“Ouch, my stomach hurts!” Hearing someone next to me cry like this We can think of a few major gastrointestinal symptoms, such as peptic ulcers, food poisoning, or flatulence. But doctors remind us to pay attention to the nature of abdominal pain. Because this common illness is just the tip of an iceberg that hides other serious conditions without our knowledge.
Abdominal pain is not always the same as gastritis.
stomach disease Abdominal pain is a broad term for abdominal pain that presupposes a stomach disorder. Or the duodenum, such as gastritis or ulcers. Pain with gastritis is often pain under the epigastric region. Colic pain, tightness, or burning sensation in the stomach, uncomfortable after meals. or getting full faster than usual Some people may also experience acid reflux symptoms, such as heartburn and belching.
Dr. Sawinee Chiriyasin, a specialist in gastroenterology Digestive and Liver Center Vimut Hospital said, “One thing that doctors want to correct misconceptions about stomach disease is that eating rice on time is not the main cause of gastritis. In general, gastritis or stomach ulcers have 2 causes. The most common include a bacterial infection in the stomach or duodenum called Helicobacter pylori and the use of NSAIDs, which can irritate or cause ulcers in the stomach or intestines. The remaining causes may be other, such as stomach cancer. If suspected that abdominal pain is caused by gastritis Antacids can be taken for initial treatment first. If the symptoms do not improve, it is advisable to see a doctor to determine the cause and continue treatment.”
As mentioned, if initial treatment is not cured We should see a doctor to detect the actual abnormality, for example, if epigastric pain suspected of gastritis, consider endoscopic examination of the gastrointestinal tract and duodenum. If the stomach is very severe Abdominal cramps, unable to sleep, may be a symptom of gastric perforation which normal X-rays can be seen and can be operated immediately There is also an abdominal ultrasound, which is used to check for liver abnormalities. Gallstones or bile duct stones There are also other methods of investigation, including blood tests, urine tests, or computed tomography (CT scans) at the physician’s discretion.
How do we know what kind of pain our stomach is?
“in medical We divide abdominal pain into 3 types,” explains Dr. Sawinee Jiriyasin. “Type 1 is pain from internal organs. Which is a deep pain, twisting pain that cannot be clearly identified, type 2 is abdominal pain according to the location of that organ, can be clearly identified, and type 3 is pain. which is pain that radiates or radiates to other areas according to nerve transport, such as abdominal pain under the epigastric region and then pain to the back Think of pancreatitis or abdominal pain that radiates down the groin. think of stones in the ureter, etc.”
Characteristics of abdominal pain that patients can observe themselves are type 2 or abdominal pain according to the location of the organ. Which in medical practice will divide the patient’s abdomen into 9 zones, which are
- Zone 1: The upper right abdomen contains organs such as the liver, gall bladder and bile ducts, which may be the cause of liver abscess. cholecystitis gallbladder stones, etc.
- Zone 2: middle of the body around the epigastric region which is the area of the stomach, pancreas, pain may be caused by gastritis Infection with Helicobacter pylori bacteria has ulcers in the stomach or duodenum. or pancreatitis
- Zone 3: The upper left ventricle, such as the spleen (probably due to ischemia of the spleen. which is rarely found in practice)
- Zone 4, 6: The waist area refers to the left and right sides of the navel. Organs are kidneys, ureters, and large intestines, which may be caused by nephritis, ureteral stones, colitis. to colon cancer
- Zone 5: In the middle of the belly around the navel. The organ is the small intestine. That may be caused by early enteritis or appendicitis.
- Zone 7, 9: lower left and right abdomen In addition to the appendix, at first there will be pain around the navel. After 6-8 hours, it will move to the lower right pain area when the inflammation spreads more. Other organs are the fallopian tubes, ovaries, and colon on both sides. Wings may occur. endometritis endometriosis The bulb of the colon is inflamed. which is more often found on the left side than the right side
- Zone 8: The lower abdomen above the pubis. Will be part of the bladder, uterus, which may be caused by Cystitis, endometritis, endometriosis which must take a history of vaginal discharge Additional monthly and recommend consulting a gynecologist
Can probiotics really help balance the gastrointestinal tract?
Our colon is home to about five hundred different types of microorganisms, both good and bad. Medical studies have found that there are two main types of good microorganisms that are important to health: lactobacillus. (Lactobacillus) and Bifidobacterium (Bifidobacterium) It was found that in the intestines of sick people often have these two types of microorganisms less than normal people. Therefore, if we add good microbes in the form of probiotic supplements into the body, it will help strengthen Immune And research supports that probiotics can help treat diarrhea or irritable bowel syndrome. as well as helping to balance the intestines
What type of abdominal pain requires medical attention?
“If we have very severe abdominal pain that lasts more than 6 hours, accompanied by fever and vomiting. gastrointestinal bleeding back pain Abdominal cramps, etc. These symptoms may be diseases that require urgent surgery. Or receive treatment immediately, such as gastric perforation, appendicitis cholecystitis bile duct obstruction acute pancreatitis, etc., or abdominal pain in women of reproductive age together with vaginal bleeding which may be caused by a miscarriage or an ectopic pregnancy, you need to see a doctor immediately as well,” concluded Dr. Sawinee Jiriyasin.
Those who are interested in getting a medical examination or consulting with a doctor about the gastrointestinal tract. can be contacted at the gastrointestinal and liver center Vimut Hospital, 5th floor, Vimut Hospital, Phaholyothin or call to make an appointment at 02-079-0054.
