Pain in the left hypochondrium

  • Jun 18, 2018
Pain in the left hypochondrium

Any painful sensations - a signal of an organism about failures in its work. This is a sure sign of the pathologies of individual organs and systems. If professional physicians know exactly why the pain in the left hypochondrium occurs, it is often difficult for an ordinary person to understand these signals. Let's understand the anatomical causes of pain in this part of the trunk, we will find out which organs are there. We will find out which diseases and disorders are indicated by pain of a different nature.

What's on the left under the ribs

It's difficult for a person without medical education to determine why the left side hurts under the ribs. When the cause of pain can not be determined independently, one must at least understand what organ dysfunction is signaled by the body, to understand what is in the left side of the person. On this side, in part or entirely, the following internal organs are located:

  • of the small intestine loop;
  • kidney with adrenal gland;
  • stomach;
  • spleen;
  • colon;
  • easy;
  • ureter;
  • heart;
  • aperture.

Why the left side hurts

Note that the causes of pain in the left hypochondrium are ambiguous. Discomfort and pain causes overexertion of some organs, then when running, when coughing, when walking, colitis in the left side. It appears after eating with gastritis, ulcers, stomach cramping. If it hurts to lie on the left side, then the reason lies, for example, in the pre-infarction state, fracture( cracks) of the ribs, ischemic disease, neuralgia. At women pulls the left side at some inflammations of internal genitals: appendages, ovaries, a uterus.

Painful sensation when inhaling signals pulmonary inflammation, osteochondrosis, pinching of the diaphragm. Call it can and pathology of the spine, muscular dystrophy, tumors, joint damage, and it is localized in front and behind, below the ribs, under the heart, from above or from the side of it. Let us consider in more detail the places and possible causes of pain.


If the pain is localized in the lower part of the hypochondrium in the front, then it signals about diseases of the intestine, stomach or spleen, and in women - the reproductive organs:

  • stomach ulcer;
  • gastritis;
  • duodenal ulcer;
  • myositis;
  • colitis of the intestine;
  • hepatic colic;
  • appendicitis;
  • rupture, enlargement, swelling of the spleen;
  • is a gallbladder disease;
  • salpingitis( inflammation of the fallopian tubes);
  • hernia in the groin in men;
  • adnexitis( disease of appendages);
  • salpingo-oophoritis( inflammation of fallopian tubes, ovaries);
  • ectopic pregnancy;
  • uterine pressure with fetus on the ureter.

At waist level

Girdle at the waist level in front and behind the ribs is a characteristic symptom of pancreatic inflammation( pancreatitis).They occur periodically, often after eating or at night, are aching, drawing or sharp, accompanied by a feeling of bitterness in the mouth and belching. At the waist level on the left, there are painful sensations with ulcers( depending on its location) or gastritis.

The pathology of the spleen, starting from its increase, caused by infections, inflammations, ending with tumors and rupture, is characterized by pain at the level of the navel line. Such sensations, accompanied by shortness of breath, dizziness, sweating, indicate a possible myocardial infarction, other heart diseases, for example, angina pectoris, ischemia.

From the back

If the pain in the left hypochondrium is felt behind, then it is worth turning to the nephrologist, because this symptom is characteristic of kidney diseases. Aching, pulling - about acute or chronic pyelonephritis, acute - about rupture of the pelvis of the kidney, cutting - about the movement of stones with urolithiasis. Rezi on the side of the waist is also characteristic of intercostal neuralgia - infringement of nerves. Attacks of pain behind the ribs are peculiar to certain heart diseases:

  • angina;
  • aortic aneurysm;
  • pericarditis;
  • myocardial infarction( pain extends to the neck, arm).

In the heart region

Pain around the heart often causes diseases of the organ itself. It is important to pay attention to their character and localization. For example, bouts of blunt aching pain indicate pre-infarction. If constantly pulls under the heart or on top of the chest, then slow, but progressive angina is possible. When it hurts on the left under the heart, pathologies of the heart valves, vessels, arteries are possible.

The same sensation causes and pinched nerves, osteochondrosis, pulmonary diseases( painful on a sigh).The latter are often accompanied by shortness of breath, a cough. To make an accurate diagnosis, clinical diagnosis is necessary, because there are not enough symptoms for this, but any manifestation of pain to the left of the heart requires a medical examination, a consultation with a cardiologist and therapist.

What is pain in the left hypochondrium

When diagnosing diseases accompanied by pain in the left hypochondrium, it is important to determine their nature. This helps to recognize the form of the disease, the period of its course. If an adult or a child feels heaviness in the left side, presses in this place or feels periodic tingling, chronic forms of the disease are possible. Dull aching pain is typical for them. In acute form, seizures occur, painful manifestations become intense, sharp, burning, and pulls and shoots under the ribs. What diseases are different in nature of the pain?


A sharp stitching pain, also referred to as a dagger, indicates a critical condition of a person when urgent medical attention and even surgical intervention is necessary. This symptom is characteristic for the following dangerous diseases:

  • rupture of the spleen;
  • appendicitis;
  • rupture of the fallopian tubes;
  • perforation of intestinal wall;
  • rupture of the renal pelvis;
  • perforation of the stomach wall.

If, with such severe pain, breathing becomes difficult, the head becomes dizzy, the state of health rapidly deteriorates, then myocardial infarction is not excluded. In the case of injuries, acute pain sensations indicate internal injuries. In any case, the sudden strong painfulness of the left side requires a prompt call of an ambulance, the intervention of doctors.


The dull ache on the side signals a slight sluggish chronic inflammation of the internal digestive system. Often it accompanies all kinds of gastritis, pancreatitis, cholecystitis, appears with colitis, duodenitis, ulcers. If the pain is permanent, increasing, then you should consult an oncologist, because the formation of a cancerous tumor is possible. Aching pressure on the left is a characteristic symptom of cardiac diseases.


Pulsating pain in the left side often indicates the pathology of the spleen. It occurs as a result of a violation of the blood supply and changes in the tissues of this organ. This is possible with an increase in the spleen, its extension( splenomegaly).The decrease in its size, caused by anemia, is accompanied by painful pulsation and, if untimely, leads to organ atrophy.


Burning and raspiranie in the left side of the chest under the ribs - a sign of a heart attack. If the heart is baking, the pain becomes unbearable, begins to give under the scapula and in the left arm, there is no doubt that the myocardial infarction is diagnosed. Burning pain and rubbing at the bottom of the left hypochondrium in women is a possible sign of an ectopic pregnancy. In these cases, urgent hospitalization is needed, because without a medical aid, a lethal outcome is possible.

Pain in the left side and nausea

If spasms and pain in the stomach on the left side become exhausting, vomiting is attached to them, unceasing nausea is one of the symptoms of an ulcer. Constant painful sensations in the left hypochondrium, accompanied by nausea, are a sign of chronic pancreatitis. The same symptoms are typical for stomach and pancreatic tumors, and with fever for intestinal infections. Vomiting and lower abdominal pain on the left side are specific for infectious and inflammatory diseases of the large intestine.

What to do if it hurts in the left side under the ribs

It is accurate to establish what hurts from the left side under the ribs, in the state only the doctor. Your task is to consult a specialist for advice, take a survey and follow the recommendations. Treatment of pain depends on the diagnosis. For example, in case of infectious diseases, adequate antibiotic therapy is selected. If the pain is caused by urolithiasis, the problem is solved by grinding stones( lithotripsy).For the inflammation of the digestive organs or cardiomyopathy, appropriate treatment regimens are selected.

It is not necessary to take medical measures on your own - pains cause different pathologies, and they can arise even in a healthy person. A number of diseases that are accompanied by pain in the left side, requires surgical intervention, and often - urgent surgery, so if you have such pain, you should always see a doctor.

Video: pain in the left side when running

Want to know why when running pains in the ribs? Look at the video of a professional athlete and coach, which tells about the traditional point of view on this problem and its vision by the author, based on personal experience. How does this relate to the general physical condition of a person, the load on the breathing apparatus, the work of the diaphragm. You will learn what it's worth to do so that when walking fast, running and other dynamic loads, do not worry about pain in the left side.

Pain in the left hypochondrium