What about stomachache? Don't treat stomachache as stomach disease. Expert tips: the pace of modern life is faster and faster, and stomach disease has become a common disease. Many people often regard the pain in the heart socket as' stomach pain '. But not all stomach aches are stomach diseases.
In addition to the stomach and duodenum, the gallbladder, pancreas, left lobe of liver, common bile duct, heart and other organs are close to or adjacent to the heart fossa. Pathological changes in these organs can also cause stomachache. If they are treated as stomach diseases, they will delay the disease.
Gallstone pain is like 'stomachache'
Aunt Chen, who is over 50 years old, has been suffering from irregular dull pain in her heart socket for 3 years and belching from time to time. Once when gastritis treatment for several months, the effect is not obvious. After B-ultrasound examination, we knew that she had gallstone disease, not gastritis at all. After symptomatic treatment, she stopped her stomach ache for many years. Cholelithiasis is a disease with high incidence rate. Due to the stimulation of calculus, gallbladder and bile ducts may have varying degrees of inflammation.
Most patients have irregular pain and discomfort in the heart socket (or under the right intercostal), and sometimes have symptoms of abdominal fullness and belching, which are similar to 'stomach disease'. At the same time, the patient's condition is often aggravated by improper diet or eating greasy food. Therefore, many patients think that they have stomachache or are misdiagnosed as stomachache by doctors. We often hear about such cases as Aunt Chen.
In addition, common hepatobiliary diseases, especially hepatobiliary malignant tumors, such as liver cancer (especially left lobe liver cancer), gallbladder cancer and common bile duct cancer, can be characterized by so-called 'stomachache', with symptoms and signs such as upper abdominal fullness, fatigue, anorexia and jaundice, which can easily be misdiagnosed as stomach disease and lose the opportunity of early diagnosis and treatment.
Pancreatic disease can also cause pit pain
Patients with pancreatic diseases, pancreatic head cancer or chronic pancreatitis often have symptoms such as crypt pain, nausea and vomiting. It is also a symptom that can easily be mistaken for 'stomachache' and should be carefully examined and identified. Abdominal pain or upper abdominal distension is the first symptom of pancreatic cancer. However, patients usually go to internal medicine or other departments for diagnosis and treatment first. When they find that the treatment effect is poor and return to surgery, the disease is in the middle and late stage.
The patients over 40 years old, with non-specific upper abdominal symptoms, family history of pancreatic cancer, sudden diabetes (especially atypical diabetes), lack of family history, no obesity, rapid insulin resistance and chronic pancreatitis, especially chronic familial pancreatitis and chronic calcified pancreatitis, should be monitored.
Patients with myocardial infarction often complain of 'stomachache'
There is another situation that needs to be noted. It is found that many patients with myocardial infarction do not have angina pectoris in the precordial region, and may only show the so-called 'stomachache' or discomfort in the heart socket, accompanied by nausea and vomiting. During the treatment, these patients often strongly request to do gastroscopy, if not identified, blindly according to the treatment of gastric disease, it is easy to lead to misdiagnosis and even accidents.
It can be seen that many patients with symptoms of 'stomachache' in clinic are not necessarily stomachache. We should carefully inquire about the medical history and combine with comprehensive physical and chemical examination to find out the crux.
How should stomachache do
'stomachache 'is what doctors call' stomachache '. "Abdominal pain" covers a wide range, including not only the stomach, intestines, liver, gall bladder and pancreas, but also all organs and tissues in the abdominal cavity. Abdominal wall muscle problems can also cause abdominal pain.
According to the nature of the pain
Distending pain: often accompanied by gas, there is a lot of air in the stomach or intestines, feeling very distended, mostly functional gastrointestinal disorders.
Colic: mostly spasm in trouble, as if something in the twist, mostly stones, intestinal obstruction, acute enteritis.
Tingling: it seems to be pain like acupuncture, mostly peptic ulcer.
Burning pain: often caused by gastric acid, like a fire in the stomach, mostly peptic ulcer or its precursor.
Dull pain: a slight pain that can be held back.
Stuffy pain: like heavy pressure, or something in the stomach and uncomfortable.
Biting pain: pain as if something is gnawing in the abdomen.
Do you feel severe pain?
Severe pain: refers to the pain to the unbearable degree, does not rule out: stomach or duodenum perforation, gallbladder (tube) stones, appendicitis and intestinal obstruction, ureteral stones, incarcerated hernia, etc. when women have lower abdominal pain, special attention should be paid to ectopic pregnancy or other gynecological emergencies.
Mild pain: common in gastritis, gastric and duodenal ulcer, chronic adnexitis, chronic pelvic inflammatory disease and other diseases.
How to register?
According to the priority of abdominal pain, the patients were treated in the following order:
1. General surgery occurs in the right upper abdomen and right lower abdomen of acute abdominal pain, general surgery should be linked to the first visit. In addition to intestinal obstruction, patients with abdominal pain, vomiting, no exhaust and no defecation should go to general surgery.
2. Patients with acute abdominal pain in the middle upper abdomen, left upper abdomen and left lower abdomen, or chronic upper abdominal pain with acid reflux, vomiting and diarrhea should go to the Department of Gastroenterology.
3. Department of Urology * acute and chronic abdominal pain, accompanied by hematuria, should be diagnosed with urinary tract calculi and urinary retention caused by prostatic hyperplasia.
4. Gynecological female patients, in menstruation, mid menstruation or have a history of menopause, sudden acute abdominal pain, should go to the Department of gynaecology. The diagnosis was dysmenorrhea or ectopic pregnancy.
5. Pediatrics children under the age of 14 should go to pediatrics.
After reading the above contents, what should we do about stomachache? Don't treat stomachache as a stomach disease. What should we do about stomachache? Don't treat stomachache as a stomach disease. Today we will introduce here. More topics about stomachache treatment will be introduced in the following articles. Welcome to check. I wish you good health!