Nervous stomach pain
Introduction
Introduction When some people are under greater mental stress, the stomach acid will be secreted in a large amount, showing a state of hyperacidity, causing heartburn, septum, stomach pain and other symptoms. In addition, the work of the stomach is dominated by autonomic nerves. When the mental stress of the person is too large, the autonomic nervous system loses balance, and the stomach cannot work normally (secreting gastric acid, peristalsis, etc.), causing stomach discomfort and causing stomach pain. Furthermore, because of lack of sleep, diet, life, work, study and other reasons. Both may cause autonomic disorders, causing stomach pain, which is neuropathic stomach pain.
Cause
Cause
It has a great relationship with mental and emotional factors, such as anger, nervousness, and excessive stress, but organic diseases should be excluded.
Examine
an examination
Related inspection
Basal gastric juice secretion, serum carcinoembryonic antigen, gastric juice, gastric juice, microscopic examination, gas sputum double contrast angiography
Do not think that it is stomach pain because of pain in the upper abdomen. It may be a disease caused by other organs. To judge stomach pain, the more correct method is based on the location of pain, such as: left upper abdominal pain or left upper abdominal discomfort, and the pain time, such as one hour after meal, fasting, etc., and the accompanying symptoms are fully explained, such as Snoring, flatulence, chest tightness, nausea, vomiting, etc., to facilitate the diagnosis and treatment of doctors.
1, the location of the pain
The stomach is located in the upper abdomen, the sternum is placed under the depression, and above the navel (near the heart socket). If the stomach is divided into four areas, the pain in the upper part of the left side is most likely to be stomach pain. However, it may be caused by diseases such as esophagus, duodenum, gallbladder, liver or pancreas. Therefore, it is necessary to use the time of pain, accompanying symptoms, etc. as a criterion for judgment.
2, pain time
Stomach pain occurs after a meal or before a meal, after eating certain foods, or under conditions of hunger, overeating, and overeating. Since stomach discomfort is mostly closely related to eating, it is more accurate to use the time, habits, content, and types of eating as the criteria for discrimination.
3, observe the symptoms
Stomach discomfort is associated with many symptoms, such as snoring, flatulence, nausea, vomiting, diarrhea, chest tightness, etc. Because of the different symptoms of each disease, if accompanied by symptoms such as chest tightness, heartburn, snoring, etc., it may be an esophageal disease; Pain, fullness and tenderness, soreness, and even vomiting may be stomach ulcers, but if you have symptoms such as snoring, jaundice, and fever, it may not be related to the stomach or the gallbladder. Therefore, the symptoms associated with abdominal pain cannot be ignored.
4, go to the hospital for inspection
If the situation is complicated, it is difficult to determine which position is uncomfortable and the time of the attack and the nature of the pain. You should go to the hospital immediately to ask the doctor for diagnosis and examination. This is the most direct and accurate method.
Experts suggest that people who think they have symptoms of stomach pain should not be judged as "stomach pain" because of a pain in the upper abdomen. They are rushing to the hospital for examination and telling the doctor that they are "stomach" pain, which may cause misdiagnosis or delay the condition. It is best to describe the condition in terms of the location of the pain and the appearance of the symptoms. After a thorough diagnosis, it can be determined whether it is a "stomach" problem.
Diagnosis
Differential diagnosis
Differential diagnosis
1. Chronic stomach pain: Chronic stomach pain is common in chronic gastritis. Chronic gastritis refers to various chronic gastric mucosal inflammatory lesions caused by different causes. It is a common disease and one of the most common diseases of the army. Its incidence rate is in various stomach diseases. first place. Since the wide application of fiber endoscopy, the understanding of this disease has been significantly improved. Chronic gastritis often has a certain degree of atrophy (mucosal loss of function) and metaplasia, often involving the cardia, accompanied by loss of G cells and decreased secretion of gastrin, may also involve the body of the body, accompanied by loss of acid secretion glands, leading to stomach acid, Reduction of pepsin and endogenous factors.
2, acute stomach pain: stomach pain is a common symptom in the clinic, more common acute and chronic gastritis, stomach, duodenal ulcer disease, gastric nerve uterine energy syndrome. Also seen in gastric mucosal prolapse, gastroptosis, pancreatitis, cholecystitis and cholelithiasis. Acute stomach pain is an acute onset, rapid change, and serious illness. The patient felt severe pain in the stomach, accompanied by snoring, flatulence, nausea, vomiting, diarrhea, chest tightness and other symptoms.
3, intermittent stomach pain: stomach pain refers to only the chronic ulcers in the contact area of the gastrointestinal tract and gastric juice, also known as ulcer disease, Chinese medicine said "stomach pain", "heartache", "stomach pain" category. Intermittent stomach pain is that the stomach pain is intermittent and there is no certain rule.
4, emotional stomach pain: psychological stomach pain belongs to mental function, mainly because people's nervousness, anxiety and other uneasy emotions are reflected to the stomach, leading to upper abdominal pain, symptoms include stomach cramps, bloating, usually relieve symptoms after anxiety is relieved. But what is disturbing is that psychological pain is sometimes difficult to have immediate relief of symptoms, and the degree of pain is unbearable. The more serious consequence is that the pressure will cause gastric acid secretion. Once the gastric acid is excessively secreted, it may cause gastritis, peptic ulcer and acid reflux.
diagnosis
Stomach discomfort is associated with many symptoms, such as snoring, flatulence, nausea, vomiting, diarrhea, chest tightness, etc. Because of the different symptoms of each disease, if accompanied by symptoms such as chest tightness, heartburn, snoring, etc., it may be an esophageal disease; Pain, fullness and tenderness, soreness, and even vomiting may be stomach ulcers, but if you have symptoms such as snoring, jaundice, and fever, it may not be related to the stomach or the gallbladder. Therefore, the symptoms associated with abdominal pain cannot be ignored.
