The stomach cramps every now and then, clinically known as abdominal paroxysmal cramps, need to be identified according to the site of abdominal pain and the nature and extent of abdominal pain and attack time: a. Site of abdominal pain: 1, left upper abdominal paroxysmal cramps: clinically common in acute gastritis, gastric ulcer, acute pancreatitis and other diseases, acute gastritis due to stress stimulation, drugs, alcohol and trauma, etc., the clinical use of omeprazole, bismuth pectin and other drugs Treatment; gastric ulcer mostly due to H. pylori infection or drug stimulation, often manifested as pain after meals, requiring anti-H. pylori treatment; acute pancreatitis, mostly due to gallbladder disease, alcohol, etc., the pain is more intense, abdominal pain does not ease after vomiting, it is recommended that timely treatment at the hospital; 2, right upper abdominal paroxysmal colic: common in gallbladder disease, such as acute cholecystitis, gallstones, etc., can have abdominal pain, high fever, Acute cholecystitis and gallbladder stones are often treated clinically by conservative or surgical treatment according to the specific situation; 3, paroxysmal colic around the umbilicus: mostly seen in acute enteritis, intestinal obstruction, intestinal overlap, intestinal torsion, etc. Acute enteritis is mostly caused by infection, cold, etc., and can be accompanied by diarrhea symptoms, clinical anti-infection, antidiarrheal treatment, commonly used drugs including montelukast, levofloxacin, etc.; intestinal obstruction can have abdominal pain, abdominal distension, vomiting, anal exhaustion stop. 4, right lower abdominal paroxysmal colic: mostly seen in acute appendicitis, some patients can have typical metastatic right lower abdominal pain, pain can be transferred from the left upper abdomen to the right lower abdomen, with right lower abdominal fixed pressure pain, can be manifested as paroxysmal colic, less severe symptoms can be conservative treatment, accompanied by infection, fever may require surgery to remove the appendix. Second, the nature and degree of abdominal pain: 1, sudden onset of severe cut-like pain or burning pain in the upper and middle abdomen: mostly perforated gastric and duodenal ulcers; perforation is recommended for surgical treatment, and it is recommended to seek medical attention in a timely manner and treat under the guidance of a doctor; 2, persistent hidden pain in the upper and middle abdomen: mostly chronic gastritis or gastric and duodenal ulcers; clinical treatment with drugs such as omeprazole, bismuth pectin, triplex and quadruplex; 3, persistent dull pain in the upper abdomen or knife-like pain with paroxysmal increase: mostly acute pancreatitis; non-surgical treatment includes fasting, gastrointestinal decompression, prevention and control of infection, abdominal lavage, etc. Choose conservative or surgical treatment according to the specific situation; 4, persistent, widespread severe abdominal pain with abdominal wall muscle tension or plate-like ankylosis: acute diffuse peritonitis; treatment is divided into non-surgical treatment, such as control of infection is the main measure for the treatment of peritonitis and surgical treatment, most cases using surgery-based comprehensive treatment; 5, paroxysmal subxiphoid pain: is the typical manifestation of biliary ascariasis. Oral intake of intestinal worm cleaning type drugs to expel and kill worms. If it causes cholangitis, such as jaundice, abdominal pain and fever, or causes biliary obstruction, surgical treatment is required. Surgical treatment mainly involves common bile duct exploration to remove worms, which requires the removal of roundworm carcasses and fragments. Third, the time of attack: 1, postprandial pain: may be due to biliopancreatic disease, stomach tumor, gastric ulcer or indigestion; regular daily life, avoid overexertion, mental relaxation, regular and quantitative meals, avoid spicy food, quit smoking, avoid taking drugs that are damaging to the gastrointestinal mucosa. It is necessary to identify the specific causes and treat the symptoms; 2. Other: abdominal pain in endometriosis is associated with menstrual flow, and abdominal pain in follicular rupture occurs in the intermenstrual period. Non-surgical treatment for endometriosis can take non-steroidal anti-inflammatory drugs, progesterone, progesterone receptor antagonists, gonadotropin-releasing hormone agonists, etc. The cause needs to be identified and treated symptomatically, and both endometriosis and follicular rupture require surgery if the symptoms are severe. The abdominal paroxysmal colic is recommended to go to the hospital in time, identify the cause and treat it in time.