Abdominal pain with hematuria

Introduction Abdominal pain with hematuria is one of the clinical manifestations of kidney and ureteral calculi. Many factors influence the formation of urinary tract stones. Salts that form stone crystals in the urine are supersaturated, and the inhibition of crystal forming substances in the urine and the presence of the nuclear matrix are the main factors for the formation of stones.

Cause

The mechanism of stone formation has not yet been fully elucidated, and it is thought to be related to metabolism and infection factors.

Systemic factors:

1 metabolic disorders.

2 diet and nutrition.

3 long-term exercise.

4 living environment.

5 spirit, gender, genetic factors.

Local factors of the urinary system:

1 urinary tract infection.

2 urinary tract chronic hard resistance.

3 foreign bodies.

an examination

Related inspection

Endoscopic pancreatobiliary angiography (ERCP) abdominal plain abdomen perspective

The main symptoms are pain and hematuria, and very few patients have no symptoms for a long time.

(A) Pain: Most patients have low back pain or abdominal pain. Larger stones, mostly dull or dull pain in the affected side, often worsened after the activity; smaller stones often cause smooth muscle spasm and colic, which often occurs suddenly, and the pain is severe, such as knife cutting, Radiation to the lower abdomen, genital area and inner thigh. Sometimes the patient is accompanied by pale, cold sweat, nausea, vomiting, and severe symptoms such as weak pulse and rapid blood pressure. Pain often has a paroxysmal attack, or may be abruptly terminated or relieved due to a certain action pain, leaving the waist and abdomen pain.

(B) hematuria: because the stone directly damages the mucosa of the kidney and ureter, often under the pain of microscopic hematuria or gross hematuria, the severity of hematuria is related to the degree of injury.

(3) pyuria: pus cells appear in the urine when the kidney and ureteral stones are infected, and high fever and low back pain may occur in the clinic.

(4) Others: Stone obstruction can cause hydronephrosis, renal insufficiency, and some patients may have gastrointestinal symptoms, anemia, and so on.

Differential diagnosis

Differential diagnosis of abdominal pain with hematuria:

1, abdominal pain with blood in the stool: abdominal pain with blood in the stool seen in acute dysentery, acute necrotic enteritis.

2, abdominal pain with diarrhea: abdominal pain with diarrhea is one of the symptoms of acute gastroenteritis.

3, abdominal pain with nausea, vomiting: abdominal pain with nausea, vomiting is one of the clinical manifestations of acute pancreatitis.

4, abdominal pain with jaundice: one of the symptoms of abdominal pain with jaundice and pancreatic head cancer, pancreatic head cancer, pancreatic head cancer refers to the malignant tumor that occurs in the head of the pancreas.

5, acute abdominal pain: acute abdominal pain (abdominal pain) refers to the patient's sudden abdominal pain, often caused by intra-abdominal or extra-abdominal organ diseases, the former is called visceral abdominal pain, often paroxysmal with nausea, A series of related symptoms such as vomiting and sweating, abdominal pain is transmitted by the splanchnic nerve; while the latter abdominal pain is transmitted by the somatic nerves, so it is called somatic abdominal pain, which is often persistent, and is often accompanied by nausea and vomiting.

diagnosis:

The main symptoms are pain and hematuria, and very few patients have no symptoms for a long time.

(A) Pain: Most patients have low back pain or abdominal pain. Larger stones, mostly dull or dull pain in the affected side, often worsened after the activity; smaller stones often cause smooth muscle spasm and colic, which often occurs suddenly, and the pain is severe, such as knife cutting, Radiation to the lower abdomen, genital area and inner thigh. Sometimes the patient is accompanied by pale, cold sweat, nausea, vomiting, and severe symptoms such as weak pulse and rapid blood pressure. Pain often has a paroxysmal attack, or may be abruptly terminated or relieved due to a certain action pain, leaving the waist and abdomen pain.

(B) hematuria: because the stone directly damages the mucosa of the kidney and ureter, often under the pain of microscopic hematuria or gross hematuria, the severity of hematuria is related to the degree of injury.

(3) pyuria: pus cells appear in the urine when the kidney and ureteral stones are infected, and high fever and low back pain may occur in the clinic.

(4) Others: Stone obstruction can cause hydronephrosis, renal insufficiency, and some patients may have gastrointestinal symptoms, anemia, and so on.

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