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To confirm the diagnosis, your doctor will in the first place will prescribe fibrogastroduodenoscopy (FGDS - a study on the internal surface of the stomach using an optical device). During the procedure the doctor on the monitor can see the gastric mucosa and are available on her defects. During the study, it is possible to determine the acidity of gastric juice, and take a piece of tissue for histological research, if needed. Often it is for the determination of the correct diagnosis is assigned also x-ray studies.
Sometimes the pain on the left under the ribs can occur in various diseases of the pancreas. More often they give in the back, but can occur even in the front. In the process of the survey to draw attention to an accurate diagnosis.
These pains may be associated with diseases and injuries of the spleen. The spleen is located on the lateral side and on the left side under the ribs, is enclosed in a capsule, in which many of the nerve endings. In some diseases of the spleen increases in volume and сдавливает capsule, which leads to the formation of pain. Very typical pain in the spleen for such an infectious disease, such as mononucleosis. Simultaneously with this increase and the liver, so the pain can disturb, and in the right подреберье. The spleen may increase and in some гематологических diseases, for example, in leukemia.
A very dangerous injury to the spleen, which can lead to rupture of the body and severe internal bleeding. Sometimes there is a rupture of the spleen is not associated with injury, disease and happens suddenly, on the background of physical exertion or even at rest.
Head back to the left under the ribs can be a symptom of diseases of the pancreas or the left kidney. The pancreas is located below the stomach, and has a print head (which is located in the center and on the right side in the area of the duodenum), body and tail (located on the back and left side). Pain on the back and left side under the ribs may be associated with inflammatory processes or tumors of the pancreas. For example, in chronic панкреатите pain may appear in the center of the belly and put in the left part of the back. In cancer in the area of the tail of the pancreas the pain may be constantly growing character.
Pain on the left side and back below the ribs, may be a sign of disease of the left kidney. So, in acute or chronic left-sided pyelonephritis pain can be dull aching permanent character. When почечнокаменной disease pain are associated with round small stones. These pains are the name of the bouts of renal colic that appear suddenly and are very strong acute character.
Pain in diseases of the heart
In various heart diseases can also cause pain on the left under the ribs. In coronary heart disease and the attacks of angina pectoris the pain is acute sudden in nature, take a long time and removed nitroglycerin. If such pain are not in the lease, the patient may develop myocardial infarction.
In inflammatory and exchange-дистрофических processes in the area of the heart muscle (as myocarditis, myocardiodystrophy) heart pain usually occur in the aching or pressing and often accompanied by disorders of the heart rhythm.
Pain when остеохондрозе the thoracic spine
Pain on the left under the ribs can be a sign of degenerative disc disease of the thoracic spine. They may have a completely different character, and therefore osteochondrosis easily confused with other diseases, can cause pain in the left subcostal area.
Pain on the left under the ribs can appear in many diseases. Therefore, when they occur it is best to immediately seek medical help.
In the left part of the abdomen under the ribs are situated the stomach, the pancreas, the spleen. When diseases or injury of any of these organs can occur pain, отдающая in the back.