Abdominal pain? Not a stomach trouble
The abdominal pain in ulcer disease is in the upper abdomen. The pain caused by stomach ulcers is near midline or slightly left, and the pylorus and duodenal ulcers are slightly right, at the upper right of the umbilicus. Experts say that the onset of the disease is obviously related to the climate. Every year in late autumn and next spring, it is often the season for ulcer patients to suffer. Warm weather improves, and there are periodic changes in epigastric pain, which can last for days, weeks, or months. , and then break off during a period of time.
Experts with extensive diagnostic experience on various types of stomach diseases say that abdominal pain is a common symptom of medical conditions in the clinic. Many diseases can cause stomach pain. The pain caused by stomach diseases is also different due to different kinds of stomach diseases.
First look at the location of the pain, stomach in the upper abdomen, substernal depression above the navel (near the heart fossa). If the tummy is divided into four areas, the left side of the upper middle area is painful, most likely gastric pain.
Among them, chronic gastritis is one of the most common causes of chronic upper abdominal pain. The characteristics of patients with abdominal pain have no regularity. Most of them are not severe pain or pain. They are obviously accompanied by snoring, nausea, and early morning after meals. Saturation and Other symptoms.
The abdominal pain in ulcer disease is in the upper abdomen. The pain caused by stomach ulcers is near midline or slightly left, and the pylorus and duodenal ulcers are slightly right, at the upper right of the umbilicus. Li Shaohua, director of the inpatient department of the Chengdu Gastric Hospital, said that the episode is obviously related to the climate. Every year in late autumn and the next spring, it is often the season for ulcer patients. Warm weather improves, and there are periodic changes in upper abdominal pain, which can last for several days. , weeks, or months, and then break out for a period of time.
At the same time ulcers abdominal pain and diet have a certain relationship, stomach ulcers have to eat - pain - pain relief rules; and duodenal ulcers are eating - pain relief - the law of pain, so the latter also known as hunger, such The patient often wakes up during sleep.
It is noteworthy that there are still about 10% of patients have other characteristics of abdominal pain, no symptoms on weekdays, only in the sudden bleeding or perforation when there are severe abdominal pain and other symptoms.
Clinical observation found that not all patients with ulcer disease have epigastric pain, there are a considerable number of patients without upper abdominal pain symptoms, but other symptoms, such as upper gastrointestinal bleeding, epigastric discomfort and vomiting, etc., need to be clinically Diagnosed by endoscopy. Experts analyzed 691 cases of ulcer disease diagnosed by endoscopy. The results showed that 15.5% of them had no upper abdominal pain (107 cases).
To this end, experts believe that the diagnosis and treatment of ulcer disease can not only consider the presence of pain. In patients with typical symptoms, when there is epigastric discomfort or other gastrointestinal symptoms, especially in elderly patients over the age of 50, they cannot only be satisfied with the general clinical diagnosis. Endoscopy should be performed to increase the diagnostic rate.
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