Sudden abdominal pain, what to do... These four points are very important.

Abdominal pain is divided into acute and chronic abdominal pain, which generally refers to the pain in and around the abdomen. Sometimes diseases of organs in the chest can also cause abdominal pain. Chronic abdominal pain refers to abdominal pain that lasts for more than 3 months. The pain degree of chronic abdominal pain is generally lighter than that of acute abdominal pain. Timely medical treatment of weather or temperature changes (such as a sudden drop or rise in temperature), heavy drinking, eating too much greasy or dirty food, trauma, overwork, lack of sleep and other factors may cause abdominal pain. If the abdominal pain is severe, cannot be relieved or occurs repeatedly, especially when severe abdominal pain is accompanied by fever, black stool or bloody stool, uncontrollable vomiting and / or hematemesis, anuria, syncope or coma, it is very important to cooperate with the examination, some patients with abdominal pain are impatient, so the onset of abdominal pain in patients with abdominal pain (how long ago abdominal pain began) And after the occurrence of abdominal pain, what pain relief measures have been taken (including what drugs have been taken), and so on.

01 abdominal pain can be divided into acute and chronic types

Abdominal pain generally refers to the pain in and around the abdomen. According to the priority of onset and the length of the disease, it can be divided into acute abdominal pain and chronic abdominal pain.

Acute abdominal pain onset is more urgent, the degree of pain is more serious, often suggest serious health problems, the need for timely treatment, so as not to lead to serious consequences. The causes of acute abdominal pain are complex, including gastrointestinal diseases, cholangiopancreatic diseases, abdominal aortic diseases, abdominal organ rupture, gynecological and obstetrical diseases and so on. Sometimes intrathoracic organ diseases can also cause abdominal pain, such as pleurisy, pericarditis, acute myocardial infarction and so on.

Chronic abdominal pain refers to abdominal pain that lasts for more than 3 months, which can persist or occur intermittently or repeatedly. The pain degree of chronic abdominal pain is generally lighter than that of acute abdominal pain, and it is more related to chronic diseases. Common causes include inflammatory bowel disease, functional gastrointestinal disease and so on.

02 sudden abdominal pain, need to see a doctor in time

Changes in weather or temperature (such as a sudden drop or rise in temperature), heavy drinking, eating too much greasy or dirty food, trauma, overwork, lack of sleep and other factors may cause abdominal pain.

Most abdominal pain is not serious and some of it can be relieved by itself. If the abdominal pain is severe, cannot be relieved or occurs repeatedly, you should go to the hospital in time. Especially when severe abdominal pain is accompanied by fever, black stool or bloody stool, uncontrollable vomiting and / or hematemesis, anuria, syncope or coma, or pain in other parts (such as chest pain) extending to the abdomen, it is necessary to see a doctor urgently.

03 when seeing a doctor, it is very important to cooperate with the examination

Some patients with abdominal pain are impatient and can not cooperate well with the doctor's consultation and physical examination, which makes it difficult for the doctor to make a timely and accurate diagnosis, which will not only delay the treatment time, but also aggravate the condition and cause more serious consequences.

Therefore, when seeing a doctor, patients with abdominal pain should first keep calm and answer the doctor's questions accurately and comprehensively, such as:

The onset of abdominal pain (how long ago the abdominal pain began, what were you doing before the abdominal pain occurred, what did you eat before the abdominal pain, and did you experience trauma?

The nature of abdominal pain (colic or dull pain, labor pain or persistent pain)

The location of abdominal pain (whether it is the upper abdomen or the lower abdomen, whether the pain site has changed)

The severity of abdominal pain

The duration of abdominal pain

And after the occurrence of abdominal pain, what pain relief measures have been taken (including what drugs have been taken), and so on.

In addition, the concomitant symptoms of abdominal pain are of great help to find and identify the cause, so patients should also pay attention to the existence of other concomitant symptoms, such as fever, skin or scleral staining, vomiting, abnormal stool, urine changes and so on.

Avoid blindly relieving pain before seeing a doctor

First of all, the cause of abdominal pain needs to be found in the treatment of abdominal pain. Blind pain relief will cover up the condition, increase the difficulty of diagnosis, and may even lead to misdiagnosis. Therefore, in case of sudden abdominal pain, patients should not take painkillers by themselves before seeing a doctor. Temporary fasting to avoid aggravating some diseases, such as acute gastrointestinal bleeding, pancreatitis, intestinal obstruction and so on.

As there are many causes of abdominal pain, some abdominal pain symptoms are not typical, so many patients with abdominal pain are often difficult to be diagnosed quickly. For example, patients with appendicitis sometimes have pain in the right upper abdomen or left lower abdomen; some elderly people may have less abdominal pain due to decreased sensitivity to pain; patients taking glucocorticoids may have anti-inflammatory effects in their abdominal organs, which may cover up the true condition; auxiliary examination may sometimes fail to detect all diseases, such as abdominal ultrasound may miss small urinary calculi. Abdominal pain caused by different diseases is sometimes similar, such as abdominal pain caused by irritable bowel syndrome is similar to abdominal pain caused by intestinal obstruction and peptic ulcer; the nature of abdominal pain may change with the progress of the disease, thus affecting the diagnosis. Therefore, please be patient when cooperating with the doctor.

Author: du Shilin

Audit: Shi Dongwei