Sometimes abdominal pain can be so severe that the patient does not touch him. In this case we speak about the acute abdomen. Acute abdomen brings together all the diseases that are accompanied by severe abdominal pain and require emergency surgery.
Acute abdomen - causes of
Acute abdomen - is a series of symptoms that develop in wounds and acute diseases of the abdominal cavity and retroperitoneal space. The main symptom of acute abdomen is a severe pain in the abdomen. Acute abdomen - a preliminary diagnosis, which says that the patient requires emergency (usually surgical) care. Later in the survey the diagnosis to be confirmed.
The causes of acute abdomen may be different. First of all, it's open and closed abdominal injuries, including a break of hollow organs - stomach, intestines and bladder
Urinary bladder - structure and function
Another equally common cause of acute abdomen are inflammatory diseases of the abdominal cavity. Most often it is acute appendicitis (inflammation of the appendix), acute cholecystitis (gallbladder inflammation), acute pancreatitis (inflammation of the pancreas), peritonitis (inflammation of the peritoneum - membrane lining the inside of the abdominal cavity). The cause of acute abdomen may be abdominal abscess.
Acute abdomen may occur when the perforation of a hollow organ that emerged with the disease of the internal organs of the abdominal cavity and retroperitoneal space. For example, perforation of the stomach wall can occur when a peptic ulcer. Rupture of the hollow organ may be accompanied by internal bleeding, such as ectopic pregnancy, there is a rupture of the fallopian tube, which is accompanied by severe bleeding. Perforation may occur when released into the gastrointestinal tract of a foreign body, such as a needle.
Syndrome of acute abdomen may occur when ileus, acute circulatory disorders in the intestinal wall (this results in extinction) with torsion legs cysts or tumors located in the abdominal cavity and in certain other diseases and conditions.
The symptoms of acute abdomen - they must know each
The main symptom is a severe acute abdomen pain that can be localized on any particular area, and around the abdomen. Sometimes the pain can be so strong that it begins a painful shock.
Often the pain to the very beginning of the disease joins vomiting, vomit at the same time contain the remains of food, gastric juice and bile. If acute abdomen accompanied by bleeding from the stomach, the vomit may look like coffee grounds, or contain an admixture of fresh blood.
In some cases, abdominal pain accompanied by prolonged painful hiccups
Hiccups - and if this is something serious?
- It is the result of irritation of the phrenic nerve. Due to the irritation of the nerve pain in the abdomen increases sharply when trying to take a horizontal position of the patient, so the patient is constantly trying to catch (a symptom of Roly-Poly).
In acute abdomen often develops ileus, which is accompanied by a delay chair and gases. But in some cases it and diarrhea.
Very suffers general condition of the patient, the pain is so strong that it does not touch the belly. When you try to test the stomach can be seen that this is impossible because of the reflex muscle tension in the abdomen - the belly "as a board."
The correct diagnosis of severe pain in the abdomen - the mainstay of treatment
When the diagnosis is very important questioning of the patient and his relatives, the study of the nature of pain, careful examination of the patient. Conduct necessary laboratory tests, which help to clarify the nature of changes occurring in the body and their severity. For example, inflammatory diseases (acute appendicitis, acute cholecystitis, etc.) is detected in the blood of a large number of white blood cells
White blood cells as the basis of immunity
, Including their younger forms. If internal bleeding in the blood decreases the number of erythrocytes and hemoglobin, and so forth.
X-ray examination carried out on a specific procedure: first review X-ray chest and abdominal cavities, and then X-ray of the abdomen of the patient in different positions. If it is impossible to diagnose contrast radiographic studies are conducted.
Patients with suspected acute abdomen should be immediately hospitalized in the surgical ward. The nature of the treatment depends on the cause of acute abdomen. In most cases, to relieve symptoms of acute abdomen requires surgery. But in some cases (for example, acute pancreatitis) sometimes helps and conservative treatment.
Severe abdominal pain
Abdominal pain: Types and Symptoms
- A condition that requires immediate hospitalization and the provision of emergency assistance to him.