Pain under the ribs on the left or right side - it is a disturbing symptom, typical of so many diseases. Therefore self diagnosis is impossible, as in such a case requires careful differential diagnosis.
The content of the article:
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1 Possible causes of pain under the ribs
- 1.1 injuries
- 1.2 cracks
- 1.3 fracture
- 1.4 Tietze's syndrome
- 1.5 Malignant tumors
- 1.6 Osteoporosis
- 1.7 osteochondrosis
- 1.8 fibromyalgia
- 1.9 Pleurisy
- 1.10 psychogenic pain
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2 Pain in the ribs on the left side
- 2.1 pancreatitis
- 2.2 gastric ulcer
- 2.3 heart disease
- 2.4 angina
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3 Pain in the ribs on the right side
- 3.1 Cholelithiasis
- 3.2 Hepatitis
- 3.3 Cholecystitis
- 3.4 Cirrhosis of the liver
- 4 Pain in the ribs during pregnancy
- 5 Hazardous pain syndromes
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6 The nature of pain
- 6.1 acute
- 6.2 sharp
- 6.3 pulling
- 6.4 stitching
- 6.5 aching
- 6.6 prolonged
- 6.7 Constant
- 6.8 periodic
- 7 Treatment of pain under the ribs
- 8 Videos of pain under the ribs
Possible causes of pain under the ribs
Pain under the ribs on the left side or the right side of each person is different. Only a doctor is capable of analyzing existing symptoms, identify the disease and assign its treatment.
Appeal to the specialist should not be delayed, since it is possible the development of serious complications and even situations that threaten the patient's life.
Most often, the factors due to which the area of pain under the ribs there are:
- pancreatitis;
- inflammation of the gallbladder;
- hepatitis;
- intercostal neuralgia;
- duodenitis;
- cholelithiasis;
- pneumonia;
- pleurisy;
- gastritis;
- peptic ulcer and 12 duodenal ulcer;
- damage to nearby edges of internal organs;
- retroperitoneal hemorrhage;
- liver disease;
- heart attack;
- splenomegaly;
- renal colic;
- abscess;
- osteochondrosis.
Pain in the rib area of the character most frequently diagnosed with pancreatitis, trauma spleen or rib fractures.
The right side often makes itself felt in the development of cholecystitis, bone injuries or a variety of liver diseases.
Experts in the field of medicine are encouraged to consider a variety of diseases and symptoms of pain in the left and right upper quadrant apart.
injuries
One of the most frequent manifestations of pain are various damages. Therefore, a bruise, a fall or involved in an accident need immediate assistance specialists.
Even if there is not any visible wounds or bruising, you should call an ambulance or if the patient is able to move, to get to the emergency station. Injury may well be closed and express themselves later.
Among the damage occur:
- concussion internal organs;
- break their shell;
- fracture of a rib;
- strong bruised sternum;
- vertebral fracture;
- heart injury;
- lung injury.
In severe automobile accident frequently occurs a strong compression of the thorax or internal organs, as well as damage to lung and pleura.
cracks
Pain under the ribs, localizes to the left or right side is often indicative of the formation of cracks in the bones, which appear very uncomfortable with any movement.
The patient becomes difficult to breathe, he can not lie on the affected side, and constantly in pain. Do not think that such damage is slight. Only when the X-ray can determine how it extensively. In addition, trauma ribs at the same time often suffer from lung, pleura or vasculature.
fracture
To understand that there was a similar type of injury, allow the knowledge of its main symptoms.
Always says:
- very severe pain in the side, where the change occurred;
- appearance hematomas at the site of injury;
- severe malaise;
- difficulty breathing;
- marked weakness;
- discomfort in the chest;
- discharge of blood from the mouth;
- tachycardia;
- heat.
Tietze's syndrome
Pain under the ribs on the right or left side with a similar, not too often diagnoses the disease, there is often acute. It is characterized by inflammation of the cartilage in the joints with the sternum bone.
The patient is observed overt discomfort while breathing. They are located closer to the center. But in those cases, when the process is one-sided, capable of pain radiate to the arm or shoulder region.
Typically, the pathology is chronic and lasts for more than a year, alternating acute stage and reduce the intensity of symptoms.
Malignant tumors
Ribs lesion may occur in the development of cancer process, in the bone, and in organs near the arc. Sometimes the pain occurs as a result of metastasis, penetrated from the other chamber.
The most common cancer manifests itself:
- hyperthermia;
- difficulty breathing;
- tumor formation in the lesion edges;
- drawing pains in the chest;
- stiffness in his movements;
- bleed vasculature;
- changes in skin color and texture.
The disease is dangerous because in the beginning, when it is not the cure is of great complexity, it is not yet fully manifested. Subsequently, it quickly captures new areas, often leading to death.
Osteoporosis
Pain under the ribs on both the left and the right side may be a manifestation of metabolic disorders. Most often it is caused by lack of calcium content in the blood, which promotes bone strength.
Osteoporosis is expressed by the fact that as a result of increased bone fragility having minor damage affecting nerve closure tissue and periosteum. At its unpleasant development are located in different places, depending on the destruction of bone tissue.
In cases where the pain is very strong, we are often talking about the turn.
osteochondrosis
This disease can be considered the disease of the century. Nowadays there are very few people who do not suffer from it. Despite the fact that the pain is able to manifest itself in the most unexpected places, causing its defeat of the spine.
In its disks and developing cartilage inflammation, squeezed vessels and nerve endings. With the defeat thoracic often hurts the scapular region, but sometimes aching ribs and sternum.
fibromyalgia
Pain under the ribs on either - left or right side is caused by fibromyalgia. The disease affects the soft tissues and muscles.
Pulling sensations occur in the ribs, and the hypochondrium. A characteristic symptom is the appearance of pain specific zones with pressure on them. The patient is lying on the hard side, and when he feels uncomfortable movements and stiffness.
In the morning on the body are often visible swelling, upper and lower limbs move with difficulty, and during the day a person is experiencing severe fatigue and weakness. With a certain load it experiences numbness, tingling lumbagos & Run on an infected area.
Pain capable amplified during sudden changes of weather conditions, severe fatigue and nerve strain.
Pleurisy
Such a condition often becomes a complication of pneumonia or severe bronchitis.
Pathology may take an acute or chronic. It is characterized by involvement in the inflammatory process of the inner shell of the chest.
psychogenic pain
Such feelings are often accompanied by disturbances in the psycho-emotional sphere. Patients complain that they are concerned about tingling, cramps or burning in the edges of the depression, panic attacks, or nervousness.
They explain multiple muscle clamps due to increased stress. The patient experiences severe anxiety, fear and depression that cause him want to shrink into a ball.
Sometimes the fault of pain under the ribs become unconscious movement, which provoked them. These displays require careful differential diagnosis, because they can be simultaneously neurological, oncological or gastrointestinal symptoms.
Pain in the ribs on the left side
Professionals are advised to analyze the patient's complaints, depending on the sides, where they are located.
Left are:
- heart;
- lung;
- spleen;
- pancreas;
- bud;
- nerve plexus;
- ovary;
- spinal roots.
pancreatitis
Pain under the ribs, very strong, localized on the left side, is characteristic of the pathology of the pancreas. Differential feature is that rez gives the back or as a hoop encircles the upper half of the body.
It often strikes in the ribs on the left side. Patient vomits constantly, he feels very weak and expressed lightheadedness. The whole body suffers from poisoning by decomposition products.
More common acute form of the disease, but is often diagnosed and chronic.
In the absence of immediate medical care the patient may die in a few minutes due to painful shock and sharp fall in blood pressure.
gastric ulcer
This disease is just as dangerous and just as untimely when the full treatment can lead to loss of life. In such a situation it is able to develop peritonitis, which often end in death of the patient.
The pain is so strong that it made compared to the sharp blow of a dagger.
Man holds a characteristic pose to her relief. He lies down and pulls the lower extremities to him to reduce the heavy feeling.
In this case, an urgent need to call an ambulance because we can talk about stomach bleeding or perforation of the organ.
Treatment is carried out only in a hospital setting, since the required amount of aid a person is able to get there only. Sometimes hospitalization is required in the surgical hospital.
heart disease
Most often the pain in his ribs on the left side is manifested in cardiac diseases. It may be ischemic heart disease, myocarditis, congestive heart failure or other diseases.
Their causes, are very different. Very often they become a complication of the valves fibrillation, hypertension or thrombosis. In some cases, the pathology develops over time, and sometimes occurs suddenly and can have severe consequences.
angina
This pathology is often complicated by coronary heart disease. It arises as a result of the fact that coronary artery changes as a result of thromboembolism, atherosclerosis or spasms strong due to violation of tissue oxygen supply.
Angina occur in patients during exercise, stress or long pedestrian crossings.
Pain in the ribs on the right side
On the right side:
- liver;
- lung;
- bud;
- gallbladder;
- pancreas;
- diaphragm and other organs of the department.
Cholelithiasis
Very often, severe pain in the right hypochondrium are closely connected with the formation of gallstones.
In this case, the pain is acute, and occurs when the motion of duct stones or their clogging.
Then strong cramps are felt in the abdominal area, and from the right costal arch. Most often they occur episodic. The patient feels in the mouth a bitter taste, it is constantly tormented by belching, and sometimes vomiting occurs. fever may occur during the development of infection.
Hepatitis
One of the signs of viral infection of the liver is a pain in the right upper quadrant. The person feels a strong lightheadedness, nausea, general malaise. Often, they are joined and respiratory symptoms.
Distinctive signs are pronounced yellowness of the skin and sclera, and also change of urine color (dark color) and feces (in white).
Cholecystitis
This disease in recent years have increasingly found. It is characterized by sudden onset of severe pain in the lower right rib arch. She is able to give to various surrounding area and sometimes becomes so unbearable that the person is unable to tolerate it. He rolls from side to side to ease their health, but the attack did not let him.
It is often accompanied by symptoms such cholecystitis:
- lightheadedness;
- yellowness of the skin;
- chills;
- a sharp rise in temperature.
Chronic course of the disease is characterized by drawing pains in the right upper quadrant radiating to the scapular region. The patient complains of constant belching, nausea and flatulence.
Cirrhosis of the liver
Such pathology does not occur suddenly. It is a consequence of chronic inflammation of the liver, alcoholism or intoxication, leading to the gradual dying off of its cells and their replacement by connective tissue.
Cirrhosis describes itself frequent pain in his right side, crossing over to the back. They often have a permanent character, intensifying at a time of sharp movements. When the patient lies down, he notes their gain.
Often the disease also manifests itself:
- great weakness;
- Blackouts;
- lack of appetite;
- lowering blood pressure;
- heart rhythm disorder.
Gradually, the body refuses to perform its functions, and the patient falls into a coma, often ending with his death.
Pain in the ribs during pregnancy
During childbearing often occur discomfort in the right upper quadrant. they are usually related to the fact that the growth of the fetus and cause an increase in uterine compression of nearby organs. In various cases, discomfort is felt in a particular area, giving a shoulder area of the clavicle or scapula.
When the child starts to move, then his movement affect the peritoneal membrane, also causing pain. Sometimes pregnant women at the same time observed dysfunction of the digestive system, gall bladder or kidneys.
Typically, after the birth of the baby all the discomfort quickly come to an end. However, if the postpartum woman should not be of clinical nutrition principles, the dysfunction is characterized by pain, can continue to be felt.
Hazardous pain syndromes
The most serious conditions that require immediate medical attention, and often surgical care are caused by:
- acute pancreatitis;
- renal colic;
- urolithiasis;
- heart attack;
- splenic rupture;
- appendicitis;
- hemorrhage into the abdominal cavity;
- thrombosis;
- bowel obstruction;
- ectopic pregnancy;
- liver failure;
- rupture of the fallopian tubes;
- abdominal artery embolism;
- abscess;
- kidney cancer.
The nature of pain
In the diagnosis of various diseases the doctor is very important to determine the exact nature of the particular manifestations of negative feelings the patient.
acute
This type of pain occurs when:
- severe internal injuries;
- rib fractures;
- rupture of the pleura;
- renal colic;
- perforation of the stomach;
- heart attack;
- cyst infringement.
Acute pain is so pronounced that a person can experience a state of pain shock or fainting. He is able to develop collapse and confusion. From severe cramps are sometimes denied, and other organs.
sharp
This type of negative sensations most frequently occurs when:
- organ perforation;
- renal colic;
- peritonitis;
- acute gastric ulcer and 12 duodenal ulcer.
pulling
Such an option is often marked pain or chronic inflammatory diseases.
It is typical for:
- hepatitis A;
- cirrhosis;
- splenomegaly;
- ovarian pathology.
stitching
This type of pain usually occurs in pneumonia, pleurisy. The sensations are localized under the ribs on the part of the affected organ, and become stronger in case of coughing, sneezing or breathing deeply. Sometimes they give to all the surrounding area and make the patient tolerated the existence difficult.
usually these symptoms are important for the doctor as fever, difficulty in breathing or bluish face.
aching
This type of pain is most common in:
- the development of liver failure;
- thromboembolism abdominal arteries;
- nephrosis;
- tumors of the ovaries;
- adrenal disease;
- enteritis;
- initial stage of ectopic pregnancy.
prolonged
Long not passing pain occurs in chronic diseases. These typically include:
- chronic gastritis;
- peptic ulcer and 12 duodenal ulcer;
- chronic pancreatitis;
- pancreas tumor;
- cirrhosis of the liver;
- splenomegaly;
- urolithiasis;
- radiculitis;
- intercostal neuralgia.
Constant
Permanent pain gets in the presence of:
- malignancies;
- cancer metastasis;
- formation of cysts;
- parasitic infestations;
- rib fractures.
periodic
This type of pain is noted in the presence of certain diseases. It was her character and reveals them. These include:
- changes in the liver under the influence of alcohol;
- liver cancer;
- simplex lesions;
- chronic cholecystitis;
- gallstones;
- pleural lesion fracture edges, and t. d.
Treatment of pain under the ribs
It is better not to try to carry out self-treatment, but in cases where there is a specialist appointment or the patient's condition is critical, it can be given any antispasmodic. Usually this allows a short time to improve his condition, and he is able to wait for the arrival of an ambulance.
However, if he felt much better, such a change does not mean that the call is allowed to cancel. Man in any case needs a comprehensive examination and a subsequent comprehensive treatment.
Any intensity of pain under the ribs, notes to the left or right side requires immediate treatment to the doctor.
Pain in the upper quadrant or in the bones themselves are often indicative of conditions that threaten the patient's life. Therefore, they require the most attention as the man himself and his relatives.
Videos of pain under the ribs
The causes of pain under the ribs on the left side:
Shark oil with pain on the left side in the ribs: