The causes of back pain under the ribs: causes, treatment

Ache in the back may everywhere.Back pain under the ribs is the most difficult to diagnose pain. It would seem that nothing is easier to look at anatomical reference and to draw a parallel between the "geographical" position of the organ and localized pain. However, the situation is difficult here:

back pain under ribs

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

Why pain in back under ribs

Even with seemingly identical symptoms, each illness has only its own characteristic features that allow to diagnose it.

Conventionally, these diseases can be divided into several groups:

  • Pathology of the gastrointestinal tract (GIT)
  • Diseases of the respiratory system
  • Myocardial infarction gastralgia type
  • Internal injuries
  • Diseases of the spleen
  • Renal colic
  • Pathology of the diaphragm
  • Hematoma and formation of retroperitoneal space
  • Intercostal neuralgia
  • Osteochondrosis
  • Neurological autonomic disorders

Back pain left side under ribs


In the chronic form, the pain under the left rib moderate intensity, radiating to the back and under the left shoulder blade. Often takes surrounding the character, yielding and right, front and back. Appears after intake of fatty, sweet foods

In the acute form the pain is sudden and sharp, not changing from the change position, when breathing or coughing. Accompanied by nausea and not relieves vomiting. In acute pancreatitis there is increased toxicity, cyanosis of the skin, traces of petechial hemorrhages in the navel area and sides

Pancreatic cancer

Pain the nature similar to the pain syndrome in chronic pancreatitis, but not associated with food intake. Cancer of body and tail of the gland occurs pain attack in the left subcostal region of high intensity output in the back

Myocardial infarction gastralgia forms

Specific rare form that affects the lower part of the left ventricle. The pain at first, back under the heart and resembles an attack of gastritis with nausea, hiccups, intestinal disorders. It is very difficult to diagnose. Then after taking analgesics pain attack is becoming typical of infarction: localization of a painful pressing pain behind the sternum to return to the left under the shoulder blade, collarbone, neck, arm and fingertips

back pain under ribs symptoms

Disease of the spleen

Often the spleen increases the fault the following diseases:

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


  • Dull pain under left rib
  • The veins of the esophagus and subcutaneous venous arteries dilate
  • In parallel, developing liver failure

Back pain right side under ribs

Liver disease (cirrhosis, hepatitis, swelling, steatosis, congestion)

  • Cause a dull pulling pain right under the ribs (it does not hurt the liver and its capsule)
  • A blood test shows liver failure
  • Occur circulatory disorders
  • May be jaundice

Cholecystitis acute

  • Sharp pain under the right costal margin, dans right under the shoulder blade, above the collarbone and in the neck
  • Nausea with vomiting, fever
  • Yellowing of the skin and whites of the eyes (optional feature)


  • Bouts of unbearably sharp pain right under the ribs, with the recoil in the back
  • Vomiting is absent, in contrast to cholecystitis,
  • When the stone from the bile duct, a pain immediately subsides

Cholecystitis chronic

  • The pain is mild, occurs after ingestion of fatty fried spicy foods
  • Belching and vomiting, bitter taste in the mouth

Pancreatitis head of pancreas cancer

Have similar symptoms, reminiscent of dyskinesia of the bile ducts:

  • They give pain in the right upper quadrant
  • May be accompanied by jaundice

The pain symptoms under the ribs in the middle

Ulcer of stomach and duodenum

  • Give pain pugione type-ahead in the middle part of hypochondrium and space left, which may be given in the back. The peculiarity of these pains: they increase on an empty stomach, after a meal and also after stress
  • The patient is in a forced position in which the pain syndrome is mitigated somewhat
  • It is noted in the stool the presence of blood (the stool may be tarry black appearance)
  • Pain when perforation is accompanied by deterioration of General condition due to beginning peritonitis: nausea, vomiting, fever

Stomach cancer

  • Gives pain attacks, which usually occur at a late stage when the tumor invades the wall of the stomach and puts pressure on adjacent organs
  • The disease accompanied by weakness, weight loss
  • Change in taste preferences (for example, you may receive an aversion to meat)

Pathology of the diaphragm

  • Subphrenic abscess most often occurs when trauma of the abdomen or after surgery
  • Is extreme pain during inhalation in the front under the ribs (middle), radiating under the shoulder blade and the area above the collarbone
  • The patient may be lying down on your side or semi-sitting
  • A fever and severe intoxication

Pain under ribs of different localization

Right-side pneumonia

  • Pain under the ribs that occurs during inspiration and coughing without a clear localization, and accompanied by high temperature
  • Possible irradiation of attack abdomen with simulated appendicitis
  • When driving there is shortness of breath
  • Nasolabial triangle — bluish color
back pain under ribs causes

Dry pleurisy

  • Occurs in lung pathologies (tuberculosis, lung cancer)
  • Pain left and right under the ribs, worse not only for breathing, but regular movements, radiating to the back
  • Is accompanied by shortness of breath and peripheral cyanosis

Internal injuries

Often the ruptures of the spleen or liver due to mechanical damage (crash, fall from height) or pathological processes (leukemia, cirrhosis), violating internal structure.


  • Severe pain under the left ribs (with spleen trauma), or right (liver), increasing due to the accumulating under the capsule of blood in a horizontal position
  • Due to severe blood loss, the pulse quickens, the blood pressure falls, pale skin
Danger of injuries in their secrecy: the victim may feel nice and even to walk, and his condition worsens, and he may die. Especially often it occurs in those cases when first damaged hepatic parenchyma, and then after some time there is a rupture of the capsule and haemorrhage into the abdominal cavity

Renal colic (nephrolithiasis)

  • Pain attacks in the back under the ribs, painful, dans in the groin, hips, abdomen
  • Due to the advancement of concrement in the ureter moves from the rib region of the back in the lower lumbar, and then to ilio-sacralis region
  • Pain attack is treatable antispasmodics and warm treatments
  • Surgical treatment is indicated when there are: Obstruction (blockage) of the ureter or hydronephrosis of the kidney

Hematoma retroperitoneal

  • Formed mainly as a result of injury of the kidney, adrenal and retroperitoneal division 12 duodenal ulcer
  • Accompanied by pain in subcostal region back in the back and large blood loss:
    • the patient may suddenly fall to HELL
    • in the blood reduction of hemoglobin
    • increasing pallor and weakness

Intercostal neuralgia

  • Searing, poignant (sometimes stupid) paroxysmal pain on the left or right under the ribs that appear when you inhale
  • Is given a wide scope: under scapula, lower back, heart


  • the compression of the intercostal nerves
  • increased tone and extensor of the shoulder scapular muscles
To provoke intercostal neuralgia following diseases: osteochondrosis, overcooling, awkward posture, stress


  • In the chronic form, manifests itself in the form of constant aching pain in the back in the back under the ribs
  • The feature of pain is its distribution in the area of innervation of the affected nerve From the lumbar region at the rear surface of the buttocks, thighs and drumsticks
  • During exacerbation of pain syndrome takes on the character of lumbagoes, arising from the movement, the tilt or rotation of the torso. The patient is forced to stand still in one position

Neurological autonomic disorders

The pain occurs unexpected and not justified by objective reasons. Examination does not reveal serious abnormalities in addition to dystonia, with these symptoms:

  • spasmodic pressure
  • the symptoms of respiratory failure
  • shortness of breath, palpitations, angina
  • irritable bowel syndrome
  • insomnia and irritability
  • Hurts everywhere: the left, then right, then in the middle of the upper quadrant

Pain under the ribs in the back may be the cause of many diseases, even the most unexpected.