Tremor sound

Introduction Taking the supine position, the examiner continuously and rapidly impacts the upper abdomen of the patient with four fingers that are slightly curved and close together. If the gas in the stomach collides with the liquid, the sound is called the sound of the water. Normal people only appear when drinking more after a meal. For example, on an empty stomach or 6-8 hours after a meal, there is still a water sound in the stomach, which indicates that the stomach is empty, which is seen in pyloric obstruction and gastric dilatation.

Cause

Caused by stomach diseases such as pyloric obstruction or gastric dilatation.

If there is a large amount of liquid and gas in the stomach, a vibrating sound may appear on the palpation. When the patient is lying on his back, the doctor can close the upper abdomen with one ear and vibrate the stomach with impact palpation to hear the sound of gas and liquid collision. The stethoscope membrane body can also be placed in the upper abdomen, the other hand shakes the patient from one side, or shocks and vibrates in the stomach to induce the water sound.

Normal people can drink the water in the upper abdomen after a meal or drink a lot of fluid. If you have an empty stomach in the morning or 6-8 hours after a meal, there will still be a water sound, suggesting that the pyloric obstruction or gastric dilatation and excessive secretion of gastric juice.

an examination

Related inspection

Gastrointestinal CT examination of organ palpation

1. According to whether the patient has a history of stomach disease, it can be used as one of the basis for diagnosis.

2, can carry out related stomach examinations to confirm the diagnosis.

3. If there is a large amount of liquid and gas remaining in the stomach, palpation may occur. When the patient is lying on his back, the doctor can close the upper abdomen with one ear and vibrate the stomach with impact palpation to hear the sound of gas and liquid collision. The stethoscope membrane body can also be placed in the upper abdomen, the other hand shakes the patient from one side, or shocks and vibrates in the stomach to induce the water sound.

Differential diagnosis

The diagnosis should be differentiated from the following:

Bowel sound

When the intestines move, the gas and liquid in the intestines flow, producing a kind of intermittent gurgling sound or gas over water, called bowel sounds.

2. Friction sound

Perihepatitis, spleen infarction, spleen inflammation, etc. can hear rubbing sound when deep inhalation.

1. According to whether the patient has a history of stomach disease, it can be used as a basis for diagnosis.

2. A related stomach examination can be performed to confirm the diagnosis.

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