Abdominal pain is a nonspecific symptom of many diseases.
- Acute abdominal pain: sudden severe pain of a somatic nature (irritation of the pain receptors of the parietal peritoneum and abdominal wall), the intensity of which may increase over several days. Well limited, aggravated by movement, coughing, deep breathing, changes in body position, it is felt most strongly in the painfully altered part of the body, it can be accompanied by increased tension in the muscles of the abdominal cavity (so-called muscle protection) and other peritoneal symptoms caused by inflammation of the parietal peritoneum … Usually it is a symptom of diseases with an acute course, which can be dangerous to health or life and require prompt medical action, including often emergency surgical treatment. Sometimes, external sprays also help such as pain sprays. You can buy Premiere’s Pain Spray here.
- The reasons:
1) diseases of the stomach and intestines – perforation of peptic ulcers, appendicitis, intestinal perforation, intestinal obstruction, acute gastritis and enterocolitis, inflammation or perforation of colon diverticula, inflammation of Meckel’s diverticulum;
2) diseases of the liver and biliary tract – biliary colic, acute cholecystitis, acute cholangitis, acute liver hyperaemia (thrombosis of the hepatic veins, heart failure);
3) acute pancreatitis;
4) rupture of the spleen;
5) diseases of the genitourinary system – urolithiasis, acute pyelonephritis, acute cystitis, ectopic pregnancy, torsion or cyst of the appendages, acute inflammation of the appendages;
6) metabolic diseases – ketoacidosis in diabetes mellitus, porphyria, uraemia;
7) vascular diseases – thromboembolism of the mesenteric artery, thrombosis of the visceral veins, dissection of the abdominal aorta, systemic vasculitis (eg, vasculitis associated with antibodies of the IgA class
8) diseases of the chest organs – coronary heart disease (especially infarction of the lower heart wall), myocarditis and pericarditis, pneumonia and pleurisy, pulmonary embolism;
9) diseases of the endocrine glands – thyrotoxic crisis, diabetic enteropathy, adrenal crisis, hypercalcaemic crisis;
10) allergic diseases – food hypersensitivity, angioedema;
11) poisoning with exogenous toxins – tin, arsenic, mercury, mushrooms.
Acute abdominal pain is one of the symptoms of the so-called. acute abdomen, which is a sudden onset, rapid onset and usually life-threatening disease of the abdominal cavity. Tramadol 200mg
2. Chronic abdominal pain: usually of a visceral nature (irritation of the pain receptors of the internal organs and the visceral peritoneum), lasts for months or years. The pain is dull, weakly localized, can gradually increase and decrease (colic-like pain), it is often accompanied by autonomic reactions (nausea, vomiting, sweating) or discomfort, which is often localized symmetrically on both sides of the midline of the body, can increase at rest … The reasons:
1) functional disorders – irritable bowel syndrome, functional dyspepsia, chronic functional abdominal pain;
2) diseases of the stomach and intestines – chronic gastritis and duodenitis, gastric ulcer and duodenal ulcer, reflux oesophageal disease, Crohn’s disease, ulcerative colitis, ischemic and post-radiation colitis, colitis associated with collagenases, infectious and parasitic intestinal diseases (tuberculosis, giardiasis, taeniasis, ascariasis, trichinosis, schistosomiasis, Whipple’s disease), diverticulitis, celiac disease;
3) cholecystolithiasis and choledocholithiasis;
4) chronic pancreatitis;
5) tumours of the abdominal organs;
6) diseases of the nervous system – multiple sclerosis, herpes zoster, neuralgia.
3. The projected pain is felt superficially, in the skin or muscles, in an area distant from the injured internal organ. Example: pain in the back and right scapula is associated with diseases of the biliary tract.
The following signs of pain should be identified: location, type (acute, chronic), nature (perforated, burning, dull, pressing, colic, spastic), intensity, factors provoking or modifying pain (especially food and drink, vomiting, bowel movements, body position). The most common causes of pain, depending on its location During an objective examination, the patient’s general appearance, vital activity parameters (respiration, pulse, blood pressure), skin colour, the presence of hernias, ascites, abdominal distention, scars, venous collaterals, the place of greatest palpation pain, the presence of tumours, muscle defences and other peritoneal symptoms, the presence and nature of peristaltic intestinal noise, the presence of hepatic dullness. It is necessary to exclude the presence of threatening symptoms indicating an organic disease requiring urgent diagnosis or surgical treatment:
1) acute abdominal pain with vomiting or acute stool retention – indicates an obstruction of the digestive tract;
2) acute abdominal pain with bleeding from the digestive tract – may indicate a stomach or duodenal ulcer, acute haemorrhagic gastropathy, intestinal ischemia or bleeding into the intestinal lumen (e.g. rupture of an abdominal aortic aneurysm)
3) acute abdominal pain with a rapid deterioration of the patient’s condition (hypotension, impaired consciousness, impaired breathing) – may indicate intra-abdominal bleeding, perforation of the digestive tract, acute pancreatitis, acute liver failure;
4) chronic abdominal pain and the presence of blood in the stool or a decrease in body weight – may be a symptom of cancer or nonspecific intestinal inflammation;
5) abdominal pain and detection of pathological signs on physical examination (eg. jaundice, swelling in the abdomen);
Signs of acute pancreatitis.
Severe aching, acute pains in the epigastrium (upper abdomen), of a girdle nature, radiating to the lower back and scapula, spreading throughout the abdomen, are accompanied by a very serious condition, nausea and vomiting, cyanosis of the lips, pulse quickens, the temperature is slightly elevated or remains normal. The abdomen becomes painful, somewhat tense, and then distended. With an exacerbation of chronic pancreatitis, pain may occur after overeating, especially fatty foods, drinking alcohol and other dietary disorders. The nature and intensity of pain, as in acute pancreatitis. First aid
If you have severe abdominal or chest pain and are not sure what the causeof the pain is, call your doctor right away. Symptoms of gallstone disease can mimic the chest pain that occurs with a heart attack. Also, these symptoms can be caused by other serious problems.
The patient must be provided with bed rest, complete abstinence from food. You need to call emergency help.
Prevention of acute cholecystitis
Prevention of a disease such as acute cholecystitis, first of all, consists in observing the norms of a healthy diet, limiting the use of alcohol, large amounts of spicy, fatty foods.