Where on earth does the stomachache hurt? A form to read clearly
Different positions of abdominal pain correspond to different diseases. the right upper abdominal pain is mainly the problems of gallbladder, bile duct and liver. the common pain in this part is pancreatic disease, and the left upper abdominal pain may also be the problem of spleen. Acute gastroenteritis, gastropathy and so on can also cause pain in this part. The pain here may be caused by problems with the small intestine, such as mesenteric thrombosis and pain in the middle abdomen. The pain in this area may be caused by kidney stones, ureteral stones, tumors of the descending colon, etc. Pain in the middle and lower abdomen requires attention to uterine, bladder and rectal diseases, such as male prostatitis and orchitis, female pelvic and uterine lesions, proctitis, bladder and urinary tract stones and inflammation. Abdominal pain caused by vascular causes pain in abdominal organs may also be the cause of blood vessels. For example, aortic dissection can cause back pain, obstruction, abdominal pain caused by embolism, intestinal obstruction, mesenteric artery embolism and so on.
In the eyes of most people, stomachache generally refers to pain in the vast area below the chest and above the legs, but when told to the doctor, the doctor may be confused: the stomach is so big, can you describe it more clearly?
In medicine, the stomach is divided into nine parts, namelyRight upper abdomen, upper abdomen, left upper abdomen, left abdomen, middle abdomen, right abdomen, left lower abdomen, lower abdomen, right lower abdomenThe corresponding organ diseases are also different in different parts. In order to accurately describe the location of abdominal pain, we can divide the abdomen like the Chinese character "well" by drawing a nine-palace grid with two horizontal and two vertical lines:
Different locations of abdominal pain correspond to different diseases.
Right upper abdominal pain is mainly gallbladder, bile duct, liver problems, such as choledocholithiasis, cholecystolithiasis, liver abscess and so on.
Pain in the middle and upper abdomen is mainly caused by the stomach, such asGastric ulcer, duodenal ulcer, or gastric perforationOften accompanied by acid regurgitation, belching, fullness, nausea and other symptoms, and often related to diet.
In addition, angina pectoris, lobar pneumonia, aortic dissection, cholecystitis, pancreatitis and other diseases, can also appear upper abdominal pain.
The left upper abdomen is mainlyStomach, pancreas, spleenSuch as, this part of the pain is common pancreatic lesions, such as pancreatitis, if drinking, high-fat diet overeating after severe abdominal pain, accompanied by nausea, vomiting, abdominal distension, it is likely to be pancreatitis.
In addition, left upper abdominal pain may also be a problem with the spleen, such as a ruptured spleen. In addition, acute gastroenteritis, stomach disease and so on can also cause pain in this site.
The causes of right abdominal pain and left abdominal pain are roughly the same, which may suggestKidney stones, ureteral stones, ascending colon tumors and other diseases.
The middle abdomen is the area around the navel and in the middle of the abdomen, where the pain may bePain caused by small intestinal problems, such asAcute enteritis, intestinal obstructionAnd so on, often accompanied by diarrhea or abdominal mass movement.
Mesenteric diseases, such as mesenteric thrombosis, are also characterized by midabdominal pain. In addition, aortic dissection can also show pain here.
There is a descending colon and a left kidney in the left abdomen, and the pain in this area may beKidney calculi, ureteral calculi, descending colon tumors, etc.Triggered.
The pain in the right lower abdomen mainly comes fromCecum, appendix, lower ileumIt may be appendicitis, urinary calculi, ectopic pregnancy, ovarian cyst torsion and so on.
Pain in the middle and lower abdomen requires attention to uterine, bladder and rectal diseases, such as male prostatitis and orchitis, female pelvic and uterine lesions, proctitis, bladder and urinary tract stones and inflammation.
The left lower abdomen is mainly sigmoid colon, fallopian tube, etc., this area discomfort, may be sigmoid inflammation, male spermatoiditis, female accessory inflammation or ectopic pregnancy and so on.
It should be noted that some causes that have nothing to do with organs can also cause stomachache, such as:
Stomachache caused by vascular causes
Pain in abdominal organs may also be the cause of blood vessels. For example, aortic dissection can cause back pain and severe pain anywhere in the abdomen.
Stomachache caused by obstruction and embolism
Intestinal obstruction, mesenteric artery embolism and other conditions can also cause abdominal pain.
Stomachache caused by myocardial infarction and pleural effusion
In addition to the abdominal pain caused by the above intra-abdominal organs, extra-abdominal organs can also cause abdominal pain. For example, myocardial infarction can cause epigastric pain; pleural effusion can cause left or right epigastric pain.
Stomachache caused by systemic disease
There are some systemic diseases, such as thrombocytopenic purpura, can also cause abdominal pain, but also accompanied by purulent and bloody stool.
In addition to distinguishing the location of pain
We also need to distinguish the types of pain.
Different nature of abdominal pain often indicates different diseases, and it is also helpful to judge the severity of the disease. When seeking medical treatment, you should take the initiative to describe it clearly with the doctor and help the doctor to judge the disease.
Distending pain
The degree of pain is mild, mostly caused by the passive expansion of the visceral peritoneum, such as gastrointestinal indigestion, intestinal obstruction, intestinal paralysis, cholecystitis and so on.
Paroxysmal pain
It often means that the hollow organs have spasms or obstructive diseases, such as mechanical intestinal obstruction, ureteral calculi, etc. Biliary ascariasis is often characterized by intermittent epigastric (xiphoid) "drill-like" sharp pain.
Dull pain
The symptoms are not specific and are mostly mild inflammation and ulcers of the gastrointestinal tract, such as gastritis, gastric ulcer, colitis and so on.
Spastic pain
That is, the pain caused by gastrointestinal spasm, the common causes are gastrointestinal inflammation, ulcers and so on, sometimes need to be distinguished from the pain caused by kidney stones or ureteral stone obstruction.
Severe twisting
The gastrointestinal tract is sensitive to the pain of ischemia. If there is extremely severe abdominal pain, abdominal organ ischemia can be considered, such as superior mesenteric artery embolism, gallbladder necrosis, acute pancreatitis, intestinal obstruction or abdominal hernia incarceration leading to intestinal ischemia, etc., the condition is critical, need to see a doctor as soon as possible.
There are many causes of stomachache, and the condition is complex and changeable. Once there is a stomachache, don't be careless. Just put up with it.
EspeciallyElderly patients with basic heart disease, women of childbearing age, those with severe abdominal pain without obvious signsOnce there is abdominal pain, be sure to see a doctor in time, some abdominal pain is often a sign of serious disease, inexplicable abdominal pain can not stand!