What if I have a stomachache? Three steps to deal with abdominal pain
Down to the pain in the entire area of the pubic symphysis and the groin line on both sides, identify which part of the pain you are suffering from: it is possible that the disease of which organ caused the abdominal pain. And further find the cause of stomachache, the nature of pain is divided into distension pain, dull pain, pain with burning sensation and colic, pain is sometimes persistent, usually manifested as nausea, vomiting, stomachache. The patient has diarrhea after pain; it is mainly characterized by dull abdominal pain and burning pain, and the patient is usually asked if the pain is related to eating. And if the abdominal pain is improved after eating something, it is usually considered to be the performance of duodenal ulcer, 3, the pain caused by stones, the nature of this pain is usually shown as abdominal colic, urinary system stones may sometimes be accompanied by frequent urination, urgent urination, urination pain, gallstones can be accompanied by skin or eye yellowing, urine yellowing.
There is no one without a stomachache. Growing up, a stomachache, like a fever, is a necessary experience in life. However, everyone's pain is different, some people have pain around the navel, some people have pain in the heart, and some people have a stomachache; the degree of pain is also different, from faint pain, to a burst of pain, and then to severe colic.
If someone asks the doctor: what should I do if I have a stomachache? This is really a difficult question to answer.
Today, Dr. long will have a chat with you. We can follow this.Three stepsTo deal with abdominal pain.
First question: where does it hurt?
It is important to determine the exact location of the stomachache, because each part has different internal organs, and if the location is not accurate, the doctor will not be able to locate it quickly, which is likely to delay further diagnosis and treatment.
I have a stomachache. Professionally, it should be called "Abdominal pain", including pain in the front of the body from the lower edge of the bilateral costal arch down to the pubic symphysis and the bilateral inguinal line.
Traditionally, we divide the abdomen into nine regions, which are centered on the navel and can roughly be drawn."Nine Palace Grid"Come on, there are different internal organs in each lattice. Therefore, the pain of every "lattice" may represent the existence.Diseases related to the internal organs.
Of course, there are exceptions. Therefore, the specific situation needs to be analyzed and judged by the doctor.
According to the "ninth grid" of the abdomen, the abdomen can be divided into the following parts from right to left and from top to bottom, and the internal organs are roughly as follows:
1. Right upper abdomen: the internal organs in this area are mainly liver and gallbladder.
2. Middle and upper abdomen: refers to the area above the navel and below the xiphoid process, mainly including gastroduodenum.
3. Left upper abdomen: the internal organs in this part include stomach, pancreas and spleen.
4. Right middle abdomen: this area contains the ascending colon, the right kidney and the ureter.
5. Navel area: it is a part with navel as the center, and the viscera is mainly small intestine.
6. Left middle abdomen: there are mainly descending colon, left kidney and ureter.
7. Right lower abdomen: the main internal organs include appendix, colon, ureter and ovary.
8. Middle and lower abdomen: the main internal organs are uterus, bladder and rectum.
9. Left lower abdomen: the main internal organs are sigmoid colon, left ureter and ovary.
If you know which part of the pain you are, you may be right.Which organ disease causes abdominal pain?There is a preliminary judgment and further find the cause of stomachache.
The second question is: what is the cause of stomachache?
The cause of abdominal pain can be judged not only according to the location, but also according to the nature of the pain. The nature of pain is divided intoDistending pain, dull pain, pain and colic with burning sensation, and dull pain without obvious characteristicsWait.
Pain is sometimes persistent, sometimes paroxysmal, or intermittently accompanied by increased pain, which can also help us speculate the cause.
1. Gastroenteritis
In daily life, eatSpoiled foodAbdominal pain caused by nausea, vomiting, diarrhea, acid regurgitation, hiccups and so on. For example, acute gastroenteritis is usually characterized by nausea, vomiting and abdominal cramps, as well as dysentery caused by Shigella, where patients have diarrhea after pain.
2. Gastric and duodenal diseases
Gastritis and duodenitis, as well as peptic ulcers, are mainly characterized by dull abdominal pain, burning pain, or simply an uncomfortable sensation in the stomach.
The question of distinguishing between the stomach and the duodenum is usually asked.Is the pain related to eating?If it is a pain after eating, it is usually a stomach ulcer, while if the abdominal pain is improved after eating something, or when you are hungry, it is usually considered to be a manifestation of duodenal ulcer.
3. Pain caused by stones
Pain caused by stones, includingHepatolithiasis and urinary calculiThe nature of this pain is usually characterized by abdominal cramps, which are severe and unbearable. Urinary calculi may sometimes be accompanied by frequent urination, urgency, pain, or hematuria; gallstones may be accompanied by yellowing of the skin or eyes and yellowing of urine.
4. Pancreatic diseases
The most common symptom of pancreatitis or pancreatic cancer is pain in the middle and upper abdomen, which tends to worsen and can sometimes be reflected to the back.
Acute pancreatitis belongs toSerious diseaseMost patients are accompanied by gallstones or hypertriglyceridemia, which is usually difficult to relieve; because the pain is unbearable, the patient always maintains a hunched back and is unable to straighten his abdomen, let alone straighten his stomach.
5. Liver disease
Liver disease can cause discomfort in the right upper abdomen, that is, the liver area, as can be seen in hepatitis and liver cancer. However, it should be noted that some patients with liver cancer may not feel pain, mainly because there is no sensory nerve in the liver, only when the liver cancer is very large or at an advanced stage.Hold up the liver capsule (with sensory nerves) and feel painIt can be a distending pain or persistent pain of an indescribable nature, at which point it is generally difficult to relieve itself.
6. Appendicitis
Appendicitis is so common that the general surgery department of the hospital does not know how many acute appendicitis operations need to be performed every year. The typical pain method of appendicitis isFirst pain around the umbilical cord, and then gradually transferred to the right lower abdomen (technical term is "metastatic right lower abdominal pain")Some patients were accompanied by fever, diarrhea and vomiting.
The third question: what if I have a stomachache?
Once a stomachache is found, most people will deal with it according to experience, such as "drink some boiled water", "rub", "hot compress" and so on. This method may be useful sometimes, but sometimes it may cover up the condition. So, anyway, forPersistent, unrelieved stomachache with no obvious causeAttention must be paid to it.
Severe abdominal pain, or pain in a place that has never hurt before, can not be relieved through rest, diversion and other methods, you should go to the hospital in time.
Never take painkillers as soon as you have a stomachache. There are some painkillers belong to antipyretic analgesics, these drugs themselves have a certain stimulation to the stomach, if it is a disease caused by stomach disease, such painkillers will only aggravate the illness, and will not play any role.
After arriving at the hospital, the doctor will take blood tests according to the specific conditions, do abdominal B-ultrasound or CT, and add the doctor's clinical experience, so that it is possible to understand the cause of abdominal pain as soon as possible.Treat the cause of the disease.
Summary and reminder
When you have a stomachache, you should first recall how the symptoms appear and tell the doctor that even the smallest discomfort, but the specific location of the pain is sometimes not clear to the patient, but also pay attention to the influence of psychological factors on the expression of pain.
Remember these "indicative" discoveries of serious diseases, which we call"alarm symptoms", includingAnorexia, anemia(showing a pale face or pale eyelids),Blood in stool(blood or occult blood in stool is positive to the naked eye),Dysphagia、Fever、Hepatomegaly, pain affecting sleep, persistent nausea and vomiting, weight lossFurther examination should be made.
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