Pain in the area of the left hypochondrium
The left hypochondrium is an anatomical area in which vital organs are located, therefore any pains arising there should alert the person, and if the pain is severe, sudden, it happens that the only possibilitysave human life- timely seek qualified medical advice.
Acute, sudden intense pain in the left hypochondrium is an unequivocal occasion for the doctor to examine the ambulance and direct him to the surgical department.
Since the following conditions may be the cause of this pain:
- perforation of the wall of the stomach;
- perforation of the intestine;
- rupture of the spleen;
- rupture of the renal pelvis.
Pain in the region of the left hypochondrium is a symptom non-specific for a particular disease, therefore, in order to diagnose, it is necessary to describe in detail the specialist the nature of the pain, its location, duration, intensity, and factors that increase or decrease the pain syndrome.
If pain does not occur for the first time, it is necessary to track its relationship to food intake and the time interval typical for its appearance( day, night or morning).
Pain in the left hypochondrium associated with diseases of the digestive tract
The most common cause of pain in the area of the left hypochondrium is gastritis: acute and chronic. With acute gastritis, the pain appears suddenly and is localized in the epigastric region and in the left hypochondrium. There is a direct connection with the reception of poor quality or very sharp, fatty and fried foods, as well as alcohol.
Chronic gastritis usually manifests itself in periods of exacerbation, similar to acute gastritis symptoms, followed by periods of remission-the so-called light intervals, indicative of the temporary decay of the inflammatory process.
Depending on the secretory activity, hunger pains are shared with increased secretion( associated with an irritant effect on the hydrochloric acid mucosa), and severity in the left hypochondrium arising with chronic gastritis with secretory insufficiency.
For a stomach ulcer is characterized by:
- hungry pains, accompanied by heartburn and belching;
- Specific periodicity( mainly at night);
- seasonality( spring, autumn).
The first and main symptom of pancreatitis is severe shingles. It is sharp in nature, quickly covers the upper abdominal area and irradiates( gives) back under both scapulae. A very characteristic feature: changing the position of the body, straining, coughing practically does not change its intensity and character. The pain is often provoked by fatty, sweet food and a heavy intake of alcohol.
Pain in the left hypochondrium with heart disease
Heart disease can be one of the reasons for the onset of pain syndrome under the ribs on the left. Stupid aching, prolonged pain in the hypochondrium to the left can be evidence of both a chronic sluggish inflammatory process, and the manifestation of angina and pre-infarction. Especially should alert such a symptom: the irradiation of pain in the back and the left arm. The diagnosis of the diagnosis will help ECG.
About 2-3% of all cases of myocardial infarction occur according to the gastralgic variant. The accompanying symptoms complicate the correct diagnosis of this condition: nausea, vomiting, frequent stools, which can cause patients to be hospitalized in non-core units.
The following clinical manifestations help to clarify the correct diagnosis:
- expiratory dyspnea( difficulty exhaling);
- cardiac rhythm disturbance;
- unstable blood pressure, with a tendency to hypertension;
- cold sticky sweat, expressed anxiety of the patient, pursued by the fear of death.
Cardiomyopathy is a syndrome characteristic of many diseases and, optionally, there is an increase in blood pressure or a pathology of the valve apparatus.
structural changes emerging in the heart muscle, lead to its weakness, so patients in addition to pain in the left upper quadrant, occurring during physical exertion, complain of fatigue.
Spleen Pathologies
The spleen is an important organ. Its main functions are: blood filtration, the production of immune cells, which increase the body's defense against infections, and also the deposition of blood. It is possible to call the spleen an additional reservoir in which the accumulation( reservation) of blood occurs.
Some pathological conditions: acute infection( mononucleosis, for example), hemolytic anemia cause it a significant increase, accompanied by pain sindromom. Takzhe emergence of pain in the left subcostal occurs at its injury with subsequent rupture. This condition threatens life and the patient should be immediately operated on. This condition is characterized by the so-called syndrome - "vanki-vstanka".Due to the penetration of blood under the dome of the diaphragm and irritation of the nerve endings, the patient can not be in a horizontal position, the intensity of pain is increased at times!
Defects in the development of this organ, as well as tumors can lead to a change in size and pain.
Pathology
Diagrafma diaphragm separates the chest and abdominal cavities and pathological changes( weakening of muscular fibers surrounding the orifice diaphragmatic) is a process of throwing food from the stomach into the esophagus, heartburn accompanied, nausea, and blunt aching pain in the left upper quadrant. Hernia of the diaphragmatic opening can develop with:
- pregnancy;
- obesity;
- excessive physical exertion.
also a gradual decrease in the tone and elasticity of the muscle fibers of the body develops as a result of aging. If there is a pinching of the stomach in the diaphragmatic opening, there may be sharp, cutting and very intense pain.
If pain occurs in the region of the left hypochondrium behind - it is necessary to exclude the development of the pathological process in the kidneys. Help in clarifying the diagnosis will have the results of a urine test: general, according to Nechiporenko and Zimnitsky. Usually, with pyelonephritis positive Pasternatsky syndrome is noted.
For thoracic and lumbar degenerative disc disease is characterized by pain on palpation paravertebral processes. Pancreatitis is also characterized by a pain syndrome under the ribs on the left and back. Pain surrounding, burning, intense.
Pains in the left hypochondrium - this condition is typical for very many diseases. Only a qualified doctor( surgeon, cardiologist, gastroenterologist, infectious diseases and hematology) by virtue of taking into account all factors to properly assess the pain and make a diagnosis.
The life and health of a patient depends not only on the knowledge of the doctor and the correct tactics of examination and treatment, but also on the timeliness of seeking medical help.
In acute conditions, it is not necessary to apply medications alone, it can lubricate the clinical picture. Only chronic patients, mainly of the gastroenterological group, should take medications prescribed by an early doctor. And if they are ineffective, seek medical help immediately.
