Pain syndrome accompanies many diseases. There is a common misconception that shingles pain in the back occurs only with diseases and injuries of the spine. However, experienced rheumatologists and therapists draw patients’ attention to the fact that the cause of pain may be diseases of the internal organs. Specialists at the Yusupov Multidisciplinary Hospital provide daily medical care to patients experiencing this symptom. Comprehensive treatment programs are based on highly accurate diagnostic data, which increases the effectiveness of the chosen therapy.
Shingles in the back: causes
Girdle pain in the abdomen and back is most intense; it can be short-term or long-lasting, depending on the causes of development. It is difficult to independently determine the cause of pain, since the appearance of this symptom can occur due to various disorders:
- Spinal diseases are characterized by increased pain when moving. As the pathological process progresses, other symptoms appear: numbness, increased sweating, tingling and burning in the affected area. In addition, these signs may indicate compression of the nerve roots;
- intercostal neuralgia appears with injuries, prolonged stay in a stationary position, or muscle strain. With this disease, the girdle pain is localized under the ribs or between them, so breathing is difficult;
- lung diseases, which are accompanied by fever, cyanosis of the skin. Diseases such as pneumonia and pulmonary tuberculosis can cause serious consequences if left untreated;
- urolithiasis disease;
- ectopic pregnancy;
- heart attack;
- diseases of the digestive system, characterized by pain under the ribs; this symptom can be combined with nausea, vomiting and fever.
If you have back pain, you need to consult a general practitioner who will examine the manifestations of the pathological condition and prescribe diagnostic measures. The multidisciplinary Yusupov Hospital employs experienced rheumatologists, who are most often approached for help by patients experiencing shingles pain in the back. Specialists are ready to develop an individual treatment program for each patient and begin its implementation after receiving consent from the patient.
Chronic liver diseases in humans
Chronic liver pathologies under the influence of factors - poor nutrition, violation of doctor's recommendations, pregnancy, etc. tend to worsen, which leads to the appearance of a characteristic clinic.
Chronic hepatitis
This is inflammation in the liver, which leads to fibrotic transformations and necrotic changes in cells and tissues, while there is no disruption of the structure of the lobules. Signs of the disease are determined by the degree of damage to the gland and the type of hepatitis.
As the disease progresses, symptoms appear:
- Increased gas formation.
- Decreased appetite.
- Sleep disturbance.
- Headache.
- Loss of body weight.
- Jaundice.
- Periodic pain in the right side.
- Pain on the left side due to the enlargement of the spleen.
- Skin itching.
Based on palpation, the doctor diagnoses diffuse hepatomegaly or an increase in only one lobe, increased liver density.
Fatty degeneration
Fatty liver is an independent syndrome or a secondary one, as a result of which lipid compounds accumulate in the liver tissues.
According to statistics, the disease is most often diagnosed in obese women. In 60-70% of pictures there are no symptoms.
Obvious symptoms of disease progression:
- Abdominal discomfort.
- Aching pain in the right side (mild).
- Hepatomegaly, when touching the right side it hurts.
In some cases, fatty liver is accompanied by dyspeptic disorders and jaundice.
Cirrhotic lesion
Cirrhosis is a disease in which full-fledged liver tissue degenerates into fibrous connective structures. The severity of the clinic is based on the degree of damage to the gland and the activity of cirrhotic processes. At the initial stage, manifestations are minimal, there is no pain.
Over time, discomfort appears under the ribs, digestion is disrupted, and the temperature increases to the level of low-grade fever. As the pain progresses, it intensifies and radiates to different parts of the abdomen and back; jaundice is observed, characteristic signs are redness of the palms, transformation of the nail plates, spider veins on the body.
Tumor neoplasms
Neoplasms of benign (cysts, hemangiomas) and malignant nature (primary, secondary cancer) in the liver do not show symptoms in the initial stages. As the tumor grows, the capsule stretches, which leads to pain.
It can be different - the pain is dull, aching, bursting, sharp. Localization is the right side, irradiation is to the stomach, to the right side under the ribs, to the back, shoulder blade and shoulder. Painful sensations initially appear periodically, but over time they become constant.
Girdle pain in the abdomen and back
Synchronous pain in the back and abdomen is a dangerous symptom, as it occurs rarely. Pain in the abdomen and back at the same time can indicate diseases of the digestive system, for example, with a peptic ulcer, it appears after eating and is accompanied by nausea and vomiting. Unbearable pain in the abdomen and back is observed during exacerbation of pancreatitis; pain can spread to the area of the shoulder blades or heart.
Inflammation of the appendix can occur suddenly; the pathological process is indicated by symptoms such as nausea, a slight increase in temperature, diarrhea and pain that simultaneously appears in the abdomen and back. The danger of appendicitis is that when the appendix ruptures, peritonitis can occur, so only surgical treatment is performed.
Simultaneous pain in the back and abdomen in women is observed with gynecological diseases:
- ectopic pregnancy;
- development of fibroids;
- endometrial proliferation;
- twisting of the legs of a cyst or fibroids;
- spontaneous termination of pregnancy.
Pain syndrome is also observed in women after childbirth. The localization of pain in the back and abdomen is explained by the fact that during labor the muscles experience severe strain.
Patients seeking help at the Yusupov Hospital can be confident that specialists will accurately determine the cause of the pain syndrome and select the most effective and safe methods to eliminate the problem.
Diagnostics
During a physical examination, the doctor determines areas of hyperesthesia and performs superficial and deep palpation of the epigastric zone. The variety of causes of pain in the upper abdomen requires the gastroenterologist to use a whole range of laboratory and instrumental methods. The most informative tests for diagnosis are:
- Ultrasound of the abdominal cavity.
A simple and non-invasive method that detects signs of inflammatory processes, ulcerative defects and neoplasms in the epigastrium. Using ultrasound, the doctor evaluates the anatomical and functional features of the gastrointestinal tract, confirms or excludes typical diseases (calculous cholecystitis, pancreatitis, hernia). - X-ray methods.
A survey radiograph is not very informative, so radiography with oral contrast is used for examination. The study is necessary to detect ulcerative defects, pyloric stenosis, and diaphragmatic hernia. Using this method, the motor function of the gastrointestinal tract is assessed. - EFGDS.
The most informative method that allows you to visualize inflammatory and erosive changes in the walls of the esophagus, stomach and duodenum. EGD with biopsy is used for the differential diagnosis of ulcers, benign and malignant neoplasms of the gastric zone. - Laboratory methods
. The standard complex includes clinical blood and urine tests, coprogram, and glucose level measurement. To identify gastritis and peptic ulcers, a study of gastric juice and a rapid urease test for H. pylori are informative. To exclude chronic bleeding from the gastrointestinal tract, the Gregersen reaction is performed. - Additional Research
. To confirm the diagnosis of hyperacid gastritis, intragastric pH-metry is required. The functional abilities of the stomach are assessed using electrogastrography and radionuclide scintigraphy. A CT scan is performed for detailed visualization of the abdominal organs.
In case of sharp pain reminiscent of the symptoms of an “acute abdomen”, the patient must be examined by a surgeon. If extra-abdominal processes are suspected, consultations with specialized specialists are prescribed: cardiologist, pulmonologist, neurologist. Patients with suspected psychogenic causes of epigastric pain should be examined by a psychiatrist.
Gastroscopy
Ways to identify the causes of girdle pain
Modern diagnostic methods make it possible to determine the cause of pain localized in the back and under the ribs. When patients who have experienced back pain come to the Yusupov Hospital, the existing symptoms are studied, after which an examination is prescribed.
The main diagnostic measures for back pain are:
- urine and blood tests. The Yusupov Hospital has its own laboratory, so the results are delivered to the attending physician in the shortest possible time;
- Ultrasound of internal organs to detect pathological changes;
- examination of substances discharged from the lungs to exclude diseases of the respiratory system;
- X-ray of the upper limbs and lungs;
- gastroscopy.
Patients may be referred for additional consultation to other specialists at the Yusupov Hospital, a cardiologist, a neurologist, or a rheumatologist. Self-medication for back pain can provoke serious consequences, since without special equipment and knowledge it is impossible to accurately identify the cause of the disease and its manifestations.
Treatment
For treatment, in addition to analgesics, antiviral agents are used to eliminate the cause of the disease.
As already mentioned, pain in the left hypochondrium is just a symptom and not an independent disease. When it first appears, a mandatory comprehensive examination is necessary to help identify the cause of the painful condition and prevent its occurrence in the future. Otherwise, the process may become chronic, threatening constant pain, which leads to apathy, depression and other psychological disorders.
Call our contact center at 8 (495) 230 03 09 and we will help you make an appointment with a specialist!
High-quality treatment for pain in the back and under the ribs
Specialists at the Yusupov Hospital prescribe comprehensive treatment to eliminate the girdle pain under the ribs and in the back, as well as possible disorders. For some diseases, the patient needs emergency care, which specialists from the Yusupov Multidisciplinary Hospital are ready to provide. Round-the-clock operation of clinics allows diagnosis and hospitalization immediately after treatment.
Medicines are used to treat pain and its causes. Experts draw the attention of patients to the fact that painkillers and medications to relieve spasms have a temporary effect, in addition, they can complicate diagnosis. To eliminate pain, medications in the form of ointments, injections and tablets can be used.
If the patient’s health and life are in danger, surgeons at the Yusupov Hospital can perform surgical intervention. With this method of treatment, experts prefer minimally invasive techniques, after which recovery occurs faster.
Shingles in the back can appear due to insufficient physical activity; rheumatologists recommend leading an active lifestyle, observing personal hygiene rules, and also paying attention to the psychological state to prevent diseases. The Yusupov Hospital employs specialists who develop nutrition programs taking into account the client’s taste preferences.
At the Yusupov Hospital you can receive a wide range of medical services. Specialists pay attention to each patient and accompany him during the treatment process and make the necessary adjustments. If you are concerned about pain in the back area, do not delay visiting a specialist. An appointment with a general practitioner and other specialists can be made by calling the Yusupov Hospital.
