Back hurts, under ribs: pain in the right, left hypochondrium

They can occur even in those who are trying to carefully treat their health, not to mention people with risk factors. Therefore, such patients are frequent visitors at the doctor's office. And among the complaints is often present with pain under the ribs from behind has. Why will appear this symptom, it is possible to find out only after a thorough examination.

pain in the back and the ribs


If it hurts in the back under the ribs, it raises legitimate concerns. Discomfort in the left or right side are the reflection of changes in the various systems of the body. And sometimes become severe enough. So and tactics should be adequate.

Most patients know: if it hurts your back – below the ribs, or on another property – it is connected with the spine. And many cases are proof of that. The pain becomes frequent symptom of the pathology of the axial skeleton:

  • Degenerative disc disease.
  • Intervertebral hernia.
  • Spondylosis.
  • Spondylolisthesis.
  • Stenosis of the spinal canal.
  • Injuries (bruises, fractures).
  • Tumors.

Of particular concern in patients causes acute and encircling the pain under the ribs, which brings the greatest suffering and severely limits physical activity. But it may be associated not only with diseases of the spine. Intercostal neuralgia, herpes zoster herpes – common causes of the occurrence of similar symptomology. In addition, in the hypochondrium are the internal organs, the defeat of which often causes pain, gives in the back. Such states include:

  • Cardio-vascular pathology.
  • Diseases of the respiratory system.
  • Problems of the digestive system.
  • Diseases of the kidney and urinary tract.

Therefore, pain under ribs – the phenomenon frequent, which requires careful and differentiated approach. Because of back problems, can occur in many, but not all of it is connected with the spine.

Find out why it hurts on the left under the ribs, it is possible only on the basis of the results of the medical examination and other examinations. To waste time and prefer to figure out the cause, it is necessary to turn to medical institutions.


Pain in the left or the right hypochondrium from the back – a fairly common symptom. In many cases, are the main complaint among patients. So, back pain have the following characteristics:

  • Sharp or blunt.
  • Stitching, gnawing, throbbing radiating, drag.
  • Appear suddenly or develop gradually.
  • Local or common.
  • Are located on one or both sides (surrounds).
  • Localized in the lumbar, thoracic wall, in the middle of the spine, between the shoulder blades, pain in the abdomen, right or left side.
  • How it spreads to the feet and hands, the neck, the area of small pelvis.
  • Worsen when the movements of the body and limbs, sore back, taking a deep inhale, cough, sneeze.

This is the pain under the ribs can have different coloring, for each of the patient's own. And only an individual approach will allow you to achieve success in the diagnosis of every opportunity. But in addition to pain in the left or the right hypochondrium, will be present and other symptoms that will help you make the right conclusion. Is know, it is possible to assume this or that pathology even without the intervention of a doctor. But the exact cause of the pain installs only the specialist.

If it hurts your back, under the ribs on the left side, then in the first instance the doctor will determine all the symptoms. This will form an integral clinical picture is projected pathology.

Diseases of the spine

Pathology of the axial skeleton – the most common cause of painful sensations localized in the back. They can put on any part of the body, including the hypochondrium. The source of pathological impulses becomes a spasm or compression of the nerve roots. If the fireplace lesion is located in the area of the lower back, back pain can receive the following character:

  • Lumbago – in the form of acute lumbago.
  • Lumbalgie – gnawing and deep.
  • Sciatica – gives step.

As usual, the unpleasant feelings are amplified when cornering and slopes, in a standing position or in sitting position and during walking, i.e. in cases when the load on the axial skeleton. If it is struck by the department of thoracic, pain under the ribs on the left provoked a deep breath, pain in the chest when coughing, sneezing or laughing. In addition, there are other typical symptoms:

  • Numbness, tingling, burning, "crawling fever".
  • A decrease in the sensitivity.
  • Change in tendon reflexes.
  • Fatigue in the legs, feeling of weakness.

In the back on the side of the lesion is defined by muscle cramps and soreness points. Notice the smoothness of the physiological curvature or the formation of pathological. The movement in the back are severely limited.

Pathology of the spine in most cases leads to restrictions of physical activity that have a negative impact on the domestic and professional activities of man.

Intercostal neuralgia

Pain under the ribs can become the result of intercostal neuralgia. This happens both in the banal hypothermia, and in more severe cases: inflammation, trauma, tumor processes. If the nerve is affected from both sides, then discomfort in the side they have a belt character, both right and left. Because the source is located in the interval between the ribs, and the symptoms will have a local character:

  • Soreness in this area.
  • The increase in sensitivity.
  • Numbness, tingling, "crawling fever".

Typically, the visual changes on the skin is not, and the pain intensifies while moving to chest: inhale, cough, sneeze. Therefore, patients try to breathe shallowly and avoid unnecessary twists the body.


Pain under the ribs on the left often appear when the herpes. It is a viral disease that affects the nerve ganglia and the intercostal fibers. When this symptoms similar to neuralgia, but appear characteristic changes on the skin: blisters filled with transparent fluid (vesicles), which is located on the background of redness. Unlike the previous pathology, pain in the side when herpes will have a permanent character, are sufficiently expressed and bring greater suffering to patients. In the stage of healing may occur itching of the skin between the ribs.

Shingles belongs to infectious disease, so it requires the appropriate mode and treatment.

Cardio-vascular pathology

Cardio-vascular pathology

If the pain left under ribs, then it is necessary to exclude cardiovascular pathology. We must not forget about such conditions, such as ischemic disease of the heart, pericardial effusion or myocarditis. When the pain behind the breastbone (in the middle), and spreads to the left shoulder girdle, hands and back pain between the shoulder blades, it is necessary to think about angina or myocardial infarction. At slaughter (necrosis) sections of the heart muscle can bother hypochondrium and upper separation of the abdominal. Then the pain become longer and are not removable nitroglycerin. And also are present the following symptoms:

  • Heart palpitations.
  • The change in pressure.
  • Shortness of breath.
  • Anxiety.
  • Sweating.

Myocardial infarction – the most severe pathology of the cardiovascular system, which requires emergency care. Otherwise, there is a large number of acute and chronic complications, including dangerous for life.

Diseases of the respiratory system

Pain on the left under the ribs can occur due to respiratory pathology. Usually a lower lobe pneumonia or pleurisy. In these cases, the often provoked a deep breath or a cough, and in the bilateral damage, gaining a belt character. In addition to pain in the hypochondrium, there will be other symptoms:

  • Dry or wet cough.
  • The appearance of the sputum (mucus, purulent).
  • Shortness of breath.
  • Fever.
  • Malaise.

Pleurisy is characterized by a decrease in head when lying on the side affected. When the objective examination noted blunting percussion sound over area of inflammation, respiratory depression and the emergence of pathological noise: shortness of breath, the friction of the sheets of the pleura.

In the area of the ribs is located the edge of the pleural tape, which affected in diseases of the respiratory organs, including pneumonia.

Problems of the digestive system

Pain under the ribs – a common symptom of diseases of the gastrointestinal tract. They can become the various organs of the digestive system. Left in the hypochondrium is the pancreas. Therefore, if the back hurts, under ribs, you can think about pancreatitis. During exacerbation of the disease, these feelings will become stronger and will be in combination with other symptoms:

  • Nausea.
  • Vomiting.
  • Decreased appetite.
  • The release of stool.
  • Bloating.

During palpation of the right hypochondrium will be local soreness, in some cases, it may rise the body temperature. There are characteristic changes in calais: an increase in the volume of the stool, oily sheen.

The right hip may bother when inflammation of the gallbladder. Then pain under the ribs often gives in the back, under the blade or in the neck area. The patient experiences bitterness in mouth, nausea, loosening of stool. In peptic ulcer disease, on the contrary, more often than usual, constipation, pain are located in the upper part of the abdomen in the middle (epigastric), or a little from the side – in the pyloroduodenal zone. Sometimes the pain is felt in the back, in the area of the thoracic spine.

Diseases of the kidney and urinary tract

The kidney is located in the retroperitoneal space, so when his inflammation, the pain is felt under the ribs and in the lower back. This is particularly apparent in glomerulonephritis. Urinary way also scares me because of the stones, which can injure and disrupt the dynamics. And among the most common symptoms of this pathology:

  • Cutting when urinating.
  • Change the color and quantity of detachable urine.
  • An increase in temperature.
  • The overall weakness.

In violation of renal function may meet with such symptoms as swelling on the face and increased blood pressure. And expressed changes lead to kidney failure, when increasing symptoms of intoxication.

Renal pathology for a long period of time can be latent or infrequent symptoms, but will eventually lead to failure.


Due to the large number of causes that lead to pain, especially important is the differential diagnosis of the pathology and diseases of the internal organs. In this process plays a role not only clinical examination, but the importance placed on other techniques. Include instrumental and laboratory resources, that help doctors make the right conclusion. If it is assumed the defeat of the spine, then the following actions are:

  • Radiography.
  • Ultra sonography.
  • Magnetic-resonance tomography.
  • Computed tomography.

And for the exclusion or confirmation of misconduct from the side of the internal organs, it is necessary to extended diagnostics, which will include methods corresponding to the affected system. Necessarily spending analysis of blood from the definition of general and biochemical indicators, they take urine samples. Tools include the following:

  • ECG.
  • An x-ray of the lungs.
  • ULTRASOUND of the heart, the abdominal organs, the kidneys.
  • A gastroscopy.

After further diagnosis of the patient is necessary to examination of specialized professionals. And until then it will be clear from what hurts on the left under the ribs. And on the basis of the results obtained is formed by a therapeutic program, when each disease has its own characteristics.