Low back pain radiating to rib are some of the most common symptoms in a wide range of diseases. Possible difficulties in diagnosis are compounded by the frequent differential of the pain of hypochondrium to the back and Vice versa.
This phenomenon of the pain of the radiation caused by the close anatomical and functional relationship of the organs to the top level of the abdominal cavity and the lower part of the chest.
The spread of pain to adjacent areas of the body (for example, pain) is due to the fact that the concept of a dermatome, which is a segment of skin that is innervated by a spinae spine.
Causes of
The cause of low back pain radiating to the hypochondria and Vice versa can be pathological processes in the basis of the following systems and organs:
Pathology of 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 to the front, which are listed below.
Infarction of the spleen: this error occurs when acute circulatory disturbance of the organ due to the obstruction of the light, of the spleen artery, the branches by a blood clot or embolus. The causes of infarction of the spleen are most often systemic atherosclerosis, cardiac arrhythmias, malignant neoplasms, hematologic and autoimmune diseases, injury, liver cirrhosis, etc.
Clinical manifestations 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, chest.
Also, the patient may be annoyed by its weakness, fever, chills, nausea, vomiting. Occasionally in the case of the closure of the segmental artery complaints are non-existent.
Benign or malignant tumors. May long be asymptomatic.
Important! Pain whining, stupid character in the back or the left half of the abdomen joins after the germination, the tumor capsule that covers the spleen. The patient may be concerned about the lack of appetite, the asymmetry of the abdomen, loss of body weight, etc.
Abscess of the spleen. Develops as a result of the infection of tissues of the spleen through the lymph or blood vessels. It is characterized by dull pain in the left upper quadrant radiating to the shoulder, the back or sash (can be aggravated by movement), fever and chills.
Cysts of the spleen: parasitic (echinococcosis, alveococcosis) and nonparasitica. The latter may be congenital or acquired (trauma). For large dimensions, is manifested by pain, heaviness in the left hypochondrium and the output of the left half of the abdomen.
Heart
Angina pectoris. In a typical case is a pain, which is localized behind the breastbone or in the left side of the chest, caused by physical or emotional stress, lasts from seconds to several minutes and is relieved by rest or taking nitroglycerin.
The specific symptom is pain under the shoulder blade, in arm and jaw, on the left side. Very often, angina atypical occurs: the patient may disturb the pain in the back and on the left side of the abdomen radiating to upper quadrant peripheral form of angina pectoris). The pain may be crushing, squeezing, stabbing, sharp, pain.
Myocardial infarction – a condition that can lead to the death of the patient.
Pain in myocardial infarction pain similar to angina, but differs from severe intensity and there is no effect of taking nitroglycerin.
Myocardial inferior wall myocardial pain may be localized in the upper part of the abdomen and radiate to the back (abdominal shape).
Other forms of heart disease. Pericarditis, cardiomyopathy, myocarditis, much less, and in the exceptional case that can also be accompanied by pain in the left side of the back radiating to upper quadrant.
Pancreatitis
Pancreatitis – acute or chronic inflammation of the pancreas, the main causes are errors in diet, and alcohol abuse, cholelithiasis.
The most amazing symptom of pancreatitis severe acute pain in the upper abdomen or the left upper quadrant radiating to the back and under the shoulder blade. It can be so intense that the patient brings great suffering and relieved only by narcotic analgesics.
Also, the patient worried about nausea, vomiting repeated, disorders of stool, fever, in severe cases, hemorrhagic rashes on the body.
Attention! Chronic pancreatitis in remission are asymptomatic. To a worsening of the symptoms of pancreatitis acute.
Neurological diseases
Low back pain radiated to upper quadrant typical for degenerative disc disease of the thoracic-lumbar of the spine, pathology of the peripheral nervous system. Osteochondrosis pain may be constant or paroxysmal.
Very often they are shooting, upgrades, and piercing in nature and aggravated by movement. To cause pain through pressure on trigger points in place of painful nerve root near the spine.
To the neuralgia of a strong burning pain that increases when pressed and the change of the position of the body.
In neurological diseases, the patient can disturb disorders sensory (pins and needles, reduction of certain types of sensitivity) and motor deficits (difficulty in movement).
What causes discomfort on the right side
Liver failure
Liver failure is called an acute or chronic condition in which the cells of the liver are not able to adequately support the metabolism, due to various reasons:
Most often liver failure occurs as a result of the liver cirrhosis of different origin (viral, alcoholic). In this case, for patients that is characterized by a dull, unbearable pain and heaviness in the right hypochondrium radiating to the back.
In a liver failure join to edema, ascites (accumulation of fluid in the abdominal cavity), a tendency to bleed, the smell of ammonia from the mouth, yellowness of the skin, brain damage (disturbance of speech, confusion, loss of coordination, etc.)
Cholecystitis
Inflammation of the gallbladder (cholecystitis) occurs as a result of their infection. Characteristic symptom is pain under the right rib, which may radiate to the back right.
The intensity of the pain can vary widely: from mild pain to severe paroxysmal. Also, the patient can disturb nausea, vomiting, the taste of bile in her mouth, fever, discoloration of feces and urine (in violation of the exit of bile).
The cause of acute cholecystitis is usually a violation of the diet.
Cancer of the pancreas head
In 60-70% of cancer patients that it affects is the head of the pancreas. The main symptoms are pain, jaundice and weight loss.
Help. The pain is localized in the right hypochondrium or in the epigastrium and may radiate to the region, interscapular, or of the spine.
Normally opaque door arching or oppressive in nature (sometimes extreme), is enhanced after the violation of the diet, in the position of supine at night. During the germination, in the solar plexus, the pain, the intensity increases, it becomes that surround the character.
Jaundice, weight loss, pruritus, darkening of urine and lightening of the stool can occur because of compression by a tumor of the bile ducts.
Cholelithiasis
Most often, gallstone disease affects middle-aged women with excess weight.
A symptom typical of gallstone disease is acute pain in the right side that appears after eating a meal heavy (high fat, fried, smoked).
It may radiate to the right scapular and interscapular region.
Along with the pain patient has nausea, vomiting, fever, weakness.
Exacerbation of pain is of moderate nature, or it may be absent.
Appendicitis
The inflammation of the Appendix is the most common emergency surgical pathology. Usually the pain of appendicitis is localized in the lower part of the abdomen.
However, the location of the Appendix that occurs in the right hypochondrium extending into the right half of the back and can simulate an attack of cholecystitis. The pain, in this case, are varied:
As a general rule, the patient is also concerned about nausea, vomiting occasional fever moderate.
Causes of joint 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 the bone and displacement of the vertebrae.
These factors lead to pinching of spinal nerves, which is manifested pain syndrome.
Important! The pain in general has a wavelike nature, which increases with movement, position forced. It is often accompanied by numbness, tingling, burning sensation in the affected area.
Diseases of the stomach
Periodic dull pain in this case is usually localized in the epigastrium but may radiate to the back on both sides, or region, interscapular, with the involvement of the posterior wall of the stomach.
It can occur immediately or hours after eating (ulcer) or to disturb the patient most of the time (gastric cancer).
Other warning signs are:
The most frequent diseases of the stomach, and accompanied with the pain extends to the back include:- ulcer of stomach;- gastritis;- gastric cancer.
Pathology Of Intestinal
Usually abdominal pain radiating to the back is characterized by:
Pain in diseases of the colon or small intestine associated with ingestion of food.
In general it is pain in nature and rarely reaches a high intensity.
Can be located in different parts of the abdomen and to transfer the corresponding part of the back.
The complexity of the diagnoses of mutual pain
Diagnosis of pain without clear localization or spread to other parts of the body represents a difficult clinical problem. This is caused by the extensive functional relationships of organs adjacent.
The most important value for differential diagnosis has a character of pain (sharp, dull, ache, burning), its persistence, the causes and the time of its appearance. These features allow to suspect a specific pathology, and to celebrate the sighting further examination.
The right approach to treatment and methods
Mutual pain are a reason for the doctor's surgery. Treatment in case of mutual pain must be carried out after the establishment of the final diagnosis the use of laboratory and instrumental methods of diagnosis.
Please, note! In some cases, effective therapy is conservative (low back pain, gastritis, ulcer gastric), others may require surgery (neoplasm malignant, cholelithiasis, appendicitis).
To what doctor to address
Primary diagnosis and determine the cause of the pain syndrome involved, the therapist. He may refer the patient to a relevant specialist for advice or treatment after the establishment of the final diagnosis.
In the pathology of the digestive system therapy performed by a gastroenterologist, osteochondrosis neuralgia and a neurologist, in the cancer – the oncologist. If it is necessary (appendicitis, cholecystitis) aid is provided by surgeon.
Conclusion
Back pain extending into the quadrant (or Vice versa), has a wide clinical variety and can respond to the extensive list of diseases of the gastrointestinal tract, cardiovascular diseases, nervous system. The knowledge of their characteristics allows to suspect a specific pathology, to perform a diagnosis of the qualitative search and appoint a proper treatment.