, gives down to the groin and genitals, is relieved by heat and antispasmodics.

Back pain under the ribs with osteochondrosis of the lumbar spine occurs as a result of inflammation of the roots of the spinal nerves. In such cases, the pain spreads along the fibers of the corresponding nerves down to the buttocks, and the outer surface of the thighs and legs.

Pain syndrome in osteochondrosis can also have a different character. Patients are often worried about aching pain after a morning sleep or a long stay in one position. Another type of pain is shooting. They occur with sudden movements, and cause the patient to freeze for a long time in one position.

Pain under the ribs, which makes a person bend over and forcefully press his hands to his stomach, can be of the most diverse nature, occur due to pathological or physiological conditions and be either really dangerous to health / life, or a short-term spasm.

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Possible causes of pain in the hypochondrium

According to the patient's only complaint of pain under the ribs, no specialist will make a diagnosis - too many factors can provoke this unpleasant sensation. But there is a certain classification of the considered pain syndrome. For example, most often pain appears for two reasons - pathological conditions in the organs of the gastrointestinal tract and problems in the spleen.

Pathologies of the gastrointestinal tract

Pain under the ribs can cause:

any diseases of the duodenum and stomach - for example, acute or chronic gastritis, pre-ulcerative condition, formed, malignant neoplasms;
pathologies localized in the pancreas - an inflammatory process (pancreatitis) of an acute or chronic form, cancer of the gland;
violations of the functionality of the gallbladder - the formation of stones in the pelvis of the organ, stagnation of bile, inflammation of the gallbladder () of any severity;
liver pathology - cirrhosis, hepatitis, malignant / benign neoplasms.

Spleen pathologies

You should know that pain under the ribs can appear even with a slight increase in the spleen. This process can start when:

diagnosed leukemia;
hemolytic anemia;
acute infectious diseases;
developing sepsis;
infectious pathologies of a chronic type;
disturbances in the body's immune system.

Pain under the ribs can also occur for other reasons - for example, doctors differentiate the following conditions:

osteochondrosis of the spine (pathology can affect any of the sections of the spinal column);
trauma to the spleen or liver (bumps, bruises, falls);
some diseases of the respiratory system (pleurisy, localized in the lower lobe of the right lung);
myocardial infarction, but proceeding exclusively in gastralgic form;
inflammatory and / or infectious diseases of the urinary system (, pyelonephritis in acute / chronic forms,);
abscess subphrenic location;
retroperitoneal hematoma;
diagnosed neurocirculatory dystonia.

Differentiation of pain syndrome

Since there are really many reasons that provoke the appearance of pain under the ribs, it is worthwhile to independently differentiate the syndrome before visiting a doctor. This will help the specialist quickly navigate the situation and offer targeted professional assistance, which will certainly lead to a speedy solution to the problem. Patients are advised to differentiate the pain syndrome under the ribs according to the following scheme:

Accurate localization of pain. You may experience pain under the right rib, pain under the left rib, pain under the ribs in front, or pain under the ribs in the back.
Direction of irradiation ("recoil"). note: pain under the ribs is almost never “pointy”, usually it “gives” under the left collarbone or right shoulder blade, can mimic pain in the heart and is present even in the anatomical location of the kidneys.
The level of pain intensity. Even if the pain syndrome under the ribs appeared suddenly, it can be intense or not, dull / cutting / stabbing, paroxysmal or constant - there are many options for characterizing the strength of pain, it is worth deciding more specifically.
The nature of the syndrome. We are talking about what kind of pain torments: pulling, aching, “spilled”, strictly localized, constant and dull, paroxysmal and acute.
If pain under the ribs does not occur for the first time, then it will be necessary to clarify:
- in what cases it becomes more intense - when coughing, turning the body sharply, physical exertion, fast walking, sneezing, and so on;
- what ways can you quickly relieve pain - applying a warm / cold heating pad, using medicines (analgesics or antispasmodics);
- whether the pain is associated with eating - it can appear on an empty stomach, immediately after eating or during bouts of hunger;
- at what time the pain appears - a night's sleep, morning or lunchtime.

note: pain syndrome under the ribs may be accompanied by nausea and / or vomiting, sudden dizziness, sharp blanching of the skin, increased sweating and other symptoms - they also need to be noted and remembered. It is highly desirable to remember where and how the pain under the ribs appeared in general - perhaps the day before you were very cold or took too much fatty food.

Pain under the ribs in some cases require emergency medical care - this syndrome may indicate the development of a dangerous condition for health and even life of the patient. But most often, the syndrome in question means the presence of some developing pathology, the treatment of which will need to be carried out in a hospital.

Pain under the ribs, requiring urgent hospitalization

In medicine, a number of dangerous pathological conditions are classified, which are manifested by pain under the ribs.

Perforated gastric or duodenal ulcer

This condition is accompanied by dagger pain - a very sharp and severe attack with localization in front and in the middle. The intensity of the pain is such that the patient takes a forced position - he lies on his side, his legs are bent at the knees and pulled up to his stomach. It is characteristic that when a gastric / duodenal ulcer is perforated, the pain syndrome first occurs “under the pit of the stomach”, and then actively shifts to the right hypochondrium. This is due to the movement of gastric contents through the abdominal cavity.

note: after the pain syndrome moves to the right area under the ribs, the attack ends - the phase of imaginary well-being begins, which, in the absence of professional help, always leads to the development of peritonitis.

It is easy to differentiate the perforation of a gastric / duodenal ulcer - usually the patient has a history of long-term gastritis, a pre-ulcerative condition, and the ulcer itself.
In more detail about the symptoms of an ulcer, see this video review:

Acute pancreatitis

A sudden attack of acute girdle pain that covers the upper abdomen and radiates under the shoulder blades is always associated with acute pancreatitis (inflammation of the pancreas). A characteristic feature of the pain syndrome under consideration is that its intensity is not variable and remains within its original limits when the position of the body changes, coughing or sneezing. In addition to the pain syndrome, in acute pancreatitis, nausea and vomiting will be present - the latter appears suddenly and does not allow even a sip of water to be taken.

note: an acute inflammatory process in the pancreas can cause severe intoxication of the body - enzymes produced by the body enter the bloodstream. This provokes cyanosis of the skin, the characteristic "marbling" of the abdomen and small (pinpoint) hemorrhages with localization around the navel.

It is easy to diagnose acute pancreatitis by pain syndrome - it is too pronounced. Moreover, an attack usually occurs after eating a large amount of fatty foods or alcohol.

Read more about the symptoms of acute pancreatitis in the video review:

Acute cholecystitis and hepatic colic

An attack of acute, cutting pain in the right hypochondrium with irradiation to the shoulder blade and neck can be a reason to suspect acute inflammation of the gallbladder. The patient in this case will literally rush about to find a comfortable position and reduce the intensity of pain - by the way, he will not be able to do this. The general clinical picture will also help in diagnosing:

nausea and vomiting;
yellowness of the skin and sclera;
fever.

With the pain syndrome under consideration, it is important to differentiate acute cholecystitis and hepatic colic. If the stone moves through the hepatic ducts, pain under the ribs will be present, but neither nausea, nor vomiting, nor fever is noted.

note: hepatic colic is short-lived, and the pain is relieved by antispasmodics. In acute cholecystitis, the syndrome lasts for a long time and even after taking specific drugs, relief does not occur.

Subdiaphragmatic abscess

Sudden pain, sharp and paroxysmal, with localization in front under the left and right ribs simultaneously indicates the development of an abscess in the subdiaphragmatic region. The syndrome appears only on a breath, may be accompanied by fever and standard symptoms of general intoxication of the body.

The pain in question has several characteristic features:

radiates to the supraclavicular region;
may have false localization under the scapula;
increases significantly with sudden movements - coughing, sneezing, turning the body.

Diagnosis of subdiaphragmatic abscess is simple - this condition often occurs in the postoperative periods or when diagnosing acute cholecystitis and perforated gastric / duodenal ulcers.

Liver and spleen injuries

Injury to the spleen or liver is always accompanied by pain under the ribs - this is the main symptom of this condition. Moreover, the localization of the syndrome will depend on which particular organ is damaged - the liver is on the right, and the spleen is on the left. A characteristic symptom for the rupture of these organs is a “roly-up”: the patient cannot be in the supine position, as he experiences more intense pain due to blood spilling under the diaphragm.

note: injuries of the spleen and / or liver are always accompanied by internal bleeding, so the patient will be unnecessarily pale, may lose consciousness, his blood pressure drops sharply.

A particularly dangerous condition is considered to be cases when a two-stage tear of the spleen and liver occurs: first, the parenchyma (shell) of the organ is damaged, blood accumulates in the capsule, and then, even with slight physical exertion, the capsule breaks, the blood accumulated in it spreads into the abdominal cavity - this leads to almost to the immediate death of the patient. The difficulty of this condition lies in the short-term pain syndrome under the ribs - in just a few hours it disappears and the patients continue to lead their usual way of life without seeking medical help.

Myocardial infarction of the gastralgic form

Usually, myocardial infarction is diagnosed quite easily - the patient complains of shortness of breath and pressing pain under the heart. But in the case of the gastralgic form of this pathological condition, there will be several other symptoms:

pain in the left hypochondrium;
nausea and uncontrollable vomiting;
persistent hiccups;
stool disorders.

Two characteristic features will help to differentiate gastralgic myocardial infarction from diseases of the gastrointestinal tract:

shortness of breath on inspiration;
blueness and puffiness of the face.

note: after the introduction of drugs with analgesic action, the patient's condition normalizes to the classic symptoms of myocardial infarction.

Doctors distinguish pain under the ribs and from the back - it occurs with renal colic (stone movement) and retroperitoneal hematoma. These two conditions are characterized by a strict localization of the pain syndrome and the absence of irradiation. In this case, the patient will complain of general weakness, increased sweating, lack of appetite.

All of the above pathological conditions require immediate hospitalization of the patient and the provision of professional medical care. Otherwise, the risk of death increases to 99%.

Pain under the ribs in chronic diseases

Chronic diseases can be manifested by periodic bouts of pain under the ribs. Usually they do not pose any danger to the health and life of the patient, but indicate that some pathological processes are occurring in the diseased organ.

For example, in chronic gastritis, there will be mild pain in the left hypochondrium, which is directly related to food intake. This means that the time has come for a seasonal exacerbation of the chronic inflammatory process and the next course of therapeutic / maintenance therapy is required. And for chronic pancreatitis (inflammation of the pancreas), not only periodic pain under the ribs is characteristic, but also an increase in the syndrome in the supine position.

note: knowing about previously diagnosed chronic diseases, you can control pain under the ribs and quickly relieve it with various drugs.

Pain under the ribs with neurocirculatory dystonia

Neurocirculatory dystonia is a disease that gives the most unpredictable in terms of its localization, irradiation and intensity of pain in the hypochondrium. There are two main signs by which the doctor can differentiate the pain syndrome in question, as a result of neurocirculatory dystonia:

indefinite characteristic of pain: the patient literally cannot describe his feelings, because the syndrome can be constant and paroxysmal, sharp and gradually increasing, sharp and dull;
the absence of additional symptoms that appear precisely at the time of the pain attack.

Treatment

It is strictly forbidden to take any painkillers on your own if the pain under the ribs is sudden, acute, and before there was no diagnosis of any of the above diseases!

With the usual pain in the hypochondrium, you can take any antispasmodics - No-shpa, Baralgin, Spazmalgon: usually after the first dose, the intensity of the pain syndrome begins to subside and the condition returns to normal. But this does not mean that this syndrome can be ignored - doctors should conduct an examination and identify the cause of the exacerbation of chronic pathology, prescribe a course of therapy.
Combining traditional medicine recipes to reduce pain under the ribs with drugs is possible only after an accurate diagnosis has been made and recommendations / permissions have been received from the attending physician.

Pain under the ribs may indicate a dangerous condition for the patient, so it is better to immediately seek help from doctors - emergency surgery will save a life and make the prognosis of even a complex pathology favorable.

You will get more information about the possible causes of pain in the hypochondrium by watching this video:

Tsygankova Yana Alexandrovna, medical observer, therapist of the highest qualification category.