Abdominal pain when moving. Kidneys as a source of pain during movement. Why is timely assistance from a specialist important?

It can be completely different - after all, in abdominal cavity There are many organs next to each other: stomach, liver, gallbladder, pancreas, intestines, and very close to the kidneys and ovaries. Each of them hurts in its own way and requires its own treatment. In some cases, you can get by with home remedies, but sometimes you need to urgently call an ambulance. She talked about how to deal with abdominal pain family doctor Polina Zagorodnaya.

How to properly examine yourself

1. Determine where it hurts the most

To understand this more precisely, place your palm on the abdominal wall and gently, but trying to push deeply, use your fingers to press on the stomach. Note where exactly the pressure causes the greatest pain. It is best to carry out such palpation while lying on your back. In this position the muscles abdominal wall relax and feel yourself easier.

2. Determine the nature of the pain
It can be dull, aching, squeezing, sharp, dagger-like (as if struck with a knife with a swing), bursting (as if a balloon has been swallowed and it is inflating).

3. H it is accompanied by pain
Does the pain radiate somewhere, does it intensify with movement, coughing, bending, is it accompanied by nausea, fever, diarrhea, etc. - all this is important for making a diagnosis.

4. Remember how pain appeared and developed
It could appear suddenly, after physical exertion, after stress, or hypothermia. Approximately how much time has passed since the onset of the painful attack. What kind of pain was there at first: mild, then intensified, immediately sharp, dull. Did the pain intensify later and how did it happen, quickly or gradually? Has the pain changed location: for example, with appendicitis, pain in the abdomen first appears epigastric region- where the stomach is, and then goes down to the right.

9 PICTURES OF ABDOMINAL PAIN

Pain in the epigastric region

Character.
Dull or sharp, bursting or aching.

Where does it give?
They can radiate behind the sternum along the esophagus.

What are they accompanied by?
Vomiting may occur at times of particularly intensified pain. After vomiting, the pain usually disappears.

Then.
Do not depend on previous physical activity, but may be associated with eating spicy, sour foods, strong coffee, previous severe stress over the past year.

What could it be.
Gastritis or stomach ulcer.

What to do?
Be examined by a gastroenterologist. If the diagnosis is confirmed, gastritis or an ulcer can be cured in 7-14 days. To alleviate the condition during an attack, apply a warm heating pad to the sore spot, you can drink hot, weak tea or just hot water. If vomiting is mixed with blood (in this case the masses look like coffee grounds) - call an ambulance.

Pain in the right hypochondrium

Character.
Sharp, squeezing.

Where does it give?
In the lower back on the right, right half of the chest, right shoulder, under the right shoulder blade.

What are they accompanied by?
A feeling of bitterness in the mouth, there may be vomiting of bile, after which relief comes, possibly an increase in temperature.

Then.
After consuming fatty spicy foods or after shaking in transport.

Diagnosis.
Cholecystitis.

What to do?
Take an antispasmodic (a drug based on drotaverine or papaverine) and any drug from digestive enzymes(this will provide the body with complete rest). Go for an ultrasound to make sure there are no stones in your gallbladder. If not, then prevent attacks with blind probes (tubages). To do this, slightly warm up, stirring until all the bubbles come out, a glass of choleretic mineral water(Luzhanskaya, Polyana Kvasova, Polyana font). Drink in small sips over two to three minutes. After this, apply a warm heating pad to the right hypochondrium and lie on your right side for 40-60 minutes. After this there should be some relief. If it doesn't happen, repeat. If there are stones, then consult a surgeon about surgery to remove the gallstone.

Pain around the entire abdomen

Character.
Girdles the upper abdomen.

Where does it give?
In the lower back.

What is accompanied by.
Dryness and unpleasant taste in the mouth, repeated vomiting, after which there is no relief, an increase in blood pressure.

Then.
After drinking alcohol, spicy or fatty foods the day before.

Diagnosis.
Acute pancreatitis.

What to do?
You should immediately seek medical help. Without it, necrosis of the pancreas may occur - pancreatic necrosis, and this is already a life-threatening condition.

Pain near the navel

Character.
Appeared suddenly, sharp, cramping, strong.

Where does it give?
There is no return.

What is accompanied by.
Weakness, chills.

Then.
After eating foods rich in fiber, strong coffee, chocolate.

Diagnosis.
Intestinal colic.

What to do?
Take an antispasmodic tablet (for example, based on drotaverine or papaverine) and take a lying position. The pain goes away on its own after a few 15-20 minutes. (sometimes after relaxation), but they may appear again later - then the tactics can be repeated. To prevent them from appearing again, do not abuse coffee, chocolate or overeat.

Pain in the middle of the abdomen on one side

Character.
They appeared suddenly. They can be so strong that patients rush about in bed, unable to find a place for themselves, and moan.

Where does it give?
In the lower back, crotch.

What are they accompanied by?
Frequent urge to urinate.

Then.
After drink plenty of fluids mineral water, overeating watermelon.

What could it be.
Passage of a kidney stone.

What to do?
Treat with a heating pad, hot bath, antispasmodics. If there is blood in the urine or the pain reaches shock strength, call an ambulance.

Pain in the lower right

Character.
They first appear in the epigastric region, then gradually intensify and descend to the right lower (iliac) region of the abdomen.

Where does it give?
Into the rectum, worsens when walking (patients move bent to the right), worsens when trying to lie on their left side.

What are they accompanied by?
There may be fever and nausea.

Then.
There is no exact relationship.

What could it be.
Appendicitis.

What to do?
Call an ambulance.

There were pains all over my stomach

Character.
My whole stomach hurts at the same time, constantly.

Where does it give?
To other parts of the abdomen (any).

What is accompanied by.
Dry mouth, nausea, fever, weakness.

Then.
After previous pain, for which no medications helped for 24 hours.

What could it be.
Inflammation of the peritoneum (peritonitis).
Deadly disease!

What to do?
Call an ambulance.

PAIN IN WOMEN IN THE LOWER ABDOMINAL

Above the pubis in the center or on both sides

Character.
Drawing, fickle.

Where does it give?
In the perineum and (or) in the lower lateral sections of the abdomen.

What are they accompanied by?
There may be discharge from the genital tract. They get worse when walking.

Then.
After hypothermia, spicy food, severe stress.

What could it be.
Disease gynecological field, for example, adnexitis, endometriosis, fibroids.

What to do?
Go to the gynecologist for an appointment.

Right or left above the pubis

Character.
They appeared suddenly, sharply, very strong.

Where does it give?
IN anus or nowhere (local pain).

What are they accompanied by?
Dizziness, weakness, and possible fainting.

Then.
Most often after sexual intercourse (if a cyst ruptures) or 1-2 weeks after a missed period (if there is an ectopic pregnancy).

What could it be.
One of the symptoms of a ruptured ovarian cyst or ectopic pregnancy.

What to do?
Call an ambulance.

Depositphotos/CITAlliance

A frequently encountered dilemma is why the lower abdomen may hurt, which is associated with disturbing pain outbreaks in many women. When the lower abdomen hurts in women, many factors can serve as a motivator, for example, the acute stage of the inflammatory process in the abdominal organs, weakened bone spine or problems in the reproductive system. If a woman’s lower abdomen hurts, a spastic contraction of the muscular tissue of certain intrauterine organs can also serve as a driving factor. Infectious and inflammatory development is also not excluded.

There can be many influencing factors that cause pain in a woman’s lower abdomen. Pain is also differentiated by its characteristic features and location.

Determining the possible “root” of the attacks, taking into account the accompanying symptoms, will help eliminate unpleasant symptoms.

Severe pain in the lower abdomen in a woman, accompanied by bloody discharge from the genitals (excluding the onset of menstruation) may indicate organ diseases reproductive system. With such manifestations, it is forbidden to use self-medication; you should seek help from a gynecologist as soon as possible. The doctor will be able to reliably determine the cause of the ailment and establish a diagnosis, as well as prescribe an appropriate course of medication. After all, only a specialist can adequately compare all the accompanying signs of the disease. “Drawing” nature of the pain, moving to the pelvic area, which is accompanied by cold sweating or vice versa, elevated temperature, indicates an infection of organs in the pelvis. Sometimes diseases of this system are accompanied by such unnatural discharge from the organs of the reproductive system as purulent yellow or blood clots. When contacting a gynecologist, it is necessary to clearly explain all disturbing signs.

A woman has severe pain in her lower abdomen, causes

If a woman has pain in the right lower abdomen, and the pain becomes protopathic (incessant) in nature with increasing intensity, there is Great chance infectious or fungal infection appendix, the diagnosis of appendicitis cannot be ruled out. Such pronounced symptoms require immediate consultation with a doctor to make a diagnosis. If appendicitis is confirmed, emergency surgery will be scheduled. Pain in the lower abdomen in girls, which is accompanied by such additional signs How:

• frequent attacks nausea and even vomiting;
• loss of appetite;
• unreasonable fatigue;
• drowsiness.

Such symptoms may indicate acquired diseases digestive system and requires prompt examination by a gastroenterology specialist. There are cases when it hurts to sit down and when moving it radiates to the lower abdomen, which can characterize hemoperitoneum ( intra-abdominal bleeding). In this case, it will be observed following symptoms:

• pale skin, including mucous membranes;
• dizziness, to the point of fainting;
• weakness;
• low pressure;
• cold sweat;
• Back or shoulder pain may additionally occur.

Such indicators also require immediate examination by a doctor.

There are examples when a woman has pain in her lower abdomen, and shooting pains appear in the lumbar region, as well as frequent urination, in which macrohematuria (the presence of blood in the urine) is visualized in the urine. This is evidence of pathological processes in the urethra. With such symptoms, you need to contact a specialist called a nephrologist.

Pain in the very lower abdomen in pregnant women is a separate issue. If the pain is sharp, or even worse, acute, there is a possibility of an ectopic pregnancy. You need to know that even normal gestation may be accompanied by unpleasant, but mild pain sensations. If the pain does not become permanent, then this should not cause unnecessary worry. Nagging pain in the lower abdomen occurs in almost every woman carrying a child. But you shouldn’t ignore any discomfort, you need to notify your doctor about this, who, based on other indicators, will accurately determine the source of such signs.

Pain can be provoked by diseases of the digestive segment (most often the main symptom of diseases manifests itself in the form of problems with bowel movements), and diseases urethra infectious group. The only thing that will help here is not to miss the moment and timely appeal see a doctor to prescribe the correct treatment.
If we take into account only the category of pregnant women, then pain is divided into two classes: gynecological and non-gynecological. In the case when premature detachment of the placenta occurs, this pathology threatens miscarriage and causes obstetric pain. To prevent this, a woman must comply special mode:

1. Minimize physical exercise.
2. Exception bad habits.
3. Refusal to eat fatty and salty foods.
4. Normalization of diet. It is best to eat more often - up to 6 times a day, but at the same time reduce the size of portions.

If the pain does not stop, but on the contrary, an exacerbation is felt, it is necessary to undergo a full examination to determine the exact cause of its occurrence.

When a pregnant woman experiences a malfunction in her digestive system, resulting in pain in the lower abdomen, such pain symptoms belong to the non-gynecological group.

In many cases, a woman’s pain can occur suddenly and also go away unexpectedly; here we can talk about chronic disease, which was in remission and has now entered an acute phase. This is a signal that cannot be ignored. There is a pain syndrome that is of an uncertain nature - visceral pain. A person cannot indicate its location. There may be a feeling nagging pain in the groin, the syndrome can change its location, moving to the right or left.

If pain in the lower abdomen occurs for the first time, it is better to contact a specialist for examination, because unpleasant symptom may signal the presence of a serious disease and its detection on early stages significantly facilitates treatment and influences its positive outcome. Such chronic diseases how ulcers, colitis, gastritis provoke the appearance cutting pain, and the acute phase of these ailments can serve as one of the reasons for the parallel development of other diseases, which in comprehensive clinic course of the disease can cause various kinds complications.

Why is timely assistance from a specialist important?

Cold seasons are those periods when women most often report complaints of pain in the lower abdomen. In most cases, the problem occurs due to an inflammatory process in the pelvic organs. A pathological process in the body indicates the acquisition of a viral disease, hypothermia or immunodeficiency - all these factors help to open full access for viruses to enter a weakened body.

50% of women with complaints of pain in the lower abdomen have reproductive age from 25 to 35 years. Such symptoms are most often recorded during inflammation of the appendages (adnexitis) and uterus (endometritis and cervicitis). An undiagnosed disease leads to progressive pain. Therefore, if a girl has pain in the lower left abdomen, and a pain “response” is felt in the intestines or lower back, you should not put off going to the gynecologist.

When a young girl has pain in her lower abdomen, sometimes additional symptom there may be nagging pain in the lower back, this may indicate the approach of menstrual cycle. This kind of unpleasant syndrome is called dysmenorrhea. Mild pain relievers help suppress menstrual pain.

Ailments associated with gynecology, one of the symptoms of which is pain in the lower abdomen: uterine leiomyoma, acute and chronic endometritis, salpengitis, etc. Endometritis is the most commonly diagnosed gynecological disease. The inflammatory process begins in the mucous membranes of the uterus and quickly spreads to other areas. Pain syndrome with endometritis is initially characterized by aching in nature, and radiates to the sacral area and lower back. The further course of the disease is acute form, which can be avoided by promptly seeking help from a medical institution.

Important facts

It is not uncommon for a woman to have pain in the lower abdomen that is not at all associated with gynecological manipulations, such as abortion or childbirth; the reason may be infection which is sexually transmitted, for example, diseases such as chlamydia and gonorrhea.

During pregnancy, pathological processes that provoke pain symptoms in the lower abdomen are also possible. Such pathogens include ectopic pregnancy, which is characterized by the placement of the fetus outside the normal fruit receptacle. The pain occurs suddenly, with movement, and has an increasing character. Complication of this disease is a violation of integrity fallopian tube. In this case, the pain is sharp and appears suddenly.

Cystitis and kidney stones can also cause pain in the lower abdomen. Intestinal obstruction is manifested by pain in the umbilical area, gradually descending to the groin.
To summarize, we can say that there can be many reasons for pain in the lower abdomen, so making a diagnosis yourself and self-medicating will be more expensive for your own health than contacting a good specialist. A woman should be able to take care of own health, because most diseases often carry complications, and such development of the clinical picture of the disease occurs only due to incorrect or untimely treatment. Therefore, if pain in the lower abdomen has become a regular unpleasant companion, you should not use the advice of friends, it is better to undergo examination in a specialized medical institution and identify the real reason pathological manifestations. Modern medicine equipped with sufficient tools for effective diagnosis and treatment of almost all diseases. Don't forget the golden rule: "Everything is good on time." Therefore, measures taken in time promise a speedy recovery.

Pain in the upper middle of the abdomen is a very dangerous symptom, which is a harbinger of the development of various pathologies and dangerous diseases.

Negative manifestations can form suddenly or increase gradually. Some go away in a short period of time, others annoy the patient for a period of time. long period. With increasing intensity and intensification of symptoms, you should contact professional specialist. The patient must undergo a diagnosis of the body and find out why certain symptoms appeared. After passing diagnostic methods, appropriate treatment should be prescribed.

Upper abdomen hurts various reasons. They are an indicator of all kinds of conditions. Diseases may manifest differently in each patient. Some patients experience more pain, while others experience less pain.

Since pain itself is considered a subjective feeling, relying on just one symptom is not recommended. Make a correct diagnosis based only on symptoms pain- impossible. Therefore it is necessary to take into account individual characteristics body. It is also worth considering that diseases have a specific nature of pain.

Pain in the center (middle) of the upper abdomen is divided into types of pain. They have corresponding symptoms. Patients with certain actions or changes in body position experience stomach pain in the upper middle. Not every person knows what to do and what actions to take.

1. First of all, it is necessary to determine the location of the pain. To do this, you need to lie on your back and palpate the abdominal cavity. Using palpation, the most vulnerable painful spot is located.
2. It is necessary to understand what preceded the onset of pain. It is necessary to establish why they began to develop Negative consequences. Excessive physical activity may be the cause. nervous breakdowns, improperly selected diet, intake of alcoholic beverages.
3. Next, the type of discomfort is determined. Depending on the symptoms that appear, pain is divided into several categories. Let's look at the most common ones.

It's a dull pain

The aching pain is not expressed by bright intensity. Therefore, most patients call such manifestations the most harmless. They can occur periodically or appear constantly.

It is worth considering that this type of pain indicates initial development diseases and negative changes in the body.

• Aching pain from above can be caused by poor circulation.
• It also appears due to mechanical damage internal organs. They can be obtained as a result of a fall from a height, strong blow into the abdominal cavity.
• Aching pain occurs due to stretching of muscles and tendons of internal organs. The manifestation of unpleasant sensations is influenced by strong inflammatory processes.
• The cause may be a malfunction gastrointestinal tract. Such diseases include gastritis, ulcers duodenum, infectious processes.
• The pain occurs due to inflammation of the pancreas.
• Development may be affected by diseases of the pelvic organs.
• Pinching may occur nerve endings in the spine, which causes pain in the upper abdomen.
• The cause may be pathologies of the central nervous system.
• Heart pain radiating upward to the abdominal cavity.
• Unpleasant sensations in solar plexus irradiating into the abdominal cavity.
• Aching pain occurs due to infection of the abdominal cavity;

Acute pain

This type of discomfort is usually called “ acute stomach" Acute sharp pain requires immediate treatment medical care. Such patients require surgical treatment.

Acute pain includes a complex clinical signs, which must be confirmed by instrumental or laboratory data. Acute pain can be life-threatening. They appear due to dangerous diseases injuries or damage to the abdominal or pelvic organs.

Let's look at the most common causes of discomfort:

Sharp sudden pain may occur during movements or changes in body position. It penetrates the ligaments and muscles of the organs. That’s why the common people call it “dagger”. The intensity of this manifestation varies, since each patient perceives the pain threshold in his own way.

Such a negative manifestation may indicate the development of severe pathologies and diseases that threaten human life.

Such diseases include:

1. Damage to the spleen;
2. Epigastric hernia of the white line of the abdomen;
3. Osteochondrosis thoracic spine;
4. Signs of appendicitis;
5. Intestinal obstruction;
6. Chronic stage of enteritis;
7. Chronic stage of colitis;
8. Acute diverticulitis;
9. Intestinal infections;
10. Intoxication;
11. Renal colic;

Blunt pain

On initial stage This type of discomfort is hardly noticeable. But as pathologies and diseases develop, the intensity of pain begins to increase. It is continuous. It goes away only after using painkillers. Can increase with sudden movements, heavy lifting, excessive fluid intake. Also, dull pain can be the result of sharp, sharp or cutting pain

In this case, the subsiding unpleasant manifestations can last for 12-18 hours.

Diseases accompanied by dull pain include:

1. Chronic cholecystitis;
2. Urolithiasis;
3. Pyelonephritis;
4. Chronic stage peptic ulcer;
5. Stomach cancer;
6. Pyloric stenosis;
7. Gastritis, which is accompanied by a reduction in pancreatic secretion;
8. Increased pressure in portal vein, which can lead to the deposition of blood flow in the spleen. In this case, stagnant enlargement of the organ may occur. The condition is characteristic of liver cirrhosis:

• Latent stage;
• Subcompensation stage;
• Decompensation stage;

Girdle pain

This manifestation is a painful condition that has varying degrees intensity. The pain may be short-term or last for a long period. The pain can be paroxysmal, encircling the entire upper area belly. Unpleasant sensations appear after taking fatty, overcooked or spicy food. Can occur after drinking alcohol.

At the same time, patients feel bad taste and dry mouth, weakness, increased blood pressure. Repeated vomiting is observed, after which the pain subsides. They separate girdling skin pain, as well as pain emanating from the internal organs. In this case, nerve endings are damaged or diseases dangerous to human health develop.

Pain can radiate to the lower back, spine, and lower abdomen.

Unpleasant sensations may result from the following: negative manifestations:

• Gallbladder dysfunction, manifested as cholecystitis;
• Impaired functioning of the pancreas in the form of acute pancreatitis;
• Ulcerative lesions of the duodenum;
• Diseases of the cardiovascular system;
• Development of herpes zoster;

Stitching and cutting pain

Such a negative manifestation is considered a signal of the development of pathological processes in the human body. They have different localization. It can prick both in the upper abdomen and below. The left and right side may hurt. They radiate to the back sacral region, spine, chest area and hypochondrium. Pain intensifies with movements, improperly selected physical activity, shaking in transport, stress. But most important reason The occurrence of painful sensations is caused by incorrectly selected food. Cutting syndrome occurs due to the consumption of overcooked, spicy, oversalted, burnt food, carbonated drinks, and fast food.

Pain may occur periodically. Therefore, if there is pain in the upper abdomen, then it is necessary to find out the reasons by undergoing a complete diagnosis of the body.

All pathological changes are accompanied by diarrhea and nausea. A person's body temperature rises. Attacks of sudden and stabbing pain can cause worms, problems with the genital area, various inflammations gastrointestinal organs. Stitching syndrome appears due to the formation of the following diseases:

• Pancreatitis in the acute phase;
• Attack of appendicitis;
• Inflammation of the pancreas;
• Acute or chronic form gastritis;
• Perforation of gastric and duodenal ulcers;
• Development of intestinal infections;

Nagging pain

Such discomfort bother patients for a long period. They do not have a pronounced intensity. But they cause great discomfort. Pain indicates the presence of early-stage pathologies. Can occur due to stretching of the liver capsule or spleen. May be a consequence of sprained ligaments that secure organs in the pelvis. Unpleasant manifestations can radiate to the left or right side, bottom part stomach, back. The stomach, right or left side may hurt. In this case, the patient feels heaviness and increased negative manifestations during physical activity and heavy lifting.

The upper abdomen may be pulled due to the development of pathologies and an increase in the size of organs.

The main causes of nagging pain:

1. Enlargement of the uterus during pregnancy;
2. Development of an ovarian cyst;
3. Inflammation of the appendix;
4. Inflammatory processes in the intestines, including:

• Crohn's disease;
• Diverticulitis;
• Duodenitis;
• Enteritis;
• Colitis;

1. Inflammatory diseases of the pelvic organs;
2. Prolonged tonic tension of organs;
3. Chronic prostatitis;
4. Formation of malignant tumors;
5. Chronic stage of sigmoiditis;

Features in men

Pain in men occurs when the prostate becomes inflamed. They can provoke development acute stage prostatitis, urethritis, ascending infections, sexual disorders, physical inactivity. The reasons may be:

• Interrupted sexual intercourse;
• Rare or violent sex life;
• Sedentary “office” lifestyle;
• Presence of chronic constipation;
• Drinking alcoholic beverages;

Pain may occur behind or above the pubis.

They radiate into groin area, sacrum, perineum, lower back and rectum. They can be combined with painful frequent urination. At the same time, a person’s body temperature may rise, weakness may develop, and performance may decrease.

Features in women

If it hurts in the upper abdomen, then this may be a consequence inflammatory processes internal reproductive organs- uterus, tubes, ovaries. Unpleasant manifestations are felt in the upper or lower abdomen in the iliac regions. May be accompanied intoxication syndrome as:

• Chills;
• Weaknesses;
• Loss of appetite;
• Dizziness;
• Fever;

The localization of pain occurs above the womb, upper and lower abdomen.

Are being formed purulent discharge with blood clots, having bad smell. Unpleasant sensations can radiate to the perineum, sacrum and lower back. Pathologies include:

• Intra-abdominal bleeding;
• Ovarian rupture;
• Ectopic or ectopic pregnancy;

Stomach hurts when critical days, after blows, falls, complications after a tubal abortion.

In what cases should you urgently see a doctor?

The patient should consult a professional specialist in the following cases:

• When the intensity of the pain defect increases;
• If there is a weak effect after taking medications;
• If there are symptoms of intoxication in the form of diarrhea, vomiting;
• With severe sharp or cutting pain during urination;
• In the presence of blood clots in feces or urine;
• If your stomach hurts when moving or changing body position;
• If the patient's age is less than 10 and more than 65 years;
• If received severe injuries abdomen in case of impact, injury, fall from a height, compression;
• In case of sudden acute pain, causing awakening during sleep, insomnia;
• In the presence of pain syndrome accompanied by fever;
• With severe tension in the abdominal muscles, in which the middle of the abdominal cavity is hard and painful. There is a limitation respiratory movement belly;
• If it hurts in the upper abdomen, the pain syndrome is accompanied by rapid heartbeat;

The patient can consult a therapist, then contact a gastroenterologist, surgeon, allergist, neurologist, or oncologist. The choice of specialist depends on developing disease.

Diagnostics

Pain in the center of the abdomen causes patients discomfort and unpleasant sensations, which disappear only after treatment. But before you prescribe necessary procedures, you need to undergo a diagnosis of the body. Diagnostics will help identify the causes of pain. It is very difficult to make a correct diagnosis, since the points are currently known various diseases, causing an identical pain syndrome.

1. First of all, an initial examination should be carried out, during which simple manipulations are applied. The specialist can:

• Palpation, which reveals pain, the consistency of the liver and spleen. You can determine whether the pain intensifies when pressed.
• Visual inspection, which determines increased gas formation, hue change skin, rashes and allergic reactions.
• Auscultation, through which noise is heard using a stethoscope.
• Percussion, which is used to detect tissue density and pain in upper section belly.

1. After initial examination the patient may be redirected for radiography. The study lasts no more than ten minutes. This method The study involves passing micro-rays of X-ray through body tissue. The method is able to identify:

• Malignant tumors of the abdominal cavity;
• Formed stones located in the gallbladder or kidneys;
• Pathology of changes in the spine;
• Stomach ulcer;
• The presence of abscesses located in the abdominal cavity and liver;
• Diaphragmatic hernia;
• Developing pathologies in the spine;

Depending on the results of the examination, the patient may be prescribed:

1. Computed tomography;
2. Magnetic resonance imaging;
3. Ultrasonography;
4. Fibroesophagogastroduodenoscopy;
5. Microbiological research methods, including:

• Microscopy;
• Cultural examination;
• Detection of antigens and antibodies;
• Polymerase chain reaction;

1. Clinical and biochemical analysis blood;
2. Clinical and biochemical urine analysis;

What medications can be prescribed?

Traditional therapy can be medication or surgery. Tablets or surgery prescribed depending on the developing disease. If there is pain in the upper abdomen, surgery is prescribed in the following cases:

• With peritonitis;
• Acute pancreatitis;
• Ulcer or cholecystitis, which are accompanied by internal bleeding;
• When cancer pathology is detected.

In other cases, drug therapy is prescribed.

Analgesics for pain relief. They are available in the form of injections, tablets or syrups.

Prevention of the condition

In order to avoid pain, you need to monitor your health and follow simple recommendations:

• More to be on fresh air. Oxygen nourishes blood vessels, improving blood circulation;
• Watch your diet. Excessive consumption of spicy, overcooked, over-salted, smoked foods should be avoided. You should not consume chips, sweet carbonated drinks, fast food;
• Monitor the quality of received products. You should not consume stale food or eat from dirty dishes;
• Do not overeat, do not swallow air while eating;
• Stop smoking and drinking alcohol;
• Don't be near chemical compounds. Do not inhale poisons, steam, exhaust;
• When performing medical procedures, follow the rules of antiseptics and asepsis;
• Spend more time healthy sleep, eliminate insomnia;

If it hurts in the upper abdomen, this indicates the presence of pathological changes in organism.

Be sure to watch the next video

When manifested painful sensations and increasing intensity should refer to qualified specialist for advice. In the presence of acute unbearable pain, it is necessary to call ambulance.

The list of ailments accompanied by abdominal pain is very long. The stomach can twist with appendicitis if you overate the day before, and due to many other - dangerous and not so - reasons. It would be nice to be able to determine when you should seriously worry? This can be done by learning to recognize common diseases by the nature of pain.

There are two main types of abdominal pain and somatic pain. The first occurs due to irritation of nerve endings in the wall of organs. That is, these are pains associated with spasms or, conversely, with stretching, for example, of the stomach or duodenum.

Visceral pain occurs in the form of colic (hepatic, renal, intestinal, etc.) varying intensity, wears spilled, stupid character, is localized not only in the area of ​​the affected organ (often along midline abdomen), but also in other parts of the abdomen. This is the so-called irradiation - the reflected transmission of pain to certain parts of the body (where the same nerve passes).

Somatic (peritoneal) pain occurs due to irritation of the peritoneum when, during the development pathological process(for example, when a stomach ulcer is perforated), the endings begin to become irritated spinal nerves located in the peritoneum.

Somatic pain, in contrast to visceral pain, is constant and precisely localized, is usually accompanied by tension in the muscles of the anterior abdominal wall, has a sharp cutting nature, and intensifies with movement and breathing. The person tries to lie still in bed, as any changes in position increase the pain.

Even an experienced doctor answering the question of why exactly a patient’s stomach hurts can be quite difficult. Therefore, under no circumstances should you self-medicate. And if you experience abdominal pain, having approximately estimated what it may be associated with, consult a doctor as soon as possible.

What diseases cause abdominal pain?

Acute appendicitis. Exactly this frequent illness abdominal organs, requiring surgical intervention. Pain in this case appears suddenly in the epigastric region or throughout the abdomen, sometimes near the navel, which gradually increases. After some time, they are localized in the right half of the abdomen, the right iliac region (near the wing ilium on right).

There is a slight increase in temperature, increased heart rate, and a dry tongue. When pressing on the abdomen, a sharp pain is detected in the right half of the abdomen, the right iliac region, which intensifies when releasing the hand, and muscle tension.

Simple appendicitis causes a pain syndrome of greater intensity than destructive (purulent) one, which is explained by the death of nerve endings in the appendix.

Acute gastritis. Sharp pain in the epigastric region occurs during acute erosive gastritis. At the same time, pain is observed in the oral cavity, pharynx, along the esophagus, dysphagia, vomiting mixed with mucus and blood. Possible deterioration general condition patient, shock, collapse.

Acute pancreatitis. Development acute pancreatitis contributes to liver pathology, biliary tract and other digestive organs, nutritional disorders, alcohol abuse, severe vascular lesions, allergic conditions, injuries, operations.

Abdominal pain is initially localized in the epigastrium (median top part abdomen), in the right or, more often, left hypochondrium, extending into left shoulder blade, in the region of the heart. In almost half of the cases it is shingles in nature. The pain varies in duration, is very painful, boring, squeezing. Sometimes the pain periodically weakens, but does not stop completely. IN severe cases the pain spreads to the entire abdomen. The pain is accompanied by vomiting, which is often uncontrollable and does not bring relief. Sometimes jaundice is noted.

Exacerbation of peptic ulcer disease. In typical cases, an exacerbation of a peptic ulcer is accompanied by sharp pain in the abdomen some time after eating. Sometimes an attack severe pain ends with profuse sour vomiting. In other cases, after reaching maximum intensity, the pain gradually subsides.

Possible pain at night, pain on an empty stomach, subsiding after eating. More often the pain is localized in the epigastric region (middle upper abdomen), less often in the right or left hypochondrium.

Gives to the lower back, less often to chest, even less often - in the lower abdomen.

Abdominal pain increases with physical stress, decreases in a stationary, bent position with legs drawn to the stomach, as well as when pressing on the stomach with hands. Constant pain in the abdomen is characteristic of ulcers penetrating the pancreas. The pain of a peptic ulcer is often combined with heartburn and vomiting, which brings relief. The patient's appetite is preserved, but there is a fear of eating for fear of increased pain.

Hepatic (biliary) colic, acute cholecystitis. An attack occurs as a result of strangulation of a stone in the neck of the gallbladder, in the ducts when cholelithiasis or when an infection enters the gallbladder and develops acute acalculous cholecystitis. An attack of biliary colic is provoked by errors in diet, physical and nervous stress.

Suddenly a very sharp, often rapidly growing pain appears in the right hypochondrium, epigastric region with irradiation to the right shoulder, collarbone, scapula, right side base of the neck, rarely in left side, iliac region, lower back. The pain intensifies when lying on the left side, with a deep breath.

Attack intense pain can last from several hours to several days. During an attack, patients are restless and constantly change position. The pain is accompanied by nausea, vomiting of bile, which does not bring relief, sometimes jaundice of the sclera and increased body temperature.

Acute intestinal obstruction. Intestinal obstruction is divided into dynamic (due to intestinal spasm) and mechanical (blockage with a foreign body, a ball of worms, gallstone, tumor, adhesions, etc.). In 70 percent of patients, obstruction is caused by adhesions in the abdominal cavity. Immediate cause compression or strangulation of the intestine may be sudden tension abdominals during physical work, eating disorders. The cause of intestinal volvulus is adhesions and large intestinal length.

The disease begins suddenly, with cramping abdominal pain of varying intensity. The cramping character is more pronounced with intestinal blockage ( foreign bodies, worms, fecal stones, tumor). In case of obstruction due to adhesions, intestinal volvulus, strangulated hernia pain is intense and constant; cramping pains are so strong that people moan and scream.

There is no acute intestinal obstruction without pain syndrome. Based on this sign alone, this diagnosis can be assumed. IN late stages illnesses and pain subside and pass. With acute intestinal obstruction in later stages, high mortality is observed; to prevent this from happening, you must immediately call an ambulance. Treatment of this type of obstruction is surgical. Taking laxatives is not recommended. You can take no-shpa or you should then inform your doctor about this.

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