Heart pain
Introduction
Introduction People often refer to heart pain as stomach cramps, and most of the pain in this area comes from stomach and duodenal diseases. In addition to the stomach and duodenum, organs such as the gallbladder, pancreas, left lobe of the liver, common bile duct, and heart are close to or close to the heart, and lesions in these organs can also cause "stomach pain."
Cause
Cause
1. It is related to people's increased work pressure and bad lifestyle. Including three meals from time to time, overeating, smoking, high-salt diet, love spicy food.
2. Residues such as fertilizers and pesticides in modern society destroy the balance of bacteria in the human stomach, causing a large reduction in the number of beneficial bacteria such as bifidobacteria, causing excessive reproduction of harmful bacteria in the human stomach, and the abuse of antibiotics causes resistance to harmful bacteria. The drug is greatly enhanced; eventually, the number of patients with gastrointestinal diseases is increasing and it is difficult to cure.
Examine
an examination
Related inspection
Fiberoscopy, general radiography, electrocardiogram
1. Gastroscopic examination and biopsy: Gastroscopic examination combined with direct biopsy under pathological examination is the main method for diagnosing chronic gastritis. Superficial gastritis is usually the most obvious antrum, mostly diffuse, the surface of the gastric mucosa is red and white or pattern-like changes, sometimes see scattered erosion, often with white or yellow-white exudate. The mucosa of atrophic gastritis is mostly pale or grayish white, and the corrugated wall becomes thinner or flatter. Due to the thinning of the gastric mucosa, the submucosal blood vessels can be seen to be purple-blue, and the lesion can be diffuse or the main antrum.
2. Stomach exfoliation cell examination is a relatively simple diagnostic method. Under the direct view of gastroscope, brushing cells in the stomach for suspicious cytology is helpful for differential diagnosis.
3. X-ray stomach barium meal examination Most chronic gastritis has no abnormal hair.
4. Analysis of gastric juice: Chronic atrophic gastritis, gastric acid secretion often has obstacles, especially in the chronic atrophic gastritis of the stomach.
5. Serum parietal cell antibody test Serum gastrin assay: Most corpus gastritis, serum parietal cell antibody is often positive, and serum gastrin is increased. In contrast, gastric antrum gastritis is mostly negative for serum parietal cell antibodies, while serum gastrin is decreased.
Diagnosis
Differential diagnosis
1, neck and stomach syndrome
When bone hyperplasia occurs in the cervical spine, hyperplastic bone spurs, degenerated intervertebral discs, and narrowed intervertebral space may cause adverse stimulation to the neck and its rich sympathetic nerves. These strong inferior stimuli are transmitted to the hypothalamic autonomic nervous system by entering the intracranial sympathetic neural network and producing dominant lesions. The excitement of this dominant focus is then transmitted down the sympathetic or parasympathetic nerves to the visceral blood vessels, and the stomach has two different symptoms: when the sympathetic nerves are excited, the gastrointestinal secretion and peristalsis are inhibited, and the dry mouth tongue appears. Dry, do not think about diet, upper abdominal pain and other symptoms; when the parasympathetic nerve excitability is increased, there will be symptoms such as increased appetite, burning heartburn, pain during hunger, and relief after eating.
2, hepatobiliary diseases
Common hepatobiliary diseases, such as liver cancer, especially in left lobe liver cancer, gallbladder cancer and total cholangiocarcinoma, can be expressed as "stomach pain", and symptoms such as upper abdominal fullness, fatigue, jaundice, etc., are easily misdiagnosed as Stomach disease loses the opportunity of early diagnosis and treatment; gallstone disease due to gallstone stimulation, gallbladder and bile duct can have varying degrees of inflammation.
Patients often have irregular pain and discomfort under the heart or right ribs, and sometimes symptoms such as upper stomach fullness, belching and other similar stomach problems.
3. Pancreatic diseases
Patients with pancreatic head cancer or chronic pancreatitis often have symptoms such as pain and nausea and vomiting in the heart.
4, myocardial infarction
In the elderly, the heart may not have pre-chorionic colic, but only complain of "stomach pain" or heart discomfort, accompanied by nausea and vomiting.
5, psychological barriers
Mental stress and negative emotions have an adverse effect on digestive system function. If this negative emotion is not eliminated in time, it will easily lead to peptic ulcer. Therefore, in the clinical, most patients with psychological disorders will eventually have problems with the digestive system such as stomach pain.
