Epigastric discomfort is a very common symptom, encounter this situation, many people will think, is the stomach disease committed? Or is it indigestion? You may choose to be patient or take some medication yourself to treat digestive tract diseases. However, such a disposal may bring more serious consequences. Because, epigastric pain may be a precursor to some critical situations, and if you misjudge, you will miss the opportunity for treatment. Let's describe the details to you now.
What ordinary people call stomach pain is actually not precise, and formal medical terms usually describe this condition as epigastric pain or discomfort. Because there are many organs around the stomach, such as the duodenum, part of the small intestine, liver, gallbladder, pancreas, spleen, kidneys, adrenal glands, transverse colon. Moreover, there is a crossover in the innervation of internal organs. Therefore, it is difficult to accurately determine the cause and source of pain based on personal feelings.
Feeling stomach pain requires careful identification, especially attention to 4 critical diseases. The first type is myocardial infarction. When a myocardial infarction occurs, due to a decrease in cardiac output, it can cause stress ischemia of the mucosa of the gastrointestinal tract, leading to acute ulceration or erosion, resulting in abdominal pain. The main point of differentiation is that pain caused by the digestive system, which may be related to eating or cold, has a longer duration of pain, however, the degree of pain is usually less intense and may be accompanied by a burning sensation. Pain caused by a myocardial infarction, usually after a change in movement or mood, is short in duration and may be relieved after rest, and is colicky or squeezed in nature, with chest tightness, fatigue, sweating, and poor breathing.
The second type of epigastric discomfort that needs to be carefully identified is rupture of the aortic dissection, and the pain caused by this disease, about 30% to 50% of which is accompanied by nausea and vomiting, or accompanied by hematemesis and blood in the stool, is easily misdiagnosed as gastric perforation. The main point of differentiation is that the pain is sudden, knife-like or tearing, the pain is severe, unbearable, there is no pain relief after taking the drug, and it is accompanied by back pain or shoulder blade pain. Rupture of the aortic dissection is a very critical condition, and if the judgment is wrong, the opportunity for treatment will be lost.
The third type of epigastric discomfort that needs to be carefully identified is chronic renal failure. Gastrointestinal symptoms, sometimes are precursors or indicative symptoms of chronic renal failure, characterized by the inability to discharge in time due to the toxins produced by metabolism in the body, causing loss of appetite, abdominal distention, nausea, vomiting, increased frequency of stool, the main point of identification is oral odor, with ammonia odor. The fourth type of epigastric discomfort that needs to be carefully identified is ketoacidosis. This condition occurs mainly in diabetic patients, and as the disease progresses, patients develop anorexia, nausea, vomiting, and abdominal pain. The main point of identification is that the breathing rate becomes slower and deeper, like a deep breath, and the exhaled breath has a rotten apple smell.
The fifth type of epigastric discomfort that needs to be carefully identified is acute pancreatitis. Because the bile duct and the pancreatic duct jointly open in the duodenum, if you suffer from gallstones and other diseases, it will lead to poor secretion of pancreatic juice, encounter overeating or eating too much greasy, pancreatic juice secretion in large quantities, but it is difficult to discharge, the pressure in the pancreatic duct increases, the pancreatic fluid overflows, the enzymes in the pancreatic juice are activated, which will have a digestive effect on its own tissues, causing pancreatic hyperemia, edema, bleeding, and necrosis. Severe pancreatitis worsens rapidly, with a mortality rate of 30 to 50 percent. People with cholelithiasis, obesity, and a history of pancreatitis, if after eating or drinking, suddenly have epigastric pain, and continue to worsen, need to pay enough attention, should be timely CT examination and amylase testing, confirm the disease, to prevent delay in rescue.
Epigastric discomfort, there is also a special phenomenon of 1 category, which is stomach pain at night. The common cause is to eat before going to bed, resulting in the return of stomach acid, and when stomach acid enters the esophagus, a burning sensation occurs, causing nausea, vomiting, stomach swelling, sore throat, cough and other symptoms. In addition, nocturnal stomach pain may also be a manifestation of stomach or duodenal ulcers, gallstones, irritable bowel syndrome, Crohn's disease, dysmenorrhea, endometriosis, food allergies and other diseases, which require medical examination to determine the cause. Finally, we remind everyone that when encountering epigastric discomfort, especially with other manifestations, or when using methods that have worked in the past can not relieve pain, do not be careless, and should seek medical treatment in time.
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