Back pain radiating to the ribs are some of the most common symptoms in a wide range of diseases. Possible difficulties of diagnosis due to the frequent spread of pain from the upper abdomen in the back, and Vice versa.
A similar phenomenon irradiation of pain caused by the close anatomical and functional connection of the institutions of the upper level of the abdomen and the bottom of the rib cage.
The spread of pain to adjacent areas of the body (joint pain) explained the concept of a dermatome is a Segment of skin, the back of a tractor with the book.
The reasons for the emergence of
The cause of the pain in the back radiating to the upper abdomen, and Vice versa, it may pathological processes on the part of the systems and organs:
Pathology of the left-hand side under the ribs
Diseases of the spleen
In the most common diseases of the spleen, pain in the back, the upper abdomen from the front, we list below.
Infarction of the spleen: acute violation occurs when the blood supply to the organ as a result of blockage of the lumen of the A. splenic artery, branches of the Thrombus or embolus. The causes of infarction of the spleen most commonly are: systemic arteriosclerosis, heart rhythm disorders, malignancies, hematological and auto-immune diseases, Trauma, cirrhosis, and other.
The clinical symptoms vary depending on the caliber of the affected vessel. In General, the Patient complained of severe pain in the left area of radiating back into the corresponding half of the abdomen, of the chest.
Also, the Patient may be vomiting, weakness, fever, chills, nausea, disturb. Occasionally, in the case of the closure of the segmental arteries of the complaints can entirely absent.
Benign or malignant tumors. May long be asymptomatic.
Important! Pain, pain, dull in nature in the back or the left side of the abdomen occurs after germination of the Tumor, the capsule of the spleen. Patient's loss of appetite, asymmetry of the abdomen, weight loss, etc., can interfere with
Abscess of the spleen. Develops as a result of an infection in the spleen tissue through the lymph or blood vessels. Characterized by a dull pain in the left upper abdomen radiating to the back or shoulder belt (the greater the movement), fever with chills.
Splenic cyst: a parasitic (echinococcosis, alveococcosis) and nonparasitica. The latter can be congenital or acquired (due to injury). In the case of larger sizes of pain, severe in the left hypochondrium and vypâčivaniem the left half of the abdomen.
Heart
Angina pectoris. In a typical case, pain is localized behind the breastbone or in the left half of the chest, caused by physical or emotional Stress, lasts from seconds to several minutes, relieved to rest or nitroglycerin.
Specific Symptom beam is pain under the shoulder blade, in arm and the jaw on the left side. Often enough atypical Angina pectoris: patients may interfere with pain in the back or abdomen) on the left, radiating to the upper abdomen (peripheral Form of Angina pectoris. The pain may be crushing, pressing, pointed, sharp, oppressive.
Myocardial infarction Status, which can lead to the death of the patient.
Pain in myocardial infarction is similar to the pain in Angina pectoris, however, differs by its pronounced intensity, and the lack of effect of nitroglycerin.
In the case of myocardial bottom wall infarction pain can be localized in the upper abdomen and to give in the back (abdominal Form).
Other Heart Diseases. Pericarditis, cardiomyopathy, myocarditis are much rarer and, in exceptional cases, accompanied by pain in the left half of the back radiating to the upper abdomen.
Pancreatitis
Pancreatitis acute or chronic inflammation of the pancreas, the leading causes are errors in diet, and alcohol abuse, jelchnokamennaya disease.
The most striking Symptom of acute pancreatitis – severe pain in the upper abdomen or the left upper quadrant radiating to the back and under the shoulder blade. It can be so intense, what brings docked to the patient of a painful punishment, and only narcotic analgesics.
Also, patients concerned about nausea, repeated vomiting, disorders of stool, fever, in severe cases, hemorrhagic rash on the body.
Attention! Chronic pancreatitis in Remission, asymptomatic. During exacerbation of the process, the symptoms of acute pancreatitis develop.
Neurological Disorders
Pain in the back radiating to the upper abdomen is characteristic of osteochondrosis sternocleidomastoid lumbar spine, pathology of the peripheral nervous system. In the case of osteochondrosis pain, permanent or paroxysmal.
Often you wear to burning, tense, bored and increasingly in motion. To provoke pain attack can by pressure on the trigger points of exit of the painful area nerve roots around the spine.
For neuralgia of character, strong burning pain, which in the case of the activity and change of body position.
In the case of neuralgic diseases of the patients, sensory disturbances (tingling, decreased sensitivity of individual species) and motor deficiencies (difficulty in movement) may interfere.
What complaints provoked on the right side
Liver failure
Liver failure refers to an acute or chronic disease in which liver cells are not able to adequately support the metabolism for several reasons:
Most commonly, liver failure develops as a result of liver cirrhosis of different origin (Viral, alcohol). In this case, the patient is of a dull, arched in pain or feeling of heaviness in the right upper quadrant radiating to the back.
In the case of decompensated hepatic insufficiency, edema, ascites (fluid accumulation in the abdominal cavity), the propensity to bleeding, the ammonia smell from the mouth, yellowing of the skin, damage to the brain (to change the language, confusion, incoordination, etc.)
Cholecystitis
Inflammation of the gallbladder (cholecystitis) is the result of an infection. Characteristic Symptom is the pain under the right rib, in the right part of the back.
The intensity of the pain can be different: from mild to pain sharp paroxysmal. Patients in nausea, vomiting, the taste of bile in the mouth, fever, discoloration of feces and urine (in the case of violation of the outflow of bile) can interfere.
The cause of acute cholecystitis, a violation of the diet is the rule.
Cancer of the head of the bauchspeiseldrse
In 60-70% of patients with cancer is exactly the head of the pancreas. The leading symptoms are pain, jaundice and weight loss.
Help. Localized pain in the right upper abdomen or in the stomach area, and can range to inter-scapular or the spine.
She usually wears blunt or overhanging oppressive character (sometimes sharp), reinforced after violation of the diet, in the supine position, in the night. During germination the increase in the solar plexus, the intensity of the pain, it takes the Herpes character.
Jaundice, weight loss, itchy skin, dark urine and lighter-coloured faeces caused due to compression of the Tumor of the biliary tract.
Jelchnokamennaya Disease
The most common of gallstone disease, women suffering middle-aged obesity.
A typical Symptom of Cholelithiasis – acute pain in the right rib, which appears after you have oily a great meal (fried, smoked).
They can emit under the right shoulder blade and in the inter-scapular area.
Along with the pain of the patient nausea, vomiting, fever, marked weakness.
Outside the acute pain of moderate or may be missing.
Appendicitis
The inflammation of the Appendix is the most common emergency surgical pathology. Normally, the pain associated with appendicitis are localized in the lower abdomen.
However, at a high location of the Appendix occurs in the right upper quadrant radiating to the right half of the back and the attack of cholecystitis can simulate. The pain in this case is manifold:
In General, the patients also have nausea, a single vomiting, a slight fever.
The causes of mutual pain on both sides
Osteochondrosis
It is a degenerative disease of the spine, by a decrease in the thickness of the intervertebral Discs, excessive Proliferation of the bone tissue and the displacement of vertebras.
These factors lead to a feeling of pressure to spinal nerve, armbar syndrome.
Important! Pain in the rule, shaft bear-shaped character, worse on motion, in a forced position. It is often accompanied by numbness, tingling, and burning in the affected area.
Diseases of the stomach
Recurring dull pain localized in this case, usually in the upper abdomen, but in the back on both sides, or inter-scapular area, with involvement of the posterior wall of the stomach.
You can occur a day or an hour after taking it (ulcer) or interfere with the patient most of the time (in gastric cancer).
Other symptoms are alarming:
One of the most common diseases of the stomach, the pain radiating to the back:- stomach ulcer;- Gastritis;- gastric cancer.
Pathology of the intestine
In General, abdominal pain radiating to the back is typical for:
Pain in diseases of the colon or of the small intestine associated with food intake.
She usually wears a nagging and rarely reaches a high intensity.
Can be localized in different parts of the abdomen and enter in the corresponding part of the back.
The complexity of the diagnostics of the mutual pain
Diagnosis pain without a clear localization or dissemination in other parts of the body is a difficult clinical challenge. This is from the extensive functional relationships to adjacent organs.
Of crucial importance for the differential diagnosis has the character of the pain (sharp, dull, aching, burning), his persistence, cause and time of origin. The specified characteristics suggest a certain pathology to spend and targeted.
The correct approach to the treatment and methods
The mutual pain, a must occasion for a consultation with the doctor. Treatment in the case of mutual pain should after the establishment of the final diagnosis with the help of laboratory and instrumental methods of diagnosis.
Please note! In some cases, effective conservative therapy (osteochondrosis, Gastritis, gastric ulcer), and in others you may need to have surgery (malignant tumors, Cholelithiasis, appendicitis).
To treat what doctor to
The primary diagnosis and the clarification of the causes of a painful syndrome is concerned the Internist. He may present to the patients the profile Ministry expert for advice or treatment after the establishment of the final diagnosis
In the case of the pathology of the digestive system therapy, gastroenterologist, osteoporosis, and neuralgia – a neurologist, in the case of cancer – oncologists. If necessary, (appendicitis, cholecystitis), the help by the surgeon.
Conclusion
Back pain radiating to the upper quadrant (or Vice versa) is made of wide clinical diversity and the occurrence of extensive list of diseases of the gastro-intestinal tract, cardiovascular, nervous system. The knowledge of its properties allows to suspect a specific pathology, a high-quality diagnostic search and appropriate treatment.