Differential diagnosis of widespread versus indolent abdominal pain

  Abdominal pain is a condition with symptoms of pain occurring in the area below the stomach and epigastric region and above the pubic hairline. Chronic widespread and indolent abdominal pain is commonly associated with tuberculous peritonitis, intestinal adhesions, intestinal ascariasis, and neurosis. Let’s see how to differential diagnosis.  1, abdominal pain and stomach pain stomach in the abdomen, and intestinal connection, abdominal pain is often accompanied by symptoms of stomach pain, stomach pain also sometimes have abdominal pain performance, often need to distinguish. Stomach pain is often accompanied by nausea, belching and other symptoms of gastric disease when the site of stomach pain is under the heart and stomach, while the above symptoms are less common in abdominal pain when the site of abdominal pain is below the stomach and stomach.  2, abdominal pain and abdominal pain symptoms in other medical diseases The abdominal pain in many medical diseases is a symptom of the disease. For example, abdominal pain of dysentery is characterized by urgency and pus and blood; abdominal pain of accumulation is characterized by a lump in the abdomen, while abdominal pain is the main manifestation of abdominal pain when the disease is characterized by abdominal pain.  3, abdominal pain and surgery, gynecological abdominal pain internal abdominal pain often first fever after abdominal pain, pain is generally not sharp, pressure pain is not obvious; surgical abdominal pain more after fever, that is, first abdominal pain after fever, pain is intense, pain is fixed, pressure pain is obvious, see abdominal pain refuses to press, abdominal muscle tension. Gynecological abdominal pain is mostly in the small abdomen, related to menstruation, band, fetus and delivery, such as dysmenorrhea, miscarriage, ectopic pregnancy and tubal rupture, etc. Gynecological examination should be conducted promptly to clarify the differential diagnosis.