Diseases with acute abdominal manifestations

  The most traditional and grand Chinese New Year is coming up. This year, the Chinese New Year on February 14 coincides with Valentine’s Day, which has been prevalent in recent years, and many people are excitedly anticipating the arrival of the double holiday. In our Han custom, family reunions and feasts for friends and relatives are the main attractions of this long holiday forever reserved. During this period, many diseases take advantage of the drinking, food, irregular life and cold weather. Here, with the help of this space and platform, we would like to introduce some prevention, general knowledge of health care and consultation procedures for the people of the country with acute abdominal disease clinical manifestations during the holiday season, and wish everyone a healthy and happy holiday.  1, gallbladder stones complicating acute cholecystitis: abdominal pain, nausea, vomiting as the main clinical manifestations. As a result of poor diet, eating fatty meals, or cold, biliary colic, biliary tract infection, biliary pancreatitis is easily induced; recurrent biliary tract infection can be secondary to bile duct stones inside and outside the liver, leading to acute obstructive purulent cholangitis, liver abscess, biliary intestinal fistula and cancer. During the holidays, gallbladder stones gallbladder inflammation, a common disease, should pay sufficient attention to.  2, acute pancreatitis: mainly for abdominal pain, bloating, nausea, vomiting and other clinical manifestations of digestive system diseases, mostly due to alcohol consumption or after eating fatty meals induced biliary tract infections and occur. Most of the patients have acute edematous pancreatitis, whose treatment and regression are relatively smooth; a small number of patients have acute hemorrhagic necrotizing pancreatitis, with acute and critical onset, dangerous clinical course, difficult treatment, long course, many complications, unpredictable regression and high mortality. During the holidays, those with a history of biliary tract infection should still avoid eating, adhere to a light diet, and avoid binge drinking.  3, upper gastrointestinal ulcer perforation: cold weather during the Spring Festival, coupled with fatigue, poor diet, tobacco and alcohol stimulation will lead to peptic ulcer disease activities, easy to complicate the ulcer perforation. It is mainly the clinical manifestation of acute peritonitis. Sudden onset of severe abdominal pain, pale face, cold sweat, accompanied by malignant, vomiting and other gastrointestinal symptoms. During the holiday season, the combination of work and rest, diet, avoid irritating food, alcohol and tobacco, and regular treatment with acid suppressants can prevent the occurrence of upper peptic ulcer perforation.  4, intestinal obstruction: during the holiday season, gastrointestinal tract dysfunction and dysrhythmias are induced by poor diet and consumption of coarse-fiber indigestible foods, such as large animal proteins, leeks, bean sprouts, celery, etc. Therefore, patients who have a history of abdominal surgery are highly susceptible to the onset of adhesive intestinal obstruction.  5, abdominal injuries caused by traffic accidents: Nowadays, the main roads of every city and intercity highways are full of cars, traffic jams, traffic accidents occur frequently, and abdominal injuries increase significantly during holidays. When parenchymal organs such as liver, spleen, pancreas and large blood vessels are injured, the main manifestation is intra-abdominal bleeding.  In addition to abdominal pain, the patient’s face is pale, the heart rate is fast, the pulse is weak in severe cases, the blood pressure is unstable, and even hemorrhagic shock; when the gastrointestinal tract, biliary tract and other cavernous organs are ruptured, the main clinical manifestation is acute diffuse peritonitis, abdominal pain is severe, and the most prominent sign in addition to gastrointestinal symptoms is peritoneal irritation. When any of the above occurs, please send to the nearby hospital emergency surgery urgently to avoid serious life-threatening injuries.  6, acute gastroenteritis: the main reason is that the adolescent diet or unclean, the elderly body resistance is weak and poor digestive function, is the most likely to occur during the holidays digestive system disorders. Its clinical manifestations are mainly abdominal pain, malignant, vomiting, diarrhea. Sometimes need to be distinguished from food poisoning and abdominal surgery emergency abdominal disease.  7, angina pectoris, myocardial infarction, aortic coarctation syndrome: patients with previous hypertensive heart disease, sudden exertion during the holiday season due to emotional excitement, full meals or after sitting down, etc. induced angina pectoris, large myocardial infarction, aortic coarctation syndrome.  The first and prominent clinical manifestations of some of these patients at the onset of the disease are severe abdominal pain, lumbar tear-like pain in the back of the posterior shoulder, accompanied by nausea, vomiting and other gastrointestinal symptoms, which are very easy to be misdiagnosed as acute abdominal disease and delay the best time for diagnosis and treatment. Therefore, when elderly patients with hypertensive heart disease have sudden onset of unbearable severe abdominal pain with no interval of pain, and abdominal signs are not obvious or do not match, they should be highly alert to the occurrence of appeal cardiovascular disease.