An important detail exactly where the stomach hurts - in one of these places lies a serious danger!
Pain in the abdomen and pelvis or Gastralgia (from other Greek, stomach, stomach + other Greek, feel pain, suffer) - an unpleasant feeling associated with actual or possible tissue damage or described in terms of this damage (definition of the International Association for the study of pain).
Gastralgia (from ancient Greek. Pain) - colicy pains in the stomach, usually caused by a disease of the stomach. Most often occurs in inflammatory diseases of the stomach, dyspepsia, ulcerative lesions. It is also found in some constitutional diseases: gouty diathesis, anemia, hysteria; often associated with lead colic, sometimes with diseases of the uterus and ovaries.
The abdomen is very large in itself. Therefore, pain in this area may develop for quite different reasons. And in order to clarify the cause and the actual treatment, it is necessary to determine exactly which part of the pain comes from.
Abdominal pain is one of the most common complaints. About 90% of people complain about it. Sometimes the intensity scares, another time the duration. Anyway, it is impossible to disregard any ailments in the abdomen.
If you notice that pain in a particular area of the abdomen lasts more than 2 weeks , you should definitely consult a doctor in order to avoid further complications.
With the belly, we define the part of the body between the chest and groin. Looking at this diagram and understanding exactly which area this or that ailment comes from, you can easily identify the problem, which will help fix it in time.
- Gallstones, gastric ulcer, inflammation of the pancreas
- Gastric ulcer, heartburn, indigestion, inflammation of the pancreas, gallstones, epigastric hernia (keel above the navel)
- Gastric ulcer, duodenum, bile duct obstruction, inflammation of the pancreas
- Kidney stones, urinary tract inflammation, constipation, lumbar hernia - displacement of spinal disks!
- Inflammation of the pancreas at the early stage of appendicitis, gastric ulcers, inflammatory bowel diseases, inflammation of the small intestine, Crohn's disease, umbilical hernia
- Kidney stones, diverticular disease, constipation, inflammatory bowel disease
- An inflammation of the appendix, constipation, pain in the pelvis - this may indicate gynecological problems (endometriosis, etc.), and pain in the groin - an inguinal hernia
- Urinary canals, appendicitis, inflammatory bowel disease, pelvic pain - again, gynecological problems (diverticular disease)
- Diverticular disease, pelvic pain - gynecological problems, pain in the groin area - inguinal hernia!
Types of Abdominal Pain
Pain is a consequence of the excitation of receptors of damaged tissue. There are two groups of receptors:
- somatic pain mechanoreceptors (nociceptors), which have a high threshold of sensitivity, their stimulation causes a feeling of pain;
- visceral polymodal receptors, which, with weak irritation, transmit information about the state of the organ and only with strong give a sensation of pain.
Accordingly, there are three types of abdominal pain: visceral, somatic and reflected. Somatic receptors are richly supplied with the parietal peritoneum (which is why such pains are sometimes called parietal), the mesentery, they are in the bile ducts and ureters. This pain is very intense and the patient can determine its localization well.
Visceral pain occurs directly in the affected organ. It is of a temporal nature and is usually accompanied by perspiration, nausea, vomiting, and acute paleness of the skin. This pain, albeit with difficulty, may be localized in the epigastrium, the umbilical region or above the pubic symphysis.
Reflected abdominal pain occurs with very intense irritation of the affected organ and is observed in diseases of the brain, meninges and many internal organs.
There are two main causes of abdominal pain - abdominal distension (visceral pain) and peritoneal irritability (somatic pain) . Swelling of any hollow organ (for example, bile duct, large and small intestine, bladder, ureters, gynecological organs - uterus, fallopian tubes) leads to spastic (spasmodic) and intermittent (intermittent) stomach pain. Visceral pain is poorly localized and is usually noted in patients on the midline of the abdomen. The swelling of the anterior part of the digestive tract is usually localized in the epigastric region. The blood supply to the anterior part of the digestive tract is carried out through the celiac arterial trunk. It includes the stomach, duodenum, bile ducts. The swelling of the middle part of the digestive tract is usually localized in the umbilical region. The blood supply to the middle part of the digestive tract (from the duodenum to the transverse colon) is carried out through the superior mesenteric artery. The lower intestinal swelling is localized in the suprapubic region. The blood supply to the lower intestine (from the transverse colon to the rectum) is carried out through the inferior mesenteric artery. Unlike visceral pain, somatic pain is well localized. Irritation of the parietal peritoneum as a result of movement or stretching leads to acute pain.
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