stomachache
Introduction
Introduction Stomach pain, also known as stomach cramps, is a disease in which the stomach is often close to the heart. Stomach pain is a common symptom in the clinic. It is more common in acute and chronic gastritis, stomach and duodenal ulcer disease, and gastric nervous system. Also seen in gastric mucosal prolapse, gastroptosis, pancreatitis, cholecystitis and cholelithiasis.
Cause
Cause
The cause of Chinese medicine for stomach pain
1. Liver gas is irritated by stomach and anger, qi stagnation and liver damage, liver dysfunction, cross-counter crimes, gas block, stomach loss and drop stomach ache headache as Shen Jinxi said: "stomach disease, evil stomach Rickets also. But the liver gas phase is particularly high, with woody violence, and Zhengke also." If the qi stagnation of fire, can cause pain aggravation; fire for a long time, causing liver and stomach yin loss, then the course of disease Lingual; such as long-term pain into the collaterals, collateral damage, see vomiting blood, blood in the stool.
2. The diet is not overeating or eating too much cold and fat, so that the spleen and stomach are injured, the food is stagnation, the air is unfavorable and the stomach cramps are painful. Or because of cold and cold injury, stomach yang is suppressed, righteousness and evil fight, and stomach pain is a work.
3. After the spleen and stomach weakness, the spleen and stomach are damaged or the spleen and stomach are weak, the yang is weak, the cold is endogenous, so that the spleen is not transported, the stomach loses and falls, and pain occurs. Stomach yin deficiency or long-term scrotal injury, stomach loss, and stomach qi can also cause pain.
The above-mentioned causes can not only cause disease alone, but also often affect each other, and there are syndromes of cold and heat, misunderstanding, yin and yang, and damage.
Examine
an examination
Related inspection
Gastric IgG IgA fiber gastroscopy Helicobacter pylori detection of gastric occult blood test
Stomach discomfort is associated with many symptoms, such as snoring, flatulence, nausea, vomiting, diarrhea, chest tightness, etc. Because of the different symptoms of each disease, if accompanied by symptoms such as chest tightness, heartburn, snoring, etc., it may be an esophageal disease; Pain, fullness and tenderness, soreness, and even vomiting may be stomach ulcers, but if you have symptoms such as snoring, jaundice, and fever, it may not be related to the stomach or the gallbladder. Therefore, the symptoms associated with abdominal pain cannot be ignored.
Many people will make me feel uncomfortable recently, often stomachache or "I can't eat this, because stomach pain will hang on my mouth, but the stomach is uncomfortable is stomach pain? In the clinic, the word "stomach pain" often misleads doctors and patients. The experts reminded that stomach pain is not necessarily a disease of the "stomach". In addition to the uncomfortable upper abdomen, it may be accompanied by other symptoms. These symptoms are important signs for judging the disease. If the patient concentrates on the stomach "Up, may delay the diagnosis of other underlying diseases.
Therefore, do not think that it is stomach pain because of pain in the upper abdomen, and it may be a disease caused by other organs. To judge stomach pain, the more correct method is based on the location of pain, such as: left upper abdominal pain or left upper abdominal discomfort, and the pain time, such as one hour after meal, fasting, etc., and the accompanying symptoms are fully explained, such as Snoring, flatulence, chest tightness, nausea, vomiting, etc., to facilitate the diagnosis and treatment of doctors. Specifically, you can follow the four steps below:
1, the location of the pain
The stomach is located in the upper abdomen, the sternum is placed under the depression, and above the navel (near the heart socket). If the stomach is divided into four areas, the pain in the upper part of the left side is most likely to be stomach pain. However, it may be caused by diseases such as esophagus, duodenum, gallbladder, liver or pancreas. Therefore, it is necessary to use the time of pain, accompanying symptoms, etc. as a criterion for judgment.
2, pain time
Stomach pain occurs when a certain meal is eaten after a meal or before a meal, or when hunger is overeating. Since stomach discomfort is mostly closely related to eating, it is more accurate to use the time, habits, content, and types of eating as the criteria for discrimination.
3, observe the symptoms
Stomach discomfort is associated with many symptoms, such as snoring, flatulence, nausea, vomiting, diarrhea, chest tightness, etc. Because of the different symptoms of each disease, if accompanied by symptoms such as chest tightness, heartburn, snoring, etc., it may be an esophageal disease; Pain, fullness and tenderness, soreness, and even vomiting may be stomach ulcers, but if you have symptoms such as snoring, jaundice, and fever, it may not be related to the stomach or the gallbladder. Therefore, the symptoms associated with abdominal pain cannot be ignored.
4, go to the hospital for inspection
If the situation is complicated, it is difficult to determine which position is uncomfortable and the time of the attack and the nature of the pain. You should go to the hospital immediately to ask the doctor for diagnosis and examination. This is the most direct and accurate method.
Experts suggest that people who think they have symptoms of stomach pain should not be judged as "stomach pain" because of a pain in the upper abdomen. They are rushing to the hospital for examination and telling the doctor that they are "stomach" pain, which may cause misdiagnosis or delay the condition. It is best to describe the condition in terms of the location of the pain and the appearance of the symptoms. After a thorough diagnosis, it can be determined whether it is a "stomach" problem.
Diagnosis
Differential diagnosis
TCM differential diagnosis of stomach pain:
1. The stomach full of stomach pain and fullness are in the stomach and stomach, and the stomach pain is often full, and there is pain in the fullness, which should be identified. Stomach pain is mainly pain, and the sputum is full of sputum and suffocation; stomach pain can have tenderness in the stomach and sputum, and there is no tenderness in the fullness.
2. Heartache is in the upper part of the abdomen, and the heart is in the lower part of the chest, just as "Medical Orthodox and Stomach Pain" says: "The mouth of the stomach is above the mouth, the name is the door, and the door is connected with the heart." "Stomachache" said: "The stomach is close to the heart, moving its evil to attack the heart, and there are many people with heartache." The heart and stomach are very close, stomach pain can affect the heart, and the pain is even chest pain. Heartache is also often involved in the heart, and there is a manifestation of stomach pain, so it should be highly vigilant to prevent stomach pain and heartache, especially to prevent confusion between stomach pain and heartache. Stomach pain occurs mostly in young and middle-aged people. The pain is in the upper abdomen and stomach. The position is relatively low. The pain is mostly painful and painful. The pain is generally not serious. The pain is closely related to diet, often accompanied by acid. Gastrointestinal symptoms such as hernia, nausea and vomiting, abnormal examination of the stomach such as fiber endoscopy and histopathology; heart pain occurs mostly in the elderly, and the pain is in the chest or left front chest. The position is relatively high, and the pain is mostly stinging. , colic, sometimes severe pain, and pain in the shoulder and hand Shaoyin line, the pain is more urgent, the diet is generally only closely related to drinking and eating, often accompanied by heart palpitations, shortness of breath, sweat, pulse On behalf of heart disease, ECG and other cardiac examinations are abnormal.
3. The pain caused by the stomach pain caused by the stomach is often attacked by the stomach and the pain. The pain of biliary disease sometimes occurs near the heart of the heart. Stomach pain and hypochondriac pain are sometimes confused and should be identified. However, the site of stomach pain is in the middle and upper abdomen and stomach, and both have nausea and phlegm, swallowing acid and other symptoms such as stomach loss and falling, and the gastroscope and other examinations have stomach lesions; and the hypochondriac site is on the flank of the upper abdomen. Often accompanied by nausea, mouth pain and other symptoms of hepatobiliary disease, B-ultrasound and other laboratory tests can be found in liver and gallbladder disease.
4. Abdominal pain: in the abdomen of the stomach, connected to the intestine, from a wide range of abdominal pain and stomach pain are abdominal pain, stomach pain often accompanied by symptoms of abdominal pain, abdominal pain is often accompanied by symptoms of stomach pain, so there is a reference to abdominal pain, so stomach pain Need to be differentiated from abdominal pain. Stomach pain is in the upper abdomen and stomach, and the position is relatively high; abdominal pain is below the stomach sputum, and the location above the pubic hair is relatively low. Stomach pain is often accompanied by nausea, suffocation, pantothenic acid and other stomach loss and lowering, stomach ups and downs; and abdominal pain is often accompanied by bloating, sagittal, stool changes and other abdominal symptoms. X-ray examination of related parts, fiber endoscopy or colonoscopy, B-ultrasound examination, etc. are helpful for differential diagnosis.
