Abdominal pain, colic, boring pain, dull pain and burning pain are all common clinical symptoms. According to the severity of the disease, it can be divided into acute abdominal pain and chronic abdominal pain. Acute abdominal pain is acute, rapid and severe. The etiology is complex and the location is often not very accurate; Chronic abdominal pain has a slow onset and a long course, or it is secondary to acute abdominal pain, and its location is accurate.
1) Acute abdominal pain is caused by many reasons and can be roughly divided into the following two categories according to the lesion site:
1. Abdominal injury.
Organ inflammation-common in acute gastritis, acute enteritis, acute hepatitis, acute cholecystitis, acute pancreatitis, acute appendicitis, acute peritonitis and acute pyelonephritis.
② Perforation of organs-common in perforation of gastric and duodenal ulcer, gastric cancer and intestinal perforation.
③ Obstruction or torsion of organs-common in gastric mucosal prolapse, acute intestinal obstruction, biliary ascariasis, cholelithiasis, nephroureterolithiasis and torsion of ovarian cyst pedicle.
④ Organ rupture and bleeding-common in rupture of liver and spleen, ectopic pregnancy, etc.
⑤ Visceral vascular diseases-common in mesenteric arteriosclerosis and infarction, portal vein embolism, splenic infarction, renal infarction, abdominal aortic aneurysm and dissecting aneurysm.
⑥ Others-such as acute bloating and dysmenorrhea.
2. Extraperitoneal diseases.
(1) chest diseases, such as pneumonia, pleurisy and acute myocardial infarction.
② Poisoning and metabolic disorders-such as lead poisoning, diabetic ketosis and uremia.
③ Allergy and other diseases-such as abdominal metamorphosis, acute hemolysis, abdominal epilepsy, neurosis, etc.
2) Chronic abdominal pain has the characteristics of accurate location, which can be divided into the following types according to the location of abdominal pain:
1. Chronic right epigastric pain-common in chronic hepatitis, liver abscess, liver cancer, chronic cholecystitis, gallstones and ulcers.
2. Chronic upper-middle abdominal pain-common in esophageal hiatal hernia, esophagitis, cardiac cancer, gastric and duodenal ulcers, chronic gastritis, gastroptosis, gastric neurosis, chronic pancreatitis and pancreatic cancer.
3. Chronic left epigastric pain-common in chronic gastritis and chronic pancreatitis.
4. Chronic left and right abdominal pain-common in nephroptosis, chronic pyelonephritis and urinary calculi.
5. Chronic right lower abdominal pain-common in chronic appendicitis, intestinal tuberculosis and right tubal oophoritis.
6. Chronic lower abdominal pain-common in chronic cystitis, prostatitis and chronic pelvic inflammatory disease.
7. Chronic left lower abdominal pain-common in chronic dysentery, chronic colitis, rectal and sigmoid colon cancer and left fallopian tube oophoritis.
8. Chronic extensive and non-localized abdominal pain-common in tuberculous peritonitis, intestinal adhesion, intestinal ascariasis and neurosis.
3) How to register for medical treatment?
The causes of abdominal pain are many and complicated, so how to register for treatment? In fact, as long as a little analysis of the site of abdominal pain and its accompanying symptoms, it can be solved.
1. General Surgery-Acute abdominal pain in the upper right abdomen and lower right abdomen. Generally, the first visit should be linked to general surgery. Patients with diffuse abdominal pain and abdominal stiffness should consider acute peritonitis; Patients with abdominal pain, vomiting, no exhaust and no defecation should be excluded from external intestinal obstruction and should go to general surgery.
2. Gastrointestinal diseases-occurring in the upper middle abdomen and left upper abdomen; Patients with acute abdominal pain or chronic epigastric pain with acid regurgitation or vomiting and diarrhea in the left lower abdomen should go to the gastroenterology department for treatment.
3. Intestinal clinic-patients with acute abdominal pain and diarrhea should go to the intestinal clinic.
4. Urology-patients with acute and chronic left and right abdominal pain and hematuria should go to urology.
5. Gynecology-Female patients who suddenly have acute abdominal pain or have a history of amenorrhea during the menstrual period and the middle period should go to the gynecology department for treatment.
6. Others-patients with abdominal pain with a history of lead poisoning should hang up the occupational disease clinic. Patients with abdominal pain and vomiting with a history of diabetes should see an endocrinologist.
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