Pain in the stomach area is a protective mechanism that can lead to disorders of the abdominal organs, abdominal cavity walls, and organs outside the region. Knowing the cause and place of abdominal pain is crucial for setting differentiated diagnoses, and it is essential to provide the doctor with the most accurate data.
Particularly important can be: pain localization, pain quality (dull, sharp, pain of the type of colic – occurring at cyclic time intervals with stages of intensification and relaxation), the severity of the illness (usually on the scale from 1 to 10), and the spread ( propagation).
It should be known that the clinical picture of abdominal organs can be atypical, especially in children, elderly people and diabetics. Concerning the time of reporting, pain can be acute and chronic.
The most common causes of abdominal pain
Pain usually occurs under the right ankle with the spread to the right shoulder. It is a type of colic, which means it has periods of amplification and calmness. It usually occurs after taking fat food. Most often caused by the presence of stones in the gallbladder. Therapy is operational.
Gastritis (abdominal inflammation)
Stomach ulcer and duodenal ulcer. Pain usually occurs in the epigastrium and is most common in the form of baking, burning, tearing. It can be followed by heartburn, stinging, vomiting, feeling bloated. In gastritis, discomfort is caused by taking food, although it can also be stimulated by the addition of alcohol, coffee, hot fluids. In duodenal ulcers, the pain occurs 1-3 hours after taking a meal, it can happen at night. A definitive diagnosis is made by endoscopic examination of the esophagus and stomach.
Acute inflammation of the pancreas or acute pancreatitis
Pain occurs in the epigastrium and often has a prolonged spread, it can be accompanied by nausea by vomiting, jaundice. Diagnosis is made by radiological tests, and it is essential in laboratory findings to determine elevated lipase and amylase levels in blood and urine.
Acute appendicitis or inflammation of the pelvis, known as inflammation of the bowel
The onset may be atypical in the form of embarrassment or hurt in the epigastrium to localize the progression of the inflammatory process of pain into the lower right abdominal quadrant. Pain is increased in a cough, movements, sudden pressure relief of the painful site. Given the variability of the appendix location, the symptoms may be atypical at times. Particular care should be taken in children, elderly and pregnant women.
Renal colic is caused by the presence of stones in the outlet of the kidney or ureter. The pain is present in the lumbar region of the affected side, the type of colic with which it is continuously present only changes the intensity, it can spread to the bumps and swollen. It is often monitored by frequent urination and the occurrence of blood in the urine. RTG and ultrasound examination, as well as urinalysis, are usually diagnosed.
Acute cystitis or inflammation of the bladder
The pain occurs above the pubic bone and is accompanied by frequent urination, a feeling of insufficient bladder emptying, false calls. Diagnosis is made by examining the urine.
It is manifested by the appearance of usually diffuse abdominal pain commonly in the form of cramps with the onset of vomiting, a large number of shedding stools, and male sexuality. It usually comes from “pure health” and often in the vicinity of the patient, people with similar symptoms appear.
The pain of gynecological origin
Rupture in ectopic pregnancy is manifested by a sudden, sharp pain in the small pelvis, usually with the data on the absence of a regular menstrual cycle. Acute salpingitis is manifested by pain in the lower abdomen on one side or the other, which is usually constant and present for days. Pain can occur even during ovulation when de Graf’s follicle is broken. A common cause of gynecological pain is endometriosis, which may be locally different, and the pain occurs and intensifies during the menstrual cycle and is often followed by dysmenorrhoea.
Ileus. Spread known as a tied intestine, represents a partial or complete break in the intestine passage, and the cause can be mechanical (tumors, clinging, strangulation, adulthood) or functional. It is characterized by the most common type of colic, nausea, vomiting, the absence of stool and winds. When the pain becomes constant, it can indicate ischemic processes on the intestines.