Causes of pain in the back below the ribs: causes, treatment

Pain in the back can everywhere.Pain in the back below the ribs is related to the memory of the most hindering when it comes to diagnosing painful feelings. It would seem that there is nothing easier insight into the anatomy guide and spend a parallel between the "geographical" positions of authority and localization of the pain. But the situation is restricted this is what:

hurts the back, below the ribs

Some diseases have a similar clinical picture. The pain often is not concentrated in one place, and can capture a relatively wide area, and even move around the body

Why it hurts in the back below the ribs

Even in seemingly identical stamps, for each of the disease not only has its own distinctive features that allow to diagnose it.

Conventionally these disorders can be divided into several groups:

  • Pathology of the gastrointestinal tract (GIT)
  • Diseases of the respiratory system
  • Myocardial infarction gastralgia type
  • Injuries of the internal organs
  • Diseases of the spleen
  • Renal colic
  • Pathology of the diaphragm
  • Hematoma and education of the retroperitoneal space
  • Intercostal neuralgia
  • Osteochondrosis
  • Neuralgic of vegetative violations

Pain in the back left under the ribs


In the chronic form — the pain below the ribs left a slight force, it radiates into the back and under the left blade. Often, the strip character, give up and right, front and back. Appear after the ingestion of fatty, sugary food

In the acute form — the pain sudden and sharp, it is not changing by changing the position of, when breathing or coughing. Along with nausea and does not facilitate the condition of vomiting. In acute pancreatitis observed increased intoxication, cyanosis of the skin sheets, the traces from the point of blood gushes in the area of the navel and along the sides of the

Cancer of the pancreas

Pain in nature is similar to the pain syndrome in chronic pancreatitis, but is not associated with food intake. In cancer of the body and tail of the gland arises a spasm of pain on the left side of the subcostal region of high intensity with the impact on your back

Myocardial infarction gastralgia forms

Specific is a rare form, affects the lower part of the left ventricle. The pain initially the props under the heart and reminiscent of a bout of gastritis with nausea, hiccups, bowel disorder. It makes it very difficult for the diagnosis. Then after taking analgesics pain attack is becoming typical for a heart attack: the localization of the painful oppressive pain behind the sternum with the deployment on the left under the blade, collarbone, neck, hands and fingertips

back hurts, under ribs symptoms

Diseases of the spleen

Often the spleen increases due to the following diseases:

  • Hemolytic anemia
  • Leukemia and lymphocytic leukemia
  • Lymphoma
  • Hypertension in diseases of the liver
  • Infectious mononucleosis
  • Endocarditis, lupus, etc.


  • Dull pain under left rib
  • Veins of the esophagus and subcutaneous venous arteries dilate
  • In parallel to developing liver failure

Back pain on right side under ribs

Liver disease (cirrhosis, hepatitis, tumors, fatty hepatosis, stagnant phenomena)

  • They cause a dull pulling pain on the right side below the ribs (pain in the fact that no liver, and his capsule)
  • Analysis of blood shows liver kidney
  • Occur with disorders of blood circulation
  • Can celebrate jaundice

Acute cholecystitis

  • Acute pain under the right costal margin, dans on the right below the blade, above the collarbone and in the neck
  • Nausea with vomiting, fever
  • Yellowing of the skin and eye of protein (optional topic)

Gallstone disease:

  • Bouts of unbearable acute pain on the right side under the ribs, with the impact on your back
  • Vomiting is missing, apart from the cholecystitis,
  • When leaving the stones from the bile duct, the pain of a heart attack soon subsides

Chronic cholecystitis

  • The pain is mild, arises after the ingestion of fatty, fried, spicy food
  • It is possible to belching and vomiting, the taste of bitterness in the mouth

Pancreatitis of the head of the pancreas and cancer

Have similar symptoms, reminiscent of dyskinesia of bile ducts:

  • Give painful in the right hypochondrium
  • May be accompanied by jaundice

The pain symptoms under the ribs in the middle

Ulcer disease of stomach and duodenum

  • Give head pugione type of lead in the middle part of the upper quadrant area and the left side, which may be given in the back. Feature of these pains: they are better on an empty stomach, after a meal and also after stress
  • The patient is situated in a forced position, in which painful several smooth
  • In calais to celebrate the presence of blood (sludge can be black stand type)
  • Pain when perforation is accompanied by deterioration of general condition due to incipient peritonitis: nausea, vomiting, temperature increase,

Stomach cancer

  • Gives bouts of pain, which usually appear in the late stage when the tumor is sprouting to the stomach wall and pushing on neighboring organs
  • The disease is accompanied by weakness, weight loss
  • Changing taste habits (for example, may appear aversion to meat)

Pathology of the diaphragm

  • Subphrenic abscess most commonly arises when injury to the organs of the abdominal cavity or after surgery
  • Characterized by sharp pain when you inhale front side under the ribs (in the middle), gives under the blade and the area, which is located above the collarbone
  • The patient may stay in a lying down position on the side or half-sitting
  • Begins to heat and strong intoxication

Pain under the ribs of various localization

The right pneumonia

  • Pain under the ribs, which originated during the inhalation and cough without clear localization and accompanied by a reactionary excessive temperature
  • Maybe the irradiation of a heart attack down the belly with an imitation of a heart attack, appendicitis
  • When movement arises shortness of breath
  • The nasolabial triangle — bluish color
hurt my back, under the ribs of reasons

Dry pleurisy

  • Arises when pulmonary pathologies (tuberculosis, lung cancer)
  • Pain on the left side and on the right side under the ribs, growing not only in respiratory but also the common movements, gives in the back
  • Accompanied by pounding breathing and peripheral cyanosis

Injuries of the internal organs

Most often it is the laceration of the spleen or liver due to mechanical damage (disaster, fall from height) or pathological processes (leukemia, cirrhosis), which violate the internal structure of the organs.


  • Strong pain under the ribs on the left side (when injuries of the spleen) or right (hepatic), growing from accumulating under the capsule of the blood in a horizontal position
  • Because of severe loss of blood the pulse becomes more frequent and a HELL of decreases, skin pales
The risk of injury in their mystery: the afflicted can feel good, and even walk, but then his condition rapidly worsens, and he may die. Especially often it occurs in those cases when the first gets damaged parenchyma of the authority, and then after some time leads to rupture of the capsule and bleeding into the abdominal cavity

Renal colic (kidney disease)

  • Pain attacks in the back under the ribs, unbearable, dans groin, thighs, abdomen
  • Due to the promotion of the concrement in the ureter moves from the coastal areas of the back, in the lower lumbar department, and further — in the hip-sacralis area
  • The pain of a heart attack served the treatment of antispasmodics, and the warm treatments
  • Surgical treatment is indicated when they appear: Obturation (blockage) of the ureter or hydronephrosis of the kidney

Hematoma of the retroperitoneal space

  • Arise mainly as a result of injury of the kidney, adrenal and retroperitoneal department 12-earthy intestine
  • Accompanied by pain in the subcostal area in the back on the back and a large loss of blood:
    • the affected may fall sharply HELL
    • in the blood, decrease in hemoglobin
    • goes to pallor and weakness

Intercostal neuralgia

  • Tanning, body piercing (sometimes boring) paroxysmal pain on the left or on the right side under the ribs, which are inhaled
  • Is placed on the wide area: below the shoulder blades, lower back, heart


  • squeezing the intercostal nerves
  • an increased tone of the extensor, and shoulder-scapular muscles
Cause of intercostal neuralgia may the following diseases: osteochondrosis, overcooling, unpleasant posture, stress


  • In the chronic form is manifested in the form of constant aching pain on my lower back below the ribs
  • Feature of the pain — its distribution in the area of innervation of the affected nerve: From the lumbar region on the back side of the buttocks, thighs and shins
  • During exacerbation of pain syndrome the nature of the lumbagoes, emerging in the movement, tilt or rotation of the torso. Sick is forced to freeze in one position

Neuralgic of vegetative violations

Pain arises an emergency and not to prove the objective reasons. Examination may not reveal serious disease, in addition to the vegetovascular dystonia, with these symptoms:

  • the sudden pressure
  • symptoms of respiratory distress
  • shortness of breath, palpitations, angina pectoris
  • irritable bowel syndrome
  • insomnia and irritability
  • It hurts everywhere: then left, then right, then in the middle part of the hypochondrium

Pain under the ribs on the back can be due to many diseases, even the most unexpected.