How do you define acute abdominal pain?
Abdominal pain is the symptom that appears most frequently in clinical gastrointestinal disease. The causes are as diverse as triggers that make diagnosis difficult among them highlight the following:
- Mechanical type
- Inflammatory
- Infectious
- Failure of vascular supply by
- Of tumoral
There are three types of abdominal pain
- Visceral pain
It originated in the abdominal organs. It is dull and poorly localized nature. Sometimes it appears as a feeling of abdominal fullness.
It may also be cramps (like a cramp), accompanied by nausea, vomiting, pallor and sweating.
- Pain parietal
It originated in the abdominal wall structures. It is worse with movement and increases with palpation.
- Referred Pain
It is perceived in different parts of the stimulus. This explains that you can have pain in my right shoulder and have cholecystitis (inflammation of the gallbladder) or biliary colic, to hurt between the two scapulae (shoulder blade) and be suffering a dissecting thoracic aortic aneurysm, or how you start having pain in her stomach and get into a few hours a process of locating appendicitis pain in the right iliac fossa. And we could put many similar examples that we also explain the added difficulty in diagnosing abdominal pain.
What is essential to know in the initial evaluation of patients?
The previous history (previous surgery, hernias (see above), ulcer (see above), cholelithiasis, gallstones (see above), ingestion of food and drugs, alcohol, diabetes, menstrual cycle …
An adequate clinical history which clearly reflect the characteristics of pain onset, location, radiation, or variations in its intensity depending on the position, making food …
How do you detect abdominal pain?
- Patient will usually referring abdominal pain accompanied with other digestive symptoms: nausea, vomiting …
- A patient inspection should differentiate between an acute and severe pathology simpler than not requiring urgent.
How is abdominal pain diagnosed?
- Must make a good history, inquiring about personal and family history.
- Characteristics of pain as location, intensity, duration, conditions that aggravate or relieve pain and other accompanying symptoms.
- We have to do a physical exam that includes a general examination with inspection, palpation, percussion and abdominal auscultation.
- There will be additional evidence as well:
or CBC
or blood biochemistry
or coagulation study
or electrocardiogram
or chest radiograph and abdomen
or abdominal ultrasound
Abdominal pain will cause a treatment that originated it.
One of the things that attracted the most attention regarding the treatment of pain remains the fact that both provide analgesia by the patient.
Why we must not ease the pain from the beginning?
If you do not know the cause of pain, we should calm him down, because the only way we know the progress on which is located in the abdomen, is as how pain is changing.
The only way we can “talk to us abdominal organs is to follow the evolution of pain. Until we know exactly the reason we should not analgesia, but how much we know what is causing the pain, began to calm down.
Tags: abdominal pain, abdominal ultrasound, causing the pain, cholelithiasis, diabetes., diagnosed, essential, stomach
