Put up with a stomachache and go over it? Look out! These kinds of abdominal pain are particularly dangerous.
However, some abdominal pain may indicate the occurrence of the disease. Abdominal pain is mostly caused by abdominal visceral diseases, but extraperitoneal diseases and systemic diseases may also be caused. According to the pathogenesis, it can be divided into visceral pain, somatic pain and involved pain. Acute inflammation of abdominal organs, acute gastroenteritis (colic in left upper abdomen), acute appendicitis (colic in right lower abdomen), acute cholecystitis (colic in right upper abdomen), acute pancreatitis (sharp pain under xiphoid process), etc. Organ torsion or rupture intestinal torsion (peri-umbilical colic), digestive tract perforation (upper abdominal knife-like pain), ovarian cyst pedicle torsion (lower abdominal colic), rupture of liver and spleen (upper abdominal sharp pain), ectopic pregnancy rupture (lower abdominal sharp pain), etc. Celiac vascular disease mesenteric embolism (severe pain in the whole abdomen), abdominal aortic aneurysm (severe pain in the upper, middle and lower abdomen), abdominal aortic dissection (severe pain in the upper, middle and lower abdomen), portal vein thrombosis (severe pain in the whole abdomen), etc.
What do you usually do when you have a stomachache?
Stomachache occurs from time to time in daily life, sometimes on the left and sometimes in the middle, but many people do not know exactly what causes it. However, some abdominal pain may indicate the occurrence of the disease. Today, let's take a look at what kind of abdominal pain we need to be vigilant.
What is the possibility of a stomachache?
Abdominal pain, medically known as abdominal pain, abdominal pain is mostly caused by abdominal organ diseases, but extraperitoneal diseases and systemic diseases may also be caused. The nature and degree of abdominal pain are not only related to the nature and severity of the lesion, but also affected by the degree of nerve and psychology. According to the pathogenesis, it can be divided into visceral pain, somatic pain and involved pain.
Abdominal pain is divided into acute and chronic abdominal pain.
Acute abdominal pain
The nature is generally sharp pain, including colic, knife-like pain, burning pain, severe pain and so on., including:
Acute inflammation of abdominal organs
Acute gastroenteritis (colic in left upper abdomen), acute appendicitis (colic in right lower abdomen), acute cholecystitis (colic in right upper abdomen), acute pancreatitis (sharp pain under xiphoid process), etc.
Torsion or rupture of organs
Intestinal volvulus (peri-umbilical colic), digestive tract perforation (upper abdominal pain), ovarian cyst pedicle torsion (lower abdominal colic), rupture of liver and spleen (upper abdominal pain), ectopic pregnancy rupture (lower abdominal pain), etc.
Celiac vascular disease
Mesenteric embolism (severe pain in the whole abdomen), abdominal aortic aneurysm (severe pain in the upper, middle and lower abdomen), abdominal aortic dissection (severe pain in the upper, middle and lower abdomen), portal vein thrombosis (severe pain in the whole abdomen), etc.
Abdominal wall disease
Abdominal wall contusion, abdominal wall skin shingles, etc.
Abdominal pain caused by celiac disease
Myocardial infarction, pulmonary infarction, angina pectoris, acute pericarditis, pleurisy, lobar pneumonia, etc.
Abdominal pain caused by systemic disease
Abdominal anaphylactoid purpura (total abdominal pain), uremia (total abdominal pain), diabetic ketoacidosis (total abdominal pain), heart failure (total abdominal pain) and so on.
Chronic abdominal pain
The properties are generally dull pain, dull pain, distending pain, etc., including:
Chronic inflammation of abdominal organs
Chronic gastritis (left upper abdominal pain), chronic cholecystitis (right upper abdominal pain), ulcerative colitis (left lower abdominal pain), chronic pancreatitis (upper abdominal pain), Crohn's disease (abdominal pain), etc.
Digestive tract dyskinesia
Functional dyspepsia (total abdominal distension pain), irritable bowel syndrome (abdominal distension pain), etc.
Liver congestion (right upper abdominal distension pain), liver abscess (right upper abdominal distension pain), etc.
Digestive tract ulcer (periodic rhythmic upper abdominal pain)
Malignant tumor
Liver cancer (right upper abdominal distension pain), colon cancer (right lower abdomen, left lower abdomen, upper abdominal pain) and so on.
Which stomachaches need to be paid attention to?
General occurrence of severe abdominal colic or knife-like pain, generally can attract everyone's attention, will go to the hospital, such as the emergence of right upper abdominal colic, indicating acute cholecystitis; middle and upper abdominal knife-like pain, indicating digestive tract perforation; xiphoid process appears persistent severe pain, indicating acute pancreatitis; metastatic right lower abdominal pain, indicating acute appendicitis and so on.
But in some cases, abdominal pain is easier to be ignored.Such as chronic abdominal distension pain, may indicate liver cancer, colon cancer, etc.; periodic, rhythmic upper abdominal pain, indicating digestive tract ulcers; obvious pain in supine position, pain relief in anteversion or prone position, possibly pancreatic cancer, etc.If these diseases do not seek medical treatment as soon as possible, with the development of the disease, it may be difficult to treat the consequences.
So, what kind of pain do you have?
Do I need to go to the hospital for an examination?
Which department should I go to?
If there is dull pain in the right upper abdomen or upper abdomen, with white eyes and yellowing skin, indicating biliary obstruction, the disease may be bile duct stone, cholangiocarcinoma, cancer of the head of pancreas, bile duct cyst and so on.Hepatological Surgery DepartmentSee a doctor.
If there is total abdominal distension and pain, with nausea, vomiting, stopping exhaust and defecation, indicating intestinal obstruction, should go toDepartment of Gastrointestinal surgery or Digestive MedicineSee a doctor.
If there is abdominal pain with hematuria, or urethral discomfort, or frequent urination with urgent urination pain, it is suggested that urinary diseases, such as urinary calculi, should go toUrology SurgerySee a doctor.
If there is severe pain in the lower abdomen with delayed menstruation, it may be accompanied by shock, suggesting that the ectopic pregnancy is ruptured.Maternity departmentSee a doctor.
If there is dull pain in the upper abdomen, with symptoms of shock, indicating myocardial infarction, should go toDepartment of CardiologySee a doctor.
If there is abdominal pain with fever and chills, it indicates the existence of inflammation, acute suppurative cholangitis, acute cholecystitis, acute appendicitis, liver abscess, etc.General surgerySee a doctor.
If there is abdominal pain with weight loss, or anemia, it is suggested that malignant tumors of abdominal organs, liver cancer, gastric cancer, colon cancer, etc., should go toGeneral surgerySee a doctor.
Although abdominal pain occurs sometimes.
But some pain may indicate the occurrence of disease.
If the above symptoms occur
Don't ignore it and see a doctor in time.
Expert in this article: Zhao Weitong, attending physician, Master, Hospital affiliated to Petty Officer School of Army Medical University (former 260 Hospital)
Review of this article: Hao Liangcheng, Deputy Chief physician, Department of Gastroenterology, fourth people's Hospital of Shenzhen.