Abdominal pain is a very common clinical symptom, involving a wide range and complicated nature. Some causes may be very mild, while others are serious diseases. Therefore, once abdominal pain occurs, it is necessary to find out the cause of abdominal pain correctly so as not to affect your health.

Everyone has experienced abdominal pain to some extent. When abdominal pain occurs, the most worrying thing is why abdominal pain occurs. Does abdominal pain really matter? The location of abdominal pain is the main condition to judge the cause.

Abdominal pain usually refers to the pain in front of the body, from the lower edge of the ribs to the pubic bone. Generally speaking, pain can be divided into dull pain and acute pain (hernia pain). Hidden pain refers to dull pain, and most of the pain in organs or viscera belongs to it. Severe pain refers to very obvious pain, and patients can clearly know the location of the pain, which is usually related to pipeline blockage, such as bile duct stones and intestinal obstruction.

In most cases, there is a corresponding relationship between abdominal lesions and abdominal pain. Generally, according to the position of abdominal organs, the abdomen can be divided into four areas: upper right, lower right, upper left and lower left, and according to the position of abdominal pain, it can be divided into upper left abdominal pain, upper right abdominal pain, lower left abdominal pain, lower right abdominal pain and central abdominal pain.

If it is pain in the right upper abdomen, we should consider the problems of liver, gallbladder, biliary tract, pancreas, duodenum, right kidney and right segment of large intestine. Pain in the right lower abdomen needs to think of cecum, appendix, right ovary, fallopian tube and right ureter. Left upper abdominal pain may be stomach, spleen, pancreas, left kidney and left segment of large intestine; Left lower abdominal pain may be sigmoid colon, left ovary, fallopian tube, left ureter, etc. If there is pain around the navel, it is mainly manifested as small intestine disease. In addition, sometimes there may be extensive pain in the whole abdominal cavity. This situation is usually that the peritoneum is inflamed due to some reasons, such as ulcer perforation, ectopic pregnancy rupture, internal bleeding and so on.

It is worth noting that some abdominal pains will transfer with the influence of the focus. For example, the pain starts from the center of the upper abdomen and gradually moves to the right and down within 24 hours, which is an important sign of appendicitis; The pain was originally in the upper right and gradually extended to the lower right scapula, which may be a problem with gallbladder and gallstones.

Don't ignore clues that are helpful for diagnosis.

The causes and effects of abdominal pain can be light or heavy. When abdominal pain occurs, patients should pay more attention to the pain situation, so as to accurately grasp the cause and facilitate the doctor's diagnosis, including the location, time, nature of the pain, whether it is accompanied by other symptoms, factors affecting the change of pain, etc.

Whether abdominal pain is accompanied by other symptoms is also one of the key points to identify the cause, such as diarrhea may be gastrointestinal inflammation; Constipation may be fecal obstruction; Vomiting should consider intestinal obstruction or inflammation; The change of defecation habit may be caused by the lesion of large intestine; At the same time, there are symptoms such as jaundice and fever, which may be bile duct or liver lesions; Frequent micturition, dysuria, nocturia, etc. Problems such as bladder and urethra should be considered. These accompanying different symptoms help to distinguish the real cause of abdominal pain.

The factors affecting the changes of pain can not be ignored, especially gastrointestinal diseases, which are closely related to diet. Therefore, the relationship between diet and pain changes can be said to be an important basis for preliminary judgment of abdominal pain, such as: abdominal pain after eating, which may be gastritis and pancreatitis; It is easy to feel pain on an empty stomach, but it is more comfortable to eat something, so it may be a peptic ulcer.

Acute abdomen should be treated immediately.

Acute abdomen refers to severe abdominal pain that occurs within a few hours. Generally, when acute abdomen occurs, it is usually considered as eating bad stomach or gastroenteritis. In fact, there are many possible causes of acute abdomen, including acute appendicitis, pancreatitis, cholecystitis, gastroenteritis, perforation of gastrointestinal ulcer, intestinal obstruction and rupture of hollow organs. Some of them only need medication, while others have to undergo surgery.

When acute abdomen occurs, especially when accompanied by fever, nausea, vomiting, abdominal distension, night sweats and other symptoms, you should seek medical attention immediately. Clinical common acute abdomen is as follows:

1. Acute gastroenteritis: food poisoning caused by eating unclean food, usually accompanied by severe vomiting, diarrhea, fever and other symptoms.

2. Acute appendicitis: commonly known as appendicitis, can occur at any age, but generally occurs between 20 and 40 years old. Most patients changed from upper abdominal pain to right lower abdominal pain, and the pain reached its peak in about 4 ~ 6 hours. At this point, coughing or moving your body may even aggravate the pain.

3. Ulcer perforation: Sudden and severe pain in the upper abdomen is a typical symptom. Others have abdominal distension, nausea, vomiting, fever and other symptoms, and even severe peritonitis may occur in severe cases.

4. Acute cholecystitis: Pain usually occurs after meals or in the middle of the night, located in the right upper abdomen or upper abdomen. Sometimes the pain will spread to the right shoulder or scapula, accompanied by symptoms such as fever, vomiting and jaundice.

5. Acute pancreatitis: The common symptoms are severe and persistent upper abdominal or left upper abdominal pain (sometimes the pain extends to the back), nausea and vomiting, and fever. When the body bends forward, the pain will be slightly relieved.

6. Intestinal obstruction: Sudden and severe pain in the upper abdomen is a typical symptom, as well as other symptoms such as abdominal distension, nausea and severe vomiting. Common causes include stool obstruction, intestinal cancer obstruction and volvulus. Serious complications such as sepsis and perforation may even occur.

Abdominal pain in women may not be simple.

Dysmenorrhea is a common physiological phenomenon in women. When menstruation comes, there will be different degrees of lower abdominal pain, sometimes even accompanied by flatulence, chills, diarrhea, backache and other symptoms.

When women have this kind of physiological dysmenorrhea, it is recommended to go to obstetrics and gynecology first. If the possibility of gynecological diseases is ruled out, there is no need to worry. They can use hot compress or take painkillers to relieve the pain.

It is worth noting that if dysmenorrhea is different from the previous form, you should go to a doctor for examination and record the information such as the starting time, location and duration of dysmenorrhea, so as to provide a diagnostic basis for doctors.

When women have lower abdominal pain, we must consider whether it is a gynecological problem, such as endometriosis, rupture of ovarian cyst, torsion of ovarian cyst, pelvic inflammatory disease, hysteromyoma, ovarian tumor, ectopic pregnancy, abdominal or pelvic adhesion, etc. In order to avoid missing the golden period of treatment, if women have unexplained lower abdominal pain, they should seek medical examination as soon as possible.

Abdominal pain should not be taken lightly.

Abdominal pain is one of the common clinical symptoms, but because abdominal pain is mostly sporadic, patients often take it lightly.

In fact, there are quite a few abdominal organs that may cause abdominal pain, including digestive organs, urinary organs and reproductive organs. Sometimes abdominal pain may even be one of the symptoms of other serious diseases (such as myocardial infarction and pulmonary embolism). ).

Therefore, when abdominal pain occurs, it is the most correct principle to seek medical treatment as soon as possible, find out the cause and accept the corresponding disease treatment.

Roughly distinguish the position of abdominal organs

Upper right: liver, gallbladder, biliary tract, pancreas, duodenum, right kidney and right segment of large intestine.

Upper left: stomach, spleen, pancreas, left kidney and left segment of large intestine.

Lower right: cecum, appendix, right ovary, fallopian tube and right ureter.

Lower left: sigmoid colon, left ovary, fallopian tube and left ureter.