Abdominal pain during pregnancy

When preparing for pregnancy, some female friends will easily feel lower abdominal pain. It is necessary to judge based on the degree and nature of their abdominal pain, and it is also necessary to regularly observe the patient's physical changes. If other symptoms appear, they should be dealt with as soon as possible. There is no way to ignore their medical condition, and they should take some analgesics to improve their symptoms.

1. For patients with acute abdominal pain, a preliminary diagnosis should be made based on the nature, location, duration, presence or absence of radiating pain, and other characteristics of the abdominal pain, combined with the accompanying symptoms and the results of the abdominal examination.

2. Based on the results of the preliminary diagnosis, necessary tests or special examinations should be carried out in a timely manner. Such as three routine tests, blood and urine amylase, liver and kidney function, abdominal or lower abdominal B-ultrasound examination (including urinary system and pelvic cavity), abdominal plain film, chest X-ray, and CT or MRI examination when necessary; the elderly should also undergo electrocardiogram and other tests to ensure a timely and clear diagnosis.

3. For patients with acute abdominal pain, the patient's condition and vital signs should be observed at all times, including changes in body temperature, pulse, respiration, blood pressure and urine volume.

4. Do not give strong analgesics to patients with acute abdominal pain before a clear diagnosis is made, and do not give narcotic analgesics such as morphine or pethidine (Demerol), so as not to mask the condition or delay the diagnosis. Only when the diagnosis is initially established can analgesics or antispasmodics be used to relieve the patient's pain.

5. If it is confirmed that the abdominal pain is caused by gastrointestinal perforation, the patient should fast, replenish energy and electrolytes, and use broad-spectrum antibiotics in a timely manner to lay a good foundation for timely surgical treatment.

6. If the acute abdominal pain is caused by liver or spleen rupture (such as rupture of liver cancer nodules or liver and spleen rupture caused by abdominal trauma, etc.), a large amount of bloody fluid can often be drawn out of the abdominal cavity, and the patient is often accompanied by hemorrhagic shock. At this time, in addition to the use of analgesics, anti-shock treatments such as active blood volume supplementation should also be used to create good conditions for surgical treatment.

7. If the abdominal pain is caused by acute intestinal obstruction, intestinal ischemia or intestinal necrosis or acute pancreatitis, the patient should fast and undergo gastrointestinal decompression with a nasogastric tube, and then take appropriate treatment measures.

8. If it is confirmed that the abdominal pain is caused by cholelithiasis or urinary stones, antispasmodics can be given. Patients with common bile duct stones can be treated with pethidine (Dependol)

9. Women of childbearing age who experience acute abdominal pain, especially severe pain in the middle and lower abdomen, should be asked about their history of amenorrhea and undergo a pelvic B-type ultrasound examination in a timely manner to determine whether they have ectopic pregnancy, ovarian cyst pedicle torsion, and other diseases.