What is the reason for the dull pain in the right upper abdomen and back pain

If you have dull pain in the upper abdomen and back, you should pay attention to understand the cause, because common acute cholecystitis usually causes abdominal pain. If it is not dealt with and resolved in a timely and effective manner, it will have a great impact on our health. Patients will also show symptoms of nausea and vomiting, so you should pay attention to the doctor's examination and treatment recommendations.

1. What are the characteristics of upper abdominal pain?

1. Abdominal pain is mostly located in the upper abdomen or right upper abdomen, manifested as sudden onset of acute abdominal pain, often occurring after a full meal or a fatty meal. Calculous cholecystitis also often occurs at night. In the early stage of the disease, bile drainage is poor and the pressure in the gallbladder increases, leading to acute abdominal distension, discomfort or a feeling of fullness. If the obstruction is not relieved in time, the pressure in the gallbladder will gradually increase and strengthen, causing strong spasmodic pain, which will worsen into paroxysmal severe pain. As the disease progresses, the inflammation will affect the serosal layer of the gallbladder wall, and the pain will become continuous. The pain will become shallower, accompanied by tension in the right upper abdominal muscles, refusal to press, and may radiate to the right shoulder or right subscapular area.

2. Symptoms associated with abdominal pain: In acute cholecystitis, the smooth muscle of the gallbladder wall contracts strongly, which not only causes abdominal pain but also frequent nausea and vomiting. If the stones enter the common bile duct, the vomiting will be more severe.

II. Key points for seeking medical attention for pain

1. Try to stay calm. Many patients become impatient after seeking medical treatment for abdominal pain, and cannot cooperate well with the doctor's questions and physical examinations. They cannot maintain a relatively calm state of mind, which are the key points of Western medicine diagnosis: observation, touch, percussion, and auscultation. It is difficult for the doctor to obtain detailed initial information about the disease.

2. Determine whether there is any cause of the disease. For example: abdominal pain occurs after eating, abdominal pain occurs after exercise, abdominal pain occurs after drinking, abdominal pain occurs after severe coughing, abdominal pain occurs after diarrhea, abdominal pain occurs after palpitations, etc. Different causes of the disease can provide doctors with different diagnostic ideas.

3. Accurate time of onset. After seeing a doctor, some patients cannot clearly explain when they started having abdominal pain, which is extremely unfavorable for doctors to analyze the progression of the disease.

4. The true nature of pain. That is, whether the abdominal pain is continuous or paroxysmal, or whether it is continuous pain that worsens intermittently. Sometimes such situations may occur during diagnosis and treatment. In order to attract the doctor's attention, the patient deliberately describes the abdominal pain as severe, which may mislead the correct direction of diagnosis and treatment.