What can I do about a stomach piercing to temporarily relieve the pain???

Taking some medicine that neutralizes stomach acid can relieve the symptoms.

Gastric perforation? Are you sure?

Surgery should be done as soon as possible, life cannot be saved if it is delayed for too long, and morphine can be used for pain relief.

What should I do if I have a stomach perforation? Gastric perforation is more common as a complication of gastric ulcers that occur without timely **. Gastric perforation is mainly caused by overeating, which can cause an increase in gastric acid and pepsin.

Gastric perforation is more common in the elderly after the age of 50 or 60. The severity of the disease lies in the fact that if it is not received in time, it may endanger life. So, let's take a look, what to do after having a gastric perforation?

Here are some of the surgical procedures for gastric perforation.

The choice of surgical method should be based on the patient's general condition, age, ulcer site, perforation time, degree of abdominal contamination and whether the frozen section results are malignant.

1) Gastric perforation peripheral biopsy followed by simple perforation repair.

Patients with poor general status, serious diseases of heart, lung, liver and kidney, perforation time of more than 8 12 hours, severe intra-abdominal inflammation and severe gastroduodenal edema, etc., are estimated to have a greater risk of surgery, and after the biopsy around the gastric perforation is negative, it is suitable to choose simple perforation repair. There are two types of repair: open repair and laparoscopic repair.

2) **Sexual surgery.

**The advantage of sexual surgery is that the surgery solves both perforation and ulcer problems. It is suitable for patients with good general condition, perforation in 8 12 hours, intra-abdominal infection and gastroduodenal edema are mild, and no important organs can be considered for surgery.

The specific indications are: long medical history, reverse **; History of ulcer perforation or bleeding; The perforation is accompanied by hemorrhage, pyloric stenosis, or stenosis after repair; Suspected cancerous.

**Sexual surgeries include: gastrectomy; perforation repair with parietal cell vangelotomy; Perforation repair, vagotomy plus antral resection or pyloroplasty. Among them, the first two surgical methods have better results.

Through the above introduction, I believe you already know some of the best methods about gastric perforation, the main thing to do with gastric perforation is to get timely ** at the onset of the disease, don't treat it as a trivial matter, if you seek medical attention late, it will endanger your life. Therefore, once someone is found to be sick with a perforated stomach, they must be rushed to the hospital.

For patients diagnosed with gastric perforation, the first step is to fast. If the patient is seriously ill and diagnosed with acute perforation, it is necessary to pay attention to the changes in blood pressure, pulse, respiration and changes in water and electrolytes, and take the following emergency measures:

1) Analgesia: After the diagnosis is clear, the pain should be relieved as soon as possible, usually with durandine 80 mg or morphine 10 mg intramuscular injection.

2) Oxygen inhalation. 3) Intravenous infusion: Generally, balanced solution or glucose saline can be infused first, and if the patient is in shock, vasodilators can be added to replenish blood volume at the same time.

4) Gastrointestinal decompression.

5) Application of antibiotics: Generally, broad-spectrum antibiotics should be selected first, and sensitive drugs can be adjusted according to the results of bacterial culture. **：

Surgery**. Non-surgical**.

1) Indications for non-surgical**.

1) If the patient visits the hospital early and the gastric contents are not injected into the abdominal cavity, the chemical peritonitis is very mild, and the gastrointestinal decompression is easy to control.

2) The ulcer is perforated or has been blocked.

3) Fasting perforation, mild signs of peritonitis at the time of admission.

4) The patient was in good condition, and after the initial treatment of admission, the symptoms of peritonitis were reduced.

2) Indications for surgery.

1) Signs of acute diffuse peritonitis are obvious, and body temperature and blood count are elevated.

2) Patients with symptoms of shock should strive for the opportunity to undergo surgery after emergency initial treatment**.

3) After examination and past medical history, it is proved that there is pyloric obstruction.

4) Those who have a clear gastric ulcer in the past.

5) Patients with perforation and massive bleeding.

6) Non-surgical**, the condition does not improve.

The most obvious symptom of gastric perforation is abdominal pain, especially sudden abdominal pain, which may be accompanied by abdominal distention, and in the near future, there may be nausea, heartburn, acid reflux, black stool, hematemesis and other gastric ulcer symptoms. Once this severe abdominal pain occurs, it is necessary to go to the hospital immediately for examination of the abdominal plain radiograph, if the abdominal plain abdominal radiograph shows that there is free air under the diaphragm, it proves that there is a gastric perforation, and it is necessary to go to the surgery department and gastrointestinal surgery department for surgery**. If delayed**, there is a risk of increased risk of abdominal infection, making surgery more difficult, and increasing the likelihood of postoperative intestinal adhesions.

Gastric perforation is an emergency in gastroenterology and gastrointestinal surgery, and it is necessary to seek medical attention in time after it occurs to avoid the occurrence of serious complications and some long-term complications.

Analysis: In principle, gastric perforation should be surgically performed as soon as possible. **Delays, especially for more than 24 hours, are associated with a marked increase in mortality and comorbidities, as well as a prolonged hospital stay.

When there is a small fasting perforation, a short perforation time, mild clinical manifestations, localized signs of peritonitis, or the diagnosis is not yet clear, close non-surgical observation can be performed first. The indications for non-surgical ** should be strictly mastered, and the patient's symptoms and changes in abdominal signs must be closely observed, such as **6 8 hours of condition does not improve or worsen, should be operated in time**.

Suggestions: If the diagnosis is timely, the prognosis of the patient is generally better. If the elderly and frail are combined with severe cardiopulmonary liver and kidney diseases, the perforation time is long, and the abdominal cavity is seriously polluted, the prognosis is poor and the mortality rate is higher.

Analysis: Be sure to stop smoking, alcohol, coffee, spicy food. Eat less starchy foods such as potatoes, taro, vermicelli, sweet potatoes and other cold noodles, do not eat soda crackers, etc., eat small and frequent meals, eat regularly, and do not eat too hard and indigestible foods.

Once gastric perforation is diagnosed by the hospital, most patients, basically more than 90% of patients, need surgery immediately**. There are two types of surgery, one is to remove a large part of the stomach. The other is that the perforation is relatively small, and there is no large ulcer, and the perforation can also be repaired, and there are two more common methods.

Of course, if some patients arrive at the hospital, their vital signs are already unstable, such as their blood pressure is very low and their breathing is not very good, we must first correct the shock and prepare for surgery immediately after stabilizing their vital signs. In an emergency, there are no absolute contraindications, if the patient does not clot very well, it may be necessary to correct the patient's clotting status with thrombin through a blood transfusion, and if the clotting is not good, the risk is very high during the operation and it is easy to bleed.

It is caused by ulcers in the intestinal digestive system. Well, the most common is peptic ulcer. It is due to the continuous deepening of the ulcer, the continuous penetration, and finally the penetration of the wall of the 12 denum, so that the perforation occurs.

It may be due to the lack of attention to the aspect of eating, the convenience of eating, and then there is also the aspect of exercise. One is an acute perforation, which may be due to trauma. There will be some degree of shock symptoms in the early stages of the window.

If you have a shock, go to the hospital immediately.

1.Bellyache.

The sudden onset of severe abdominal pain is the initial, most frequent and important symptom of gastric perforation. The pain begins in the upper abdomen or in the area of the perforation, often as a knife or burn, and is usually constant but may worsen in paroxysmal ways. The pain quickly spreads throughout the abdomen and can spread to the shoulder as a tingling or sore sensation.

2.Symptoms of shock.

In the early stage of perforation, patients often have a certain degree of shock symptoms, and the disease progresses to bacterial peritonitis and intestinal paralysis, and the patient may reappear toxic shock.

3.Nausea, vomiting.

About half of the patients have nausea and vomiting, which is not violent, and the vomiting is aggravated by intestinal paralysis, as well as abdominal distension and constipation.

The most common cause of gastric perforation is peptic ulcer, which occurs due to the deepening of the ulcer, penetrating the muscular, and finally the serous layer through the wall of the stomach or duodenum.

Common conditions are:

1. Abdominal pain, sudden and severe, abdominal pain is the most frequent and important symptom of gastric perforation, the pain initially begins in the upper abdomen or the perforation site, often knife-cut and burning-like pain, generally persistent, but there are paroxysmal aggravations, the pain quickly spreads to the whole abdomen, can spread to the shoulder as a tingling and sore feeling.

2. Shock symptoms, patients often have a certain degree of shock symptoms in the early stage of perforation, and the disease progresses to bacterial peritonitis and intestinal paralysis, and patients can have toxic shock again.

3. Nausea and vomiting, about half of the patients have nausea and vomiting, which is not violent, and the vomiting is aggravated when the intestine is paralyzed, and there are symptoms such as abdominal distension and constipation.

4. In other cases, fever and increased white blood cells generally appear a few hours after perforation.

Patients with gastrointestinal ulcers are prone to gastric perforation due to mood swings or overeating, and the possibility of gastric perforation should be considered immediately after the occurrence of related symptoms.