Starting from the bottom of the rib towards the groin area, abdominal pain occurring shade symptoms in the abdominal pain is called. These pains can be felt anywhere between the chest and the groin. Abdominal pains due to many reasons generally occur in the stomach and navel region. The reason why abdominal pain is severe or mild does not indicate whether it is related to a serious illness. For example, you may suffer from severe abdominal pain caused by simple gas pain. In addition, you may complain of mild abdominal pain in a serious problem such as colon cancer. Stomach ache is not a disease on its own, but a symptom that may be a precursor to another disease. The cause of abdominal pain should be carefully evaluated by your doctor. A very good differential diagnosis should be made and the cause should be clarified; At the very least, it should be determined whether there is a life-threatening condition.
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Types of Abdominal Pain
General pain: This type of pain experienced by almost everyone is usually felt in the belly area. It develops due to complaints such as gas and indigestion. Severe ones indicate various diseases.
Cramp pains: They are pains that do not cause any harm and generally develop due to swelling. Consecutive cramping pains are often associated with diarrhea.
Sudden increasing pains: These are pains that may be a sign of disease and should be alerted to. It starts suddenly and gets worse. It is generally seen in problems such as appendicitis or perforation of the stomach.
Abdominal pain is divided into 3 parts:
Parietal Pain: It manifests itself in a well-localized form.
Visceral Pains: These are blunt or cramping pains that are not well localized.
Reflected Pain: It is the clinical situation where the pain is reflected in another region. For example, the clinical presentation of heart attack pain as stomach pain.
- Parietal Pain: It manifests itself in a well-localized form.
- Visceral Pains: These are blunt or cramping pains that are not well localized.
- Reflected Pain: It is the clinical situation where the pain is reflected in another region. For example, the clinical presentation of heart attack pain as stomach pain.
One of the most common health problems among people is abdominal pain. These pains can be a symptom of many diseases, from tonsillitis (see: Acute Tonsillitis ) to colon cancer. While all the pains felt in and around the abdomen are called abdominal pain. We can say that it is difficult to describe these pains. These pains can be caused by organs inside the abdomen as well as by organs outside the abdomen or systemic disorders. However, patients who apply to the hospital with the complaint of abdominal pain often say that their stomach hurts because they cannot describe the pain exactly. Due to all these reasons, it is difficult to locate the abdominal pain.
What Diseases Are Abdominal Pain Symptoms?
Among the types of abdominal pain, we have listed above. Sudden onset abdominal pain can be dangerous. Abdominal pain that starts suddenly. For example, within 6 hours, is called acute abdominal pain. In such cases, patients generally take their breath in the emergency services. These cases are generally the harbingers of diseases such as gallbladder inflammation, pancreatitis (pancreatitis), appendicitis, gastric perforation, renal colic, and heart attack. Long-term moderate abdominal pain can be a symptom of various dangerous diseases such as colon cancer. One of the diseases that cause long-term abdominal pain is irritable bowel syndrome.
The negative effects of weather conditions on the digestive system cause various intestinal problems such as gas and bloating and reduce their quality of life. Therefore, it is important to correctly diagnose the source of abdominal pain. The patient’s history is important for the doctor to make the correct diagnosis. It should be known whether the abdominal pain is burning, crushing, compressive, stabbing, or scraping. Likewise, conditions such as when the pain started, vomiting, bleeding, weight loss, and long-term weakness should be known. On the other hand, the place where the pain originates and the places where the pain is reflected should be well described. Describing where the pain starts and where it spreads will bring the doctor closer to the diagnosis. During the examination, important findings can be obtained by performing ultrasound in the abdominal region. In some cases, endoscopy, colon Loskop the referenced applications such as MRI and CT. The most dangerous situation in abdominal pain that continues for a long time and without any intervention is intra-abdominal organ cancer or organ perforation. In such cases, death can result. In addition to these, other diseases that cause symptoms of abdominal pain, menstrual bleeding (dysmenorrhea), urinary tract infections, food allergy, blood diseases, pneumonia, upper respiratory tract diseases, kidney stones, constipation, gas pain, ovarian cyst, ectopic pregnancy, hernias, FMF, diverticulitis, heart attack, organ cancers, and diarrhea. Diseases that cause abdominal pain are listed in detail below.
Abdominal Pain Causes, Localization and Duration Are Important
Abdominal pain develops due to many disease causes. Although there is no disease, there are also abdominal pains that develop due to harmless reasons such as gas pain. If abdominal pain persists for more than 6 months and no diagnosis can be made despite the examinations. It is considered chronic abdominal pain. The causes of these pains. Which are generally seen in women, are often psychological. Additional tests will be required for chronic abdominal pain.
Pain that develops due to large intestine diseases is felt in the abdomen and back. Pain caused by liver diseases is felt in the right upper quadrant of the abdomen. Pain-related to the pancreas is felt in the Epigastric region and usually manifests itself in the form of pain that wraps around the waist in the form of a belt and hits the back. If abdominal pain is felt in the groin or, for men, in the testicles, it may be a sign of urinary tract infections. Pelvic pain radiates to the back. Peptic ulcer, Esophagitis, and gastroenteritis in moderate abdominal pain disease are suspected. If your stomach hurts when you wake up in the morning or before mealtime. It may be a sign of a peptic ulcer. If your stomach hurts during sleep. It may be a sign of Cholecystitis. Abdominal pain in women during menstrual periods is a symptom of problems with ovulation. If you have continuous or recurring pain. You should definitely go to the doctor if it manifests itself with symptoms such as bleeding and vomiting.
Heart Shaped Abdominal Pain Crisis presente Can
Heart attacks, especially inferior myocardial infarction (MI), may manifest as abdominal or stomach pain. Because of its proximity to the diaphragmatic region and the presence of cardiac–peptic plexuses in inferior MI. These pains may be presented as referred pains in the stomach region. An experienced doctor may question such abdominal pains in more detail and have an EKG taken and/or can diagnose a heart attack by asking for blood hormone levels. Especially in emergency services, sudden onset stomach pain is one of the common situations in which a heart attack occurs. The presence of any two of the clinical (typical symptoms ), ECG findings (ischemic changes), and hormone positivity make the diagnosis of heart attack(2/3).
How Does Abdominal Pain Pass?
It is not a medically correct approach to try to relieve abdominal pain without clarifying the cause. Painkillers are not given to the patient while investigating abdominal pain. Identifying the underlying cause; After determining whether there is a life-threatening condition. Treatment is given for the underlying cause and the patient is tried to be relieved. For example, if the cause of the pain is gas pain, antispasmodics, and cramp-relieving drugs, gas-relieving drugs can be given. Giving treatment for the underlying cause usually relieves the patient. However, the golden rule is to investigate the cause before treatment.
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Never Take Painkillers
One of the most common mistakes is to take painkillers before consulting a doctor to relieve sudden onset severe abdominal pain. Especially if you have sudden onset severe abdominal pain, you should apply directly to your doctor without taking medication or painkillers. NSAID group pain relievers make it difficult for the doctor to reach the diagnosis by hiding the examination findings, and sometimes even lead to a misdiagnosis.
Investigating Abdominal Pain
Investigating abdominal pain can be done by your doctor using a variety of imaging techniques. Radiological or interventional applications are used. Radiological examinations such as blood tests (Hemogram, Wide Biochemistry), Standing Direct Abdominal X-ray (ADBG), Tomography (CT), MR, USG are very valuable in diagnosis. On the other hand ERCP, column Loskop creates a significant portion of the endoscopic diagnosis and treatment steps such as operations for investigating the abdominal pain. It is tried to reach the diagnosis by considering the physical examination. Clinical and radiological/interventional examinations. Whatever your doctor has in mind. He or she may order any of these tests to support that diagnosis. Sometimes, despite all efforts, the cause of abdominal pain cannot be determined.
Approach to Abdominal Pains
The causes and conditions of abdominal pain mentioned above are almost also valid for children. Although the causes of pain can be simple gas pain. Life-threatening situations can also occur. In this context, in cases of sudden onset of abdominal pain and restlessness in a child, a doctor should be consulted. The most common causes of abdominal pain in children are gas accumulation, urinary tract infections, upper respiratory tract infections, and diarrhea. It is important to rule out other causes. The underlying cause can usually be revealed with blood tests, urine tests, and x-rays.
Approach to Abdominal Pains
Pain associated with peptic ulcer: Burning type. Pain associated with
peptic ulcer perforation: Sudden and severe, as if stabbing.
Aortic aneurysm rupture: It is a piercing pain.
Colic pains: Pain in a writhing style.
Inflammatory pains such as pancreatitis, pyelonephritis: It is blunt in nature.
Intestinal obstrüksyon: In the abdominal area encircling are cramping.
Anamnesis Leads to Diagnosis
The following conditions should be questioned in abdominal pain. Accurate anamnesis constitutes 60% of the diagnosis.
- The severity and nature of the pain
- Causes that reduce and increase pain
- Relationship with food
- The duration of the pain and its onset
- Whether there is a history of trauma
- Menstruation query in women
- pregnancy status
- Presence of diarrhea
- Alcohol intake and/or drug use
- heart ailments
- Diseases in your CV