How much do we know about “stomach pain”?
A. Pain method
1, bloating pain: this is generally related to gas, there is a lot of air in the stomach or intestines feel very bloated, most of them are functional gastrointestinal disorders.
2, colic: most of them are spasms, as if in the pain of strangling the things inside, many stones, intestinal obstruction, acute enteritis will be colic.
3, stabbing pain: as if there is a needle stabbing you where, people often describe it as like a needle stabbing. Most of them are peptic ulcer problems.
There are also times when the stomach is like a fire, burning, which is generally more acid, mostly peptic ulcer or reflux esophagitis performance.
Two, parts
1, the upper abdominal pain: abdominal pain above the navel gastroenteritis caused by abdominal pain: eat bad stomach, such as food poisoning, a few hours after the meal began to stomach cramps, followed by nausea, vomiting symptoms called “gastroenteritis”; some people are stomach pain after diarrhea, dysentery more than, called “small intestine colitis This is called “small intestine colitis”. The former is mainly inflammation of the stomach and the latter is mainly inflammation of the large intestine, mainly due to toxins produced by rotten food or bacteria, stimulating the inflammation of the gastrointestinal tract, except for a few who need to go to the hospital for an IV, usually within a few days.
Stomach pain: Abdominal pain caused by inflammation or ulceration of the stomach or duodenum, with the painful point usually above the navel, caused by excessive secretion of gastric acid and duodenal ulcers; it will improve with some food, and it hurts again when hungry, typical of patients with duodenal ulcers. In addition, there are a few real stomach pains that are caused by stomach cancer. Gastroscopy must be done to find out the real cause so as not to delay the disease.
Gallstones: Gallstones irritate the wall of the gallbladder and cause contraction of the gallbladder, resulting in severe abdominal pain, usually in the upper abdomen, often thought to be stomach pain, and the pain usually lasts from half an hour to an hour after a meal; gallbladder stones are often complicated by cholecystitis, and the bouts of pain become constant pain, with the pain in the right upper abdomen and often combined with obvious pressure pain.
Inflammation of the pancreas or cancer of the pancreas: Pancreatitis is common in patients with gallstones, and patients with high blood lipids can also cause inflammation of the pancreas. The abdominal pain caused by pancreatitis is usually slowly increasing and can be easily mistaken for stomach pain. Cancer of the pancreas can also cause symptoms similar to stomach pain, especially cancer growing in the body or tail of the pancreas, which often causes stomach or even back pain, and many people think it is a bone spur, and only when the disease worsens do they realize that something is wrong.
2. Lower abdominal pain: pain below the belly button Appendicitis: Initially, the pain may be felt in the upper abdomen or stomach, but later shifts to the right lower abdomen, where the appendix is located. Patients will also have systemic symptoms such as mild fever and elevated white blood cells. It is usually not difficult to diagnose, but patients with diabetes or older age are often not easy to diagnose.
Bleeding from ruptured ectopic pregnancy: These are women of childbearing age who present with sudden pain in the lower abdomen and should be highly suspected of bleeding from ruptured ectopic pregnancy.
Dysmenorrhea: It is normal for young women to have varying degrees of lower abdominal pain during menstruation, but if the pain is severe or accompanied by lower body bleeding or other symptoms, they should seek medical attention quickly.
3, lumbar pain: pain at both sides of the waist kidney stones: kidney stones down the ureter, causing obstruction of the ureter, causing severe pain. Usually at both sides of the waist, sometimes it will radiate down to the bladder, sometimes you will find blood in urination, this pain is also a kind of colic, need to go to the hospital immediately for treatment.
4.Pain without specific site colorectal cancer: colorectal cancer causes change of bowel habit, even bloody stool and flatulence, and in serious cases, it also leads to intestinal obstruction, and patients often feel abdominal pain, but the location of the pain is not clear, which often delays the diagnosis.
Intestinal obstruction: Patients who have undergone laparotomy often have intestinal adhesions, causing intestinal obstruction, which leads to abdominal pain, the location of the pain is uncertain, usually a burst of cramps, flatulence is strong, burping or exhaust will improve
Three, registered to which department
1, general surgery: if you are right upper abdomen and right lower abdomen pain is very strong, come very urgent, but not vomiting, not diarrhea, first hang general surgery.
2.Gastroenterology: if there is also pain in the upper middle abdomen and left upper abdomen and left lower abdomen, or frequent upper abdominal pain, along with acid reflux or vomiting and diarrhea, you should go to gastroenterology.
3.Urology: If you have severe abdominal pain accompanied by lumbar pain, and if you find that your urine is not very normal, you should first consider going to the urology department.
4.Gynecology: female patients who have acute and chronic abdominal pain, it is best to go to gynecology first to exclude the necessary gynecological diseases.
5, cardiology: the most critical elderly patients, who have stomach pain, first rule out angina pectoris due to insufficient blood supply to the heart muscle.
Stomach pain is not simply a disease of the intestines. In daily life, do not blindly take oral painkillers, such as scopolamine and scopolamine infusion tablets, but go to the hospital as soon as possible to avoid delaying the condition.