The celiac plexus is a combination of sympathetic and parasympathetic nerve fibers. It is located in the upper part of the abdominal region under the diaphragm, and extends downwards, where it intersects with the renal arteries. In front, the celiac plexus is bordered by the PZHZH, and on the sides - with the adrenal glands.
Due to its location and structural features, this part of the body got its name - the solar plexus. It is responsible for the normal functioning of the digestive and urinary tract, as well as the endocrine system. For the work of the digestive tract and gallbladder are responsible parasympathetic nerve fibers. But the feeling of hunger, pain or nausea is regulated by sympathetic nerves.
If pain has developed in the area of the solar plexus, the reasons for this can be very diverse. And they are far from always connected with this department - such an anomaly can be a symptom of diseases of internal organs located at a considerable distance from the celiac plexus.
What are the causes of pain in the solar plexus?
There are 2 main causes of pain in the solar plexus area:
- Disorders in the functioning of the celiac plexus itself (injuries, neurological diseases, etc.).
- Pathologies of various internal organs.
The nature of pain in the solar plexus is different. So, it can be sharp, sharp, dull, pulling, aching, stabbing. Pain syndrome can be expressed in the form of attacks, or it can be constantly present for a long period of time. It directly depends on the reasons that caused the development of pain.
Acute pain with solar plexus injuries
With trauma of the solar plexus, there are always characteristic symptoms. Pain in this part of the body can be caused by:
- a blow to the solar plexus area (people who are professionally involved in sports - boxing, martial arts, wrestling, football, etc.) are most susceptible to such injuries;
- too much pressure on the belly belt.
If there was an injury, the pain in the solar plexus will be sharp, burning, sharp. It is localized in the gap between the sternum and the navel. In addition to pain, the victim has other symptoms. In particular:
- burning lower abdomen;
- bouts of nausea;
- frequent urge to defecate (including false);
- feeling of warmth in the lower abdomen;
- difficulty breathing (after suffering trauma to the region of the celiac plexus, the victim has difficulty in breathing);
- pain may radiate to the chest, causing the occurrence of heart pain and spasms.
Intense pain causes a person to change his position in the prone position: he turns on his side and tightens his legs to his stomach. It is easy to help the victim in this case: he just needs to be laid in such a way as to ensure his normal breathing. For this it is necessary that he straightened his legs and leveled the torso. To relieve pain, you can make the victim a light massage of the abdomen. In some cases, resort to the use of ammonia.
Solarite is an extensive lesion of nerve fibers that form the celiac plexus caused by infectious diseases, injuries, inflammatory processes, helminthic invasion, poisoning and other factors. The characteristic symptoms of this pathology are:
- sharp pain in the abdomen;
- violation of intestinal motility;
- stool disorders.
The location of the center of intense pain is the left upper abdomen. Together, these symptoms are called solar crisis.
When the first warning signs appear, you should immediately seek the help of a neuropathologist. In order to decide on further treatment, it is important to collect a complete history based on the patient's complaints. In addition, additional instrumental diagnostic methods are needed - ultrasound and CT.
It is very important to respond to alarming symptoms while the disease is in the acute phase. Prolonged disregard of persistent malaise leads to the fact that the disease enters a phase of chronicity.
Chronic solarium is accompanied by constantly present or often manifest aching pain in the region of the celiac plexus. In addition, the patient complains of bouts of dull pain, the focus of which is located in the chest. Diarrhea, nausea, heartburn, heaviness in the stomach - all these signs are constant companions of a person suffering from chronic solarium.
The treatment of pathology deals exclusively with a neurologist. The whole process of therapy is under his careful control, and if necessary he can refer the patient for additional consultation to a gastroenterologist, infectious disease specialist or other specialists. When tanning, the doctor prescribes drugs that have an antispasmodic effect (Papaverine, Drotaverine). Alternative therapies have a positive effect - mineral water therapies, physiotherapy, mud baths, conifers and radon baths, etc.
Neuritis is an inflammatory process that occurs in the nerve fibers. This deviation is characterized by specific pains in the solar plexus area. The causes of pathology are very diverse, starting from an abnormal lifestyle, and ending with transferred intestinal pathologies and surgical interventions.
Neuritis of the solar plexus is characterized by:
- strong sharp, boring paroxysmal pain in the solar plexus area;
- sensation of heat, distention, and heaviness in the abdomen;
- an increase in pain intensity during exercise.
The location of the pain in neuritis of the solar plexus is the gap between the navel and the sternum. In this case, you need to contact a neurologist to undergo diagnosis.
The most common gastric pathologies that can cause pain in the solar plexus are ulcers, gastritis and cancer.
- Gastritis is characterized by mild abdominal pain.
- When ulcer pain syndrome is stabbing and acute pain in the region of the celiac plexus.
- A malignant tumor is characterized by intense aching and pressing pains. They can occur periodically, or be present on an ongoing basis.
All these diseases are characterized by the same symptoms - nausea, abdominal pain, heartburn, sometimes vomiting, diarrhea, bloating and flatulence. With such ailments should refer to a gastroenterologist.
To diagnose the disease, a doctor conducts a number of studies: history taking, FGDS, urine, feces, blood, X-ray. For treatment, antispasmodics and analgesics are used, aimed at relieving pain, but a special place in the therapeutic scheme is given to the diet. When heartburn prescribed medications that lower the level of acidity of the stomach. In extremely severe cases, surgery is performed, and in the diagnosis of cancer, radiation and chemotherapy.
Diseases of the duodenum
Inflammation of the duodenal mucosa - duodenitis - is accompanied by a pulling or aching pain in the region of the celiac plexus. In this case, the pain syndrome develops mainly at night and on an empty stomach, disappearing after eating. The following clinical manifestations are characteristic of acute and chronic duodenitis:
- weakness, feeling tired;
- bouts of nausea and vomiting;
The pain of duodenitis can not disturb a person constantly and manifest itself only with palpation of the abdomen in the area of the solar plexus.
Duodenal ulcer is characterized by more intense pain in the celiac plexus. Exacerbations of the chronic form of pathology are observed, as a rule, in the autumn-spring period. Pain occurs when a person feels hunger, as well as at night. It is possible to arrest pain syndrome with the help of food intake, baking soda, or drugs that reduce the level of gastric acidity.
The pain in the solar plexus, occurring against the background of tumor processes in the duodenum, is mild, which makes it very difficult to recognize a disease that is in its early stages of development. In addition to pain, in this pathology the patient complains of nausea and vomiting, and in the last stages of its development jaundice occurs.
The diagnosis in this case is made by a gastroenterologist. To clarify it, ultrasound, FGDS and clinical studies of blood, urine and feces are necessary.
PZH pathologies often manifest themselves in the form of inflammatory or oncological processes.
- If pancreatitis occurs (acute or chronic), the patient feels a sharp piercing pain in the celiac plexus or in the left hypochondrium. The patient's body temperature rises, he complains of nausea, sometimes with vomiting, which does not bring relief. The acute form of pancreatitis is usually treated in a hospital, chronic - on an outpatient basis. The process of therapy occurs under the supervision of a gastroenterologist. Vitamin complexes and painkillers are used for this. Special place is given to diet therapy.
- If the oncological process takes place in the pancreas syndrome, the pain does not manifest itself too vividly, but constantly, and is aching, although it can manifest itself like a fit and quite intensely. This disease is characterized by impaired stool, flatulence, nausea and vomiting. Cancer of the pancreas cancer is treated with radiation and chemotherapy, in the later stages - through surgical intervention.
When the first signs of pancreatic pathologies occur, it is necessary to consult a gastroenterologist and get tested. A number of clinical and instrumental examinations are carried out for diagnosis: CT, ultrasound, MRI, biochemical and complete blood count, urinalysis, etc.
If there is a suspicion of an oncological process, a biopsy is performed. In this case, the treatment process will be carried out by an oncologist.
Diseases of the small intestine and abdomen
Pain in the celiac plexus can be caused by:
- Intestinal infections. In this case, the pain syndrome is sharp, aching in nature. It can be sharp, sharp and pulling and manifest in the form of seizures. The remaining symptoms do not differ from signs of gastrointestinal tract pathology: abnormal stool, mucus or blood in the stool, diarrhea, nausea, vomiting, and increased gas formation. Such ailments should be the basis for treatment of an infectious diseases specialist.
- Transferred peritonitis. Peritonitis is a pathology accompanied by inflammation of the mucous membrane of the abdominal cavity. The disease can cause the development of persistent neuralgia of the solar plexus, which is why the pain syndrome arises.
- The presence of adhesions in the abdominal cavity, which in women may be due to extragenital endometriosis. This pathological process leads to irritation of the nerves that form the celiac plexus, which causes acute pains characteristic of neuralgia or neuritis.
- Helminthic invasion occurring in severe form. So, in the presence of a large amount of ascaris in the intestine, the internal organs and the solar plexus are squeezed. This, in turn, leads to dull pain.
- Tumors localized in the organs of the chest cavity. These can be neoplasms located in the kidneys, liver, intestines, etc. As the tumor grows, an increase in the intensity of the pain syndrome in the celiac plexus occurs, which can be acute, dull, aching, oppressive.
- Ulcers located on the intestinal mucosa. They can be caused by various pathologies of the gastrointestinal tract: typhoid fever, dysentery, intestinal tuberculosis, etc. If the pathological process is rather extensive, it can cause irritation of the celiac plexus. In addition to pain, the patient may experience disorders in the digestive process.
- Omission of organs located in the abdominal cavity, which leads to irritation of the nerve fibers forming the solar plexus. As a result, pain syndrome of different intensity and character develops.
- Food poisoning. This condition is familiar to many, and it is practically no different from signs of intestinal infections. Initially, there is pain in the stomach, nausea, flatulence, then vomiting, heartburn. Only after that the patient has pain in the solar plexus, diarrhea and a violation of the chair. With food poisoning, body temperature rises, a person begins to feel a general malaise.
The development of cardiac pathologies is indicated by pain, which occurs in the solar plexus even after slight physical exertion. At the same time, the heart rhythm can be disturbed and there is a disruption in the work of the heart muscle. Weakness, feeling of lack of air, chest pain, subsiding after a person has a rest - all these symptoms may indicate the presence of coronary heart disease. Such manifestations can not be ignored, because late treatment of coronary artery disease is fraught with the development of myocardial infarction.
To make a diagnosis, the cardiologist will refer the patient to:
- Ultrasound of the heart;
- clinical blood test.
Ischemic heart disease is treated with drugs. For this purpose, taking statins, β-blockers, nitrates. In the absence of the effect of conservative treatment, surgical intervention is carried out. After the end of the therapeutic course, the patient is prescribed a diet, exercise therapy, and a spa treatment. In order not to provoke a relapse of the pathology, the patient should completely stop smoking.
Mild heart failure is also treated with medication. The patient should reduce the intensity of physical activity, instead of which a course of physical therapy is conducted. In this case, the patient is prescribed a strict diet, completely eliminating salt, as well as vitamin therapy.
If there is a myocardial infarction, which caused the pain in the solar plexus, the patient is urgently taken to intensive care. He is prescribed painkillers and antihypertensive drugs. After the end of treatment, the patient waits for a six-month rehabilitation course. At the same time, he must follow a salt-free diet and completely stop smoking. Some medications are prescribed to the patient for life to maintain normal functioning of the heart muscle.
The dependence of the diagnosis of localization of pain
To make a preliminary diagnosis, you only need to determine the localization of pain in the solar plexus.
If they are felt in the left part, it can speak about pathologies:
- Stomach (gastritis, ulcer, cancer, etc.).
- Tail PZHZH (pancreatitis, benign or malignant neoplasms, etc.).
- Duodenal ulcer (ulcer, duodenitis, oncology, etc.).
- Left kidney or ureter (ICD, pyelonephritis, kidney prolapse, the presence of tumors, etc.).
- Neuralgia of the left part of the intercostal nerves.
Sometimes pain in the solar plexus area can occur on the right side, which may indicate diseases:
- Lower esophagus (esophagitis, erosion, cancer).Most of the esophagus is on the right, which explains the occurrence of pain in this part of the solar plexus.
- PZHZH heads (for example, in case of cancer or pancreatitis). If over a long period of time to ignore the symptoms of pathology and not to engage in treatment, jaundice may develop over time. This is due to the fact that the head of the pancreas begins to squeeze the bile ducts.
- Gallbladder (cholelithiasis, cholecystitis, gallstones, the presence of tumors).
- Liver: hepatitis, hepatosis, cirrhosis, liver echinococcosis, etc.
- Right kidney and ureter.
- Neuralgia of the right intercostal nerve.
If the pain is localized directly under the solar plexus, this may be a sign:
- Inflammatory processes occurring in the female genital organs: oophoritis, salpingoophoritis, adnexitis, etc. With these diseases, pain often radiates to the nerve fibers that form the celiac plexus.
- Inflammatory processes of the urinary system. In this case, we are talking only about the bladder and ureters.
- Inflammations of the mucous membranes of the colon and rectum: proctitis, colitis, sigmoiditis.
In some cases, a sharp, sharp pain in the right part of the solar plexus occurs due to an attack of acute appendicitis. With the wrong location of the appendix, the pain syndrome will be felt exclusively in the region of the celiac plexus. But, although this anomaly is a great rarity, it is still possible. In this case, the patient's complaints may mislead the attending physician, which will affect the diagnosis.
If pain is felt above the solar plexus, this may indicate:
- Pathologies of the esophagus - esophagitis, the presence of tumors, erosion, burns, etc. In this case, the accompanying symptom will be pain when swallowing, the focus of which is localized behind the sternum. In parallel, the patient will be bothered by heartburn and belching.
- Diseases of the pleura - pleurisy, empyema. Often they develop on the background of more severe pathologies, for example, pulmonary tuberculosis or pneumonia. This explains the difficulty in breathing in these diseases.
- Lower lobe pneumonia. As a rule, this disease is accompanied by fever and muscle pain. With prolonged absence of treatment, a person has shortness of breath and a feeling of lack of air.
- Heart Disease. In such a situation, pain in the solar plexus is closely related to excessive physical exertion. To reduce the intensity of pain syndrome, you can use medication drugs - Anaprilina, Nebivolol, nitroglycerin, etc. Severe pain, which was stopped for several years with drugs, may indicate the development of myocardial infarction.
- Pathology of the diaphragm (most often - hernia), accompanied by attacks of arrhythmia, shortness of breath that occurs after eating, lack of air.
- Intercostal neuralgia, a concomitant symptom of which may be a vesicular rash of herpes zoster. Pathology is characterized by attacks of pain that occur above the solar plexus and extend to the right or left hand.
If there are pains that resemble neuralgia or solarium in nature and the accompanying symptoms, you should immediately seek help from a neurologist. It is very important to stop the dangerous condition in time and restore the full conductivity of the nerve fibers forming the solar plexus. Otherwise, the consequences will be more than serious.
From the above, we can conclude that there are quite a few causes of pain in the solar plexus, so it is unlikely that you will be able to understand them yourself. And even more so you should not engage in self-treatment, using the dubious advice of friends and "highly effective" means of alternative medicine!
The pain in the solar plexus is a very dangerous deviation, and the diseases with which it can accompany are not harmless. Therefore, even if the pain syndrome is weak, it cannot be ignored, but you should immediately seek qualified medical help.