Back pain radiating to the ribs are some of the most common symptoms of a wide variety of diseases. Possible difficulties in the diagnosis are aggravated by frequent proliferation of pain of hypochondrium in the back, and vice versa.
A similar phenomenon irradiation the pain caused by the close anatomical and functional communications of the organs of the upper tier of the abdominal cavity and the lower part of the chest.
The distribution of pain in other parts of the body (mutual pain), explains the concept dermatological, represents a segment of the skin, which is innervated by a spinae of the back.
Causes of the occurrence of
The cause of back pain with the irradiacin in hypochondrium and on the contrary can be pathological processes on the part of the following systems and organs:
Pathology of the left under the ribs
The disease of the spleen
The most common of the diseases of the spleen, characterized by pain in the back, which gives in the hypochondrium front, we will list below.
Infarction of the spleen: occurs when a violation of the vascularization of the authority as a result of the obstruction of the lumen of the splenic artery, from its branches by a blood clot or embolus. The causes of infarction of spleen with more frequency, are: the system of arteriosclerosis, heart rhythm disorders, malignant tumors, hematologic and autoimmune diseases, injuries, cirrhosis of the liver and other
The clinical manifestations vary depending on the calibre of the affected vessel. In general, the patient presented with a complaint of a sharp pain in the left side of the back with the irradiacin in the middle of the abdomen, in the chest.
Also the patient can disturb weakness, fever, chills, nausea, vomiting. From time to time in the event of closure of segmentarnoy artery complaints are non-existent.
Benign or malignant tumors. May continues to be asymptomatic.
Important! The pain whining, stupid of the nature in the back or in the left half of the abdomen joins after germination tumor of the capsule that covers the spleen. The patient may be upset about the lack of appetite, the asymmetry of the abdomen, loss of body mass, etc
The abscess of the spleen. Develops as a result of the infection of the tissue of the spleen and of the lymph or of the blood vessels. It is characterized by the awkward pain in the left hypochondrium with the irradiacin in the back or shoulder girdle (can increase with the movement), fever with chills.
Cyst of the spleen: parasitic (echinococcosis, alveococcosis) and nonparasitica. These may be congenital or acquired (as a result of an injury). When the larger sizes will manifest with pain, the weight in the left hypochondrium and protrusion of the left half of the abdomen.
Cordial
Angina. In the typical case is a pain that is localized behind the breastbone or in the left half of the chest, is a physical or emotional load, lasts from seconds to several minutes and stopped by the rest or the receipt of nitroglycerin.
Specific symptom is the irradiacin of pain just below the spatula in hand and jaw on the left side. Quite frequently the angina flowing atypical: the patient may worry about the pain in the back or the abdomen of the left with the irradiacin in the hypochondrium (neuropathy form of angina). The pain can be oppressive, adds compression programmatically, drilling, cutting, whining nature.
Myocardial infarction is a condition that may cause death of the patient.
The pain of myocardial infarction is similar with the pain of angina, but is distinguished from it as expressed by the intensity and the lack of effect of the reception of nitroglycerin.
Myocardial infarction inferior wall myocardial pain may have been in the upper part of the abdomen and in the back (abdominal form).
Other diseases of the heart. Pericarditis, cardiomyopathies, myocarditis are much less frequent and, in exceptional cases, it may also be accompanied by pain in the left half of the back with the irradiacin in the hypochondrium.
Pancreatitis
The acute or chronic pancreatitis, inflammation of the pancreas, one of the main causes are errors in diet, and alcohol abuse, gallstone disease.
The brighter, the symptom of the acute pancreatitis – severe pain in the upper abdomen or in the left hypochondrium with the irradiacin in the back and underneath of a spatula. It can be so intense, that brings the sick to a painful punishment, and stopped only narcotic pain relievers.
Also the patient upset nausea, repeated vomiting, violation of the chair, the increase of the temperature, in severe cases – hemorrhagic rash on the skin.
Attention! Chronic pancreatitis in remission, asymptomatic. To intensify the process will develop the symptoms of acute pancreatitis.
Neurological diseases
The back pain with the irradiacin in the hypochondrium is characteristic of the degenerative disc disease sternal-lumbar spine, pathology of the peripheral nervous system. The osteochondrosis pain sensation can be constant or paroxysmal.
Most often they are of a shooting, cramping, piercing nature and is enhanced by movement. Cause pain heart attack can be through the pressure on the triggers of a point at the place of departure to traumatic of the nerve root near the spine.
For neuralgia of character, strong burning pain, which increases when being pressed and the change of the position of the body.
When the nerve disease, the patient may disturb sensory disorders (crawling chills, the reduction of separate kinds of sensitivity) and the defects (difficulty in movement).
Is what causes the discomfort in the right side of
Liver failure
Liver failure is called acute or chronic, a condition in which the liver cells are not able to respond properly to keep the metabolism due to various reasons:
Most often liver failure develops as a consequence of liver cirrhosis of different origin (viral, alcohol). In this case, for the sick characterized awkward, arching the pain or discomfort in the upper right quadrant with the irradiacin in the back.
When decompensated liver failure bind edema, ascites (accumulation of fluid in the abdominal cavity), the propensity of hemophilia, the ammonia smell from the mouth, the yellowish tint of the skin, brain damage (changes in speech, confusion, lack of coordination, etc)
Cholecystitis
The inflammation of the gallbladder (cholecystitis) occurs as a result of an infection. A characteristic symptom is the pain under the right, edge which can be given in the right part of the back.
The intensity of the pain can vary in a wide range: from weak it hurt to the strong paroxysmal. Also the patient can disturb nausea, vomiting, a taste of bile in the mouth, fever, discoloration of the cleat and of the urine (in the case of violation of outflow of bile).
The cause of the exacerbation of acute cholecystitis is usually the failure of the diet.
Cancer of the head of the pancreas
60-70% of patients with cancer affects know, the head of the pancreas. The main symptoms are pain, jaundice and weight loss.
Help. The pain is located in the right upper quadrant or the epigastric and can give interscapular area or the spinal column.
Normally it takes a blunt arching or oppressive character (sometimes – sharp), and is intensified after the rape of the diet, in the supine position, in the night. When they begin to sprout in the solar plexus to the intensity of the pain increases, it is acquired by the ringworm of the nature.
Jaundice, weight loss, itchy skin, darkening of the urine and lightening of cala raises sdavleniya tumors of the biliary tract.
Gallstone disease
With increased frequency of gallstone disease sufferers middle-aged women with overweight.
A typical symptom of gallstone disease – acute pain in the rib, which appears after a heavy intake of food (fat, fried, smoked).
It can be to radiate right hand a knife and in interscapular area.
Along with the pain in the patient notes nausea, vomiting, fever, weakness.
Outside of the intensification of the pain is moderate in nature or may be missing.
Appendicitis
The inflammation of the appendix is the most frequent surgical emergency of the pathology. Typically, the pain of appendicitis is located in the lower part of the abdomen.
However, when higher location of the appendix occurs in the right upper quadrant with outreach in the right half of the back and can simulate the attack of the acute cholecystitis. The pain in this case is manifold:
As a general rule, the patient also annoys nausea, - vomiting, a moderate increase of the temperature of the body.
The causes of mutual pain on both sides of the
The osteochondrosis
It is degenerative disease of the spine, which is accompanied by a decrease in the thickness of the intervertebral disc, the excessive increase of bone and dislocation of the vertebrae.
These factors lead to pinching the spinal nerves, which is manifested by an armbar syndrome.
Important! The pain is generally undulating in nature, worse with movement, subjected to the position. Often accompanied by the sensation of numbness, tingling, or burning in the affected area.
Diseases of the stomach
Periodic of a dull pain in this case, is usually located in the epigastric, but it can give the back to both sides, or interscapular area of the involvement of the posterior wall of the stomach.
It may also occur immediately or within one hour after the intake of food (ulcer) or to disturb the patient most of the time (when the stomach cancer).
Other alarming symptoms are:
The most frequent of the diseases of the stomach, which is accompanied by pain with diffusion on the back are:- stomach ulcer;- gastritis;- stomach cancer.
Pathology of the intestine
Normally, the pain in the stomach with the irradiacin in the back is characteristic of:
The pain of the diseases of the colon or of the small intestine is linked with the intake of food.
She, as a general rule, the pain is nature and rarely reaches a high intensity.
Has can in several departments of the belly and give the part of the back.
The complexity of the diagnosis of their mutual pain
The diagnosis of pain without clear localization or spread to other parts of the body, is an important clinical task. This should be spacious and functional relations to neighboring organs.
Of fundamental importance for the differential diagnosis has the character of pain (acute, such as pain, burning), their permanence, the cause and the time of the occurrence. These features allow to suspect a specific pathology and to perform a view doobsledovanie.
The correct method for the treatment and the methods of
Mutual of pain are necessarily the reason for your query. The treatment in the case of mutual pain must be performed after establishing the final diagnosis by the laboratory-instrumental diagnostic techniques.
Note! In some cases, effective treatment can be conservative (osteochondrosis, gastritis, stomach ulcer), in others it may be necessary surgical intervention (malignant tumors, gallstone disease, appendicitis).
To what doctor to go to
Primary diagnosis and the consultation process on the causes of the pain syndrome takes care of the therapist. You can send the patient profile to a specialist for advice or treatment after establishing the definitive diagnosis.
In the pathology of the digestive system therapy is performed by a gastroenterologist, to the osteochondrosis, and neuralgia – neurologist, when the cancer oncologist. In case of need (appendicitis, cholecystitis) assistance surgeon.
Conclusion
The back pain with the diffusion in the upper quadrant (or vice versa) has a wide clinical diversity, and may meet with the extensive list of diseases of the gastrointestinal tract, cardiovascular system, nervous system. The knowledge of its nature, allows to suspect the specific pathology, to spend a quality diagnostic of find and assign the appropriate treatment.