Pain under the ribs: nature, causes, treatment. Why does the stomach hurt under the ribs? The most common reasons. The reaction of the nervous system of the body

In this case, the pain occurs on the left side and radiates more to the front, the patient feels supportive discomfort.

In addition, pain on the left under the ribs can be given to the anterior part with stomach and duodenal ulcers. With an ulcer, the pain is acute and migrates to right hypochondrium.

For disorders nervous system paroxysmal pain on the side under the left ribs is accompanied by such unpleasant symptoms like migraine and convulsions.

Shingles strikes nerve endings in the intercostal region, so it does not appear immediately. Initially It's a dull pain on the side in the left hypochondrium becomes acute, and only with time appear on the skin herpetic eruptions.

Pain behind the left under the ribs

Pain in the left hypochondrium, which gives back, occurs with kidney disease (in this case- left kidney) and vertebral osteochondrosis.

The kidneys can hurt in different ways:

Severe, unbearable pain is a sign of renal colic.
Constant, but not severe "severe" pain - with inflammation and enlargement of the organ.

Vertebral osteochondrosis can also provoke both not too strong aching pains after sleep or a long stay in one position, and strong piercing pains that weaken after a person freezes in one position.

Pain under the ribs on the lower left

Almost always, the pain under the left ribs below (especially under the lower rib) is aching in nature and is provoked by an enlarged spleen.

The spleen is an organ that, increasing, reacting to all kinds of diseases.

Infectious diseases provoke an enlargement of the spleen - Infectious mononucleosis, accompanied by fever, sore throat, swollen lymph nodes.
Hemoblast diseases: lymphomas, leukemia, chronic lymphocytic leukemia.
Septic diseases: purulent abscesses, bacterial endocarditis
Chronic diseases with a high degree of severity: tuberculosis, lupus erythematosus, malaria.

Pain under the lower left rib, which is associated with an enlarged spleen - very dangerous symptom, because in difficult cases, the inflamed organ can rupture even with the slightest movement.

Symptoms of pain on the left under the ribs

In order to understand what disease the pain on the left under the ribs can portend, it is not enough to determine its localization. An important point in making a diagnosis is the nature pain. The pain may be:

Sharp.
Dumb aching.
Acute.
Stabbing.

Depending on the nature of the pain and its accompanying symptoms, it is possible to determine which particular organ needs careful treatment. medical examination and subsequent treatment.

Dull aching pain on the left under the ribs

If you feel aching pain on the left under the ribs, which is also located in the middle of the abdomen, this indicates gastritis or peptic ulcer stomach. Associated symptoms these diseases are:

Relief vomiting.
Decreased appetite.
Diarrhea.
Sour and bitter eructations.

Often gastritis with decreased secretion gastric juice provoke the occurrence of such terrible disease like cancer.

Dull aching pain in the left hypochondrium is also a sign of stomach cancer. But it should be remembered that pain can also take on a sharp character. Characteristics of stomach cancer are:

Unreasonable weight loss.
Anemia or signs of intoxication (jaundice of the face and eye proteins).
Increasing weakness and impaired performance of a person.
Depression.
A sharp desire to change the diet, for example, an aversion to meat.

A dull aching pain at the bottom of the left rib indicates an enlarged spleen - splenomegaly.

Often, aching pain on the left pesters people suffering from diseases of the pancreas. It is in the left hypochondrium that the “tail” of the organ is located, so the attack begins there. After the pain takes on a girdle character. Associated syndromes diseases of the pancreas:

Elevated temperature.
Vomit.
Nausea.

Sharp pain on the left under the ribs

Sharp pains in the left hypochondrium are characteristic of stomach ulcers and duodenum. They can give to the lower back and back. Sharp pains are so excruciating that the patient is forced to be in a squatting position, clasping or pressing his stomach against a solid object. In addition, ulcers suffer from:

"hungry" pains.
Heartburn.
Vomiting.
Constipation.
Weakness, irritability and headaches.

Sharp pain can increase under the ribs on the left after physical exertion or nervous strain.

Stitching pain under the ribs on the left

stabbing pain in the left hypochondrium, which is aggravated by coughing or inhaling - serious symptom diseases of the lungs (left-sided pneumonia, inflammation of the left lung, tuberculosis, lung cancer) or the left side of the diaphragm.

Associated symptoms for lung diseases are:

Elevated temperature.
Fever (for pneumonia and subphrenic abscess).
Constipation.
Breathlessness.
Pale blue color of the nasolabial triangle (for pneumonia).
General intoxication of the body (if the diaphragm is damaged).

Pain under the rib on the left side can signal a very dangerous disease. And it can be not only heart disease, as many may think. Pain in this area can give the spleen, diaphragm, heart, stomach and even the nervous system. Therefore, it is necessary to listen to your body and determine the nature of the pain. If discomfort in the left hypochondrium is prolonged and intense, then immediately call a doctor.

Stomach

If the pain under the rib on the left side is also accompanied by vomiting and nausea, then the cause is probably associated with a gastrointestinal disease.

Flatulence and constipation. These diseases can give pain to the left side.
(may also be manifested through high temperature and vomiting).
Gastritis. Symptoms: pain - intense or aching, which is also accompanied by vomiting, dizziness, bloating and weakness.
Gastric ulcer. With this disease, pain usually appears after eating.

Spleen

Pain on the left side under the ribs can inform about or even about its rupture. Severe pain can be with the following diseases:

Spleen injury (open or closed). Usually accompanied severe pain hypochondrium, tachycardia, hypotension, nausea and thirst.
A splenic infarction occurs due to blockage of an artery. In this case, the pain when inhaling becomes stronger.
Abscess of the spleen - accumulation a large number pus. In such cases, pain may radiate to the left shoulder.

Pancreas

This organ, with its part, just enters the area of \u200b\u200bthe left hypochondrium. Therefore, if it hurts on the left side under the breast, it can also be a symptom of pancreatic ailments.

Chronic pancreatitis is characterized by dull pain.
accompanied by cutting and sharp pain in the left side.

Diaphragm

The diaphragm is a muscle that separates the abdominal cavity from the chest. Pain on the left side under the ribs can signal such a serious illness as This disease occurs due to displacement of organs abdominal cavity in chest. In such cases, discomfort becomes more intense during heavy physical exertion and during meals.

Heart

If it hurts a lot on the left side under the chest, while there is shortness of breath and a feeling of lack of air, then this indicates problems with the heart. In most cases we are talking about at various stages.

Myocardial infarction is characterized by severe, tearing, constricting pain in the region of the heart.
Angina. With this disease, the pain is of a short duration.

Other causes of pain in the left hypochondrium

formed by compression of the intercostal nerves. It is accompanied by severe pains of a different nature: aching, dull, acute, paroxysmal, burning.
Abdominal migraine is a disorder of the nervous system. One of the symptoms of this disease is pain under the rib on the left side or in the middle of the abdomen.
Hormonal failure can also be the cause of such painful sensations. Basically, this symptom manifests itself during menopause in women, puberty in adolescents and during

We have brought far full list diseases, the symptom of which is pain under the rib on the left side. As you can see, diseases can be both frivolous (flatulence) and very severe (myocardial infarction). Therefore, in such cases, do not tolerate pain, but immediately call emergency help.

Pain under the ribs is a very common symptom. Most often it occurs in the following pathologies:
1. Diseases of the gastrointestinal tract:

diseases of the stomach and duodenum (gastritis, ulcers, stomach cancer);
diseases of the pancreas (acute and chronic pancreatitis, pancreatic cancer);
diseases of the gallbladder (acute and chronic cholecystitis, hepatic colic, biliary dyskinesia);
liver diseases (hepatitis, cirrhosis, neoplasms).

2. Enlargement of the spleen:

hemoblastic pathologies (leukemias and lymphomas);
hemolytic anemia;
sharp infectious diseases(Infectious mononucleosis);
septic conditions (bacterial endocarditis, septicemia);
chronic infections (tuberculosis, malaria);
immune disorders (systemic lupus erythematosus).

3. Trauma to the liver and spleen.
4. Subdiaphragmatic abscess.
5. Retroperitoneal hematoma.
6. Myocardial infarction (gastralgic form).
7. Lung diseases (right-sided lower lobe pneumonia, dry pleurisy, lung cancer).
8. Diseases urinary system(acute and chronic glomerulonephritis, acute and chronic pyelonephritis, urolithiasis).
9. Osteocondritis of the spine.
10. Violations of neuro-endocrine regulation (neurocirculatory dystonia).

A thorough analysis of the pain syndrome in conjunction with the accompanying symptoms, taking into account previously diagnosed diseases and the history of the onset of pain, will help determine which doctor to contact, and will allow you to accurately diagnose provisional diagnosis.

Sharp pain under the ribs requiring emergency medical attention

Acute pain under the ribs in front in the middle with a perforated stomach ulcer and
duodenum

An unusually sharp pain under the ribs in the front in the middle is a characteristic symptom of a perforated ulcer of the stomach and duodenum. In medicine, it is called "dagger" pain, because patients compare their sensations to an unexpected stab in the stomach. The pain syndrome is so strong that the patient is forced to take forced position: lying with legs brought to the stomach.

Initially, the pain is localized in the epigastrium (under the pit of the stomach), and then shifts under the right lower rib. Such migration is associated with the spread of gastric contents in the abdominal cavity. After the strongest pain attack there comes a period of imaginary well-being, often leading to erroneous tactics of waiting. If the patient does not receive adequate treatment, diffuse peritonitis develops, which can cause the death of the patient.

The history of the disease can help in the diagnosis. As a rule, patients have a long history of ulcers, and the perforation of the ulcer is preceded by a period of exacerbation of the disease. The exception is the so-called acute ulcers, which sometimes occur in postoperative period after serious surgical interventions, with polytrauma, septic conditions, etc.

First aid for perforation of a stomach or duodenal ulcer consists in emergency transportation to surgery department hospital.

Sharp girdle pain under the ribs in acute pancreatitis

The first and main symptom of acute pancreatitis is a sharp girdle pain under the ribs, which, as a rule, occurs suddenly, quickly covers the entire upper half of the abdomen and radiates to the back under both shoulder blades. Another one salient feature- the intensity of pain does not change when coughing, inhaling, straining, changing the position of the body.

The second will help in the diagnosis feature acute pancreatitis- nausea and repeated vomiting, which occurs both spontaneously and when trying to eat or drink a few sips of water. Pain after vomiting does not decrease, and sometimes even intensifies.

The pancreas contains many enzymes that, when it is inflamed, enter the bloodstream and cause severe intoxication, manifested characteristic symptoms: cyanosis (cyanosis) of the face, trunk and extremities, marbling of the skin of the abdomen, petechial hemorrhages on the lateral surfaces of the body and in the region of the navel. In extremely severe cases collapse develops. sharp drop blood pressure), often leading to the death of the patient.

When making a diagnosis, it should be taken into account that, as a rule, acute pancreatitis develops after abundant intake alcohol combined with fatty sweet food(doctors often call the pathology "holiday" or "New Year's" disease).

If acute pancreatitis is suspected, emergency hospitalization is required intensive care because delay is fraught with the death of the patient.

Severe pain under the lower right rib in front with acute cholecystitis and hepatic
colic

Acute pain under the lower right rib in front is the leading symptom of acute cholecystitis. Pain radiates to the back and up under right shoulder blade, in the right supraclavicular region, and even in the neck. The pain syndrome, as a rule, is so intense that patients constantly rush about, trying to find a position that reduces pain.

The clinical picture is complemented by severe fever, nausea and repeated vomiting, which does not bring relief. Often there is jaundice of the skin and sclera (protein eyeballs).

Acute cholecystitis - inflammation of the gallbladder, should be distinguished from an attack hepatic colic that occurs when the gallstone moves along the duct.

Hepatic colic is also characterized by acute pain under the right rib with the same irradiation, but repeated vomiting and fever are usually not observed. An attack of hepatic colic lasts several hours, and goes away on its own. The pain syndrome is relieved by antispasmodics, while in acute cholecystitis they are ineffective.

If you suspect acute cholecystitis urgent hospitalization in the surgical department is indicated.

Sharp pain when inhaling under the ribs in front in the middle with a subdiaphragmatic abscess

Sharp pain when inhaling under the ribs in front under the left or right rib may be caused by a subdiaphragmatic abscess.

In such cases, the pain is quite intense, aggravated by coughing, sneezing, deep breathing, sudden movements, and forces the patient to take a forced position (half-sitting in bed or lying on a sore side). The pain radiates under the scapula and into the supraclavicular region of the corresponding side.

Pain in a subdiaphragmatic abscess is usually accompanied by high fever and severe symptoms general intoxication of the body.

Significant assistance in the diagnosis of pathology will be provided by the fact that the most common cause subphrenic abscess - surgical interventions. Another common cause of pathology is trauma to the abdominal organs. less often subphrenic abscess occurs as a complication of purulent processes in the liver and as a result of local peritonitis (acute cholecystitis, appendicitis, etc.).

Pain in the side under the ribs with severe injuries of the liver and spleen

Pain under the ribs is the leading symptom of severe liver and spleen injuries requiring emergency surgical intervention. Such injuries (ruptures and crush injuries) are typical for strong mechanical impacts (railway and car accidents, falls from a height, the collapse of weights on the body).

Contribute to the rupture of the liver and spleen, some serious illnesses leading to a violation of the structure of the organ (enlargement of the spleen with leukemia, cirrhosis of the liver, etc.). In such cases, a rupture can occur even with a slight force of the traumatic factor.

A characteristic difference in the pain syndrome in severe injuries of the liver and spleen is the symptom of "roly-poly": the victim cannot be in horizontal position because the pain is exacerbated. This feature is due to the ingress of blood under the dome of the diaphragm, and irritation of the nerve endings located there.

In addition to pain under the ribs on the corresponding side (with rupture or crushing of the liver - on the right, with damage to the spleen - on the left) clinical picture complemented by symptoms acute blood loss(pallor skin and visible mucous membranes, rapid pulse with reduced blood pressure, dizziness and weakness).

Separately, it is necessary to highlight the so-called two-stage ruptures of the liver and spleen. They occur in those cases when, during an injury, the parenchyma of the organ is torn, and the capsule remains intact.

The blood poured out from the affected area accumulates under the capsule and gradually stretches it. Then, as a rule, with a minor injury (a slight push, a careless turn in bed) or a slight physical effort (sometimes even when coughing or sneezing), the capsule ruptures, and the collected blood is poured into the abdominal cavity, causing symptoms of peritonitis. Bleeding from the damaged organ increases after the rupture of the capsule, so that a sharp fall is possible blood pressure and death of the victim.

The difficulty in diagnosing two-stage ruptures of the liver and spleen lies in the fact that immediately after the injury, the victims feel relatively satisfactory, they do not go to the doctors, and sometimes even practice physical work which is extremely dangerous in their position.

Pain under the ribs with two-stage ruptures of the liver and spleen increases gradually, sometimes there are mild signs of blood loss (shortness of breath with slight physical activity weakness, dizziness).

At the slightest suspicion of damage to the liver and spleen, you should contact the surgical hospital for additional examination, since the earlier the operation to suture the torn organ is performed, the better the prognosis.

Pain in the abdomen under the ribs in front with gastralgic form of myocardial infarction

Pain in the abdomen under the ribs in front occurs with the so-called gastralgic form of myocardial infarction. Such a clinical variant of the course of a heart attack is observed in 2-3% of cases, and indicates damage to the lower or lower posterior part of the left ventricle.

Patients complain of pain and a feeling of support under the heart. The pain syndrome is often quite intense, the pain causes increased sweating and is accompanied by a fear of death, so that patients behave very restlessly.

Diagnosis of heart disease is complicated by the presence of symptoms such as nausea, vomiting, painful hiccups, frequent stools. Because of this, patients are often misdiagnosed and prescribed inappropriate treatment.

Diagnosis can be aided by symptoms such as expiratory dyspnea(difficulty in exhalation), which increases with the movements of the patient, and central cardiac cyanosis (puffy, yellowish-pale face with a bluish tinge, purple-blue lips).

The pain may radiate downward and cause protective tension in the abdominal muscles. Therefore, with this pathology, patients are often diagnosed acute appendicitis and prescribe life-threatening surgery.

However, unlike " acute abdomen", pain in right-sided pneumonia does not have a clear localization, and the patient cannot name exact time occurrence of pain syndrome.

Other symptoms of pneumonia can be of great help in the diagnosis. Often the pain is preceded by one or more bouts of fever, which is not typical for abdominal catastrophes. Like all febrile illnesses, pneumonia is accompanied by constipation, while for pathologies that cause a picture of an "acute abdomen", diarrhea is more characteristic. Often, with pneumonia, a very characteristic symptom is observed - flushing of the cheek or herpetic eruptions on the side of the lesion.

In addition, with abdominal catastrophes, the patient takes a forced position in bed, and with pneumonia, he can move, but often his movements increase shortness of breath. Shortness of breath and a pale bluish color of the nasolabial triangle is also a common sign of pneumonia and can be helpful in diagnosis.

And finally, for a preliminary diagnosis, a thorough history taking is necessary - pneumonia often complicates SARS.

If you suspect right-sided pneumonia emergency hospitalization required additional research and treatment in a hospital (therapeutic department).

Pain under the ribs in chronic diseases

Dull aching or sharp pain under the ribs in front in the middle with chronic
diseases of the stomach and duodenum

The most common causes of dull or sharp pain under the ribs in front in the middle are the following chronic diseases stomach and duodenum:

gastritis type A (gastritis with increased or normal acidity);
stomach or duodenal ulcer;
gastritis type B (gastritis with reduced acidity);
stomach cancer.

Treatment of gastritis is carried out by a gastroenterologist, with peptic ulcer, surgical treatment is sometimes required, and if gastric cancer is suspected, they turn to an oncologist.

Pain under the ribs in the front in the middle with gastritis with high or normal acidity
For gastritis with increased or normal acidity, the onset of pain on an empty stomach is characteristic, caused by irritation of the mucous membrane with gastric juice. One and a half to three hours after eating, the pain may increase due to a mechanical effect on the inflamed mucosa, so gastritis patients are advised to take mucous soups and other dishes that have a softening and enveloping effect.

In addition to pain under the ribs in front in the middle for gastritis with hyperacidity characterized by such a symptom as excruciating heartburn. On the part of the intestines, there is instability of the stool with a tendency to constipation.

Sharp pain under the ribs in front in the middle and under the left rib with peptic ulcer of the stomach and duodenum
With a stomach ulcer and duodenal ulcer, a special cyclical pain is characteristic. Pain often occurs at night, while exacerbations of the disease are most often observed in spring and autumn. They can radiate left edge, in the back and lower back.

Often, to alleviate the pain syndrome, patients take a forced position: they squat, clasping their stomachs with their hands, press their stomachs against the edge of the table, or lie on their stomachs.

Just like with gastritis with high acidity, pain occurs on an empty stomach (especially for duodenal ulcers, “hunger pains” are characteristic) and 1.5-3 hours after eating. By the time interval between eating and the onset of pain, one can judge the location of the ulcer (the closer to the entrance to the stomach, the shorter this interval).

Provoke pain physical and nervous strain. Relieves - taking antacids (often patients use baking soda) and a heating pad.

In addition to sharp pain under the ribs in front and under the left rib, stomach and duodenal ulcers are characterized by heartburn and constipation, flatulence. With a long course of the disease, patients lose weight, they develop asthenic syndrome: weakness, irritability, headache increase.

Aching pain under the ribs in front in the middle and on the left with gastritis with reduced acidity
For gastritis with reduced acidity, pain and a feeling of heaviness under the ribs in front in the middle or on the left, after eating, are characteristic. Vomiting in this case brings relief, therefore, in the old days, gastritis with reduced acidity was called "indigestion."

The disease proceeds with a decrease in appetite and a tendency to diarrhea. Also very characteristic is the eructation of sour, bitter or eaten food.

With significant malabsorption, there are general symptoms: weight loss, hyperhidrosis of the extremities, seizures around the mouth. Chronic anemia associated with vitamin B 12 deficiency may develop.

Sharp or aching pain under the ribs in front in the middle and on the left with stomach cancer
Pain under the ribs in front, in the middle and on the left with stomach cancer, as a rule, already appears on late stages diseases, with the germination of the stomach wall by the tumor and compression of the surrounding organs and tissues. The initial period often goes unnoticed.

suspect oncological cause pain is possible in the presence of so-called "small signs" that appear already on early stages diseases:

weight loss;
change in taste habits, picky attitude to food, aversion to meat;
signs of anemia and early intoxication (yellowish-pale complexion, yellowness of the sclera);
progressive weakness, general decrease in performance;
psychological changes (depression, loss of interest in the surrounding reality, alienation, apathy).

Most often, gastric cancer occurs against the background of gastritis with reduced secretion of gastric juice. Polyps and ulcers of the cardia of the stomach are very prone to malignancy, therefore, with these diseases, special vigilance is necessary.

Girdle pain under the ribs in chronic pancreatitis and pancreatic cancer

One of the leading symptoms chronic pancreatitis are pains under the ribs in front, extending to the left and right hypochondrium. Often the pains are girdle in nature, and radiate to the back under the left and right shoulder blades. Occurs after eating, especially sweet and fatty.

A characteristic feature of the pain syndrome in chronic pancreatitis is the intensification of pain in a horizontal position lying on the back, so that patients during an attack try to sit, leaning forward.

In addition to a specific pain syndrome, chronic pancreatitis is characterized by pronounced signs of malabsorption of substances in the intestine - diarrhea, "fatty feces", sometimes meat fibers can be detected in the feces with the naked eye. As a result of insufficient intake of nutrients in severe cases, patients lose a lot of weight (sometimes up to 20 kg), vitamin deficiency and general exhaustion of the body develop.

Pain under the ribs at the back with kidney damage has two mechanisms. For acute or chronic inflammation an increase in the size of the organ occurs, which leads to stretching of the capsule. The pain in this case is constant, but they are not very intense, and most often have the character of a feeling of heaviness in the lumbar region.

The basis of another mechanism for the occurrence of pain is a spasm of smooth muscle muscles. primary departments urinary tract. This pain is like renal colic, it is acute, paroxysmal, gives down to the groin and genitals, is removed by heat and antispasmodics.

Back pain under the ribs with osteochondrosis lumbar of the spine is caused by inflammation of the roots spinal nerves. In such cases, the pain extends along the fibers of the corresponding nerves down to the buttocks, and outer surface thighs and lower legs.

Pain syndrome in osteochondrosis can also have different character. Patients are often worried about aching pain after morning sleep or prolonged stay in one position. Another type of pain is shooting. They occur with sudden movements, and cause the patient to freeze for a long time in one position.

Pain in the upper abdomen under the ribs is a common symptom, especially characteristic of the following pathologies:

Ulcer of the stomach and duodenum;
pancreatitis;
Cholecystitis.

Cutting under the ribs with right side characteristic of liver diseases. The pathology of the lungs is indicated by subcostal pneumonia, which occurs on the right, left, in the middle, and is aggravated by coughing. Vegetative-vascular dystonia is also distinguished by the same floating pain under the ribs. This article will discuss the pain of the upper abdomen, related to violations of the functions of the digestive system.

Dumb, or vice versa, sharp pain syndrome in the anterior hypochondrium of the abdominal cavity causes with increased or normal acidity. This pathology is characterized by the occurrence of painful sensations in a state of hunger, from the fact that gastric juice irritates the inflamed gastric mucosa.

But eating does not alleviate the condition, but on the contrary, it can increase the pain, because after eating the inflamed mucosa is irritated by the accepted one, especially if it is hard, and with high content acids. Therefore, patients with gastritis are advised to eat starchy soups, jelly and other dishes that envelop the walls of the stomach.

Gastritis with high acidity is also characterized by symptoms such as unstable, constipated, stools. Aching pain and feeling of heaviness under solar plexus indicate the presence of gastritis with low acidity. This condition is especially aggravated after eating.

One of the signs confirming this diagnosis may be belching bitter, sour, or eaten. with this form of gastritis brings relief. Malabsorption leads to weight loss, excessive sweating hands and feet chronic anemia, vitamin B12 deficiency.

Gastric and duodenal ulcer

With a stomach ulcer, a sharp pain is inherent, localized in the left half of the hypochondrium.

As a result of indigestion, the body does not receive the necessary nutrients, why the patient loses weight, develops a general depletion of the body and beriberi.

Pancreas cancer

When cancerous tumor in the pancreas, the pain resembles acute attacks pancreatitis. The pain comes from the location of the tumor. If the head of the pancreas is affected by the tumor, then the pain is concentrated in the right side. Malignant neoplasms the body or tail of the pancreas make themselves felt with intense pain under the left rib at night, the pain radiates to the back.

Hepatic colic and cholecystitis

Chronic cholecystitis declares itself with moderate pain under the right rib, radiating under the right shoulder blade or in the epigastrium. As a rule, pain occurs when the diet is violated, when consuming acute and fatty foods. Accompanied by bitter belching, vomiting, heartburn. Chronic cholecystitis is complicated by cholelithiasis, which requires surgical intervention.

Acute cholecystitis may be indicated by sharp pain in the anterior abdomen under the right rib.

Acute cholecystitis or inflammation of the gallbladder may be indicated by sharp pain in the front of the abdomen under the right rib. Unbearably sharp pain makes the patient toss about in search of a position that would help to make the pain less acute.

In this case, the patient is tormented by fever and incessant vomiting. The disease is accompanied by yellowing of the skin and eyeballs. If inflammation is suspected

Pain on the left under the ribs is not only a fairly common phenomenon, but also very deceptive.

The fact is that most of us, having felt such discomfort, immediately write them off for heart problems and start drinking validol.

However, pain under the ribs on the left side often indicates completely different, but no less serious diseases.

The nature and intensity of pain

The nature of the pain will help you determine which organ to treat and which doctor to see.

1. Dull aching pain under the ribs on the left indicates:

gastritis or stomach ulcers. May be accompanied by relieved vomiting, decreased appetite, and diarrhea;
stomach cancer. May be accompanied sharp decline weight, weakness, anemia, symptoms similar to toxicosis in pregnant women (for example, the appearance of an aversion to meat);
enlargement of the spleen;
diseases of the pancreas. May be accompanied elevated temperature, nausea or vomiting.

2 . Sharp pain in the left hypochondrium may be a sign of:

ulcers of the stomach or duodenum. May be accompanied by heartburn, vomiting and constipation;
nervous tension.

3. Stitching pain on the left under the ribs talking about:

lung diseases. Especially if it is aggravated by coughing and deep breaths(pneumonia, inflammation, tuberculosis or cancer of the left lung). May be accompanied by fever, shortness of breath, constipation and general intoxication organism;
ulcer of the duodenum or stomach. May be accompanied by nausea and vomiting;
heart disease;
vegetative dystonia.

Pain on the left under the ribs in front and behind

Spleen

The spleen is located in the upper left side of the abdomen. Being close to the surface of the body, it is most often subject to various injuries. In addition, a number of diseases can contribute to an enlargement of the spleen, which stretches and causes dull pain under the rib on the left.

With untimely diagnosis and lack of treatment, an enlarged spleen can rupture. In this case, the pain will be acute, and the skin around the navel will turn blue, which will happen due to internal hemorrhage in the abdominal cavity.

If you observe in yourself or your loved ones similar symptoms, urgently call an ambulance, as even a minute delay can be fraught with lethal outcome. However, even with timely hospitalization, the likelihood of removal of the spleen is high.

If a rupture of the spleen is suspected, the patient is recommended to apply a cold compress to the left side before the arrival of the ambulance team.

The rupture of the spleen can result in the following diseases:

Abdominal injury;

Infectious mononucleosis;

Inflammation or infarction of the spleen.