Pain in the right abdomen parallel to the navel

As we all know, the abdomen contains many organs. So if you have abdominal pain, it is likely that there is something wrong with these organs. The right side of the abdomen parallel to the navel is actually roughly where the intestines are located, so pain in the right side of the abdomen parallel to the navel may mean that there is a problem with the intestines. The intestines can move to promote the excretion of waste. Once there is a problem with it, it may directly affect the excretion of feces. So what is the reason for the pain in the right abdomen parallel to the belly button?

1. Overall incidence of the disease: a small part of the entire digestive system disease, 1/100-300; small intestinal bleeding accounts for 3-5% of total GI bleeding; small intestinal tumors account for 1-2% of all GI tumors;

2. Analysis of symptoms of small intestinal diseases: The main clinical symptoms of 224 cases of small intestinal diseases in "Chinese Internal Medicine" from 1971 to 1996 in 2000 were pain in 58%; abdominal mass in 18%; fever in 17%; bleeding in 12%; and others such as diarrhea, anemia, weight loss, obstruction, etc.

3. Etiology of small intestinal diseases: vascular diseases; small intestinal tumors; diverticular inflammatory diseases; immune diseases;

Others such as NSAIDS enteropathy, mesenteric vascular embolism

4. Examination methods for small intestinal diseases: general examinations such as blood biochemistry, tumor immunology examinations, CT, MR, etc.

Special examinations such as: small intestinal barium irrigation, electronic enteroscopy, DSA, capsule endoscopy, isotope scanning, double balloon enteroscopy

5. Small bowel barium irrigation: Technique: Insert the tube through the descending duodenum, preferably into the Treves' ligament, and quickly inject dilute barium for contrast imaging in a short period of time. Suitable diseases: Inflammatory, tumorous and ventricular lesions of the small intestine are more likely to occur. Indications: Vascular lesions and small space-occupying lesions. Overall positive rate: 10-35%

6. The significance of small intestinal barium irrigation: It is meaningful for the selection of the insertion method of double-balloon enteroscopy; it is a screening examination method with great clinical value; it has a certain ability to detect lesions (structural abnormalities, intestinal stenosis, space-occupying lesions), and has diagnostic value for certain diseases; it is helpful for judging the scope and degree of lesions;

7. Isotope scanning 99MTC (colloid sulfur/RBC): only has positioning value, and most of them have been abandoned

8. DSA: Features: It is not affected by intestinal contents and blood accumulation, can be positioned more accurately, and has a higher value in positioning and qualitative analysis of vascular and tumor lesions than inflammatory and diverticular lesions; it has therapeutic value;

9.DSA: The positive rate of bleeding is 56% (43-87%), and the contrast agent overflow rate is 47%, >0.5ml/min; the positive rate of drug arteriography increases, and the complications also increase;

10. The overall positive detection rate of lesions is 45-82%; the correct diagnosis rate by pathology and surgery is 35-55%; the suspicious diagnosis rate of lesions that cannot be diagnosed is 20-40%; the negative rate of no lesions is 28-45%;

11. The structure and principle of the double-balloon enteroscope: 200CM long; a balloon (replaceable) is attached to the end of the endoscope; an outer sleeve (replaceable), the endoscope is placed inside the outer sleeve, the outer sleeve is equipped with a larger balloon and an air injection tube and a water or lubricant injection tube, which can be divided into upper endoscope: inserted from the mouth to the middle ileum (1-4 groups of small intestine) and lower endoscope: inserted from the anus to the lower ileum (6-4 groups of small intestine)

Small intestinal endoscopy has no blind spots and takes 45-60 minutes

12. Experience in the clinical application of balloon enteroscopy: direct vision, deep observation, and biopsy.

13. Choice of disease examination methods: Before considering small intestinal diseases, stomach, duodenum and rectal colon diseases should be ruled out first. Do not trust certain examination results from other hospitals easily. Some diseases that require gastroscopy and colonoscopy during the active stage of the lesion: Vascular lesions: capillary dilation, multiple hemangiomas, cavernous hemangiomas, varicose veins, blue-purple bullous syndrome, multiple bleeding spots of allergic purpura, etc.

Small intestinal tumors: stromal tumors, lipomas, pheochromocytoma, etc.

Inflammatory lesions: Hemorrhagic necrotizing enteritis

Inflammatory bowel disease: such as Crohn's disease

Others: Ileal Behcet's disease (the ulcer is clean and there is little surrounding flesh and tissue)

Deformity: Cystic dilatation of the ileum – duplication deformity.