Girdle pain under the ribs in front and behind

Shingles hypochondrium pain space, which is localized in front or on the back, indicates a pathological state of internal organs, an inflammatory process inside the abdominal cavity. The way to eliminate this symptom depends on what disease provoked the discomfort in the abdomen. Vital organs are located under the ribs on the right and left, which are responsible for the stable functioning of the human digestive system.

Possible reasons

Girdle pain, which is felt under the ribs in front or behind, provokes muscle spasms, neuralgic disorders, as well as pathological conditions of internal organs.

Pancreatitis

Pancreatitis is a dangerous disease that is manifested by inflammation of the tissues of the pancreas. This pathology proceeds in an acute or chronic form. Pancreatitis is accompanied by attacks of cutting girdle pain that spreads from the left hypochondrium to the central part of the abdominal cavity.

The following factors contribute to the onset of this disease:

• alcoholism;
• eating a large amount of fatty, smoked, sour, pickled food;
• tobacco smoking;
• hereditary predisposition;
• abuse of confectionery;
• parasitic infestations;
• binge eating.

Together with bouts of girdle pain in the left hypochondrium in front, a person experiences increased bloating, loss of appetite, and disorders in the digestive tract. The main danger of pancreatitis is that one of its complications is the development of diabetes mellitus.

Gastroduodenitis

An attack of gastroduodenitis is an exacerbation of inflammation of the intestinal mucosa. This disease is manifested by aching or spasmodic pain under the ribs in front with mixing from the central part of the abdominal cavity to its left side.

Gastroduodenitis occurs under the influence of the following factors:

• autoimmune disorders;
• chronic alcoholism;
• helminthiasis;
• the consequences of surgical intervention;
• infectious infection of the gastrointestinal tract.

The development of this disease affects men over 30 years old. Without timely treatment, the pain syndrome in the anterior part of the hypochondrium increases.

Cholelithiasis

The manifestation of cholelithiasis is expressed by an attack of acute pulsating pain in the area of ​​the right hypochondrium in front. Discomfort in this part of the body appears suddenly, and their cause is the movement of stones inside the gallbladder. Extraneous calculi irritate the walls of this organ, damage their mucous membrane.

Heart attack

Girdle pain under the ribs in front can appear due to the sudden onset of a heart attack. In this case, discomfort is localized in the upper part of the hypochondrium on the left. A person experiences pressing and burning pain that radiates to the sternum.

In most cases, this symptom is accompanied by additional signs of the following nature:

• cold sweat;
• heart palpitations;
• active pulsation of blood vessels;
• dizziness;
• physical weakness.

The main danger of this cause of girdle pain in the anterior hypochondrium is that a heart attack can be fatal.

Renal colic

The occurrence of renal colic is the result of chronic urolithiasis. In people suffering from this disease, periodically there are attacks of sharp and acute pain in the lower part of the hypochondrium in the back.

The pain syndrome is so intense and intense that a person can go into a state of shock. Discomfort in this part of the body occurs due to the migration of stones from the cavity of the pelvis or kidney calyx into the ureter. In the process of movement of an extraneous calculus, the tissues of the excretory system are injured.

Cholangitis

Acute or chronic inflammation of the bile ducts (cholangitis) is a dangerous disease of an infectious origin. Patients with this pathology experience spasmodic girdle pain under the right rib in front.

The cause of the painful state of this part of the body is the infection of the bile ducts with parasitic microorganisms. For example, lamblia or toxiplasma. Cholangitis is dangerous not only with prolonged and unbearable pain inside the abdomen, but also with a significant risk of infection spreading to liver tissue, gallbladder and pancreas.

Hepatitis

Inflammatory damage to liver tissue is hepatitis, which has a viral, bacterial, parasitic or intoxicating nature of origin. In the presence of this disease, there is a girdle pain under the right rib in front. A person experiences aching discomfort in this part of the body, which intensifies after eating fatty foods and drinking alcohol.

Hepatitis is accompanied by the manifestation of additional symptoms in the form of:

• yellowing of the skin;
• nausea;
• discharge of vomit;
• an increase in body temperature to subfebrile values ​​(37.0-37.7 degrees);
• fatigue and body aches.

This cause of girdle pain in the right hypochondrium can develop into an extensive inflammatory process, causing the development of a severe complication in the form of liver failure.

Gastritis

The mucous membrane of the human stomach tends to become inflamed under the influence of alcoholic beverages, too fatty, acidic or rough food, food containing chemical additives. Gastritis is acute or chronic.

People with this diagnosis complain of spasmodic pain in the anterior part of the hypochondrium with a slight displacement to the left side. The discomfort is so strong that the patient is forced to take a horizontal position, pulling his legs to the chest. Similar symptoms are present in patients with gastric ulcer.

Intercostal neuralgia

Girdle pain under the ribs in front can be caused by attacks of intercostal neuralgia. This is a pathological condition of individual branches of the autonomic system, which is caused by damage to the peripheral nerves.

Attacks of acute pain are localized in the region of the hypochondrium in the back, spread over the entire surface of the lateral part of the body on the right or left side. Depending on the passage of the inflamed branches of the nerve endings, the pain syndrome covers both the back and front parts of the hypochondrium.

The severity of the discomfort depends on the reasons that caused the symptoms of intercostal neuralgia. In most cases, this type of pain is so intense that a person is forced to take potent analgesics, anti-inflammatory nonsteroidal drugs. Complete relief of the pathological symptoms of intercostal neuralgia is possible only by eliminating the main factors that provoked inflammation of the peripheral nerves.

Inflammation of the spleen

A rare pathological condition of the body that causes an attack of acute or aching pain in the left hypochondrium in front. This pathology occurs due to traumatic damage to an organ, an autoimmune disorder or an infectious infection. With inflammation of the spleen, the pain syndrome is so intense that it can spread to the rest of the body, as well as to the left arm or back.

Diagnostics

Girdle pain under the ribs in front and behind is an alarming sign of one or several diseases of internal organs. The table below shows the main diagnostic methods that are used to determine the causes of this symptom.

Examination type	Description of the diagnostic technique and average prices
X-ray	An X-ray examination of the patient's digestive system is performed using a contrast agent. This diagnostic method allows you to determine the foci of the inflammatory process and extraneous neoplasms in the gastrointestinal tract. The average cost of a stomach X-ray is 4,700 rubles.
Ultrasound	Ultrasound diagnostics is one of the most informative techniques in the examination of patients with pain attacks of unknown etiology. To make an accurate diagnosis, the doctor conducts an ultrasound of the liver, pancreas, gallbladder, spleen, determining the focus of the pathological process. The average cost of examining one organ is 1000 rubles.
CT or MRI	These diagnostic methods display the structure of the examined tissues, fix their size, anatomical location in relation to neighboring organs. With the help of CT and MRI, it is possible to detect areas of tissue with signs of an inflammatory or oncological process. The price of these diagnostic methods is 6000 rubles. and 11,000 rubles. respectively.
Gastroscopy	Gastroscopy is necessary for examining the mucous membrane and tissues of the stomach, as well as the duodenum. This type of diagnosis is carried out using endoscopic equipment, which is inserted through the patient's mouth and esophagus. The image captured by the video camera of the gastroscopic probe is transmitted to the computer monitor in real time. The average cost of this diagnostic method is 2400 rubles.
Capillary blood analysis	The analysis of capillary blood allows the doctor to confirm or deny the fact of the inflammatory process in the tissues of the patient's internal organs. The average cost of a laboratory test is 480 rubles.
Venous blood examination	Diagnostics of the patient's venous blood is necessary to determine the possible presence of cancer cells, increase concentrations of metabolic degradation products, which may indicate an oncological process and functional disorders with sides of the liver. The cost of this examination is within 800 rubles.
Biochemical analysis of urine	The study of urine for biochemical parameters reflects the state of the kidneys and other organs of the patient's excretory system. Valuable for this diagnosis in a private clinic - 450 rubles.

These types of examinations are carried out in public hospitals or private clinics. Patients with attacks of acute pain under the ribs in front or behind are diagnosed as an emergency.

Treatment methods

Girdle pain under the ribs in front is only a symptom of the underlying disease. The tactics of the therapeutic process are determined depending on the type of pathology that caused discomfort in this part of the body.

Medications

To facilitate the general well-being of the patient, relieve seizures, prevent further tissue destruction use anti-inflammatory nonsteroidal drugs, antibiotics, drugs with analgesic and antispasmodic properties.

No-shpa

The drug No-shpa is a potent antispasmodic based on the active substance drotaverine hydrochloride. This drug relaxes muscle tissue, eliminates an attack of acute and aching pain. No-shpa is indicated for taking 1 tablet from 1 to 4 times a day. The recommended duration of therapy with this medication is 2-3 days. The average cost of an antispasmodic drug is 101 rubles.

Ketorolac

Analgesic drug - Ketorolac is made on the basis of the chemical substance ketorolac trometamol at a dosage of 10 mg. This remedy relieves an attack of pain, and also has mild anti-inflammatory properties.

Reception of Ketorolac is indicated for patients undergoing treatment for urolithiasis, gallstone disease, intercostal neuralgia. This drug allows you to improve the patient's quality of life while eliminating the main causes of pain in the subcostal space. Ketorolac is prescribed for intramuscular or intravenous administration of 10-30 mg. The average price of this drug is 81 rubles.

Ceftriaxone

The antibacterial agent Ceftriaxone is a cephalosporin antibiotic. This drug is prescribed to patients who have attacks of girdle pain under the ribs cause of infectious and inflammatory diseases of the gallbladder, pancreas and biliary channels.

The dosage regimen of Ceftriaxone provides for intramuscular or intravenous administration of this agent, 1-2 g every 24 hours. The average duration of the course of therapy is 14 days. The cost of Ceftriaxone is about 20 rubles. for a bottle of powder for preparation of injections weighing 1 g.

Augmentin

The drug Augmentin has a combined composition, which includes amoxicillin at a dosage of 250 mg and clavulanic acid at a concentration of 125 mg. This is a drug belonging to the pharmacological group of semi-synthetic penicillins. Augmentin is effective in treating diseases of internal organs that are caused by pathogens that are sensitive to its constituent components.

For example, in the case of bacterial inflammation of the gallbladder, pancreas and its ducts, the spread of the infectious process inside the abdominal cavity. Adult patients take Augmentin 1 tablet 3 times a day. The duration of treatment is from 5 to 14 days. The average cost of this antibiotic is from 173 to 176 rubles. per pack of 14 tab.

Diet therapy

During the treatment of diseases of the liver, gallbladder, pancreas, bile ducts and gastrointestinal tract, which cause attacks of pain in the hypochondrium, it is imperative to observe the following dietary rules:

1. Eat food often, but in small portions.
2. Refuse alcohol and carbonated drinks.
3. Eliminate fatty, sour, pickled, smoked, coarse and fibrous foods from the diet.
4. Patients with signs of pancreatitis should refrain from bakery and confectionery products, and also adhere to the norms of medical fasting.
5. Eat lean cereals cooked in water.
6. Provide the body with a sufficient amount of protein food, including chicken breast, rabbit meat, and calf in your diet.
7. Drink at least 1.5-2 liters of gas-free water daily so that harmful ones are removed from the body. biochemical substances that are formed after the breakdown of drugs and intracellular metabolism.

For each disease of the digestive and endocrine system, there are individual dietary norms, the observance of which allows you to speed up the patient's recovery process.

Surgery

Surgical operation is a radical method of therapy that is used only in extreme cases, when medication treatment will not bring a positive result. Attacks of pain under the ribs can be caused by necrosis of the pancreas, purulent inflammation of the gallbladder and its ducts, spleen infarction, gastric bleeding.

These are urgent conditions of the human body, the elimination of which is carried out by excision of tissues affected by the infectious and inflammatory process.

In acute pancreatitis, the attending physician decides to remove the entire organ or only part of the pancreas. After recovery, the patient is forced to take enzyme preparations for life that ensure stable digestion of food. Purulent inflammation of the gallbladder requires complete excision of this organ.

According to the results of surgical intervention, bile begins to flow from the liver ducts straight into the duodenum. The biochemical properties of the bile secretion deteriorate, but due to the timely performed cholecystectomy, it is possible to avoid septic blood poisoning, and the patient returns to his usual life.

Possible consequences and complications

Ignoring attacks of girdle pain in the hypochondrium from the front and back of the body can lead to an aggravation of the pathological process with possible development of the following complications:

• cirrhosis and the development of liver failure, if the cause of the pain syndrome is caused by the pathology of this organ;
• diabetes mellitus with pancreatitis;
• obstruction of the bile ducts with further impairment of the outflow of bile;
• slowing down the process of urine outflow, which is caused by the consequences of urolithiasis;
• removal of part or all of the pancreas against the background of total pancreatitis with necrosis of the tissues of this organ;
• opening of a stomach ulcer with the risk of internal bleeding (for example, if the bouts of pain under ribs were associated with a pathological state of the gastrointestinal tract, and the person did not take any measures response);
• the onset of a state of painful shock caused by an attack of acute renal colic;
• removal of the gallbladder, the functions of which are blocked by calculi;
• the onset of death as a result of a heart attack;
• excision of the spleen, which provoked prolonged pain caused by an infarction of its tissues, destruction by infectious microorganisms or trauma.

To prevent the development of the above complications, it is necessary to seek medical help in a timely manner, undergo a comprehensive examination of the abdominal cavity after the first symptoms of acute or aching pain from the outside appear hypochondrium.

Girdle pain under the ribs, which is localized in the front or on the back, is a symptom of one or several diseases of the internal organs. In the affected area, there may be tissues of the liver, gallbladder, pancreas and gastrointestinal tract.

To determine the reasons that caused discomfort in this part of the body, modern methods of hardware and laboratory diagnostics are used. Treatment of pathological conditions of the abdominal cavity that provoke attacks of pain is carried out using antibiotics, antispasmodics, anti-inflammatory drugs. Surgical therapy of diseases is aimed at removing the affected tissues of the internal organs.

Video about pain under the rib

What hurts in the right hypochondrium: