Abdominal distension and abdominal pain are common diseases nowadays. Abdominal distension and abdominal pain will not only cause stomach pain, but also affect multiple organs of the body. Patients with abdominal distension and abdominal pain should understand the specific factors in their daily lives. They may consider poor diet, eating raw and cold food, excessive dieting, and irregular meals to cause abdominal distension and abdominal pain. In addition, pathological factors cannot be ruled out, so the cause should be clarified in time and the appropriate method should be chosen for treatment and diagnosis. Pathological etiology 1. Causes of acute abdominal pain (1) Diseases of abdominal organs: ① Acute inflammation of abdominal organs: acute gastroenteritis, acute corrosive gastritis, acute cholecystitis, acute pancreatitis, acute appendicitis, acute cholangitis, etc. ② Perforation or rupture of abdominal organs: perforation of gastric and duodenal ulcers, perforation of typhoid intestinal organs, rupture of liver, rupture of spleen, rupture of kidney, rupture of ectopic pregnancy, rupture of ovary, etc. ③ Obstruction or expansion of abdominal organs: gastric mucosal prolapse, acute intestinal obstruction, inguinal hernia, intussusception, biliary ascariasis, cholelithiasis, kidney and ureteral stones, etc. ④ Torsion of abdominal organs: acute gastric torsion, ovarian cyst torsion, omentum torsion, intestinal torsion, etc. ⑤ Intra-abdominal vascular obstruction: acute obstruction of the mesenteric artery, acute portal vein thrombosis, dissecting abdominal aortic aneurysm, etc. (2) Abdominal wall diseases: abdominal wall contusion, abdominal wall abscess and abdominal wall herpes zoster, etc. (3) Chest diseases: acute myocardial infarction, acute pericarditis, angina pectoris, pneumonia and pulmonary infarction, etc. (4) Systemic diseases and others: rheumatic fever, uremia, acute lead poisoning, porphyria, abdominal allergic purpura, abdominal epilepsy, etc. 2. Causes of chronic abdominal pain (1) Diseases of abdominal organs: ① Chronic inflammation: reflux esophagitis, chronic gastritis, chronic cholecystitis, chronic pancreatitis, tuberculous peritonitis, inflammatory bowel disease, etc. ② Gastric, duodenal ulcer and gastrinoma, etc. ③Torsion or obstruction of abdominal organs: chronic gastrointestinal torsion, intestinal adhesions, omental adhesion syndrome, etc. ④ Increased organ capsule tension: liver congestion, hepatitis, liver abscess, liver cancer, splenomegaly, etc. ⑤ Gastrointestinal motility disorders: gastroparesis, functional dyspepsia, hepatic flexure and splenic flexure syndrome. |
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