Left upper abdominal pain

Introduction In most cases, there is a corresponding relationship between the lesions in the abdomen and the abdominal pain. Generally, according to the abdominal organ, the abdomen can be centered on the navel, and the painting is divided into four areas: upper right, lower right, upper left, and lower left. According to the location of abdominal pain, it can be divided into left upper abdominal pain, right upper abdominal pain, left lower abdominal pain, right lower abdominal pain and abdominal central pain. Left upper abdominal pain may be a problem in the stomach, spleen, pancreas, left kidney, and left colon.

Cause

(1) Upper abdominal pain is the main symptom, and the nature may be dull pain, burning pain, pain, severe pain or hunger-like discomfort. Mostly located in the upper abdomen, can be right or left. Generally mild to moderate persistent pain. (That is, the most obvious feature is upper abdominal pain, whether it is light or painful.)

(2) Pain has typical rhythm. In duodenal ulcer, pain occurs between meals, and it does not decrease until after eating. After gastric ulcer appears as about 1 hour after meal, 1 - After 2 hours, gradually relieve, and repeat the above rules after eating. (In fact, the most typical duodenal ulcer is the hunger pain on the first floor. The hunger here is not that you are hungry when you are hungry. The stomach of the person is constantly squirming. After eating the last meal, Digestive activities will be carried out, so it is relatively "starving period" before the next meal is eaten. In addition, the relief after eating is also very good to confirm this.)

an examination

Related inspection

Abdominal vascular ultrasound examination abdominal CT

Generally, according to the abdominal organ, the abdomen can be centered on the navel, and the painting is divided into four areas, namely, upper right, lower right, upper left, and lower left, which is pain in the upper left area. Duodenal ulcers and gastric ulcers are stomach ulcers, which are a common global disease. Duodenal ulcers are more common in young adults, and gastric ulcers are more common in middle-aged and older people. The peak incidence of the latter is about 10 years later than the former. Clinically, duodenal ulcer is more common than gastric ulcer, and the ratio of the two is about 3:1. Peptic ulcers occur mostly at the turn of autumn or winter or winter and spring, but it does not mean that other seasons do not occur, and usually duodenal ulcers are more obvious.

Differential diagnosis

Right upper abdominal pain, must consider the liver, gallbladder, biliary tract, pancreas, duodenum, right kidney, right segment of the large intestine and other issues; right lower abdominal pain need to think of the cecum, appendix, right ovary and fallopian tube, right ureter, etc.; Abdominal pain may be the stomach, spleen, pancreas, left kidney, left intestine left segment; left lower abdominal pain may be sigmoid colon, left ovary and fallopian tube, left ureter, etc.; if it is pain around the navel, mainly expressed as small bowel disease. In addition, extensive pain in the entire abdominal cavity may sometimes occur, which is usually caused by inflammation of the peritoneum for some reason.

For example: ulcer perforation, rupture of ectopic pregnancy, internal bleeding. It is worth noting that some abdominal pain will shift with the influence of the lesion. For example, the pain starts in the center of the upper abdomen and gradually migrates to the lower right within 24 hours. It is an important sign of appendicitis. The pain site was originally On the upper right side, gradually extending to the lower back of the shoulder blade, it may be a problem of gallbladder and gallstones. Generally, according to the abdominal organ, the abdomen can be centered on the navel, and the painting is divided into four areas, namely, upper right, lower right, upper left, and lower left, which is pain in the upper left area.

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