Bellyache: behind the banal acute abdominal pain, the fear of the emergency


Bellyache: behind the banal acute abdominal pain, the fear of the emergency - bellyache: UNDERSTANDING
Words for sore

Stomachache, called "abdominal pain" means pain in the belly area.
Abdominal pain therefore concern the abdominal cavity and the pelvis.
In most cases, the pain is due to mere "intestinal spasms."
Abdominal pain may be short-lived and are "severe" or last for several weeks and become "chronic".

Bellyache: behind the banal acute abdominal pain, the fear of the emergency

What does the stomach hurt?

The "stomach ache", called "acute abdominal pain" by doctors, is common in adults and its causes are multiple. The difficulty is that while in the majority of cases, the pain is due to mere "intestinal spasms" (involuntary contractions of the intestine during an irritable bowel syndrome or gastroenteritis), who will spend the pain may also correspond to something much more serious, next to which we must not pass because that may require urgent treatment.
The abdomen or belly, is a cavity that is bounded above by the "diaphragm", the breathing muscle that separates the "chest" in which the heart and lungs are. The diaphragm is in direct contact with the lungs and their envelopes, and with the heart and its membranes. It is crossed back through the esophagus.
The abdomen is limited behind by the back wall with the spine, muscles, large blood vessels and paraspinal muscles. In front and on the sides there are the abdomen and flanks, with different muscles, back ribs and some holes which can jam the intestinal loops. Downstairs, abdomen theoretically stops the pelvis, but as the abdomen and pelvis are in communication, the organs of the pelvis can also give abdominal pain.
The abdomen contains most of the digestive organs (stomach, small intestine with appendix, large intestine, liver, pancreas), the liver, pancreas and bile ducts. The spleen is an organ of the immune system and is located under the lower ribs on the left. In the small basin is the rectum, bladder, prostate or uterus and ovaries, but also the psoas muscles are the levator thighs.
In the back wall there are other elements that are capable of giving pain belly: the spine, but also kidney and urinary tract (ureters), adrenal glands and blood vessels (aorta artery and vein cellar).
An important element to understand is that, because of the innervation which is rather unique in the belly (a nerve is not necessarily specific for one organ, but a belly area), suffering from all belly organs is likely to result in close enough pain.
Even on the location and type of pain should however be taken into account, if only to guide investigations, and associated signs that could translate gravity: for example, a swollen abdomen, painful and little hard bottom right, with nausea and a slight fever that may evoke acute appendicitis

How are divided anatomically organs in the belly?

The stomach is divided by physicians in nine regions that correspond roughly to certain internal organs and thus rather to certain diseases:

  1. In the top left under the edge of the coast, it is "right upper quadrant": there are the liver and biliary tract (including gall bladder), but also the duodenum, the head of the pancreas, right corner of the colon, right kidney and right lung base.
  2. Top right under the edge of the coast, it is "the left upper quadrant": there is the tail of the pancreas, stomach, spleen, but also the left and right lung base kidney.
  3. Between two and under the tip of the sternum is "epigastric" stomach is found there with the esophagus, pancreas and the body of the attachment of the omentum, but also the bile ducts. Nearby is the heart and pericardium.
  4. Around the navel, is the "peri-umbilical region" the loops of small intestine are found there and attaches with intestinal glands, but also the blood vessels including the aorta, lymph nodes but c is also a projection area of pain associated with inflammation of the lining of the stomach organs (the "peritoneum").
  5. To the right of the umbilicus is the "right side": there are the right kidney, some appendices and it is a projection area pain from the aorta, spine and certain gynecological pathologies .
  6. To the left of the navel is the "left flank": there are the left kidney and it is a projection area pain from the aorta, spine and some gynecological pathologies.
  7. Bottom right, contact the basin, it is the "right iliac fossa": there are of course the appendix, the base of the right colon (the "cecum") and the last loop of the small intestine the right kidney, but also the fallopian tube and ovary rights which are not far away.
  8. Bottom left in contact with the basin, it is the "left iliac fossa": there are the sigmoid, but also the left kidney, the fallopian tube and the left ovary.
  9. Between the two iliac fossa, the middle is "hypogastrium": there are the bladder, uterus in women, prostate in men, rectum and fallopian tubes 2 with their ovaries are not far away.

From a detailed examination including a cautious palpation of the abdomen, it is possible to find pain, defensive reactions of the wall of the stomach or stiffness ( "contractures") in one of these areas and can towards an underlying problem.
But it must be remembered that, because of the very special innervation of the stomach and its bodies, and the possibility of peritoneal inflammation which can quickly become global, this character locator is relative.

Bellyache: behind the banal acute abdominal pain, the fear of the emergency