Back pain radiating to rib are some of the most common symptoms of a wide range of diseases. Possible difficulties in the diagnosis is often complicated by the spread of pain in the hypochondrium to the back and vice versa.
This phenomenon of the pain caused by the radiation close anatomical and functional relationship between the organs of the upper level of the abdominal cavity and lower part of the chest.
The spread of pain to adjacent areas of the body (eg. pain) is due to the concept of a dermatome, which is part of the skin, which is innervated by a single spinae of the spine.
Reasons
The cause of back pain radiating to the hypochondria and vice versa can be pathological processes in the following systems and organs:
Pathology on the left under the ribs
Diseases of the spleen
The most common diseases of the spleen, which is characterized by pain in the back, which gives the upper quadrant of the front, listed below.
Infarction of the spleen: this error occurs when acute circulatory disorders of the organs due to blockage of the lumen of the splenic artery, its branches thrombosis or embolism. The causes of infarction of the spleen are most often systemic atherosclerosis, cardiac arrhythmias, malignant tumors, hematological and autoimmune diseases, injuries, cirrhosis of the liver, etc.
Clinical symptoms vary depending on the caliber of the affected vessel. Typically, the patient complains of sharp pain in left side of back radiating to the corresponding half of the abdomen, in the chest.
Also, patients may be bothered by weakness, fever, chills, nausea, vomiting. Sometimes if the closing of the segmental artery complaints are almost non-existent.
Benign or malignant tumors. May long be asymptomatic.
Important! Pain whining, stupid character in the back or on the left side of the abdomen associated with germination of after the tumor capsule, which covers the spleen. The patient may be concerned about, loss of appetite, asymmetry in the abdomen, weight loss, etc.
Abscess of the spleen. Develops as a result of infection of the tissues of the spleen through the lymph or blood vessels. Characterized by dull pain in left upper quadrant radiating to the back or shoulder area (may be aggravated by movement), fever and chills.
Cysts of the spleen: parasitic diseases (echinococcosis, alveococcosis) and nonparasitica. The latter may be congenital or acquired (trauma). The large size is manifested by pain, heaviness in the left hypochondrium and a bulge on the left side of the abdomen.
Heart
Angina pectoris. In a typical case, there is pain, which is localized behind the breastbone or on the left side of the chest, provoked by physical or emotional stress, lasts seconds to several minutes and is relieved by rest or taking nitroglycerin.
The specific symptom is pain under the shoulder blade, arm and chin on the left side. Quite often, atypical angina occurs: the patient may interfere with back pain and left stomach radiating to the upper quadrant (edge-in the form of angina pectoris). The pain may be crushing, squeezing, stabbing, cutting, aching.
Myocardial infarction – a condition which can lead to the death of the patient.
Pain, myocardial infarction pain similar to angina, but the difference between the difficult and not the effect of taking nitroglycerin.
Myocardial inferior wall myocardial infarction the pain may be localized in the upper abdomen and radiate to the back (abdominal form).
Other forms of heart disease. Pericarditis, cardiomyopathy, myocarditis are much less, and in exceptional cases may also be accompanied by pain on the left side of the back radiates to the upper quadrant.
Pancreatitis
Pancreatitis – acute or chronic inflammation of the pancreas, causing errors in the diet and alcohol abuse, gallstones.
The most striking symptom of acute pancreatitis – severe pain in the epigastric or left upper quadrant radiating to the back and under the shoulder blade. It can be so intense that the patient will bring great suffering and relieved only narcotic analgesics.
Also, patients concerned about nausea, vomiting, disorders of stool, fever, in severe cases, hemorrhagic rashes on the body.
Attention! Chronic pancreatitis in remission are asymptomatic. Exacerbation of symptoms of pancreatitis.
Neurological diseases
Back pain radiates to the upper quadrant typical for degenerative disc disease of the thoracic-lumbar spine, diseases of the peripheral nervous system. Osteochondrosis pain may be constant or paroxysmal.
Most often they are shooting, cramping, and piercing in nature and aggravated by movement. Provoke pain pressure trigger points to replace the painful nerve root near the spine.
Neuralgia a strong burning pain, which increases when it is pressed and change body position.
Neurological diseases, the patient can interfere with sensory disturbances (numbness and tingling, to reduce a certain type of sensitivity) and motor disorders (difficulty in movement).
What triggers the pain on the right side
Hepatic impairment
Liver failure is called an acute or chronic disease in which liver cells are not able to adequately support the metabolism of different reasons:
Most often liver failure occurs as a result of liver cirrhosis of different origin (viral, alcoholic). In this case, the patients characterized by a dull, unbearable pain or heaviness in the right hypochondrium radiating to the back.
In heart failure, hepatic failure associated oedema, ascites (accumulation of fluid in the abdominal cavity), bleeding tendency, ammonia smell in the mouth, yellowness of the skin, brain damage (altered speech, confusion, coordination, etc.)
Cholecystitis
Inflammation of the gallbladder (cholecystitis) occur as a result of his infection. The characteristic symptom is pain under the right ribs that can radiate to the back.
The intensity of pain can vary greatly: mild aching to intense spurts. Also, the patient can disturb nausea, vomiting, the taste of bile in his mouth, fever, discoloration of feces and urine (violation of the outflow of bile).
The cause of acute cholecystitis is usually a violation of the diet.
Cancer of the pancreatic head
60-70% of patients cancer affects is the head of the pancreas. The leading symptoms are pain, jaundice and weight loss.
Help. The pain is localized to the right hypochondrium or in the epigastrium and may radiate to the interscapular region, or spine.
He usually wears dull arching or oppressive nature of the (sometimes intense), is enhanced after violation of the diet, lie on your back at night. During germination the solar plexus, the pain intensity increases, it changes to the surrounding characters.
Jaundice, weight loss, pruritus, darkening of urine and lightening of the stool is due to compression of the tumor of the biliary tract.
Cholelithiasis
Most often, gallstone disease affects middle-aged women with excess weight.
A typical symptom of gallstone disease is acute pain in the right side that appears after a heavy meal (fatty, fried, smoked).
It may radiate to the right scapula and the interscapular area.
Along with the pain in patients have nausea, vomiting, fever, weakness.
Exacerbation of pain is of moderate nature, or may be absent.
Appendicitis
Inflammation of the appendix is the most common emergency surgical pathology. Usually the pain of appendicitis is localized to the lower abdomen.
However, the high location of the appendix, that it happened in the right hypochondrium extending to the right side of the back and can simulate the attack of a cholecystitis. The pain in this case are different:
As a rule, the patient is also worried about nausea, sometimes vomiting, moderate fever.
The causes of mutual pain on both sides
Osteochondrosis
It is a degenerative disease of the spine, which is accompanied by a decrease in the thickness of the intervertebral disks, excessive overgrowth of bone and displacement of the vertebrae.
These factors lead to pinching of spinal nerves, which is manifested by pain syndrome.
Important! The pain is usually wave-like in nature, the growth of the movement, to the position. It is often accompanied by numbness, tingling, burning sensation in the affected area.
Diseases of the stomach
At times a dull pain in this case is usually localized in the epigastrium, but it may radiate to the back on both sides, or the interscapular region, with involvement of the posterior wall of the stomach.
It can occur immediately or hours after eating (ulcer) or interfere with the patient most of the time (gastric cancer).
Other warning signs are:
The most common diseases of the stomach, with pain extending to the back are:- stomach ulcer;- gastritis;- gastric cancer.
Intestinal pathology
Usually abdominal pain radiating to the back is characteristic of:
Pain in diseases of the colon or small intestine with food.
Usually it is aching in nature and rarely reaches a high intensity.
Can be localized in different parts of the abdomen and gives a corresponding portion of the back.
The complexity of diagnostics, mutual pain
The diagnosis of pain without clear localization or spread to other parts of the body, is a difficult clinical problem. This has caused extensive functional relationships with adjacent organs.
The most important value in differential diagnosis is the nature of the pain (sharp, dull, aching, burning), its persistence, the reason and time of the event. These features allow to suspect a specific pathology and to keep the findings of the further investigation.
The right approach to treatment and methods
Mutual pain is the reason for consulting the doctor. Treatment in the event that mutual pain must be carried out after the establishment of the final diagnosis using laboratory and instrumental methods of diagnosis.
Note! In some cases, effective conservative treatment (low back pain, gastritis, gastric ulcer), others may require surgery (malignant tumor, cholelithiasis, appendicitis).
To what doctor to address
The primary diagnosis and determine the cause of the pain syndrome with the therapist. He can refer the patient to relevant specialist advice or treatment after the establishment of the final diagnosis.
Pathology of the digestive system treatment, perform a gastroenterologist, osteochondrosis neuralgia and neurological, cancer – the oncologist. If necessary (appendicitis, cholecystitis) support is provided by the surgeon.
Conclusion
Back pain extends to the quadrant (or vice versa) has a wide clinical variety and can meet a extensive list of diseases of the gastrointestinal tract, cardiovascular, nervous system. Information about it's features, you can suspect a specific pathology, to make a qualitative diagnostic search and appoint the appropriate treatment.