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Athletic Mr. Tan has never been in pain. He came to the clinic suddenly one afternoon. As soon as he sat down, he expressed to the author that he felt severe abdominal pain. Even after taking common painkillers, he still had unstoppable abdominal pain and cold sweats. His wife suggested that it would be safer for him to seek medical attention as soon as possible.<\/p>\n\n\n\n\n\n\n\n
There are many and complex causes of abdominal pain<\/strong><\/p>\n\n\n\n Many people take abdominal pain as a trivial matter, thinking that it is mostly a symptom of diarrhea caused by indigestion and food allergies, ignoring that persistent abdominal pain may be a harbinger of serious illness. There are many reasons for abdominal pain, from the inside to the outside, such as gastrointestinal discomfort, inflammation of internal organs, muscle strain (like Mr. Tan initially thought that the abdominal pain was caused by straining the abdominal muscles after exercising), and even caused by "raw snake" (band-shaped Herpes) or gynecological diseases.<\/p>\n\n\n\n Abdominal pain can be divided into in situ or secondary. The latter generally refers to pain caused by problems in other organs. The doctor will make a preliminary diagnosis based on the patient's pain location and past medical history, and then arrange appropriate examination and treatment.<\/p>\n\n\n\n Gastrointestinal disorders are common causes<\/strong><\/p>\n\n\n\n Let me talk about in situ abdominal pain first, the common cause is gastroenteritis caused by bacterial infection. If abdominal pain persists, it may be a chronic disease in the gastrointestinal tract: related to the stomach, there are upper peptic ulcer and acid reflux; related to the intestinal tract, there are diverticulitis, irritable bowel syndrome, ulcerative colitis, Or the rarer Crohn's disease. Appendicitis is a common abdominal emergency. If it is not treated early, it may lead to peritonitis and even life-threatening.<\/p>\n\n\n\n To know whether abdominal pain is related to the gastrointestinal tract, the more direct method is to perform abdominal contrast examination, colonoscopy or gastric endoscopy according to the condition, so as to clearly observe whether there are ulcers, inflammations, and polyps that may cause cancer risk in various parts of the gastrointestinal tract Meat, cured as soon as possible.<\/p>\n\n\n\n Symptoms of pancreatitis are similar to gastroenteritis<\/strong><\/p>\n\n\n\n But if the pain extends from the abdomen to the back, what does it matter if it is difficult to walk? This could be inflammation of the pancreas. When the pancreas becomes acutely inflamed, it becomes swollen, causing sudden, severe pain in the upper abdomen that can extend into the back. The initial symptoms are similar to other digestive system diseases, which can easily be mistaken for short-term stomach pain or abdominal pain. It should be noted that more than 80% of pancreatitis cases are caused by gallstone obstruction or excessive drinking. If the pancreas is repeatedly inflamed, it can develop into chronic pancreatitis, which will damage the organ function and increase the risk of pancreatic cancer.<\/p>\n\n\n\n In terms of diagnosis, you can first draw blood to test the index of pancreatic digestive enzymes, including amylase and lipase, to reflect whether the inflammation is acute. When the pancreas is acutely inflamed, it is difficult for digestive enzymes to be transported to the intestinal tract, and instead accumulate in the blood, the index can exceed the normal value by 3 times or more. Then, according to the condition, an imaging examination is performed to evaluate the condition, find out the cause of the inflammation and distinguish whether there is a malignant tumor.<\/p>\n\n\n\n Confusing female pelvic inflammatory disease<\/strong><\/p>\n\n\n\n As for persistent abdominal pain in women, it must be carefully related to gynecological diseases. The reproductive organs in the pelvic cavity, including the uterus, ovaries, fallopian tubes, and surrounding tissues, may become inflamed due to bacterial infection. However, because the reproductive system is close to the gastrointestinal organs, and some gynecological diseases can also cause abdominal pain, vomiting or fever, patients may confuse the two.<\/p>\n\n\n\n In fact, patients can pay attention to whether there are symptoms related to the reproductive system in addition to abdominal pain, including vaginal odor and abnormal secretions, non-menstrual bleeding, menstrual disorders, pain during urination, a feeling of falling in the lower abdomen, and waist pain. If the patient has the above symptoms of gynecological diseases, the doctor will arrange to extract vaginal secretions for pathological examination, and then perform pelvic ultrasound examination.<\/p>\n\n\n\n