Rib pain: six possible causes. Pain in the rib under the mammary gland Pain in the rib under the mammary gland

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General description of the symptom

Pain in the ribs is a term most often used to describe pain that occurs in the chest wall, rather than inside it. The source of pain in this case is the rib itself (its bone or cartilaginous part), the intercostal nerve, fascia and muscles adjacent to the ribs.

The nature of pain in the ribs on the left can resemble heart pain. Often, only a professional doctor can understand the nature of the disease.

Pain in the ribs can be of different types. It can be sharp, stabbing, or long-lasting, aching, pulling. It may bother the patient constantly, or it occurs in certain situations (during physical activity, in a certain body position, etc.).
Depending on the nature of the disease, the following doctors diagnose the causes and treat pain in the ribs:

thoracic surgeon;
traumatologist;

Pathologies directly to the ribs

Rib injuries

Pain in the ribs is typical symptom their injuries. Most often they happen during a fall or blow.

The severity of pain and other symptoms depends on the type of injury:
1. When a bruise occurs, there is a sharp, but not severe pain in the ribs on the right or left, depending on the type of injury, which then becomes aching and then completely disappears. There is swelling and bruising at the site of the injury, which is painful to touch. Based on the appearance of the patient and the severity of pain, it is not always possible to accurately determine that there is a bruise without a fracture. Computed tomography helps clarify the picture.
2. A rib fracture is a more serious injury that is accompanied by pain in the ribs during inhalation and movement. At the time of injury, sharp pain occurs, which remains quite strong for a long time and can spread to the entire chest. There are three types of rib fractures:

a crack is the most harmless type of injury, when a rib simply breaks;
subperiosteal fracture - the rib breaks, but the periosteum that surrounds it remains intact - thus, the fragments remain in place;
a complete rib fracture is not very dangerous in itself, but the sharp edges of the fragments can damage the lungs and other internal organs;
complex rib fractures: fracture of several ribs, comminuted fractures - the most severe type of injury, which leads to very severe pain in the ribs, shock and various complications.

In addition to rib pain, fractures may present with the following symptoms:

pain becomes stronger during deep breathing, talking, coughing, sneezing, changing body position, physical activity;
sometimes the patient experiences disturbances in breathing and heart rhythm, his skin acquires a bluish tint;
if rib fragments damage the lung, hemoptysis occurs;
with a complete fracture and displacement, there is an unevenness on the chest wall at the site of injury.

A patient with acute severe pain in the ribs and a suspected fracture should be taken to the emergency room, where they are examined and x-rayed. In most cases, the treatment is a tight bandage, which limits breathing movements, reduces pain and promotes faster healing. In case of damage to internal organs and comminuted fractures, surgery may be indicated.

Tietze syndrome

The cause of pain in the ribs can be Tietze's syndrome, a disease whose nature has not yet been precisely established. It is known that with this pathology there is inflammation of the costal cartilages, which are attached to the sternum. In this case, there are sharp, acute, very severe pains in the ribs.

Pain syndrome is often noted not so much in the ribs themselves, but behind the sternum. Therefore, a person who first experiences symptoms of Tietze syndrome may confuse them with angina pectoris. In some cases, there may be pain in the ribs on the right or left, which radiates to the arm, neck, and under the shoulder blade. Sometimes the pain increases gradually, but in the end, as a rule, it is very strong.

With Tietze syndrome, the following additional symptoms are noted:

in the area of the inflamed costal cartilage there is a swelling that has a spindle-shaped shape;
characterized by increased pain when pressing on the sternum, or the cartilaginous parts of the ribs adjacent to it: for pain caused by angina pectoris, this symptom is not typical;
The first attack of pain may develop after a minor injury.

Chest radiography is used to diagnose this pathology. Treatment involves prescribing painkillers, warming procedures, and anesthetics.

Malignant tumors

Among malignant bone tumors that predominantly affect the ribs, osteosarcomas are the most common. There are several types of osteosarcomas; they can occur at almost any age.

Malignant tumors of the ribs may present with the following symptoms:

long-term chronic pain in the ribs, which can be aching, pulling, stabbing, constant, or occur under certain conditions;
Night pain in the rib area is typical, especially when the patient lies in a certain position;
sometimes the tumor exists for a long time without any symptoms, and the pain begins to bother you after a minor injury (which in this case is a provoking factor) - in this case, the patient often attributes the occurrence of pain to the injury and for a long time does not suspect that a completely different disease is occurring ;
in the place where pain occurs, you can see swelling, unevenness, and feel a lump that corresponds to the tumor.

The basic principle for diagnosing malignant rib tumors is biopsy. In world medical practice, there is a rule: this study should be carried out for all people who are suspected of malignant neoplasms of the ribs.

Treatment of osteosarcoma is carried out in oncology hospitals, in compliance with the general principles of management of malignant tumors.

Osteoporosis of the ribs

Osteoporosis is a disease that develops as a result of a decrease in calcium content in bone tissue, increased processes of bone destruction and a decrease in its ability to recover. This pathology can also be accompanied by pain in the ribs. Osteoporosis is most often caused by aging of the body, metabolic and endocrine disorders, and insufficient absorption of calcium and vitamin D in the intestines.

For a long time, osteoporosis may have absolutely no symptoms. Ribs and other bones lose calcium, but still retain sufficient strength.

But then pain arises, which mainly have the following origin:

pain in the ribs and back occurs as a result of the fact that a large number of microscopic fractures occur in the bone tissue of the ribs and vertebrae, irritation of the periosteum occurs, and, as is known, it contains a large number of nerve endings;
acute severe pain in the chest may be associated with a rib fracture: this is a so-called pathological fracture, which can occur with minimal stress as a result of the bone becoming more fragile;
sharp, severe back pain occurs as a result of compression of the vertebrae;
patients with osteoporosis have poor posture, and sometimes very pronounced deformities of the spine and chest; their height can decrease to 10–15 cm.

Most often, the pain is very strong and causes significant suffering to the patient. The ability to work is greatly affected, the quality of life decreases, sleep is disturbed, and depression occurs.

The cause of pain in the ribs is determined after examination and radiography. Treatment is carried out in a hospital, and then at home, using appropriate medications.

Spinal diseases accompanied by pain in the ribs

The intercostal nerves approach the ribs, which exit to the right and left from the roots of the spinal cord and encircle the chest. Accordingly, with some diseases of the spine, a symptom such as pain in the ribs may be observed.

Osteochondrosis

Osteochondrosis is a disease familiar to many people. It is a degenerative disease of the spinal column, which is accompanied by the development of an inflammatory process, irritation and compression of the nerve roots.

Osteochondrosis mainly manifests itself as back pain. But often the pain syndrome affects the ribs and chest. The disease has characteristic symptoms:

most often the pain is constant, aching, sometimes the patient simply notes a feeling of discomfort in the chest;
pain in the ribs can be severe, stabbing, sharp, the patient can characterize his sensations as “a stake in the chest”;
pain may intensify during sudden and awkward movements, physical exertion, hypothermia, or with prolonged stay in a monotonous tense position;
for the first time, pain most often occurs during hypothermia, or during excessive physical exertion;
At the same time, other characteristic signs of osteochondrosis are noted: impaired sensitivity and a feeling of numbness in the hands, weakness in the muscles, etc.

If, with osteochondrosis, pain is noted in the region of the ribs on the left, then the pathology can be very difficult to distinguish from pain in the heart.

Most often, the problem of osteochondrosis of the thoracic spine is dealt with by a neurologist. He performs an examination and prescribes additional tests: radiography, computed tomography, etc.

For osteochondrosis, anti-inflammatory drugs and thermal procedures are prescribed. Outside of exacerbations, patients are shown massage and therapeutic exercises.

Herniated disc

Herniated discs in the thoracic spine are a relatively rare occurrence. In some cases, they may be accompanied by pain not only in the back, but also in the chest, ribs, and in the heart area. In this case, pain in the rib area is characterized by the following features:

at first it may not be very intense, but over time it intensifies, to the point that it can become unbearable, greatly reducing the patient’s performance and quality of life;
often, depending on the location of the hernia, only pain in the ribs on the right or left, and sometimes on both sides, may be noted;
pain often radiates to the neck, arm, and is accompanied by muscle weakness, tingling, numbness - because of this, patients often believe that the pain syndrome is associated with heart pathology;
Pain in the ribs due to intervertebral hernia may intensify during physical activity, coughing, sneezing, or in a certain position;
in some cases, pain in the ribs and heart can occur in the form of lumbago, be sharp, stabbing and very strong.

Diagnosis of intervertebral hernias is usually carried out by a neurologist. The diagnosis is established after computer and magnetic resonance imaging. Treatment in most cases is conservative.

Pain in the ribs due to pathology of the intercostal nerves and muscles

Pain in the area of the ribs can be caused by the intercostal muscles and nerves that are located in the spaces between them.

Intercostal neuralgia

Intercostal neuralgia is chest pain associated with irritation or pinched nerves that run between the ribs. The causes of intercostal neuralgia can be varied.

Pain in the ribs with neuralgia has the following features:

usually it occurs acutely, has a stabbing nature, and can last for a variable period of time;
pain intensifies when changing body position, taking a deep breath, coughing, sneezing;
you can usually feel the two most painful points: one of them is located near the sternum, and the second is located near the spine;
in most cases, intercostal neuralgia lasts a very short time and goes away on its own;
in other cases, neuralgia bothers the patient for a long time and does not go away even at night.

A neurologist is involved in the diagnosis and treatment of pain in the ribs due to intercostal neuralgia. To eliminate pain, medications, massage, physiotherapy, and therapeutic exercises are used.

Pain in the ribs due to compression of the intercostal nerves

This group of causes can be classified as types of intercostal neuralgia. Compression occurs due to deformation of the intercostal spaces after injury to the ribs or muscles. The symptoms resemble those of neuralgia.

Muscle pain in the ribs

Painful sensations are caused by pathologies of the intercostal muscles and chest muscles. Pain in the rib area has some characteristics:
1. It may get worse with movement and deep breaths.
2. Typically, stretching of the affected muscle occurs during bending forward or backward, movements in the shoulder joints - this leads to increased pain.

If a person is bothered by frequent pain in the bones (ribs, sternum, pelvic bones, etc.), an unreasonable deterioration in posture, decreased height, and the inability to make some turns of the body due to very severe back pain that occurs, then a doctor suggests osteoporosis, and in this case you should first of all contact an orthopedic traumatologist. If, in addition to osteoporosis, a person suffers from any endocrine diseases (for example, obesity, diabetes mellitus, thyroid pathology), then, in addition to an orthopedic traumatologist, one should simultaneously contact endocrinologist (make an appointment). If, against the background of osteoporosis, a person has problems with the joints, then one should simultaneously consult an orthopedic traumatologist and rheumatologist (make an appointment).

When the pain in the ribs is aching in nature, present almost constantly, periodically during movement, coughing, sneezing or in a certain position, it can become stabbing, shooting, causing a feeling of “a stake in the chest”, intensifies with physical exertion, hypothermia, and prolonged stay in one position , combined with numbness, tingling and weakness in the arms and neck - spinal diseases are suspected (osteochondrosis or intervertebral hernia), and therefore in such cases you should contact vertebrologist (make an appointment), and if there is no such specialist, then to neurologist (make an appointment), osteopath (sign up), chiropractor (make an appointment) or a traumatologist.

If pain in the ribs occurs suddenly, is stabbing, shooting in nature, intensifies with changes in posture, inhalation, exhalation, sneezing, coughing, when palpating the joints of the ribs with the sternum and spine, you can feel two particularly noticeable pain points, the pain lasts a short period of time and passes independently or, on the contrary, stubbornly persist, not subside at all even at night, then a pathology of the nerves (neuralgia, nerve compression) passing through the chest is assumed, which requires contacting a neurologist.

When a person feels pain in the ribs on one or both sides, which intensifies with changes in weather, bending or other movements of the body, as well as deep inhalations and exhalations, combined with stiffness in the chest in the morning, sleep disturbances and difficulties with holding the body in one position , fibromyalgia or simple muscle pain is suspected, which requires contacting a neurologist.

When pain in the rib area is present on one or both sides, intensifies with deep breathing, coughing, sneezing, sudden movements, straining, combined with increased body temperature, sweating, frequent shallow breathing, shortness of breath and a dry cough without sputum, or with little the amount of thick, viscous sputum (possibly streaked with blood), forces a person to lie on the sore side, then a pleural disease is suspected, for which treatment should be addressed pulmonologist (make an appointment) or therapist (make an appointment).

If a person experiences pain in the ribs of any nature and intensity against the background of depression, increased anxiety or neurosis, then he should consult a neurologist, psychiatrist (make an appointment) or psychotherapist (make an appointment).

What tests and examinations can a doctor prescribe for rib pain?

Since pain in the ribs is provoked by various diseases and conditions, doctors prescribe various tests and examinations for this symptom, which are necessary to identify the disease that provoked the pain. The selection of the necessary diagnostic tests is made on the basis of the symptoms accompanying pain in the ribs, which allow the doctor to guess what kind of disease provokes the pain syndrome. Next, to verify his assumptions, the doctor prescribes tests and instrumental examinations. Thus, it is obvious that the specific set and list of tests and examinations for rib pain in each specific case is determined by the accompanying symptoms.

When pain in the ribs appears after a traumatic impact on the chest (blow, bruise, severe compression, etc.), and is felt at one specific point or spreads throughout the chest, intensifies with inhalation, exhalation, sneezing, coughing, change body position, physical activity, possibly combined with bruising or unevenness on the surface of the ribs, the doctor suspects bone damage and may prescribe the following tests and examinations:

General blood analysis ;
Chest X-ray (make an appointment);
Computer or Magnetic resonance imaging of the chest (make an appointment).

In practice, only a general blood test and a chest x-ray are usually prescribed, since these examinations are simple to perform, available in any hospital and clinic, and can detect rib damage (crack, fracture, etc.) in the vast majority of cases. And computed tomography or magnetic resonance imaging is prescribed only in cases where the nature of the damage is unclear and involves soft tissue damage.

If sharp, acute pain appears in the ribs themselves or behind the sternum, which intensify over time, becoming very strong and difficult to bear, capable of spreading to the arm, neck and under the shoulder blade, combined with fusiform swelling in the area of the junction of the ribs and sternum, the doctor suspects the syndrome Tietze and prescribes the following tests and examinations:

General blood analysis;
Blood chemistry;
Ultrasound of the chest;
Chest X-ray;
Magnetic resonance imaging;
CT scan;
Scintigraphy;
Biopsy (sign up) fusiform protrusion.

As a rule, with Tietze syndrome, the doctor is limited to prescribing only a general and biochemical blood test, as well as ultrasound, and makes a diagnosis based on characteristic clinical symptoms. However, if the medical institution has the technical capabilities, computed tomography or magnetic resonance imaging is also prescribed, which allow, firstly, to confirm the diagnosis, and secondly, to immediately check the bones for the presence of malignant neoplasms.

If the doctor suspects that a person may have a tumor in the bones, and not Tietze syndrome, then an x-ray, or computed tomography, or magnetic resonance imaging, or scintigraphy will be prescribed.

An X-ray of the chest, in the absence of suspicion of a tumor, is usually prescribed only if 2–3 months or more have passed since the onset of the disease, since at earlier stages of the development of the disease this study is uninformative and, accordingly, useless. However, if the doctor suspects that a person may not have Tietze syndrome, but a malignant bone tumor, then a chest x-ray is mandatory, since this study helps to distinguish between tumors and inflammation of the costal cartilages.

A biopsy of the protrusion is prescribed only if a tumor is detected based on the results of an x-ray, computed tomography, magnetic resonance imaging or scintigraphy. In this case, a small amount of tissue is removed from the protrusion using a long needle and examined under a microscope. Depending on the type of tumor cells detected, the type of cancer is identified and the question of treatment tactics is decided.

When pain in the ribs lasts for a long time, does not subside, but only gradually intensifies over time, has an aching or stabbing character, can intensify at night in a certain position, may be combined with swelling or unevenness in some part of the chest, shortness of breath, deterioration in general health , the doctor suspects a malignant neoplasm of the rib bones and prescribes the following tests and examinations:

General blood analysis;
Blood chemistry;
Coagulogram (blood clotting indicators) (sign up);
Chest X-ray;
Magnetic resonance or computed tomography;
Rib scintigraphy;
Tissue biopsy of a suspicious detected neoplasm followed by histological examination.

If a malignant neoplasm or metastases in the ribs is suspected, general and biochemical blood tests, a coagulogram and a chest x-ray must be prescribed. If the X-ray results are questionable, then a tomography (computed or magnetic resonance imaging) or scintigraphy is prescribed to obtain detailed and layer-by-layer images of the ribs, which allow a better look at the existing formation and understand whether it is a tumor or not. If a tumor is detected based on the results of X-rays, computed tomography, magnetic resonance imaging or scintigraphy, a biopsy is required, followed by histological examination. During a biopsy, a small piece of tumor tissue is removed using a needle, which is then examined under a microscope, which makes it possible to determine the type of tumor and decide on treatment tactics.

When a person is bothered by frequent or constantly present pain in the ribs and other bones (sternum, pelvic bones, etc.), his height decreases, his posture worsens, it becomes impossible to make some turns of the body, the doctor suspects osteoporosis and prescribes the following tests and examinations :

General blood analysis;
Blood chemistry;
General urine analysis ;
Blood test for calcium concentration;
Blood test for Beta-Cross laps (C-terminal telopeptides of type I collagen);
Blood test for osteocalcin;
Blood test for thyroid-stimulating hormone (TSH), triiodothyronine (T3), thyroxine (T4);
Urinalysis for cortisol concentration;
Densitometry (single-photon, two-photon, ultrasound);
Computed tomography of the spine;
Chest X-ray.

If osteoporosis is suspected, general and biochemical blood tests, a general urinalysis, a blood test for calcium concentration, densitometry and computed tomography of the spine are required, since these studies make it possible to diagnose the disease in the vast majority of cases. Blood tests for thyroid hormones are prescribed when there is a suspicion that osteoporosis is caused by a disease of this organ. A urine test for cortisol is prescribed if Cushing's syndrome is suspected. And blood tests for Beta-Cross laps and osteocalcin are usually prescribed in a clinic to identify osteoporosis in the early stages, when there are still no clinical manifestations, or a person for some reason cannot undergo densitometry and computed tomography of the spine.

If the pain in the ribs is aching in nature, is present almost constantly, and during movement, coughing, sneezing or in a certain position it can become stabbing, shooting, causing a feeling of “a stake in the chest”, intensified by physical activity, hypothermia, or prolonged stay in one position , are combined with numbness, tingling and weakness in the arms and neck, the doctor suspects osteochondrosis or intervertebral hernia, and prescribes the following examinations:

Survey X-ray of the spine (make an appointment). Allows you to detect osteochondrosis, curvature of the spinal column, etc.
Myelography (sign up). Allows you to detect spinal hernias.
Computer or Magnetic resonance imaging (sign up). Allows you to identify various diseases of the spinal column.

The best examination method to identify both osteochondrosis and intervertebral hernia is magnetic resonance or computed tomography. However, these studies are not always prescribed immediately, since many medical institutions lack the necessary equipment and specialists. Therefore, in practice, first of all, an x-ray of the spine is prescribed, which makes it possible to detect osteochondrosis. And only if an x-ray fails to detect osteochondrosis, and an intervertebral hernia is suspected, the doctor prescribes a tomography. If tomography cannot be performed for any reason, then myelography is prescribed instead.

When pain in the ribs occurs in the form of sudden attacks, is of a stabbing, shooting nature, intensifies with changes in posture, inhalation, exhalation, sneezing, coughing, when palpating the joints of the ribs with the sternum and spine, two particularly noticeable pain points are identified, go away on their own or in more time. In rare cases, they stubbornly do not subside even at night - the doctor suspects a disease of the nerves passing through the chest (neuralgia, nerve compression, etc.), and may prescribe the following tests and examinations:

Chest X-ray;
Computed or magnetic resonance imaging;
Electroneurography;
General blood analysis.

As a rule, in practice, if a doctor suspects neuralgia or pinched nerve, he does not prescribe any tests, but makes a diagnosis based on the characteristic clinical picture. But in some cases, the doctor may prescribe an X-ray, computed tomography or magnetic resonance imaging, electroneurography, if he wants to study the speed of impulse movement along the nerves, as well as understand which organs and tissues can put a lot of pressure on and irritate the nerve fibers. If the doctor understands what tissues and organs put pressure on the nerves, he will be able to expand the range of therapeutic measures, some of them aimed at eliminating this compression, which will allow achieving stable remission and minimizing the risk of similar pain in the future.

If pain in the ribs is present on one or both sides, worsens with deep breathing, coughing, sneezing, sudden movements, straining, combined with high body temperature, increased sweating, frequent shallow breathing, shortness of breath, dry cough with the discharge of a small amount of viscous thick sputum or without sputum discharge at all, forces you to lie on the sore side, then the doctor assumes pleurisy and prescribes the following tests and examinations:

Auscultation of the chest (listening to the lungs and bronchi with a stethoscope);
Chest X-ray;
Computed tomography of the chest;
Ultrasound of the pleural cavity (sign up);
General blood analysis;
Pleural puncture (sign up) with the selection of pleural fluid for biochemical analysis (the concentration of glucose, protein, number of leukocytes, amylase and lactate dehydrogenase activity is determined).

If pleurisy is suspected, a general blood test, chest auscultation and chest x-ray are always first prescribed, since these tests and examinations are simple and highly informative at the same time, allowing one to diagnose the disease in the vast majority of cases. However, if after the studies the doctor doubts the diagnosis, an additional computed tomography or ultrasound of the pleural cavity may be prescribed in combination with a biochemical analysis of the pleural fluid, which allows one to accurately understand whether we are talking about pleurisy in each specific case.

When a person suffers from pain in the ribs due to depression, increased anxiety or neurosis, the doctor may prescribe an x-ray and tomography in order to exclude truly possible pathologies of the chest organs. If these studies do not reveal any real pathology that can cause rib pain, then the pain syndrome is considered to be caused solely by nervous causes. In such cases, psychotherapeutic treatment is carried out, the necessary sedatives and other drugs are prescribed, which leads to both mental recovery and the disappearance of pain in the ribs.

If there is pain in the ribs on one or both sides, intensifying with changes in weather, bending or other movements of the body, as well as deep inhalations and exhalations, combined with stiffness in the chest in the morning, sleep disturbances and difficulties with holding the body in one position, a doctor suspects fibromyalgia or muscle pain, and orders the following tests:

Computed tomography or magnetic resonance imaging of the chest;
Chest X-ray;
Palpation of painful fibromyalgic points - the place of attachment of the musculus suboccipitalis on the back of the head, the space between the transverse processes of the 5th - 7th cervical vertebrae, the middle of the upper edge of the trapezius muscle, the place of attachment of the supraspinatus muscle, the articulation of the 11th rib with the sternum, a place two fingers to the right of the right epicondyle of the shoulder, the anterior edge muscles in the upper outer quadrant of the buttock, greater trochanter of the femur, fat pad on the inside of the knee joint.

In practice, tomography (both computed tomography and magnetic resonance imaging) and chest x-ray are prescribed simply to make sure that a person does not have any serious diseases of the chest organs. Naturally, these studies are ordered only when technically possible. But the most important test for diagnosing and confirming fibromyalgia is pressing on the listed fibromyalgia points. And if, when pressing on these points, a person experiences severe pain, then this is a specific and undoubted sign of fibromyalgia. Accordingly, in practice, if fibromyalgia is suspected, the doctor, as a rule, gropes and presses on specific points, on the basis of which he makes a diagnosis, and x-ray (sign up) and he prescribes a tomography only for “certainty”.

Treatment

For most diseases that manifest as pain in the ribs, symptomatic therapy is used, including painkillers and anti-inflammatory drugs. At the same time, the attending physician prescribes medications that help cope with the main cause of the disease.

And when turning the body, the pain in the rib area intensifies, and its appearance is preceded by a fall or bruise, it can be assumed that the body is signaling that it is broken. With osteoporosis, which is associated with a decrease in calcium in bone tissue, leading to its fragility, the ribs can be injured even with a strong cough or a sharp turn.

A common cause of pain in the ribs is intercostal neuralgia, caused by compression of the nerve roots in the space between the ribs. It is almost always detected by palpation (examination by palpation). They change the position of the ribs, causing compression of the nerve endings, curvature of the spine, intervertebral hernias of the thoracic region, excessive tone of the external and internal muscles and ligaments of the chest. The pain may radiate to the heart area, under the shoulder blades, etc. In the area of nerve damage itself, numbness is observed. When changing the position of the body, when exhaling, the pain intensifies.

Excessive tone of the scapular, shoulder, and back extension muscles can lead to pain in the rib area. The pain intensifies when bending over or stretching muscles. Sometimes changes in muscle tone balance and pain in the chest are part of the symptoms of depressive conditions.

The cause of pain localized in the area of the 4th-6th ribs is costal chondritis, a consequence of inflammatory processes in the cartilage tissue that attaches the ribs to the ribs. A characteristic feature of Tietze syndrome - another name for the disease - is pain when pressing on the area where the ribs attach to the sternum.

Breathing-related chest pain is one of the symptoms of pleurisy: inflammation of the pleural cavity surrounding a person’s lungs. When bending and turning the body, there is no increase in pain during pleurisy.

Pain in the rib area can be caused by fibrositis (fibromyalgia), a chronic disease that causes, among other things, stiffness and soreness of tendons, joints and muscles. Like the osteoporosis mentioned above, fibrositis mainly affects women.

High-intensity chest pain can be caused by myocardial infarction. Pain in the right and left hypochondrium indicates diseases of the stomach, pancreas, spleen, intestinal node, gall bladder, and liver. Next on the list of causes is oncology: costal osteosarcoma, malignant tumors of the lungs and pleura (mesothelioma), metastases of cancer that has affected other organs, etc.

Take your health seriously. Never self-medicate and seek out various medical advice just so as not to harm yourself at the first sign of ailments.

When the right side hurts, a person may have liver or gastrointestinal diseases, but one should not draw hasty conclusions. Pain under the right breast may occur due to pathologies of the cardiovascular system.

Pain in the right hypochondrium

It can develop due to neuralgic pathologies or diseases of the respiratory system. Self-medication is contraindicated, since only after an examination can the exact cause of pain in this area be determined. The greatest danger is myocardial infarction, angina pectoris or pulmonary artery thrombosis. To protect yourself and your family, you need to know the causes of pain under the right breast.

Diseases of the cardiovascular system

People who have heart problems should understand that pain in the chest on the right side can be an echo of the underlying disease, despite the fact that the sensations more often radiate to the left.

Doctors warn that pain in the heart can radiate to the right hypochondrium, shoulder, jaw and shoulder blade. To diagnose the problem in time, you need to pay attention to the following factors:

If chest pain occurs after exercise and does not stop within 15-20 minutes, then this may be a symptom of stable angina. Such attacks occur regularly over several months.
If an attack lasts longer than 20 minutes and appears sharply during a period of calm or night rest, this indicates unstable angina.
If the myocardium does not receive the required amount of blood and nutrients, its sections die and myocardial infarction develops, accompanied by severe burning, piercing pain. The condition may have an atypical form, when the symptoms resemble pancreatitis, then severe vomiting, nausea, sharp pain in the right hypochondrium, and shortness of breath occur.
Pulmonary artery thrombosis is a disease associated with occlusion of a vessel by a blood clot. Pain on the right under the chest may appear due to the penetration of a blood clot into the branches of the artery. Symptoms are as follows: cough streaked with blood, wheezing, dull pain in the right side of the chest, shortness of breath, rapid heartbeat, sudden weakness.

This is a basic list of diseases and symptoms that manifest as soreness in the right side of the chest. If the heart patient knows about the pathologies, then you should pay attention to the nature of the pain, location, duration, and accompanying symptoms.

Injuries and neuralgia on the right side of the chest

If there is pain in the right side under the chest after active physical activity or bruises of the chest, then the cause of the pain may be microtrauma of the muscles or ligaments.

Bruised sternum

The causes of pain on the right side are:

Crick;
overstrain of ligaments or muscles;
chest contusion;
cracked ribs;
rib fractures;
hematomas from the blow.

It is easy to distinguish this type of damage from diseases of the cardiovascular system or gastrointestinal tract. The pain is of a pulling nature, intensifies with sudden movements of the body, increases after coughing, sneezing or laughing. It is difficult for a person to take a deep breath or exhale. Breathing is shallow and short. If a hematoma remains from the damage, then sometimes the aching pain with a sharp turn turns into an acute flash of a piercing nature.

Why does it hurt on the right side with neuralgia?

To answer the question, it is enough to understand the essence of intercostal neuralgia. The disease occurs due to compression and inflammation of the nerve roots. During breathing, the chest moves, which irritates the affected nerves. A person in this state feels the direction of the pain (along the ribs), since when inhaling and exhaling it intensifies and worsens. Neuralgia occurs due to diseases of the spine, muscle tension, hypothermia, and respiratory diseases.

Respiratory system diseases

If there is pain and stabbing in the right side of the chest during a cold, this indicates inflammatory processes in the respiratory system.

Diaphragm spasm

Similar symptoms appear as a result of tracheitis, bronchitis, pneumonia, and pleurisy. Characteristic symptoms:

increased body temperature;
cough (dry or with sputum);
wheezing in breathing;
paroxysmal cough;
pain in the right hypochondrium;
feeling of squeezing of the chest when taking a deep breath.

Pain in the right side of the chest also appears with tuberculosis. Sputum is released with bloody clots or streaks.

Gastrointestinal diseases

Under the chest there is a number of organs, in pathologies of which the pain radiates to the right side of the hypochondrium: gallbladder, liver, intestines, stomach. Any change in their activity is accompanied by pain. Pathological conditions are considered to be:

gallstones (sharp pain);
cholecystitis;
hepatitis and other liver diseases (stitches in the right side under the ribs);
pancreatitis – inflammation of the pancreas (vomiting, nausea, acute pain around the perimeter of the abdominal cavity).

Pain occurs for the following reasons:

binge eating;
eating fatty and spicy foods;
insufficient water consumption;
consumption of alcoholic beverages;
lack of physical activity in addition to poor diet;
frequent consumption of carbonated drinks;
eating fast food.

All this together has a bad effect on both the gastrointestinal tract and the entire body. The heart and blood vessels especially suffer from this lifestyle.

What to do?

In order to detect the disease in time, it is necessary to undergo a comprehensive examination by several doctors. Often, to determine the cause of pain in the right side of the chest, a consultation with a therapist, cardiologist, gastroenterologist, or neurologist is required. If necessary, the doctor prescribes an MRI examination, chest x-ray, ECG or echocardiogram, ultrasound of the abdominal cavity or heart.

Features of pain in the right side of the chest and its causes Classification of pain under the left breast, and when should you not postpone a visit to the doctor?

One of the symptoms that requires mandatory additional diagnosis is pain on the right side under the breast, which occurs in many diseases. Proximity to the heart adds anxiety, but even in the absence of immediate danger to life, in case of such health problems, it is important to consult a doctor in a timely manner.

The most dangerous conditions that cause chest pain on the right include diseases accompanied by impaired cardiac and pulmonary blood flow. These are unstable angina, myocardial infarction and pulmonary artery thrombosis. Only timely hospitalization and proper treatment can save lives with these diseases.

Problems with the digestive organs, rib muscles and nerves, although rarely fatal, can cause a lot of problems and troubles.

Problems in the cardiovascular system

Pain that occurs after physical or mental stress and subsides as the impact of external factors decreases warns of a lack of oxygen in the heart muscle. This is the first sign of angina, which occurs due to narrowing of the coronary arteries of the heart. Although most often it occurs in the middle of the chest or on the left side, it is not uncommon for pain to be localized under the right breast and in the right hypochondrium. If the pain lasts no longer than 15 minutes, goes away after rest or taking nitroglycerin, and the nature of the pain does not change for more than 2 months, they speak of stable angina. When the pain changes its character, lasts more than 20 minutes and occurs even during rest, they speak of unstable angina.

Long-term insufficiency of blood supply to the myocardium leads to its necrosis (myocardial infarction). An attack of sharp pain begins suddenly, and a spasm coming from the heart area sometimes covers the entire chest. Atypical forms of infarction often appear without a clear connection with the heart muscle. For example, its abdominal form resembles acute pancreatitis in many symptoms: nausea, vomiting, pain in the upper abdomen, including the right under the breast.

Severe weakness, sudden shortness of breath, tachycardia and acute chest pain on the right are signs of pulmonary embolism. In this case, wheezing is heard when breathing, coughing and hemoptysis appear. When a blood clot penetrates into smaller branches of the pulmonary artery, the symptoms are not so pronounced, which can complicate diagnosis. Meanwhile, acute embolism is the most common cause of sudden death.

Trauma and nerves

However, much more often the cause of discomfort is traumatic pain caused by

sprains and strains of the muscles and ligaments of the chest;
chest bruises;
cracks and fractures of ribs.

A nagging pain in the chest, on the right or left, that intensifies with inspiration or with sudden contractions of the diaphragm (coughing, sneezing, laughing) appears after intense physical exertion. The muscles increase in size due to the release of lactic acid and partial damage and respond to pressure.

At the site of bruises of the sternum, hematomas are formed, which are also present when the rib bones or cartilage of the chest are injured. In the latter case, constant aching in the side from the slightest movement is replaced by a piercing flash of pain.

Intercostal neuralgia

Very often, symptoms of intercostal neuralgia are mistaken for heart pain. They arise due to irritation or, and are also similar to the symptoms of rib fractures. Pinching occurs after physical exertion, an awkward turn or movement that causes sharp pain, and then the painful condition persists for a long time. There is a feeling of compression of the chest, pain encircles the chest on the right and left, extending to the back. The sensations become more acute when exhaling or exhaling, as well as when palpating places where the nerve is pinched, which may be distant from the sites of pain.

Intercostal neuralgia can be caused by diseases of the spine (thoracic osteochondrosis), changes in the chest, colds or muscle strain. Weakness of the muscle frame and a sedentary lifestyle increase the risk of nerve compression.

Respiratory diseases

Colds and infectious diseases of the respiratory system are the cause of pain in the chest on the right side. Although it is not the leading symptom, it very often accompanies severe inflammatory processes in the organs of the diaphragm. Pneumonia and pleurisy are accompanied by fever, a characteristic cough and wheezing, which may cause pain under the chest on the right if inflammation of the pleura has affected the lower parts of the lungs.

Painful spasms make it difficult to take a deep breath even in cases of lung cancer, as well as in severe forms of tuberculosis. The sputum produced by coughing contains bloody clots.

Digestive system problems

On the right under the chest are organs such as the liver, gall bladder, and part of the intestines. Diseases and injuries of these organs transmit discomfort to the lower right part of the chest.

An abundance of fatty and spicy foods affects the condition of the gallbladder, which begins. A sharp, paroxysmal pain may indicate the presence of stones in the bile ducts.

Inflammation of the liver, cholecystitis, hepatitis cause stabbing or pulling pain in the chest on the right, moving behind the back and even to the right shoulder. Symptoms intensify when you press on the diseased organ and try to bend at the waist.

Pancreatitis and pancreatic dysfunction cause pancreatic pain in the right hypochondrium. The gland itself is located across the abdomen, so the sensations in case of problems with this organ have a girdling character. They are accompanied by nausea and vomiting in the acute stage of the disease. In the chronic course of the disease, the aching pain under the right breast becomes constant.

Nerves, nerves

Stress, nervous stress, and emotional experiences have a bad effect on the state of the central nervous system. This causes neuroses that can manifest as pain in the chest. The resulting muscle spasms can keep them tense for a long time, and the pain persists, intensifying after the next excitement. In this case, it may not have an exact localization, appearing first on the left, sometimes on the right. Cardioneurosis affects mainly the left side of the chest. They are accompanied by increased anxiety, irritability and other accompanying nervous disorders.

Pain on the right under the chest is a symptom of several diseases, from harmless to quite serious. Let's figure out what is on the right side under the chest and why discomfort may occur. It is important to pay attention to the malaise in time in order to diagnose the disease at an early stage. Most diseases respond well to conservative treatment if you start therapy on time and do not put off going to the doctor for too long.

Under the right breast are located:

liver
gallbladder
part of the intestine
part of the diaphragm

Accordingly, acute pain under the right breast indicates a disease of one of these organs. In rare cases, pain may radiate from other organs, such as the stomach.

What to find out first

The first thing you need to find out:

Were there any injuries? The pain may be caused by a cracked rib. Any bad fall can cause bone damage.
Has an exacerbation of chronic diseases of the intestines, liver or gall bladder begun?

Then you need to assess the nature of the pain and find out the location. Sometimes it may hurt under the chest, in the side, closer to the center of the chest. It is equally important to understand how severe the pain is and how often it occurs. The doctor will need this information for a more accurate and quick diagnosis.

Although all diseases have clear symptoms, the signs of the disease manifest themselves differently in each person. Therefore, if any symptoms appear, you should consult a doctor and undergo a full diagnosis. Often only complex examinations can reveal the true cause of the ailment. And accurate diagnosis is extremely important for correct and effective treatment.

Why does it hurt

There are a number of diseases that can lead to pain on the right side:

Gastrointestinal diseases. Gastritis and ulcers may cause pain on the right side. Unpleasant sensations occur both in acute pathologies and in relapses of chronic diseases.
Inflammation of the pancreas. It is located on the other side, but often the pain from the inflamed organ comes from an atypical place. With diseases of the pancreas, unpleasant sensations are observed under the breasts.
Diseases of the respiratory system. This can be pleurisy, an acute inflammatory disease, or lung tumors, pneumonia or tuberculosis. If, in addition to pain, other lung symptoms are observed, you should immediately visit a doctor.
Heart diseases. Many are sure that a heart attack is necessarily accompanied by pain in the area of the heart. In fact, it can radiate to the right, to the arm, neck, jaw. Therefore, if acute pain and weakness appear, it is better to call an ambulance.
Diseases of the circulatory system: acute leukemia is characterized by pain on the right side.
Injuries to soft tissue or ribs. If the onset of symptoms was preceded by an injury, it is worth visiting the emergency room to make sure there are no serious injuries.
Kidney diseases. The right kidney may produce similar symptoms. However, most often the pain is observed in the back. If discomfort is accompanied by water retention in the body, you need to examine the urinary system.
Psychogenic disorders.

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It is important to make a correct diagnosis, since pain in the right side under the breast can appear due to a variety of diseases, each of which requires its own treatment.

How to determine the disease

There are three main types:

severe aching
acute
sharp, pulling

Other species are not usually found on the right side.

When determining, it is important to understand that these are subjective sensations, and a doctor will not be able to make a diagnosis based on just one complaint. To diagnose, you will still have to undergo all the necessary examinations. Diagnosis is usually difficult due to the fact that patients cannot accurately describe the nature and location of discomfort. Let's figure out how to determine the cause by the nature of the unpleasant sensations. Severe pain indicates the development of a serious acute disease.

They can be called:

myocardial infarction
perforated ulcer
pneumothorax

If the symptoms are severe and there is no chronic disease that manifests itself in this way, it is recommended to call a doctor and carefully monitor your health. They often indicate mechanical injury to the ribs. If discomfort increases with movement or inhalation, this may be a sign of a fracture or crack in the ribs.

Acute tingling sensations are characteristic of lung diseases and leukemia. It can also be used for heart problems. Aching pain is considered quite dangerous, since it usually does not cause serious inconvenience. They can appear with colds, bruises, pinched nerves, or with the development of severe pathologies. In any case, in order to understand what may be hurting, it is necessary to undergo diagnostics.

Diagnosis and treatment

To establish the exact cause, a specialist needs to conduct a survey and an initial examination. And then, depending on the complaints, the following may be prescribed:

Laboratory research.
Fluorography.
MRI or CT.
Ultrasound of the heart, kidneys, liver and pancreas.
FGS for suspected ulcers or gastritis.

If you are reading these lines, we can conclude that all your attempts to combat chest pain have not been successful... Have you even read anything about medications designed to defeat the infection? And this is not surprising, because mastopathy can be fatal to humans - it can develop very quickly.

Frequent chest pain
Discomfort
Experiences
Discharge
Skin changes

Surely you know these symptoms firsthand. But is it possible to defeat the infection without harming yourself? Read the article about effective, modern ways to effectively combat mastopathy and more... Read the article...

It is important to know that diagnosis may take a long time, since this symptom is characteristic of many diseases. First, doctors try to rule out serious acute conditions, and only then begin a comprehensive examination.

bolivgrudi.ru

Pain under the breasts in the ribs: what does it mean?

Any pain syndrome felt by a person causes him severe discomfort, and if the reasons for its origin are unclear, it makes him seriously think about his state of health.

Thus, pain under the breasts in the ribs, characterized by the occurrence of pain in the chest area, can signal serious ailments in the body.

Pain in the rib behind the chest, in which the source of pain can be the bony or cartilaginous part of the rib, the muscles adjacent to the ribs, or the intercostal nerve, can occur for various reasons.

Thus, it is possible that pain is provoked by a traumatic injury to the chest due to a fall, blow or exposure to external factors:

Fractured ribs. It is characterized by acute pain that spreads to the entire chest area and occurs when inhaling, moving or changing position;

Bruised ribs. Acute, non-intense pain is localized at the site of damage to the muscle tissue surrounding the ribs, which can be recognized by swelling and the presence of a hematoma.

Pain in the ribs under the breast is one of the characteristic manifestations of Tietze syndrome, in which there is inflammation of the costal cartilages attached to the sternum. Severe pain is noted in the chest area, thereby raising suspicion of angina pectoris. Additional symptoms of this disease include a spindle-shaped swelling in the area of the affected costal cartilage and increased pain when pressing on the sternum. Tietze syndrome can only be diagnosed after undergoing a chest x-ray.

Pain in the ribs under the chest can be caused by intercostal neuralgia, in which the nerves located between the ribs are pinched or irritated. Pain syndrome, as a rule, is characterized by sudden onset and intensifies with sneezing, coughing, or sudden movement.

Pain under the breasts in the ribs can be caused by fibromyalgia - muscle pain, the causes of which are not yet fully understood. Most experts adhere to the hypothesis that pain in this disease can be a consequence of diseases accompanied by the development of an inflammatory process, mental disorders and nervous strain. Pain in the chest and ribs with fibromyalgia has its own distinctive characteristics:

Pain is noted on both the right and left sides;

With a sudden change in weather, symptoms worsen;

In the morning, the patient feels tightness in the chest;

Sometimes headaches, sleep disturbances, and the development of depression are observed;

In advanced cases, problems with movement coordination are possible.

Pain under the breast in the ribs is also provoked by diseases of the pleura - a thin film that covers the chest cavity from the inside and the lungs from the outside, which is quite closely adjacent to the ribs. The pleura is literally permeated with many nerve endings, the irritation of which leads to the development of pain. Thus, the following main symptoms are characteristic of acute dry pleurisy:

Severe, annoying dry cough;

Pain in the rib area, as a rule, only on one side - left or right;

An increase in pain with a deep breath and any sudden movements;

Feverish state, weakness, apathy.

Rarely, but still, pleural tumors are diagnosed - diseases, the characteristic symptom of which is constant, aching pain in the ribs, localized at the location of the tumor. With a significant size of the neoplasm, which can be either malignant or benign, additional manifestations of the disease include shortness of breath, a feeling of heaviness, and a bluish or, on the contrary, pale tint of the skin.

Pain in the rib under the breast can be caused by another disease that is not often diagnosed in medicine - a herniated disc. Pain syndrome localized in the rib area has the following characteristic features:

At first, the pain may be practically imperceptible, but after a while it becomes unbearable, significantly worsening the patient’s quality of life;

Depending on the location of the hernia, pain can be observed only on the right or only on the left side, as well as on both sides simultaneously;

The pain, which is sharp and stabbing in nature, intensifies with physical activity, sneezing and coughing.

Osteochondrosis is a disease of the spinal column, characterized by the development of an inflammatory process, compression and irritation of the nerve roots. Many are accustomed to the fact that this disease makes itself felt by the patient with pain in the back, but often the pain extends to the chest and ribs. At the same time, the pain syndrome is often not characterized by increased intensity, and therefore some patients simply note a feeling of discomfort in the chest area. For other people suffering from this disease, the pain, on the contrary, can be very annoying and many report feeling a “stake in the chest.”

Pain in the ribs can also occur in women in late pregnancy. This condition, unlike all others previously discussed, is not pathological and does not pose any harm to both the mother and the baby in her womb. There are several reasons for the occurrence of this unpleasant condition during pregnancy:

Enlarged uterus. The uterus moves upward, resulting in strong pressure from the inside on the ribs, resulting in pain.

Fetal growth. As the fetal growth increases, in the last trimester of pregnancy, the baby does not fit in the mother's belly.

Motor activity of the fetus. The baby's legs, provided that he is presented correctly, rest against the mother's ribs, thereby causing pain.

Treatment of pain in the ribs, the primary goal should be to identify and eliminate the causes that caused this uncomfortable condition. If the ribs are injured, in the absence of damage to the lungs and pleura, the patient is advised to rest completely and undergo a series of physiotherapeutic procedures.

To make a reliable diagnosis, a comprehensive examination is necessary with a visit to a traumatologist, pulmonologist, cardiologist, surgeon, neurologist, or orthopedist. A chest x-ray, which will certainly be prescribed by a doctor, will help you get a clear picture of the state of affairs in the body. Symptomatic therapy is based on taking painkillers and anti-inflammatory drugs. If the cause of pain in the ribs under the chest is associated with muscle spasms, then the medical specialist will additionally prescribe antispasmodic medications.

Pain in the ribs under the breast in the vast majority of cases (with the exception of advanced pregnancy) signals serious health problems, expressed in pathologies of the most important organs, and therefore you should not delay a visit to a specialist with this problem.

misseva.ru

Pain under the mammary gland, causes

Every woman has definitely experienced unexplained pain under her breasts at least once. It should be understood that it is impossible to make an accurate diagnosis based only on symptoms and assumptions; only competent medical help can determine the root cause of pain in the chest.

Characteristic pain under the mammary glands is often symptoms of a variety of diseases. Agree, in a single system of the human body everything is interconnected, the interconnection is carried out mainly by nerve endings. That is why the impulse from the nerve is transmitted to the center of the nervous system, where the signal of pain comes from. Often the signal can arrive in a completely different part of the body, relative to the impulse, misleading the person.

It is important to know that the sensation of pain may not be caused by a disruption in the functioning of any organ, but, for example, by incorrect functioning of the nervous system, which arose as a result of severe neurosis.

We propose to clarify the situation and understand what diseases lead to pain under the breasts. First, let's define the characteristic features of pain: 1. Felt under the left breast 2. Felt under the right breast 3. Pain under the mammary glands during pregnancy 4. In the rib area, located under the breast 5. Aching pain under the breast

Now let's take a closer look at each point.

Pain is felt under the left breast

Many are accustomed to associate this pain with a disease of the most important organ in the human body - the heart. This is true, since even minor spasms of the heart artery, which is responsible for supplying the body with blood, lead to severe pain in the heart muscle. In case of prolonged pain, the likelihood of a heart attack increases.

As a rule, the harbinger of a heart attack is unbearable pain, which makes it difficult to breathe. This pain may be felt in the left arm or the left side of the back. If the symptoms are identical, a nitroglycerin tablet will help you wait for an ambulance, which should be called immediately.

Speaking about heart attack, it should be clarified that men are susceptible to this disease at any age, and women are susceptible mainly only when they are old. Probably, a heart attack after menopause is provided for by the nature and reproductive function of women, for painless bearing of offspring. There is a serious exception for women, in which a heart attack can occur at an earlier age. In case of existing congenital or acquired heart disease, up to serious pathologies. Then you should be wary that the risk of acute diseases such as ischemia, angina, heart attack and other problems of the cardiovascular system increases. Currently, the so-called “early menopause” is observed everywhere, which occurs much earlier. Early menopause is a consequence of the serious disease anorexia. Anorexia occurs in the vast majority of young girls, and the disease is rejuvenated every year. That’s why it’s so important for girls to take care of their health from a very early age. It is always easier to prevent a dangerous disease than to engage in lengthy and expensive treatment.

Pain under the left mammary gland can be due to cardioneurosis. It is difficult to determine this pain, since there are cases of dull aching pain, as well as acute and short-term pain. A distinctive feature of cardioneurosis may be the lack of effect from taking nitroglycerin or validol, which is justified by the fact that the organ is absolutely healthy. Prolonged stress, prolonged depression or overwork can cause this disease. In this case, the cardiologist is unable to help you; you should contact a neurologist for help, and immediately eliminate all factors that are traumatic to the psyche.

Often the cause of pain under the left breast is intercostal neuralgia. As a rule, the nerve root in the thoracic spine is pinched, as well as irritation of the intercostal nerve. Diseases of the diaphragm, stomach, and spleen can also cause pain on the left side under the chest. The formation of a hernia on the diaphragm, separating the abdominal cavity from the chest cavity, is characterized by severe pain when the stomach is displaced. A disease of the spleen or its rupture will certainly be reflected in pain on the left side; bruising may become a characteristic feature due to the accumulation of blood in the navel area.

Painful symptoms are felt under the right breast

The cause may also be a diaphragmatic hernia or intercostal neuralgia. In addition to these diseases, the cause may be problems with the liver and gallbladder. Often, viral hepatitis can cause pain on the right side. Hepatitis A is easy to catch through food or water. Hepatitis B is a common disease in people with drug addiction, as well as in homosexuals. Hepatitis C is transmitted exclusively through infected blood. The occurrence of cirrhosis, cholecystitis or cholelithiasis may be accompanied by pain under the right breast. Acute or chronic pancreatitis can also cause aching pain. At risk are alcoholics, people who take large amounts of medications, people who have undergone chemotherapy, as well as those who abuse fatty, spicy, and smoked foods. The location of the pancreas is just from right to left, which causes pain on the right under the mammary gland. Nausea, vomiting, general weakness of the body are symptoms of acute pancreatitis. Aching pain under the mammary gland is a sign of chronic pancreatitis.

Pain under the mammary glands during pregnancy

As a result of a noticeably grown uterus, there is strong pressure on the internal organs of a pregnant woman. As a rule, the gallbladder and also the diaphragm are affected first, which is why the pain is radiated to the right. To reduce pain, it is not recommended to sleep on the right side. The expectant mother must be patient a little, since all pain will disappear immediately after childbirth.

Pain in the rib area under the breasts

The main cause is intercostal neuralgia, which occurs when the nerve located between the ribs is compressed or deformed. Herniated intervertebral discs, scoliosis, strong and prolonged tension of muscles and ligaments, as well as the consequences of strong blows to the thoracic region lead to neuralgia. In addition, rib fractures also remain one of the main causes. The ribs grow together quite quickly, without additional medical intervention, but there remains a threat of severe damage to the lung tissue, so it is important to promptly seek help from specialists. Tietze syndrome, or inflammation of the cartilaginous part of the ribs, is quite rare, but can also cause pain on the right side. Characterized by acute pain even with slight pressure on the chest.

Aching pain under the breasts

Pneumonia, tracheitis, tuberculosis, pleurisy and other respiratory diseases can cause aching pain. Respiratory tract disease is quite easy to diagnose. Today, there are many ways to treat such diseases.

Painful sensations under the mammary glands are common, many people begin to diagnose themselves with cancer, and a trip to the doctor is postponed due to the strong fear of a terrible diagnosis. But you should know that such pain is extremely rare in oncology; intercostal neuralgia, stress, and heart disease are much more common. Therefore, you should not put off visiting a doctor; the sooner the cause is determined, the sooner and without consequences the disease will be eliminated.

Video

moloczheleza.ru

Possible causes of pain under the right breast: overview of options and diagnosis

Pain under the right breast can occur for a number of reasons. Sometimes the provoking factors are harmless pathologies that are very easy to eliminate, but in some cases the underlying symptoms are serious diseases that require timely diagnosis.

1 Main reasons
2 Additional reasons
3 Diagnostic methods

Every person has experienced such a symptom as pain under the right breast at least once in their life. There may be plenty of reasons for the appearance of such sensations.

The main factors causing pain under the right breast:

Hepatic colic. Often occurs in the presence of chronic diseases of this organ. It manifests itself with the abuse of fatty and fried foods, as well as alcohol. It is rarely persistent and usually goes away after normalization of nutrition. Usually not accompanied by additional symptoms.
Malignant liver diseases. In this case, the pain is under the chest and radiates to the right side. Additional symptoms are characterized by bitterness in the mouth and enlarged liver. The skin and sclera of the eyes acquire a yellow tint. In addition to this, nausea, vomiting and a sharp deterioration in general health may occur.
Diseases of the mammary glands. This symptom occurs in women and is a common factor that provokes pain on the right side under the breast. This symptom may be characteristic of fibrocystic mastopathy, especially if nodes appear in the right mammary gland. The pain is not intense and increases towards the beginning of menstruation. Additional signs include slight lumps in the breast tissue.
Cholecystitis. Pain in the right side may be a consequence of stagnation of bile or blockage of the ducts with stones. In the first case, the discomfort is of a girdle nature, nausea and vomiting occurs, and appetite worsens. With calculous cholecystitis, when there are stones in the gall bladder, the pain is very strong.
Excessive physical activity is the most harmless reason why discomfort may occur in the right side under the chest. After intense strength training, especially when it comes to lifting heavy weights, a small tear occurs, which is accompanied by similar symptoms. It usually goes away quickly after a short rest.
Pyelonephritis. Inflammatory processes in the kidneys may be accompanied by pain in the right hypochondrium. But in addition, there is back pain and frequent urination. At the same time, there are pains and discomfort.

Additional reasons

Pain on the right side can also be caused by the following reasons.