Why do I get a stomachache after lifting heavy things

Abdominal pain is a common health problem. Many people suffer from abdominal pain, and the time and symptoms of abdominal pain vary. For example, many people will experience abdominal pain after moving heavy objects. Patients must be very careful about this symptom, because this symptom is likely caused by the following diseases.

1. Stomach and Duodenum Ulcers Soup

It is common in young and middle-aged people. The abdominal pain is mainly in the upper and middle abdomen. Most of the time it is persistent pain, which often occurs when the stomach is empty and can be relieved by eating or taking antacids. Physical examination may reveal tenderness in the upper abdomen, but no muscle tension or rebound tenderness. Frequent attacks may be accompanied by a positive fecal occult blood test. Gastrointestinal barium meal examination or endoscopy can establish the diagnosis.

If there is a history of gastric or duodenal ulcer or similar symptoms, sudden severe pain in the upper and middle abdomen, like a knife cutting, which quickly spreads to the entire abdomen, and during examination, the entire abdomen is tender, the abdominal muscles are tense, and there is "board-like rigidity". There is rebound pain, bowel sounds disappear, pneumoperitoneum and transplant dullness appear, and the liver dullness area shrinks or disappears, then it indicates gastric or duodenal perforation. The diagnosis of peritonitis can be confirmed if the abdominal X-ray confirms the presence of free gas below the diaphragm and inflammatory exudate is detected by abdominal puncture.

2. Cholecystitis and gallstones

This disease is more common in middle-aged and elderly women. People with chronic cholecystitis often feel dull pain in the right upper abdomen, which worsens after eating fatty meals and radiates to the right shoulder. Acute cholecystitis often occurs after a fatty meal, presenting with persistent severe pain in the right upper abdomen radiating to the right shoulder, often accompanied by fever and severe vomiting. People with cholelithiasis often have chronic cholecystitis. When gallstones enter the cystic duct or move in the bile duct, they can cause paroxysmal colic in the right upper abdomen, which may also radiate to the right shoulder and back. It is also often accompanied by malignancy. During physical examination, there is obvious tenderness and muscle tension in the right upper abdomen, and a positive Murphy's sign is characteristic of cholecystitis. If jaundice occurs, it means that the bile duct is obstructed. If the gallbladder can be palpated, it means that the obstruction is relatively complete. During an attack of acute cholecystitis, the total white blood cell count and neutrophil granulocyte count increase significantly. Ultrasound and X-ray examinations can confirm the diagnosis.

3. Intestinal obstruction

Intestinal obstruction can be seen in patients of all ages, and most cases in children are caused by ascariasis, intussusception, etc. In adults, it is mostly caused by hernia or intestinal adhesion, while in the elderly it may be caused by colon cancer and other factors. The pain of intestinal obstruction is mostly around the umbilicus, presenting as paroxysmal colic, accompanied by vomiting and cessation of bowel movements and flatulence. Physical examination shows intestinal type, obvious abdominal tenderness, hyperactive bowel sounds, and even the sound of "gas passing through water". If the abdominal pain is persistent with paroxysmal aggravation, there is obvious abdominal tenderness accompanied by muscle tension and rebound tenderness, or ascites is found, and the patient quickly develops shock, it indicates strangulated intestinal obstruction. Plain X-ray examination shows that if the intestinal cavity is inflated with air and there is mostly fluid, the diagnosis of intestinal obstruction can be established.

4. Rupture of abdominal organs

Common ones include spleen rupture due to external force, liver cancer nodule rupture due to external force or spontaneous rupture, and spontaneous rupture of ectopic pregnancy. The onset is sudden, with persistent severe pain involving the entire abdomen, often accompanied by shock. During the examination, the patient often finds tenderness in the abdomen, muscle tension, and rebound pain. Signs of hemoperitoneum are often found. The presence of blood in abdominal puncture can confirm the rupture of abdominal organs. If the puncture of the abdominal cavity fails to reach the posterior fornix, a positive result is often obtained in the case of ruptured ectopic pregnancy with bleeding. Real-time ultrasound examination, alpha-fetoprotein test, CT examination, gynecological examination, etc. can help in the differential diagnosis of common organ rupture.