When many people hear that their stomachache, they think they must have eaten and damaged their stomachs, so there is nothing to make a fuss.
In fact, there are many causes of stomach pain, and the pain characteristics caused by each cause are different. Sometimes a small stomachache can hide fatal problems.
On September 14, Xu Hao, the attending physician of the Department of Neurosurgery of , the First Affiliated Hospital of University of Science and Technology of China, shared a case on his personal WeChat official account, which only 3 days from "stomach pain" to his death.
only 3 days from "stomach pain" to death!
At 5:00 pm on the Mid-Autumn Festival, a family of three came to the clinic. The man covered his stomach and could tell that his stomach was in a severe pain.
The doctor asked and learned that the family had celebrated the Mid-Autumn Festival that day. They ate moon cakes and pomegranate in the morning, drank a lot of wine and some seafood at noon. My stomach started to hurt at about two o'clock in the afternoon. At first, I thought I was going to defecate, but I almost fainted in the toilet. Although it was pulled out later, the abdominal pain still did not relieve it. After three hours of suffering from abdominal pain, I came to the hospital.
The man’s wife’s demand is very simple: the husband just gastroenteritis is in trouble, and he has to go to the festival (eating a reunion dinner) in the evening. Try to treat it quickly, and just have a simple infusion.
Doctors saw that this was obviously not ordinary gastroenteritis, because the patient not only did not have symptoms of diarrhea, but also had tenderness scattered in the abdomen during the abdominal examination.
patients said that they had abdominal cramps and pain were very strong, but electrocardiogram, fecal routine and blood routine were all within the normal range.
When the doctor was still considering the next test, the patient's pain worsened and his legs became painful. After physical examination, he found that his femoral artery was very pulsating. At this time, the doctor had already had preliminary doubts. Thinking that the problem might be very serious, the doctor suggested to do it in one step: "You go for a strengthened CT scan, so that you can save other examinations and save some time."
As soon as he heard that it would be over soon, the patient's wife agreed without saying a word. The results of
strengthening CT were released, which was not optimistic: obvious aortic endarterial avulsion could be observed in the aortic lumen, and local ruptures could be seen in the aortic endarterial. To put it bluntly, abdominal aortic dissection↓↓
abdominal aortic dissection is a critical and acute disease in cardiovascular disease. Once abdominal aortic dissection rupture and bleeding occurs, the patient's mortality rate within 48 hours is as high as 50%. In other words, after the abdominal aortic dissection rupture, the patient will be in danger of life at any time.
Now, the real cause of abdominal pain has been found. Although the danger is repeatedly emphasized to the other party, the patient's family is unmoved and insists on going home for a reunion dinner during the Mid-Autumn Festival.
The doctor persuaded him over and over again, and the patient's family finally became impatient, "Isn't it just one night? What disease is so scary? Can't we come here tomorrow?"
couldn't convince the other party. On the first day after the holiday, the doctor said in the WeChat group that the 35-year-old patient died. On the last day of the Mid-Autumn Festival holiday, due to rupture and bleeding from abdominal aortic dissection, he fell into shock after a rapid heart rate and blood pressure dropped, and died after ineffective rescue.
In the end, he paid the price for his carelessness with his life.
Dr. Xu Hao said that the abdomen gathers many organs in the body, so not only diseases of the abdominal organs will cause abdominal pain, but extra-abdominal diseases and systemic diseases will also cause abdominal pain.
Acute abdominal pain : Acute appendicitis , acute gastroenteritis and Acute pancreatitis can cause acute abdominal pain, Intestinal torsion , ovarian cysts and gastrointestinal perforation can also cause acute abdominal pain.
Chronic abdominal pain: Crohn's disease , irritable bowel syndrome, liver abscess , gastrointestinal ulcer, liver cancer and colon cancer , etc. can lead to chronic abdominal pain.
In addition, abdominal aortic aneurysm , myocardial infarction, pulmonary infarction, angina pectoris, uremia , heart failure , etc. can also have abdominal pain.
The causes of abdominal pain in different locations are different
Chen Feng, deputy chief physician of the Emergency Center of Sichuan People's Hospital, introduced in June 2022 on the Chengdu Business Daily Sichuan Famous Doctor official account that the abdomen can be roughly divided into the following 9 areas. The organs in different areas are different, so they also correspond to different situations.
First row: upper abdomen pain
1 Area: upper right abdomen
0 The pain in the upper right abdomen is mainly caused by gallbladder , bile duct, and liver problems, such as bile duct stones , gallbladder stones , liver abscess, etc.
2 Area: Middle and upper abdomen
Middle and upper abdomen pain, the main reason is the stomach, such as gastric ulcer , duodenal ulcer , or gastric perforation. In addition, cholecystitis, pancreatitis, and other diseases can also cause pain in the upper and lower abdominal areas.
3 Area: upper left abdomen
The pain in the upper left abdomen is mainly caused by pancreatic lesions, such as pancreatitis. Or it is a spleen problem, such as spleen rupture , etc.
Second row: Middle abdominal pain
4, No. 6: Right middle abdomen, left middle abdomen
These two places are mainly caused by colon and spleen problems.
5 Area: Middle and middle abdomen
is the piece around the navel and in the center of the abdomen, which is usually caused by small intestine problems.
Third row: Lower abdominal pain
7 Area: Right lower abdomen
0 Right lower abdomen pain is mainly caused by appendicitis . In addition, ureteral stones , fallopian tube, ectopic pregnancy , etc. can also cause pain in the lower right abdomen.
8 Area: Middle and lower abdomen
Middle and lower abdomen pain is mainly caused by pelvic and uterine lesions, such as pelvic inflammatory disease , uterine fibroids, etc.
9 Area: Left lower abdomen
Left lower abdomen mainly involves ureteral stones, fallopian tube problems, or pain caused by uterine attachments such as rupture of the corpus luteum.
Of course, pain in the lower left and lower right abdomen may also be caused by colon tumor .
Don’t be careless, these diseases can also cause stomach pain
Dr. Chen Feng said that some diseases can also cause abdominal pain.
1. Gastropathy caused by vascular causes
Pain in the abdominal organs may also be caused by vascular causes. For example, aortic dissection can cause back pain and severe pain anywhere in the abdomen.
2. Stomach pain caused by obstruction and embolization
intestinal obstruction, mesenteric artery embolization , etc. can also cause abdominal pain.
3. Myocardial infarction, pleural effusion
Myocardial infarction can cause middle and upper abdominal pain; pleural effusion can cause upper abdominal pain on the left or right.
4. Stomach pain caused by systemic diseases
There are also some systemic diseases, such as thrombocytopenic purpura, which can also cause abdominal pain, and will also be accompanied by pus, bloody stool .
4 Special groups should be vigilant for abdominal pain
1. Children's abdominal pain
Children are prone to unknowingly eating foreign objects into their stomachs while playing. When your stomach hurts, you dare not tell your parents, and some children even don’t remember to swallow things.
Zhang Zhongxi, chief physician of pediatric surgery at Xiamen Children's Hospital in Fujian Province, published an article in Health Times in 2018 to remind that children say that they have abdominal pain, parents must take them to the hospital for examination in time. Through B ultrasound , X-ray irradiation and other examination methods, problems can generally be found. Once you find that you accidentally eat foreign objects, do not deal with them at home. You should go to the hospital for examination in time. You can remove them in the stomach early and under a gastroscopy.
2. Menopause women with abdominal pain
Beijing Century Temple Hospital chief gynecology physician Bai Wenpei published an article in the Health Times in 2019 that ovarian tumor is divided into benign and malignant, of which malignant accounts for about 10%. It is a high incidence in women around 50 years old. It is mostly without obvious symptoms in the early stage. In the late stage, it mainly contains symptoms of abdominal distension, abdominal lumps, diarrhea or constipation. It can also cause abdominal pain, low back pain or lower limb pain, lower limb swelling, and irregular vaginal bleeding.
But none of these symptoms are typical, so it is difficult for individuals to be alert early. If a close member of your family (mother or sister) has a history of ovarian malignancy and you have similar symptoms, it is recommended to seek medical treatment in time.
3. Diabetes Abdominal pain in patients with diabetes
Jiangsu Provincial Hospital of Integrated Traditional Chinese and Western Medicine Zhang Niya published an article in the Health Times in 2018 that diabetics should be vigilant for abdominal pain or ketoacidosis .
Diabetic ketoacidosis is a common acute complication, often manifested as drinking and urinating, physical strength and weight loss; decreased appetite, nausea, some patients have abdominal pain; rapid breathing, some patients have a similar smell of rotten apples in their breath; symptoms of dehydration and shock.
4. Postoperative abdominal pain
0 Chief physician of General Surgery, Fourth Medical Center, General Hospital of the People's Liberation Army Yao Sheng published an article in the Health Times in 2013 that peritoneal adhesion syndrome is a sequelae after abdominal surgery. It is often encountered in outpatient clinics and has received 3 cases in one month.
The pain caused by peritoneal adhesion syndrome is mostly centered on the original surgical wound and spreads around. The continuous dull pain is often accompanied by a sensation of pulling and swelling, and it often occurs one or two years after the operation.
In short, there are many causes of abdominal pain, and the condition is complex and changeable. Do not care about abdominal pain. Be sure to seek medical treatment in a timely manner and cooperate with doctors to check and treat them to prevent accidents.
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