Original title: Back pain is because of tiredness? Don't be careless! Such pain may be associated with a variety of diseases ...
Back pain should be a very common phenomenon in life, according to the World Health Organization, about 1/3 of the world's population has suffered from back pain at some time.
Long-term sitting, wrong posture, do not like sports, like to carry a shoulder bag... These habits can overwhelm the spine! However, such back pain can be relieved after you change your habits or rest for a few days and do stretching, but if it is long-term pain, accompanied by other discomforts, it may be a disease to find the door, can not be ignored!
What disease signs may be indicated by back pain in different locations? Xiaobian will teach you to distinguish today.
Left back pain
May indicate cardiovascular disease
The human heart is generally on the left side, so the back pain caused by heart disease will generally be concentrated on the left side of the back. Among them, the most typical are angina, acute aortic dissection and myocardial infarction.
Angina, a feeling of squeezing
When angina attacks, the early warning signals from the heart may be transmitted to the precordial area, or to the left shoulder, jaw and even the back, causing back pain. The pain is oppressive and can be accompanied by sweating, chest tightness, shortness of breath, and shortness of breath.
Discomfort lasts about 2 to 5 minutes, with rest or nitroglycerin in relief.
【Diagnostic method】 To confirm angina, multiple examinations such as electrocardiogram, electrocardiogram stress test, coronary artery CTA, and coronary angiography are required.
Myocardial infarction, severe and long-lasting
The pain of myocardial infarction is more intense, with sweating, syncope, and lasts longer, up to 1 hour, or even several hours; in addition, with medication, it is often not relieved, and symptoms may persist.
【Diagnosis】Clinical diagnosis is generally confirmed by electrocardiogram, blood testing of myocardial enzymes and coronary angiography.
Note: Older adults, diabetics, and women are prone to atypical myocardial infarction, with less pronounced pain, but other concomitant symptoms such as dyspnea, syncope, headache, nausea and vomiting, fatigue, and dizziness. Therefore, people with three higher cardiovascular and cerebrovascular diseases, once these discomforts occur, must immediately call the 120 emergency number.
Acute aortic dissection, tearing sensation
Most of the pain in acute aortic dissection is transmitted from the front chest to the back, and the symptoms are tearing or knife-like pain in the chest, back, or abdomen within a few seconds, with a feeling of imminent death.
It is also often accompanied by hypertension, especially the blood pressure of the two arms or lower limbs is very different.
【Diagnostic method】General chest and abdomen ultrasound and active CTA examination can confirm the diagnosis.
Heartache in the back
May be duodenal ulcer, pancreatitis
The duodenum is located in the epigastric abdomen, between the stomach and the jejunum; the pancreas is a narrow gland located behind the epigastric peritoneum, which is adjacent to the peritoneum, and once the abdominal plexus is stimulated and produces pain, it will radiate to the back.
duodenal ulcer
People with Hp infection; long-term mental stress and emotional instability; and people who like to drink, strong tea, coffee and other irritating foods are all high-incidence people with duodenal ulcers.
【Features】 Regular, periodic epigastric pain is the most important manifestation of peptic ulcer, and duodenal ulcer is often hungry pain, pain on an empty stomach, can be alleviated after eating, in addition, it can also be accompanied by pantothenic acid, heartburn, and even nausea symptoms.
It is important to note that if it is only epigastric pain and there is no pain in the back, it is possible that duodenal ulcers occur in the anterior wall of the ball; if there is back pain, then duodenal ulcers may occur in the posterior wall of the ball.
Reminder: The occurrence of ulcers must be treated in time, otherwise patients may have heavy bleeding, perforation, obstruction, repeated attacks and even the possibility of cancer.
pancreatitis
People who often overeat, eat too greasy, drink alcohol, and patients with gallstones are all high-incidence people with pancreatitis.
【Features】 95% of pancreatitis patients will have persistent abdominal pain, more than half of which may have back pain, and the pain is aggravated when lying on the back and lessened when bending the knee.
It can also be accompanied by full abdominal distention, nausea and vomiting, and reduced diet that cannot be alleviated, or persistent fever, and the phenomenon that ordinary antipyretic drugs are ineffective.
Reminder: Pancreatitis in mild disease if not properly treated, easy to turn into severe disease, at this time, shock, kidney failure and the pancreas itself necrotic infection, or even death!
Lower back pain
It may be ankylosing spondylitis coming to the door
Ankylosing spondylitis is often referred to as "undead cancer", if not controlled in time, it can affect the sacroiliac joint, gradually cause serious spinal deformities in the later stage, and even damage internal organs and various organs of the human body, while affecting mental health, so that patients have depression, anxiety and other adverse emotional problems, disrupting normal work and life.
【Features】
Pain and stiffness in the lower lower back and sacroiliac area, and lasted for more than 3 months, and the symptoms were obvious after waking up in the morning, and the symptoms were relieved after moving the body.
After that, the neck and chest are difficult to move, breathing is not smooth, and in severe cases, they will walk and sway, and eventually hunchback deformity.
It may also be accompanied by persistent fever, fatigue, redness and swelling of the eyes, loss of appetite, etc.
Pain along the spine
May be a bone and joint problem
Osteoporosis and osteoporosis are more common bone diseases in the elderly, and they both cause back pain.
Primary osteoporosis
Osteoporosis is a systemic bone degeneration characterized by bone microstructural destruction, increased bone fragility, and susceptibility to fractures, caused by bone volume reduction.
【Features】Generally, bone pain can occur when more than 12% of bone mass is lost, and the pain is often spread along the spine to both sides, slightly reduced when lying on the back or sitting, and aggravated when stretching the waist or standing for a long time.
If the pain persists for a long time, it will become short, hunched, deformed, and accompanied by chest tightness, difficulty breathing, bloating, constipation and other visceral dysfunction; what is more, sneezing and coughing can cause fractures.
Bone hyperplasia
Bone hyperplasia is due to joint degeneration, resulting in joint cartilage wear and damage, so that calcium and other minerals free from the bone to form bone spurs, resulting in chronic arthropathy.
【Features】 When osteogenesis occurs in the spine, bone hyperplasia around the vertebral body is relatively large, stimulating ligament soft tissues, it is possible to cause similar symptoms such as back pain.
Persistent vague pain, worsening during movement, swelling, fluid accumulation, limited joint mobility, and even joint deformation occurs as the condition worsens.
In general, back pain should not be ignored, the symptoms are only auxiliary identification, and the specific cause is determined by the hospital.
Source: Popular Science China WeChat public account
Guangzhou Daily New Flower City Editor: Chen Tingting