Sharp abdominal pain

The degree of pain depends on the prevalence of pathological process, its localization. Sharp abdominal pains are a manifestation of the disease, which occurs in acute and demands urgent action. In such a situation of great importance during medical care, so you should without delay consult a doctor when a sharp pain nature.

In sharp pains in the abdomen can be a variety of reasons, most of which are harmless, but about 10% of patients with this symptom found serious and even life-threatening condition. In each case the cause of the pain set by examining the patient's history, physical examination, laboratory tests and medical imaging.

Localization of pain

The starting point for further diagnosis is the localization of pain. For example, pain on the right side of the abdomen is the basis for the suspicion of appendicitis. Signs of dangerous conditions may require surgical intervention are, in addition to severe pain, high fever, vomiting for a long time, fainting or lightheadedness, symptoms of gastrointestinal bleeding.

In order to establish the causes of sharp pain in the upper abdomen ultrasound is commonly used, the bottom - computed tomography.

The reasons for the sharp pain

Often causes severe abdominal pain are cholecystitis, cholelithiasis, cholangitis, gastritis, pancreatitis, appendicitis and other diseases. Sharp pain in women may be related to the menstrual cycle, or diseases of the reproductive organs. Food allergies, although quite rare, but it can cause a sharp pain in his stomach.

Many people with abdominal pain immediately take painkillers or simply tolerate - is a common symptom that they do not take it seriously. However, the pain is especially sharp, it can be a sign of potentially dangerous diseases. To identify them in time - or make sure that they do not - should pay attention to the signals that gives body and undergo a medical examination.

Reasons associated with the digestive tract

When handling a patient complaining of a sharp pain in nature should be carried out differential diagnosis of various diseases of the digestive system. Among the common causes of pain include the following:

• stomach ulcer
• pathology of the pancreas Diabetes and pancreas - the things you need to know   and biliary system
• bowel disease (ulcerative lesion of the intestine in ulcerative colitis)

During the examination, the patient should be carefully inquire about the availability of related complaints that may indicate disease of the digestive tract. These include the nature of the chair, the presence of nausea, vomiting, heartburn, changes in appetite and other complaints.

Diagnostic value has localized pain. For gastric ulcer and duodenal ulcer is characterized by localized pain in the epigastric region. In the pathology of the gallbladder Gall bladder: structure and function   or pancreatic cancer patients describe a sharp pain in hypochondria. The dramatic nature of pain in the case of surgical pathology (complicated gastric ulcer, bleeding) require emergency surgery.

A sharp pain in surgical pathology

If the pain is localized in the iliac region, it is necessary to exclude the presence of appendicitis. This disease is characterized by the fact that initially the pain is localized in the epigastric or umbilical region. During the first day the pain goes down, from that moment begins to increase its intensity. In some cases, the pain of appendicitis at the outset will be abrupt. In addition to physical examination, during which determined the characteristic symptoms of the disease, have to be carried out laboratory tests. For the diagnosis of appendicitis important indicator of the level of white blood cells White blood cells as the basis of immunity   in the blood, although this feature can not be considered typical for this disease. The level of leukocytes is considered indicative of the presence of inflammatory reactions in the body.

If we consider the other reasons that can cause severe abdominal pain, you should take into account the possibility of breaking a woman's ovary (with ovarian apoplexy) or pipes (with the development of pregnancy outside the uterus) .  In a complicated course of the inflammatory process in the uterus can be formed with the formation of the inflammatory nature of the purulent contents inside, which clinically manifested by a sharp pain .  Along with the pain, the patient noted the development of symptoms of intoxication (weakness, malaise, anorexia, high numbers of body temperature) .  Treatment of purulent process in appendages begin with a set of measures, which includes anti-bacterial, anti-inflammatory, detoxifying, infusion, restorative therapy .  The dynamics of clinical symptoms and laboratory indicators of the survey is to determine the basic tactics .  With an increase in pain and the absence of positive dynamics of the study we can talk about the presence of indications for surgical treatment .

Causes of abdominal pain

One of the biggest complaint among patients of different age groups include pain syndrome. Causes of abdominal pain are numerous and can be a symptom of serious illness. To determine the cause of pain, it is necessary to conduct a survey of the patient carefully, to establish the nature of pain and its location, the time of appearance. What matters is the degree of severity, irradiation of the pain.

In abdominal pain has many possible causes, but to find out why a stomach ache for a particular patient, it is very difficult. Often patients themselves for a long time do not attach importance to this symptom, but it may indicate a variety of diseases, including serious. Therefore, if you are experiencing abdominal pain - especially if they regularly pass a medical examination.

In the abdominal cavity located: part of the esophagus, stomach, intestines, liver, gallbladder, pancreas Diabetes and pancreas - the things you need to know , Kidney, urethra, bladder Urinary bladder - structure and function , Adrenal gland, uterus, ovaries and fallopian tubes. Accordingly, abdominal pain can be caused by diseases of these organs.

Abdominal pain can be divided according to their location: pain in the upper abdomen or lower middle; pain on the left and right side of the abdomen.

Listed below are the diseases that can cause these pains.

Pain in the lower abdomen:

• Cystitis (inflammation of the bladder)
• Diverticulitis
• Ectopic pregnancy
• Endometriosis
• Bowel obstruction
• Mittelshmerts (pain during ovulation)
• Ovarian cyst
• Pelvic inflammatory disease (inflammation of the female reproductive organs)
• Salpingitis

Pain in the upper abdomen:

• Cholangitis (inflammation of the bile ducts)
• Cholecystitis (inflammation of the gallbladder)
• Duodenitis (inflammation of the lining of the duodenum)
• Kidney stones
• Gastroesophageal reflux disease (GERD)
• Heart attack
• Hepatitis
• Bowel obstruction
• Mesenteric ischemia Ischemia - when the brain fails to work   (poor circulation in the small intestine)
• Nehodzhinskaya lymphoma
• Non-ulcer stomach pain
• Pancreatitis (inflammation of the pancreas)
• Stomach ulcer
• Pleuritis
• Pneumonia

Pain in the middle of the abdomen:

• Diabetic ketoacidosis
• Mesenteric thrombosis
• Uremia (accumulation in the blood of waste products)
• Abdominal aortic aneurysm

Pain from the left side of the abdomen:

• Endometriosis
• Inguinal hernia
• Infections of kidney
• Kidney stones
• Mittelshmerts (pain associated with ovulation)
• Ovarian cyst
• Salpingitis (inflammation of the fallopian tubes)
• Vesicles (inflammation of the seminal vesicle)
• Pyoovarium
• Viral gastroenteritis (stomach flu)

Pain from the right side of the abdomen:

• Appendicitis
• Cholangitis (inflammation of the bile ducts)
• Gallstones
• Gastritis
• Hepatitis
• A hiatal hernia
• Hepatophyma
• Hemangioma of the liver
• Pericarditis

In any case, abdominal pain require a full examination of the patient. Only after this treatment is prescribed. Self-medication is dangerous because you can start the disease. Especially dangerous is the malignant tumors if the early stages of the medicine may have to deal with them, then it is too late, as a rule, nothing can help the patient.

What does the appearance of abdominal cramps

Strong influence on the condition of patients have colicky abdominal pain. For colic is characterized by the appearance of "bright period" when a person is relieved and he is getting better. In the future, there is an increase cramping pain attack. In most cases of colic can be explained by errors in the diet, intestinal diseases. Pain is a symptom of intestinal obstruction, which may occur as a result of functional or organic causes (at obstruction of tumor growth).

If within a few hours there is an increase of pain, the pain becomes constant, thus joining nausea, vomiting, general condition worsens, you should consult your doctor. This may involve the need for urgent surgical intervention in a situation like this are important, even in minutes, not hours.

What to do if a stomach ache

One of the most important rules in the case of pain it does not take any medication themselves primarily analgesics. Acute abdominal pain may be a sign of appendicitis, pancreatitis, pyelonephritis Pyelonephritis - kidney disease As well as the pathology of other organs and systems that require emergency care.

If the cause of abdominal pain is the pathology of the digestive system, it attaches great importance to compliance with recommendations on diet, on a certain diet. In some cases, an acute inflammatory process is assigned to the hunger for several days, with further expansion of the diet. Spicy, fatty, marinated, smoked products are excluded, as well as alcohol, coloring drinks. Appointment inflammatory, analgesic, antispasmodic therapy will eliminate the pain.

Gynecological diseases and various obstetrical pathology may also occur with the pain. When abdominal pain at any time during pregnancy should first eliminate complication of a threat interrupt to prevent the negative consequences of a spontaneous abortion or preterm birth. When the inflammatory process in the uterus, appendages pain are permanent, they are described as a pain aching, dull character.

Pain has become paroxysmal in nature, may be cramping. If the patient takes a forced situation because of the intensity of pain in the abdomen, notes positive signs of peritoneal irritation, it is a question of the distribution of the inflammatory process in the peritoneum, that is about the development of peritonitis. This serious complication has serious consequences for not providing timely assistance to a woman may die from infectious complications. To localize the pathological center conducted operative treatment, complex therapy is concurrently assigned to set up several types of antibiotics.