What is the cause of the dull pain under the left ribs?

The dull pain below the left rib makes many people worry, and when this kind of pain occurs, you need to be vigilant because it may be caused by diseases such as costal neuritis, myocardial ischemia, and neurological cardiopathy.

1. Pain below the left rib

1. Costal neuritis 2. Myocardial ischemia 3. Neurological cardiopathy. If it is a young person, 1 and 3 are more common, but the pain of costal neuritis is aggravated by pressing with hands and breathing, so it is generally more common than 3. This is caused by a kind of neurohumoral regulation of stress. The cause is unknown. It is often caused by fatigue, hunger, excitement, dietary stimulation and other reasons. The symptoms generally last from a few seconds to tens of minutes, but can be relieved by themselves. There is no better treatment now. It is generally believed that avoiding the above-mentioned inducing factors can greatly reduce the incidence.

2. Pain below the right rib

The main organs on the right side are the liver and gallbladder. The most common hepatobiliary diseases are:

1. Many patients with acute cholecystitis develop the disease in the middle of the night after eating a greasy dinner, because a high-fat diet can increase the contraction of the gallbladder, and lying flat can easily make small gallstones slide into and become stuck in the gallbladder duct. The main symptoms are persistent pain in the right upper abdomen, which worsens intermittently and may radiate to the right shoulder and back; it is often accompanied by fever, nausea and vomiting, but chills are rare and jaundice is mild. Abdominal examination revealed fullness in the right upper abdomen, tense abdominal muscles in the gallbladder area, and obvious tenderness and rebound pain.

2. The symptoms and signs of chronic cholecystitis are atypical. Most of the symptoms are biliary indigestion, aversion to greasy food, upper abdominal distension, belching, heartburn, etc., which are similar to ulcer disease or chronic appendicitis. Sometimes, due to stones blocking the gallbladder duct, it may be an acute attack, but when the stones move and the obstruction is relieved, the condition will improve rapidly. Physical examination may reveal mild tenderness or percussion pain in the gallbladder area; if there is hydrops in the gallbladder, a round, smooth cystic mass can often be felt.