Back pain gives the ribs are some of the most common symptoms in a wide spectrum of diseases. Possible problems in diagnosis is compounded by the frequent spread of the pain of the hypochondrium to the back and vice versa.
Similar to the phenomenon of irradiation of the pain caused by the tight anatomical and functional link with the organs of the top tier of the abdominal cavity and lower part of the chest.
The spread of pain in the interconnection parts of the body (reciprocal of the pain) explains the concept of the dermatome, which is a segment of skin that is innervated by one spinal of the spine.
The causes of the occurrence of
The cause of back pain with irradiation in the hypochondrium and on the contrary may be the pathological processes of these systems and organs:
Pathology the left side under the ribs
Diseases of the spleen
The most common diseases of the spleen, characterized by pain in the back, which gives in the hypochondrium in front, shown below.
Infarction of the spleen: there is in acute violation of blood circulation of the body due to blockage of the lumen of the splenic artery, its branches a clot or embolus. The causes of infarction of the spleen most commonly are: systemic atherosclerosis, heart rhythm disorders, malignant neoplasms, Hematology and autoimmune diseases, injuries, cirrhosis of the liver, etc.
Clinical manifestations vary depending on the caliber of the affected vessels. Usually the patient has complaints of sharp pain in left side back pain with irradiation in the corresponding half of the abdomen, chest.
Also the patient can interfere with weakness, fever, chills, nausea, vomiting. Sometimes in the case of the closure of the segmental arteries of the complaint may be absent altogether.
Benign or malignant tumors. May be asymptomatic for a long time.
Important! Pain whining, stupid character back or left half of the abdomen connects after germination of the tumor capsule that covers the spleen. The patient may worry about the lack of appetite, asymmetry of the abdomen, weight loss, etc.
Abscess of the spleen. Develops due to infection of the tissue of the spleen to lymph or blood vessels. Characterized by dull pain in the left hypochondrium with irradiation in the back or the shoulder girdle (may be amplified in the movement), fever with chills.
Cysts of the spleen: a parasitic (echinococcosis, alveococcosis) and nonparasitica. These can be congenital or purchase (due to injury). When larger sizes are manifested by pain of the head, the weight in the left hypochondrium and the protrusion of the left half of the abdomen.
Heart
Angina pectoris. In a typical case, it is the pain, which is localized behind the breastbone or in the left half of the chest, elicits a physical or emotional burden, it lasts from seconds to a few minutes and stopped for a vacation or intake of nitroglycerine.
The specific symptom is the irradiation of pain under the blade, in hand and jaw on the left side. Quite often angina is underway atypical: the patient might disturb the feelings of pain in the back or in the abdomen on the left with irradiation in the hypochondrium (the peripheral form of angina pectoris). The pain can be oppressive, pressure, stabbing, cutting, whining character.
Myocardial infarction is a condition that can lead to the death of the patient.
Pain in myocardial infarction is similar to the pain in angina, but differs from her expressed the intensity and the lack of effect of taking nitroglycerin.
In myocardial bottom wall infarction the pain may be localized in the upper half of the abdomen and put on the back (liposuction of the abdomen form).
Other diseases of the heart. Pericardial effusion, cardiomyopathy, myocarditis occur much less frequently and, in exceptional cases also may be accompanied by pain in the left mid-back pain with irradiation in the hypochondrium.
Pancreatitis
Pancreatitis – acute or chronic inflammation of the pancreas, the main causes, which are errors in diet, and alcohol abuse, gallstone disease.
The most striking symptom of acute pancreatitis – severe pain in the upper abdomen or in the left hypochondrium with irradiation in the back and under the blade. It can be so intense, that brings the patient painful suffering and stopped just drug analgesics.
Also the patient troubled by nausea, more inputs, vomiting, disorders of stool, increased temperature, in severe cases – hemorrhagic rashes on the body.
Attention! Chronic pancreatitis in remission are asymptomatic. In deepening the process of develop symptoms of acute pancreatitis.
Neurological disorders
Back pain with irradiation in the hypochondrium is characteristic for degenerative disc disease of the sternal-lumbar spine, pathology of the nervous system. When osteochondrosis pain may be persistent or paroxysmal.
Most often he wears a shooting, spastic, drilling character and are more intense when moving. Trigger an attack of pain may mean that the pressure on the trigger point at the point of exit of the painful nerve root around the spine.
For neuralgia of the character of a strong burning pain that increases when pressed and change the position of the body.
In the neurological disease, the patient may annoy sensory disturbances (climbing and walking into the sides of the chills, the decline of certain species sensitivity) and motor defects (transport problems).
What provokes discomfort from the right side
Liver failure
Renal failure is called acute or chronic condition in which the liver cells are not able to adequately maintain the metabolism in the due to various reasons:
Most commonly, liver failure develops due to liver cirrhosis of different origin (viral, alcohol). In this case, for patients is typical of dull, arching pain or a feeling of heaviness in the right hypochondrium with irradiation in the back.
In decompensated liver failure joins edema, ascites (accumulation of fluid in the abdominal cavity), the propensity to bleeding, the smell of ammonia odor from the mouth, yellowness of the skin lesions of the brain (change of speech, confusion, impaired coordination, etc.)
Cholecystitis
Inflammation of the gallbladder (cholecystitis) arises as a result of infection. A typical symptom is pain under the right rib, which may be put in the right part of the back.
The intensity of the pain can vary in a wide range: from weak aching to severe paroxysmal. Also the patient may worry about nausea, vomiting, unpleasant taste of bile in the mouth, fever, color change of stool and urine (in violation of the outflow of bile).
The cause of the deterioration of cholecystitis usually is a violation of the diet.
Cancer of the head of the pancreas
In 60-70% of patients with cancer affects exactly the head of the pancreas. The leading symptoms are pain, jaundice and weight loss.
Help. Pain localized in the right hypochondrium or in the epigastric and can put in the interscapular region, or spine.
She usually wears dull arching or repressive character (sometimes acute), amplified after violation of the diet, in supine position, at night. During germination in the solar plexus the intensity of the pain increases, acquires herpes character.
Jaundice, weight loss, itchy skin, darkening of the urine and lightening of the stool arise due to compression of the tumor of the biliary tract.
Gallstone disease
Most commonly from gallstone disease affects middle-aged women with excess weight.
A typical symptom of gallstone disease – acute pain in the right edge, which appears after a hearty meal (fatty, fried, smoked).
It can irradiation under the right blade, and interscapular region.
Along with pain, the patient celebrates nausea, vomiting, fever, weakness.
Outside of the acute pain carries a mild nature, or may be absent.
Appendicitis
Appendicitis is a very common emergency surgical pathology. Usually pain during appendicitis localized in the lower part of the abdomen.
However, when the high position of the cecum occurs in the right hypochondrium with spread to the right half of the back and can simulate a heart attack cholecystitis. The pain in this case is varied:
Usually the patient is also troubled by nausea, a single vomiting, a slight increase in body temperature.
The reasons for the mutual pain on both sides
Osteochondrosis
It is a degenerative disease of the spine, which is accompanied by a decrease in the thickness of the intervertebral disc, excess growth of bones and dislocation of the vertebrae.
These factors lead to the to massage the spinal nerves, which manifests itself pain syndrome.
Important! The pain usually wears a wavy character, is amplified when driving, in a forced position. Often accompanied by numbness, tingling, burning sensation in the affected area.
Diseases of the stomach
Repeated dull pain in this case is usually localized in the epigastrium, but may put in the back from both sides, or the interscapular region when engaging the rear wall of the stomach.
It can occur immediately, or an hour after a meal (in the ulcer) or bother the patient most of the time (in stomach cancer).
In other alarming symptoms are:
The most common diseases of the stomach, which are accompanied by pain, spreads to the back include:- stomach ulcer;- gastritis;- gastric cancer.
Pathology of the intestines
Usually, pain in the abdomen with irradiation in the back is typical for:
Pain in diseases of the colon or small intestine is associated with food intake.
It is usually worn aching in nature and rarely reaches a high intensity.
Localized may in different parts of the abdomen, and put into the appropriate part of the back.
The complexity of diagnostics, mutual pain
Diagnosis of the pain without clear localization, or with spread to other parts of the body, is a difficult clinical problem. This is due to the extensive functional ties of neighbouring authorities.
Of fundamental importance for the differential diagnosis has the character of pain (sharp, dull, aching, burning), its permanence, cause and time of creation. The above properties allow you to suspect a specific pathology and to spend observation further examination.
The correct approach to the treatment and techniques
Mutual pain are compulsory reason for consulting the doctor. Treatment in the case of mutual pain must be carried out after the establishment of the final diagnosis using the laboratory-instrumental methods of diagnosis.
Please note! In some cases, the effective will be conservative therapy (osteochondrosis, gastritis, gastric ulcer), in the other may need surgery (malignant tumors, gallstone disease, appendicitis).
The doctor turn
The primary diagnosis and to clarify the reasons for pain syndrome deals with the therapist. Is it possible to send the patient to the profile of the specialist for consultation or treatment after the establishment of the final diagnosis.
In pathology of the digestive system therapy performed by a gastroenterologist, when osteochondrosis and neuralgia – a neurologist, in cancer – the oncologist. In case of emergency (appendicitis, cholecystitis) help is provided by the doctor.
Conclusion
Pain in the back with the spread in the hypochondrium (or vice versa) differ in a wide clinical range and can meet at the extensive list of diseases of the gastrointestinal tract, cardiovascular, nervous system. Knowledge of the its function allows you to have a particular pathology, to perform a quality diagnosis, search, and assign adequate treatment.