Severe abdominal pain, also known as acute abdomen, is characterized by severe abdominal pain, tenderness, rebound pain, abdominal muscle tension and even shock. Acute abdomen often means extensive lesions and serious illness. No matter what kind of disease it is, the patient's family members should seek medical treatment immediately, and doctors should make differential diagnosis according to the patient's medical history and other complications. Never give the patient painkillers or drink alcohol before the patient is rescued and diagnosed by a doctor, so as not to aggravate the condition and cover up the symptoms.
If there are no symptoms of peritoneal irritation such as tenderness, rebound pain and muscle tension, but the severe abdominal pain has not been relieved for more than an hour, you should go to the hospital.
In addition to the above, abdominal pain is mostly caused by minor digestive tract disorders, but it may also be related to diseases of chest organs, urinary tract and reproductive organs, which can be differentiated by the pain site and other accompanying symptoms: the possible diagnosis of accompanying symptoms.
Periumbilical pain or colic, sudden onset, paroxysmal aggravation of intestinal ascaris (see intestinal parasitic diseases)
Pain around the upper abdomen or navel can be relieved by antacids, usually accompanied by vomiting and diarrhea, acute gastroenteritis or gastric ulcer.
Intermittent spasmodic pain in lower abdomen, intestinal dysfunction
Chronic, periodic and rhythmic abdominal pain in upper and middle abdomen, accompanied by tenderness, is closely related to diet. Peptic ulcer may have persistent severe pain during the active period of the disease.
Pain radiates from the right rib to the right shoulder, accompanied by cholecystitis or diaphragm disease.
Paroxysmal pain when drilling the top, accompanied by vomiting, and no pain when intermittent biliary ascariasis occurs.
Persistent right epigastric pain and tenderness in liver area, accompanied by icteric viral hepatitis.
Lower abdominal pain, burning pain during urination, frequent urination, cystitis or other urinary tract infections.
The pain starts at the back and then spreads to the groin. This kind of pain can cause urinary tract diseases (such as urinary tract infection or kidney calculi).
Pain in the left lower abdomen, often paroxysmal diarrhea and intermittent constipation, colon allergy, or ulcerative colitis.
Male, lower abdominal pain, groin swelling and discomfort hernia.
Pain in the center of the upper abdomen, angina spread to the left shoulder.
abdominalgia
Abdominal pain is very common in daily life, and the reasons are very complicated. Abdominal organ diseases and diseases outside the abdominal cavity, such as chest diseases and spinal injuries, can all cause abdominal pain.
Abdominal pain can be divided into acute and chronic. Acute abdominal pain has an acute onset and a short course of disease; Chronic abdominal pain has a slow onset and a long course of disease.
(a) Common diseases that cause abdominal pain in families
(1) Stomach, duodenal ulcer, gastritis and gastric cancer.
(2) Diseases of small intestine and colon, such as intestinal obstruction, appendicitis, enteritis, dysentery and intestinal parasitic diseases.
(3) Biliary tract and pancreatic diseases, such as cholecystitis, gallstones, pancreatitis, pancreatic head cancer, etc.
(4) Acute and chronic hepatitis and liver cancer.
(5) Peritonitis is often secondary to gastrointestinal perforation and spleen rupture.
(6) Abdominal pain caused by chest organs, such as early lobar pneumonia and acute inferior myocardial infarction, is often misdiagnosed as abdominal organ diseases.
(7) Urogenital diseases, such as kidney and ureter stones, ectopic pregnancy, salpingitis, torsion of ovarian cyst pedicle, acute cystitis, urinary tract infection, dysmenorrhea, etc.
(8) Abdominal pain caused by systemic diseases, such as diabetes.
(2) Differential diagnosis of abdominal pain
(1) Sudden epigastric pain after full meal and drinking should be considered.
(2) The pain in the right upper abdomen is paroxysmal colic, which radiates to the right shoulder, mostly cholecystitis and gallstones.
(3) Severe abdominal pain in the left middle part of the upper abdomen, accompanied by vomiting and persistent pain, paroxysmal aggravation, radiating to the lateral side of the waist, acute pancreatitis should be considered.
(4) Pain in the upper abdomen begins, then turns to pain in the lower right abdomen several hours later, accompanied by nausea and vomiting, mostly acute appendicitis.
(5) Ectopic pregnancy should be considered for those with sudden lower abdominal pain and vaginal bleeding after menopause for about 6 weeks. When women of childbearing age have abdominal pain, they must consider gynecological acute abdomen.
(6) Paroxysmal abdominal or lower abdominal colic, radiating to the back and perineum, accompanied by frequent urination and hematuria as ureteral calculi.
(7) Abdominal pain with diarrhea, infectious diseases such as enteritis, dysentery and paracholera should be considered.
(8) Persistent abdominal pain with vomiting may be intestinal obstruction.
(3) the signal of acute abdomen
Abdominal pain varies from person to person, and the symptoms vary widely. The following points can be used as danger signals of acute abdominal pain and must be sent to hospital for further treatment as soon as possible.
(1) Abdominal pain, the degree is increasing or unbearable;
(2) accompanied by severe vomiting or hematemesis;
(3) accompanied by high fever;
(4) Accompanied by symptoms of peritoneal irritation, such as abdominal muscles as hard as a plate, the abdomen can't be touched, and the patient takes a kneeling and bending posture to relieve abdominal pain.
(5) The patient has symptoms of shock, such as cold sweat, cold limbs, pale and blue face, weak pulse and decreased blood pressure.
(D) family rescue of abdominal pain
(1) Let the patient lie on his side and flex his legs to relieve abdominal muscle tension and pain. Peritonitis is better in semi-sitting position.
(2) Observe the nature, location, attack time and accompanying symptoms of abdominal pain, and find out the reasons as soon as possible. In the case of unknown cause, don't blindly hot compress or cold compress the abdomen.
(3) Try not to use painkillers when the cause is unknown, so as not to interfere with the nature of pain and be misdiagnosed.
(4) For diseases with definite causes such as enteritis, dysentery and gastritis, painkillers can be applied appropriately, such as belladonna tablets, weishuping and 654? 2. Atropine, etc. After taking 1 ~ 2 times, if the abdominal pain is not relieved, you should go to the hospital in time. Pay attention to ECG examination to exclude myocardial infarction, as well as X-ray examination and abdominal B-ultrasound examination.
(5) Diet therapy is very important for abdominal pain caused by digestive system diseases. The diet of ulcer and gastritis should be easy to digest and soft; Pancreatitis should be given a light diet with low fat and protein, and fasting is also needed in the acute stage. The direction of dietotherapy should be decided according to the condition, and proper dietotherapy will relieve abdominal pain.
(6) Relax, keep an optimistic attitude, pay attention to rest, and reduce abdominal pain caused by gastrointestinal neurosis.
(7) Abdominal pain caused by parasitic diseases should be treated with anthelmintics, such as enterotoxin, levamisole, Jierping and Quyiling.