Tuesday, June 23, 2020

What to do with acute abdominal pain?

Acute abdominal pain is one of the common conditions, often with an acute onset, rapid changes, and serious illness. If you fail to find the diagnosis and treatment in time, you may cause serious complications or worsen the condition and regret it. Therefore, when the family suffers from acute abdominal pain, the family members should not be at a loss before getting medical treatment, but to take correct early treatment measures, which is very beneficial to the patient's prognosis.

1. Loosen clothes and let the patient rest in a quiet room.

2. When vomiting occurs, the ice pack can be placed on the upper abdomen instead of forcibly stopping vomiting. Pay attention to observe the color, quantity and frequency of vomit.

3. Regardless of the cause of acute abdominal pain, fasting and drinking are prohibited during the attack. Therefore, it is not advisable to persuade patients to eat or drink. Don't take painkillers for the patient, so as not to cover up the condition and bring false impression to the doctor's diagnosis.

4. Should pay attention to test body temperature, see if there is high fever, and understand the situation of breathing, pulse and blood pressure, in order to provide reliable information for doctors' diagnosis and treatment.

What should I see for abdominal pain?

1. Acute abdominal pain that occurs in the right upper abdomen and right lower abdomen, generally should go to general surgery for the first time.

2. Patients with acute abdominal pain in the middle and upper abdomen, left upper abdomen, and left lower abdomen, or patients with chronic upper abdomen pain accompanied by regurgitation, vomiting, or diarrhea should go to the Gastroenterology Department for treatment.

3. Patients with acute abdominal pain and diarrhea should go to the intestine clinic.

4. Patients with acute and chronic left and right lower back pain and hematuria should go to the urology clinic.

5. Female patients who have acute abdominal pain during menstrual period, mid-menstrual period or a history of amenorrhea should go to the gynecologist for treatment.

6. Patients with a history of diabetes and abdominal pain with vomiting should go to the endocrinology department.

What common diseases are generally considered for acute abdominal pain?

There are two main types based on the location of acute abdominal pain,

The first type is pathological changes of abdominal organs:

(1) Inflammation: Common in acute gastritis, acute enteritis, acute hepatitis, acute cholecystitis, acute pancreatitis, acute appendicitis, acute peritonitis, and acute pyelonephritis.

(2) Perforation: Commonly seen in gastric and duodenal ulcer perforation, gastric cancer perforation and intestinal perforation.

(3) Blockage or torsion: common in gastric mucosal prolapse, acute intestinal obstruction, ascariasis of the biliary tract, gallstones, kidney and ureteral stones, and ovarian cyst pedicle torsion.

(4) Rupture and bleeding: common in liver and spleen rupture, ectopic pregnancy and so on.

(5) Vascular disease: common in mesenteric arteriosclerosis and infarction, portal vein embolism, splenic infarction, renal infarction, abdominal aortic aneurysm, etc.

(6) Others: such as acute gastric distension, intestinal cramps, dysmenorrhea, etc.

The second type is extra-abdominal disease:

(1) Chest diseases: such as pneumonia, pleurisy and acute myocardial infarction.

(2) Poisoning and metabolic disorders: such as lead poisoning, diabetic ketosis and uremia.

(3) Allergies and other diseases: such as abdominal allergic diseases, acute hemolysis, abdominal epilepsy, and neurosis.

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