Causes of back pain. Main causes of hip pain and treatment methods Dangerous pathologies and hip pain

The site provides background information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!

Feeling pain under the shoulder blade accompanied by bodily discomfort and limitation motor activity person. Pain under the shoulder blade does not necessarily mean a disease of the spine or internal organs, but, nevertheless, it is necessary to pay attention to this symptom and try to determine the cause of its occurrence.

People who, due to the specific nature of their work, constantly strain the muscles of the shoulder girdle, usually suffer from pain in the shoulder blades. This is a “professional” pain for drivers, typists, seamstresses, designers, etc.

The sensation of pain comes from the muscles of the subscapular region, tendons, and ligaments, which are under chronic strain.
The intensity of pain varies from moderate to burning-severe.

Nature of pain under the shoulder blade:

• Spicy.
• Aching.
• Tingling.
• Cutting.
• Compressive.

Patients complain of pain localized to:

• Under the right shoulder blade.
• Under the left shoulder blade.
• Between the shoulder blades.

What diseases can cause pain under the left shoulder blade?

1. Gastric ulcer
If pain occurs during eating and subsides after vomiting; after warm heating pad; after taking medications, the cause of subscapular pain is a gastric ulcer.

2. Subphrenic abscess
A subdiaphragmatic abscess is a purulent collection in the cavity between the diaphragm and the underlying organs. The cause of its occurrence is bacterial infection of the body. This acute condition often formed after operations on the abdominal organs, during which an infection was introduced.

Characterized by acute sharp pain under the ribs, under the right shoulder blade; reflected in right shoulder. The pain intensifies with deep inspiration. An increase in temperature is observed. In atypical cases, pain may not appear.

3. Pyelonephritis and nephritis
Inflammatory kidney diseases give symptoms in the form of pain in the right lower back, reflected in the hypochondrium, right shoulder blade. Patients complain of frequent urge to urinate, which is painful; thirsty, chills. The pain is spreading, aching, and nausea may occur. Temperatures can rise to critical levels - 40 degrees.

4. Cholelithiasis
This disruption of the functioning of the gallbladder is manifested by colic and acute pain. Pain occurs on the right, in the hypochondrium, epigastrium. Gradually, the pain is localized in the area of ​​the gallbladder.
Nature of pain: intense, cutting, stabbing.

The pain is reflected to the right and upward, into the right shoulder, jaw, neck, under the right shoulder blade, and occasionally into the heart area ( so-called “cholecystocoronary syndrome”). Pain can affect the occurrence of an angina attack.

What can cause pain between the shoulder blades?

If the patient complains of pain between the shoulder blades; sensation of “goose bumps”; sensations of numbness in the interscapular area, then these symptoms may indicate:

• Disc herniation in the thoracic spinal region;
• Kyphosis;
• Kyphoscoliosis;
• Ischemia;
• Angina pectoris;
• Protrusion ( protrusion) disc in the thoracic spinal region;
• Humeral periarthrosis;
• Osteochondrosis thoracic spine;
• Spondyloarthrosis;
• Peptic ulcer disease.
• Cholecystitis,
  A crunch in the shoulder blade is felt during active movements in the shoulder joints. Accompanied by discomfort and moderate pain. Reason of this disease is inflammation of the subscapular bursa.

  3. Acquired pterygoid scapula
  This disease can occur after paralysis of those muscles that connect the scapula to the back of the chest; after myopathy, after damage to the thoracic nerve; after bruises on the shoulder girdle. Injuries and nerve damage are common among athletes and gymnasts.

  4. Osteomyelitis of the scapula
  This disease can be provoked open damage shoulder blades for specific injuries ( gunshot wounds, for example).
  Symptoms: pain, weakness, general intoxication. A purulent process may develop.

  5. Tuberculosis of the scapula
  Enough rare disease, occurs only in adults.

  6. Tumors of the scapula
  Tumors can be benign or malignant. Differentiated using biopsy and x-ray examination. If the tumor is malignant ( chondrosarcoma, reticulosarcoma) – the doctor can send the patient for interscapular-thoracic resection. During this operation, the body of the scapula, adjacent muscles, and the acromion process are removed.

  Who should I contact if I complain about pain in my shoulder blades?

  To find out the cause of pain under the shoulder blade, you need to consult the following specialists:
  • Gastroenterologist
  • Vertebrologist
  • Traumatologist

It has been accurately noted that pain is the watchdog of health. Painful sensations small forces constantly warn a person about danger. They push you to find the cause and force you to take corrective measures. On Greek word"pain" means punishment. But she's not always evil. A woman is ready to endure torment for the sake of having a child. Imagine that there is no pain in the joints, and external signs of the disease do not appear immediately. The consequences will certainly be disastrous.

Types of pain

Joint pain is not a disease, but a symptom of many diseases of an infectious and non-infectious nature. Perception pain largely depends on the condition nervous system. A calm, balanced person almost does not react to minor pain. In an emotionally unstable person, the pain threshold is reduced. The pain is diametrically opposite in intensity and time and is characterized as follows:

• tolerable - intolerable;
• weak – strong;
• sudden – constant;
• dull - sharp;
• frequent - rare;
• short-term – long-term, etc.

The pain can be mild or very severe.

If constant pain bothers a person for more than 30 days, it is considered chronic. After treatment, they disappear for some time (remission stage), then appear again (exacerbation stage). The provoking factor for the return of acute pain is hypothermia, physical exercise, unhealthy diet, added extra pounds, stress.

Causes

The joint is an anatomically complex structure. Pain can be caused by everything that forms it: muscles, bones, ligaments, cartilage, tendons, intra-articular cavities. In the structures of the joint such pathological conditions, such as inflammation, sprains, ruptures, metabolic processes are disrupted. As a result, diseases appear:

• synovitis – inflammation of intra-articular or synovial fluid;
• bursitis - inflammation of the bursae (inside joint capsules);
• tendonitis – inflammation of the tendons;
• arthritis is a collective term for many inflammatory diseases of small and large joints;
• gout is a disorder of purine metabolism;
• osteoarthritis – metabolic-dystrophic disease with damage to cartilage;
• rheumatoid arthritis– type of autoimmune disease;
• reactive arthritis is an inflammatory process in the joints that develops after intestinal, pulmonary, chlamydial infection;
• benign and malignant diseases.

The causes of joint pain are varied. The condition of the joints, the degree and frequency of diseases are influenced by:

• age over 60 years;
• bad heredity;
• congenital, acquired developmental defects - flat feet, club feet, different leg lengths;
• excessive physical activity among weightlifters and loaders;
• obesity – weight exceeds the norm by 30% or more;
• injuries, fractures, fresh, old;

Flat feet are the cause of constant pain

Women, take care of your joints and constantly pay attention to their condition. They hurt you 2 times more often than men. Fingers are affected 10 times more often! Sore hands make a woman unable to work and become a source of not only daytime but also night pain. The pain does not spare people of mature, young, and elderly age. It has been noticed that for some people the pain intensifies only with the onset of night. A significant role plays a distracting factor. There is no time during the day to pay attention to unpleasant signs.

Common causes of severe pain are injuries, bruises, and fractures. Children and youth injure their joints during outdoor games and sports. Cycling and skating are the most common cause injuries. Severe injuries causing painful shock occur in car accidents, man-made disasters.

Arthritis

Arthritis is a collective term inflammatory diseases articular apparatus. Inflammation of the joints can be an independent disease, as infectious arthritis, or be a consequence and manifestation of other diseases (reactive arthritis, rheumatic, rheumatoid arthritis, Reiter's syndrome).

Gouty arthritis is the cause of severe suffering for the patient

There is no inflammation without pain. Until the inflammatory process is eliminated, the patient will be plagued by constant pain in the joints due to:

• increased body temperature;
• tissue swelling;
• hyperthermia (heat) in the joint;
• mobility restrictions.

Joint diseases occur as mono- and polyarthritis, that is, one or more joints are affected. Rheumatoid arthritis is characterized by a picture of volatile migrating pain from one joint to another.

Gout belongs to the group of metabolic diseases. But as tophi (crystals) form in the periarticular tissues uric acid) signs of monoarthritis come first. With repeated exacerbations, other joints are involved in the inflammatory process. Localization – elbows, hands, feet. With gout, the pain is sharp and unbearable. As one patient accurately put it, if a piece of fluff gets on your leg, it feels like a brick has fallen.

The table shows Comparative characteristics the six most common arthritis.

Name Arthritis	Number of diseased joints	Joints are affected	Pain
Rheumatoid	Some	Small, large	Increases gradually
Rheumatic	Some	Small, large	Acute volatile
Reactive	Some	Small, less often large	Acute, subacute
Gouty	First one, then several	Most often small	Acute
Reiter's syndrome	1 - 2	Large	Acute
Infectious (pyogenic)	Some	Large, small	Acute

Chronic arthritis is characterized by a long course with periods of remission and relapse. As a rule, they are accompanied by prolonged aching pain. The patient is most often disturbed at night.

Arthrosis

One of the most common joint injuries. A group of degenerative-dystrophic diseases of cartilage tissue. Distributes mainly to large joints with the development of diseases:

• hip – coxarthrosis;
• humeroscapular – periarthrosis;
• knee – gonarthrosis;
• deforming osteoarthritis develops more often in the hip, ankle, knee joints and small interphalangeal joints. Never hits shoulder joint, rarely - elbow.

Healthy and osteoarthritis-affected knee joint

Arthrosis is characterized by a gradual onset. The pain syndrome does not develop immediately; it is supplemented by pain and crunching of the joints during movement, flexion and extension. Imperceptibly, the mirror-like hyaline cartilage becomes covered with microcracks and becomes rough. Over time it is completely destroyed. Stiffness, stiffness appears in the joints, and pain increases. Neurological symptoms are added with pain that does not subside day and night.

Diagnostics

Pain, swelling, and decreased mobility are characteristic of many joint diseases. It is difficult to differentiate diseases only by external signs, symptoms, and complaints of the patient. The following instrumental and laboratory research:

Angiograph – a device for effective diagnostics

• fluoroscopy;
• Ultrasound – ultrasound diagnostics;
• CT – CT scan;
• arthroscopy of large joints;
• angiography;
• tests for the presence of uric acid salts for gout, antibodies, allergens;
• bacteriological research to identify the causative agent of the disease;
• laboratory blood tests for leukocytes, ESR.

Principles of treatment

Severe joint pain brings suffering, deprives a person of the usual joys of life, and reduces ability to work. To eliminate it, it is necessary to eliminate the cause, that is, the disease itself. Relieving only the pain will provide temporary relief. Help relieve joint pain:

• non-steroidal drugs;
• antibiotics;
• synthetic hormones of the adrenal cortex (glucocorticosteroids);
• chondroprotectors;
• vitamin preparations.

Chondroprotectors act on the cause of the disease

Serious attention should be paid to restorative medicine (treatment without drugs):

• physical therapy;
• physical therapy;
• manual therapy;
• rational balanced, if necessary, dietary nutrition;
• home thermal procedures;
• massage;
• sanatorium-resort treatment.

By combining drug therapy and rehabilitation measures into a single complex, you can quickly achieve the desired results.

Anesthesia

But you need to start with painkillers. After relief of joint pain, muscle spasm disappears, swelling decreases, and nerve roots are freed from pressure and compression.

Knee block quickly reduces pain

The view of painkillers is changing with the development of medicine. The first remedies for pain were drugs. First morphine, then heroin was added. Moreover, they were sold freely until the consequences of addiction became noticeable.

At the same time the drugs were obtained acetylsalicylic acid, registered under the trademark "Aspirin". The first non-steroidal drug, like all subsequent NSAIDs, has anti-inflammatory, antipyretic and analgesic effects. After the discovery of aspirin, patients had the opportunity to alleviate their condition without severe consequences for good health. Modern NSAIDs have dozens of names. But acetylsalicylic acid still remains a popular drug. The catalog of nonsteroidal drugs has been expanded over time:

• indomethacin,
• diclofenac,
• rheopirin,
• naproxen,
• voltaren,
• ortofen,
• ibuprofen and other drugs.

Nonsteroidal drugs are also not harmless. With constant use they become addictive, and the dose has to be increased periodically. Problems with the stomach and intestines appear, including internal bleeding, allergic reactions. NSAIDs are especially dangerous for older people. They are the ones who suffer from periodic joint pain and often resort to painkillers.

Synthetic adrenal hormones or glucocorticosteroids - prednisolone, dexamethasone, hydrocortisone - have powerful anti-inflammatory, analgesic and antiallergic effects. They can actively influence the course of the disease and relieve sudden pain.

To relieve them, they often resort to blockades - injections into the periarticular soft fabrics or joint cavity. Depending on the severity of the disease and the intensity of the pain, either one drug (Novocaine, Lidocaine) or a combination of Novocaine with an NSAID or corticosteroid is used.

A person who is not in pain is considered healthy. Nowadays, such a state of the body is very rare. Diseases usually follow a person throughout his life. Victory over pain belongs to those who are determined to get rid of it.

Hip pain is a common complaint with which patients come to see a traumatologist or other doctor. Does hip pain suddenly appear and go away just as quickly? We can say with 99% confidence that there is nothing to worry about. If pain persists for a long time - more than 2-3 days, you should be wary. This situation may indicate serious problems and pathologies.

What can cause hip pain?

Unpleasant symptoms in the hip area can often be confused with groin or pelvic pain. If the pain actually arose in the thigh, then it could be provoked by a variety of reasons: problems with muscle tissue, bones, serious infections and even malignant neoplasms.

Tumors and infectious diseases are rare “culprits” of hip pain, no more than 2-3% of total number cases.

Diseases and pathologies that cause pain

Arthrosis. A serious illness that causes acute or nagging pain on the top of one or both legs. Against the background of severe wear and tear of the hip joints (HJ), the condition of which worsens over the years, they cease to fully cope with the shock-absorbing function. What is the result? Strong impacts of bones against each other, and pronounced pain in the femoral area.

In 95% of cases, arthrosis affects people who have crossed the age limit of 50 years. However, there are cases when joint ailments begin to “torment” very young patients, aged 20 to 35 years.

Arthrosis of the hip joint, well known to older people, can cause pain of varying localization, radiating to different parts of the legs and the whole body: in the pelvis, gluteal or lumbar areas, groin area. A common occurrence with arthrosis is increased pain in certain areas of the thigh when the weather changes.

Systemic arthritis. A pathology in which damage to several large joints is diagnosed at once, which provokes pain in the femoral area.

Inflammation piriformis muscle(video)

Pain in the buttock and how to get rid of it? Pinching sciatic nerve as a cause of hip pain. Recommendations for prevention and treatment from Elena Malysheva and her colleagues.

Rheumatism. The disease, which many consider not a very dangerous pathology, often becomes the culprit of chronic hip pain. Unpleasant sensations appear in parallel with the spread of rheumatic processes in the connective tissue.

Inflammation of the hip joint. Hip joint - complex mechanism, consisting of a large number of different elements: ligaments, cartilage, muscles, joint capsules, etc. In each of these elements, due to various reasons, an inflammatory process can develop, causing pain in the thigh.

Intervertebral hernia lumbar region spinal column. Announces itself characteristic pain on the back, side or front of the thigh. With this diagnosis, hip pain is not the only unpleasant symptom that a person who seeks medical help complains about. As a rule, the pain is widespread: it covers lumbar area, thigh area and reaches the feet.

Osteochondrosis. If the pathology has arisen in the sacral or lumbar spine, then pain in the hip no longer occurs from time to time, but regularly, becoming a constant companion of the patient. With osteochondrosis, the pain radiates: it radiates to the buttock area, spreading mainly along the back of the thigh.

Damage to the musculo-ligamentous apparatus. If tissue damage occurs in the hip joint area, the pain will certainly make itself felt and will radiate directly to the hip area.

Pain syndrome can occur not only against the background natural processes, occurring in the body (as with arthrosis, osteochondrosis), but also due to other reasons:

• congenital leg defects;
• against the background of metabolic disorders;
• as a result of injury (severe bruise of the hip joint, sprained ligaments, etc.).

Dangerous pathologies and hip pain

All of the above causes of hip pain are not life threatening patient changes and deviations. However, there are more serious pathologies, accompanied by pain in the upper part of the body. lower limbs and carriers real threat not only health, but also human life. We're talking about heavy infectious diseases, ailments cordially- vascular system and oncology.

Neoplasms of a malignant nature. Quite rare, but possible pathology, causing hip pain. Primary tumors in the hip joint and nearby tissues are extremely rare. A more common occurrence is metastases in bone tissue(for example, when malignant neoplasms prostate or breast).

Infectious diseases. The most common are bone tuberculosis and osteomyelitis. As a result of serious illnesses, individual parts of the femur are affected. If a person suddenly experiences lameness, sharp pain in the thigh, or an increase in body temperature, then first of all the infectious nature of the pathology should be excluded. In addition, infectious diseases can cause pain in this area of ​​the lower extremities. genitourinary system, abscess of the ischiorectal fossa, pelvic abscess.

Narrowing (stenosis) of blood vessels. It manifests itself as pronounced pain in the hip, which intensifies with any load. In addition to pain, a person may experience lameness, the appearance of which in many cases complicates diagnosis and misleads both the patient and the doctor.

Main types of hip pain

Exist various classifications hip pain. So, depending on the intensity, it can be:

• Spicy. It occurs suddenly, usually in case of damage to soft tissues. In this case, the person clearly feels the location of pain and can show the most painful place to the doctor.
• Aching. Characterized by more extensive localization, often occurs in parallel with acute pain syndrome. As a rule, the aching nature of the pain increases as the underlying illness against which it arose progresses. The peculiarity of aching pain is the difficulty of diagnosing and determining the causes that caused its occurrence.
• Chronic. Appears after a certain period of time. It can torment a person for weeks or even months. Most often they talk about the development of extensive inflammatory process various localizations.

In addition, pain in the hip area may be:

• Somatic. Damage to ligaments, tendons, joints and bone tissue provokes this type of pain. In this case, the patient experiences aching pain in the hip area, which can be either dull or more acute. Often it is impossible to accurately indicate the location of the pain syndrome.
• Neuralgic. Appears against the background of damage to nerve fibers. It seems to a person that it is the hip that hurts, despite the fact that in this part of the body obvious pathologies are not detected.
• Skin. The most short-term type of hip pain, which occurs as a result of damage to the nerve endings located on the surface of the epidermis. This type pain disappears as soon as the irritating (traumatic) factor ceases to have its effect on the skin.

Any type of pain in the hip can be accompanied by accompanying symptoms: limited mobility of the joint, pins and needles in the leg, a feeling of instability of the joint.

Features of pain of various localizations

As you already understand, pain in the leg can have not only different origins, but also localization. Most often, pain occurs in the leg:

• From hip to knee. A person experiences unpleasant symptoms not only in the femoral area and below, but also in the groin area. Pain often extends to the lumbar region. Quite often, a similar pain syndrome is observed in women and girls during menstruation.
• From the hip to the foot. In most cases it is acute, radiating to the lumbar region. The person feels as if a nerve has been pinched or seriously dislocated. The pain intensifies during movements.
• At rest. Hip pain does not always occur during exercise. Some patients complain of increased pain at rest (for example, when lying on the left side or back). Frequent accompaniments of this form of pain are a feeling of numbness in the legs, as well as a feeling of “burning” in the muscles. In this case, a person can calmly make basic movements - bending to the sides, squats, without experiencing any discomfort.
• In the left or right thigh. It could be due to any of the reasons described above. In 95% of cases, the pain is aching in nature and intensifies over time. A person experiences obvious discomfort not only during movements, but also at rest.

Hip pain (video)

What to do if your hip joint hurts? Advice from Elena Malysheva and other experts in the “Live Healthy” program.

Pain in the thigh while walking: why does this happen?

Most patients, when visiting a doctor, complain of hip pain when walking. Call discomfort This localization during movement can be caused by the following factors:

• problems with the hip joint;
• muscle-tendon injuries;
• disturbances in the structure of the femurs;
• damage to nerve endings located in this area of ​​the lower limb.

In some cases, varicose veins and other vascular problems can cause pain in this localization.

Autoimmune diseases and vascular obstruction of the lower extremities are uncommon causes of hip pain.

It is quite simple to determine the “vascular” nature of the pain: pain in the thigh with varicose veins occurs along the vein, and the pain is aching in nature. As soon as a person begins to walk, the nature of the pain in most cases changes to throbbing.

Thrombophlebitis provokes the appearance of moderate pain, which can intensify when a person walks. In addition to pain in the thigh, the patient is worried about: fever (local or widespread), redness at the site of inflammation, swelling of the lower limb.

Diagnostics

Due to the fact that hip pain can be caused by dozens of different reasons, a thorough diagnosis should be carried out. For each patient, a individual program comprehensive examination depending on: the nature of the pain, location, accompanying symptoms, patient's age, etc.

The most informative diagnostic methods:

• MRI. If it is determined that the pain is not caused by any injury or damage to this area, and is combined with pain in the lumbar region, then the first thing the patient is prescribed is magnetic resonance imaging of the spine and hip area.
• Vascular studies. Most often, a Doppler examination of the vessels of the lower extremities is performed, which allows one to assess the condition of the vascular system and identify existing pathologies (including such common diseases as varicose veins or thrombophlebitis).
• Tendon reflex studies, electromyography. Special methods studies to evaluate the activity of ligaments and muscle fibers.
• General clinical and immunological tests, biochemistry. They allow you to draw conclusions about the presence of an inflammatory process in the body, confirm or refute the causes of hip pain determined using other research methods.

Most often, specialists such as a traumatologist, surgeon or therapist are involved in diagnosing hip pain.

Basic treatment methods

Any therapeutic measures And drug therapy are prescribed after receiving reliable research results and making an accurate diagnosis.

In case of pronounced pain, the patient is first recommended to use symptomatic treatment methods, the main purpose of which is to quickly relieve severe pain. For this purpose, the doctor may recommend taking modern analgesics (usually in injection form).

Pain in the thigh appeared when intervertebral hernia? A novocaine-based blockade in the area where the sciatic nerve is pinched will come to the rescue.

• Treatment with anti-inflammatory drugs. Widespread in last years received so-called non-steroidal drugs (“Diclofenac”, “Indomethacin”, etc.). In the most severe cases, steroids such as cortisone may be used for prolonged acute pain.
• Use of muscle relaxants. They make it possible to relieve spasm in muscles and tendons, which occurs as a response to any pain. In case of pinched nerves in the lumbar region, muscle spasm aggravates the situation, leading to increased pain. Also, muscle relaxants improve blood circulation and help get rid of swelling (if any).
• Taking chondroprotectors. They are used for the treatment and prevention of “articular” diseases, improve trophism at the site of the pathological process.
• A course of vitamin preparations. A sufficient amount of necessary micro- and macroelements in the body, as well as vitamins of all groups, improves general state body, reduces the severity of the inflammatory process, prevents the development of pathologies, and helps to recover faster after injury. Vitamin complexes are a mandatory component of the treatment of diseases that cause pain in the hip joint.
• Taking medications with diuretic effects. They help get rid of swelling at the site of the pathological process.
• Manual therapy course. It can be recommended for pinched sciatic nerves and other pathologies of the spine.
• Exercise therapy. Special complex therapeutic exercises makes it possible to improve blood circulation at the site of injury, increase joint mobility, develop the muscular system after injury, and strengthen the “necessary” muscle groups.
• Physiotherapy. Allows you to achieve improved well-being and increase the effectiveness of basic treatment. Along with physiotherapy, it is often used

Stomach pain can be severe or mild, depending on the disease that causes it. It is very important to understand the nature of stomach pain in order to get it in time. necessary help doctor

If you have a stomach ache, first of all it is necessary to characterize its intensity, nature and location of pain. This will help in making the correct diagnosis and prescribing adequate and effective treatment.

Stomach pain may be of different nature: burning in the pit of the stomach, aching, gnawing, dull, sharp pain in the stomach, pulling, cramping, cutting, often accompanied by stomach cramps.

Pain in the stomach and its connection with food intake is very important in topical diagnosis of the pathological process.

With a stomach ulcer, you often feel “hunger pains” that disappear after eating. Pain in the stomach one to two hours after eating can cause spasmodic contractions of the intestines.

A stomach ache that wakes you up in the middle of the night deserves attention. Night pain in the stomach area may indicate, first of all, a stomach ulcer. Similar stomach pains can appear with functional disorders of the stomach, including various indigestion and dyspepsia.

Causes of stomach pain

When your doctor makes a diagnosis, he will try to find out the causes of stomach pain in order to make a correct diagnosis. Stomach pain may be associated with:

• Incorrect food intake (long breaks in its intake)
• Overeating
• Poor quality food
• Stress
• Diseases of the gastrointestinal tract
• Internal organ injuries

If stomach pain occurs immediately after eating, this may indicate chronic gastritis. If pain occurs immediately after eating and lasts for an hour and a half, this may be a sign of a stomach ulcer. If pain occurs after an hour and a half, it may be a peptic ulcer of the pyloric canal (pylorus).

If the pain occurs mainly at night, accompanied by a feeling of hunger, it may be caused by an ulcer. duodenum or stomach. Or the cause may be duodenitis.

Diseases that cause stomach pain

Let's take a closer look at the diseases that can cause stomach pain.

Gastritis

What causes gastritis?

Gastritis can be caused by irritation with alcohol, chronic vomiting, stress or use medicines, such as aspirin or other anti-inflammatory drugs. It can also be caused by any of these reasons:

1. Helicobacter pylori (H.): a bacterium that lives in the lining of the stomach. Left untreated, the infection can lead to ulcers and, in some cases, stomach cancer.
2. Stomach anemia: a condition in which the stomach lacks the natural substances needed to properly absorb and assimilate vitamin B12.
3. Gastric reflux: backflow of bile into the stomach from biliary tract(to irritation due to which the liver and gallbladder are connected.
4. Infections caused by bacteria and viruses.

If gastritis is left untreated, it can lead to severe blood loss and may increase the risk of developing stomach cancer.

What are the symptoms of gastritis?

Symptoms of gastritis vary depending on the individual; many people do not have any symptoms until the disease flares up. However, the most common symptoms are:

• Nausea or recurring stomach upset
• Bloating
• Abdominal pain
• Vomit
• Indigestion
• Burning or pain in the stomach between meals or at night
• Hiccups
• Loss of appetite
• Vomiting blood

Stomach cancer

Stomach cancer begins due to failures in the division of cells that make up the tissue. Tissues form organs.

As a rule, cells grow and divide to form new ones; the body needs them. When cells age, they die and new cells take their place.

Sometimes this process goes wrong, new cells are formed when the body does not need them at all, and old or damaged cells do not die as they should. The growth of additional cells often forms polyps or tumors.

A tumor in the stomach can be benign (not cancer) or malignant (cancer). Benign tumors are not nearly as harmful as malignant tumors.

Benign tumors:

• rarely life threatening
• can be removed and usually does not grow back
• do not penetrate into surrounding tissues
• does not spread to other parts of the body

Malignant tumors:

• may be life threatening
• often cancerous tumors can be removed, but sometimes grow back
• can grow and damage neighboring organs and tissues
• may spread to other parts of the body

Stomach cancer usually begins to develop in the cells of the inner layer of the stomach. Over time, the cancer can invade the deeper layers of the stomach wall. A stomach tumor may begin to grow through the outer layer of the stomach into nearby organs such as the liver, pancreas, esophagus, or intestines.

Stomach cancer cells can spread by breaking away from the original tumor. They affect blood vessels or lymphatic vessels that branch throughout all tissues of the body. Cancer cells can spread to The lymph nodes in the abdominal area. They can also spread to other tissues and grow to form new tumors that can damage those tissues. The spread of these cells is called metastasis.

Symptoms of stomach cancer

Early stomach cancer often causes no symptoms. As cancer cells grow, the most common symptoms are:

Discomfort or pain in the stomach area

• Difficulty swallowing
• Nausea and vomiting
• Weight loss
• Feeling of stomach fullness or bloating even after small meals
• Vomiting blood or blood in the stool

These symptoms may not be related to cancer. Other health problems, such as an ulcer or infection, can cause the same symptoms. Anyone who notices these symptoms, especially stomach pain, should tell their doctor about them, as these problems require diagnosis and treatment as early as possible.

Peptic ulcer of the stomach and duodenum

Stomach polyps

Gastric polyps are abnormal growths on the lining of the stomach. They occur rarely and usually attach to the upper gastrointestinal tract. They are usually discovered during endoscopy. As an additional method of examination, a biopsy is usually performed. Then the doctor determines whether it is a hyperplastic polyp or an adenoma.

Hyperplastic polyps are the most common form of gastric polyps. They can occur singly or in groups and are most often found in the lower part of the stomach, called the gastric cavity. Hyperplastic gastric polyps are smooth, round, pedunculated growths that grow on the lining of the stomach. They often develop when there is chronic inflammation eg in the case of gastritis or H. pylori infection. Treatment, if necessary, may include medications to treat inflammation or infection; The consolation is that hyperplastic polyps rarely become cancerous.

If you have stomach polyps, you may experience:

• Abdominal pain or tenderness to palpation of the abdomen
• Bleeding
• Nausea and vomiting

Stomach polyps form in response to inflammation or other damage to the stomach lining.

Gastric adenomas can form from glandular cells found on the inner lining of the stomach. Her cells develop as a result of a DNA error. These changes make the cells vulnerable and they can become cancerous. Although adenomas are a less common type of gastric polyp, they can cause stomach cancer.

Other diseases can also cause stomach pain. For example:

• Constipation.
• Indigestion.
• Abdominal muscle tension.
• Injuries to the stomach and other internal organs.
• Overwork.
• Severe stress.
• Allergy.
• Inflammation of the appendix.
• Infections.
• Fears, phobias.

Intensity of stomach pain

Each disease produces its own type of pain. For example, with chronic gastritis, stomach pain can range from barely noticeable to severe. And with a stomach ulcer, the pain can be so intense that a person cannot bear it. Duodenitis or duodenal ulcer may be accompanied by the most intense and sharp pain in the stomach. If you feel that the pain is constantly getting worse, you should consult a doctor. Otherwise, if you wait until the last minute, the person may die from painful shock. An example of such a disease would be a perforated ulcer.

It is important to know that the intensity of stomach pain can be significantly reduced if a person has had stomach surgery. Then he may not feel pain even when the ulcer worsens.

Nature of stomach pain

It may vary depending on the type of disease and complications that are caused by this pain. For example, burning pain characterizes gastritis or ulcer, and It's a dull pain dull in nature may be a symptom of chronic gastritis or stomach ulcers in initial stage. Sometimes a stomach or duodenal ulcer may be accompanied by severe pain, similar to spasms.

If the middle of the abdomen hurts, this may indicate chronic gastritis with low acidity. If the pain increases sharply, this means that the person may have colitis, cholecystitis or pancreatitis. If the pain is cutting, acute, and occurs suddenly, then the diagnosis may reveal cholecystitis or pancreatitis, as well as a duodenal ulcer.

If the pain is very sharp, dagger-like, which cannot be tolerated, it may indicate perforation of the ulcer.

Who should I contact if my stomach hurts?

If you have stomach pain, you can contact an oncologist, gastroenterologist, surgeon, or therapist.

It is important to know!

Stomach pain during pregnancy is called gastralgia. It may arise from various reasons, including poisoning, hormonal changes, stress, poor nutrition. Stomach pain during pregnancy is dangerous for a woman because she may experience intestinal spasms, which means the uterus may become toned and this may result in a miscarriage.