Burning in the right hypochondrium causes. Possible causes of a burning sensation in the right hypochondrium

In case of violation of the normal functioning of the liver, gallbladder, intestines and even the diaphragm, the patient feels pain and burning in the right hypochondrium, which are considered characteristic.

Depending on the problem area, other symptoms appear, which, of course, need to be looked at. The nature of the discomfort and the accompanying manifestations indicate which organ needs to be examined.

A burning sensation in the right hypochondrium is a fairly common complaint of patients at a therapist's appointment. Moreover, this applies to people with previously diagnosed diagnoses, and people without health problems involved in frequent physical activity. And despite the fact that the symptom does not cause much concern, such a signal of the body cannot be tolerated.

Causes of burning in the right hypochondrium

Everyone knows that on the right side there are organs whose interaction with each other is extremely important.

Burning pains on the right under the ribs can occur with problems with:

Cookie
gallbladder
Colon and duodenum
Loops of the small intestine
Aperture
Heads of the pancreas
Right kidney.

This means that pain on the right side also occurs as a result of injuries to the listed organs of the abdominal region. Depending on the neglect of the processes and the peculiarities of their course, burning can have a different character and be perceived differently.

Affects the functioning of the liver and other organs of heart problems. When the heart is not able to perform its functions normally - to pump blood around the body, blood stagnation occurs in the organs. If blood stasis occurs in the liver, it changes size, increases, resulting in a burning sensation in the right hypochondrium.

Consider other pathologies that provoke problems with the liver and, accordingly, cause pain:

Adenoma
Appendix - when it is located directly under the liver
Inflammation of the lung on the right side
Liver failure
liver abscess
Secondary biliary cirrhosis of the liver, etc.

Diseases according to the nature of pain

To determine the reasons why it occurs, doctors find out what character it is. Painful sensations, heaviness, burning in the right hypochondrium are the cause of problems with gallbladder as a result of bile stasis. The occurrence of such sensations is explained as follows: the abdominal wall in front presses on the gallbladder, which provokes its tension and contraction.

Relief of well-being usually occurs after diarrhea. Acute pain occurs when an excess amount of hepatic bile with enzymes for the digestion of food accumulates in the organ. This bile is thrown into the duodenum, resulting in acute pain and burning sensation in the right hypochondrium.

Burning pains on the right side most often indicate acute cholecystitis, which develops with inflammation of the gallbladder.

The accompanying features are:

Nausea
Jaundice
Itching of the skin

Infections and uncontrolled consumption of fatty foods can provoke an exacerbation of this disease. Patients feel burning in the right hypochondrium even in the presence of stones in the gallbladder.

With chronic inflammation of the gallbladder patients feel a dull pain under the ribs on the right, accompanied by nausea, and the shell of the eyes turns slightly yellow, the skin acquires a yellowish tint.

Common causes of burning in the right hypochondrium are pathologies provoked by viruses and infections. Thus, pain occurs when there is hepatitis A, which is really "caught" by eating contaminated foods. Hepatitis B is considered a characteristic disease for people who take drugs and those who have had bodily contact with them.

The virus is easily transmitted through infected blood hepatitis C. Also known toxic (acute) hepatitis, which is considered the most dangerous for the human liver. When the liver is damaged by viruses, the patient may suffer from bouts of pain, accompanied by a rapid deterioration in health, jaundice and fever of the patient.

In those who suffer chronic hepatitis pulling pains are often noted, which appear periodically. The disease proceeds without visible symptoms, therefore it leads to cirrhosis of the liver.

Aching pain and burning sensation in the right hypochondrium - a sign of a malfunction gallbladder and bile ducts. This disorder is psychosomatic in nature. With dyskinesia, patients talk about the presence of a bitter taste in the mouth, constant fatigue, a strong change in mood and pressing pain in the right side.

Pancreatitis- Another cause of burning and severe throbbing pain on the right. Unpleasant sensations gradually increase and can develop into girdle.

Associated symptoms:

Strong vomiting opens, in which traces of bile are visible
There is persistent nausea
Stomach disorders
Feeling bloated
The patient's body temperature rises above 39 degrees.

If these symptoms are ignored, the disease becomes chronic and a burning sensation in the right hypochondrium is accompanied by bursting pain.

Problems with kidneys in the same way provoke discomfort in the hypochondrium. So, with the pathology of the right kidney, the patient feels a stabbing pain, the place of localization of which gives in.

This condition accompanies:

Nausea
General weakness of the patient
Vomit
Increase in body temperature
Pain during urination.

Burning in right hypochondrium after eating, night pains indicate duodenal ulcer. Unpleasant sensations also appear on an empty stomach, along with nausea, vomiting with blood impurities, unpleasant belching and flatulence. With a complicated form of an ulcer, there is a sharp stabbing pain, lack of strength and dizziness.

What to do if there is a burning sensation

The occurrence of discomfort, regardless of its nature, is the first signal of a problem. This means that in order to make a diagnosis, eliminate the problem and avoid consequences, you need to seek qualified medical help.

If there is periodic or constant pain and burning sensation in the right hypochondrium for several days, it is important to visit a therapist, a gastroenterologist and an infectious disease specialist as soon as possible, who will help determine the source of the problem, choose diagnostic methods and correctly determine the subsequent treatment.

Pain from the left side can have a different character and be located in the lower abdomen or in the hypochondrium. A specialist will help to find out the cause of the outbreak, since the symptom is inherent in numerous diseases. Pain and burning on the left side of the body can signal heart, gynecological and digestive problems.

The nature of the pain syndrome

By determining the nature of the pain, an accurate diagnosis can be made. Distinguish symptoms by nature:

Peritoneal - has a clear focus of localization. When moving or pressing on a sore spot, the syndrome intensifies. Accompanies stomach ulcer
Visceral - pain of a general nature, dull. It runs rough. Occurs in diseases of the intestines and stomach
Wandering or reflected - a person cannot accurately indicate the place where it hurts. The focus is located in the left side, and from above or below, the patient finds it difficult to answer. The syndrome comes and goes. Accompanies malfunctions of the gastrointestinal tract.

According to the localization of the source of trouble in the left side, areas can be distinguished:

lower abdomen
Left under ribs.

Specialists can determine the disease: gastroenterologist, surgeon, therapist.

Causes of burning in the left side

On the left side of a person are: the spleen, stomach, heart, pancreas. Deviations in the work of any organ can cause pain and burning. Each organ is important for life, but it is most dangerous when a symptom signals heart disease.

Burning in the left hypochondrium due to heart disease

In the human body, the load on the heart is carried out constantly. The organ cannot be stopped, as it is constantly pumping blood. When working properly, the heart saturates all organs with oxygen and essential elements. A small malfunction can result in death.

Burning on the left side can be a signal of the following heart diseases:

Ischemic disease
myocardial infarction
Cardiomyopathy.

With heart disease, pain in the left hypochondrium is accompanied by symptoms:

With ischemic disease, heaviness appears in the chest, breathing becomes difficult, the pulse, on the contrary, quickens
In the pre-infarction state, the pain is visceral, spread to the entire left side of the body
With cardiopathy, the pulse is lost and there is a burning sensation in the hypochondrium, general malaise, weakness.

If a burning sensation in the hypochondrium is accompanied by any of the listed symptoms, you need to call an ambulance.

Diseases of the gastrointestinal tract

A burning symptom on the left side is characteristic of gastritis. In this case, additional symptoms appear: heartburn, belching, nausea. The focus has a peritoneal character. Burning appears in the hypochondrium after a short fast, and disappears immediately after eating. You can alleviate the condition by following a strict diet. Salty, smoked, fried foods should be excluded from food. Do not drink coffee, carbonated and alcoholic drinks. If gastritis is not diagnosed on time, the disease will turn into a stomach ulcer.

A stomach ulcer is also accompanied by pain in the hypochondrium. Accompanying the disease symptoms: cramps, nausea, vomiting, heartburn, migraine. The symptom is not relieved by painkillers, or after taking them, there is a short relief. An ulcer can be diagnosed with a colonoscopy. Under general or local anesthesia, a hose with a micro-chamber is inserted into the anus. There is an alternative research method - to swallow a nano-pill. The chamber is arranged in a capsule, which exits the body naturally. The price of a capsule starts from 4,500 rubles.

The cause of the disease can be inflammation of the pancreas. The body produces food juice, and with inflammation, the digestion process is disturbed. The focus has a wandering character, encircles the entire body. Inflammation is accompanied by the following symptoms: nausea, heartburn, fever. It is treated with a course of antibiotics, food enzymes, and a strict diet.

Spleen injury

The spleen is involved in the process of filtering the blood. When it is damaged, there is a sharp pain in the left hypochondrium. The pain is visceral in nature and radiates to the back. It is difficult for a person to move, antispasmodics do not bring relief. Damage to the spleen is accompanied by additional symptoms: fever, general malaise, nausea. An endocrinologist can diagnose the disease. You can alleviate the patient's condition by applying ice to the left side.

The focus may appear when an abscess of the spleen occurs. The organ increases in size and becomes inflamed.

The disease is characterized by severe pain and burning. Symptoms are dangerous, because if the organ breaks, the patient is threatened with death. It is treated only surgically.

Disease of the urinary system

Burning and pain in the lower abdomen on the left can signal urolithiasis. The pain has a cramping character. Accompanied by pain when urinating. A small stone can come out naturally, but it does not hurt to consult a urologist surgeon.

It can cause pain and burning sensation both on the right and on the left pyelonephritis. Accompanied by pain when urinating. The patient has general malaise, swelling of the legs and arms. The disease is treated with a course of antibiotics, diuretics and painkillers.

Malfunctions in the reproductive system

In women, pain in the lower abdomen can signal serious gynecological ailments.

A pain symptom of a different nature can cause endometriosis. The nature of the burning sensation may be different. The symptom intensifies during the menstrual cycle. Endometriosis is accompanied by other signs: discharge from the vagina is brown or yellow, with an unpleasant odor, the temperature rises in the evening. Treated with a course of antibiotics.

The second female disease, one of the signs of which is burning - rupture or inflammation of the fallopian tubes. The symptom is acute and radiates to the groin. The victim develops weakness, the skin turns pale. The temperature may rise. It's hard to bend and move.

Rupture of the tubes requires immediate surgical intervention.

Burning on the side of the lower abdomen in a woman can cause an ectopic pregnancy. Symptoms may resemble a normal pregnancy: lack of menstruation, irritability, pain and burning in the lower abdomen. To avoid rupture of the pipes, it is necessary, if any of the symptoms occur, to immediately contact a gynecologist. Specialists will perform an emergency operation. If an ectopic pregnancy is not diagnosed in time, the woman may die from internal bleeding.

When a burning sensation appears in the side, which is accompanied by pain in the hypochondrium, nausea, fever and other signs, you should consult a specialist. An early diagnosis can help the patient avoid surgery and, in some cases, death.

If burning signs appear in the liver region, then you need to urgently make an appointment with a specialist. Burning discomfort in the liver is a rather alarming sign that should not be ignored.

In the right hypochondrium, they can appear after hard physical work or fatty foods, taking drugs, or simply for no reason. In some cases, the feeling that the liver is burning is only irradiation, that is, the burning is simply given to the liver from another organ.

Causes of burning in the liver

If it appears in the hypochondrium on the right side, then in almost all patients such a symptom is associated with the fact that there are problems with the liver. Although, according to statistics, hepatic pathologies are rarely accompanied by a pronounced painful burning sensation.

The fact is that the hepatic parenchyma does not have pain receptors, therefore, painful symptoms occur only in cases where lesions affect the hepatic capsule.

As for burning symptoms in the liver area, it is usually associated with the movement of stones or sand through the bile ducts. Then burning discomfort is accompanied by acute pain of a paroxysmal nature, which can last for several hours or stop after a couple of minutes.

Sometimes burning symptoms are concentrated in the liver area against the background of strong physical overloads.

Liver cells store glycogen. With excessive physical overload, a lot of additional energy reserves are required, because the blood flow to the liver structures increases markedly. As a result, the organ enlarges, causing the capsule to stretch, which causes a burning sensation.

Sometimes the cause is taking drugs that have a hepatotoxic effect. So, hepatocytes are extremely negatively affected by hormonal contraceptives, painkillers or antipyretic drugs like Aspirin, Analgin, etc.

Often, an uncomfortable burning sensation in the right side occurs in pregnant women. It's just that the fetus grows, in the third trimester it begins to shift the intraorganic structures. Because of this, the liver is located above the prescribed level, which can cause burning discomfort in the liver tissues.

Associated symptoms

If a burning sensation in the liver tissues occurs against the background of violations in the functional state of the liver or bile structures, then the patient notices that additional symptoms appear, such as:

Insomnia and fatigue;
Frequent migraines and fatigue;
Lack of appetite leading to weight loss;
Yellowing of the sclera, mucous membranes and skin;
Causeless skin itching;
and discoloration of feces.

Hepatic pathologies and functional disorders can go unnoticed for a long time, because they develop latently. And such symptoms as painful discomfort occur already at the advanced stages of the pathological process.

Probable diseases

Quite often, hepatic burning is caused by pathological factors, of which there are quite a lot.

It is impossible to independently determine what causes served as a trigger for the appearance in the liver tissues. This requires complex diagnostic measures under the guidance of qualified specialists.

Diagnostic methods

If there is a burning sensation in the liver, then you need to consult a doctor. After examining the patient, the doctor will prescribe appropriate diagnostic procedures.

Typically, the diagnostic complex includes ultrasound, and, lungs, vertebral structures. Palpation and laboratory studies of biomaterials (blood, feces, urine, etc.) are also carried out.

Treatment

There is no single treatment regimen for burning discomfort in the liver area, because this condition can have many causes. The treatment regimen is drawn up in accordance with the immediate root cause of such an ailment.

Often liver diseases are manifested by burning in the right hypochondrium. In this case, rarely does anyone go to the doctor, unless the burning sensation appears constantly and is not accompanied by pain or other more severe symptoms.

But burning can be the first symptom of various pathologies, and if treated in timeattention to the problem, it is possible to detect the disease at an early stage andprevent complications.

The origins of the disease

Burning in the liver area does not always indicate its defeat. It can be a symptom of various pathologies of nearby organs. There may be problems in the following organs:

liver;
gallbladder;
the lower part of the right lung;
right kidney;
pancreas;
small intestine, appendix.

Of course, most often this symptom indicates damage to the liver and gallbladder. But other options should not be ruled out if the diagnosis is unknown.

Where is the gallbladder

Diseases of the liver and gallbladder

Most often, burning in the liver occurs due to impaired motility of the gallbladder and its ducts - biliary dyskinesia.

Distinguish dyskinesia with a low flow of bile (hypokinesia), as well as with increased flow (hyperkinesia). The causes of the disease can be:

malnutrition (eating a large amount of fatty, spicy, fried foods, etc.);
stress, disorders of the nervous system;
inflammatory process in hepatocytes, gallbladder, its ducts or in the duodenum.

To eliminate dyskinesia, appropriate treatment is required:

Diet. Foods that make the work of the digestive system difficult should be excluded. Food should be consumed fractionally, in small portions up to 7 times a day.
Anti-inflammatory drugs.
Medicines that affect the parasympathetic and sympathetic nervous system to normalize the functioning of the bile ducts.
Sedative drugs. To reduce stress levels.

Cholecystitis (inflammation of the gallbladder) is also often the cause of this symptom.

It has a fairly intense character, radiates to the right shoulder blade, shoulder or neck. There are cases when cholecystitis is manifested only by a burning sensation, but characteristic symptoms are usually present (vomiting, dull pain in the hypochondrium, itching of the skin, yellowness of the skin and sclera, etc.). It usually occurs after eating.

Treatment includes anti-inflammatory therapy, the fight against the pathogen, the use of choleretic drugs and, of course, dieting.

Hepatocyte lesions that can cause burning:

hepatitis (alcoholic, A, B, C, hepatitis caused by poisoning with drugs or salts of heavy metals);
cirrhosis.

In the treatment of these diseases, general (interferon) and specific antiviral therapy (depending on the type of pathogen), anti-inflammatory and choleretic drugs, and hepatoprotectors are isolated. It is also important to use immunomodulators, vitamins and follow the rules of nutrition.

Any of the above pathologies may require surgical treatment.

In addition, tumors or helminthic invasions (for example, echinococcus) can be its causes.

Inflammation of the liver

Lung injury

Quite rarely, pathologies from the lungs are the cause of burning. Most often it is pleurisy, which is accompanied by the accumulation of fluid in the pleural cavity. Burning is the main symptom in local pleurisy, delimited by pleural sheets. His treatment includes:

Treatment of the underlying disease.
Detoxifying drugs.
Anesthesia.

If the cause of pleurisy is an infection, broad-spectrum antibiotics should be used.

If the fluid accumulated in the pleural cavity significantly interferes with chest excursion and breathing, then a pleural puncture is performed.

Pain in the right side

Pathology of the kidney or various parts of the gastrointestinal tract

Quite often, burning in the right region characterizes right-sided pyelonephritis. Necessarily it is accompanied by high fever, malaise. To confirm the diagnosis, diagnostics are carried out: KLA, biochemical blood test, OAM, urinalysis according to Nechiporenko. Treatment involves antibacterial, detoxification therapy, compliance with the rules of nutrition with an increased amount of fluid and a minimum content of salt in food.

The nature of the pain syndrome

By determining the nature of the pain, an accurate diagnosis can be made. Distinguish symptoms by nature:

Peritoneal - has a clear focus of localization. When moving or pressing on a sore spot, the syndrome intensifies. Accompanies stomach ulcer
Visceral - pain of a general nature, dull. It runs rough. Occurs in diseases of the intestines and stomach
Wandering or reflected - a person cannot accurately indicate the place where it hurts. The focus is located in the left side, and from above or below, the patient finds it difficult to answer. The syndrome comes and goes. Accompanies malfunctions of the gastrointestinal tract.

According to the localization of the source of trouble in the left side, areas can be distinguished:

lower abdomen
Left under ribs.

Specialists can determine the disease: gastroenterologist, surgeon, therapist.

Causes of burning in the left side

Burning in the left hypochondrium due to heart disease

Burning on the left side can be a signal of the following heart diseases:

Ischemic disease
myocardial infarction
Cardiomyopathy.

With heart disease, pain in the left hypochondrium is accompanied by symptoms:

With ischemic disease, heaviness appears in the chest, breathing becomes difficult, the pulse, on the contrary, quickens
In the pre-infarction state, the pain is visceral, spread to the entire left side of the body
With cardiopathy, the pulse is lost and there is a burning sensation in the hypochondrium, general malaise, weakness.

If a burning sensation in the hypochondrium is accompanied by any of the listed symptoms, you need to call an ambulance.

Diseases of the gastrointestinal tract

Spleen injury

The focus may appear when an abscess of the spleen occurs. The organ increases in size and becomes inflamed.

The disease is characterized by severe pain and burning. Symptoms are dangerous, because if the organ breaks, the patient is threatened with death. It is treated only surgically.

Disease of the urinary system

Malfunctions in the reproductive system

In women, pain in the lower abdomen can signal serious gynecological ailments.

Rupture of the tubes requires immediate surgical intervention.

Painful burning in the left side can be explained by a large number of pathologies. As a rule, burning sensations are caused by disturbances in the work of those intraorganic structures that are located in the left hypochondrium.

These include the diaphragm and spleen, the stomach and intestinal loops, the left kidney and pancreas. If for some reason the functionality of these organs is disturbed, then spasms and cramps, painful symptoms and burning sensation appear.

Pain can be different: dull and sharp, aching and stabbing, cutting and dagger, with each type of pain syndrome indicating a specific pathology.

stabbing

A painful burning sensation of a stabbing nature quite often worries patients while running. It is not at all necessary that such soreness speaks of pathology, quite often it also worries healthy people.

If tingling and burning bother you only occasionally during periods of activity, then such a condition can be taken as the norm.

Such symptoms quickly disappear and indicate insufficient warming up of the muscles before training and too sudden movements during it.
In order not to encounter such a stabbing burning sensation, it is necessary to fully warm up before classes so that the body reacts more calmly to increased blood circulation.
If it is stabbed in the left side when walking too fast, then to eliminate discomfort, you just need to slow down the pace.
If a stabbing burning sensation in the left hypochondrium worries a healthy person who does not have heart problems, and only with increased stress, then the condition should not cause concern.
But even for a healthy person, when such sensations arise against the background of strong tension, it is necessary to stop training, take a few deep and calm breaths, and relax.
At the moment of inhalation, it is recommended to press on the source of painful burning and make a sharp lean forward. Soon the stabbing soreness will recede.

Watch your breathing during training, it should be deep. It can also be stabbed in the side if the patient ate tightly, and then began classes.

After eating, before training, at least one and a half hours should pass so that the digestive processes have time to process the incoming food.

Dagger

A painful burning sensation of a dagger character requires intervention by qualified doctors, especially if such sensations occur suddenly and are not related to stress.

An unexpected burning sensation in the lower abdomen and in the left side may indicate a rupture of the pelvis of the left kidney, perforation of the intestinal loop or gastric wall, damage to the splenic tissues. It is impossible to exclude such dangerous pathological conditions as abdominal myocardial infarction or pancreatitis.

Acute

If the patient has recently suffered some kind of traumatic injury (fall, accident, etc.) and after that, when inhaling, he has an acute burning sensation in the left hypochondrium, then such a reaction may well indicate serious damage to intraorganic structures.

You should immediately consult a doctor, because such a condition is fraught with serious complications and can pose a threat to the patient's life.

blunt

If the patient is often and for a long time worried about diffuse, dull pain in the left hypochondrium, then such a symptom may indicate the development of chronic gastrointestinal pathologies.

It can be cholecystitis, pancreatitis or a chronic form of gastritis.
Sometimes a pulling and dull painful burning sensation occurs against the background of systemic or hematopoietic pathologies, sepsis and infections of bacterial origin.

To determine the source of aching left-sided burning, you need to make an appointment with a gastroenterologist or therapist, undergo an examination with appropriate laboratory and hardware studies.

Aching

If the left hypochondrium constantly exudes a aching painful burning sensation, then such a symptom may indicate the development of duodenitis, in which inflammation of the mucous membranes of the duodenum occurs.

A similar symptom may be accompanied by sluggish colitis, which is an inflammation of the mucous tissues of the large intestine.

If such a burning sensation is accompanied by nausea-vomiting reactions, then, most likely, the patient develops a stomach ulcer.

If we talk about other possible causes of aching burning sensation in the left side, which have no connection with the pathologies of the gastrointestinal tract, then they can be caused by angina pectoris or pre-infarction conditions or myocardial ischemia.

Causes of burning in the left side

Burning in the left side can be for various reasons, which include:

Gastrointestinal pathologies such as peptic ulcer and cholecystitis, pancreatitis and gastritis, colitis and duodenitis;
Intraorganic tumors;
Neuralgia of intercostal localization;
Cardiac lesions, cardiomyopathies, heart attacks;
Rupture of the tissues of the spleen or an increase in the size of the organ, infarction of the spleen against the background of arterial thrombosis;
Diaphragmatic hernia or traumatic injury;
Rheumatism;
Pneumonia or pleurisy of a left-sided nature.

When making a diagnosis, the doctor must take into account the nature and exact location of the painful burning sensation, as well as the provoking factors of such a symptom.

Under the ribs in front

Burning and painful discomfort in the left hypochondrium in front may indicate a traumatic injury, while the nature of the pain will be sharp, spilled or dull. In this case, an urgent medical consultation is necessary.

A similar burning sensation can also be observed in heavily pregnant patients, as a rule, it radiates to the back of the hypochondrium. A similar condition occurs due to the pronounced pressure of the enlarged uterine body on neighboring intraorganic structures. Also, mothers often complain of stabbing pains in the side.

If a painful burning sensation is localized in the left side in front of the waist, then its sources may be lesions of the stomach or spleen, inflammation of the colon, or

heart attack

Muscular lesions.

In cases where the pain seems to shift upward and radiate to the center of the abdomen, the causes are most likely associated with the involvement of lesions of the gallbladder and duodenum in the pathology of the stomach.

Behind

If the burning sensation in the left side is localized on the back and is permanent, then the causes are associated with damage to the left kidney. In such a clinical situation, pain is pronounced, strong and acute. With renal pathologies, pain usually bothers patients constantly.

The tactics of treatment is determined by a specialist, he also directs to ultrasound diagnostics, laboratory tests of urine and blood. Painful burning sensation can also be explained by osteochondrosis or muscle lesions.

Pain in the abdomen with pathologies of the pancreas

As mentioned above, the causes of burning and pain in the left hypochondrium can be caused by pancreatic diseases.

Sources of such discomfort can be cystic formations in the gland, pancreatitis, or tumors of various origins.

A distinctive feature of pain of pancreatic origin is the lack of connection of this symptom with food. Such pain tends to increase with the development of inflammatory lesions, the addition of necrotic and edematous processes, and complications.

lower abdomen

In this area, the sigmoid colon, the left ureter, and the appendage in women are located, therefore, the painful symptoms localized in this zone are primarily associated with lesions of these intraorganic structures.

If the source of pain is the sigmoid colon, then the pain tends to increase before bowel movements and after a long walk, while patients constantly experience defecation urges, loose, frequent stools. At the same time, the feces look like meat slops, exude a fetid odor and contain pathological purulent, mucous and blood inclusions.
Painful burning in the lower abdomen on the left can also be caused by dysentery or dysentery-like infections. Shigella, Escherichia coli secrete toxic substances that provoke ulcerative processes in the intestine. As a result, sigmoiditis occurs, accompanied by false defecation urges, frequent liquid stools, cramping left-sided abdominal pain. In the feces there is pus and bloody impurities, mucous components.
For non-ulcer sigmoiditis also there is a burning sensation in the left hypochondrium in the lower abdomen. Painful sensations are bursting in nature, radiate to the perineum, intensify with movement and physical activity, but are blurred or mild. Accompanied by constipation alternately with diarrhea.
Among women such localization of a painful burning sensation may indicate an ectopic location of the fetal egg, inflammation of the left appendage, ovarian apoplexy, tumor neoplasms of the uterine appendages, etc. In this case, patients suffer from cycle disorders, pathological vaginal discharge and often have a history of ectopic or missed pregnancies, gynecological operations.
Burning pain in the lower part of the left hypochondrium occurs with renal colic. In this case, the pain syndrome is acute and cramping in nature, does not go away in a calm state, although the general condition of the patient can be considered satisfactory.
Also, such pains accompany pathologies such as intestinal obstruction or intestinal volvulus.

Also, the causes of left-sided painful burning in the lower abdomen can be

oncopathology Crohn's disease

or chronic pathologies of a gynecological nature.

From the back

The cause of pain and burning sensation from the back in the left side are often:

Pathologies of the spine and musculoskeletal structures (osteochondrosis, intervertebral hernia, muscle inflammation, intercostal neuralgia);
Cardiovascular pathologies (ischemia, heart attack, angina pectoris);
Pathologies of the respiratory system (diaphragmatic hernia, left-sided pneumonia, bronchitis or pleurisy);
Pathologies of the gastrointestinal tract (ulcerative processes in the intestines and stomach, gastritis, inflammation of the pancreas);
Kidney diseases (inflammation, stone-forming processes, etc.).

Also, painful symptoms can occur against the background of physical overload, overeating, abuse of fatty foods and alcohol.

In the region of the heart

Burning pain in the left hypochondrium can also be caused by cardiac pathologies, especially if there are concomitant symptoms such as nausea, shortness of breath, palpitations, regardless of the patient's activity.

With heart problems, patients complain of burning and heaviness in the chest. Usually painful burning is caused by coronary lesions, ischemia or cardiomyopathy.

After meal

Causes of painful burning after meals are often factors such as alcohol abuse, overeating and unhealthy eating habits, injuries.

Also, pain after eating occurs in the right hypochondrium against the background of pancreatitis, gastritis or ulcerative pathology of the gastrointestinal tract, functional disorders of the diaphragm.

Examination methods

To establish an accurate diagnosis and determine the cause of the pathology, an examination will be required, including:

Laboratory studies of feces, urine and blood;
X-ray studies;
Ultrasound diagnostics of internal organs;
Magnetic resonance or computed tomography.

The specialist will definitely conduct a differential diagnosis with a pre-infarction or infarction condition.

Treatment

Painful sensations are not a pathology, but only perform symptomatic functions, therefore, the elimination of the pain syndrome will not save the patient from the problem, but will only briefly alleviate his well-being.

Therefore, with a painful burning sensation in the left hypochondrium, a thorough diagnosis is necessary, aimed at identifying the cause of the pathology.

If the reasons are associated with overeating, then you need to adjust the diet and go on a diet;
With intoxication, enterosorbent preparations and a plentiful drinking regimen will help;
In stressful conditions and psycho-emotional overload, the use of sedatives, glycine, vitamin complexes is indicated.

If the causes of painful burning sensation in the hypochondrium on the left are of a pathological origin, then a consultation of a highly specialized specialist is necessary, who will select the appropriate therapy.

Self-treatment is unacceptable, because the symptoms of many pathologies are very similar. As long as you self-treat for one pathology that you do not have, the true cause of the burning sensation will only get worse.

With sharp unbearable pains lasting more than half an hour, you need to call an ambulance and not take any analgesics and antispasmodics, so as not to erase the clinical picture.

Which doctor should I contact?

Depending on the cause of the burning sensation, the intervention of a gastroenterologist or a urologist, a gynecologist or a proctologist, an infectious disease specialist, a urologist or a surgeon, etc. may be necessary.

Severe pain in the left hypochondrium - its appearance is a symptom of a large number of various diseases and pathological conditions. Since the left subcostal region of the abdomen corresponds to a part of the stomach, the left side of the diaphragm, intestinal loops, the pole of the left kidney, the pancreas and the most obvious organ - the spleen, therefore, most often the causes of such pain may be a malfunction of these organs.

The nature of the pain on the side under the ribs

First, it is worth deciding what the hypochondrium area means - this is the upper left quadrant, located under the ribs (see fig.). Depending on the nature of the pain, when it appears, after what events, it is possible to determine what caused it and which doctor should be contacted for an accurate diagnosis and treatment:

Stitching pains in the left hypochondrium during exercise

If they occur only during intense physical activity, such as running, brisk walking (on a treadmill), jumping, during fitness training and other physical activities, this is not scary and happens to practically healthy people. Such pain passes quickly and speaks only of insufficient warm-up before exercise and too sharp or excessive movement.

Without a thorough warm-up (20 minutes), the body does not have time to adapt to a sharp increase in blood circulation. If the pain occurs only during exercise, there is no particular danger in this, if the person does not suffer from heart disease (cardiomyopathy, etc.). Even if you are absolutely healthy, you should not test the body - stop, relax your arms, shoulders, take a deep breath, or during a sharp exhalation, press your palm on the place where the pain is located, while sharply leaning forward with your body, so repeat 2-3 times and you can run further.

You should also ensure that breathing during exercise is deep enough, since shallow and frequent breathing is accompanied by small excursions of the diaphragm. Usually, sharp stabbing pains on the left and even on the right when running occur if the workout starts abruptly without warming up and after eating. After eating, at least 1-1.5 hours should pass, since the gastrointestinal tract is loaded with work, the body has not warmed up and rebuilt, hence the double load and double pain.

Dagger cutting acute pain syndrome

It is a completely different matter if there is a dagger cutting, sharp pain in the left side under the ribs, when it is not associated with a load and appears suddenly - this is a reason for urgent medical care. Sudden severe pain in the left hypochondrium may indicate a rupture of the renal pelvis, spleen, be the result of perforation of the loops of the small intestine or the stomach wall. And also as an abdominal variant of myocardial infarction or acute pancreatitis.

Sharp, severe pain after an injury

If pain occurs when inhaling after a fall, injury or car accident, this may be a sign, a symptom of serious damage to the internal organs that threaten life.

Dull pain in the left hypochondrium

Diffuse, dull pain under the ribs on the left, if it periodically occurs for a long time, is a cause for concern, as it can be a symptom of a sluggish chronic disease of the gastrointestinal tract. Most often it is cholecystitis, gastritis, pancreatitis and others. To confirm or exclude these pathologies, you should contact a gastroenterologist, do a series of laboratory tests, instrumental studies, ultrasound and other procedures, tests.

Splenomegaly in various blood pathologies, autoimmune or systemic diseases, sepsis, bacterial infections is a reason for dull or aching chronic pain on the left in the hypochondrium.

It's a dull pain

Constant pulling, aching pain on the left under the ribs is a symptom, a sign of sluggish colitis or duodenitis, if this symptom is accompanied by nausea, vomiting - this may be a manifestation of a stomach ulcer. Unrelated to the gastrointestinal tract, such pain may be a sign of a pre-infarction condition, coronary heart disease, or angina pectoris.

So, the pain that occurs in the left upper abdomen can be caused by the following causes, pathologies and diseases:

Cardiomyopathy, heart attack, heart muscle damage
Most diseases of the gastrointestinal tract - gastritis, cholecystitis, pancreatitis, gastric ulcer, colitis, duodenitis
Intercostal neuralgia (symptoms)
Spleen rupture (trauma) or enlargement of the spleen due to infection
Spleen infarction due to arterial thrombosis
Tumors of internal organs
Diaphragmatic hernia or diaphragmatic injury
Rheumatic manifestations
Left-sided pneumonia, left-sided pleurisy, which occur in the lower part of the left lung

Pain in the hypochondrium should be distinguished according to the mechanism of occurrence

All possible pains in the left side under the ribs are also divided according to the mechanism of occurrence, this can serve as an additional diagnostic feature to help determine the pathology of a particular organ or system.

Reflected pains - these pain sensations appear as radiating from fairly distant organs, such as in case of a heart attack, left-sided pneumonia, pleurisy or other diseases.
Visceral pain - with spasms of the intestines or impaired motility of the stomach, as well as sprains of their muscle fibers. With flatulence, aching and dull pains may occur, or cramping pains - with intestinal colic, which often radiate to nearby parts of the body.
Peritoneal pain is a persistent and well-localized pain that is caused by irritation of the peritoneum, such as with a perforated stomach ulcer. Such pain increases with breathing, movement, it is cutting, sharp.

When pain in the left hypochondrium in front

If such pain is localized under the ribs in front, this rather indicates diseases of the spleen or damage to the tissues of the stomach. In these cases, the differential diagnosis is carried out with myocardial infarction, colitis of the upper intestinal loops, myositis. If the pain shifts more to the center, a combination of stomach disease with diseases of the gallbladder and duodenum is possible.

When pain is behind

Most often, when the left kidney is damaged, the pain is localized in the left hypochondrium at the back, it is strong enough, constant, to diagnose kidney diseases, an ultrasound should be done, and a general urine and blood test should be taken. In addition to the pathology of the left kidney, such pain can occur with thoracic and lumbar osteochondrosis, palpation of the paravertebral processes can give this pain syndrome.

Girdle pain combined with pain on the left

If girdle pain appears in the area under the left ribs, passing from behind to the anterior abdominal wall, this may be a sign of inflammation of the pancreas - pancreatitis. With an attack of pancreatitis, a symptom of the onset of inflammation is an unbearable burning girdle pain, which subsides a little when a person leans forward in a sitting position.

Diaphragm pathologies

Constant pain in this area can occur with pathologies of the diaphragm, diaphragmatic hernia. A hole in the diaphragm, necessary for the esophagus, which connects to the stomach, separates the chest cavity from the abdominal cavity. And with the weakening of the muscle tissue that regulates this hole, the lumen expands, so the upper part of the stomach can go beyond the abdominal cavity into the chest.

In this case, the contents of the stomach are thrown into the esophagus, causing constant dull, aching pain on the left, with nausea, heartburn. Pregnancy, obesity, excessive physical activity can contribute to the development of a diaphragmatic hernia, and this pathology often occurs in older people with a general weakening of the entire muscular apparatus. Sometimes this condition is aggravated by a pinched stomach, then there are sharp, cutting, sharp pains in the left hypochondrium.

Cause - intercostal neuralgia

Various neurological diseases can cause compression or irritation of the intercostal nerves. Pain in intercostal neuralgia has a wide range of manifestations:

In the region of the ribs, under the ribs - shooting, piercing, sharp or aching, burning or dull pain (see also pain in the region of the heart).
The pain may increase with sudden movements, sneezing, inhaling, coughing, even with a change in body position.
Attacks of intercostal neuralgia are accompanied by stabbing pain in the chest, left side, manifested by muscle twitches, pallor or redness of the skin, increased sweating.
When pressing on some points on the back, chest, between the ribs or along the spine, pain also appears.

With neuralgia, pain can be localized not only in the left side, but also in the lower back, under the scapula (as in heart disease). They can be at night, and in the morning, and during the day, for quite a long time, sometimes a feeling of numbness appears in places of damage to the nerve pathways.

Cardiac pathologies

Aching pain in the left side in combination with shortness of breath during exertion and even at rest, nausea, palpitations, burning and heaviness in the chest occur with heart diseases, such as coronary heart disease. With the defeat of the coronary arteries, the blood supply to the heart muscle is disrupted, causing such a pathological condition as ischemia.

Also, similar pains under the ribs can occur with cardiomyopathy - these are several different diseases that lead to dysfunction of the heart muscle, while there is no pathology of the valvular apparatus, arterial hypertension, and diseases of the heart vessels. In cardiomyopathy, the heart muscle changes structurally. This is manifested by rapid fatigue, pain in the left side during physical exertion. Learn more about the symptoms and treatment of cardiomyopathy.

Pathological conditions of the spleen

The spleen is a fragile, easily torn organ, so any of its pathological conditions is reflected in pain. Its slight increase is difficult to recognize, especially in overweight people, since it lies deep in the left hypochondrium. Enlargement of the spleen or splenomegaly occurs with some infectious diseases, such as infectious mononucleosis. However, in addition to pain in the spleen area, this disease has pronounced symptoms, such as fever, muscle pain, headache, swollen lymph nodes, general intoxication, tonsillitis, liver enlargement. The spleen performs several important functions in the body:

This is the thinnest blood filter
It is the largest lymph node
It is the largest conglomerate of reticuloendothelial tissue

With hypertrophy of the spleen, when it performs an immune, phagocytic and filtering function in an enhanced mode, that is, against the background of immune complex diseases, hemolytic anemia, acute severe infections, it increases in size and can cause pain on the left. Other causes of pain and enlargement of the spleen include trauma, infiltration, tumors, or defects in its development. Especially acute sharp pain in the area under the ribs occurs upon impact, trauma, leading to rupture of the spleen. In addition to pain, a sign of a rupture is the cyanosis of the skin around the navel, since a large amount of blood accumulates there, and the pain radiates from the left hypochondrium to the back, if such symptoms appear, you should call an ambulance.

Diseases of the stomach, pancreas

Gastritis

This disease affects the majority of the population, since the current state of the food industry, aimed at creating chemicalized products, contributes to the development of functional disorders of the stomach and the entire gastrointestinal tract. The gastric mucosa is quite sensitive to any irritants, which are more than enough in our daily diet. Gastritis is most often manifested by belching, aching pain in the hypochondrium, nausea, pain in the epigastric region, vomiting, heartburn, heaviness, and a feeling of pressure. These symptoms appear shortly after eating, and general disorders may also occur - pallor, weakness, irritability, dry mouth, burning, sensory disturbances of the lower and upper extremities, signs of dyspepsia - diarrhea, constipation.

Stomach ulcer

It has similar symptoms with gastritis and depends on the duration and severity of the disease, in contrast to duodenal ulcers, when pain occurs during hunger, an empty stomach, stomach ulcer pain occurs after eating. Also, this causes heartburn, nausea, vomiting, belching sour, loss of appetite and body weight. With a perforated ulcer, the main striking symptom is a dagger, sudden pain, loss of consciousness, pallor, and general weakness.

Diseases of the pancreas

The most typical symptoms of acute pancreatitis are severe pain under the left hypochondrium, in the left side, and in the epigastric region, of a girdle nature, accompanied by vomiting with bile, nausea,

bitterness in the mouth

An increase in body temperature, it is also possible to stain the urine in a dark color and lighten the feces. The pain is so severe that the person is forced to sit bent over. In chronic pancreatitis, patients complain of dull aching pain, especially after a lavish feast. With an oncological lesion of the pancreas, it is very difficult to establish a diagnosis, this is a very small, inaccessible organ that is difficult to diagnose and treat, and the symptoms of cancer are practically not noticeable at the onset of the disease.

Oncological diseases of the gastrointestinal tract

In our time of oncological tension, any manifestations of ailments, weakness, lack of appetite, anemia, aversion to a certain food, for example, meat, rapid satiety, periodic pain in the stomach, intestines, a series of constipation with diarrhea, should alert a person, especially with age. Oncology is dangerous for its low-symptomatic course in the early stages. For any persistent pain, you should consult a doctor to find out the cause and conduct timely therapy.

Hello, I am 21 years old. Help me please.
A month ago, unpleasant sensations began on the left under the ribs, which occur several times a day. Sometimes the burning sensation worries, rarely intensifying at bedtime.

I went to the clinic and did blood, feces and urine tests (diastasis). Diastasis "D64ED" was said to be increased, the rest of the tests are in order. Passed an ultrasound of the abdominal cavity with the function of the gallbladder:

After the first ultrasound, I ate 100g of sour cream and after half an hour I underwent a second ultrasound.

“... 30 minutes after the choleretic breakfast, the bubble is 69 * 15 mm. Choledoch 3 mm, anechoic lumen…”

"Pancreas: ... isoechoic, diffusely heterogeneous with multiple hyperechoic, smooth contours, clear..."

“Conclusion: Diffuse changes in the pancreas, most likely reactive. Normotonic gallbladder with its hypokinetic function"

Did FGDS: “Chronic gastritis. Polyp of the antrum of the stomach

Can you please explain how all this is connected?

1. It hurts on the left, as I understand it, the pancreas (if not, what other examinations are needed)?

2. How does gallbladder problems affect her?

3. Chronic gastritis and a polyp in the stomach - are these already consequences of a violation of the pancreas?

4. Is it possible, based on these data, to say that I have pancreatitis, if not, how can I diagnose it?

5. What should be treated first of all in order to relieve discomfort in the left hypochondrium?

6. How dangerous is a polyp in the stomach? Do many people find them? Should it be removed?