Why does the abdomen hurt under the ribs? Common causes

Pain of the upper abdomen under the ribs is a common symptom, especially characteristic of the following pathologies:

  • Gastritis;
  • Gastric ulcer and duodenal ulcer;
  • Pancreatitis;
  • Cholecystitis.

Rezi under the ribs on the right side are also characteristic of liver diseases. The pathology of the lungs is indicated by subcostal pneumonia, appearing on the right, left, middle, and worse with coughing. The same floating pain under the ribs is also distinguished by vegetative-vascular dystonia. In this article, the pains of the upper abdomen, which are related to disturbances in the functions of the digestive system, will be considered.


  • 1 stomachalgia
  • 2 Gastric and duodenal
  • 3 sharp, knife-like pain with a perforation of the stomach and duodenum
  • 4 Stomach cancer
  • 5 pancreas pathology
    • 5.1 Chronic pancreatitis
  • 6 Cancer
  • 7 colic pancreas and cholecystitis
    • 7.1 Acute cholecystitis
  • 8 subphrenic abscess


Inflammation of the stomach

Inflammation of the stomach

Dull, or on the contrary, a sharp pain syndrome in the anterior subcostal abdomen causes inflammation of the stomach with increasedDo normal acidity. For this pathology is characterized by the emergence of painful sensations in a state of hunger, from the fact that gastric juice irritates the inflamed mucosa of the stomach.

But eating does not ease the condition, but on the contrary, it can exacerbate the pain, because after eating the inflamed mucous irritates the food taken, especially if it is stiff, and with a high acid content. Therefore, a gastritis patient is recommended to eat starch-containing soups, kissels and other dishes that envelop the walls of the stomach.

Gastritis with high acidity is also characterized by symptoms such as heartburn, unstable, prone to constipation, stools. Aching pain and a feeling of heaviness under the solar plexus indicate the presence of gastritis with reduced acidity. This condition is especially worse after eating.

One of the signs confirming this diagnosis can be a belching bitter, sour, or eaten. Vomiting with this form of gastritis brings relief. Infringement of absorption leads to weight loss, excessive sweating of hands and feet, chronic anemia, vitamin B12 deficiency.

Gastric ulcer and DPC

Stomach ulcer

With a stomach ulcer, there is a sharp pain localized in the left half of the hypochondrium.

The ulcer of the stomach and duodenum is characterized by a sharp pain localized in the left half of the hypochondrium, beginning from the middle of the abdomen. Often discomfort occurs at night. The disease worsens in the off-season, that is, in the spring or autumn. The pain is sometimes given under the left rib, in the back and lower back. To alleviate the condition, the patient is forced to assume a position that allows him to press the sick part of the abdomen:

  1. They lie on their stomachs,
  2. Squatting, hands clasped in the stomach,
  3. Cuddles to the table.

For the ulcer as well as for gastritis, "fasting pain" is characteristic, and appearing after one and a half to three hours after eating. The provoking factor for the onset of pain syndrome can be physical stress and nervous breakdown. Antacids help in this condition. Some patients use a heating pad and soda solution.

Read: What is in the left side of a person and what's there to hurt?

Sometimes the pain occurs because of bleeding from the affected stomach ulcer, and this can be dangerous. Additional symptoms, indicating the presence of stomach ulcers and PDC, are heartburn, flatulence and constipation. With a long illness, patients lose weight, they have headaches, weakness, increased irritability.

Acute, dagger pain in perforation of the stomach and duodenum

Stomach ache

Perforation of the stomach or duodenum is characterized by acute daggerache.

Perforation of the stomach or duodenum is characterized by acute daggerache. This pain forces the patient to take the embryo posture - lying on his side, pressing his legs to the stomach. First, it concentrates in the epigastric region, that is, "under the spoon" but then moves to the right, under the last rib.

This - the contents of the stomach is poured over the abdominal cavity. After an acute attack, temporary relief may come. If the patient does not receive timely treatment, the consequence of perforation will be peritonitis, which will cause the patient's death. Therefore, a patient with a diagnosis of gastric and duodenal ulcer needs to be more attentive to his body.

And when acute dagger pain occurs, call an ambulance immediately. Because in this situation there is only one way out - surgical intervention. Is it possible to avoid ulcerative perforation when the organ's damage becomes a through-cut? Yes, you can, if you do not run the disease, and timely treat it, follow the diet and all the prescriptions of the doctor, take herbal medicinal infusions and decoctions, avoid stress and anxiety.

Stomach cancer

Pains in the stomach, that is, in the middle under the ribs with a transition to the left, are characteristic of stomach cancer in the last stages. The initial stage of oncological pathology is always asymptomatic, and this is the cunning of oncological sprouting. Early on:

  1. weight reduction,
  2. change in taste preferences,
  3. aversion to meat dishes,
  4. anemia,
  5. signs of jaundice,
  6. decreased performance.

Cancer occurs with gastritis with low acidity, develops from polyps and against the background of cardiac ulcer of the stomach. Therefore, patients with these diseases need to be more attentive to their body, so as not to miss the formation of a malignant tumor.

Read: Pilonidal cyst - pathology bringing a lot of discomfort

Pancreatic pathology

Pathology of the pancreas

Pancreatic disease

The sudden, unbearable, girdling pain under the ribs indicates acute pancreatitis - inflammation of the pancreas. Pain occupies the entire upper region of the abdominal cavity, and responds under both scapulae. Quite often it is accompanied by vomiting, which can increase pain.

The provoking factor for vomiting is the desire to eat something, or to drink water. Therefore, when acute attacks of pancreatitis do not have to offer the patient food and drink. On acute pancreatitis also indicate a bluish skin tone, pinpoint hemorrhages in the navel, a drop in blood pressure, all this is due to poisoning of blood by enzymes that enter the bloodstream from the inflamed pancreas.

One of the causes of acute pancreatitis is a plentiful feast with alcohol. Therefore, the number of patients with attacks of acute inflammation of the pancreas increases dramatically in post-holiday days. Doctors managed to call pancreatitis "New Year's disease."

At the first signs of pancreatitis, do not try to self-medicate. The patient should be immediately sent to the hospital.

More about the pain in the right upper quadrant will tell the video:

Chronic pancreatitis

For this disease, there is a shingling pain that covers the entire upper abdomen area under the ribs and responds under the shoulder blades. Appears after a fatty meal. The pain worsens when the patient lies on his back, so during the attack of pain the patient tries to sit, leaning forward. Exacerbation of the disease is characterized by a violation of absorption, which leads to fatty feces, diarrhea.

As a result of digestive disorders, the body lacks the necessary nutrients, which makes the patient lose weight, develops a general body exhaustion and vitamin deficiency.

Pancreatic cancer

When a cancer develops in the pancreas, the pain resembles a sharp attack of pancreatitis. Pain comes from the location of the tumor. If the tumor affects the head of the pancreas, the pain concentrates in the right side under the ribs. Malignant neoplasms of the body or tail of the pancreas make themselves known by intense pain under the left rib at night, Pain given in the back.

Hepatic colic and cholecystitis

Chronic cholecystitis declares itself a moderate pain under the right rib, giving under the right scapula or in epigastrium. As a rule, pain occurs when a diet is violated, with the use of acute and fatty foods. It is accompanied by a bitter eructation, vomiting, nausea, heartburn. Chronic cholecystitis is complicated by cholelithiasis, which requires surgical intervention.

Read: Why colitis in the right side: what kind of disease provokes pain

Acute cholecystitis

Acute cholecystitis

Acute cholecystitis can be indicated by acute pain in the anterior part of the abdomen under the right rib.

Acute cholecystitis or gallbladder inflammation may indicate acute pain in the front of the abdomen under the right rib. Intolerable pain causes the patient to rush about in search of a position that would help make the pain less acute.

In this case, the patient is tormented by fever and unceasing vomiting. The disease is accompanied by yellowing of the skin and eyeballs. If you suspect a gallbladder inflammation, the patient should be hospitalized in the surgical department.

The occurrence of hepatic colic is associated with the ingress of stone into the bile duct. She has a stabbing pain under the ribs on the right. But at the same time there is no chills and vomiting. An attack of hepatic colic, provoked by the movement of the stone, can pass independently in a few hours. It can be quenched with spasmolytic drugs.

Subdiaphragmatic abscess

Injury to organs

Injuries to organs can lead to sub-diaphragmatic abscess.

The cause of subdiaphragmatic abscess is surgery in the abdominal cavity, injuries of organs located in the abdomen. An abscess can also arise as a result of complicated inflammations of the liver, accompanied by tissue suppuration, which can affect the diaphragm.

But this happens rarely when the liver disease is not treated. An impetus to this pathology may serve and peritonitis, which developed as a result of appendicitis or cholecystitis. With a subdiaphragmatic abscess, there is a sharp pain in the anterior part under the ribs on the right or left side, which increases with a sharp sigh, coughing, sneezing.

Pain is given to the water of the scapula or collarbone of the side where it is localized, and is accompanied by a feverish condition and signs of poisoning the body. If this kind of pain occurs for the first time, do not try to do self-diagnosis and self-medication, do not stifle them with anesthetics.

The pain of the body makes you realize that you need help, and above all medical. Address to professionals that to you have put the correct diagnosis. If the diagnosis is questionable, go through the examination in two or three different medical institutions. This advice is especially relevant when the diagnosis requires surgical intervention. Because the erroneous diagnosis, and especially the unscrupulous attitude of physicians who think not so much about the recovery of patients, but about personal enrichment, still take place in our society.

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