acute stomach pain
Introduction
Introduction Stomach pain is a common symptom in the clinic. It is more common in acute and chronic gastritis, stomach and duodenal ulcer disease, and gastric nervous system. 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.
Cause
Cause
Stomach pain is a common symptom in the clinic. It is more common in acute and chronic gastritis, stomach and duodenal ulcer disease, and gastric nervous system. Also seen in gastric mucosal prolapse, gastroptosis, pancreatitis, cholecystitis and cholelithiasis. Excessive work, untimely food, work or exercise immediately after eating, excessive drinking, excessive eating, and frequent eating of indigestible food.
Examine
an examination
Related inspection
Determination of gastrointestinal effusion and duodenal reflux and imaging
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.
Laboratory examinations must be summarized and analyzed based on objective data learned from medical history and physical examination, from which several diagnostic possibilities may be proposed, and further consideration should be given to those examinations to confirm the diagnosis.
Diagnosis
Differential diagnosis
Differential diagnosis of acute stomach pain:
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, neuropathic stomach pain: Some people, when subjected to greater mental stress, gastric acid will be secreted in large amounts, 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.
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. Snoring, flatulence, nausea, vomiting, diarrhea, chest tightness, etc.
