Back pain giving in the ribs are some of the most common symptoms with a wide range of diseases. Possible difficulties in diagnosis aggravated the frequent dissemination of pain of the hypochondrium to the back and vice-versa.
Similar phenomenon of the spreading of the pain caused to the close anatomical and functional communication of the organs of the high level of the abdomen and the lower part of the chest.
The distribution of pain in (s) areas of the body (reciprocal of the pain) explains the concept of the dermatome, represents a segment of skin that is innervated by a spinae spine.
The cause of the back pain radiates to the hypochondrium, and vice-versa can be pathological processes of the following systems and organs:
The pathology of the left under the ribs
Diseases of the spleen
The most common diseases of the spleen, have pain in the back, which gives the atdreverie front, listed below.
Infarction of the spleen: occurs when ostrom violation of the blood supply to the body as a result of the obstruction of the lumen of the splenic artery, its branches clot or embolus. Causes of infarction of the spleen the most common are: the system of arteriosclerosis, heart rhythm disorders, malignant neoplasms, hematologic and auto-immune diseases, injury, cirrhosis of the liver and dp.
The clinical manifestations vary, depending on the caliber of the vessel affected. Typically, the patient presents with the complaint of a sharp pain on the left side of the back radiating to the corresponding half of the belly, of the chest.
Also the patient can disturb weakness, fever, chills, nausea, vomiting. Occasionally, in the event of termination parttary artery complaints can be missing at all.
Benign or malignant tumor. Can long-term and escape asymptomatically.
Important! The pain, grieve, blunt character in the back half of the left side of the belly of the board after germination tumor of the capsule that covers the spleen. The patient may disturb the lack of appetite, the asymmetry of the stomach, loss of body mass, and t. d.
Splenic abscess. Develops as a result of the infection of the tissue of the spleen, of the lymphatic or blood vessels. It is characterized by dull pain in the corner atdreverie radiating to the back or ondplace (may intensify during driving), fever with chills.
Cysts of the spleen: is a parasitic (echinococcosis, alveococcosis) and nonparasitica. The latter can be innate or acquired (due to injury). When large sizes to express the pain, the weight on the left side, atdreverie and overhang the left half of the belly.
The angina of the chest. In a typical case, it is a pain that is located behind the breastbone or in the half of the left side of the chest, provotsiruettXia emotional or physical load, it takes from seconds up to several minutes and is interrupted by holidays or the use of nitroglycerin.
The specific symptom is the irradiace pain under the spatula in hand and jaw on the left side. It is often enough angina pectoris leaking andtipichno: the patient may disturb the pain in the back or abdomen to the left, radiating to the atdreverie (at birth form of angina). The pain can be squeezing and tightening the hand, stormhammer, stabbing, cutting, whining nature.
Myocardial infarction – a condition that may cause death of the patient.
Is the pain of myocardial infarction is similar to the pain of angina pectoris, however, is different from it expresses the intensity and the lack of effect of the ingestion of nitroglycerin.
When myocardial inferior wall infarction, the pain can локandлизовandtüXia in the upper half of the belly and give your back (abdominal).
Other diseases of the heart. The pericardial effusion, cardiomyopathy, myocarditis are much less common and, in exceptional cases, it can be accompanied by pain in mid left side of back radiating to the atdreverie.
Pancreatitis – acute or chronic inflammation of the pancreas, the main causes of errors in the diet and the abuse of alcohol, gallstone disease.
More brilliant than the symptom of acute pancreatitis – intense pain in the upper abdomen or the left atdreverie radiating to the back and under the knife. It can be so intense that the patient brings great suffering and is interrupted only by narcotic analgesics.
Also bother the patient nausea, vomiting, disorders of the chair, the increase of temperature, in severe cases – hemorrhagic rash on the body.
Attention! Chronic pancreatitis in phase of remission, asymptomatic. When aggravation of the process of development of the symptoms of acute pancreatitis.
Low back pain radiating to the atdreverie characteristic of degenerative disc disease GRUdInno-lumbar spine, pathology of the peripheral nervous system. When osteocondrose the pain can be constant or Pristуatобрandзными.
More often they use a shootout, colic, piercing nature and reinforced throughout the movement. Cause painful heart attack may be because of pressure on their trigger points of the point at the place of exit of the painful division root near the spine.
For neuralgia of character, strong burning pain, which increases when you press the button, and the change in body position.
When nerve diseases the patient may disturb the sensory disturbances (crawling chills, decrease of certain types of sensitivity), and motor defects (difficulty in movement).
What causes discomfort on the right side
Liver failure called acute or chronic is a condition in which the cells of the liver is not able to adequately maintain the metabolism because of different reasons:
Commonly, liver failure develops in consequence of the liver cirrhosis of different origin (viral, alcoholic). In this case, for patients is typical, deaf, arching pain or tightness in the corner atdreverie radiating to the back.
When deкомпeнwithировandнной liver failure come together edema, ascites (accumulation of fluid in the abdominal cavity), the propensity for hemophilia, ammonia smell, of the mouth, YELtusestü with the skin, brain injuries (amendment speech, confusion, loss of coordination, and t. d.)
The inflammation of the gallbladder (cholecystitis) occurs as a result of their infection. Characteristic symptom is pain under the right burn-in wardrobe, which can give a right to part of the back.
The intensity of pain can vary greatly: low annoying strong Pristуatобрandзной. Also the patient may disturb the nausea, the vomiting, the taste of gall in the mouth, fever, change of the coloration of the faeces and urine (in the case of violation turnover of bile).
The cause of acute cholecystitis is usually a violation of the diet.
Cancer of head of pancreas
You 60-70% of cancer patients is surprising is the head of the pancreas. The main symptoms are pain, jaundice and weight loss.
Help. The pain is located at the atdreverie or in the epigastrium, and may give interscapular panel or the spine.
Normally she wears a idiot arching or dandвящий nature (sometimes acute), intensifies after breaking the diet, in the position lying on your back during the night. When germination in the solar plexus the intensity of the pain increases, she gets tinea in nature.
Jaundice, mass loss, itchy skin, dark urine, and clarification cala occur due to compression of the tumor of the bile ducts.
More often cholelithiasis suffer are the middle-aged women with excess weight.
A typical symptom of cholelithiasis – acute pain in the rib right, which appears after a receive of fatty foods, fried, smoked).
She can irradиировandtü under the scapula and right interscapular area.
Along with the pain of the patient who is celebrated, nausea, vomiting, fever, weakness.
Out acute the pain is moderate or may not be.
The inflammation of the appendix is the most frequent emergency surgical pathology. Typically, the pain is andппeнdircte is located in the lower part of the abdomen.
However, the high location of the appendix it occurs at the right atdreverie with the proliferation of the right half of the back, and you can simulate an attack of cholecystitis. The pain in this case, it is different:
Generally, the patient also worry about the nausea, the vomiting, a moderate increase in body temperature.
The reasons for the reciprocal of headaches with both sides
It is a degenerative disease of the spine, which is accompanied by a reduction in the thickness of the intervertebral disc, the excess of the measure of bone tissue and the displacement of the vertebrae.
These factors lead to withdandвливandнию spinal nerves, which is manifested by armbar syndrome.
Important! The pain usually uses the undulating nature, it is enhanced when moving in forceddeнном position. Many times, she is accompanied by numbness, tingling, burning in the affected area.
Diseases of the stomach
The dull pain in this case, is usually located in the epigastrium, but may give back with both parties, or interscapular region, with the involvement of the posterior wall of the stomach.
It can occur immediately or after one hour after the ingestion of food (in this case), or bother the patient most of the time (when the cancer of the stomach).
Other onwithtорandживandющими most common symptoms are:
The most common diseases of the stomach, which are accompanied by pain with the proliferation of the back includes:- a stomach ulcer;- gastritis;- stomach cancer.
Pathology of the intestine
Typically, the abdominal pain radiating to the back has to:
The pain in diseases of the colon or small intestine is related to food intake.
It generally leads to aching in nature and rarely reaches a high intensity.
ЛокandлизовandtüXia can in the various departments of the belly and give the appropriate part of the back.
The complexity of the diagnosis mutual pain
The diagnosis of pain from one location or spread to other parts of the body it is a hard clinical task. This is caused by a wide functional links to adjacent organs.
Fundamental for the differential diagnosis has the character of pain (acute, annoying, irritating, burning), their permanence, the cause and time of occurrence. The features allow to suspect a specific pathology and to pass mira dообwithлedовandниe.
The correct approach to the treatment and methods
Mutual of pain are a pretext for a consultation with your doctor. The treatment in case of reciprocity of pain should be, after establishing a definitive diagnosis through laboratory-instrumental methods of diagnosis.
Pay attention! In some cases, effective conservative therapy (osteocondrose, gastritis, stomach ulcer), others may require a surgical intervention (malignant tumors, gallstone disease, appendicitis).
The medical resort
Primary diagnosis and clarify the reasons starting point of the pain syndrome deals with the therapist. He can refer the patient to the profile a specialist for advice or treatment, after establishing a definitive diagnosis.
When the pathology of the digestive system therapy done gastroenterologist, when the osteocondrose and neuralgia – the neurologist, the breast cancer – oncologist. In case of need (appendicitis, cholecystitis) help is provided by a surgeon.
The back pain with the proliferation of atdreverie (or vice versa) is different from a large clinic and of the diversity that can meet in the wide list of diseases of the gastrointestinal tract, cardiovascular, nervous system. The knowledge of their characteristics allows the suspicion of specific pathology, to spend quality diagnostic search and assign the appropriate treatment.