How to identify and diagnose abdominal pain? How much do you know about these diagnostic signs ?

When abdominal pain occurs, if it is pain in the left lower abdomen, it is more common to have diseases such as enteritis or colitis; If there is pain in the right lower abdomen, it is usually seen in appendicitis.

The first point is to take a picture according to the situation of pain, and then take a picture to see what causes it, and the second point is to make a diagnosis according to the whole condition and some symptoms.

Abdominal pain problems should be tested in the stomach, abdomen, heart, digestion and other aspects as well as blood.

If the tenderness is in the right lower quadrant and the symptoms are abdominal pain followed by fever, vomiting, and curvature of the right lower extremity, appendicitis should be considered; If fever and cough are followed by right lower quadrant pain, lobar pneumonia may occur. Abdominal pain is located in the upper abdomen and is paroxysmal and severe, even rolling in pain, sweating in the forehead, most likely biliary ascariasis. If you have pain in the upper abdomen, nausea, vomiting, or even fever, and you have not eaten a good diet or eaten unclean food before the onset of the disease, it is likely that you have gastritis.

Sometimes the abdominal pain is not localized, but there is a gurgling bowel sound, the pain is diarrhea, diarrhea is accompanied by mucus or pus and blood, and there is a high possibility of enteritis and bacillary dysentery. If the abdominal pain is paroxysmal around the navel but not severe, and the pain is followed by a flurry of pain, intestinal ascariasis is more likely. When roundworms gather in large clusters, they can block the intestinal lumen, resulting in severe abdominal pain, accompanied by vomiting and a palpable mass in the abdomen, and roundworm intestinal obstruction should be considered.

Distinguish between cold and heat. Abdominal pain is acute and cold, the pain is violent, the pain is uninterrupted, the abdomen is full, the intestines are painful, and the pain is reduced when the cold pain is severe, and the pain is reduced when the heat is obtained, which is cold pain; Abdominal pain and burning, sometimes mild and sometimes severe, abdominal distension and constipation, and those who have cold pain and reduced pain are hot pain;

Distinguish between the real and the false. The pain is continuous, likes to rub and press, sometimes slow and sometimes urgent, the pain is invisible, the hunger is the pain increases, and the pain of eating is reduced, which is a deficiency pain; The pain is sharp, refusal to press when it hurts, the pain is tangible, the pain continues unabated, and the food is even worse, it is a real pain.

Distinguish between qi and blood. Abdominal pain is full, sometimes light and sometimes severe, the pain is uncertain, the attack is painful, and the swelling pain is reduced when the heating arrow is obtained, which is qi stagnation pain; Tingling pain in the abdomen, the pain is endless, the sore spot does not move, the sore part refuses to press, especially at night, it is blood stasis.

Distinguish between urgency and slowness. Acute abdominal pain is acute due to the invasion of external evils and injuries caused by food and drink; The onset of the disease is slow, the course of the disease is prolonged, the abdominal pain is continuous, the pain is not very serious, and it is mostly caused by internal injuries, weakness of the internal organs, and lack of qi and blood, which is chronic abdominal pain.

Identify the location. It is often not difficult to diagnose abdominal pain and identify where it occurs, and the relationship between the viscera and the viscera should be clarified. Pain in the abdomen, mostly caused by diseases of the spleen, stomach, large and small intestines; Pain in the flank and less abdomen, mostly due to the disease of the syncope yin liver meridian and large intestine; pain in the lower abdomen, mostly kidney and bladder lesions; Pain around the umbilicus, mostly worm disease.