Where is abdominal pain?

summary

Abdominal pain refers to the pathological changes of internal and external organs caused by various reasons, which is manifested as abdominal pain. It is a common symptom of organic and functional gastrointestinal diseases, which can show different kinds of pain and discomfort. Where is abdominal pain? Let's talk about it.

Where is abdominal pain?

First of all, we should observe the onset of abdominal pain and the degree of pain, whether it occurs suddenly or gradually, whether the pain process is gradually aggravated or alleviated, and whether it is accompanied by pain in other parts.

Secondly, the location of abdominal pain should be determined. The upper abdominal pain is mostly caused by esophageal, gastric, duodenal, biliary or pancreatic diseases. The lower abdominal pain is often caused by colonic lesions and pelvic diseases. The abdominal pain should also pay attention to whether it is localized or diffuse, whether it is fixed or migratory, and whether it is radioactive. According to these, the specific location of the disease can be determined.

In addition, the nature of abdominal pain is also particularly important, is colic, tearing pain, knife cut like, drill top like, or dull pain, dull pain, distending pain, muggy pain, burning pain, is paroxysmal, persistent, or persistent pain, paroxysmal aggravation, through the nature of pain to determine the severity of the disease.

matters needing attention

1. When women of childbearing age have abdominal pain, pregnancy test should be done; For female patients with abdominal pain, pelvic examination can be considered. 2. The symptoms of abdominal pain are not consistent with the physical signs, such as aortic aneurysm, aortic dissection rupture, ischemic bowel disease and renal colic. 3. When elderly patients and patients with high risk factors of heart disease have abdominal pain, especially upper abdominal pain, ECG should be routinely performed to exclude cardiovascular disease; For patients over 50 years old, if the cause of abdominal pain is unknown, abdominal CT should be performed to find out whether there is abdominal aortic aneurysm or aortic dissection. 4. For patients with atrial fibrillation, if there is acute abdominal pain, the possibility of mesenteric artery embolism should be considered. 5. For male patients with acute abdomen, testicular examination should be performed; For elderly patients with acute abdomen, strangulated hernia should be excluded; For children with acute abdomen, testicular torsion should be excluded.