What is the possible cause of pain on pressing in the right upper abdomen?

Abdominal pain is not a small problem. Once it occurs, you should choose the appropriate method for treatment. However, before treatment, we need to diagnose it first. Abdominal pain can be considered. It is not ordinary and is generally related to intestinal obstruction. Everyone must be vigilant. If the patient has colic or pain when pressing the upper right abdomen, then you must go to the hospital in time to check whether it is possible intestinal obstruction.

1. Abdominal pain When mechanical intestinal obstruction occurs, due to the strong intestinal peristalsis above the obstruction site, it manifests as paroxysmal colic. The pain is mostly in the middle of the abdomen, but may also be localized to the site of obstruction. The pain may be accompanied by intestinal rumbling and a feeling of "gas" moving in the abdomen and being blocked in a certain part. Sometimes enteric patterns and peristaltic waves are seen. Auscultation reveals continuous high-pitched bowel sounds, or sounds like air passing through water or metallic sounds. If the intervals between abdominal pains keep shortening, they may become severe and continuous abdominal pain. You should be alert to the possibility of strangulated intestinal obstruction.

2. Vomiting In the early stages of intestinal obstruction, vomiting is reflexive and the vomitus is food or gastric juice. After that, vomiting varies with the height of the obstruction. The higher the obstruction, the earlier and more frequent the vomiting occurs. In high intestinal obstruction, vomiting is frequent, and the vomitus mainly consists of the contents of the stomach and duodenum; in low intestinal obstruction, vomiting occurs late and less, and the vomitus may be fecal-like. In colon obstruction, vomiting does not occur until the late stages. Vomitus that is brown or bloody is a sign of intestinal blood flow obstruction. In paralytic ileus, vomiting is often overflowing.

3. Abdominal distension usually occurs some time after the obstruction occurs, and its degree is related to the site of the obstruction. Abdominal distension is not obvious in high intestinal obstruction, but gastric shape can sometimes be seen. Low intestinal obstruction and paralytic intestinal obstruction cause significant abdominal distension throughout the abdomen. In case of colon obstruction, if the ileocecal valve closes well, the colon above the obstruction may be in a closed loop, and the abdominal area will swell significantly. Uneven and symmetrical abdominal bulge is a characteristic of closed-loop intestinal obstruction such as intestinal volvulus.