The abdominal pain of ulcer disease is in the upper abdomen. The pain caused by gastric ulcer is near the midline or slightly to the left, and the pyloric and duodenal ulcers are slightly to the right, on the right upper part of the umbilicus. Li Shaohua, director of the inpatient department of Chengdu gastropathy hospital, said that the onset of this disease is obviously related to the climate. The ulcer patients are often sad in late autumn and the following spring. When the weather is warm, it will improve. Epigastric pain has periodic changes, that is, it can last for days, weeks or months, and then it will break out for a period of time.
Professor Wen Yumin, the business director with rich experience in diagnosis of various stomach diseases, said that abdominal pain is a common symptom of internal medical diseases in clinic. Many diseases may cause abdominal pain, and the pain caused by stomach diseases is also different due to different types of stomach diseases.
Let’s take a look at the location of pain first. The stomach is located in the upper abdomen, and the lower sternum is recessed to the upper part of the navel (near the heart pit). If the stomach is divided into four areas, the pain in the upper left side is most likely stomach pain.
Among them, chronic gastritis is one of the most common causes of chronic epigastric pain. The characteristics of patients’ abdominal pain are irregular, mostly dull pain or flatulence, which are obvious after eating, and also accompanied by hiccups (belching), nausea, early satiety and other symptoms.
The abdominal pain of ulcer disease is in the upper abdomen. The pain caused by gastric ulcer is near the midline or slightly to the left, and the pyloric and duodenal ulcers are slightly to the right, on the right upper part of the umbilicus. Li Shaohua, director of the inpatient department of Chengdu gastropathy hospital, said that the onset of this disease is obviously related to the climate. The ulcer patients are often sad in late autumn and the following spring. When the weather is warm, it will improve. Epigastric pain has periodic changes, that is, it can last for days, weeks or months, and then it will break out for a period of time.
At the same time, the abdominal pain of ulcer disease has a certain relationship with diet, and gastric ulcer has the rule of eating pain pain relief; Duodenal ulcer is a law of eating pain relief pain, so the latter is also called hunger pain, and such patients often wake up in pain during sleep.
It is worth noting that in addition, about 10% of patients have other characteristics of abdominal pain, which is asymptomatic on weekdays, and only when there is sudden bleeding or perforation can they have severe abdominal pain and other symptoms.
Clinical observation shows that not all patients with ulcer disease have epigastric pain, and a considerable number of patients may not have epigastric pain symptoms, but other symptoms, such as upper gastrointestinal bleeding, epigastric discomfort and vomiting, which need to be diagnosed clinically by endoscopy. Relevant experts analyzed 691 patients with ulcer disease diagnosed by endoscopy, and found that:
Among them, those without epigastric pain accounted for 15.5% (107 cases). For this reason, experts believe that the diagnosis of ulcer disease and the judgment of treatment effect should not only consider the presence or absence of pain. For patients who lack typical symptoms, when they have epigastric discomfort or other digestive tract symptoms, especially elderly patients over 50 years old, they should not be satisfied with general clinical diagnosis, but should undergo endoscopy to improve the diagnosis rate.
Other abdominal pain, such as right upper abdominal pain, may be related to acute and chronic cholecystitis, cholelithiasis, chronic hepatitis and other diseases; Pain in the right lower abdomen may be related to acute appendicitis; Portal vein thrombosis, diabetic ketoacidosis, Henoch Schonlein purpura, gastrointestinal liver and pancreatic cancer should be considered for midabdominal pain.
If it is lower abdominal pain, it may be related to acute pelvic inflammation, gynecological inflammation, intestinal obstruction, urinary tract stones, ectopic pregnancy, etc. In order to make a clear diagnosis, doctors must, according to the characteristics of each disease and personal clinical experience, do gastroscopy, B-ultrasound, even CT and other examinations when necessary.
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