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Lower abdominal cramps

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Abdominal colic is often caused by the strong peristaltic contraction of the muscles of the abdominal tube-like organs without the will of the person. Under normal circumstances, the pipe-like organs in the human body are constantly squirming. For example, the stomach is constantly moving and contracting to digest food, pushing the chyme into the small intestine, the small intestine is constantly squirming, absorbing nutrients and moisture, and allowing intestinal contents to the large intestine. Pushing, the large intestine is also constantly squirming while absorbing moisture and excreting waste; the gallbladder and bile duct are also creeping and contracting, storing and secreting bile according to the needs of the human body. Normal peristaltic contraction does not cause abdominal pain, but if you want to overcome the obstruction in the pipeline, it is necessary to strengthen the contraction, and the strong and severe contraction will cause abdominal cramps. Organs capable of producing abdominal cramps include the stomach and intestine (including the appendix), the cystic duct, the hepatic duct, the common bile duct, the pancreatic duct, the ureter, the uterus or the fallopian tube, and the kidney.

Cause

Cause

The muscles of the abdominal tube-like organs are not caused by the strong peristaltic contraction of the human will. Under normal circumstances, the pipe-like organs in the human body are constantly squirming. For example, the stomach is constantly moving and contracting to digest food, pushing the chyme into the small intestine, the small intestine is constantly squirming, absorbing nutrients and moisture, and allowing intestinal contents to the large intestine. Pushing, the large intestine is also constantly squirming while absorbing moisture and excreting waste; the gallbladder and bile duct are also creeping and contracting.

Examine

an examination

Related inspection

Gynecological ultrasound examination of gallbladder ultrasound examination of bladder ultrasound

Abdominal cramps are pains that are severe and unbearable in the abdomen. The patient presented with acute painful illness and uneasiness. In order to alleviate the pain, the patient was extremely embarrassed, shouting loudly, sometimes rolling in bed, and bending his body when he was in pain.

Colic is characterized by paroxysmal attacks. When the pain occurs, the complexion is white or blue-black, and the pulse is weak. It is accompanied by vomiting, decreased body temperature, coldness in the limbs and cold sweat.

Abdominal pressurization can sometimes relieve pain during the onset of colic, and if it is pain caused by inflammation of the abdominal organs, the patient often refuses to press the abdomen.

In the onset of abdominal cramps, abdominal muscles are tense, but during pain relief, the abdominal wall is soft.

Most abdominal cramps can be reflected in the area where the nerves are distributed, such as biliary colic in the right upper quadrant of the gallbladder area, and radiate to the right shoulder and back, small intestine colic is often located around the navel, and appendicgia is located in the right lower abdomen (Iris The upper part of the umbilicus is inside the tender point. The colic is often located in the lower left abdomen. Renal colic is located in the kidney and often radiates along the ureter to the genitals and the inside of the thigh.

Diagnosis

Differential diagnosis

It needs to be distinguished from the following symptoms:

Right lower quadrant tenderness: Right lower quadrant tenderness is one of the symptoms of acute appendicitis. Acute appendicitis is the first place in various surgical acute diseases.

Bilateral lower abdomen pain: bilateral lower abdominal pain is the clinical manifestation of pelvic inflammatory disease.

Abdominal dull pain and soreness: lower abdominal pain and soreness are one of the clinical manifestations of abdominal wall hernia. Interparietal hernia is a special form of inguinal hernia. It is characterized by: abdominal organs Not through the ventral tube, but through the intra-abdominal ring into the abdominal wall between the various levels

Pain manifested as paroxysmal attack. When the pain occurred, the complexion was white or blue-black, and the pulse was weak. It was accompanied by vomiting, decreased body temperature, coldness of the limbs and cold sweat.