What are the symptoms of an epigastric hernia. How is an epigastric hernia diagnosed. What are the treatment options for an epigastric hernia. Can an epigastric hernia heal on its own. What complications can arise from an untreated epigastric hernia. What are the risks of epigastric hernia surgery. How common are epigastric hernias.

Understanding Epigastric Hernias: Definition and Prevalence

An epigastric hernia is a specific type of abdominal hernia that occurs in the epigastric region, which is located above the navel and below the sternum. This condition affects both adults and children, with approximately 2-3% of all abdominal hernias being classified as epigastric hernias. Interestingly, this condition can also manifest in infants.

The prevalence of epigastric hernias may be underreported due to the often asymptomatic nature of the condition. Many individuals with epigastric hernias may not experience noticeable symptoms, leading to a lack of diagnosis and treatment in some cases.

How common are epigastric hernias?

While exact statistics vary, epigastric hernias are considered relatively common among abdominal hernias. They account for about 2-3% of all hernias in this region, affecting both adults and children. However, the true prevalence may be higher due to underreporting of asymptomatic cases.

Recognizing the Symptoms of Epigastric Hernias

The symptoms of an epigastric hernia can vary from person to person, ranging from no noticeable signs to more pronounced discomfort. The most common symptom is the appearance of a bump or protrusion in the epigastric region. This bump is typically caused by a mass of fatty tissue that has pushed through the weakened abdominal wall.

• Visible bump or protrusion in the epigastric region
• Tenderness or pain in the affected area
• Discomfort that may worsen with coughing, sneezing, or laughing
• Possible enlargement of the hernia over time

It’s important to note that some individuals may have multiple epigastric hernias simultaneously. The visibility of the hernia may fluctuate, becoming more prominent during certain activities or positions.

Can an epigastric hernia be asymptomatic?

Yes, epigastric hernias can indeed be asymptomatic. Many individuals with this condition may not experience any noticeable symptoms, which is one of the reasons why epigastric hernias are sometimes underreported. However, the absence of symptoms does not necessarily mean the hernia is harmless or doesn’t require medical attention.

Causes and Risk Factors for Epigastric Hernias

The exact cause of epigastric hernias is not fully understood, and research continues to investigate the underlying mechanisms. However, several theories and risk factors have been identified:

1. Developmental issues: Incomplete closure of abdominal wall tissues during fetal development
2. Tension in the abdominal wall: Stress where the abdominal wall attaches to the diaphragm
3. Genetic factors: Inherited weakness in the abdominal wall
4. Obesity: Excess weight can put additional pressure on the abdominal wall
5. Pregnancy: The strain of carrying a child can weaken abdominal muscles
6. Chronic coughing: Repetitive strain on the abdominal wall
7. Heavy lifting: Frequent strain from lifting heavy objects

While these factors may contribute to the development of epigastric hernias, it’s important to note that in many cases, the exact cause remains unknown.

Are certain individuals more prone to developing epigastric hernias?

While epigastric hernias can affect anyone, certain factors may increase the risk. These include obesity, pregnancy, chronic coughing, and engaging in activities that put repeated strain on the abdominal muscles. Additionally, individuals with a family history of hernias may be at higher risk due to potential genetic predisposition.

Diagnosis of Epigastric Hernias: Medical Evaluation and Imaging

Diagnosing an epigastric hernia typically involves a combination of physical examination and, in some cases, imaging studies. The process usually includes:

• Medical history review: The doctor will ask about symptoms and risk factors
• Physical examination: Palpation of the abdomen to detect any protrusions
• Imaging studies: Ultrasound, CT scan, or MRI may be used for confirmation

During the physical examination, the doctor may ask the patient to cough or strain, which can make the hernia more prominent. In some cases, especially with smaller hernias, imaging studies may be necessary to confirm the diagnosis and assess the extent of the hernia.

How is an epigastric hernia diagnosed?

Epigastric hernias are primarily diagnosed through a physical examination by a healthcare professional. The doctor will palpate the abdominal area to detect any protrusions or abnormalities. In some cases, the patient may be asked to cough or strain to make the hernia more visible. If the physical examination is inconclusive or if more detailed information is needed, imaging studies such as ultrasound, CT scan, or MRI may be ordered to confirm the diagnosis and assess the size and location of the hernia.

Treatment Options for Epigastric Hernias: Surgical Approaches

The primary treatment for epigastric hernias is surgical repair. Unlike some other types of hernias, epigastric hernias do not resolve on their own and typically require intervention to prevent complications. The surgical approach may vary depending on the size of the hernia and individual patient factors.

Surgical options for epigastric hernia repair include:

1. Open surgery: Traditional approach with a larger incision
2. Laparoscopic surgery: Minimally invasive technique using small incisions
3. Robotic-assisted surgery: Advanced minimally invasive approach

During the surgery, the protruding tissue is pushed back into place, and the weakened area of the abdominal wall is reinforced. This reinforcement may be done using sutures alone for smaller hernias or with the addition of surgical mesh for larger defects.

Is surgery always necessary for epigastric hernias?

In most cases, surgery is recommended for epigastric hernias, even if they are asymptomatic. This is because epigastric hernias do not heal on their own and may grow larger over time, potentially leading to complications. However, the timing of surgery may depend on factors such as the size of the hernia, the presence of symptoms, and the overall health of the patient. In some cases, particularly for very small, asymptomatic hernias, a “watchful waiting” approach may be adopted, with regular monitoring to check for any changes or developments.

Potential Complications of Untreated Epigastric Hernias

While some epigastric hernias may remain small and asymptomatic, leaving them untreated can lead to various complications:

• Hernia enlargement: The hernia may grow larger over time
• Increased pain and discomfort: As the hernia grows, it may cause more noticeable symptoms
• Bowel obstruction: In severe cases, part of the intestine may become trapped in the hernia
• Strangulation: Blood supply to the trapped tissue may be cut off, leading to tissue death
• Loss of domain: The hernia becomes so large that it’s difficult to repair even with mesh

These potential complications underscore the importance of seeking medical attention and considering surgical repair, even for small or asymptomatic epigastric hernias.

What are the risks of leaving an epigastric hernia untreated?

Leaving an epigastric hernia untreated can lead to several risks and complications. The hernia may gradually enlarge, causing increased pain and discomfort. In more severe cases, it can lead to bowel obstruction, where part of the intestine becomes trapped in the hernia, or strangulation, where the blood supply to the trapped tissue is cut off, potentially resulting in tissue death. Additionally, as the hernia grows larger, it may become more challenging to repair surgically, a condition known as loss of domain. These risks highlight the importance of seeking medical attention and considering treatment options, even for small or asymptomatic epigastric hernias.

Recovery and Aftercare Following Epigastric Hernia Surgery

Recovery after epigastric hernia surgery varies depending on the surgical approach and individual factors. Generally, patients can expect:

1. Hospital stay: Typically outpatient or short (1-2 days) inpatient stay
2. Pain management: Prescribed medications to manage post-operative discomfort
3. Activity restrictions: Limited physical activity for several weeks
4. Follow-up appointments: Regular check-ups to monitor healing
5. Gradual return to normal activities: Usually within 4-6 weeks

Patients are typically advised to avoid heavy lifting and strenuous activities for several weeks after surgery. Following the surgeon’s post-operative instructions carefully can help ensure proper healing and reduce the risk of complications or hernia recurrence.

How long does it take to recover from epigastric hernia surgery?

The recovery time after epigastric hernia surgery can vary depending on factors such as the size of the hernia, the surgical technique used, and the individual patient’s health. Generally, patients can expect to return to light activities within a few days to a week after surgery. Full recovery, including the ability to engage in strenuous activities or heavy lifting, typically takes about 4-6 weeks. However, it’s important to follow the specific post-operative instructions provided by your surgeon, as individual recovery times may vary. Regular follow-up appointments will help monitor the healing process and guide the gradual return to normal activities.

Preventing Epigastric Hernias: Lifestyle Modifications and Risk Reduction

While not all epigastric hernias can be prevented, certain lifestyle modifications may help reduce the risk or prevent recurrence after surgical repair:

• Maintaining a healthy weight to reduce abdominal pressure
• Practicing proper lifting techniques to avoid strain on the abdominal muscles
• Quitting smoking to improve overall tissue health and healing
• Managing chronic cough through appropriate medical treatment
• Avoiding constipation through a high-fiber diet and adequate hydration
• Engaging in regular, moderate exercise to strengthen abdominal muscles

It’s important to note that while these measures may help reduce the risk, they cannot guarantee prevention of epigastric hernias, especially in cases where there is a genetic predisposition or developmental factors at play.

Can epigastric hernias be prevented?

While it’s not always possible to prevent epigastric hernias, especially those caused by developmental factors, certain lifestyle modifications may help reduce the risk. Maintaining a healthy weight, practicing proper lifting techniques, quitting smoking, managing chronic cough, avoiding constipation, and engaging in regular, moderate exercise to strengthen abdominal muscles can all contribute to reducing the risk of developing an epigastric hernia. However, it’s important to note that these measures cannot guarantee prevention, particularly in cases where there’s a genetic predisposition. If you have concerns about your risk for epigastric hernias, it’s best to consult with a healthcare professional for personalized advice.

Epigastric Hernia: Symptoms, Diagnosis, and Treatment

Epigastric Hernia: Symptoms, Diagnosis, and Treatment

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Medically reviewed by Andrew Gonzalez, M. D., J.D., MPH — By Diana Wells — Updated on August 29, 2017

Overview

A hernia is a generic term for a hole caused by a weak spot in your abdominal wall. An epigastric hernia is a type of hernia in the epigastric region of the abdominal wall. It’s above the belly button and just below the sternum of your rib cage.

This type of hernia is a somewhat common condition in both adults and children. About 2 to 3 percent of all abdominal hernias are epigastric hernias. It’s also seen in infants.

Most of the time, you’ll have no symptoms or only minor symptoms with an epigastric hernia. A lack of symptoms means that this condition tends to go unreported.

An epigastric hernia usually causes a bump to occur in the area below your sternum, or breastbone, and above your belly button. This bump is caused by a mass of fat that has pushed through the hernia.

The raised area may be visible all the time or only when you cough, sneeze, or laugh. This bump, or mass, can grow and become larger in some cases. You can have more than one epigastric hernia at a time.

An epigastric hernia can also cause tenderness and pain in the epigastric region. However, it’s common for an epigastric hernia not to show any symptoms.

An epigastric hernia can occur when the tissues in the abdominal wall don’t close completely during development. Research continues to look for the specific causes of this type of hernia. Not as much is known about epigastric hernias possibly because they aren’t reported many times due to a lack of symptoms.

However, one theory has gained some credibility. It’s believed that the epigastric hernia may be caused when there is tension in the area where the abdominal wall in the epigastric region attaches to the diaphragm.

This type of hernia won’t go away on its own, and complications will eventually lead you to surgery. Surgery is the only way to repair an epigastric hernia. It’s the recommended treatment, even for infants, due to the risk of the hernia enlarging and causing additional complications and pain.

To complete the repair, you might only need sutures, or you may require an implanted mesh. The use of mesh or sutures is determined by the size of the hernia and other factors.

If your epigastric hernia hasn’t been treated, you should get medical treatment immediately if you have vomiting or fevers and an increase in abdominal pain. These may indicate a bowel blockage.

Surgery to repair an epigastric hernia can lead to certain serious complications. If you have any of the following symptoms after surgery, you should seek medical attention:

• high fever
• difficulty urinating
• discharge from the surgical site
• an increase in pain or swelling at the surgical site
• bleeding that won’t stop
• nausea
• vomiting

The complications for an untreated epigastric hernia include the following:

• enlarged hernia, which eventual allows parts of the bowel to push through
• increase or onset of pain and tenderness
• bowel blockage
• loss of domain, in which the hernia becomes so large that’s nearly impossible to repair even with a mesh

The complications for the surgical repair of epigastric hernia includes any basic complications surrounding surgery and general anesthesia as well as those related to this specific surgical procedure. These complications may include:

• bleeding
• pain
• wound infection at the surgical site
• scarring left after healing
• blood clots
• development of a lump that isn’t a hernia
• a low chance of the hernia recurring
• mesh infection (in the event an artificial mesh is used to repair the hernia)

Surgical repair of an epigastric hernia is a common procedure and has a very positive outlook. Most people are able to go home the same day as the surgery.

You might even be able to return to work or school within a day or two with some minor restrictions. Specifically, most surgeons don’t want you lifting any weight heavier than a gallon of milk for six to eight weeks.

Your doctor will tell you how quickly you should return to your normal activities. Usually, your restrictions will include no heavy lifting and no strenuous activities or sports for a brief period of time.

Last medically reviewed on August 28, 2017

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

• Coats RD, et al. (2000). Presentation and management of epigastric hernias in children [Abstract]. DOI:
  10.1053/jpsu.2000.19242
• Corsale I, et al. (2000). Diagnosis and treatment of epigastric hernia. Analysis of our experience. [Abstract].
  ncbi.nlm.nih.gov/pubmed/11155474
• Debrah SA, et al. (2013). Epigastric hernia in pregnancy: A management plan based on a systematic review of literature and a case history. DOI:
  10.1007/s12262-012-0632-3
• Epigastric hernia repair. (n.d.).
  ruh.nhs.uk/patients/services/upper_gi/documents/epigastric_hernia4.pdf
• Parsons S. (2010). Epigastric hernia repair.
  bmihealthcare.co.uk/treatments/general-surgery/epigastric-hernia-repair
• Ponten JE, et al. (2012). Pathogenesis of the epigastric hernia. [Abstract]. DOI:
  10.1007/s10029-012-0964-8
• Venkatesh M, et al. (n.d.). Epigastric hernia.
  radiopaedia.org/articles/epigastric-hernia

Share this article

Medically reviewed by Andrew Gonzalez, M.D., J.D., MPH — By Diana Wells — Updated on August 29, 2017

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Epigastric Hernia: Symptoms, Diagnosis, and Treatment

Epigastric Hernia: Symptoms, Diagnosis, and Treatment

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    • IBD
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Medically reviewed by Andrew Gonzalez, M. D., J.D., MPH — By Diana Wells — Updated on August 29, 2017

Overview

A hernia is a generic term for a hole caused by a weak spot in your abdominal wall. An epigastric hernia is a type of hernia in the epigastric region of the abdominal wall. It’s above the belly button and just below the sternum of your rib cage.

This type of hernia is a somewhat common condition in both adults and children. About 2 to 3 percent of all abdominal hernias are epigastric hernias. It’s also seen in infants.

Most of the time, you’ll have no symptoms or only minor symptoms with an epigastric hernia. A lack of symptoms means that this condition tends to go unreported.

An epigastric hernia usually causes a bump to occur in the area below your sternum, or breastbone, and above your belly button. This bump is caused by a mass of fat that has pushed through the hernia.

The raised area may be visible all the time or only when you cough, sneeze, or laugh. This bump, or mass, can grow and become larger in some cases. You can have more than one epigastric hernia at a time.

An epigastric hernia can also cause tenderness and pain in the epigastric region. However, it’s common for an epigastric hernia not to show any symptoms.

An epigastric hernia can occur when the tissues in the abdominal wall don’t close completely during development. Research continues to look for the specific causes of this type of hernia. Not as much is known about epigastric hernias possibly because they aren’t reported many times due to a lack of symptoms.

However, one theory has gained some credibility. It’s believed that the epigastric hernia may be caused when there is tension in the area where the abdominal wall in the epigastric region attaches to the diaphragm.

This type of hernia won’t go away on its own, and complications will eventually lead you to surgery. Surgery is the only way to repair an epigastric hernia. It’s the recommended treatment, even for infants, due to the risk of the hernia enlarging and causing additional complications and pain.

To complete the repair, you might only need sutures, or you may require an implanted mesh. The use of mesh or sutures is determined by the size of the hernia and other factors.

If your epigastric hernia hasn’t been treated, you should get medical treatment immediately if you have vomiting or fevers and an increase in abdominal pain. These may indicate a bowel blockage.

Surgery to repair an epigastric hernia can lead to certain serious complications. If you have any of the following symptoms after surgery, you should seek medical attention:

• high fever
• difficulty urinating
• discharge from the surgical site
• an increase in pain or swelling at the surgical site
• bleeding that won’t stop
• nausea
• vomiting

The complications for an untreated epigastric hernia include the following:

• enlarged hernia, which eventual allows parts of the bowel to push through
• increase or onset of pain and tenderness
• bowel blockage
• loss of domain, in which the hernia becomes so large that’s nearly impossible to repair even with a mesh

The complications for the surgical repair of epigastric hernia includes any basic complications surrounding surgery and general anesthesia as well as those related to this specific surgical procedure. These complications may include:

• bleeding
• pain
• wound infection at the surgical site
• scarring left after healing
• blood clots
• development of a lump that isn’t a hernia
• a low chance of the hernia recurring
• mesh infection (in the event an artificial mesh is used to repair the hernia)

Surgical repair of an epigastric hernia is a common procedure and has a very positive outlook. Most people are able to go home the same day as the surgery.

You might even be able to return to work or school within a day or two with some minor restrictions. Specifically, most surgeons don’t want you lifting any weight heavier than a gallon of milk for six to eight weeks.

Your doctor will tell you how quickly you should return to your normal activities. Usually, your restrictions will include no heavy lifting and no strenuous activities or sports for a brief period of time.

Last medically reviewed on August 28, 2017

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

• Coats RD, et al. (2000). Presentation and management of epigastric hernias in children [Abstract]. DOI:
  10.1053/jpsu.2000.19242
• Corsale I, et al. (2000). Diagnosis and treatment of epigastric hernia. Analysis of our experience. [Abstract].
  ncbi.nlm.nih.gov/pubmed/11155474
• Debrah SA, et al. (2013). Epigastric hernia in pregnancy: A management plan based on a systematic review of literature and a case history. DOI:
  10.1007/s12262-012-0632-3
• Epigastric hernia repair. (n.d.).
  ruh.nhs.uk/patients/services/upper_gi/documents/epigastric_hernia4.pdf
• Parsons S. (2010). Epigastric hernia repair.
  bmihealthcare.co.uk/treatments/general-surgery/epigastric-hernia-repair
• Ponten JE, et al. (2012). Pathogenesis of the epigastric hernia. [Abstract]. DOI:
  10.1007/s10029-012-0964-8
• Venkatesh M, et al. (n.d.). Epigastric hernia.
  radiopaedia.org/articles/epigastric-hernia

Share this article

Medically reviewed by Andrew Gonzalez, M.D., J.D., MPH — By Diana Wells — Updated on August 29, 2017

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  READ MORE

Diagnostics and methods of treatment of intercostal hernia

Free appointment
and diagnostics

Pain relief
for 1-2 sessions

Author’s method
treatment

Internships in the USA,
Israel, Germany

Intercostal hernia in female and male patients is diagnosed with the same frequency. Pathology is accompanied by degeneration of muscle tissue. The likelihood of dystrophic changes increases under the influence of an inactive lifestyle, impaired posture, and alcohol abuse.

1

Positive dynamics in 97% of cases

The results of the treatment course are confirmed by control MRI images.

2

No side effects

The methods used in our clinic are safe and have no side effects.

3

Long-term effect

Treatment minimizes the risk of new hernias in other segments, as well as hernia recurrence.

What is the disease

The patient is diagnosed with an abnormal location of the pleural membrane, which is accompanied by defragmentation of the lung alveolar tissue. In this case, the hernial sac protrudes into the formed hole. With such a disease, the condition of the intercostal muscles worsens.

In the spine treatment clinic of Dr. Length, it is possible to correct intercostal hernia without surgery. Manual therapy helps to eliminate the defect in muscle tissue in the affected area, which reduces the risk of recurrence.

The main causes of development

As a rule, the formation of a hernia occurs under the influence of several provoking factors:

• Previous injuries (fractured ribs, sprain, contusion of the chest).
• Scoliosis.
• Osteochondrosis, accompanied by degenerative-dystrophic changes. With this disease, the condition of the cartilaginous tissue of the structures of the ribs and spine worsens.
• Bronchial asthma. This pathology is characterized by attacks of shortness of breath and cough. In this case, there is an increase in intracavitary pressure in the chest, which causes protrusion of the intercostal space.
• Chronic pathologies of the respiratory system (pleurisy, emphysema, chronic bronchitis of various nature, chronic obstructive pulmonary disease).
• Ascites, which is accompanied by a sharp increase in intra-abdominal pressure.
• Occupational activities of the patient. The high-risk group includes musicians who play wind instruments, glassblowers.

One of the reasons for the appearance of pathology is the deterioration of the tone of the intercostal muscles, which develops against the background of the formation of Schmorl’s hernia. In this case, the motor fibers of the spinal roots are infringed.

Types of disease

Selected types of intercostal hernia are listed in the table below.

Treatment success is 90% dependent on experience
and physician qualifications.

Free medical consultation and diagnostics

• Chiropractor
• Vertebrologist
• Osteopath
• Neurologist

During the consultation, we carry out a thorough diagnosis of the entire spine and each segment. We are exactly
we determine which segments and nerve roots are involved and cause symptoms of pain. As a result of the consultation
We give detailed recommendations for treatment and, if necessary, prescribe additional diagnostics.

1

Perform functional diagnostics of the spine

2

Let’s perform a manipulation that significantly relieves pain

3

We will create an individual treatment program

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The most dangerous location of the hernia is in the upper intercostal spaces (on the left side). Such a pathology often provokes a deterioration in hemodynamics in the systemic circulation. At the initial stage of the disease, a partial dislocation of the heart muscle is often diagnosed.

When the pathology is localized in the region of the apex of the lung, the cicatricial deformity of the organ progresses rapidly. This can lead to the development of chronic respiratory failure.

Main signs and diagnosis

Degenerative intercostal hernia is often characterized by lability. It is noticeable during a deep breath, a prolonged attack of coughing. In a normal state, such a hernia completely disappears. Pathology has no pronounced symptoms. A degenerative intercostal hernia is often discovered by chance, during an examination by an osteopath. Such a pathology is dangerous because with its sudden infringement, necrosis of lung tissue can occur.

When an intercostal hernia is located on the right side, there is a periodic tingling sensation in the affected area. Discomfort is aggravated by a sharp turn in the prone position. Increased pain is provoked by:

• fall;
• increased physical activity;
• pathology of the abdominal organs.

One of the most informative methods is magnetic resonance imaging. This technique is used for the differential diagnosis of intercostal hernia with cancer.

Computed tomography is an x-ray method that involves layer-by-layer scanning of tissues. The technique allows you to accurately identify the localization of adverse changes.

Methods of treatment

When treating a disease, the following therapeutic methods are used:

• performing a special course of therapeutic exercises designed to strengthen the muscular frame of the back;
• reflexology to stimulate the process of regeneration of affected tissues;
• osteopathy, which improves the circulation of lymphatic fluid in the focus of pathology.

The course of treatment is developed individually. You should first make an appointment with a chiropractor in our clinic.

Medicines

Your doctor may prescribe the following drugs:

• Non-steroidal anti-inflammatory drugs. Such drugs have a complex effect. Non-steroidal anti-inflammatory drugs eliminate pain, reduce swelling, and eliminate the inflammatory process. Medicines are taken strictly for a limited time. Otherwise, there is a negative effect on the mucous membrane of the digestive tract.
• Glucocorticoids. Means are prescribed for severe pain syndrome. Glucocorticoids are known for their pronounced anti-inflammatory and analgesic properties. Means are taken strictly in the dosage prescribed by the doctor.
• Vitamin and mineral preparations that enhance immunity. These products provide the body with essential nutrients.
• Cough suppressants. Assign as part of a comprehensive treatment of the disease in the event that a cough provokes an increase in hernia. In this case, mucolytics, expectorant drugs, preparations for inhalation and rinsing are used.

Traditional methods

As part of complex therapy, traditional methods can be used:

• Herbal teas based on oregano, St. John’s wort, chamomile, thyme. Medicinal plants have antiseptic, anti-inflammatory properties. Herbal teas stimulate the rapid discharge of sputum. Homemade drinks have a soothing effect on the irritated pharyngeal mucosa in people with tobacco dependence.
• Rubbing camphor oil on the chest. The warming procedure has a positive effect on blood circulation. Rubbing with camphor oil improves blood microcirculation in the affected part of the lungs.

Folk methods are resorted to only after consulting a doctor. Before using such products, you should make sure that there is no allergic reaction to the components.

Possible complications

In the absence of timely treatment, the risk of the following complications increases:

• Pleurisy. The inflammatory process in the region of the pleural petals occurs due to the compression of part of the lung by the ribs.
• Shortness of breath, breathing problems.

One of the consequences of the disease is an increase in the size of the protruding lung fragment. This often causes the patient considerable discomfort in everyday life.

Other diseases that are successfully treated in the spine clinic Doctors Length

You should also contact the clinic if you have the following pathologies:

• arthrosis of the knee joint;
• pain in the tendons;
• bursitis of the knee;
• spinal dysplasia in adults.

Doctors Length’s Spine Clinic also provides assistance in the treatment of gonarthrosis. As part of the complex therapy of the disease, taping, orthopedic insoles, and the unique Di-Tazin therapy method are used.

Treatment of intercostal hernia in the clinic helps to get rid of pain. When using effective therapeutic methods, the nutrition of the affected tissues improves.

We are recommended by 94% of patients.
Thank you for your trust and your choice.

Material checked by expert

Mikhailov Valery Borisovich

Manual therapist, vertebrologist, neurologist

Work experience – 25 years

Video reviews of patients

Articular block in the neck neck

Dr. Length clinic I came with spinal problems. With two intervertebral lower hernias and two intervertebral hernias in the neck. I was assigned a comprehensive 10 step program. For 4 months, my lower vertebrae completely disappeared and crunches in my neck disappeared …

Lumbo-sacral hernia

“After the first time, my back stopped hurting. I felt relieved. Now 7 sessions have already passed and the back really does not hurt. I began to forget about it. And at first it hurt a lot.”

Inflammation of the sciatic nerve

“For 4 months I suffered from severe inflammation of the sciatic nerve on the right side. After the first visit, relief came immediately within six hours. After 6 courses, the pain was almost gone.

Pain in the lower back and leg

Yakovleva Natalya Mikhailovna
Head of the department, surgeon of the highest category, oncologist-mammologist
I want to express my deep gratitude for the fact that I was put on my feet in the truest sense of the word. I came to the clinic a month and a half ago with severe pain in the lower back and leg. These complaints were long enough and the treatment that I used in the past was ineffective. Fortunately, I ended up in the clinic of Dr. Length and his team of super professionals!

Osteochondrosis of the cervical spine

“I applied 2 months ago with osteochondrosis of the cervical spine. I have a sedentary job and my neck muscles were very cramped. It was impossible to work. Before that, I went to other doctors, but this did not solve my problem. For 2 months I have a fairly positive dynamics. Every week it gets better and better.”

Bechterew’s disease

“I have had Bechterew’s disease for 10 years. The vertebrae began to move out, I began to slouch. I turned to other chiropractors, very famous, media ones. In the end, I didn’t get any results. After 2 sessions I felt much better. Now I don’t have any pain.”

Pain in the spine

“I came in with problems in my back, cervical, thoracic and lumbar spine. I was prescribed procedures, had a massage, and was assigned to do physical education at home. This made it much easier for me. I’m already turning my head. I have no pain.”

Shoulder shoulder periarthrosis

I went to the clinic with severe pain in my shoulder. My hand did not rise, I could not sleep at night, I woke up from pain. After the first treatment session, I felt much better. Somewhere in the middle of the course, my hand began to rise, I began to sleep at night.

Arthrosis of the knee joint, 2nd degree

She came in with a very serious illness. I could not walk, I have arthrosis of the 2nd degree of the knee joint. I went through a course of treatment at the Clinic and now I am going 100%.

Herniated disc

“I came to the clinic after I had back pain and it turned out to be a herniated disc. I went to other places, but they only relieved attacks of pain. Hope for a return to normal life was given only by Sergei Vladimirovich, his golden hands!

Scoliosis

“Since I was a teenager, I have suffered from scoliosis in the thoracic region. I felt a feeling of discomfort, tension, periodic pain in the spine. I turned to various specialists, a massage therapist, an osteopath, but I did not feel a strong effect. After treatment, Length S.V. I almost have a straight spine. Currently, I do not feel any problems and discomfort.”

Intervertebral hernia

“At the 5th-6th session there was an improvement. I felt much better. The pain is gone. Improvement progressed more and more each time. Lesson 10 today. I feel great.”

Pain in the lumbar and cervical region

“I am 21 years old. I went to the clinic with discomfort in the lumbar and cervical region. I also sometimes had sharp pains. After undergoing therapy, I felt a significant improvement in my back. I have no pain. The condition as a whole has improved.”

Pain in the back

“At the beginning of the path of treatment, my back hurt very badly. I could no longer walk. I take 5 steps and stop. My entire journey consisted of such stops. In the very first procedure, I left the office with no pain in my spine.”

Cervical hernia

“I came in with a problem in my neck and my right arm was very sore. The neck did not turn, the hand did not rise. After the 3rd session, I felt better. After the 5th, all this pain began to decrease. It turns out I have 2 hernias in my cervical vertebrae. After the sessions, I did an MRI and one hernia decreased. Now he began to move, his hand earned.

Pain in the neck

“I went to Dr. Long because I had a very bad pain in my neck on the right side. I fell on a snowboard 5 years ago, even went to an osteopath, but somehow it didn’t really help. Now everything is fine, there are some consequences left, the muscles were spasmodic. When I came, I had steel muscles, now my neck is very soft.”

Pain in the thoracic region

“I came to the clinic with back pain, namely in the thoracic region. After 10 sessions of treatment, I could already calmly go about my usual business, sit at work until lunch, without howling in pain. Now I’ve come back for an adjustment after 2 months. I’m fine, my back doesn’t hurt.”

Hernia and protrusion

“I came to the clinic with L4-L5 hernia and L5-S1 protrusion. Today the course of treatment has ended. Lower back hurt, it was difficult to bend down. After completing the course and receiving instructions in the form of physical exercises, it became much easier. After a month of treatment, I do not feel any stiffness of movements. ”

Pain in the lower back and hip joint

“I have been suffering from back pain since I was young. When they became unbearable, I went to Dr. Length’s clinic. Already after the first procedure, the pain in the hip joint was gone. After the third procedure, the shooting pains in the lower back stopped.

Applying today will help

avoid surgery tomorrow!

Relieve pain and inflammation

After 2-3 treatments, exhausting pain goes away, you feel better.

Eliminate the cause of the disease

Comprehensive rehabilitation of the spine improves well-being: you feel a surge of strength and energy.

Let’s start the process of regeneration

The process of restoration of damaged tissues begins, hernias and protrusions decrease.

Let’s strengthen the muscular corset

Strong back muscles support the spinal column, preventing the recurrence of the disease.

We treat

• Inflammation of the joint due to arthrosis of the knee
• Treatment of osteochondrosis of the thoracic spine
• Pain in the back between the shoulder blades
• Osteoarthritis of the shoulder joint
• Effective treatment of sciatica
• Chronic spinal spondylodiscitis

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Pain in the left hypochondrium

The reason for visiting doctors in many patients is pain under the ribs on the left. Many do not pay attention to such a symptom and this only worsens their condition. The reason is that pain can provoke a variety of diseases – from damage to internal organs to spinal injuries, neoplasms, and problems with the nervous system.

Medical statistics show that pain in the left hypochondrium can be diagnosed in people at different ages. They appear in both women and men.

The nature of the pain itself can be different. Sometimes it manifests itself acutely and passes quickly, in other cases it becomes aching and lasts for a long time. The reason for going to the doctor is usually severe pain, a situation in which they begin to interfere with daily life.

Pain in the left side can manifest itself for various reasons. In our clinic, specialists have all the necessary experience and equipment to identify the source of discomfort, reduce it or completely eliminate it.

In this material, we will consider the reasons why pain appears, why it should be tried to be eliminated as quickly as possible.

What can hurt in the left hypochondrium

The area under the rib on the left contains a large number of vital organs. These include such as the stomach and spleen.

Pain can also be a consequence of the poor condition of the dome of the left kidney with the adrenal gland, the pancreas. Muscles and ligaments, diseased lymph nodes, and nerves can get sick.

Also, pain syndrome can be diagnosed due to damage to the spine. In some cases, doctors diagnose problems with the heart and other internal organs, which are located far enough from the specified zone.

Types of pain under the ribs on the right

Pain can be a manifestation of many different pathologies. Doctors distinguish several manifestations of pain. They can be shooting, aching, blunt, dagger, differ in the duration of the attack.

Pain attacks can be provoked for various reasons. For example, they are able to worsen after eating, physical or emotional stress. It is important to monitor the reactions of your body – this will simplify the doctor’s diagnosis of the pathology of the spleen, stomach and other internal organs, and help you choose the best method of treatment.

There are several main types of pain on the left side of the abdomen. These include such as:

• Spastic . The main cause of such pain in the left hypochondrium is a spasm. It affects smooth muscle. Most often, these symptoms are accompanied by colic, intoxication. The attack begins suddenly and also abruptly disappears. Feelings can spread widely throughout the body. Some patients note that they feel pain in the lower back, shoulder blades, and lower extremities.

• Reflected . It is usually provoked by the course of inflammatory processes in the internal organs located in the left hypochondrium. Feelings can be varied – from pulling and stabbing to aching. It is important to note that pain in this case can signal damage to organs that are located far from the area under the left rib.

• Psychogenic . Caused by neurological disorders. The causes of this pain usually become especially difficult to diagnose. In this case, pain can periodically manifest itself in different parts of the body.

• Visceral . Pain is formed due to damage to internal organs. It can be provoked as due to tissue damage, diseases of a different nature.

• Peritoneal . Pain develops due to the fact that the receptors of the peritoneum are irritated. Usually the pain takes on a sharp character, it reacts to movements with intensification.

• Distension . This is the body’s reaction to a strong stretching of the organ. Most often affects the stomach.

The main causes of abdominal pain on the left side

Pain can manifest itself for many reasons. Among them are such dangerous ones as pancreatitis, neoplasms, cirrhosis and many others. It is important to consult a doctor when a pain syndrome appears, who can conduct a correct diagnosis of the abdominal organs.

Sometimes pain may not be provoked by any disease. For example, people who are actively involved in sports sometimes complain about them. In this case, changing the training regimen or the very approach to them helps to solve the problem. For example, conducting a proper warm-up immediately before training.

Much more often, the cause of pain lies in various pathologies of the body. Consider the frequent sources of discomfort that can be diagnosed by doctors.

Acute or chronic pancreatitis

Often, under the left rib begins to hurt when the patient develops pancreatitis. It is an inflammatory disease that affects the pancreas.

Acute pancreatitis is characterized by noticeable symptoms that usually appear suddenly. The pain gradually increases, especially if you turn to your left side. Sometimes an attack is provoked by malnutrition or the use of alcoholic beverages.

With pancreatitis, the pain becomes girdle, which further complicates the process of its diagnosis. The patient may experience other symptoms – vomiting, general weakness, increased body temperature.

If pancreatitis does not receive the right treatment, it becomes chronic. The symptoms are similar, but much less pronounced. Exacerbation can occur after drinking alcohol, fatty, fried foods. Accompanied by nausea, heaviness, bloating.

Pathologies of the gastroduodenal region

Pain syndrome in this case can be provoked by many reasons, most often – peptic ulcer. It can affect the stomach, duodenum.

Additional symptoms include pronounced unpleasant belching, heartburn, worsening after eating. The pain itself can have a different character – from stabbing and dull to aching and squeezing.

Enlargement of the spleen

An enlarged spleen is also called splenomegaly. This is a secondary manifestation of various types of concomitant diseases. In this case, the internal organ can increase its markings by two to three times.

Pain will be aching, prolonged. They are accompanied by discomfort and heaviness after eating.

Unpleasant sensations are stimulated for various reasons, for example, during physical exertion.

There are many reasons for the enlargement of the spleen. This is both an infectious lesion, and the course of many other variants of diseases.

Spleen injury

There are many reasons why an organ can be injured and lose its integrity. Among the common causes of injury are falls, strong blows to the abdomen on the left side.

A rupture of the spleen poses a great risk to the patient. This causes severe bleeding. The pain becomes very intense.

When the injury is received, the patient cannot change the position of the body. Unpleasant sensations will constantly intensify.

Surgical diseases of the spleen

There are many surgical lesions that can potentially lead to pain in the left hypochondrium. At the same time, in order to somehow cope with pain, a person is forced to take a certain fixed position.

Among the most common surgical diseases are such as:

• Abscess . This condition is characterized by a large accumulation of pus. The pain will be strong, throbbing. It can also spread to the chest, lower back, and even to the shoulder blades.

• Heart attack . This is necrosis of the spleen, which can be provoked by the occurrence of thrombosis or embolism. In this case, the pain will have a sharp, stabbing character, give to other internal organs.

• Thrombosis . It affects the splenic vein. Against this background, the body increases, the patient complains of severe discomfort, discomfort. Symptoms are accompanied by vomiting, which may also contain blood impurities.

All of these conditions require urgent medical attention. If pain is ignored, there is a risk of death.

Payr syndrome

This is a congenital pathology that affects the human large intestine. It is usually diagnosed during MRI or ultrasound of the abdominal space.

Pathology is accompanied by pain under the left rib, which can occur after physical exertion or eating. Other symptoms include prolonged constipation, lasting up to five days.

Osteochondrosis

Osteochondrosis is a disease that is accompanied by an active course of the degenerative-dystrophic process. Pathology affects the intervertebral discs and vertebrae. Often the disease manifests itself in older people. In this case, due to a decrease in the gaps between the vertebrae, compression of the nerves and blood vessels occurs. This is what stimulates the appearance of pain, which is reflected in the left hypochondrium.

Herniated disc

It can manifest itself for various reasons, including due to the development of osteochondrosis. In this case, a protrusion appears on the human spine, which may be accompanied by protrusion. In addition to pain, the patient complains of a feeling of numbness, loss of mobility.

Intercostal neuralgia

In addition to the listed causes, pain in the left hypochondrium can also be provoked due to severe compression of the nerves or nerve roots. There can be a lot of reasons for this condition – from diseases of the endocrine system to trauma, infectious diseases.

Pain in intercostal neuralgia manifests itself suddenly and sharply. It turns out to be sharp, burning. The patient may note that the pain begins with a sharp shooting sensation in the spinal column.

Respiratory diseases

When a person begins to complain of pain in the left hypochondrium, many doctors first of all pay attention to potential intestinal damage, inflammation of the stomach cavity and pancreas. But such manifestations can also be characteristic of various types of damage to the respiratory system.

Among the common causes of pain under the left rib there are such as:

• Pneumonia.

• Bronchitis.

• Pleurisy.

Symptoms can be of a different nature, often dull, pulling, quite long in time. Associated symptoms include coughing, shortness of breath, inability to take a deep breath, and many others.

Methods for diagnosing the causes of pain in the left hypochondrium

When a patient goes to the doctor with complaints of pain under the left rib, he is sent for diagnosis. Modern tools allow you to get an accurate picture of the current state of the human body.

Among the main diagnostic methods there are such as:

• ultrasound . Ultrasound diagnosis of the abdominal cavity is recommended. This tool is safe, informative. Ultrasound allows you to assess the size of the internal organ, to understand the features of its structure and other key parameters.

• X-ray . This diagnostic method should be used strictly dosed. The method helps to find the accumulation of fluid, a change in the position of internal organs. Often performed for diseases of the lungs, which can be felt in the left hypochondrium.

• Spleen scintigraphy . The technology belongs to the number of radioisotopes. It helps to check the activity of the body, the features of its current functioning.

• Laparoscopy . It involves performing a visual examination of the abdominal cavity. This allows you to understand if there is bleeding, injury.

• MRI . An effective, safe and informative method that helps to establish the state of internal organs, as well as the circulatory system, nerve endings, intervertebral discs.

There are also many additional diagnostic tools that can be carried out as prescribed by a doctor. They help to check the state of the myocardium, the success of the organs in their functions. These include various tests to detect inflammation and other pathologies.

How to treat pain in the left hypochondrium

The list of remedies for pain under the left rib is very extensive. They are appointed based on the results of a detailed diagnosis of the patient’s condition. To eliminate a strong pain syndrome, various options for painkillers, drugs that relieve spasm are used.

There are several categories of medications that can be prescribed during treatment. These include such as:

• Antibiotics . They are used if the patient has been diagnosed with a bacterial infection. This usually occurs against the background of pneumonia, pleurisy, an increase in the size of the spleen.

• Non-steroidal anti-inflammatory drugs . Helps relieve inflammation and relieve pain.

• Enzymes . Necessary for the patient if he has a violation of the pancreas. The use of such a drug is aimed at stabilizing the digestive process. Steatorrhea is also eliminated, microflora is restored.

• Protease inhibitors . It is the most common drug for the treatment of pancreatitis.

Physiotherapy treatment of pain under the left rib

Depending on which symptom is manifested in the patient, various physiotherapy procedures may be prescribed for the treatment of pain syndrome. These include such as:

• Electrophoresis to enhance the effectiveness of drugs.

• UHF therapy to eliminate constipation and normalize intestinal motility.

• Magnetotherapy to eliminate intercostal neuralgia.

• Iontophoresis with prozerin.

• Reflexology and many others.

Surgery

In some cases, it is not possible to do without the use of surgical intervention. It is usually resorted to when alternative treatments show their failure.

The operation is performed when diagnosing a heart attack, injury to the spleen, abscess.