Severe pain in the back and abdomen

Different types of severe back pain can talk about different pathologies, and the spine itself is not always the source. Combined pains, or they are also called shingles, may slightly lift the veil, but even in this case, additional research will be required to make an accurate diagnosis.

For example, a complaint that a back and stomach ache may have several different options for why they occur. In addition, a large role is played by the exact location of pain, because the stomach is a tensile concept, and in the area of the peritoneum are many internal organs, the lower vertebrae of the thoracic and the structure of the lumbosacral spine.

In the front of the body can radiate pain in various diseases of the spine, but it is unlikely they will be strong in the abdomen. There will likely suffer back. But with the pathologies of internal organs with the same intensity, pain syndrome can be felt in the back and in the abdomen.

If the patient suffers from severe pain in the stomach and back, then there is nothing surprising here. In this case, you definitely should not blame the spine, and pay attention to the digestive organs. Severe pain in the stomach, which gives back, is very characteristic of a stomach ulcer during its exacerbation. In this case, the person notes the appearance of burning paroxysmal pain, which can provoke the use of food and alcohol, prolonged hunger, as well as heavy physical work and stress. Pain syndrome in stomach ulcers can be long, while it passes as suddenly as it occurs. You can reduce it by adopting the position of the embryo.

Other symptoms of ulcers are heartburn, dyspepsia, nausea, vomiting, loss of appetite, and constipation.

When it comes to ulcer perforation, the pain becomes unbearable in nature (so-called dagger pain), and spread throughout the abdomen, radiating to the back. In this case, no change in body position brings relief, however, as well as eating on the background of hunger. In addition to the excruciating pain in the abdomen, a person experiences other unpleasant symptoms: it becomes difficult for him to breathe, the pain begins to give in the back under the scapula, vomiting with blood can appear, and blood is found in the stool.

Perforation of the ulcer is accompanied by food ingress into the free cavity between the organs and inflammation of the tissues of the peritoneum (peritonitis). In this case, a person's temperature rises, fever appears, vomiting increases, and pressure on a tense abdomen increases pain.

Severe pain with irradiation in the back under the scapula is also characteristic of acute gastritis. But in this case it is not a question of acute, piercing pain, but of severe aching or dull pains. The intensity of the pain may be such that it begins to occupy all the thoughts of the patient.

Other symptoms include: heartburn (especially with increased acidity), nausea (sometimes with vomiting), general weakness and fatigue, feeling of heaviness in the abdomen after eating, abnormal stool (diarrhea or constipation), belching, bad breath.

Severe pain in the lower part of the stomach is a characteristic symptom of acute pancreatitis. The pain may appear in the middle of the abdomen or on its left side. In this case, very often it is accompanied by unpleasant sensations in the back (shingles pain), which is not stopped by medications.

Other symptoms of acute pancreatitis or exacerbation of chronic are nausea and repeated vomiting, not bringing significant relief, severe weakness, tachycardia, low blood pressure, semi-liquid stools with undigested food particles. In chronic pancreatitis there are frequent bouts of diarrhea, accompanied by painful cramps in the abdomen and aching in the lower back, some time after eating.

But here is the difficulty of diagnosing the pathologies described above, as it is in the similarity of the painful symptom with their exacerbation with the manifestations of myocardial infarction, which is also characterized by pain in the stomach, giving under the scapula. Only in this case, the pain syndrome can also extend to the area of the left shoulder and arm, there is a drop in blood pressure, fainting, increased anxiety due to fear of death.

Severe paroxysmal pain in the upper abdomen under the ribs, radiating to the back from the right side (the spine and under the clavicle), is characteristic of acute cholecystitis. Such pains do not appear from scratch, but after heavy physical exertion or the use of heavy heavy food. The symptom is often accompanied by the appearance in the mouth of a bitter taste and vomiting of bile. With a deep breath, palpation of the gallbladder is very painful, as well as tapping the side of the palm along the ribs over the diseased organ.

Disruption of the outflow of bile, caused by inflammation or the presence of stones in the gallbladder, can provoke a very painful phenomenon called hepatic colic. As in the case of renal colic, the pain in this case is very strong, paroxysmal (rarely constant), but they are not localized in the right or left side of the back, but in the right hypochondrium, from where it can radiate to other parts of the abdomen, under the scapula, in the area of the clavicle and shoulder. True, in some cases, the pain appears on the left side of the heart, resembling an attack of angina.

The patient's skin becomes pale and often becomes yellowish, the stomach swollen, urine becomes darker, while the stool becomes light yellow or grayish. Body temperature may rise.

Pain in the lower abdomen has other causes, and most often it is diseases of the intestine and the reproductive system, i.e. Pelvic organs. Patients with appendicitis may complain that the stomach and back in the lumbar region are badly affected. Inflammation of the blind intestinal process is not always accompanied by spinal pain.

The main symptoms of the disease is considered to be increasing persistent acute abdominal pain, usually occurring at night and morning. At first it is diffuse, which does not allow to diagnose pathology immediately. But after a few hours, the pain acquires a clear localization in the navel, just below it to the right (or to the left, if the organ has a left-sided arrangement). Such a movement of pain is peculiar to this particular pathology, as well as their intensification or change of character to a pulsating one.

Abdominal pains are aggravated by any tension in the abdominal muscles and subside in the fetal position or if you lie on the right side. The peculiarity of pain in appendicitis is that when you press on the inflamed organ, the pain subsides, but if you take your hand away it becomes noticeably stronger.

Abdominal pain with appendicitis is accompanied by nausea, vomiting, fever, and children also have diarrhea. In retrocercal appendicitis, which has a clinical picture similar to foodborne toxicoinfection, symptoms grow slowly (in a typical form, the disease lasts no more than 4 days), diarrhea may appear, but the principles of inflammation are weak. But in this form, lumbar pain most often occurs, and in some cases, the pain may radiate to the groin and hip area.

In case of gynecological diseases, cystitis, inflammation of the intestinal walls ( colitis, sigmoiditis, enteritis, etc.), lumbar pains, which appear together with pains in the lower abdomen, also often occur. The nature of pain in the aforementioned diseases is pulling (there are frequent complaints that it hurts the lower back), and the intensity is rarely high, unless in the case of acute inflammation of the appendages or ovaries, which causes a woman to bend in half and move "along the wall". In this case, patients complain of severe compressive pain in the abdomen, aching back and unusual tiredness of the legs, not related to the load on them.

[1], [2], [3], [4], [5], [6]