20 reasons why there is a stitching pain in the left side under the ribs

Acute colic piercing under the ribs to the left side of the body is not a sign of any particular disease. In this part of the body, the pancreas, the spleen are localized, heart pain can be given, the left wall of the stomach, and the left part of the diaphragm are located here. Algia can respond to the left kidney, ureter. And which of these vital organs signals a problem in the body can only be determined by a specialist, based on anamnesis and subsequent examinations. But first you need to decide what kinds of pain are characteristic for the left hypochondrium, and with what diseases each of you can face, experiencing discomfort in this part of the body.


  • 1 What are the types of pain?
  • 2 Localization
  • 3 pain About diseases and organs, which are located on the left side of the body
    • 3.1 Aperture and its pathology
    • 3.2 intercostal neuralgia
    • 3.3 Heart disease
    • 3.4 Spleen
    • 3.5 Stomach
    • 3.6 Pancreas

What types of pain?

With sharp and sharp pains, it is best to turn to medical study.

For sharp and acute pains, it is best to contact a medical institution.

Cutting pain syndrome, as if you were hit with a dagger - this is a serious reason to contact a medical institution. Typically, such a person feels such pain with mechanical damage to the body. Cutting occurs unexpectedly and can be a consequence of rupture of the spleen, kidney, or puncture in the intestine. If the cutting pain is a consequence of a fall, it results from an accident or other trauma, in this case it is impossible to do without medical assistance, as the damage to these organs is fraught with internal bleeding and is dangerous.

Dull pain under the left ribs can report inflammatory pathologies of the digestive tract, and not only. It appears systematically and gradually disappears. If this happens more than once or twice, but continues for a while, then there are reasons for concern and visits to the doctor.

Typically, such algies are associated with such diseases as, gastritis, or pancreatitis. Therefore, first you need to visit a gastroenterologist who will refer you to laboratory tests, conduct ultrasound and other examinations using modern diagnostic tools. Aching pain. If the left side of the whine, not stopping, then it can talk about developing colitis or duodenitis. Continuous aching pain, discomfort in the stomach, combined with weakness and nausea, indicate a stomach ulcer.

However, not always aching pain indicates gastrointestinal diseases. Most likely, there is a problem with the heart: pre-infarction, cardiac ischemia or angina. Thus, painful discomfort in the left hypochondral part of the body can arise due to the following diseases and pathologies:

  1. traumatic rupture of the spleen;
  2. or enlarged spleen due to parasitic diseases;
  3. cardiomyopathy;
  4. ischemic heart disease;
  5. infarction;
  6. duodenitis;
  7. colitis;
  8. intercostal neuralgia( pinched nerves);
  9. rheumatic pathology;
  10. tumors of internal organs;
  11. hernia;
  12. or diaphragm injury;
  13. pneumonia;
  14. pleurisy, localized in the lower lobes of the left lung.
Read: Why does my belly ache under the ribs? The most common causes of

Most diseases of the digestive tract are gastritis, gastric ulcer, pancreatitis, pancreatic cancer.

As you can see, the left side of the body in its sub-ribbed part can talk about a whole bunch of diseases. And it is not uncommon for cases when it is really easy to mix up when and what hurts.
Development algism aliens

It is necessary to distinguish pains under the ribs by the mechanism of manifestation. Knowledge of the nature of pain and the mechanism of its manifestation helps in diagnosing pathology. Irradiative, or reflected algias, which are transmitted by nerve endings from distant organs. For example, irradiative pain can be felt in case of an infarction, left-sided pneumonia, pleurisy, etc. Visceral( internal) algies are manifested when there is a violation of gastric motility.

Peritonal algies appear in inflammatory processes, mechanical injuries, necrosis. For example, a similar pain can suddenly begin with a stomach ulcer with perforation. It occurs when you walk violently, breathing, as painfully sharp, cutting.

Pain localization

In most cases, ultrasound is used to detect the problem.

In most cases ultrasound is used to detect the problem.

It can not be excluded that the pathological process can occur simultaneously in two neighboring organs. And then it can be somewhat more difficult to determine what exactly hurts. For example, internal discomfort, concentrated in the anterior-lateral part of the body under the ribs, usually indicates a pathology in the spleen, or affected stomach tissue.

However, in order to exclude( or confirm) such no less dangerous diseases as myocardial infarction, myositis, or intestinal colitis, preliminary tests for these diseases are also conducted. If the pain is felt in the middle part of the side, then the parallel course of diseases of the duodenum and pancreas is possible.

With pathology of the left kidney, pain discomfort is accentuated in the back of the left hypochondrium. As a rule, this is a fairly strong incessant pain, and for proper diagnosis it is necessary to pass urine and blood to an analysis, to make ultrasound. At the same time, there is no need to exclude the possibility that such a pain can occur with lumbar osteochondrosis, which may occur simultaneously with kidney disease.

Sometimes there is girdling pain with an accent in the left hypochondrium. This may indicate pancreatitis - inflammation of the pancreas. The attack of this disease manifests itself by a burning unbearable pain, which becomes a little less in a sitting posture, or if the patient leans forward slightly.

Read: The child has a stomachache at night: possible causes of the problem

Briefly about the diseases and organs located on the left side of the body

Diaphragm and its pathology

The diaphragm is a muscle tissue separating the sternum from the gastrointestinal tract. In her, too, with age, there are various violations, for example, hernia. In this shell there is a hole through which the esophagus passes and connects to the stomach. And when the muscular tissues of the diaphragm are weakened, the lumen increases somewhat, so that the upper part of the stomach protrudes into the thoracic area. This leads to the fact that the contents of the stomach are thrown into the esophagus, which causes heartburn, nausea and a painful sensation on the left. This condition can provoke obesity, excessive physical activity, pregnancy.

Diaphragmatic hernia - and this is the name of this condition, occurs in the elderly due to the weakening of muscle tissue. Sometimes there is a pinched stomach, which causes sharp cutting pain on the left.

Intercostal neuralgia


Intercostal neuralgia appears as a consequence of compression of nerve endings.

Intercostal neuralgia appears due to compression of nerve endings located between the ribs. Pain can express itself in a wide range of manifestations: from acute and piercing, to burning, or aching, dull. It increases with physical work, coughing, sneezing, even inhaling.

Sometimes attacks of thoracalgia are accompanied by muscle tremor, redness or blanching of the skin, sweating. Pressing on certain points on the back, also causes pain syndrome, which can be given in the lower back, or under the shoulder blade. Pain in intercostal neuralgia is similar to what occurs with cardialgia.

Heart Disease

Heart diseases are usually accompanied by aching discomfort, shortness of breath, sometimes there is nausea, heart palpitations, heaviness in the chest and burning sensation. These symptoms indicate ischemic heart disease that occurs as a result of impaired blood flow to the heart muscle, due to coronary artery disease. Such pain can also indicate cardiomyopathy - a violation of the function of the heart muscle, due to structural distortions of the organ, and this is expressed by increased fatigue, cardialgia during physical exertion.


It should be separately said about the spleen, since its damages are not always related to mechanical effects from the outside. The spleen is placed on the left under the ribs, close to the skin, and therefore is the most vulnerable organ. Acute pain can occur with an increase in the organ leading to the extension of its capsule. The spleen is enlarged by diseases such as inflammation of the spleen, infectious mononucleosis or spleen infarction.

Read: Sharp pain in the right side: the causes of the appearance and its significance depending on the location of the

. In such a state, a rupture can occur with an incautious sudden movement, impact, lifting of gravity. Tears lead to internal hemorrhage, which are diagnosed by a bluish aura around the navel. Spleen diseases are characterized by symptoms such as fever, muscle pains, swollen lymph nodes, sore throat, enlarged liver.


Most of the population suffers from inflammation in the stomach, because the food leaves much to be desired. The mucous stomach suffers from irritants arriving daily in the stomach with food, gastritis develops. To learn this disease it is possible on a heartburn appearing after meal, gravity in a stomach, an eructation, nojushchej pains under ribs. Sometimes there is nausea and vomiting. Gastritis is characterized by weakness, pale skin, dry mouth, stool disorders - then diarrhea, then constipation. And also the sensitivity in the lower and upper extremities is disturbed.

Gastric ulcer usually occurs against a background of gastritis and has a similar symptomatology. With particularly severe form - perforation, there is acute dagger pain, loss of consciousness, weakness in the entire body.



Pains in the left upper quadrant may occur due to impaired pancreatic function.

Inflammation of the pancreas - pancreatitis is accompanied by severe pain under the left ribs, and a belt extending throughout the diameter of the body. This disease is characterized by vomiting with bile, a feeling of bitterness in the mouth, an increased body temperature. Chronic inflammation of the pancreas is characterized by painful discomfort, especially after a plentiful meal.

Oncological pancreatic lesions in the early stages are practically not susceptible to diagnosis due to its location, and for the reason that the cancer in the early stages does not manifest itself in any way.

Pain is a signal from the body that it can not cope with the malfunctions in it, it is a kind of cry for the help of our body. And it is important to be able to hear this cry in time to take timely action. Therefore, if you have constant, persistent pain, go to the doctor. Not sure of the correctness of the diagnosis, go to another. Do not bring the situation to the extreme. Pain in the left hypochondrium, as you have already seen, can become exactly the region from which there is no way out, if you do not take timely measures and do not start treatment.

You will learn more about the pain in the hypochondrium from the video:

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