Pain in the abdomen with inspiration

  • Reasons for
  • What pathologies cause abdominal pain when inhaling
  • What should I do?
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Pain in the abdomen with a deep breath can occur with diseases of the digestive tract, respiratory or cardiovascular system. In addition to the pain syndrome, there are other signs that help determine the organ in which the pathological process develops. Symptom may occur with flatulence or with serious diseases requiring surgery, so a visit to the doctor is mandatory.

Causes of

Tenderness in the abdominal region appears with a deep inspiration due to the development of the pathological process occurring near the diaphragm, both above it, that is, in the chest cavity and below it. The diaphragm divides the thoracic and abdominal cavity. It participates in the respiratory act, in the circulation and the activity of the digestive tract.

Due to the contraction of the diaphragm, the lungs are ventilated, and food moves along the esophagus. In addition, the cardiac sac and the lower part of the superior vena cava dilate with inspiration, and with exhalation, the pressure in the abdominal cavity increases, which leads to an outflow of blood from the liver to the lower vena cava. So, the venous blood with the help of the diaphragm enters the right atrium.

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The static function of the organ is to maintain the abdominal and thoracic cavity. If the muscle tone is disturbed, it results in the movement of the abdominal organs a few centimeters higher into the chest. With any pathological processes in the diaphragm, pain syndrome may occur with inspiration and discomfort in adjacent organs.

Next to the diaphragm are the lower sections of the lungs and their pleural membrane, the upper part of the esophagus, part of the mediastinum. Inflammatory processes in these anatomical structures can provoke irradiative pains in the epigastric region due to the innervation of the diaphragmatic nerve.

So, epigastric pain can be provoked by the abdominal form of myocardial infarction.

Pain during inhalation is also possible in the absence of pathology of the respiratory tract or cardiovascular system. Reduction of the diaphragm with active breathing can lead to displacement of the abdominal cavity organs and changes in intra-abdominal pressure due to which pain syndrome appears.

With a deep inspiration, the diaphragm can drop too low and press on the stomach, and it will already be on the intestines and pelvic organs, which will lead to severe pain if there is a pathology in the affected organs. Often, for this reason, discomfort occurs when changing the posture, intense stress.

Pain with full-fledged inspiration can occur with inflammation of the membrane covering the lungs.

Pathology occurs with various diseases, especially when it develops with pneumonia. Pain decreases if lying on a sore side. The pathology of the respiratory system is indicated by dry cough, weakened breathing, contact noise of the pleura. Also, with pneumonia, the temperature rises to 38 ° C, chills, weakness, and night sweats may appear.

Discomfort during inspiration can be felt due to changes in the rib cage or vertebrae( for example, in trauma or osteochondrosis), neoplasm in the pleura, pericarditis, shortening of the inter pleural ligament. If the diaphragm presses against the stomach with a deep breath, then you need to pay attention to the posture. Relieve the pain will help the analgesic and smooth back.

What pathologies cause abdominal pain when inhaling

If pain persists despite the change in body position, this indicates serious disorders affecting the heart, lungs, or abdominal organs. It happens that the pain in the abdomen during inspiration is felt in inflammatory diseases of the gallbladder or cholelithiasis, ulcer of the stomach or duodenum, as well as with pancreatitis, a spleen infarction or viral hepatitis.

Often pain in the right side when breathing occurs due to liver damage, but there may be other causes, among which:

Why does the abdomen ache during movement?
  • inflammation of the appendix;
  • exacerbation of pancreatitis or cholecystitis;
  • disruption of the cardiovascular system, for example, myocardial infarction or angina pectoris;
  • renal colic;
  • inflammation of the bronchi and lungs;
  • kidney disease, for example, pyelonephritis;
  • pinched nerve, osteochondrosis.

Pain in the left side when inhaled can appear when the following pathologies develop:

  • hernia in the diaphragm and its pinching;
  • lesion of nerves located between the ribs( intercostal neuralgia);
  • appendicitis;
  • ischemic heart disease;
  • enlarged spleen( splenomegaly);
  • exacerbation of pyelonephritis;
  • osteochondrosis;
  • stomach diseases;
  • pancreatic dysfunction.

Pain when inhaling the right side of the abdomen often occurs with inflammation of the gallbladder or the formation of stones in it, as well as with progressive liver diseases. In the epigastric region, discomfort when inhaled appears if there are abnormalities in the work of the stomach or intestines.

A deep breath can cause severe pain during renal colic, the sensation occurs in the hypochondrium and extends to the shoulder and shoulder blade.

Pain syndrome with inspiration on the left side of the abdomen appears more often with inflammation of the spleen

Diseases of the stomach that can cause

syndrome Since the stomach is located in close proximity to the diaphragm, it can be squeezed by it during the respiratory act. And if there is inflammation in the digestive system, then any effect on the "bare" nerve endings can be given pain. When the inhalation sometimes hurts the stomach, if there are the following violations:


Pains are troubled after eating, as the gastric juice starts to emit, which irritates the inflamed mucosa of the stomach, and also because the tissue is mechanically affected by food. As the food masses move into the intestine, the pain subsides.

In chronic course of the disease, the pain in the upper abdomen is aching, not strongly pronounced. Acute gastritis can be recognized by lack of appetite, heaviness in the stomach, taste in the mouth, increased salivation, nausea, belching. As the symptoms increase, severe pain in the stomach occurs during inhalation, flatulence, diarrhea, fever.


If an ulcer formed in the stomach, it manifests itself as pain "under the spleen" about an hour after eating or because of hunger. The intensity of the symptom may be different: from mild discomfort, to pain, due to which it is difficult to breathe.

The patient also suffers from heartburn, nausea and vomiting after eating, acidic eructation. If there was a symptom of an "acute abdomen"( severe spasmodic sharp pain, abdominal tension, stool disruption), then this indicates the perforation of the ulcer and urgent surgical intervention is required.

Benign neoplasms

These tumors do not threaten the patient's life, since they are not capable of producing metastases. But they can cause considerable inconvenience during eating or overeating due to mechanical effects on education. The pains arise from the use of various foods, as a result of which the patient refuses to eat. There may also be nausea and vomiting, pain during palpation, bleeding.

Polyps are removed surgically, small formations can be removed with endoscopy

Malignant formations

When the cancer grows, there is not much pain, but it is constant. There are also symptoms of intoxication: lack of appetite, indigestion, heaviness in the stomach even after a small amount of eaten, chronic fatigue, anemia. As the tumor grows, soreness increases, bleeding appears, vomiting with blood.


When poisoning with chemicals, the gastric mucosa becomes inflamed, hence the signs of gastritis( pain, burning in the pit of stomach, nausea and vomiting, lethargy, weakness).In severe cases, there is a loss of consciousness.

In food poisoning, pathological processes were provoked by putrefactive bacteria that penetrated the digestive tract with poor-quality products. The patient feels severe spastic pain in the stomach with inspiration, nausea, dizziness, weakness. As the body tries to remove toxins, then vomiting, diarrhea appears.

Infection of

Viruses and bacteria that enter the digestive system are also capable of causing stomach pain when inhaled. The most common infection is gastroenteritis, which is characterized by the appearance of diarrhea and vomiting.

Stomach pain in the stomach during inhalation is disturbed by overeating, digestive disorders, frequent constipation, muscle tension of the press, can be triggered by smoking or drinking alcohol.

Diseases of the abdominal cavity

Pain during inspiration appears with meteorism. The diaphragm descends, the pressure in the abdominal cavity increases and the walls of the intestine, overflowing with gas, are compressed. With renal colic, the pain during breathing appears in the hypochondrium and "under the spoon", then it spreads all over the stomach, gives it to the right shoulder blade and shoulder.

Colic occurs due to a sudden disruption in the passage of urine, renal ischemia and an increase in intra-venous pressure. In addition to pain, soreness occurs with urination, nausea and vomiting, flatulence, chills, hyperthermia.

Spleen rupture is possible after blunt abdominal trauma. From the damaged organ, blood flows into the abdominal cavity. Increased innervation of the lymphoid organ causes severe pain, which becomes more intense during movement and even with a full inspiration.

Pain is characterized as piercing and felt under the ribs to the left. With pathology, the body temperature rises, chills appear, the skin in the abdomen becomes blue. Subdiaphragmatic abscess causes severe pain in the respiratory act in the sides or under the ribs.

Severe pain can cause a shock, so when symptoms appear, urgent medical attention is needed.

The sensation extends to the scapula and collarbone. There are also symptoms of intoxication( fever, fever, lethargy, nausea).The patient breathes superficially, since a deep breath intensifies the pain. Unpleasant sensations are somewhat reduced if lying on a diseased side or lying in a semi-recumbent position.

With diaphragmatic hernia, the diameter of the esophagus increases, and part of the stomach rises by several centimeters. This provokes the appearance of aching pain in the left hypochondrium and difficulty with deep inhalation, soreness increases during sneezing or coughing. Hernia in the diaphragm is indicated by frequent regurgitation, heartburn.

Acute appendicitis. In inflammation of the appendix, the dilating pain can affect the right or left side of the abdomen or the navel area. In this case, the patient is hard to take a full breath, pain is more intense when sneezing, coughing, laughing. As the pathological process develops, painful sensations are concentrated in the right side.

Accompanying the disease with fever, a single vomiting, a violation of the stool.

The gallbladder does not come in contact with the diaphragm, but it is attached to the liver. When you breathe in, both the liver and the gallbladder move, hence the pain in the inflamed organ. Inflammation of the gallbladder can occur in acute or chronic form. Acute cholecystitis is most often caused by the movement of concrements overlapping the bile ducts.

Pain appears in the right upper quadrant, radiates into the back and is felt in the lower abdomen. They increase with inspiration. Also there is a fever. The lack of therapy can lead to the spread of the inflammatory process to nearby organs.

With chronic cholecystitis, bile ceases to flow into the duct, which causes stasis of secretion and starts to damage the tissues of the bladder. Pathology develops slowly, provokes its wrong nutrition, stress, infection.

What should I do?

Before examining the doctor, it is not recommended to take painkillers, because in some diseases rapid diagnosis can avoid serious complications, for example, peritonitis.

Thus, appendicitis has no specific symptoms, a preliminary diagnosis is made after palpation of the abdominal cavity, that is, it is required to probe the stomach and establish where the pain is stronger or weaker. Taking an anesthetic will "lubricate" the picture and will not allow a quick diagnosis.

Inflammation develops rapidly and can lead to rupture of the organ and the penetration of purulent contents into the abdominal cavity. In case of kidney colic, a warm water bottle attached to the affected area can help, but if a purulent process is taking place in the abdomen, this will only lead to its rapid development. Therefore, one should not warm the sore spot until the cause of the disease is established.

Find out why the abdomen hurts with breathing only after a comprehensive diagnosis of

. If a symptom appears, you need to consult a therapist who, after collecting anamnesis, physical examination( percussion, palpation, auscultation) and conducting general tests will direct to a narrow-profile specialist.

The therapist's task is to understand which system has failed: digestive, cardiovascular or respiratory. If there are diseases of the digestive system, one or more of the following symptoms appear: abdominal pain, nausea, heartburn, rapid satiety, heaviness in the abdomen, belching, flatulence, stool disruption.

The pathology of the gastrointestinal tract can manifest itself after eating, under stress, and physical exercises. The presence of a cough, pathological noise in the lungs indicates the illness of the respiratory system. When a heart condition appears, shortness of breath, palpitations, pain in the heart and behind the breastbone, swelling, cough, headache.

Depending on the accompanying symptoms, the patient can be referred to a nephrologist, gastroenterologist, pulmonologist, orthopedist, cardiologist.

Only after the diagnosis is prescribed therapy, which will eliminate the cause of the disease. Depending on the pathology, treatment can be conservative or surgical. The main recommendation for diseases of the gastrointestinal tract is the removal of the load from the diseased organ.

When inflammation of the gallbladder or pancreas requires fasting for several days, in severe cases, nutrition is given intravenously. In the stage of exacerbation of gastritis or peptic ulcer should be adhered to dietary nutrition, so as not to provoke an increase in the production of hydrochloric acid. It is also important to eat small portions, but often.

Treatment of the digestive tract may include the use of antibacterial, antiviral, enzyme, antihistamines, antacids, proton pump inhibitors, H2-histamine receptor blockers.

Pain in the abdomen with an inspiration is a sign of serious illnesses that require urgent treatment. Otherwise, the pathology can go into a chronic form and provoke the development of complications. Therefore, as soon as this symptom arose, it is necessary to go to a consultation with a specialist.

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