Sharp pains in the abdomen: below, in the sides to the right and left, with bouts

Soreness in the abdomen: this symptom is familiar to every person - both an adult and an infant. Sharp pain in the abdomen can cause a variety of factors. These can be traumas, inflammatory processes, spasms, digestive disorders, poisoning, etc.

Sharp abdominal pain is one symptom, but it can manifest itself in different ways, and accompany a variety of diseases. The clinical picture can be supplemented by other symptoms, and the intensity of pain is not the same.

[1], [2], [3], [4]

Causes of the abdominal pains

Most often, doctors associate a sharp pain in the abdomen with such pathologies:

• Diseases of the digestive tract - among such diseases you can identify gastritis and duodenitis, ulcers, colitis and enterocolitis, helminthiases and intoxications, GI tract.
• Diseases of the urinary system - and, in particular, the kidneys: pyelonephritis, kidney stones, cystitis, etc.
• Appendicitis is perhaps the most commonly diagnosed cause of severe abdominal pain.
• Diseases of the hepatobiliary system, which is represented by the liver and bile excretory system.
• Intoxication - both acute poisoning, and chronic.
• Diseases of the genital area (men most often suffer from diseases of the prostate gland, and women - from inflammatory reactions in the uterus and appendages).

Of course, this is not the whole list of reasons that can cause pain in the abdomen. The exact reason can be sounded by the doctor after the diagnosis.

[5], [6]

Risk factors

Risk factors may include:

• malnutrition (eating dry, too spicy dishes, too hot drinks, overeating, use of poorly combined products);
• the use of poor-quality or spoiled food;
• disorders of vascular blood flow in the abdomen;
• pathology of the respiratory system;
• diseases of the digestive tract;
• endocrine diseases (eg, diabetes);
• diseases of the urinary system;
• bearing the baby, the beginning of the menstrual cycle;
• diseases of the reproductive system;
• injuries, external and internal injuries of the abdomen.

[7], [8], [9]

Pathogenesis

Soreness in the abdomen is a consequence of irritation of the receptors - free ends of the spinal nerves, which are located in the parietal peritoneum, musculature, skin integuments. It is generally accepted that irritation of the nerves can be explained by various chemical agents that are formed when the tissues are damaged, metabolic failures (for example, hypoxia, allergies, impaired metabolism of lactic, oxalic acids, etc.). Sharp pains occur after stimulation of the impulse conducting direction. Immediately painful sensation is transformed into the central nervous system.

Painful sensations in the pathologies of the abdominal cavity can appear against the background of disturbed blood flow, spasm of smooth muscle fibers, deformation of hollow organs, inflammatory process.

The medical specialist should always pay attention to the physiological features of the appearance, aggravation and transmission of painful irritations.

Since the sensation of sharp pain is transformed into the central nervous system, its severity is dependent on the characteristics of the higher sections of the human nervous system, its emotional mood, and the general atmosphere.

A unique adaptation of the body to pain can lead to a decrease in their intensity. It is very important to correctly describe the nature of sharp pains, because it is not in all cases that the pain is caused precisely by the organ near which the pain is felt.

The transformation of impulses that originate from the affected organ, and their connection with impulses that travel along the nerve fibers of the skin, leads to the development of skin hypersensitivity - the so-called hyperalgesia regions appear. By a similar principle, the musculature of the anterior abdominal wall is formed: the muscular protector is activated, which indicates the spread of the pathological process to the peritoneum.

Pain can irradiate - especially if the organ is severely affected. As a result, discomfort is felt in the area remote from the affected organ.

[10], [11], [12], [13], [14], [15]

Epidemiology

Sharp abdominal pain is a common symptom that can be found in people of any gender and age. But, according to statistics, most often about this symptom to patients are patients 20-45 years - more often women than men.

[16], [17], [18], [19], [20], [21],

Symptoms

Soreness in the abdomen can differ in intensity, and also have some differences - for example, in localization. The pain can be:

• girdling ;
• suprapubic;
• above or below the navel;
• giving back or in the groin;
• left or right.

By nature, the pain can be cutting, blunt, pulsating.

The syndrome can be accompanied by other pathological signs, such as:

• heat;
• migraine, dizziness;
• digestive disorders (diarrhea, constipation, nausea);
• change in appetite;
• change color in feces or urinary fluid;
• increased abdomen in volume;
• increased frequency of urination, difficulty in defecation;
• pallor of the skin;
• feeling of apathy and fatigue;
• heartburn, belching;
• tachycardia, increased sweating;
• tension of abdominal muscles.

If a patient, regardless of the age category, exhibits the symptoms described above, then you need to urgently go to the doctor, and not engage in self-medication.

Pain syndrome in the abdomen can be caused by a variety of factors, including inflammatory reactions, injuries or even tumors. And the lesion is not necessarily in the abdominal cavity: the "culprit" of pain may be the disease of the respiratory organs, urinary organs, spinal column.

• A sharp attack of appendicitis, perhaps, is the most frequent source of sharp pain in the abdomen. The disease manifests itself unexpectedly, with a sharp pain in the abdomen in the navel, or without a clear localization. After a while, the pain only grows and shifts to the right lower quadrant of the abdomen. Sharp pain in the right side of the abdomen is accompanied by fever (not more than 38 ° C), palpitations, signs of intoxication. Such signs include dry mouth, fatigue, nausea, loss of appetite. When probing the abdomen, the patient marks a strong pain on the right.

If sharp abdominal pain and temperature with appendicitis suddenly disappeared, this may indicate the onset of a gangrenous stage of the inflammatory process: at this stage necrosis of the nerve endings of the appendix occurs. If no measures are taken in a timely manner, such complication can result in perforation of the process and diffuse inflammatory process - peritonitis.

• Acute intestinal obstruction can be caused by spasm, paresis or mechanical obstruction - for example, a blockage from concrements, intestinal parasites may form inside the intestine, or a foreign body may simply be present. Spasms occur due to adhesions, heavy physical exertion, malnutrition. What signs are characteristic for obstruction? These are attacks of sharp pain in the abdomen, with varying intensity of sensations. With complete overlapping of the intestinal lumen, there is a sharp pain in the abdomen and loss of consciousness: the pain is so severe that the patient screams and asks for help, and with a pain shock, loses consciousness. Complete overlap can occur when twisting, infringing - that is, with the so-called intestinal strangulation. If the patient does not provide timely assistance, the pain may subside for a while (which is associated with necrosis of nerve endings), after which severe widespread peritonitis will develop. When peritonitis suddenly there is a sharp pain in the abdomen and bloating, the gases accumulate, vomiting appears, the stomach becomes "like a board". Such a state becomes a threat to the life of the patient.
• Infringement of the hernia is characterized by such signs as a sharp pain in the abdomen when moving in the location of the hernial sac. The condition can be aggravated by nausea, vomiting, gas formation and tachycardia. In the area of the hernial sac, it is possible to probe a sharply painful seal, which can not be corrected. If you do not help the patient, the necrosis will begin in the hernial sac, after which peritonitis will develop.
• Perforation of an ulcer is a complication of such a common disease as a peptic ulcer. Sharp cutting, stitching pain in the abdomen - the so-called "dagger" pain - is the main sign of perforation. The pain is constant and intense, so the patient can not rise and even breathe normally. It happens that a sharp pain in the abdomen gives in the back - in the subscapular, vertebral or subclavian area. At the same time the muscles of the abdominal press are strained, the stomach becomes flat or retracted (it can not be probed). This condition is considered critical and requires emergency medical care.
• An exacerbation of a gastritis is a very frequent pathology, caused not only by the presence in the digestive system of helikobacteria, but also by errors in nutrition, stresses, and the prolonged intake of various medications. During an exacerbation of a gastritis periodic sharp abdominal pain, in an epigastric area (in a place of a projection of a stomach) is observed. Pain, as a rule, is accompanied by dyspepsia, an unpleasant eructation, and heartburn.
• Exacerbation of stomach and duodenal ulcer also has its characteristic signs: sharp abdominal pain after eating (after 10-30 minutes), vomiting, acidic eructation, heartburn may occur. Localization of pain - in the area of the stomach, less often - closer to the right side of the abdominal cavity. Many patients experience severe abdominal pain at night, or after a long break in eating. Pain increases with physical activity, and weakens at rest. In addition to the abdominal region, discomfort can extend to the chest or lower back. Vomiting, nausea are possible, but the patient's appetite is rarely disturbed.
• Acute enterocolitis develops as a result of inflammatory and dystrophic changes in the intestinal mucosa. Clinical symptoms of this pathology are: aching or sharp pain in the middle of the abdomen, a sense of pressure, severity, rumbling. Appetite may drop. To exacerbate chronic enterocolitis, dry skin, deterioration of the nails, and gingival hemorrhage are also characteristic. Pain can be felt by probing the abdomen along the bowels.
• During an attack of hepatic colic - with cholecystitis or the presence of stones in the gallbladder, there is a sharp pain in the sides of the abdomen, mainly on the right, but can give in the right subclavian region, in the right subscapular region, in the right forearm and neck. The pain increases in the supine position on the left side of the trunk, or on inhalation. Additional symptoms include yellowing of sclera and skin, nausea and vomiting, which do not lead to relief. Many patients experience an increase in temperature.
• Acute pancreatitis - a disease of the pancreas - often develops with the use of predominantly fatty, fried or sharp foods, as well as when consuming alcoholic beverages. Symptoms are marked by sharp pain in the left side of the abdomen, or in its upper segment, as well as flatulence, debilitating vomiting, diarrhea. Simultaneous sharp pain in the abdomen and lower back can be noted: the pain sensations differ in duration, in pain - the patients themselves say that the pain has a "drilling", squeezing character. Periods of the patient becomes easier, but for a short time: after a time, a sharp girdle in the abdomen resumes with renewed vigor.
• The attack of renal colic has a sudden beginning: there is a sharp pain in the lower back, which gives into the abdomen and the perineal region, urination is disturbed, blood in the urine can be detected. The condition is gradually aggravated, there is nausea with vomiting, gas formation increases. Painful symptoms can last for several hours. In some patients, the pain appears against the background of a rise in temperature. The attack can end as abruptly as it began.
• With pleurisy or pneumonia, there may be a sharp pain in the upper abdomen. To differentiate these diseases, you need to pay attention to other important signs: a strong temperature increase, shortness of breath, while listening - a slight breathing in the patient's pulmonary lobe, a lag of a part of the chest during respiratory movements. Sharp pain in the abdomen during sneezing, coughing can also indicate a respiratory system. For more accurate diagnosis, you need to do a chest X-ray.
• Infectious diseases of the intestine are almost always accompanied by acute pain. For example, with acute dysentery, abdominal pain and diarrhea are observed, and diarrhea is very severe, with especially frequent urges (up to two dozen times a day). In the absence of stool in the intestine, defecation occurs as mucus with blood elements.

With salmonellosis there is a sharp pain in the abdomen and chills. The pain is fuzzy, without special localization - throughout the abdominal region. A typical sign of salmonellosis is diarrhea, in which feces have a dark green hue, like a "marshy marsh".

If the intestinal infection has a viral etiology, then there is a spasmodic abdominal pain and vomiting. Stool is infrequent, but plentiful.

• Pain in diseases of female reproductive organs is disturbed in any inflammatory processes - in the uterus, appendages. A sharp pain in the abdomen below is typical of an acute endometritis : the disease proceeds against a background of severe intoxication, with a pronounced feeling of weakness, with fever, loss of appetite, dizziness. Vaginal discharge with pus and veins of blood, with fetid odor, is often observed. A sharp pain in the abdomen left or right is a typical sign of inflammation of the uterine appendages (ovaries). Painful sensations can spread to the lumbar and sacral area, to the groin. Signs of general intoxication are also characteristic.
• Sharp pains in the lower abdomen, accompanied by bloody discharge, are typical for ectopic pregnancy or rupture of the ovary. In such cases, the pain is sudden, one-sided, or bilateral. Rapidly lowering blood pressure, heart rate increases, skin becomes pale. If the patient does not help, the patient may lose consciousness, so calling "emergency care" must be mandatory.
• Sharp pain in the abdomen, a man can feel with an acute prostatitis or urethritis. These diseases are often the result of other infectious pathologies, sedentary lifestyle, alcohol abuse, unstable sex life, etc. A man can feel pain in the lower segment of the abdomen, in the groin, sacrum, in the anus. As additional signs, urination, high fever, fatigue, drowsiness may occur. If a digestive disorder joins, a sharp pain in the abdomen can arise when you get up: this pain is strong, pulsating, giving back to the anus.
• Pregnancy and abdominal pain are practically inseparable concepts. Sharp abdominal pains in a woman are often provoked by a natural stretching of the uterine ligaments: such pains are similar to weak contractions and pass on their own, they are non-intensive, mild, resembling discomfort during menstruation. But not always sharp abdominal pains during pregnancy are of a physiological nature: often this is almost the only symptom that indicates a threat of miscarriage. Sharp abdominal pain and dizziness, discharge from the genital tract, sudden weakness - these are unpleasant symptoms, when the pregnant woman should immediately see a doctor.
• Early toxicosis of pregnant women can also manifest themselves by such symptoms as abdominal pain and nausea (especially in the morning), loss of appetite, vomiting. However, for an accurate diagnosis it is better to consult a doctor.
• Vaginal candidiasis, cervical inflammation, vaginitis or colpitis can cause severe pain in the abdomen after sex. Such pains are often combined with painful discharge from the genital tract. To clarify the diagnosis it is necessary to visit the gynecologist and make a smear from the cervical and vaginal canal, as the cause of pain after sex can also be a commissural disease or chronic inflammatory diseases of the genital area.
• Endometriosis is another female disease that is characterized by excessive overgrowth of the endothelium in places where it should not be. Endometriosis in many cases is the "culprit" of the fact that a woman has sharp abdominal pains with and before menstruation. Endothelium is able to penetrate into the underlying layers of the uterine wall, forming a kind of bursa: the manifestation of this pathology is intense and painful periods.
• Excessive physical activity - for example, too intense training - can lead to a sharp pain in the abdominal muscles after 12-24 hours. This sign does not in all cases signify a muscular trauma: in most athletes the pain indicates that the muscle fibers are restored after the load. Maybe you are not warmed up enough or overtrained. If you ate immediately before training, then not only cramps and pain in the abdomen, but also nausea with vomiting may appear.
• Heart diseases - pericarditis, ischemic heart disease, acute heart attack, can be expressed in such a symptom as a sharp pain in the heart and stomach. It often hurts under the spoon (in the zone of the projection of the stomach), or in the hypochondrium on the right (in the projection zone of the liver). At the same time, it can also hurt behind the sternum, under the scapula, in the middle part of the spinal column.
• Sharp pain in the abdomen after childbirth can be caused by natural causes - for example, gradual reduction and contraction of the uterus under the influence of oxytocin, or other, pathological causes. Among such reasons - the remains of the placenta in the uterine cavity, endometritis (inflammation in the uterus), postpartum salpingitis. It is recommended to consult a gynecologist about the need for further treatment.
• Sharp pain in the abdomen of the child always require a doctor's advice - to leave such a symptom without attention in any case impossible. With severe pain, the child, as a rule, tries to lie down, often even in an uncomfortable position. If the baby gets up, it does it gently, slowly. Unpleasant pain can be associated with a variety of causes - it can be inflammatory processes, poisoning, helminthic invasion, dyskinesia, etc. Any episode of severe child pain in the abdomen should be the reason for an urgent appeal to the pediatrician. It is better to call a doctor at home, and in severe cases (for example, when vomiting, severe diarrhea or temperature) - cause "emergency": it is important to quickly identify the root cause of the ailment and eliminate it.

[22]

Diagnostics of the abdominal pains

Determine the exact cause of sharp soreness in the abdomen without diagnosis can be very difficult. Therefore, a well-organized examination is very important in order that further appropriate and effective treatment should be prescribed.

The patient should in detail tell the doctor and describe the nature and severity of pain, the frequency of their appearance, assess the likelihood of their relationship with meals or other factors. Also, the patient should provide the doctor with information about all chronic diseases in the body, about the characteristics of his lifestyle and nutrition. No less important information is the nature of fecal secretions, the frequency of urination and the presence of nausea or vomiting.

Next, the doctor will feel the stomach, examine it, and then proceed to additional diagnosis.

• Analyzes that a doctor can prescribe for abdominal pain:
  • a blood test (UAC, biochemistry);
  • Analysis of urine;
  • coprogramm;
  • gynecological smears (for women);
  • smears from the urethra (for men).
• Instrumental diagnosis often includes:
  • instrumental rectal examination;
  • A gynecologist's examination for women and a proctologist for men;
  • ultrasound diagnosis of pelvic organs and abdominal cavity;
  • gastroduodenoscopy;
  • fibrogastroscopy;
  • CT scan;
  • X-ray examination;
  • colonoscopy, irrigoscopy.
• Consultations of other specialized specialists are an additional examination and conclusion of a gastroenterologist, proctologist, gynecologist, surgeon, endocrinologist, cardiologist, urologist, therapist, etc.

[23], [24], [25], [26], [27], [28]

Differential diagnosis

Differential diagnosis is conducted between such pathologies:

• diseases of the digestive system, poisoning, salmonellosis, botulism, dysentery;
• kidney disease, cystitis;
• appendicitis;
• Hepatitis, cholecystitis, stones in the gallbladder or ducts;
• diseases of reproductive organs;
• intestinal obstruction, tumors;
• trauma and internal damage to organs.

[29], [30], [31], [32], [33],

Treatment of the abdominal pains

Treatment measures are prescribed only after determining the causes of abdominal pain, because these reasons can be quite a lot, as well as ways to eliminate them.

• Diseases associated with a digestive system disorder are treated medically, with strict adherence to a diet and a healthy lifestyle. In more complex cases, surgery may be required - for example, with perforation of an ulcer, polyps or calculous cholecystitis.
• Kidney diseases can also be treated with medication or with the help of surgery. Kidney stones are removed most often with lipotripsy - a method of remote crushing.
• Diseases of the reproductive sphere also require the use of medicines. With cysts, or an ectopic pregnancy, an operation is performed.
• Oncological diseases and intestinal obstruction also often require surgical treatment.

It happens that sharp pains in the abdomen are associated with a danger to the life of the patient. In such situations, pain relievers, and some other medications not only are not needed, but can also render "a disservice" after the medicine has been taken, the doctor will not be able to see the real clinical picture. Therefore, no matter how bad, it is desirable to call an "ambulance" and wait for the arrival of a medical specialist, who will assess the extent of the problem and introduce the necessary medications.

What should I do if I have abdominal pains?

When there are sharp pains in the abdomen, it is better to call "emergency help." What can the patient or his family do before the doctor's arrival?

1. The patient should go to bed, calm down.
2. If the patient has had time to take any medications (for example, antispasmodics or analgesics), then this should be reported to the doctor. If this is possible, then before the doctor comes, do not take any medications.
3. Do not drink and eat, use laxatives and do enema.
4. Do not warm up the stomach with a warmer - it's better, on the contrary, to apply a cold compress or ice.

Medications

The most affordable medications that are used for abdominal pain are:

Name of the drug	Dose and method of administration	Adverse symptoms	special instructions
Nonsteroidal anti-inflammatory drugs
Ibuprofen	Take 300 mg 4-5 times a day.	Nausea, diarrhea, tinnitus, increased blood pressure, swelling.	Ibuprofen is used for inflammatory processes in the pelvic organs, with adnexitis, dysmenorrhea.
Nimesulide	Take one tablet (100 mg) twice a day.	Diarrhea, nausea, vomiting, dizziness.	Nimesulide is used for injuries of soft tissues, with inflammatory diseases of the pelvic pelvic organs.
Ketone (ketoprofen)	Take 1-2 capsules up to three times a day.	Allergies, headache, nausea.	Ketoprofen is prescribed for any kind of pain syndrome.
Spasmolytics and analgesics
Drotaverin	Take 0.04-0.08 g to three times a day.	Dizziness, lowering of blood pressure.	Drotaverin is prescribed for spasms, hepatic and renal colic, cholecystitis, colitis, dysmenorrhea, flatulence.
Papaverine	Enter intramuscularly for 0.5-2 ml of 2% solution, with pain.	Drowsiness, thirst, blurred vision.	Papaverine is used to eliminate spasms of smooth muscles.
Combism	Take 1-2 tablets 1-4 times a day.	Allergies, dry mouth, visual impairment, tachycardia, constipation.	Combism of paracetamol and dicyclomine is used to eliminate painful symptoms in renal colic, dysmenorrhea.
Enzyme and other drugs for correction of digestive disorders
Randioun	Take 150 mg in the morning and at night, or only 300 mg at night, for 2-4 months.	Nausea, allergies, diarrhea.	Ranitidine is prescribed for peptic ulcer and 12 duodenal ulcer.
Pancreatin	Take 1-2 tablets after each meal.	Allergy.	Pancreatin is used for dyspepsia, flatulence.
Mouse	Take a suspension of 15 ml (one packet) an hour after eating, or directly with the onset of pain.	Constipation, thirst.	Maalox is taken with gastritis, duodenitis, stomach ulcer.
Let's go	Take 20 mg daily, half an hour before breakfast.	Headache, constipation, nausea.	Omez is used for stomach ulcer, peptic ulcer.
Imodium (loperamide)	Take one capsule after each episode of defecation. The first method can consist of two capsules.	Rarely: fatigue, drowsiness.	Loperamide is taken with an acute digestive disorder (with diarrhea).
Espumizan	Take 2 capsules of the drug up to 4 times a day.	Rarely: allergies.	Espumizan is taken with discomfort associated with increased gas production in the intestine.

If the patient does not know the cause of the pain syndrome, then one should not try to eliminate it with the help of medications: it is first necessary to get a consultation of a medical specialist.

Physiotherapeutic treatment

If sharp soreness in the abdomen is associated with inflammatory processes in the internal organs, often physiotherapy is also used against the background of medical treatment: in case of chronic diseases, physiotherapy procedures help reduce pain, correct enzyme secretion, peristalsis and evacuation function of the stomach. In addition, such procedures have a positive effect on the recovery of mucous tissues.

The choice of methods of physiotherapeutic treatment is influenced by the cause, which caused sharp soreness in the abdomen.

An important observation: physioprocedures, regardless of the method, are performed at the stage of remission of acute or chronic inflammatory process. With bleeding and tumors such treatment is not prescribed.

• Mineral waters of hydrocarbonate-chloride composition are used on the background of magnetotherapy to correct secretion in the stomach.
• High-frequency magnetotherapy is used to eliminate inflammation and swelling of tissues, to reduce muscle tone.
• Aerotherapy and electroson therapy are used to tone the sympathetic-adrenal effect, for trophostimulation and activation of microcirculation.
• Electrostimulation and transcranial electroanalgesia can reduce pain sensitivity, increase stress resistance.
• Cryotherapy provides analgesic and anti-edematous effects, triggers recovery and trophic tissue.
• UHF-therapy is a percutaneous exposure to a high-frequency electromagnetic field. UHF is the only physiotherapeutic method that can be used at the stage of exacerbation of the inflammatory process.
• Ultrasonic therapy is a method of action by elastic vibrational waves at a frequency of 15 to 20 kHz. The procedure speeds up the recovery and metabolic processes in tissues, stimulates immunity, increasing the body's resistance to diseases.
• Peloparathy involves the imposition of mud masses on the abdomen. The most commonly used mud mud or peat mixtures, the use of which allows you to normalize the peristalsis and secretion of digestive organs.
• Electrophoresis (with novocaine, atropine or papaverine) has a pronounced antispasmodic and vasoactivating effect.
• Treatment with warm paraffin leads to local vasodilation, acceleration of microcirculation and metabolism. In addition, the resorption of scar tissue is potentiated, the healing of wounds and tissues damaged by inflammation.

As a complex effect, you can use sedative and immunostimulating procedures - for example, soothing baths (coniferous, mint, sage, salt), SMW therapy, thymus magnetotherapy, climatotherapy.

Alternative treatment

The use of alternative drugs is possible only in cases where sharp abdominal pain is not associated with dangerous and serious diseases. Such treatment implies the use of affordable and effective means.

As a cure for pain discomfort caused by a digestive disorder, you can apply a decoction of cumin seed: two tablespoons of semen are cooked in one liter of water for 3-4 minutes. Decoction takes a quarter of a cup during the day.

If the pain syndrome is caused by overeating, then you can cure mint tea with the addition of lemon juice and ginger root. This tea stimulates the secretion of the stomach and improves digestion.

With colic and flatulence, a decoction of rice cereal will help. Rice cook until half cooked, the broth is poured and drunk 150 ml throughout the day, 5-6 times. Such a decoction is successfully used to eliminate diarrhea - rice mucus perfectly envelops the digestive tract and restores inflamed tissues.

If sharp soreness is accompanied by heartburn, then you can make tea based on the rhizome of dandelion and plantain leaves. Tea is drunk at the first painful sensations, and until full recovery.

[34], [35], [36], [37], [38]

Herbal Treatment

From sharp pains in a stomach or belly can help or assist treatment by natural agents - preparations of a phytogenesis, grasses. There are a lot of recipes that can solve such a problem as pain abdominal syndrome.

• Pour one tablespoon of leaves of gooseberry 200 ml of boiling water, insist 15 minutes. Take infusion every three hours for 50 ml (if necessary, you can sweeten with honey).
• You can prepare the infusion, as in the previous recipe, replacing the leaves of gooseberries with currant leaves.
• With pain discomfort in the abdomen, chamomile is considered to be an excellent remedy. Tea is made from it, which is drunk in a warm form throughout the day, little by little.
• Pharmacy tincture of calendula will help to overcome pain. Take 50 drops of the drug with a small amount of water, three times a day.
• Boil dandelion flowers with sugar, to the state of syrup. Take syrup on one tablespoon, previously dissolved in 100 ml of boiled water, 4 times a day.
• Prepare a decoction based on the herbs of St. John's wort, centenarius and cuckweed (take equal parts of plants, pour in 3 tbsp mixture of 200 ml of boiling water). You can eat no more than 300 ml of this decoction per day.

If the herbal preparations do not give a tangible result, or if the painful condition is aggravated, the doctor should be consulted without delay. To cure a sharp pain in the abdomen, you need to accurately determine the cause of this symptom, and this requires a high-quality medical diagnosis.

Homeopathy

Many patients with this or that malfunction in the body turn to homeopathy. Their choice is not accidental: homeopathic preparations are harmless, almost non-allergenic, they can be used to treat even children and pregnant women.

With severe soreness in the abdomen, you can apply a variety of medications, depending on the root cause of this condition. Self-medication is unacceptable and in the application of homeopathy: the doctor's advice is always needed.

• Arnika - eliminates pain and discomfort associated with gastritis.
• Gastricumel, Nuks vomica gommakord - equated to the effect of antispasmodics.
• Antimonium - relieves of soreness and other signs of inflammation.
• Hamomilla - eliminates excessive gassing, normalizes the balance of microflora, eliminates the effects of overeating.
• Calcarea carbonate - helps with a pain syndrome associated with intolerance to dairy products.
• Arsenicum album - helps with salmonellosis, hepatitis.
• Sepia - has properties of antispasmodic.
• Magnesium phosphoricum - is used for colic, spasmodic and spastic pain.

To eliminate the sharp pain in the abdomen, the homeopath can prescribe medications such as Nux vomica or Asafetid, as well as other medications according to individual indications.

Surgery

It is important to note that many patients with severe abdominal pain require surgical treatment. But, before the appointment of an operation, the doctor must exclude a number of non-surgical reasons. For example, severe pain can be caused by myocardial infarction, lower-grade pneumonia, gastroenteritis, colitis, etc. Pain in the abdomen can be accompanied by kidney diseases, reproductive organs cysts, lesions of salmonella and shigella.

Diseases requiring surgical intervention are:

• peritonitis (the result of organ perforation);
• inflammation of the appendix (appendicitis);
• acute infectious pancreatitis and pancreatic necrosis;
• calculous cholecystitis, acute obturation cholecystitis;
• divertikulit;
• intestinal obstruction;
• mesenteric ischemia;
• aortic aneurysm, aneurysm rupture;
• ectopic pregnancy, cyst appendage, endometriosis, ovary torsion, uterine rupture;
• oncological diseases.

Operations are most often performed with laparoscopic access - this method can be used simultaneously for diagnosis, and for the treatment of various surgical pathologies.

Complications and consequences

With sharp soreness in the abdomen, treatment should be prescribed by a doctor - gastroenterologist, surgeon, gynecologist, depending on the cause of the sharp pain. To correctly determine the cause, the patient will be asked to undergo a series of diagnostic procedures.

Further forecast will depend on how serious the underlying cause is. Sometimes to eliminate the pain will be enough to comply with diet, bed rest, physiotherapy. In severe cases, you may need medical or even surgical treatment.

The most dangerous complications may be infringement of the hernia, internal bleeding, peritonitis - all these conditions bear a direct threat not only to health, but also to the life of the patient.

Any abrupt pain in the abdomen is an occasion for immediate medical attention. After all, the patient himself can not know for sure which processes caused the appearance of pain. Only a doctor, based on the results of diagnosis, will be able to identify the disease, than save the patient's health.

[39], [40], [41], [42], [43],

Prevention

Since the causes of abdominal pain can be many, preventive measures should be as diverse as possible, and include:

• Full balanced nutrition, with limited fried foods, spicy spices, fat and semi-finished products. You can not overeat and eat up at night.
• The regime of day and nutrition (between meals should be maintained at approximately the same time intervals, go to bed at about the same time).
• Maintaining the water-electrolyte balance (drinking enough water while limiting salt intake).
• Sufficient physical activity, morning exercise.

If there were not only sharp pains, but also any uncomfortable sensation in the abdomen, it is better to visit a doctor immediately and undergo a preventive examination. To postpone visiting a doctor should not be: early diagnosis allows you to make further treatment more effective, as well as avoid complications and unpleasant consequences.

[44], [45], [46], [47]

Forecast

If the patient has visited the doctor in a timely manner, then the treatment of severe abdominal pains usually leads to a positive result. In the elderly, patients are somewhat more difficult to tolerate pain, so treatment can be delayed.

Sharp abdominal pains caused by eating disorders tend to be cured quickly, but for more complex reasons, there may be a need for long-term comprehensive treatment, and even in surgical intervention.

[48], [49]