If a girl has persistent abdominal pain, it is not only due to gastrointestinal diseases, but also may be due to gynecological diseases. This will make the condition extremely complicated. The most important thing is to judge according to the location and degree of pain. If it is lower abdominal pain, most of the time it is caused by gynecological diseases. In this case, you must go to the hospital for a comprehensive gynecological examination. 1. Location of pain The location of abdominal pain is often where the lesion is. Stomach pain is located in the upper middle abdomen. The pain of hepatobiliary disease is located in the right upper abdomen. Acute appendicitis pain is often localized to McBurney's point. Small intestinal colic is located around the umbilicus. Colic pain is often located in the lower abdomen. Bladder pain is located above the pubic bone. Acute lower abdominal pain is also seen in acute pelvic inflammatory disease. 2. Nature and degree of pain Peptic ulcer perforation often occurs suddenly, presenting as severe, knife-like, burning, and persistent upper abdominal pain. Biliary colic, renal colic, and intestinal colic are also quite severe, and patients often groan and toss and turn restlessly. The pain under the xiphoid process is a characteristic of biliary ascariasis obstruction. Persistent, widespread, severe abdominal pain is seen in acute diffuse peritonitis. The gastrointestinal crisis of tabes dorsalis is manifested by severe electric-like colic. 3. Factors that trigger, aggravate or relieve pain The abdominal pain of acute peritonitis is relieved when lying still, but worsens when pressure is applied to the abdominal wall or when the body position is changed. Patients often like to press when they have lead colic. Biliary colic may be precipitated by a fatty meal. Overeating is a trigger for acute gastric dilatation. Violent action is often the cause of rupture of the liver and spleen. Acute hemorrhagic necrotizing enteritis is often related to unclean diet. Acute abdominal pain accompanied by the following symptoms is suggestive of the diagnosis: 1.Accompanied by jaundice. It can be seen in acute liver and biliary diseases, pancreatic diseases, acute hemolysis, lobar pneumonia, etc. 2. Accompanied by chills and high fever. It can be seen in acute suppurative biliary inflammation, abdominal organ abscess, lobar pneumonia, suppurative pericarditis, etc. 3. Accompanied by hematuria. It is often a urinary system disease. 4. Accompanied by shock. It is common in acute intra-abdominal hemorrhage, acute obstructive suppurative cholangitis, strangulated intestinal obstruction, acute perforation of peptic ulcer, acute pancreatitis, acute torsion of abdominal organs, acute myocardial infarction, shock-type pneumonia, etc. Family emergency response 1. Resting in bed and lying prone can relieve abdominal pain. You can also relieve abdominal pain by applying appropriate pressure on the abdomen with both hands. 2. Appropriate administration of antispasmodics such as atropine, 654-2 or vitamin K3 can temporarily relieve abdominal pain. 3. If the abdominal pain and diarrhea are caused by overeating, you can try massaging the abdomen with tung oil, which often has a certain analgesic effect. If the abdominal pain is severe and accompanied by vomiting, high fever, bloody stools and intestinal bleeding, you should be sent to the hospital for treatment as soon as possible and should not stay at home to avoid delaying the disease. |
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