The early symptoms of gastric perforation are actually these

Gastric perforation is a stomach disease that people often encounter in daily life. Once you suffer from this disease, it is very harmful to the human body. If it is not treated in time, complications will occur. Therefore, we must understand the early symptoms of gastric perforation and achieve early detection and early treatment of this disease. Let’s take a closer look at the early symptoms of gastric perforation!

Typical symptoms: 1. Nausea and vomiting; 2. Abdominal pain; 3. Shock symptoms; 4. Other symptoms: fever, rapid pulse, increased white blood cell count, etc., but they usually appear several hours after perforation.

Gastric perforation symptoms diagnosis

1. Symptoms and signs:

1. Abdominal pain

Sudden onset of severe abdominal pain is the first, most frequent and important symptom of gastric perforation. The pain initially begins in the upper abdomen or perforation site, often with a knife-like or burning pain, which is generally continuous, but may also worsen in fits. The pain quickly spreads throughout the abdomen and may spread to the shoulders as a tingling or sore feeling.

2. Symptoms of shock

In the early stages of perforation, patients often have a certain degree of shock symptoms. The condition progresses to bacterial peritonitis and intestinal paralysis, and the patient may experience toxic shock again.

3. Nausea and vomiting

About half of the patients experience nausea and vomiting, but the symptoms are not severe. Vomiting worsens during intestinal paralysis, and there are also symptoms such as abdominal distension and constipation.

4. Other symptoms

Fever, rapid pulse, and increased white blood cell count are present, but they usually appear several hours after the perforation.

2. Inspection:

The main X-ray manifestation of gastrointestinal perforation is pneumoperitoneum, that is, the presence of free gas in the peritoneal cavity. The method of displaying pneumoperitoneum is generally through fluoroscopy and photographic examination. In particular, the display of a small amount of pneumoperitoneum is particularly important. If the condition permits, standing fluoroscopy and rotational observation can often show the presence of crescent-shaped free gas under the diaphragm, because gas always tends to float to the highest point of the abdominal cavity. After confirming the free gas under the diaphragm, photographs should be taken immediately for clinical reference.

3. Diagnosis:

The diagnosis is not difficult to make based on clinical manifestations and related examinations.