Belly pain, where is it painful?A "abdomen Jiugongge", self -positioning "pain point"!
Author:Shanghai hotline Time:2022.09.22
From October last year, 36 -year -old Afeng often felt that his right lower abdomen would be faintly painful, but the pain time was short every time, and without any other discomfort, he didn't take it seriously.
Until the meal with a friend at night with friends, A Feng suddenly had severe stomach pain, and his waist could not be straight and could not walk. Friends quickly sent it to the hospital for emergency department.
After B -ultrasound and CT examination, the doctor found that Afeng had an abnormal mass in the abdomen, and then laparoscopic detection, and found that A Feng's abdominal cavity was covered with large and small nodules. Afeng was hospitalized for hospitalization, and three days later, colonoscopy was performed.
Three days later, the colonoscopy results indicated that the blind part of the blind part was diagnosed with adenocarcinoma. A Feng was eventually diagnosed with colon adenocarcinoma, and because the condition was late, A Feng could only receive comprehensive treatment mainly chemotherapy. Even if A Feng regretted it, everything was late.
01 Abdominal pain is not a trivial matter, maybe cancer hidden in the body
Abdominal pain is a very common clinical symptom, mostly caused by internal organs of the abdominal cavity. Almost everyone has experienced abdominal pain, and in most people's cognition, abdominal pain is not a major illness, and it is not necessary to go to the hospital for examination.
Just as A Feng in the starting case, he didn't care about the frequent abdominal pain. He eventually missed the best treatment time to make the disease develop again and again, which affected the difficulty of treatment.
In fact, there is cancer in the body, and the abdomen will emit a "help for help", depending on whether the patient pays attention.
The causes of abdominal pain caused by bowel cancer may be complicated, which may be the stimulation of the intestinal tract of cancer itself, or it may be a local infiltration or violation of the organs that are pulled and adhesive, and tumors promote intestinal obstruction and intestinal perforation.
Different factors have different pain performance and time of abdominal pain. In most cases, intestinal cancer abdominal pain is mostly painful pain, dull pain or knife twisted pain. Some patients do not usually have abdominal pain, but have abdominal pain or pain after eating. After intestinal cancer induction or perforation, the degree of pain will deepen, and even patients will erupt severe abdominal pain in a short period of time.
In addition, clinically common abdominal tumors such as pancreatic cancer, gastric cancer, liver cancer, gallbladder cancer, and some pelvic tumors such as ovarian cancer, endometrial cancer, and abdominal pelvic sarcoma can cause different degrees of abdominal pain, and some abdominal metastatic lymph nodes Mainly manifested in lymphadenopathy and fusion. It is deeper and adjacent or embedded with blood vessels and nerves.
02 A "abdominal map", let you know why you hurt
Although stomach pain is very common, few patients can accurately describe where they hurt and how it hurts. In fact, the diseases of different positions and different properties on the stomach are often different.
There are many causes of abdominal pain, which involves almost various diseases. It may be the internal organs of the abdominal organs, or it may be an external abdominal lesion; it may be organic or functional; it can be internal medicine or surgical disease, or even the internal medicine disease. In addition, the situation of surgery is mainly, the condition is complicated and the changes are multi -end.
Therefore, only the cause of the "pain" can be treated symptomatically and solve the problem from the source.
In the hospital, doctors can often encounter patients who are holding their stomachs, but they are not allowed to have a painful patient. We can use the abdomen Jiugongge to locate the stomach pain point.
The so -called "abdomen Jiugongge", the entire abdomen is about to be the right upper abdomen, upper abdomen, left upper abdomen; the right abdomen, middle abdomen, left abdomen; the right lower abdomen, lower abdomen, and left lower abdomen, each of which corresponds to different organs. The pain in different areas represents different diseases.
① The right upper abdomen: The right upper abdomen is where the liver and gallbladder are located. If the upper right abdominal pain is related to diseases such as gallstones, cholecystitis, hepatitis, liver tumors, and digestive ulcers.
② The upper abdomen: The upper abdomen is where the stomach, duodenum, and pancreas are located. Refers to intestinal ulcers, various types of gastritis or indigestion.
③ The upper abdomen of the left: The left upper abdomen is where the stomach, pancreas and spleen are located. If you have a high -fat diet and overeating, there is severe abdominal pain in the left upper abdomen, accompanied by symptoms such as nausea, vomiting, and abdominal distension.
④ Right abdomen: The right abdomen mainly has a lift colon and the right kidney. The pain in this area may indicate diseases such as lift, kidney and ureteral stones.
⑤ The middle abdomen: Pain occurs in the middle abdomen, that is, the peripheral of the umbilical part, which is mostly related to intestinal diseases, such as acute enteritis and intestinal obstruction. Functional gastrointestinal diseases and aortic lowering may also cause middle abdominal pain.
⑥ Left abdomen: The left abdominal pain is mostly related to intestinal diseases, kidneys and ureteral stones.
⑦ Right lower abdomen: A cecum, appendix in the right lower abdomen, and some germ systems and urinary systems are also near this area. Pain in the right lower abdomen should consider the causes of appendix, colon, ureter, ovarian, etc., such as appendicitis, intestinal diseases, urinary tract stones, and ovarian cysts.
主要 lower abdomen: The main organs of the lower abdomen include uterus, bladder and rectum. Pay attention to uterine, bladder, and intestinal diseases, such as pelvic inflammatory disease, male prostatitis and orchitis, rectitis, bladder and urethral stones and inflammation.
The left lower abdomen: The left lower abdomen includes sigmoid colon, left ureter, ovarian, etc.Disclosure or pain in this area should pay attention to the causes of sigmal colon inflammation, men's sperm inflammation, women's attachment inflammation or ectopic pregnancy.Once again, abdominal pain in different parts may represent different diseases, and it is for preliminary reference only.In addition, abdominal pain is accompanied by symptoms such as dyspnea, discomfort, vomiting, blood stool, and black stool in the heart of the heart.
Abdominal pain, as a symptom, is very common in clinical diagnosis and treatment.Abdominal pain can involve multiple departments, and sometimes different stages of the same disease or the same disease also have different performances in different patients.Moreover, abdominal pain can not only be the lesions of the abdominal organs, but even the abdominal manifestations of systemic diseases.Therefore, it is the right solution to go to the hospital to investigate the cause in time.
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