Pain in lower left side under ribs

Have you felt a piercing pain under your left rib when you take a breath or move just the slightest bit sometimes? While it is common to experience such pain, sometimes it can be an indication of an injury in the stomach or any vital organ on the left side of your body. In this article, we take a deeper look at the different factors behind the pain under your left rib.

Sharp pain under the left rib cage could be due to a variety of reasons. Several organs are located in this region of your body – like your heart, spleen, lung, colon, kidney, pancreas, and stomach. Hence, the causes of the pain can be many.

While most of these causes can be treated right at home, some of them could be life-threatening and may need immediate medical diagnosis, followed by appropriate treatment.

The life-threatening causes of the pain under your left rib cage include:

1. Heart Attack

Woman having a heart attackWoman having a heart attack

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The symptoms of a heart attack (other than pain under your left rib cage) are:

    • A sudden feeling of dizziness
    • Fatigue
    • Nausea
    • Heartburn
    • Indigestion
    • Cold sweat
    • Shortness of breath
    • Tightness, aching, or pressure in your chest that spreads to your jaw, back, or neck (1)

2. Angina

Elderly woman experiencing anginaElderly woman experiencing angina

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This is also a heart-related condition that can cause pain in that area. Angina refers to severe pain in the chest that may spread to the shoulders, arms, and neck. It occurs when the blood traveling to your heart lacks oxygen. Its symptoms are similar to that of a heart attack – like dizziness, shortness of breath, fatigue, sweating, etc. (2).

3. Pericarditis

Woman with acute pericarditisWoman with acute pericarditis

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This condition is caused due to the swelling of the membrane (pericardium) surrounding your heart. There are four types of pericarditis:

  • Acute Pericarditis: Its symptoms last for less than 3 weeks.
  • Incessant Pericarditis: Its symptoms are continuous and may last for 4-6 weeks.
  • Recurrent Pericarditis: Its symptoms keep recurring every 4-6 weeks.
  • Chronic Pericarditis: The symptoms usually last longer than 3 months.

The symptoms of pericarditis are:

  • Sharp pain in the middle or left of your chest
  • Fatigue
  • Cough
  • Unusual swelling of your abdomen/leg
  • Heart palpitations
  • Shortness of breath
  • A slight fever (3)

Your digestive tract may also be causing the pain under the left rib cage. The digestive causes of the pain under your left rib cage are:

  • Gastrointestinal Disorders

Woman holding her stomach due to a gastrointestinal disorderWoman holding her stomach due to a gastrointestinal disorder

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Gastrointestinal disorders include conditions, such as irritable bowel syndrome, hemorrhoids, constipation, perianal abscesses, etc. The digestive causes of the pain under the left rib cage are:

  • Trapped gas in the digestive tract
  • Constipation
  • Heartburn
  • Gastroesophageal reflux disease (GERD)
  • Irritable bowel syndrome (IBS)
  • Inflammatory bowel disease (IBD)

As we have already mentioned, there are other organs located in the upper left abdominal region of your body, and issues with them can also trigger a sharp pain under your left rib cage.

Such issues include:

  • Kidney stones – They are hard calcium deposits that form in the kidneys and later move towards the bladder, causing extreme pain while passing urine. Kidney stones may be caused by not drinking enough water or consuming too much salt or sugar.
  • Pancreatitis – Inflammation of the pancreas.
  • An enlarged spleen – The spleen is located in the upper portion of the left rib cage and is normally about the size of your fist. An enlarged spleen is caused due to liver infections, cirrhosis, etc.

Certain infections may also be responsible for the sudden ache in the left part of your chest like:

  • Pneumonia, which causes sharp chest pain while coughing.
  • Pleurisy – an infection that causes the membrane surrounding your lungs to become inflamed.
  • A collapsed lung
  • Broken ribs
  • Endocarditis, which causes an infection in the inner lining of your heart.
  • Appendicitis – A condition that causes inflammation of your appendix.
  • Costochondritis – A condition that causes inflammation of the cartilage that connects a rib to the breastbone.

If you have developed any of the above health conditions, you are at a higher risk of developing pain under your left rib cage. Hence, it can be said that all these conditions act as risk factors for this pain.

It is best to consult a doctor immediately if you experience any of the other symptoms of the life-threatening conditions listed above. Your doctor or cardiologist is most likely to carry out the following diagnostic analysis to rule out other conditions associated with the pain under your left rib cage.

Diagnosis

Doctor showing diagnosis reports of chest painDoctor showing diagnosis reports of chest pain

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Your doctor will begin with a physical examination and may ask whether you have a family history of a heart condition. If they suspect you have heart disease, you may be asked to take an electrocardiogram test to rule out the possible causes (4).

Other tests include blood, urine, and/or stool test to look for other potential causes like kidney stones or pancreatitis.

If the cause of the pain is not yet determined, you may be asked to undergo an X-ray, CT scan, or MRI scan so that your doctor can take a better look at your organs and areas of inflammation (if any).

Once the cause of the pain is determined, your physician will prescribe treatments accordingly.

Treatments

Treatments are usually prescribed based on the cause of the pain.

If any inflammation is causing the pain, you may be asked to take NSAIDs to relieve the pain and swelling (5).

Bacterial infections may need you to take antibiotics, while conditions like kidney stones that are hard to pass may warrant surgery if drinking a lot of water does not remedy the situation.

Immediate lifestyle changes or open bypass surgery may be needed for those whose upper left abdominal pain is associated with heart conditions like a heart attack (6).

Sudden sharp pain under the left rib cage could have many reasons. In most cases, gas or esophageal issues could be the cause. While many of them can be treated right at home, some need a medical diagnosis. In addition, heart attack, pericarditis, and gastrointestinal disorders need immediate attention. Your doctor may prescribe some effective treatment options to relieve the pain. If you have severe pain that lasts more than a day, consult your doctor to determine the underlying conditions.

Frequently Asked Questions

When to see a doctor for pain in the lower-left side of your chest?

The cause of the upper left abdominal pain could vary from something as minor as heartburn to something as severe as a heart attack. If you feel that you are experiencing symptoms of any of the life-threatening conditions listed above, along with lower left chest pain, see a doctor immediately.

What organ is under my right rib cage?

The liver is located at the lower right end of the rib cage. The right kidney and gallbladder are also located under the right rib cage.

What organ is below the left rib cage?

The organs located under the left rib cage or around its surrounding area are the heart, spleen, left lung, colon, left kidney, pancreas, and stomach.

Sources

Articles on StyleCraze are backed by verified information from peer-reviewed and academic research papers, reputed organizations, research institutions, and medical associations to ensure accuracy and relevance. Check out our editorial policy for further details.

  • Heart Attack Signs and Symptoms, Centers for Disease Control and Prevention.
    https://www.cdc.gov/heartdisease/signs_symptoms.htm
  • Interpreting angina: symptoms along a gender continuum, Open Heart, US National Library of Medicine, National Institutes of Health.
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854148/
  • Pericarditis, StatPearls, US National Library of Medicine, National Institutes of Health.
    https://www.ncbi.nlm.nih.gov/books/NBK431080/
  • Electrocardiogram, StatPearls, US National Library of Medicine, National Institutes of Health.
    https://www.ncbi.nlm.nih.gov/books/NBK549803/
  • An Evidence-Based Update on Nonsteroidal Anti-Inflammatory Drugs, Clinical Medicine and Research, US National Library of Medicine, National Institutes of Health.
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1855338/
  • Cardiac Surgery, StatPearls, US National Library of Medicine, National Institutes of Health.
    https://www.ncbi.nlm.nih.gov/books/NBK532935/
  • Noncardiac Chest Pain: Epidemiology, Natural Course and Pathogenesis, Journal of Neurogastroenterology and Motility, US National Library of Medicine, National Institutes of Health.
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3093002/

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Shaheen holds a postgraduate degree in Human Genetics and Molecular Biology from Bharathiar University. She is a Geneticist with proficiency... more

Dr. Zeel Gandhi is an Ayurvedic doctor and an expert at providing holistic solutions for health problems encompassing Internal medicine,... more

What organ is on the left side under the ribs?

Your spleen is an organ that sits just below your left rib cage. Many conditions — including infections, liver disease and some cancers — can cause an enlarged spleen. An enlarged spleen is also known as splenomegaly (spleh-no-MEG-uh-lee). An enlarged spleen usually doesn't cause symptoms.

When should I worry about left side pain?

Generally, intermittent left side pain is a sign of gas or indigestion and should pass on its own. But if you notice severe abdominal pain on the left side of your body in conjunction with any of the following symptoms, it's time to call the doctor: Fever. Nausea or vomiting.

Why does my left side hurt at the bottom of my ribs?

Pain below your ribs can be caused by your GI tract, like GERD, indigestion, gallbladder disease, or constipation, or problems with your lungs, like pneumonia. You may also have nausea, bloating, chest pain, coughing, or pain that's worse when you breathe in.