Pain in the solar plexus: causes,treatment

Update: October 2018

An area the size of a human fist, midway between
the end of the sternum and the navel, in the midline of the abdomen is a projection
the largest in the cluster of nerves in our body – the solar

Pain in the solar (celiac, splanchnic) plexus
– a serious symptom. He may testify as diseases
abdominal organs, which the plexus transmits commands from the brain, and
about inflammation of the very cluster of nerves. The latter state is not at all
safe: it “can” reflexively stop breathing

Anatomy and physiology

The abdominal cavity begins immediately under the costal arches. Her
separates from the chest a large stretched between the ribs like
tent, muscle diaphragm, whose task is to provide breathing
person There is a hole in the diaphragm. Through him from the chest
cavity passes the largest artery – the aorta. Behind her on the level
The first lumbar vertebra contains a whole network of nerves
originating from a few ganglia.

The main ones are the two semi-lunar ganglia (the so-called nervous
nodes, representing the place where, is coated;
there is a connection of nerve endings). From them, like rays
suns, nerves to all organs of the abdominal cavity, as well as to
diaphragm, adrenal glands and ovaries. The main majority of them
represented by parasympathetic fibers (there are also sympathetic
and sensory nerves). The appearance of this “abdominal brain” and
stipulated its name.

Pain in the solar plexus is a dangerous symptom: it can
testify about the pathology of its constituent nerves
fibers. Such a violation of the impulses is fraught with “off”
or “interruptions in the work” of those internal organs that receive
команды от чревного plexus. Most dangerous if affected
branches going to the diaphragm – they can “turn off” the breath that
will require emergency assistance. So all you can do is
This is when the pain “under the spoon” urgently ask for
medical care.

Causes of pain

The main causes of pain in the solar plexus can be divided into 2

  • Damage to the nerve fibers themselves during their bacterial injury
    or viral inflammation.
  • Reactive pain due to a disease of one of the abdominal organs,
    which are suitable sensitive fibers from splanchnicheskogo

With the first type of pathologies, the work of one or
multiple cavity organs, in the second case, the pain in the plexus will be
a consequence of organ pathology. Determine what was primary and
what evolved as a result, only specialists with
medical education. Below we look at the main symptoms
in order to rather guide which doctor you advise

The defeat of the celiac plexus

These are: trauma of the solar plexus, solarium (neuritis) and neuralgia
солнечного plexus.

Injury Neuralgia Solarium

What is the basis of the disease?

Short but strong stimulation

Irritation of sensitive, but not vegetative fibers
plexus. The structure of the nerves is almost not damaged.
This damage to the fibers of the plexus infectious agent

The reasons

Punch, ball in the stomach, collision with the machine, strong
tightening the belt

Squeezing the plexus of the lowered internal organs,
expansion (aneurysm) of the aorta, pancreatic cyst,
increased due to metastases or lymphogranulomatosis
lymph nodes, strong protrusion of the spine forward
Inflammation of the plexus as a result of the infection process:

  • malaria;
  • typhus;
  • syphilis;
  • flu and others

Reactive inflammation of the plexus resulting from
finding it near the inflamed organs: pancreas, peritoneum,
fiber surrounding the stomach or pancreas.

Radiculitis, osteochondrosis, herpes zoster, intervertebral

Poison poisoning from outside (nicotine, lead,
alcohol), or educated as a result of the disease


The pain is sharp, shooting, makes you bend while sitting and lead
legs to the stomach. Appears seizures. Its localization is in the middle.
between the navel and the xiphoid process of the sternum. It is a pain in
back. If the attack has only passed, it can be provoked.
physical exertion or emotional stress

In addition to the acute pain of the drilling nature “under the spoon”, there is
heat in this area (at the same time body temperature does not increase).

Sharp pain gives to the chest cavity, lower back, rectum.
It decreases when bending the legs and bringing them to the stomach, and the reception
No-shpa or Buscopan type drugs do not affect her

The activity of the internal organs is disturbed, which is accompanied by
constipation or diarrhea, vomiting, belching, increasing the amount of urine
or sexual misconduct. There may be involuntary
brief breath hold

What to do

Call an ambulance, take a position lying on your side, with
with a raised head end, attach any dry cold to the bottom
parts of the sternum

Visit a therapist who will help determine further
diagnostics (that is, visiting related specialists and
прохождением анализов) и treatmentм. With breath holdings – cause

Pain in the solar plexus as a sign of internal disease

That the solar plexus itself is not affected, but the pain here
отдает из измененных патологией внутренних bodies, свидетельствуют
such signs as: the connection of pain syndrome with food,
urination, changes in the nature of feces and so on.

Main symptom What is it, additional signs How to check
Pain after eating

Stomach ulcer

Nausea, belching, occasionally – vomiting, abdominal distension. Easier
becomes after taking milk or warming a sore spot

Go to a gastroenterologist who, on the basis of the inspection data,
such studies as fegds (examination of the esophagus, stomach and
Duodenum using fiber optic probe) and stool analysis
for antibodies to Helicobacter pylori, diagnose and prescribe
Pain before eating, after a long period of fasting,
at night

Duodenitis or duodenal ulcer

Heartburn, nausea, loss of appetite (but have to eat
to soothe the pain). Pain is also relieved by alkaline intake.
of drinks like “Borjomi” or “Polyana kvass”

The gastroenterologist makes a diagnosis on the basis of the examination,
probing the site of pain. You can distinguish an ulcer from inflammation of the wall
only with the help of FEGDS, and the bacterium can be detected
Helicobacter – only using the fecal test for antibodies to
Pain when pressing on the area between the navel and the xiphoid process

Most often – inflammation of the duodenum 12, but may be
gastroduodenitis and peptic ulcer

Nausea, feeling of fullness in the stomach, even when taken
a small amount of food, heartburn, the dilution of feces to
mushy, with a sour smell

The diagnosis is made by a gastroenterologist. после беседы, пальпации
localization of pain, focusing on data febds, abdominal ultrasound
Разлитая сильная боль в верхher половине живота, опоясывающая,

Acute or chronic inflammation of the pancreas –

Vomiting, nausea, bloating, lack of appetite, diarrhea
excretion of feces, poorly laundered from the toilet bowl, raising
temperature Pain often occurs when eating spicy, fatty foods.
especially drunk with alcohol.

The diagnosis is made either by a surgeon or a gastroenterologist. Oriented
they are on the data of their own examination, ultrasound of the pancreas. For
exclusion of ulcerative processes need feagds
Aching pain above the navel

Pancreatic Tumors

Constant low temperature, lack of appetite,
tendency to diarrhea without much disturbing the diet (with feces
fat), bloating, nausea

Dull pain above solar plexus

Heart disease

If it arose after exercise, transferred
severe flu or a sore throat accompanied by interruptions
heart, weakness, and it becomes easier alone
cardiac muscle pathology

The diagnosis and examination plan are prescribed by a cardiologist. Landmarks
it can serve as ECG, ultrasound of the heart, daily
cardiogram monitoring, blood test for troponins
Pressing pain, accompanied by diarrhea, after which
it gets easier

Bowel disease

If at the same time the increased temperature is noted, in a feces
there is mucus, greens, lumps, there is a chance of infection
enterocolitis. But similar symptoms are observed with the disease
Crohn’s, and with ulcerative enterocolitis.

The child most often is an intestinal infection or poisoning.
(food toxicoinfection)

First, you need to be examined by an infectious diseases specialist.
or KIZ policlinics). В дальherшей диагностике принимают участие
a gastroenterologist and, if there are complications, a surgeon
Dull pains, the intensity of which increases over time. Connections
no food

Опухоли bodies брюшной cavities

Weight loss, periods of bloating, constantly reduced
appetite, weakness, constipation, alternating diarrhea without increasing

Need a checkup therapist who will refer to a gastroenterologist or
oncologist The diagnosis is made on the basis of inspection, CT (computer
томография) брюшной cavities, рентгенографическому исследованию
кишечника с контрастом, УЗИ cavities живота
Pain while inhaling

Intercostal neuralgia, pleurisy

In intercostal neuralgia, pain may occur in the area above
navel, it is not very intense, then goes to the ribs,
getting stronger.

Pleurisy – a disease that occurs as a result of suffering
pulmonary lesions bacterial, viral, tuberculous or cancerous
process. When it is present weakness, cough, often – increase

 Examination by the therapist, X-ray (sometimes – and computer
tomography of the chest
The pain in women is not associated with food or diarrhea.

Заболевания половых bodies (такая боль часто локализуется ниже
solar plexus)

Vaginal discharge, difficulty in getting pregnant, cycle disturbances,
heavy or scanty menstruation

The treatment and examination plan is prescribed by a gynecologist.
Pains in stomach blunt character

Intestinal prolapse

Attacks of nausea, fatigue. In men – frequent
urination, in women, menstruation

The diagnosis is made by a gastroenterologist.

The dependence of the diagnosis of localization of pain

Approximately orient in the search for the disease will help
localization of pain syndrome.

Localization of pain – to the left of the plexus

Pain to the left of the solar plexus can occur with one of
such pathologies:

  • gastric or duodenal ulcer;
  • gastritis, gastroduodenitis;
  • tumors of the stomach or duodenum;
  • tumors or inflammation of the tail of the pancreas;
  • urolithiasis;
  • prolapse of the left kidney;
  • intercostal neuralgia on the left;
  • pyelonephritis.

The pain is more to the right of the plexus.

If pain syndrome is located to the right of the midline,
connecting the sternum and the navel, it can speak in favor of:

  • appendicitis;
  • cholecystitis;
  • hepatitis A;
  • gallstone disease;
  • right intercostal neuralgia;
  • liver tumors;
  • inflammation, swelling, or burns of the lower esophagus;
  • pyelonephritis, hydronephrosis or stone – in the left kidney.

Soreness – below the solar plexus

Pain under the solar plexus is typical for diseases:

  • Genital organs (mainly in women): fallopian tubes,
  • Urinary bladder, ureters (most often such irradiation is characteristic
    for men).
  • Large intestine (colitis, sigmoiditis, proctitis)

The painful area is located above the solar plexus.

Pain above the plexus is characteristic of:

  • Esophagus diseases (esophagitis, swelling, erosion, burns).
    An additional symptom in this case will be pain when swallowing,
    located behind the sternum. Burping and
  • Pathology of pleura (pleurisy, empyema). They evolve as
    complications of pneumonia or tuberculosis. Testifies in their favor
    communication with the breath.
  • Pneumonia (usually – inferior). Usually this pathology
    proceeds with fever, muscle pain. If her
    for some time untreated, shortness of breath and a feeling of lack develop
    of air.
  • Heart Disease. Here pain is associated with excitement or physical
    load, is facilitated by taking nitroglycerin or with prolonged
    taking drugs like “Anaprilina”, “Atenolol”, “Nebivolol”.
    If the pain is severe, it arose after several years of attacks,
    filmed nitroglycerin, it can be a myocardial infarction.
  • Diaphragmatic diseases (most often – diaphragmatic hernia, when
    abdominal organs enter the chest cavity). In this case
    there may be cardiac arrhythmias, difficulty breathing – after eating,
    especially if the person then assumed a horizontal position.
  • Intercostal neuralgia. With this pathology in the affected
    intercostal space can sometimes detect blistering rash
    herpes zoster or palpate ping
    pressing on each separately. Intercostal Symptoms
    neuralgia will be the appearance of pain above the solar plexus on the right or
    on the left, which gives to the left or right hand (respectively).
    It hurts to take a deep breath or cough. The temperature rises
    seldom; symptoms of intoxication (nausea, weakness, muscle pain or
    bones), which distinguishes this pathology from pleurisy.

What to do with pain in the solar plexus

When pain occurs, which, in your opinion,
similar to tanning or neuralgia of the solar plexus, urgently needed
a neurologist who can help restore normal conductivity
nerve plexus. If pain is more accompanied by diarrhea,
fever, urine passing through with blood or other
symptoms, you need to visit a therapist who will direct to the right
experts and appoint the necessary research.

Автор: Кривега Мария Салаватовна врач-реаниматолог

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