Pain in the hypochondrium radiates to the back, what causes the girdling pain?

If a person experiences back pain simultaneously with an upset stomach, then two reasons can be assumed: either a pathology of the spine, myositis of the spinal muscles has been added to the disease of the digestive tract, or the unpleasant sensations are caused by irradiation from the internal organs.

Girdle pain in the stomach and back is a serious symptom of damage to the pancreas, peptic ulcer, tumor metastases in the spine, inflammation of the gallbladder, liver, and kidneys.

How to quickly relieve pain?

Pain can be quickly relieved only when it is caused by pathologies of the musculoskeletal system. In case of diseases of the internal organs, it will not be possible to quickly relieve pain, since it is necessary to eliminate the very cause of its occurrence.

Medicines

Pain in the right hypochondrium, radiating to the back with pathologies of the musculoskeletal system, is relieved with non-steroidal anti-inflammatory drugs. It is recommended to apply Nise and Diclofenac ointments to the painful area and the area around it. During the day, the procedure is repeated up to 4 times. The use of gels and ointments effectively relieves pain.

When local remedies do not help, it is permissible to use systemic NSAID tablets for oral administration. These are Ibuprofen, Nurofen, Diclofenac. They are accepted up to 3 rubles/day, one piece at a time. If this does not relieve pain, a single dose of an analgesic (Analgin) or an injection of an NSAID (Diclofenac), an analgesic (Baralgin) in an individually calculated dosage is allowed.

Self-therapy with medications can be carried out for no more than 3 days. If during this time the pain intensifies and does not go away, then you should consult a doctor.

Folk recipes

In case of muscle pathologies, physical rest, general (hot baths), and local (ointments) heating can relieve pain. Folk remedies offer the following methods of pain relief:

• Grind fresh horseradish root in a meat grinder, place on a cloth, cover with a cloth on top, and place on the painful area. Turn on the iron to minimum temperature and apply on top for 3 minutes. Then clean the skin, apply horseradish leaves to it, and wrap it in a scarf for 45 minutes. Repeat daily;
• Mix mustard powder and table salt in a 1 to 1 ratio, add purified kerosene to the mixture until it reaches the consistency of cream. Apply the mixture to the painful area. Perform daily, 1 ruble/day;
• Apply honey to the painful area. Cover the top with a cloth. Place mustard plasters soaked in water on the fabric. Wrap with a woolen scarf. Keep the compress until the mustard plaster cools completely. Use for attacks of acute pain.

Traditional methods should be used exclusively as additional ones. They do not eliminate the problem, but only temporarily relieve its symptoms. But even for this they may not be effective enough.

Diseases of the musculoskeletal system

If the main cause of such pain is problems with the spine, then most likely the pain will be felt to a greater extent in the back area. They can signal the development of intervertebral hernias, osteochondrosis, and osteoporosis. As a rule, there is an increase in pain when moving - bending, turning. Gradually, additional symptoms begin to appear - burning, tingling, numbness, sweating, etc. Such sensations signal that the nerve roots are being compressed.

Intervertebral hernia

Also, the cause of such pain under the ribs is often directly caused by injuries to the bones in this area. Even a simple bruise or small crack provokes rather unpleasant pain, and rib fractures will cause incessant pain, difficulty breathing, etc. Also, the main characteristic signs are abrasions, hematomas, and swelling.

Symptoms of a rib fracture

If it occurs under the ribs and in the back

Constraining pain under the ribs and in the back occurs against the background of many diseases of the spine, internal organs, or a heart attack. It is extremely important not to delay contacting a doctor; such a manifestation is dangerous due to the rapid development of complications and unpleasant consequences for the patient. The main causes of symptoms are:

• Pathologies of the musculoskeletal system. Along with the main symptom, tingling, burning, numbness of the limbs and increased sweating are also observed. Pain syndrome is often associated with compression of the nerve endings of the vertebrae.
• Intercostal neuralgia. Unpleasant sensations are mostly localized in the back area, and there is only slight pain under the ribs. In addition to the syndrome, there is a burning sensation, the inability to perform simple physical exercises, and the appearance of “goosebumps” on the skin. Girdle pain is observed with a bilateral type of lesion, in other cases it is more pronounced on one side.
• Pathologies of the respiratory system. Diseases of the lungs or bronchus sometimes cause pain around the body. This symptom is often a sign of the development of pneumonia. Additionally, bluish skin discoloration, elevated body temperature and cough should alert you.
• Gastrointestinal diseases. Pain under the ribs often appears with the development of pathologies of the stomach and pancreas. These could be: ulcers, pancreatitis, cholecystitis, hepatitis, appendicitis.

In addition, the causes of unpleasant sensations around the body, localized under the ribs and in the back, can be malignant neoplasms, herpes, myocardial infarction, and renal colic. Ultrasound of internal organs, urine and blood tests and other hardware techniques allow differentiation of the disease.

Important information! Coughing up blood and girdle pain does not always indicate a pathology of the respiratory organs; in some situations, signs appear against the background of damage to the ribs. Sharp ends injure soft tissues. Therefore, if there were bruises in this area on the bottom, you must immediately inform the emergency doctor during the examination.

Self-diagnosis when girdling pain occurs is impossible, and treatment with folk remedies can lead to more serious consequences. During the initial examination, the doctor determines the nature of the attack, factors that intensify it (coughing, bending, muscle tension, etc.). Only comprehensive diagnostic studies can help make an accurate diagnosis.

Pain above the lower back indicates an injury or the onset of osteochondrosis

Character of pain on the side under the ribs

First, you should decide what the hypochondrium area means - this is the upper left quadrant, located under the ribs (see figure). Depending on the nature of the pain, when it appears, after what events, you can determine what caused it and which doctor you should contact for an accurate diagnosis and treatment:

Stitching pain in the left hypochondrium during exercise

If they occur only during intense physical activity, such as running, fast walking (on a treadmill), jumping, during fitness training and other physical activities, this is not scary and happens in practically healthy people. Such painful sensations pass quickly and only indicate insufficient warm-up before exercise and too sudden or excessive movement.

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

You should also ensure that your breathing is deep enough during exercise, since shallow and frequent breathing is accompanied by small excursions of the diaphragm. Typically, sharp stabbing pains on the left and even 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 overloaded with work, the body has not warmed up and has not rebuilt, hence double the load and double the pain.

Dagger cutting acute pain syndrome

It’s a completely different matter if a dagger-like, cutting, sharp pain occurs in the left side under the ribs, when it is not associated with stress and appears suddenly - this is a reason to provide urgent medical care. Sudden severe pain in the left hypochondrium may indicate a rupture of the renal pelvis, spleen, or be a consequence 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 injury

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

Dull pain in the left hypochondrium

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

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

It's a dull pain

A constant nagging, 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 and vomiting, this may be a manifestation of a stomach ulcer. Such pain not related to the gastrointestinal tract may be a sign of a pre-infarction condition, coronary heart disease or angina pectoris.

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

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

Types of back pain in women

To understand why the lower back hurts, you need to take into account the nature of the pain. According to its course, it can be acute or chronic. In the first case, it lasts from several weeks to 2-3 months. If the pain syndrome persists for a longer time, then we are talking about a chronic course.

The pain can also be constant or paroxysmal, aching, pulling, shooting, sharp or sharp. By localization: unilateral, bilateral, surrounding or radiating to other parts of the body.

Based on the nature of the pain, the doctor can guess the root cause.

Drawing-aching pain

It occurs as a result of sluggish inflammatory processes in the organs of the genitourinary system, gastrointestinal tract, spinal column, muscles, as well as due to prolonged exposure to an uncomfortable position.

Aching pain with lumbago is typical for women during menstruation, with adhesions in the pelvis, and with endometriosis. Pulling sensations in the lower back appear before childbirth.

Sharp and sharp pain

Acute pain syndrome manifests itself in surgical pathologies:

• ovarian rupture;
• ectopic pregnancy;
• torsion of the pedicle of an ovarian cyst;
• appendicitis;
• stone obstruction of the urinary ducts;
• hernia and other pathologies of the spine leading to pinched nerve roots;
• late stages of cancer.

Sharp pain that interferes with breathing and movement appears after excessive physical exertion in women with osteochondrosis.

Acute pain in the lower back with existing diseases of the spine can occur even after careless or sudden movement

Also, this type of pain is inherent in patients with kidney disease, renal colic, exacerbation of stomach or duodenal ulcers.

Shpidonov Gennady Stanislavovich

Neurologist

Rostov State Medical University (neurology)

10 years of experience

Girdle pain

It covers the lower abdomen and lower back, forming a belt. It is a manifestation of inflammatory diseases of the kidneys, bladder, and intestines. Additional symptoms associated with the underlying pathology are sure to arise.

Pathological causes of pain under the right rib

Anatomically, the upper right quadrant of the abdomen includes: liver, gall bladder, part of the diaphragm and small intestine, duodenum, right kidney, pancreas.

Diseases and injuries of these organs can intensify the occurrence of pain in the right side under the ribs:

1. The most obvious cause of pain is liver disease. This includes hepatitis, hepatosis and cirrhosis of the liver, parasitic lesions.
2. Impaired patency of the biliary tract (cholecystitis). A sharp, acute pain that suddenly began, especially at night, is formed when the patency of the biliary tract is impaired and in acute cholecystitis. If the tone of the gallbladder increases, its tendency to contract increases, and the frequency and strength of its contractions also increases. Such processes are accompanied by sharp and short-term pain and are often provoked by nervous tension and stress.
3. Urolithiasis disease. The cause of pain in the right hypochondrium may be urolithiasis, in which pain from the right kidney is felt acutely, but not clearly and can be felt in the back of the lower back, lower abdomen, as well as under the left or right side of the lower ribs. Urolithiasis is manifested by the detection of stones in the kidneys, bladder and urinary tract. There is a sharp pain that intensifies with every movement.
4. Renal colic. It occurs when kidney stones begin to move and their sharp edges touch internal organs. The pain becomes very severe when the person moves. The stones block the urinary tract, causing the pain to shift to the groin.
5. Peptic ulcer disease. Characteristic pain in the right hypochondrium anteriorly accompanies gastric and duodenal ulcers. The nature of the pain and its intensity depends on many factors. Discomfort occurs after eating, on an empty stomach or after exercise. The pain syndrome is accompanied by heartburn, sour belching, vomiting, loss of strength, alternating diarrhea and constipation, and rapid heartbeat. Often, peptic ulcer disease occurs in a latent form; in advanced cases, there is a threat of internal bleeding and peritonitis, which poses a danger to the patient’s life and requires urgent surgical intervention.
6. Biliary dyskinesia is a violation of the motor function of the organ. The main reasons for the development of the disease are stress, poor diet, and heavy physical activity. Usually, when examined for dyskinesia, the patient is diagnosed with diseases of the digestive system. The pathology occurs spontaneously, accompanied by heaviness, paroxysmal acute pain in the right side, nausea, stool upset (diarrhea or constipation), tachycardia, the appearance of a bitter taste in the mouth, and in rare cases, headache. Dyskinesia is accompanied by stagnation of bile in the gallbladder, which contributes to the formation of stones and the development of cholelithiasis.
7. Pancreatitis. Throbbing pain indicates pancreatitis. The exact cause of inflammation of the pancreas has not been established. The pathology begins with throbbing, intense, girdling pain. If these symptoms occur, the patient requires immediate hospitalization and emergency surgical treatment. Pronounced pain in the right quadrant of the abdomen is observed during the transition of pancreatitis from the acute to the chronic stage and can be treated conservatively.
8. Intercostal neuralgia. Pain in the hypochondrium is not always caused by pathology of the internal organs. Thus, pain in the rib area can occur due to skeletal diseases. Such a common disease as osteochondrosis occurs with degeneration of spinal cartilage. The altered cartilage puts pressure on the nerves, which leads to pain.

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Features of the location of the stomach

The back area is traditionally considered to be the back surface of the body from the neck to the buttocks. Most often, irradiation occurs in the lower back. This place has more precise landmarks and is anatomically fixed along the lower ribs and the lumbosacral joint.

The anatomical location of the stomach and neighboring organs is always assessed in relation to the vertebrae:

• the entrance is located to the left of the spine, at the level of the X–XI thoracic vertebrae;
• pyloric part (exit) - on the right, opposite the XII thoracic–I lumbar.

The lesser curvature intersects the spinal column from left to right and down. The lower pole of the greater curvature can descend to the level of the iliac crests of the pelvis. In the stomach area are located:

• in front - the liver with its left lobe;
• the spleen surrounds the organ behind, above and to the left;
• directly behind is the pancreas;
• Below is the small intestine.

Most common causes of rib pain

Unpleasant sensations in the hypochondrium can be caused by problems with various organs and systems. To understand which doctor to contact in a particular case, you need to correctly determine what caused the pain. Common causes of discomfort include:

• gastrointestinal diseases;
• enlarged spleen caused by immune disorders or infections;
• injuries to the spleen or liver;
• osteochondrosis;
• respiratory system diseases;
• intercostal neuralgia;
• hematomas, etc.

To reduce the number of options, you need to try to conduct self-diagnosis. Its goal is to determine as accurately as possible the nature of the pain and its location.

Please note the following points:

• where exactly is the pain concentrated?
• where does it spread and along what paths;
• How much does the space under the ribs hurt?
• what is the nature of the unpleasant sensations: dull, pulling, paroxysmal, shooting, etc.;
• which causes increased discomfort: sneezing, coughing, sudden bends and turns, etc.;
• what helps reduce discomfort: taking painkillers, a certain body position, cold or heat;
• if the hypochondrium does not hurt all the time, try to find out what is associated with the frequency of discomfort: the time of day, food intake, physical work, etc.

Other symptoms that are not directly related to back pain are also important: nausea, fever, chills, weakness, etc. A detailed analysis of unpleasant sensations will help you understand which specialized specialist you need to contact.

Subsequently, your self-diagnosis will become a serious help for the physician in making the correct diagnosis.

A detailed analysis of unpleasant sensations will help you understand which specialized specialist you need to contact. Subsequently, your self-diagnosis will become a serious help for the physician in making the correct diagnosis.

Painkillers for back pain in women

Taking analgesics and antispasmodics helps temporarily relieve pain, but does not eliminate the root cause. Without treatment, the underlying pathology progresses, and lower back pain intensifies. It is important to know the origin of lumbar pain, so the use of medications is possible only after examination.

Note! If the cause of the pain syndrome is unknown, then you cannot take analgesics!

Painkillers for back pain are available in the form of tablets, ointments, patches and injections. For diseases of the spinal column, injection of drugs is most effective. In case of severe pain, special blockades are performed and injections are given in the back. Unlike all painkillers, their effect is long-lasting. The effect lasts from several months to six months. This blockade can be done at the SmartMed clinic.

Shpidonov Gennady Stanislavovich

Neurologist

Rostov State Medical University (neurology)

10 years of experience

Pain under the ribs in the middle

With a stomach ulcer, painful sensations are observed after eating, on an empty stomach, and after stress. There may be blood in the stool and tarry, black stools. Pain is possible at the initial stage of peritonitis, the person feels sick, vomits, and the temperature rises.

With stomach cancer, painful sensations appear in the presence of a tumor and its penetration into the walls of the stomach. The patient loses weight and quickly weakens.

With pathology of the diaphragm, which occurs after operations, injuries of the peritoneal organs, there is a sharp pain in the chest in the front, it radiates to the supraclavicular region, the scapula. The patient becomes very sick and the temperature rises.

Pain under the ribs can be caused by many other internal diseases. It occurs with right-sided pneumonia, observed when inhaling, coughing, and is accompanied by an increase in temperature. Painful sensations in the lower abdomen are sometimes similar to appendicitis; the nasolabial triangle becomes bluish.

In case of injuries to internal organs, in particular, rupture of the spleen, liver, cirrhosis, leukemia, the structure of the internal organs is disrupted, severe pain appears under the ribs on the left, they intensify as a result of the accumulation of blood under the capsule, especially in a horizontal position. These injuries are hidden and very dangerous; the condition can worsen suddenly, even leading to the death of a person as a result of hemorrhage in the abdominal cavity.

With renal colic, the pain is excruciating, paroxysmal, radiating to the groin, abdomen, thighs as a result of the movement of stones along the ureter to the ribs, they also radiate to the lower lumbar region, the sacrum region. If you have hydronephrosis of the kidneys or blockage of the ureter, you need to contact a surgeon for examination and examination.

With intercostal neuralgia, pain appears in attacks under the ribs on both the left and right, often it is strong and piercing. The cause may be increased tone in the scapular and shoulder muscles, compression of the nerves between the ribs, osteochondrosis, stress, and hypothermia.

In chronic osteochondrosis, the pain is aching, occurs in the hypochondrium, behind the back, and spreads down to the legs, thighs, and buttocks. During the period of exacerbation, they are shooting and occur when turning the torso or tilting the head.

With autonomic neuralgic disorders, this symptom appears suddenly; there are no objective reasons for its occurrence. With vegetative-vascular dystonia, pressure jumps sharply, lack of oxygen, angina pectoris, shortness of breath, rapid heartbeat, intestinal irritation, and insomnia are observed. The pain surrounds the entire back.

Referred pain

Referred pains are those that do not occur in the area of ​​the diseased organ, but appear elsewhere. This often leads to misdiagnosis. Such pathologies include the following:

• bronchitis and pneumonia – pain in the front of the chest and back;
• a hypertensive crisis may be accompanied by pain near the shoulder blades;
• myocarditis and pericarditis – pain in the middle of the chest;
• myocardial infarction - burning pain in the sternum, back, as well as in the shoulder blade, arm, and shoulder on the left;
• angina pectoris - short-term chest pain, lasts no more than 10-20 minutes, radiates to the left shoulder and arm;
• ulcer of the stomach and duodenum - a sharp or aching pain that starts from the stomach and radiates to the chest and left arm;
• pancreatitis - the pain is girdling in nature and radiates to the hypochondrium.

Sometimes pain can radiate to the chest area and back with kidney disease and cholelithiasis.

Diagnostic measures and choice of specialist

Independently identify what exactly caused pain of a different nature, including shingles. This should only be done by consulting a doctor. An initial examination of the patient is carried out by a therapist, then he conducts a survey and preliminary diagnosis, after which he can refer him to one of the following doctors:

• cardiologist;
• surgeon;
• neurologist;
• gastroenterologist;
• endocrinologist;
• traumatologist

The first examination by a therapist includes palpation of the lesion, he also checks the condition of the skin and the condition of the mucous membrane.

Next, a specialized specialist can prescribe one or another type of laboratory diagnostics:

• MRI;
• radiography;
• cardiac examination;
• urine and blood analysis;
• tomography;
• ultrasound examination.

Then, when all the information has been collected, the doctor can prescribe the appropriate treatment and, if necessary, report involuntary hospitalization.

Symptoms associated with disorders of the internal organs

There are often cases when pathologies of internal organs have a negative impact on the spine.

Therefore, it is important not to self-medicate, but to accurately find out the root cause of back pain. Only in this way will it be possible to completely get rid of negative feelings and return to normal life.

Diseases of the gastrointestinal tract

• Heartburn;
• Bloating;
• Vomiting;
• Diarrhea or constipation;
• Plaque on the tongue.

Kidney problems

Kidney diseases often affect the well-being of the back. Violations are accompanied by characteristic symptoms:

• Decreased amount of urine;
• The appearance of swelling;
• Dyspnea;
• Sleep disturbance;
• Decreased appetite;
• Nausea, vomiting;
• High blood pressure;
• Chills;
• Fatigue, constant feeling of tiredness.

If characteristic symptoms appear, it is recommended to consult a doctor as soon as possible and undergo comprehensive treatment, since the chronic form of the disease can greatly disrupt the functioning of other organs and systems of the body.

Diagnostics

It is very important to correctly determine the cause of girdle pain. As is already clear from the above, the presence of such a symptom can indicate not the most easily treatable diseases, but extremely serious and life-threatening pathologies.

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Unfortunately, it is more likely that only a doctor can cope with this task. The specialist must order a series of studies to identify the true cause:

• blood and urine tests. The blood is examined, including for biochemistry;
• studies of lung secretions;
• X-ray of the lungs, upper part of the musculoskeletal system;
• Ultrasound of internal organs;
• gastroscopy.

Ultrasound of the abdominal organs

The doctor will select them based on your medical history. In general, consultation with various specialists may be required - a neurologist, traumatologist, gastroenterologist, etc.

It is extremely difficult to independently determine the cause of pain. You can try to do this based on the general characteristics of the symptom. So, it is necessary to note the source of pain, its nature (sharp, dull, aching, moderate, unbearable, etc.), identify a number of factors under which the pain becomes stronger (for example, inhalation, coughing, bending, muscle tension).

Sometimes it is important to know when the pain subsides - when staying warm, taking analgesic or antispasmodic drugs, after eating or before eating, etc.

The type and location of pain is very important

Table. Possible causes depending on the type and location of pain.

Cholelithiasis

Prevention of shingles pain

• Minimize the load on the spine in everyday life. Control your posture, stand correctly, evenly distribute the load when lifting and carrying heavy objects;
• Carry out daily exercises and physical therapy;
• Avoid exposure to drafts and hypothermia;
• Give up bad habits: smoking, alcoholic beverages;
• Monitor your weight, as obesity leads to serious disorders of the spine;
• Take a massage course from a professional specialist twice a year;
• Avoid excessive stress. Monitor your activity and rest schedule;
• Eat a comprehensive diet so that the body receives the necessary minerals, vitamins, and microelements. Pay special attention to fresh vegetables and fruits.

Try to spend any free time actively. In the evening, this can be walking, which is especially important when working sedentarily. Try to control your posture so that it is level.

What diseases can cause pain under the ribs?

​​Sometimes a person is so constrained that he cannot even straighten up, and this happens on the street, in busy places. Of course, it is always better to call an ambulance, take a painkiller and massage the sore spot on your back. To do this, you need to find a secluded place, put the person on his stomach and massage the lumbar region, gradually moving up both sides of the spine. First, the massage should be done smoothly, warming up the body, then more intensely.

It is important to relieve tension from the muscles, and it will be much easier for the person.​

1. ​Intercostal neuralgia has an inflammatory neurogenic nature, is localized in the intercostal part on the back, and can intensify with inhalation, movement, and running.​
2. Pain depends on the size of the stone formed and its location in the urinary tract. In this case, the pain under the ribs on the right, felt from behind, can be either constant or periodic, most often of a dull nature. It can intensify while moving (running, jumping), traveling by transport, or drinking liquid in large quantities.​
3. ​Ultrasound of the heart and blood vessels;​
4. Neurological causes of cardialgia should be highlighted separately. Clinical studies have proven that distant dull, stabbing, aching pain behind the sternum is very often observed in people who are often nervous.​
5. ​When deciding why the chest hurts, you should separately highlight the group of reflected pain sensations. They are distant from the primary source, so treatment of this type of pathology is rarely effective. It is not always possible to determine the primary area of ​​pain. However, neurologists can suggest a diagnosis because the spinal nerves have exit points to the surface of the body (dermatomes).​
6. ​Girdle pain in the chest occurs with diseases of the pancreas and stomach. These organs are localized in the left hypochondrium. With their inflammatory or tumor lesions, painful sensations occur after eating. They increase with movement and decrease at rest.​
7. The severity of pain in these diseases varies. Thus, with an intervertebral hernia, pain occurs due to spinal cord stenosis or pinched nerve roots.​

​Chest pain occurs with diseases of the lungs, heart, and pathology of the osteoarticular system. Thoracalgia, after abdominal pain, is the 2nd most common reason for visiting doctors for pain. Clinical experiments have shown that the frequency of thoracalgia is about 25% per 100 people surveyed.​

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Neurological diseases

The most common neurological pathology is thoracic neuralgia. This disease is very common in elderly and middle-aged people. It is accompanied by severe pain, since the intercostal nerves are pinched. The reasons for the development of this disease can be:

• osteochondrosis;
• intervertebral hernia;
• inflammatory processes in tissues;
• injuries;
• malignant and benign tumors;
• significant load on the spine;
• congenital pathologies;
• stress;
• hormonal imbalance.

In addition, extra pounds, a passive lifestyle, constant overwork, and poor posture can often be the causes. The main thing that patients often complain about is chest and back pain. It is felt at the pinched site and may be aching or burning. At the same time, it intensifies with movements and sharp turns of the body. Since the intercostal nerves extend to many internal organs, innervating them, the pain radiates to the area of ​​the heart, stomach, and scapula. Another important symptom is stiffness in the chest area. Some of the patients complain of irregular heart rhythm, breathing problems and increased blood pressure.

Diseases of the urinary system

The source of pain in the right hypochondrium from the back can be associated with severe lesions of the spinal cord: vertebral fractures, tumors, infections. If the cause is related to neurology, then the discomfort manifests itself with the following symptoms:

• burning sensation in the affected area;
• numbness and tingling not only in the back, but also in the limbs;
• increased discomfort when touched or pressed;
• lightning-fast shooting, which can be compared to an electric shock;
• increased discomfort when exposed to cold or hot water.

The cause of pain in the back right under the ribs may be the initial stage of spondyloarthritis. The disease is characterized by the gradual destruction of the vertebrae and inflammation of the nerves. At the initial stage, the patient is disturbed by localized dull pain in the back when performing certain movements, and a subtle curvature. The disease can lead to irreversible changes in the spine, spinal cord and disability. Typically, pathology is detected in people after 40 years of age.

A compression fracture of the spine can also cause pain in the right hypochondrium from the back. This injury is typical for women over 55 years of age suffering from osteoporosis. It can also occur as a result of a bad fall at any age. The pain varies from moderate to severe and is relieved by lying down. Deterioration occurs with minor physical exertion, coughing, and bumpy roads.

In the lumbar region, the main axis of the spinal cord divides into the cauda equina bundle of nerves, which control the lower limbs and pelvic organs. If it is pinched as a result of age-related or traumatic changes in the spine, then dull pain in the back and tissue swelling occurs.

An infectious lesion of the spine is characterized by fever, a local increase in temperature in the affected area of ​​the back, and increased sweating. The affected area turns red. An inflammatory process of an infectious nature occurs after surgery or organ transplantation. People who abuse alcohol and heavy smokers are at risk. The risk of infectious lesions of the spine is increased in patients with diabetes mellitus, tuberculosis, and oncology.

Acute pyelonephritis is characterized by the following symptoms:

• temperature 38–40 degrees;
• feeling unwell, nausea, vomiting, chills;
• pain in the lower back, stomach.

If the inflammation extends beyond the kidney, the patient takes a forced position lying or sitting with his legs drawn up. Aching pain can be localized on the side of the back or spread throughout the lower back, intensifying when walking and tapping on the inflamed kidney. In acute pyelonephritis, there is no swelling. If inflammation occurs with the formation of purulent masses, then blockage of the ureter is possible. In this case, the attack coincides with the manifestations of renal colic.

Chronic pyelonephritis is characterized by less intense symptoms. The sensations on the right and left side of the back can be aching, weak, and tolerable. The patient often associates it with back pain due to physical activity and fatigue. The disease is accompanied by pressure surges and headaches. The erased symptoms make pyelonephritis a dangerous pathology, which is often diagnosed at the stage of development of complications.

Stones in the kidneys

The nature of the pain and the time of exacerbation depend on the size and shape of the stone. Small stones often bother the patient. They are more mobile than large ones and more often end up in the renal pelvis. Acute pain is caused by stones with awl-shaped ends. If the stone is small and smooth, it will pass through the ureter. In this case, renal colic will stop.

Nephroptosis

Kidney prolapse is more common in women 25–40 years old. Possible causes include infections, heavy lifting, and back injuries. Sometimes nephroptosis develops in women after childbirth due to weakening of the abdominal wall muscles in front. In a healthy person, the kidneys move during inhalation and exhalation within 1–5 cm. With nephroptosis, the organs move downward by 5–12 cm. Pathology of the right kidney is more common.

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At the first stage of the disease, a person complains of dull pain in the right or left side of the back and lower back after physical exertion or a long stay in an upright position. As the pathology develops, the pain intensifies, and other signs of kidney damage appear: blood in the urine, swelling, surges in blood pressure.

Neoplasms

The tumor is accompanied by hematuria (the presence of blood in the urine), an increase in temperature for a long time and a feeling of a mass in the abdomen. The tumor can be felt by touch, especially in people of thin build.

If it bothers you above the lower back

Shingling pain in the lower back can appear even with unsuccessful lifting of heavy objects. Therefore, pain in this place is not always the reason for a comprehensive examination. But in some cases, if other symptoms appear along with it, you should consult a doctor. Common causes of pain above the lower back are:

• Injuries. They are not always formed as a result of impacts or falls, but also due to sudden lifting of weights. In this case, additional symptoms include decreased sensitivity of the limbs, hematoma, swelling or temporary loss of coordination.
• Osteochondrosis. A dangerous degenerative process that gradually leads to the destruction of the vertebrae. In addition to pain, patients also experience stiffness of movement, the inability to perform even minimal physical exercise, and discomfort when trying to sit down or stand up straight. MRI is used for diagnosis.
• Scoliosis. The disease is characterized by curvature of the spine in the chest area or above the lower back. Due to the movement of the vertebrae, there is often a girdling pain, aching with a feeling of squeezing. It disappears after starting to wear a corset. This diagnosis is made by an orthopedist or vertebrologist.
• Radiculitis. An inflammatory process localized in the nerve roots of the spine. A characteristic symptom is severe sharp pain when trying to bend or pick up an object from the floor. “Shots” are observed even if you want to turn the body.

Determining the cause of back pain above the lower back is an important task facing the attending physician in order to select the most correct and effective treatment tactics. This usually includes painkillers, exercise therapy, massage, or surgery if conservative approaches fail.

Girdle pain of different localization can appear at any time. Sometimes they are not a reason to panic and only indicate overexertion of the body, unsuccessful lifting of weights, but sometimes it is better not to delay a visit to the doctor. Symptoms often signal the development of pathologies of internal organs, which must be treated immediately in the early stages.

Treatment

Drug treatment depends on the cause of pain and the degree of advanced disease.

The basis of therapy are the following procedures:

• the use of medications to eliminate symptoms (painkillers, antipyretics, normalizing the functioning of the digestive tract);
• adherence to a diet for the period of treatment, with possible restriction of foods throughout life;
• with the permission of a doctor, use traditional recipes (immune-strengthening drinks, pain-relieving compresses);
• Avoid physical activity until complete recovery;
• giving up alcohol and nicotine.

In the absence of treatment dynamics or if drug therapy is not suitable (miscarriage, rib fracture, appendicitis), then surgical intervention is used.

When pain occurs under the right hypochondrium, which radiates to the back, urgent help is required. The main task during an attack is to eliminate discomfort and normalize the patient’s condition. Let us list the basics of the treatment program:

• analgesics (Pentalgin, Nise) - it is recommended to take 1 tablet 2-3 times a day;
• corticosteroids (Prednisolone, Hydrocortisone) – prescribed if there is no effect from previous drugs;
• antispasmodics (Papaverine, No-shpa) - prescribed for prolonged muscle contractions.

Pain on the right side, radiating to the back, may be the result of pinched nerves or diseases of the internal organs. Acute symptoms are caused by injuries and hernias, while chronic manifestations occur due to inflammation or infection. A diagnosis can be made after an examination; for treatment you need not only to take painkillers, but also to treat the underlying pathology.

Diagnostics

It is impossible to say specifically what treatment methods the doctor chooses, since pain can occur in a wide variety of pathologies. In most cases, the goal of treatment is to eliminate not only the symptoms, but also the cause of the pain.

Specialists conduct a series of studies to make the most accurate diagnosis. The following diagnostic methods are used:

• Conversation with the patient, clarification of all details and nuances, patient complaints;
• A thorough study of the existing medical history;
• Detecting the presence of chronic diseases.;
• Primary, external examination of the patient;
• The use of palpation methods, determining the locality of increased pain;
• Ultrasonography;
• X-ray;
• Laboratory examination of urine and blood, which includes a general analysis, urine examination for biochemistry and according to Nechiporenko.

Only after the results of all studies are known, the doctor prescribes treatment, which includes a set of measures aimed at the complete recovery of the patient.

In addition, medications are prescribed to reduce the severity of pain and allow the body to normalize. Sometimes the doctor prescribes anti-inflammatory drugs, as well as medications that stop severe attacks.

During the treatment period, it is important to follow the recommendations of the attending physician. If you have indigestion, you should review your menu.

Eliminate from the diet foods and dishes that irritate the mucous walls of the stomach and intestines. Bring the functioning of the metabolic system back to normal. The consumption of alcoholic beverages and smoking is strictly prohibited, as these bad habits have a destructive effect on a weakened body.

If you have indigestion, you should review your menu. Eliminate from the diet foods and dishes that irritate the mucous walls of the stomach and intestines. Bring the functioning of the metabolic system back to normal. The consumption of alcoholic beverages and smoking is strictly prohibited, as these bad habits have a destructive effect on a weakened body.

Elderly people need to be examined twice a year to identify the presence of defects and pathologies.

Mechanism of pain

An important aspect of the formation of pain from the stomach, radiating to the back, is the general innervation of neighboring organs from the sympathetic ganglia of the celiac trunk, as well as the parasympathetic fibers of the vagus nerve. Through them, through different branches, there is a connection with all the structures of the abdomen.

Pain signals are transmitted reflexively to the spinal centers, which are also involved in regulating the tone of the muscular system of the back, lower back, kidneys, and adrenal glands.

If the intensity is excessive, they overlap each other, and the patient feels referred soreness in the back muscles, between the shoulder blades. Usually the pathological process begins long before the onset of pain. The body has a reserve (threshold) of sensitivity.

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In order for pain receptors to react, the following changes must occur in tissues:

• destruction of nerve endings and cells at the ganglion level (destruction);
• obstruction of blood circulation, disruption of blood supply leads to ischemia with oxygen deficiency and subsequent atrophic processes;
• accumulation and stagnation of fluid, effusion into the intercellular space;
• inflammation.

These processes lead to local compression of nerve cells. Through the spinal cord, the signal enters the brain and is regarded by the body as a need for help. Stable communication is used in medicine as a treatment method. Specialists in massage and acupuncture know the skin and muscle areas of influence on radiating pain of gastric origin.

On the other hand, the pain mechanism makes differential diagnosis difficult, since it can be difficult to figure out why the patient is bothered by pain at the level of the stomach, but in the back. It is necessary to completely eliminate the following manifestations:

• osteochondrosis of the thoracic or lumbar region;
• pyelonephritis (kidney inflammation), hydronephrosis;
• herniated intervertebral discs;
• other pathology of the gastrointestinal tract.

In patients with tuberculosis, rheumatism, when the stomach and back hurt at the same time, they think about the negative effect of drug treatment on the stomach and active specific inflammation in the joints of the spine.

A hernia in the intervertebral canal causes compression of the nerve roots

To clarify the nature of the pain, examination data are reviewed and a connection with food intake is identified. Stomach pain usually occurs some time after eating. They are provoked by eating disorders, alcohol and stress.

And pain of the neurological and joint type is more likely to accompany injuries, physical overload, and is provoked by hypothermia, previous respiratory diseases, and sore throat.

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How to give yourself first aid for severe girdling pain

Girdle pain can be a symptom of various diseases. Therefore, it must be removed in various ways. This should be done only after diagnosis.

To relieve pain, consider the following:

if pain occurs due to diseases of the musculoskeletal system, then they can only be relieved using osteopathic methods; if the pain was provoked by diseases of the internal organs, then medications should be taken with great caution, as the condition can be aggravated; if cardiac pathologies develop that cause pain, you must take Validol or Nitroglycerin, and then urgently call a doctor. An effective combined analgesic-antispasmodic is Spazmalgon.

The drug contains metamizole sodium (the active ingredient of Analgin) and pitofenone, which can have an antispasmodic effect on smooth muscles. Thanks to this, you can relieve pain in a short time.

An effective combined analgesic-antispasmodic is Spazmalgon. The drug contains metamizole sodium (the active ingredient of Analgin) and pitofenone, which can have an antispasmodic effect on smooth muscles. Thanks to this, you can relieve pain in a short time.

Often, non-steroidal anti-inflammatory drugs (Nurofen, Ketanov, Nimesulide, etc.) are prescribed to relieve shingles pain. But you should be aware that they can have a negative effect on the gastric mucosa. Therefore, if the cause of pain is diseases of the digestive system, you need to use other drugs in consultation with your doctor.

ethnoscience

A decoction of cinnamon and lemon juice is also effective. To prepare it, add cinnamon and lemon juice to hot, just boiled water. For about a liter of water you need to take a teaspoon of cinnamon powder and a tablespoon of lemon juice, you can additionally add zest. The broth should be kept on fire for 2 minutes. You need to drink it warm, you can add a little honey.

When girdling pain appears in the lower back and abdomen, you need to try to remember when it started.

This is important for determining the cause and subsequent treatment. First aid - you need to lie on your back and apply ice wrapped in a cloth to the sore spot.

Call an ambulance immediately. However, before her arrival you should not take painkillers. You can drink some water in small sips.

In case of unbearable pain and only as a last resort, you can take the antispasmodic “No-Shpu” or “Spazmalgon”. But this issue is resolved by calling doctors. If the pain decreases or disappears, it will be difficult for them to make a primary diagnosis, and an incorrect one can lead to death. If symptoms appear, you should stop eating for a while and do not apply a heating pad to the sore spot. In some conditions this can cause rapid deterioration.

If the cause is an ulcer or appendicitis, positioning in the “fetal” position, when the person lies on his side, curled up into a ball, helps to slightly reduce the pain. If there are signs of perforation of the gastric walls, you must urgently call an ambulance; any delay can cost the patient his life.

Pneumonia is treated with antibiotics and expectorants. Traditional medicine recipes (decoctions and infusions of mint, chamomile, ginger and other herbs) are used as additional remedies. In extreme cases, surgical operations are performed - for appendicitis, ectopic pregnancy, etc.

Pain around the lower back in women

Girdle pain in the female body sometimes appears as a result of the peculiarities of the reproductive system or malfunctions in its functioning. These may be gynecological pathologies, general intoxication, the development of oncology, diseases of the circulatory system. They are localized mainly in the lower back, but sometimes they radiate to other parts of the body and can be felt around the torso. It is impossible to independently determine the cause of such a disorder, but accompanying symptoms will help differentiate the disease.

Premenstrual syndrome

Before the start of the cycle, many women experience pain in the lower abdomen. This symptom is natural and does not pose a health threat. It appears due to a sharp change in hormonal levels. It is usually accompanied by discomfort in the mammary glands, swelling, increased appetite, nagging pain in the lower back and back, irritability and sudden changes in mood (from joy to tearfulness).

With age, PMS only intensifies due to disturbances in the level of female hormones. But in principle it does not require treatment or specific medications. If, in addition to the sensations described, the woman feels generally well, no additional diagnostics are prescribed; a consultation and examination with a gynecologist is sufficient.

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Adnexit

The appearance of girdle pain in the lower back in women may also be associated with the onset of the disease. Often the symptom indicates an inflammatory process that spreads to the uterus and appendages. It is provoked by pathogenic microorganisms such as staphylococci, gonococci, streptococci. The cause of adnexitis is the constant action of viruses and bacteria, against the background of suppressed immunity. Additional signs, in addition to pain, include:

• increased weakness;
• body temperature above 37 degrees C;
• disruptions in the menstrual cycle;
• fever.

Women usually come in with abdominal pain, but even during the initial examination by a gynecologist, enlarged ovaries are detected, as well as pathogenic microflora during a smear examination. Additionally, the doctor may prescribe an ultrasound to clarify the diagnosis.

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Endometriosis

Girdle pain in the female body often indicates the development of endometriosis. This is the process of growth of the epithelium in the uterus, including beyond it. In addition to unpleasant sensations during the menstrual cycle, there is an increase in the volume of discharge and an increase in the duration of “menstruation” and hormonal disorders associated with a decrease in the production of sex hormones.

Candidiasis or colpitis

Bacterial pathologies can provoke discomfort in the abdominal area in a woman. They develop in the cervix or vagina and cause a number of uncomfortable symptoms. The pain appears in attacks and is accompanied by characteristic discharge. The pathology is diagnosed during a gynecological examination; a smear or ultrasound can make an accurate diagnosis.

Ovarian cyst

Characteristic lumbar pain also appears as a result of the development of a neoplasm on the ovary. This organ consists of a capsule, and the tumor significantly increases its size, squeezing neighboring organs and tissues, which causes pain. If the nerve endings are not affected, the pathology is practically asymptomatic. In addition to the main symptom, the following disorders are also observed:

• the appearance of a feeling of fullness in the stomach;
• hot flashes;
• cycle disruptions or prolonged absence of menstruation;
• lack of ovulation;
• frequent painful urination;
• increased facial hair;
• insomnia.

Ultrasound examination, as well as analysis of hormone levels, helps to determine pathology with high accuracy. Treatment almost always involves excision of the cyst using laparoscopy or surgery.

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When to go to the hospital

What to do if you suspect such serious diseases as the cause of intercostal pain? We try to identify cases in which urgent intervention is necessary to prevent the development of dangerous consequences.

• When intercostal pain is acute and does not go away, is located under the sternum and radiates to the left or right (rarely) arm, is accompanied by a feeling of depression, sweating and lack of air - all this can be signs of myocardial infarction or other heart problems.
• When intercostal pain is sudden, sharp and does not go away, it is accompanied by difficulty breathing. This could be pulmonary embolism.
• If the pain is similar to a heart attack, but radiates to the shoulders and back, accompanied by sweating, anxiety and difficulty breathing. This may be a dissecting aortic aneurysm.