Noncommunicable Diseases

Pain in the upper abdomen, in the middle of the stomach - what to do?

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1 Gastritis, stomach and duodenal ulcer

If it hurts at the top of the stomach, then most often it hurts the stomach due to gastritis or peptic ulcer. In this case, the pain is dagger type. The intensity is very high, so that almost always with exacerbations a person takes a comfortable pose. With exacerbations, the stomach hurts so much that a person can have a painful shock. At the same time, blood pressure decreases, heart muscle contractions increase, cold sweat appears. The anterior wall of the abdomen is retracted, then the muscles strongly strain for protection. This is due to the fact that hydrochloric acid, enzymes and other contents of the stomach can leave the stomach through ulcerative passages. In the future, this can lead to peritonitis - inflammatory processes in the abdominal cavity. In men, peptic ulcer is manifested 8 times more often than in women. If there is a suspicion of perforation of the ulcer, then urgent surgical intervention is necessary. To treat the stomach with this disease can only be a surgical method.

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Very often, before a peptic ulcer develops, a person develops a gastritis. In this case, the mucous membrane of the stomach and esophagus is broken. The causes of such a disease - malnutrition, stress and other problems. Quite often this disease is associated with the activity of a certain bacterium. Treatment is required medication.

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2 Myocardial infarction

The upper abdomen may also be affected by myocardial infarction. In this case, the attack will have a galactic shape. Because of necrotic processes on the back walls of the left ventricle and on the septum, there are pains in the upper abdomen. This is due to the fact that these parts of the heart are closest to the diaphragm, which explains the localization of pain in the upper abdomen. In addition, there are problems with the work of the digestive system, which are located in this area. There is a single nausea and vomiting.

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Not only the pain in the upper abdomen will help to recognize an attack of a heart attack. There are certain signs that indicate a heart attack. For example, dyspnea occurs even when a person is at rest. Heartbeats are accelerated, irregularities appear in the heart, the pulse has an arrhythmic character. The blood pressure rises. This pain in the upper abdomen may be associated with a heart attack, which is caused by severe stress or ischemic disease. For diagnostics, it is best to use the ECG.If there is a suspicion of an attack, then it is urgent to hospitalize the patient. It will take an intensive type of therapy to cure the pain at the top.

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3 Pancreatitis

Pain in the upper abdomen, in addition, can speak of the appearance of pancreatitis. Pain sensations are shrouded in nature. Most often the disease passes without symptoms. But if the rules of dietary nutrition are violated, then there is a sharp pain in the middle of the abdominal cavity.

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In most cases, the attack is caused by the fact that the patient ate too fatty or sweet food.

And if you combine this with the reception of alcoholic beverages, then aching pain will change to acute. Irradiation with this disease is quite wide. Pain sensations will be given in the ribs, in the area between the ribs and even in the back( most likely, discomfort and pain will be noticeable in the scapula, spine, waist).All this accompanies nausea and frequent vomiting. Body temperature may increase. Often, if the emptying has passed, the pain again increases. Relief does not come. With inflammation, the pancreas secretes too many enzymes, which not only digest the contents in the stomach, but also corrode the walls of the organ. Because of this, pain appears in the middle of the abdominal cavity.

In the most severe situations, even complete necrosis of the internal organ can occur. Then the enzymes enter the blood. Signs of an organism's intoxication with pancreatic enzymes are cyanosis of the limbs, body and face, bleeding and red spots on the side of the trunk, spotting hemorrhages in the buttocks and navel. If these symptoms appear and the stomach is hurting, the doctor can establish the disease before the laboratory tests. The patient urgently needs to be taken to the intensive care unit. Intensive care is required. If massive necrosis and fainting are observed, then a surgical operation is necessary.

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4 Diseases of the gallbladder and biliary excrement

Sometimes it hurts the abdomen and due to the development of diseases of the gallbladder and bile ducts. Pain extends to the entire abdominal cavity for complications and severe disease. For example, hepatic colic occurs due to the fact that in the biliary tract there is poor permeability. Most often, the cause of this pain syndrome is cholelithiasis. In this case, the stones cover the lumens of the ducts. What to do in this case, only the doctor will indicate.

It is forbidden to engage in crushing stones on your own. The pain is felt under the right ribs, but it can be located under the collarbone, in the chest, under the shoulder blades. In parallel, there are bouts of vomiting, nausea. Such attacks can be quenched, thanks to the usual means with antispasmodic properties. For example, No-shpa is suitable. If such funds did not help, and the patient's condition worsened( it hurts at the top of the abdomen, nausea, headache, lethargy, fatigue, increased body temperature, chills and other symptoms of intoxication), that is suspicion of cholecystitis development. In this case, the gallbladder is inflamed. Seizures usually start abruptly. It hurts at the top of the abdomen, the temperature rises. This happens a few hours after the person ate too fatty food. Depending on the form of the disease, either medication or surgery is prescribed.

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5 Diseases of the liver

Discomfort in the middle of the abdomen may be associated with liver disease. For example, a similar symptom appears with jaundice. This disease develops because of problems with the outflow of bile. As a result, the substance accumulates in the liver. In this case it is a mechanical form of jaundice. Also, the liver can be completely destroyed. These processes are characterized by hepatic type of jaundice. In both cases, in the middle of the abdominal cavity, there will be discomfort, and then pain.

The second type of disease in which a person feels pain in the middle of the abdomen is the portal type of hypertension. In this case, the arterial pressure in the vein that transmits blood with nutrients from the digestive organs to the liver rises. The disease can be complicated by cirrhosis, ascites, inflammation of the spleen.

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Another cause of pain in the middle of the abdomen is hepatic encephalopathy. Detoxification of the liver leads to this disease. At the person thus there are a weakness of a liver, apathy, a flaccidity, a bad dream. Possible hepatic coma. In most cases, in the absence of treatment, a person dies of cirrhosis.

6 Spleen

If the stomach hurts in the middle, then a person can develop any disease of the spleen. In this case, the organ increases. There are several types of reasons that lead to this. Very often the cause is hypertrophy of the spleen. The spleen is an important organ that is responsible for the immune activity of the body.

The spleen is a large lymph node, which must filter blood every time. The enlargement of the spleen can be associated with chronic diseases that occur in acute or chronic form. For example, malaria, tuberculosis, sepsis, and mononucleosis can develop. It can also be an autoimmune reaction that is caused by red lupus, a serum disease. The remains of dead erythrocytes are deposited in the spleen, so that an increase in the organ observes also with mass hemolysis.

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If the pressure in the portal vein increases, too, abdominal pain may be felt. If malignant cells multiply in the blood, then the organ may also increase. Spontaneous organ rupture will cause severe acute pain.

7 Pleura and pneumonia

Acute pain can be felt in the chest and upper abdomen with pleurisy and pneumonia. In this case, a person has a lesion of the respiratory system. This localization of pain is due to the fact that the lower part of the lungs is located next to the dome of the diaphragm. As a result, if the pleura becomes inflamed( a special layer that envelops the chest cavity), then the pain can be felt in the upper part of the abdomen. Muscles tighten for protection. Pain constantly becomes more intense. The most common feeling of discomfort and pain can be on the right side of the body. Because of this, very often patients are taken to the hospital for surgical intervention because of suspicion of an attack of cholecystitis, appendicitis or other diseases that are accompanied by the syndrome of "acute abdomen".

When it hurts in the upper abdomen, it is better not to engage in self-medication, because it can harm your health. Only an experienced doctor after diagnosis can establish a diagnosis and choose the appropriate treatment. It is better not to use pain medication if it hurts the middle of the stomach. This is due to the fact that for the doctor complicating the process of setting the right diagnosis. Until the diagnosis is established, it is forbidden to use a heating pad. You can apply a cold compress to the painful place( ice will do).If the situation is complicated by the appearance of nausea, diarrhea and vomiting, then urgently seek medical help.

By the way, stomach pains during pregnancy have a completely different nature, but seeing a doctor in this position should also be permanent.

Contents
  • 1 Gastritis, gastric and duodenal ulcer
  • 2 Myocardial infarction
  • 3 Pancreatitis
  • 4 Diseases of the gallbladder and bile duct
  • 5 Diseases of the liver
  • 6 Spleen
  • 7 Pleurisy and pneumonia

When it hurts the abdomen, you need to think about where this symptom came from. In most cases this may be due to internal organs that are located in this area of ​​the abdominal cavity. For example, pain can touch the stomach, liver, pancreas, intestines, gall bladder, spleen. Also, pain can move from the lungs, for example, when the patient develops pneumonia or pleurisy.

Do not forget that with myocardial infarction, pain can also go to the upper abdomen. In addition, the pain in the upper abdomen can be triggered by the development of osteochondrosis, pathological processes in the walls of the abdominal cavity( eg, hernia), inflammatory processes in this area( abscesses).It is difficult to establish the diagnosis and causes of discomfort in the upper abdomen in view of the large number of diseases that have a similar symptom. But only after confirmation of the diagnosis can begin treatment.

Do you have gastritis?

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