The pain in the back, giving on to the coast are some of the most common symptoms with a wide range of diseases. The difficulties in diagnosis are compounded by the frequent spread of the pain of hypochondrium in the back and vice-versa.
Similar to a phenomenon the radiation of the pain caused by a close anatomical and functional communication of the organs of the upper floor of the abdomen and the bottom of the chest.
The spread of the pain in the adjacent plots of the body (reciprocal of the pain) explains the concept of a dermatome, which represents a segment of the skin, which is innervated by a spinae heel.
The reasons of occurrence
The cause of the pain in the back towards the hypochondrium and vice versa can be pathological process on the part of these systems and organs:
The pathology of the left under the ribs
The disease of the spleen
The most common disease of the spleen, characterized by pain in the back that gives in the right upper quadrant in front, we list below.
Infarction of the spleen: occurs when a violation of the vasculature of the body to be the result of obstruction of the lumen of the splenic artery, its branches by thrombus or embolus. The causes of infarction of the spleen is the most often are: the system of atherosclerosis, heart rhythm disorders, hematologic malignancies and auto-immune diseases, injuries, cirrhosis of the liver and other
The clinical manifestations vary according to the class of stock from the tank. Usually, the patient complained of an acute pain in the left part of the back to the corresponding half of the abdomen, the thorax.
The patient can disturb weakness, fever, chills, nausea, vomiting. From time to time in the case of the closure segmentarnoy the arteries of the complaint may be unavailable.
Benign or malignant tumor. Can be long asymptomatic.
It is important! The pain whining, brutal nature in the back or the left side of the abdomen joined after the germination of the tumor from the capsule that covers the spleen. The patient may disturb the lack of appetite, the asymmetry of the abdomen, weight loss, etc
The abscess of the spleen. Develops because of infection of the tissue of the spleen by the lymphatic or blood vessels. Characterized by dull pain in the left upper quadrant back or the shoulder girdle (can be improved when driving), fever with chills.
Cysts of the spleen: parasitic (echinococcosis, alveococcosis) and nonparasitica. These can be innate or acquired (after trauma). When the larger sizes will show the pain, the weight in the left upper quadrant and bulging in the left half of the abdomen.
Heart
Angina pectoris. In a typical case is a pain that is localized behind the breastbone or in the left half of the chest, caused physical or emotional support, lasts from seconds to a few minutes and stopped by the rest or taking nitroglycerin.
The specific symptom is the irradiation of pain under the shoulder blade, the arm and left jaw. Quite often, angina is flowing unusual: the patient may disturb the pain in the back or the belly of the left in the upper right quadrant (in the form of angina). The pain may be pressing, compress, thrusting, cutting, whining nature.
Myocardial infarction – a condition that may lead to the death of the patient.
The pain of myocardial infarction is similar to angina pain in the chest, but it is expressed by the intensity and the lack of effect of taking nitroglycerin.
The infarction of the bottom wall infarction, the pain may be localized in the upper abdomen and to give in the back (abdominal form).
Other diseases of the heart. Pericarditis, cardiomyopathy, myocarditis, much more rare, and in exceptional cases, may also be accompanied by pain in the left half of the back toward the right upper quadrant.
Pancreatitis
Pancreatitis – acute or chronic inflammation of the pancreas, the main causes are errors in diet, and alcohol abuse, gallstone disease.
The symptom most striking of acute pancreatitis – severe pain in the upper abdomen or the left upper quadrant to the back and under the shoulder blade. It can be so intense that it brings the patient painful punishment and stopped only narcotic pain relievers.
A patient worried about the nausea, repeated vomiting, disorders of the chair, an increase of the temperature, in severe cases – hemorrhagic rash on the body.
Attention! Chronic pancreatitis in the remission stage are asymptomatic. During exacerbation of the process to develop the symptoms of acute pancreatitis.
Neurological diseases
The pain in your back radiating to the right upper quadrant, is characteristic of the disease-degenerative disk-sternal-lumbar spine, pathology of the peripheral nervous system. Osteochondrosis of the pain may be constant or paroxysmal.
The more often they are pulling, spasmodic, nature and amplified during driving. Cause a painful heart attack, you can by pressure on trigger points of exit where a morbid nerve roots near the spine.
For neuralgia of the nature of the strong burning sensation, which increases the pressure and the change of position of the body.
When the neuralgic diseases of the patient may be disrupted by sensory processing disorders (crawling, tingling, reduction of certain types of sensitivity), and motor defects (difficulties in traffic).
What causes a discomfort to the right
Liver failure
The liver failure is called acute or chronic, in which the cells of the liver are not able to support the metabolism for several reasons:
Most often liver failure develops because of cirrhosis of the liver of different origin (viral, alcoholic). In this case, for the sick feature dull, arching of the pain or heaviness in the right upper quadrant to the rear.
When decompensated liver failure join to edema, ascites (accumulation of fluid in the abdominal cavity), the tendency to hemophilia, the smell of the ammonia taste, a yellowing of the skin, lesions in the brain (the change of the word, confusion, impaired coordination, etc)
Cholecystitis
The inflammation of the gallbladder (cholecystitis) occurs as a result of her infection. The characteristic symptom is the pain in the side right, which can make in the right part of the back.
The intensity of the pain can vary within wide limits: low deaf high paroxysmal. A patient can disturb nausea, vomiting, taste of bile in the mouth, fever, the change of the coloration of feces and urine (in violation of the flow of bile).
The cause of acute cholecystitis is usually a violation of the power supply.
Cancer of the pancreas head
60 to 70% of patients with cancer strikes it is the head of the pancreas. The main symptoms are pain, jaundice and weight loss.
Help. The pain is localized in the right upper quadrant or epigastrium and may give interscapular area or of the spinal column.
Usually, she wears a stupid arching or pressing the nature of (sometimes strong) is strengthened after the violation of the food, lying on the back, in the night. During germination in the solar plexus of the intensity of the pain increases, it acquires the character.
Jaundice, loss of weight, itching of the skin, dark urine and a lightening of cala arise due to the compression of the tumor of the biliary tract.
Cholelithiasis
Most often, gallstone disease afflicts middle-aged women with excess weight.
A typical symptom of gallstone disease – acute pain in the side, which appears after a meal (fatty foods, fried, smoked).
It may radiate under the right shoulder blade, and interscapular region.
With the pain the patient presents with nausea, vomiting, fever, weakness.
Outside of the worsening of the pain is moderate in nature or may be missing.
Appendicitis
The inflammation of the appendix is the most common emergency surgical pathology. Usually, the pain of appendicitis is localized in the lower abdomen.
However, a location of an appendicitis, it occurs in the upper right quadrant of the spread in the right half of the back, and can simulate a crisis of acute cholecystitis. The pain in this case, is diverse:
Generally, the patient is also concerned about the nausea, the vomiting only once, a moderate increase in the temperature of the body.
The causes reciprocal of the pain of both sides
Osteochondrosis
It is a degenerative disease of the spine, which is accompanied by a reduction of the thickness of disc intervertebral, redundant with the proliferation of bone and displacement of the vertebrae.
These factors lead to the tightening of the spinal nerves, which manifests itself by a pain syndrome.
It is important! The pain is made up of the nature, intensifies when the conduct in the ditching position. Often, it is accompanied by numbness, tingling, a burning sensation in the affected area.
Diseases of the stomach
Periodic dull pain in this case, is usually localized to the epigastrium, but may give in the back with the two parties, or interscapular the extent of the participation of the rear wall of the stomach.
It can occur immediately or after one hour after ingestion (ulcer) or disturbing the patient most of the time (in stomach cancer).
Other alarming symptoms are:
The most frequent of the diseases of the stomach, which are accompanied by pain in the distribution in the back are the following:- stomach ulcer;- gastritis;- stomach cancer.
The pathology of the intestine
Usually, the stomach pain to the back is characteristic of:
The pain in diseases of the colon or intestine is linked to the ingestion of food.
It is, in a general way, to the painful nature and rarely reaches a high intensity.
Be localized can in various departments of the stomach, and to give the part of the back.
The complexity of the diagnosis, the reciprocal of the pain
The diagnosis of the pain without precise location or distribution in other parts of the body, is a difficult clinical task. This is due to vast functional relationships of adjacent organs.
Essential for the differential diagnosis is the nature of the pain (sharp, dull, throbbing, burning), its permanence, the cause and the time of the event. These features allow to suspect a specific pathology and switch bezel and continued the examination.
The right approach to the treatment and methods
The reciprocal of the pain is an excuse for a visit to the doctor. The treatment in the case of the mutual of pain should be made after the final diagnosis using laboratory-instrumental methods of diagnosis.
Attention! In some cases, effective conservative treatment (osteochondrosis, gastritis, ulcer of the stomach), others may require surgery (malignant neoplasms, cholelithiasis, appendicitis).
Your doctor handle
Primary diagnosis and to clarify the causes of the pain attends a therapist. He can direct the patient to the profile a specialist for a consultation or a treatment after final diagnosis.
The pathology of the digestive system treatment has a gastroenterologist, osteochondrosis and neurology – neurologist, cancer – oncologist. In case of need (appendicitis, cholecystitis) helps the surgeon.
Conclusion
The pain in the back with the spread in the right upper quadrant (or vice versa) is characterized by a wide clinical variety and can meet in a vast list of diseases of the gastro-intestinal tract, cardio-vascular, the nervous system. The knowledge of its characteristics allows to suspect a specific pathology, conduct diagnosis, research and assign adequate treatment.