Burning pain in left side. Aching, sharp or dull pain in the left hypochondrium, what could be the reasons? Disorders of the spleen

Severe pain in the left hypochondrium - its appearance is a symptom of a large number of different diseases and pathological conditions. Since the left hypochondrium region of the abdomen corresponds to part of the stomach, the left part of the diaphragm, intestinal loops, the pole of the left kidney, the pancreas and the most obvious organ - the spleen, therefore, most often the causes of such pain can be a dysfunction of these organs.

Character of pain on the side under the ribs

First, you should decide what the hypochondrium area means - this is the upper left quadrant, located under the ribs (see figure). Depending on the nature of the pain, when it appears, after what events, you can determine what caused it and which doctor you should contact for an accurate diagnosis and treatment:

Stitching pain in the left hypochondrium during exercise

If they occur only during intense physical activity, such as running, fast walking (on a treadmill), jumping, during fitness training and other physical activities, this is not scary and happens in practically healthy people. Such painful sensations pass quickly and only indicate insufficient warm-up before exercise and too sudden or excessive movement.

Without a thorough warm-up (20 minutes), the body does not have time to adapt to the sharp increase in blood circulation. If pain occurs only during exercise, there is no particular danger in this, unless the person suffers from heart disease (cardiomyopathy, etc.). Even if you are absolutely healthy, you should not test your body - stop, relax your arms, shoulders, breathe deeply, or while exhaling sharply, press your palm on the place where the pain is located, while sharply leaning your body forward, repeat this 2-3 times and you can run on.

You should also ensure that your breathing is deep enough during exercise, since shallow and frequent breathing is accompanied by small excursions of the diaphragm. Typically, sharp stabbing pains on the left and even the right when running occur if the workout starts abruptly without warming up and after eating. After eating, at least 1-1.5 hours should pass, since the gastrointestinal tract is overloaded with work, the body has not warmed up and has not rebuilt, hence double the load and double the pain.

Dagger cutting acute pain syndrome

It’s a completely different matter if a dagger-like, cutting, sharp pain occurs in the left side under the ribs, when it is not associated with stress and appears suddenly - this is a reason to provide urgent medical care. Sudden severe pain in the left hypochondrium may indicate a rupture of the renal pelvis, spleen, or be a consequence of perforation of the loops of the small intestine or the stomach wall. And also as an abdominal variant of myocardial infarction or acute pancreatitis.

Sharp, severe pain after injury

If pain occurs when inhaling after a fall, injury or car accident, this may be a sign or symptom of serious damage to internal organs that is life-threatening.

Dull pain in the left hypochondrium

Diffuse, dull pain under the ribs on the left, if it occurs periodically over a long period of time, is a cause for concern, as it may be a symptom of a sluggish chronic disease of the gastrointestinal tract. Most often these are cholecystitis, gastritis, pancreatitis and others. To confirm or exclude these pathologies, you should contact a gastroenterologist and do a series of laboratory tests, instrumental studies, ultrasound and other procedures and tests.

Splenomegaly in various blood pathologies, autoimmune or systemic diseases, sepsis, bacterial infections is a reason for dull or aching chronic pain in the left hypochondrium.

It's a dull pain

Constant nagging, aching pain on the left under the ribs is a symptom, a sign of sluggish colitis or duodenitis, if this symptom is accompanied by nausea and vomiting, this may be a manifestation of a stomach ulcer. Such pain not related to the gastrointestinal tract may be a sign of a pre-infarction condition, coronary heart disease or angina pectoris.

So, pain that occurs in the left upper abdomen can be caused by the following reasons, pathologies and diseases:

Cardiomyopathy, heart attack, damage to the heart muscle
Most diseases of the gastrointestinal tract - cholecystitis, gastric ulcer, colitis, duodenitis
Splenic rupture (trauma) or enlarged spleen due to infectious diseases
Splenic infarction due to arterial thrombosis
Tumors of internal organs
Diaphragmatic hernia or diaphragm injury
Rheumatic manifestations
Left-sided pneumonia, left-sided pleurisy, which occurs in the lower part of the left lung

Pain in the hypochondrium should be distinguished according to the mechanism of occurrence

All possible pain in the left side under the ribs is also divided according to the mechanism of occurrence; this can serve as an additional diagnostic sign to help determine the pathology of a particular organ or system.

Referred pain - these pain sensations appear as radiating from fairly distant organs, such as with a heart attack, left-sided pneumonia, pleurisy or other diseases.
Visceral pain- for intestinal spasms or impaired gastric motility, as well as sprains of their muscle fibers. When there may be aching and dull pain, or cramping pain - with intestinal colic, which often radiates to nearby areas of the body.
Peritoneal pain- constant and clearly localized pain, which is caused by irritation of the peritoneum, such as with a perforated gastric ulcer. This pain intensifies with breathing and movement, it is cutting and sharp.

When there is pain in the left hypochondrium in front

If such pain is localized under the ribs in front, this most likely indicates diseases of the spleen or damage to the tissues of the stomach. In these cases, the differential diagnosis is made with myocardial infarction, colitis of the upper intestinal loops,. If the pain shifts more towards the center, a combination of stomach disease with diseases of the gallbladder and duodenum is possible.

When the pain is behind

Most often, when the left kidney is damaged, the pain is localized in the left hypochondrium at the back, it is quite strong and constant; to diagnose kidney disease, you should do an ultrasound, a general urine and blood test. In addition to the pathology of the left kidney, such pain can occur with thoracic and lumbar osteochondrosis; palpation of the paravertebral processes can give rise to this pain syndrome.

Girdle pain combined with pain on the left

If there is a girdle pain in the area under the left ribs, moving from behind to the anterior abdominal wall, this may be a sign of inflammation of the pancreas - pancreatitis. When inflammation begins, there is an unbearable burning pain that subsides a little when the person leans forward in a sitting position.

Pathologies of the diaphragm

Constant pain in this area can occur due to pathologies of the diaphragm, diaphragmatic hernia. The hole in the diaphragm, necessary for the esophagus, which connects to the stomach, separates the chest cavity from the abdominal cavity. And when the muscle tissue that regulates this opening weakens, the lumen expands, so the upper section of the stomach can extend beyond the abdominal cavity into the chest.

In this case, the stomach contents reflux into the esophagus, causing constant dull, aching pain on the left, with nausea and heartburn. Pregnancy, obesity, excessive physical activity can contribute to the development of a diaphragmatic hernia, and this pathology often occurs in older people with a general weakening of the entire muscular system. Sometimes this condition is aggravated by pinching of the stomach, then sharp, cutting, sharp pain appears in the left hypochondrium.

Cause: intercostal neuralgia

Various neurological diseases can cause compression or irritation of the intercostal nerves. Pain caused by intercostal neuralgia has a wide range of manifestations:

In the area of the ribs, under the ribs - shooting, piercing, sharp or aching, burning or dull pain (see also).
The pain may intensify with sudden movements, sneezing, inhaling, coughing, even when changing body position.
Attacks of intercostal neuralgia are accompanied by stabbing pain on the left side, manifested by muscle twitching, pallor or redness of the skin, and increased sweating.
When pressing on certain points on the back, chest, between the ribs or along the spine, painful sensations also appear.

With neuralgia, pain can be localized not only in the left side, but also in the lower back, under the shoulder blade (as with heart disease). They can occur at night, in the morning, and during the day, for quite a long time; in places where the nerve pathways are damaged, a feeling of numbness sometimes appears.

Heart pathologies

Aching pain in the left side in combination with shortness of breath during exertion and even at rest, nausea, rapid heartbeat, burning and heaviness in the chest occur with heart disease, such as coronary heart disease. When the coronary arteries are damaged, the blood supply to the heart muscle is disrupted, causing a pathological condition such as ischemia.

Also, similar pain under the ribs can occur with cardiomyopathy - these are several different diseases that lead to dysfunction of the heart muscle, but there is no pathology of the valve apparatus, arterial hypertension, or heart vascular diseases. With cardiomyopathy, the heart muscle changes structurally. This is manifested by rapid fatigue, pain in the left side during physical activity. .

Pathological conditions of the spleen

The spleen is a fragile, easily torn organ, so any pathological condition of it is reflected by pain. Its slight increase is difficult to recognize, especially in obese people, since it lies deep in the left hypochondrium. An enlarged spleen or splenomegaly occurs in some infectious diseases, for example, infectious mononucleosis. However, in addition to pain in the spleen area, this disease is characterized by pronounced symptoms, such as fever, muscle pain, headache, enlarged lymph nodes, general intoxication, sore throat, and liver enlargement. The spleen performs several important functions in the body:

This is the thinnest blood filter
This is the largest lymph node
It is the largest conglomerate of reticuloendothelial tissue

With hypertrophy of the spleen, when it intensively performs immune, phagocytic and filtering functions, that is, against the background of diseases of immune complexes, hemolytic anemia, acute severe infections, it increases in size and can cause pain on the left. Other causes of pain and enlargement of the spleen include trauma, infiltration, tumors or defects in its development. Particularly acute sharp pain in the area under the ribs occurs during a blow or injury, leading to rupture of the spleen. In addition to pain, a sign of rupture is the bluishness of the skin around the navel, since a large amount of blood accumulates there, and the pain radiates from the left hypochondrium to the back; if such symptoms appear, you should call an ambulance.

Diseases of the stomach, pancreas

Gastritis

This disease affects the majority of the population, since the current state of the food industry, aimed at creating chemicalized products, contributes to the development of functional disorders of the stomach and the entire gastrointestinal tract. The gastric mucosa is quite sensitive to any irritants, of which there are more than enough in our daily diet. Gastritis most often manifests itself as belching, aching pain in the hypochondrium, nausea, pain in the epigastric region, vomiting, heartburn, heaviness, and a feeling of pressure. These symptoms appear soon after eating, and general disorders may also occur - pallor, weakness, irritability, sensory disturbances in the lower and upper extremities, signs of dyspepsia - diarrhea.

Stomach ulcer

It has similar symptoms to gastritis and depends on the duration and severity of the disease, in contrast to duodenal ulcers, when pain occurs during periods of hunger, an empty stomach, pain with a stomach ulcer occurs after eating. This also causes heartburn, nausea, vomiting, sour belching, loss of appetite and body weight. With a perforated ulcer, the main striking symptom is dagger-like, sudden pain, pallor, and general weakness.

Pancreatic diseases

The most typical symptoms of acute pancreatitis are severe pain under the left hypochondrium, in the left side, and in the epigastric region, of a girdle nature, accompanied by vomiting with bile, nausea, increased body temperature, it is also possible that the urine turns dark and the stool becomes lighter. The pain can be so severe that the person is forced to sit bent over. With chronic pancreatitis, patients complain of a dull aching pain, especially after a magnificent feast. With cancer of the pancreas, it is very difficult to diagnose; this is a very small, hard-to-reach organ that is difficult to diagnose and treat, and the symptoms of cancer are practically invisible at the onset of the disease.

Oncological diseases of the gastrointestinal tract

In our time of oncological tension, any manifestations of ailments, weakness, lack of appetite, anemia, aversion to certain foods, for example, meat, rapid satiety, periodic pain in the stomach, intestines, a series of constipation with diarrhea, should alert a person, especially with age. Oncology is dangerous due to its asymptomatic course in the early stages. For any persistent pain, you should consult a doctor to find out the cause and carry out timely treatment.

The abdominal cavity contains many internal organs, the stomach, intestines, pancreas, kidneys, adrenal gland, spleen, liver, pancreas, gall bladder. Pain in the left side indicates problems with one of these organs. If your left abdomen periodically hurts, you should consult a doctor to undergo an ultrasound and determine the cause of the problem.

Comprehensive ultrasound of the abdominal cavity - 1000 rubles. , Comprehensive pelvic ultrasound - 1000 rubles.

What organs are located on the left side of the abdominal cavity?

The abdominal cavity consists of 9 parts and is divided into 3 sections:

Epigastrium . The epigastrium itself is located directly above navel On the right is the subcostal region.
Mesogastrium . Consists of the peri-umbilical and right lateral regions.
Hypogastrium . Includes the suprapubic and right iliac region.

Due to the different anatomical structure, pain of the same nature and intensity, localized in the same place, in men and women indicates different diseases.

The following organs are located in the area of the left hypochondrium:

spleen
left kidney (from the back)
3/4 stomach
pancreas
left adrenal gland
left ureter
small intestine (loops)
part of the large intestine
left half diaphragm (muscle-tendon formation separating the peritoneum and sternum).

Men and women have anatomical differences in the organs located in the left half of the pelvis. So, in men there is a prostate gland - a tubular-alveolar organ that produces a secretion that maintains an optimal environment for the life of sperm. In women, the uterus is located on the left side of the abdomen, behind it is the left ovary and next to it is the fallopian tube. Depending on the location and nature of the pain, you can determine which organ is in trouble.

Sometimes pain is not associated with pathology in the development of internal organs. But in any case, the problem cannot be left unresolved. It is necessary to undergo a detailed examination to confirm or exclude the presence of the disease.

Causes of pain in the right hypochondrium

Pain in the left side or lower abdomen on the left side indicates diseases of the organs and more. In 1st place among the causes of pain -, then follows and gastroenterology. In some cases, pain is in no way related to anatomical pathologies. Among the reasons that cause pain in the left half of the body may be the following:

Lymphocytic leukemia or myeloid leukemia . This is a collection of malignant atypical cells in the blood. The center of pain is located in the spleen, because the organ produces blood cells and also stores reserve cells, including including cancer. Although lympho- and myeloid leukemia are diseases of hematopoiesis, they affect the spleen as a depot that stores a third of all platelets. Problems with this organ are clearly identified on .
Purulent arthritis of the left hip joint . Pathogenic bacteria enter the joint cavity due to injury or damage to the walls (abscess), resulting in acute inflammation and pus accumulating inside the joint. The pain radiates (gives) to the left side of the abdomen.
Inflammation of the lymph nodes of the left half of the abdomen. Caused by the entry of streptococci and staphylococci into the blood. The source of inflammation is an internal organ (stomach, spleen, kidney), and pathogenic bacteria enter the lymph nodes through the outflow of blood. You can check your stomach at .
Abdominal aortic aneurysm. This is an atherosclerotic lesion of the vessel supplying blood to the organs of the left half of the abdomen. Leads to aortic rupture and death.
Acute mesenteric ischemia . Characterized by acute pain around the navel. It is complemented by a decrease in peristalsis and a sharp increase in the number of leukocytes in the blood.
Abdominal pain with depression. Depression is accompanied by increased anxiety and increased levels of norepinephrine and cortisol. They cause spasms of smooth muscles, including the intestines. The person experiences symptoms characteristic of indigestion. Moreover, this is not associated with eating low-quality food. Abdominal pain cannot be relieved by medications because it is psychosomatic in nature.
Severe and persistent cough also causes abdominal pain. This is due to the increased load on the abdominals, which not everyone has trained and strong. Frequently coughing, the patient strains the muscles, they stretch and put pressure on the diaphragm, causing dull pain. It goes away on its own after the cough is cured.

Causes of abdominal pain on the left: pathologies of internal organs

Sometimes the causes of pain under the left rib are actually diseases in various organs.

Spleen diseases

Heart attack (disturbance of blood circulation of the vessels penetrating the organ); torsion of the leg (twisted the leg through which arteries and veins pass, supplying the spleen with blood, resulting in tissue necrosis and intoxication); abscess due to infection; rupture of the spleen leads to the formation of connective tissue, and if it is injured, peritonitis and splenomegaly occur (enlargement of the spleen due to autoimmune and hematopoietic diseases); splenic cyst (formed upon completion of abscess); benign and malignant neoplasms.

Intestinal diseases

Diseases of the small intestine : malabsorption (inability of the intestinal walls to absorb some component (fructose, lactose); celiac disease (inability to tolerate gluten contained in cereals);

Colon diseases : Hirschsprung's disease (lack of nerve endings in some parts of the intestine); Crohn's disease (inflammation of the colon); ulcerative colitis (inflammation of the large intestine); irritable bowel syndrome (caused by stress, which releases adrenaline, causing smooth muscle contraction); diverticulosis - protrusion of the intestinal walls outward; intestinal polyps that interfere with water absorption; atony (impaired intestinal motility); malignant tumors, intestinal infections. You can check the organ at .

Diseases of the left kidney

Abscess (purulent inflammation), pyelonephritis (bacterial inflammation), cysts, kidney stones, echinococcosis (presence of helminths in the kidney), hydroureteronephrosis (enlargement of the renal pelvis with impaired urine outflow); tuberculosis (drying) of the kidney, malignant tumor. If these diseases are suspected, .

Gynecological diseases

E (growth epithelial cells lining the inner surface of the uterus); ;
salpingitis (inflammation of the fallopian tubes);
parametritis (inflammation of uterine tissue);
Allen-Masters syndrome (rupture of the uterine ligaments during childbirth or an accident);
ovarian adhesions (fusion of the ovary and fallopian tube);
ectopic pregnancy in the left fallopian tube;
cervicitis (inflammation of the cervix);
rectal uterine cavities (proliferation of endometriotic nodules into the walls of the rectum.

Pathologies are detected on , and other methods.

Pathologies of the genital organs in men

Varicocele (impaired blood flow in the testicles); dropsy of the ovary (accumulation of excess fluid); testicular torsion with pinched nerves and blood vessels, epididymitis (inflammation of the epididymis). Here you will need to go .

What does pain in the left side of the abdomen indicate?

Based on the nature of the pain and the location of the source of pain, you can determine the cause of the disease even before going to the doctor.

Nature of pain	Cause	Additional symptoms
Dull aching pain	Gynecological diseases (endometriosis, fibroids, ovarian cysts, inflammatory processes)	Increased body temperature, pain during sex, menstrual irregularities, spotting
Nagging pain	Pathology of the pelvic organs (inflammation of the scrotum in men, strangulation of the inguinal hernia, sprain of the inguinal ligaments)	Lymph nodes become enlarged, diarrhea, vomiting are observed, body temperature rises
Sharp unbearable pain	Rupture of the ovary, dilatation of the bladder or renal pelvis, passage of stones in the urinary tract	Distension of the intestines, bloating, gases.
Stitching pain	Kidney and intestinal diseases, cyst rupture, inflammation of the ureter	Shooting pain in the lower back, increased gas formation, constipation

What tests should be taken for pain in the left side of the abdomen?

If there are complaints of pain in the left side of the abdomen, the doctor sends the patient to undergo the most important tests, the results of which will show a complete picture of the condition of the body.

General blood analysis

Low level hemoglobin indicates internal bleeding and malabsorption nutrients in the intestines. Too high hemoglobin indicates intestinal obstruction, tumors in the kidneys and stomach;
An increase in red blood cells indicates inflammation and dehydration, a decrease indicates internal bleeding;
A high level of leukocytes is characteristic of an infectious disease of the gastrointestinal tract, a low level is characteristic of typhoid fever;
An increase in platelets is typical with malignant tumors and splenic rupture, a decrease with infections;
Increased ESR (erythrocyte sedimentation rate) observed in cancer, inflammation and infections;

Blood chemistry

Alanine aminotransferase (ALAT) and aspartate aminotransferase (AST), enzymes contained in different organs An increase in ALT and AST indicates pathology of the kidneys, liver, and kidneys. - the most important method for diagnosing metabolic disorders.
Urea is released in large quantities when pyelonephritis, other pathologies of the kidneys and bladder, decrease - in case of liver dysfunction;
Creatine characterizes kidney function. Typical for acute renal failure increased creatine levels;
Glucose increases in diabetes mellitus, which causes other problems;
Total protein changes indicators in cancer;
Protein albumin decreases in kidney diseases, intestinal diseases, and oncology.

General urine analysis

Shows:

An increase in acidity is observed with infections of the genitourinary system, chronic renal failure, a decrease is observed with dehydration;
Color changes: Bright orange and brown colors are characteristic of kidney disease;
An increase in protein and glucose in the urine is typical for kidney disease;
A high level of leukocytes indicates inflammation (cystitis, pyelonephritis,);
Epithelial cells are also seen in kidney problems.

Ultrasound of the abdominal cavity for pain in the abdomen on the left

Very effective and eloquent . It reveals the following pathologies:

presence of free fluid in the abdominal cavity
mesadenitis (enlarged lymph nodes)
aortic aneurysm dissection
tumor in the kidney
stones in the kidneys
kidney cyst
abscess, peritonitis
enlarged spleen
tumors.

In addition to ultrasound, endoscopic research methods are very popular in identifying the causes of pain in the left half of the abdomen. Such an examination is prescribed if an ultrasound scan shows pathology and the diagnosis needs to be confirmed.

Endoscopic examination methods

These include:

FGDS (fibroesophagogastroduodenoscopy). This method is popularly called “swallowing the probe.” It is used to detect esophagitis (inflammation of the walls of the esophagus), stomach polyps and tumors, reflux disease (impaired passage of food), gastritis (inflammation of the stomach walls), duodenitis (inflammation of the intestinal walls), stomach and duodenal ulcers, bleeding.
X-ray diagnostics. Detects perforated ulcer, pneumatosis (accumulation of gases), intestinal obstruction, megacolon (thickening of the intestinal walls), rupture of the spleen.
Colonoscopy (examination of the rectum through the anus). Detects cancer, polyps and intestinal tumors, ulcerative colitis, Crohn's disease, proctitis (inflammation of the rectum).
MRI (Magnetic resonance imaging). Gives a complete picture of the condition of internal organs.
Retrograde cholangiopancreatography - a combination of fluoroscopic and endoscopic methods. Used to collect material for biopsy. Helps with complicated forms of pancreatitis, in which it is difficult to examine the bile ducts due to the enlargement of the organ. It also detects the localization of stones in the kidneys and urinary tract.
Laparotomy and laparoscopy . These are similar methods, only with laparotomy large incisions are made in the abdominal cavity, and during laparoscopy they are very small. Using a laparoscope (a flexible optical tube with a camera at the end), you can see injuries to internal organs, tumors of the abdominal organs, inflammation of the lymph nodes, stomach and duodenal ulcers, and splenic rupture.

Where to get examined for abdominal pain on the left in St. Petersburg

If your left side hurts, you need to sign up for an abdominal ultrasound or . You can get examined in St. Petersburg at . The examination is carried out using a modern ultrasound machine with Doppler.

Pain and its causes in alphabetical order:

pain in left side

Abdominal pain can be a symptom of many diseases. The stomach is not a single organ like the heart or liver. The abdomen is filled with many different organs, tissues, structures, etc. And every organ located in the abdomen can become diseased. First of all, you should pay attention to sudden sharp pain in the abdomen. This pain may be the first symptom to require immediate medical attention. Many abdominal organs are hollow. For example, stomach, intestines, gall bladder. And if one of them fails (clogs, bursts), then your life is in danger. If a sharp, sudden pain lasts more than 30 minutes, you should urgently call a doctor or go to the hospital to rule out an urgent surgical pathology.

You can fantasize about the diagnosis as much as you like, but only on the way to the hospital. Because if it is, for example, a perforation (perforation or hole in the stomach), then it must be stitched up immediately. To figure out for yourself what abdominal pain can mean, you need to know the following. Conventionally, your abdomen is divided into four quadrants (or segments) - upper right (right side on top), upper left (left side on top), lower right and lower left (right and left sides below). The localization of any symptom can now be assigned to one of four quadrants.

What diseases cause pain in the left side:

Pain in the left side above. The left upper quadrant of the abdomen contains the spleen, stomach, pancreas, intestinal loops (as, indeed, everywhere else in the abdomen) and the left side of the diaphragm. Pain in the left upper quadrant may be related to the spleen. The spleen lies very close to the surface of the body. The main job of the spleen is to remove red blood cells from the blood after they have lived normally for 120 days. It captures them, destroys them, after which their components pass into the bone marrow, where new blood cells are formed.

In a number of diseases, the spleen enlarges, its capsule stretches, and this causes pain. Because the spleen is located close to the surface of the body, it is susceptible to rupture. Causes of splenic rupture can include trauma and diseases such as infectious mononucleosis. With this disease, the spleen becomes enlarged in size and has a soft consistency. And all this increases the likelihood of its rupture. Sometimes an enlarged spleen ruptures on its own. A telltale sign of a splenic rupture, in addition to pain and tenderness in the corresponding area, is bluishness of the skin around the navel (due to the accumulation of blood).

Pain in the upper left side may be caused by the stomach. Anything that irritates the stomach lining, causes gastritis (inflammation of the stomach) or functional dyspepsia, can cause pain. More often this pain is aching in nature, often accompanied by nausea and even vomiting. Antacid medications prescribed by your doctor will help. In general, only a doctor can tell you exactly what you have. Stomach pain can occur with peptic ulcers and cancer. After completing a series of laboratory tests and examinations (including endoscopic), the doctor will finally diagnose you and prescribe treatment. Pain in the upper left quadrant may be due to a diaphragmatic hernia. The diaphragm, which separates the chest cavity from the abdominal cavity, has an opening through which the esophagus passes on its way to the stomach.

When the muscles that control the size of this opening weaken, the opening enlarges, allowing the upper portion of the stomach to exit from the abdominal cavity, where it should be, into the chest cavity, where it, of course, should be. This condition is called a diaphragmatic hernia. More often seen in older people. Due to the acidic stomach contents, you feel pain in the left upper quadrant. We must not forget that pain in the left upper quadrant can be caused by the pancreas. After all, it stretches across the upper abdomen and when the pancreas becomes inflamed, you may feel pain on the right, middle and left side of the abdomen. Various diseases and toxins can affect the pancreas, including cancer. You should suspect that you have a pancreatic disease if the pain that arises is very sharp, comes from the inside, has a girdling nature, radiates to the back, is accompanied by fever, nausea, vomiting, and if you also belong to a high-risk group for pancreatic disease, that is, you have problems with your gallbladder, you smoke a lot, drink, suffer from diabetes, take diuretics or steroid hormones (the latter are mainly prescribed for asthma, arthritis, cancer and some chronic diseases).

Pain in the lower left side can be the result of all conditions that cause pain in the right lower region, with the exception of appendicitis.

Which doctors should you contact if there is pain in the left side:

Are you experiencing pain in your left side? Do you want to know more detailed information or do you need an inspection? You can make an appointment with a doctor Eurolab always at your service! The best doctors will examine you, study external signs and help you identify the disease by symptoms, advise you and provide the necessary assistance. you also can call a doctor at home. Clinic Eurolab open for you around the clock.

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(+38 044) 206-20-00

If you have previously performed any research, Be sure to take their results to a doctor for consultation. If the studies have not been performed, we will do everything necessary in our clinic or with our colleagues in other clinics.

Does your left side hurt? It is necessary to take a very careful approach to your overall health. People don't pay enough attention symptoms of diseases and do not realize that these diseases can be life-threatening. There are many diseases that at first do not manifest themselves in our body, but in the end it turns out that, unfortunately, it is too late to treat them. Each disease has its own specific signs, characteristic external manifestations - the so-called symptoms of the disease. Identifying symptoms is the first step in diagnosing diseases in general. To do this, you just need to do it several times a year. be examined by a doctor, in order not only to prevent a terrible disease, but also to maintain a healthy spirit in the body and the organism as a whole.

If you want to ask a doctor a question, use the online consultation section, perhaps you will find answers to your questions there and read self care tips. If you are interested in reviews about clinics and doctors, try to find the information you need on. Also register on the medical portal Eurolab to keep abreast of the latest news and information updates on the site, which will be automatically sent to you by email.

The symptom chart is for educational purposes only. Do not self-medicate; For all questions regarding the definition of the disease and methods of its treatment, consult your doctor. EUROLAB is not responsible for the consequences caused by the use of information posted on the portal.

If you are interested in any other symptoms of diseases and types of pain, or you have any other questions or suggestions, write to us, we will definitely try to help you.

According to its anatomical structures, the lower abdominal zone belongs to the digestive tract and contains the organs of the genitourinary system. Pain in the left side of the lower abdomen is a very multifaceted symptom.

Based on its location and nature, one can only have a guess, but not complete confidence in the diagnosis. Additional examination and consultations with different specialists are always required. In medicine, the symptom is called pelvic pain.

Statistics that support complex diagnostics

According to statistics, when referred to a hospital, patients are distributed according to profiles:

65–90% require urological care;
60–70% end up in gynecology;
about 60% are admitted to gastroenterology departments of hospitals;
from 7 to 15% require the help of a traumatologist.

The total amount is not 100% because the preliminary diagnosis turns out to be incorrect and the patient has to be transferred to another department.

What organs are located in the lower left corner of the abdomen?

Organs of different systems are located on the left lower abdomen. Digestion includes: the small intestine - loops of the jejunum, part of the descending colon and the sigmoid - large intestine. To the organs of the genitourinary system: the left half of the uterus, the left appendage with the ovary and fallopian tube in women, the ureter and part of the bladder.

We must not forget that pain on the left side of the lower abdomen can cause disturbances in the bone skeleton of the pelvis, hip joint, lymph nodes, nerve bundles and vessels, irradiation downward in diseases of the spleen and left kidney.

How does pain occur?

The causes of pain syndrome according to the mechanism of formation are different in parenchymal and hollow organs. Dense organs (spleen, uterus, kidney) are covered with a protective capsule. It contains pain endings of nerves that react to any damage.

In hollow organs (intestines, ureter), pain occurs when the muscle wall is stretched if the damage reaches the level of the submucosal and muscular layer. The mucous membrane itself does not have the ability to cause pain, since it is not equipped with special receptors.

Pathological processes leading to pain in the lower abdomen can be:

inflammation;
degeneration of an organ or wall due to impaired metabolism at the cellular level;
local circulatory obstruction;
functional or organic malfunctions in the functioning of internal organs.

Necrosis (death) of the intestine - extreme ischemia

Physiologists distinguish 3 stages in the development of pain:

I - aching sensations appear in the lesion, they are not defined by the patient as painful;
II - formation of referred pain, possible loss of connection with the true cause;
III - expansion and deepening of pathological disorders, strengthening of the pain impulse from the site of the lesion.

We will consider options for pain in the left side and lower abdomen, depending on the possible pathology of the organs.

What types of left side pain should you consider?

The nature of the pain serves as a guide to the assumption of the location and type of pathology.

Aching dull pain

Often worries women with a unilateral gynecological problem. Dull pain above the pubis and on the left is possible with cycle disorders, sex, inflammation and endometriosis. Inflammation is indicated by a combination with elevated temperature and weakness.

Nagging pain

In intensity it is significantly inferior to other types, but it exhausts a person with its constancy. In men, it occurs with inflammation of the scrotum, strangulated inguinal hernia, orchitis. Initially, a malignant tumor manifests itself in a similar way.

Sharp pain in the side

The sharp nature of the pain accompanies intestinal spasm, distension with gases, acute expansion of the bladder and pelvis of the left kidney during urinary retention, rupture of the ovary in women, and the passage of stones through the ureter.

Stitching pain

Colic is an acute spasm caused by contraction of the intestines or ureter. Typically subsides after defecation and urination. A type of pain is shooting pain. It is characteristic of inflammation in the lumbar region and joints. Stitching pain can precede the rupture of an ovarian cyst.

What pain characterizes diseases of the small intestine?

Diseases of the small intestine affect all sections, causing severe pain with a cutting tint, cramping type. Accompanied by impaired absorption capacity, frequent loose stools, loss of fluid and electrolytes, vitamins, and protein.

Enteritis

A small segment of jejunal loops lies on the left side of the abdomen. With infectious enteritis and gastroenteritis, inflammation is accompanied by patient complaints that “the lower abdomen hurts on the left.”

Symptoms of the disease cannot be separated from signs of gastritis (inflammation of the stomach). The temperature rises, nausea appears, vomiting is possible, pain migrates from the epigastrium to the center of the abdomen. There is a lot of mucus in the stool, undigested food particles, and possibly blood.

Malabsorption syndrome

The essence of pathological disorders comes down to the inability of the mucous membrane to absorb certain foods (for example, fruits, milk). The main symptom is frequent loose stools with the release of fat.

The intestines are bursting with gases, so the pain in the left lower abdomen and side is cramping in nature, inconsistent, and can cause attacks. After bowel movements or taking medications with antispasmodic effects, the pain subsides. At the same time, patients complain of rumbling, bloating, and a taste in the mouth.

Celiac disease

The disease is detected in children during the infant period when switching to nutritional formulas or introducing nutritional supplements. It turns out that the child is intolerant to gluten (plant protein from cereals). Clinically manifested by abdominal pain, diarrhea, weight loss, and the development of rickets.

Both diseases are caused by unfavorable heredity. Malabsorption syndrome also accompanies functional disorders in other serious diseases.

Pathology of the left part of the large intestine

The abdomen hurts on the lower left side if the descending or sigmoid colon is involved.

Irritable bowel syndrome

The cause of the disease remains unclear. It is associated with stress and hormonal disorders. Middle-aged women are more often affected. It has been established that exacerbations develop against the background of menstruation.

The disease is chronic, manifested by pain in the left abdomen, bloating, and stool disturbances (constipation alternating with diarrhea). An important feature is the absence of any morphological abnormalities in the intestines. Acute pain in the left side is provoked by anxiety, eating fried or smoked meat dishes.

Nonspecific ulcerative colitis

The disease is caused by autoimmune disorders or is inherited.

Pathological changes begin from the rectum and spread from below to the upper intestines

Based on the principle of localization, nonspecific inflammation is distinguished:

only the rectum (proctitis);
sigmoid and straight (proctosigmoiditis);
left side (left-sided colitis);
with damage to the entire colon (total colitis).

In 18–30% of patients, the process reaches the ileum and appendix (ileocolitis). The intestinal walls have morphological changes; histologically they are located only in the mucous and submucosal layer. Ulcers are most often found in the sigmoid and rectum. There is a tendency to degenerate into a malignant neoplasm.

Clinically, during an exacerbation, patients experience sharp pain in the lower abdomen on the left, of a paroxysmal nature. Associated symptoms are: joint pain, fever, diarrhea with blood and pus. Antimicrobial agents, antihistamines, and corticosteroids are used in treatment.

Diverticulosis

Diverticula are saccular formations from the intestinal wall. They protrude outward and interfere with peristaltic waves. More often observed in old age. In the presence of dense fecal stones and inflammation, the patient experiences throbbing pain in the left side of the abdomen. At the same time, constipation and black feces due to bleeding are a concern. The disease is treated only surgically.

Colon polyps

Benign formations on the mucous membrane (polyps) are a mechanical obstacle and disrupt the process of water absorption. Identified by constipation and signs of dehydration. The pain in the lower abdomen on the left has a pulling character.

Despite their benign nature, polyps can cause intestinal obstruction

Atonic constipation

Atony of the large intestine can be caused by chronic inflammatory processes, polyps, and neurological problems. The main violation is the lack of proper regulation of peristalsis, loss of the ability to contract and transport contents.

Often observed in old age. The main symptom is prolonged constipation, bloating, dull, bursting pain. Fermentation processes cause increased gas formation, and the accumulation of gases in the descending colon is manifested by constant aching pain in the left side.

Malignant neoplasms

Colorectal cancer is a malignant neoplasm of epithelial cells located in the colon and rectum. In the Russian Federation, among malignant tumors in men it is in third place in frequency, in women it is in fourth place.

The disease is asymptomatic for a long time. Signs begin with increased fatigue, loss of appetite, nausea, bloating, sudden vomiting, taste in the mouth, belching, and a feeling of heaviness in the upper abdomen.

At first it hurts only on the left, in the place where the tumor is localized. Then the intensity increases and the pain spreads throughout the abdomen. With a hardware examination of the intestines, it becomes clear why the left side and the area in the lower abdomen hurt.

Pain syndrome with tumors of the left half of the colon is more pronounced

Other causes of pain

A relatively rare disease is one that is transmitted hereditarily, mainly to boys.

The essence of the pathology is the presence in the large intestine of zones without innervation. Therefore, the main violation is the lack of peristalsis in the affected areas, the accumulation of feces in them, and severe constipation.

The main complaints of patients: constipation, constant bloating, nagging pain in the left side of the abdomen. The disease is treated only surgically, removing the area unsuitable for digestion.

Crohn's disease is the formation of inflammatory nodules (granulomas) in the intestines and other parts of the digestive tract. The reason is unclear. With inflammation in the descending colon, abdominal pain is localized to the lower left. Patients experience constant fatigue, loss of appetite, diarrhea, nausea and vomiting.

The disease is diagnosed only on the basis of a biopsy of material from the site of inflammation.

Characteristics of pain in diseases of the urinary organs

Urinary diseases occur in cases of pathology of the kidneys, bladder, and ureter. The localization we are studying includes local pain in the ureter caused by its stretching and radiating pain from the left kidney.

Pyelonephritis

Inflammation of internal structures (pelvis, calyces) caused by infection. It begins suddenly with high fever, vomiting, chills, pain in the lower back on the left, radiating to the left side of the abdomen. Impaired urination, pain, and urinary retention occur. Pulsating pain is an unfavorable sign indicating the formation of an abscess in the kidney.

In the chronic course, exacerbations are milder, but with the same symptoms. As a result, scars appear in place of the inflamed tissue, the kidney becomes deformed and loses function. Kidney failure occurs when the second healthy kidney stops working hard to compensate for the diseased organ. The disease is treated by urologists with antibacterial agents, diuretics, and, if necessary, by opening the suppuration or resection of part of the kidney.

Urolithiasis disease

Often accompanied by inflammation of the urinary tract and metabolic disorders. It is caused by the loss of crystalline sediment in the urine, its settling in the pelvis and gluing into stones. The most common compositions are phosphates, oxalates, and urates.

The stone causes a disruption in the process of urine outflow, so stagnation and distension form in the higher-lying sections. The movement of a stone along the ureter explains why the lower abdomen hurts. Clinically, after intense shaking or running, the patient experiences an attack of renal colic.

The pain is very intense in nature, cutting. Localized in the lower back or to the left of the navel. Acute urinary retention occurs. The duration of the attack is up to several hours. For emergency care, painkillers and antispasmodics are administered. Frequent recurrence of attacks is an indication for surgical removal of the stone.

Painful manifestations in gynecological pathology

Since the uterus is an unpaired organ, pain during its inflammation and endometriosis spreads from the suprapubic zone to both the left and the right; it is possible to single out only the left-sided localization for diseases of the left appendage.

Adnexit

Inflammation of the ovary is provoked by hypothermia and heavy physical work. The cause is infection. The chronic disease is accompanied by constant aching pain in the left lower abdomen and fever. It intensifies during sexual intercourse and during menstruation. A long process leads to the formation of adhesions.

Cyst torsion

A voluminous hollow formation from the left ovary may have a narrow base (pedicle). If a cyst is present, women note that before the acute attack, the pain in the left side was “tolerable.” Torsion causes intense pain on the left in the iliac region, in the side. During an attack, the cyst may rupture with the appearance of local peritoneal symptoms. Treatment in gynecology is only surgical.

At the initial stage, the left ovarian cyst is located inside the organ and does not cause symptoms, except for disruption of the menstrual schedule

Ectopic pregnancy

The disease manifests itself as an attack of gradually increasing pain in the left side of the abdomen, below, nausea and vomiting. Preceded by a delay in menstruation. Lack of measures leads to rupture of the left tube, peritonitis and multiple adhesions. A woman becomes infertile because the egg does not travel to the uterus.

Allen-Masters syndrome

The disease manifests itself in women in the postpartum period. It consists of rupture of the uterine ligaments during difficult childbirth. Often complicates abortion. The patient experiences cramping pain, which is localized in the lower abdomen, sometimes only on the left or in the anal area. Intensifies with straining.

The pain is burning in nature and radiates to the left half of the abdomen. During a digital examination, the gynecologist reveals excessive mobility of the cervix and pain when pressing on the abdominal wall.

What pain causes diseases of the left hip joint?

The hip joint is the largest joint in the body. The pathology affects bone surfaces and cartilage, adjacent muscles, tendons, nerves and blood vessels.

The most common causes of pain in the hip joint radiating to the lower abdomen are:

inflammation (arthritis) infectious and autoimmune;
inflammation in the periarticular bursa (bursitis);
degenerative disorders in bone tissue, osteoarthritis or coxarthrosis;
fractures and dislocations;
aseptic necrosis in the femoral head;
tuberculosis.

Coxarthrosis affects the articular surfaces and limits the mobility of the femoral head

All diseases are expressed in increased pain in the joint when placing emphasis on the left leg or walking. The doctor will note deformation of the articular surfaces and shortening of the left leg. The diagnosis is confirmed by x-ray. Tomographic slices at different depths are used.

Diagnosis of pain syndrome on the left in the lower abdomen for a long time is very insidious, because it is necessary to assume and exclude many diseases. Therefore, the doctor should not focus only on the clinic and the patient’s complaints.

Reliable data is provided by examination and the use of laboratory and hardware techniques. Patients who feel pain in the left abdomen should rely only on the opinion of a specialist and not try to get rid of them on their own.

Abdominal pain indicates various organ diseases. The stomach itself is not an organ, it is an anatomical formation that doctors divide into sections. So, if the left side hurts, doctors distinguish three areas of localization of pain and many diseases and pathologies that arise in this area in men and women.

Types and characteristics of pain in the left side

The abdomen is divided into 9 sections, 3 upper ones, from right to left called:

right hypochondrium;
epigastric region;
left hypochondrium.

Middle ones, from right to left called:

right flank (side);
periumbilical region;
left flank (side).

The lower ones, from right to left called:

right iliac region;
suprapubic;
left iliac

The left side is represented by three sections:

left hypochondrium above;
the left side itself is in the middle;
left iliac region.

These sections contain the gastrointestinal organs, most of which are hollow; pain in these sections may also indicate other diseases.

All pathologies in which the unpleasant pain syndrome is localized on the left can be divided into:

diseases of the digestive system:
stomach;
pancreas;
liver;
small intestine;
gallbladder;
large intestine.

Respiratory pathologies:

diaphragms;
lungs;
pleura.

Diseases of the heart, blood system;

diseases of the renal system;
pathology of the uterine appendages;
pathologies, injuries of the spleen;
abdominal hernia;
diseases of the PNS (nervous system);
diseases of the blood, connective tissue;
pathologies of the endocrine system.

Types of pain syndrome on the left side are divided according to the mechanism of their occurrence.

Visceral, which is characteristic of impaired motor functions of the digestive organs in spastic conditions. The nature of the pain syndrome is cramping or dull radiating.
Peritoneal syndrome is always a symptom of dangerous conditions that require immediate surgical attention. It occurs through irritation of the peritoneum by ruptured biological substrates from the hollow organs of the gastrointestinal tract.
Referred pain characterizes other pathologies that radiate to the left lateral region. For example, lower lobe left-sided pneumonia, pleurisy.

Pain in the left hypochondrium: characteristics, pathologies, clinic

Pain syndrome that appears near the area of the left hypochondrium in front is a sign of various pathologies:

stomach diseases;
myocardial infarction;
splenomegaly or splenic rupture;
diaphragmatic hernia;
heart diseases;
rheumatic pathologies;
diseases of the left lung: pleurisy, pneumonia.

Pain syndrome in gastrointestinal pathologies

Gastritis is an inflammation of the inner lining of the stomach caused by various negative influences on it. Pain syndrome with gastritis, aching in nature, may be accompanied by manifestations:

heartburn;
nausea;
vomiting.

In addition, gastritis adds local and general symptoms to its picture.

Local manifestations:

a feeling of internal pressure, heaviness near the epigastric region after each lunch or dinner;
belching, burning in the epigastric region, bad taste in the mouth;
pelvic function disorder (constipation, diarrhea).

General symptoms:

development of weakness, irritable reaction;
disorders of the heart and its system;
after eating a person wants to sleep, sweats;
burning sensation on the tongue, in the mouth.

Gastric ulcer has a characteristic depending on the duration of its course and characteristics. The pain begins after eating, as a rule, if the position of the ulcer is on the left hypochondrium.

Another clinical picture of an ulcer is manifested by symptoms:

heartburn, belching with sour contents;
loss of body weight;
a person may feel sick or vomit after eating.

Perforation of a stomach ulcer is a complication that occurs when a small hole appears in its wall. In this condition, irritation of the peritoneum occurs and peritonitis develops. The main symptom of this process is acute pain; patients say “like being hit with a knife, a dagger” from the side of the ulcer.

Tumors of the stomach are manifested by the appearance of constant pain not associated with the consumption of food or liquid. Cancer in the first clinical stages is not indicated in any way. The onset of abdominal cancer is characterized by:

decreased appetite;
sometimes incomprehensible vomiting, nausea;
the occurrence of a sharp decrease in body weight;
a person may stop liking meat;
There is a feeling of quick satiety with small portions.

Pain with splenomegaly (swelling of the spleen) is characteristic of infectious mononucleosis. Pain occurs due to strong stretching of its capsule.

Splenic rupture typically occurs after traumatic impact on the abdominal cavity. There is a sharp pain after the blow, in the left hypochondrium. A bluish tint to the skin of the left half or near the navel appears, this is due to the release of blood from the ruptured spleen, which is a hematopoietic organ, a depot of blood cells.

Pathologies of the diaphragm include a hernia that develops in this place. It occurs when the muscles of the esophageal opening become weaker, and part of the stomach extends into the chest cavity. There is pain in the left hypochondrium, accompanied by a symptom of heartburn. The provocation for the occurrence of this pathology is:

increased nutrition, obesity;

the course of pregnancy;

old age, due to senile weakening of the diaphragm.

Complication: pinching of the stomach, up to disruption of its blood supply.

Pain in the left hypochondrium due to pathologies of the cardiovascular system

With cardiomyopathies, accompanied by structural changes in the heart muscle and disruption of its function, acute pain occurs in the left side under the ribs during physical activity. Characterized by rapid onset of fatigue and increased heart rate.

Coronary heart disease is characterized by impaired blood supply to the heart, caused by pathologies of the coronary arteries. At first, the left side will ache, later heaviness with a burning sensation inside the chest will appear, shortness of breath and an increase in pulse are characteristic.

Pain syndrome in lung diseases

The occurrence of pain in left-sided pneumonia is characterized by inflammation of the lung tissue of the lower lobes of the lung. The pain syndrome is dull and not very pronounced. The cough causes a strong tingling sensation on the left side. Pneumonia begins with symptoms:

dry cough;
pain: headache, muscle;
weakness, general malaise.

Left-sided pleurisy is caused by inflammation of the lining of the lung, characterized by:

dry form with fibrin loss;
exudative form, with accumulation of fluid in the pleural cavity.

Pain syndrome in the left side area occurs when breathing, sneezing, coughing, bending, or walking.

Other symptoms are characterized by:

increased temperature;
sweating;
rapid, shallow breathing pattern,
the patient preferentially takes a position on the painful side to reduce pain;
the exudative form is characterized by the appearance of a lag in the diseased part of the chest when breathing;
the neck veins swell and the intercostal spaces protrude.

Pain syndrome with neuralgia

Intercostal neuralgia is caused by compression syndrome of the intercostal nerves. Sharp, strong, aching, dull burning pain appears in the left side and rib area.

The attacks are accompanied by muscle twitching. They intensify with inhalation, coughing, sudden movements, and changes in body position. The pain may radiate to the shoulder blade. The site of pathological damage to the nerve pathways is characterized by a feeling of numbness.

Rheumatism pain

Pain syndrome in rheumatic lesions is caused by pathology of connective joint tissue. Painful sensations are caused by concomitant pathologies of the spine:

osteochondrosis;
radiculitis.

Pain syndrome in pancreatic pathologies

Pancreatitis is characterized by girdling pain, affecting the right hypochondrium, accompanied by nausea and vomiting.

Pancreatitis is characterized by loss of normal enzymatic, secretory function of the pancreas. Problems arise with glucose metabolism and breakdown of nutrients.

Ignoring doctor's orders or delaying seeking medical help will lead to the development of pancreatic necrosis and death.

Pancreatic cancer pain

The occurrence of pathological neoplasms of the pancreas is characterized by constant pain localized in the left hypochondrium, sometimes in the center of the abdomen. Increased pain occurs when the person is lying on his back.

Very often, pain occurs only in the late stages of the tumor process near the pancreas. Because of this, diagnosing such cancer presents significant difficulties.

Pain in the left side of the lower abdomen

Pain syndrome and spasms in this part of the abdomen are caused by various diseases and pathologies. Pain varies with:

intestinal pathologies;
adnexitis;
torsion or rupture of a left ovarian cyst;
ectopic pregnancy.

Pain syndrome in intestinal diseases

Most often it occurs with various intestinal infections, which also manifest themselves:

false urge to defecate;
bloating;
diarrhea;
feeling of rumbling in the stomach;
Sometimes there are mucous and blood clots in the stool.

With ulcerative colitis, an ulcerative component joins the inflammation of the intestinal wall.

For infections and colitis:

temperature rises;
general condition suffers;
due to vomiting and diarrhea, a violation of the acid-base balance occurs;
dehydration occurs.

Intestinal obstruction initially manifests itself as cramping pain in the abdomen, this is caused by wave-like contractions of the intestine. The pain syndrome has no connection with food. The attacks repeat every 10-15 minutes. When the pain subsides, this is a bad sign, which indicates the cessation of intestinal motility. Other signs of intestinal obstruction include:

prolonged stool retention;
bloating;
vomiting of intestinal and gastric contents.

Diverticulitis, or intestinal volvulus, occurs in infants through the penetration of one part of the intestine into another. The beginning is unexpected, the child is restless, crying, squeezing his legs. The attack ends suddenly, the child calms down, and after time the pain returns. Vomiting occurs. Stool mixed with blood, the color of “raspberry jelly”.

With neoplasms inside the intestines, the pain is weak but constant and is not associated with food. Signs of irregular bowel movements are noticeable. Constipation occurs that cannot be treated. An admixture of blood appears in the stool. Later, chronic intestinal obstruction occurs.

Pain in the left iliac region with gynecological pathologies

Many women's diseases are characterized by pain in the lower abdomen of varying intensity and localization. What can cause pain in the left side of the female part?

Adnexitis is manifested by inflammation of the uterine appendages. During the acute form, pain occurs in the lower abdomen, on the left or right. Symptoms of general intoxication and urination disorders are added.

When the left side pulls in the left iliac region, this may indicate torsion of the pedicle of the ovarian cyst. The general condition of the body is disturbed, blood pressure drops, temperature rises, and sometimes vomiting occurs. This pathology requires emergency surgical intervention.

With an ectopic pregnancy, sharp unbearable pain occurs on the left or right. This may indicate a rupture of the fallopian tube due to an ectopic pregnancy. The pathology is typical for 6-10 weeks of pregnancy.

Pathology with ruptures can be complicated by bleeding into the abdominal cavity, which will increase the pain syndrome, and when pressure is applied, symptoms of peritoneal irritation will occur. In case of this disease, you need to consult a doctor, followed by urgent hospitalization, and the need for surgery.

Very rarely, pain in the left iliac region occurs during menstruation. Usually they cause pain in the lower abdomen, groin and lower back. Treated with non-steroidal anti-inflammatory drugs.

Pain in the left side behind

This localization of pain indicates a symptom of heart disease. Similar symptoms are typical for:

an attack of angina;
aortic aneurysm;
pericarditis;
myocardial infarction.

With a heart attack, very often there is irradiation of heart pain like a pain on the left in the shoulder blade, arm, side, neck.

Also, pain in the lumbar region on the left indicates kidney pathology. An infectious lesion occurs - pyelonephritis. The pain is aching, stabbing and paroxysmal. It is accompanied by urinary disorders, intoxication and general weakness. An attack of renal colic may occur, which manifests itself as unbearable, persistent pain. Requires hospitalization and assistance.

Sometimes pain on the left back or side occurs due to pathology of the lumbar vertebrae. Sometimes it can kick into the leg.

Shooting pain is typical for osteochondrosis, a cold back and lumbar injuries. It can occur both at rest and during physical activity, such as running. If you experience systematic pain of this nature, consult an orthopedist.

Principles of diagnosis and treatment for pain in the left side

Pain is always a response to pathology, it does not arise just like that, therefore, together with general symptoms, it should be a reason to contact a doctor and emergency medical services.

Treatment for each disease offers an individualized, comprehensive approach, often involving emergency care and the involvement of multiple specialists to effectively treat the disease.

Knowing the symptoms of pathologies, you can independently differentiate the pain syndrome and make the right decision to call a doctor at home, or take a painkiller to relieve discomfort. Do not hesitate if severe symptoms develop, as this can be fatal.