Back pain is a very common phenomenon in life. According to WHO statistics, about one-third of the world's population has suffered from back pain at a certain period of time.
Long-term sitting at the desk for a long time, wrong standing posture, not loving exercise, and likes to carry a shoulder bag... These habits will overwhelm the spine. However, such back pain can be relieved after you change your habits, take a few days off, and stretch. However, if it is long-term pain and other discomfort, it may be a disease that comes to you and cannot be ignored!
What disease signals may indicate when back pain in different locations? Today I will teach you how to distinguish between ~
1
left back pain, which may indicate that the heart of a person is located in the lower left part of the middle part of the chest cavity, so back pain caused by heart disease will generally be concentrated on the left back. Among them, the most typical ones are angina pectoris, acute aortic dissection and myocardial infarction. 1. Angina pectoris. When angina pectoris occurs, the warning signal from the heart may be transmitted to the pre-cardiac area, or to the left shoulder, jaw or even the back, causing back pain. The pain is pressing and will be accompanied by excessive sweating, chest tightness and breathing, palpitations and shortness of breathing , etc. The discomfort lasts about 2 to 5 minutes, and it will be relieved if you take nitroglycerin and after rest or take nitroglycerin. Diagnosis method: The diagnosis of angina requires multiple examinations such as electrocardiogram, electrocardiogram load test, coronary artery CTA, coronary angiography.
2. Myocardial infarction, severe and lasting
The pain of myocardial infarction will be more severe, which may be accompanied by sweating and fainting; the duration is longer, up to 1 hour, or even several hours; in addition, after taking medication, most of it cannot be relieved, and the symptoms continue to exist. Diagnosis method: Clinical diagnosis is generally confirmed through electrocardiogram, blood test myocardial enzyme and coronary angiography. Note: Elderly, diabetic patients and female patients are prone to atypical myocardial infarction and the pain is not obvious, but there are other accompanying symptoms, such as dyspnea, fainting, headache, nausea, vomiting, fatigue, and dizziness. Therefore, if people with cardiovascular and cerebrovascular diseases such as "three highs", they must call 120 emergency number immediately.
3. Acute aortic dissection, tearing sensation
Most of the pain in acute aortic dissection is transmitted from the front chest to the back. The symptoms are torn or cut-like pain in the chest, back or abdomen within a few seconds, and it feels like it is on the verge of death. It is also often accompanied by hypertension and , especially the blood pressure on both arms or lower limbs is very different. Diagnosis method: Generally, thoracic and abdominal color ultrasound and active CTA examination can clearly diagnose it. 2
Back center pain
may be duodenal ulcer , pancreatitis
duodenum is located in the upper abdomen, between the stomach and jejunum; pancreas is a narrow gland located behind the peritoneum in the upper abdomen, both of which are adjacent to the peritoneum. Once the abdominal nerve plexus is stimulated and a pain is produced, it will radiate to the back.
1 and duodenal ulcer
have Hp infection; long-term mental tension and emotional instability; people who like to drink alcohol, strong tea, coffee and other irritating foods are all high-prone groups of duodenal ulcers.
Features: Regular and periodic upper abdominal pain is the main manifestation of peptic ulcer , while duodenal ulcers are often hunger pain, which is severe on an empty stomach and can be relieved after eating. In addition, it may also be accompanied by pantothenic acid , heartburn, and even nausea. It should be noted that if it is only pain in the upper abdomen and no back pain, it may be that duodenal ulcers occur on the anterior wall of the ball; if it is pain in the back, then duodenal ulcers may occur on the posterior wall of the ball. Reminder: If ulcers occur in
, you must be treated in time, otherwise the patient may experience heavy bleeding, perforation, obstruction, and repeated attacks and even cancer.
2, pancreatitis
People who often overeat and eat too greasy, drink alcohol, and have gallstones are all high-incidence people with pancreatitis. Characteristics: 95% of patients with pancreatitis experience persistent abdominal pain, more than half of which may experience back pain, and the pain worsens when lying on your back and is relieved when you bend over and bend your knees.It can also be accompanied by total abdominal distension, nausea and vomiting, and a reduction in diet cannot relieve it; or it may be persistent fever and the phenomenon of ordinary antipyretic drugs ineffective. Reminder: If pancreatitis is not treated correctly in mild cases, it is easy to turn into severe cases. At this time, shock , renal failure, necrotic infection of the pancreas itself, and even death may occur! 3
Lower waist pain
may be ankylosing spondylitis. Hit
Ankylosing spondylitis is often called "undead cancer". If not controlled in time, it can affect the sacroiliac joints, and gradually cause serious spinal deformities in the later stage, even damage the internal organs and various organs of the human body. At the same time, it affects mental health, causing patients to experience adverse emotional problems such as depression and anxiety, disrupting normal work and life.
Features:
① Pain and stiffness in the lower waist and sacroiliac area, and lasts for more than 3 months. The symptoms are obvious after getting up in the morning, and the symptoms are relieved after moving.
② Difficult to move the neck and chest, poor breathing, and in severe cases, they will walk and eventually become hunchback deformed.
③ It may also be accompanied by continuous fever, fatigue, redness and swelling of eyes, loss of appetite, etc.
4
pain along the spine may be caused by bone joint problems
Osteoporosis and osteoporosis are relatively common bone diseases in middle-aged and elderly people, and they all cause back pain.
1, primary osteoporosis
osteoporosis is caused by the decrease in bone mass , and systemic skeletal degeneration is characterized by the destruction of bone microstructure, increased bone brittleness and prone to fractures. Features: Generally, if the bone mass is lost by more than 12%, bone pain will occur. The pain often spreads along the spine to both sides. It will be slightly relieved when lying on your back or sitting, and it will be aggravated when stretching or standing for a long time. If the pain lasts for a long time, it will become shorter, hunched back, spinal deformity, and will be accompanied by internal organ dysfunction such as chest tightness, dyspnea, abdominal distension, constipation, etc.; and even more, sneezing and coughing will cause fractures.
2, bone hyperplasia
Bone hyperplasia is caused by joint degeneration, causing joint cartilage wear and damage, causing calcium and other minerals to free the bone to form bone spurs, and thus causing chronic joint diseases. Features: When bone hyperplasia occurs in the spine and the bone hyperplasia around the vertebrae is relatively large and stimulating the soft tissue of the ligament, it may cause similar symptoms such as back pain. It is a persistent dull pain, and the pain worsens when it is active; after the condition worsens, the joints appear swelling, effusion, joint movement is limited, and even joint deformation is even. In general, don’t ignore back pain. Symptoms are only auxiliary to identify them. The specific cause of the disease must be determined by the hospital. Review｜Li Nannan Director of Hunan Popular Science Writers Association Deputy Director of the Research and Publicity Department of Hunan Science and Technology Association Second-level Researcher Chinese Popular Science Expert (Medical Direction)
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