23/12/2021
What Are The Symptoms Of Stomach Pain? Causes, Diagnosis, and Final Treatments
Today, stomach pain is becoming more and more common in society. More dangerous, stomach pain not only causes discomfort for the patient, but it also contains the risk of other dangerous complications such as stomach bleeding, gastric perforation, even stomach cancer. Therefore, patients need to understand the causes, signs of stomach pain and symptoms so that it can be detected and treated early.
1. Learn about the stomach
The stomach is also known as the stomach - a part of the digestive system. It is a food pouch that is connected to the duodenum. A normal stomach will hold about 1-1.5 liters of food capacity.
1.1. Main structure of the stomach
The stomach is made up of two parts, the antrum and the body of the stomach. The surface of the stomach has four layers: the serosa, the muscular layer, the submucosa, and the mucosa.
1.2. Functions of the stomach
The main functions of the stomach include: motility, peristalsis, excretion, and digestion.
Motor function relies on frequent contractions in the muscular layer of the stomach. When the stomach is full, the tone of the stomach is reduced, and when the stomach is empty or empty, the tone is increased.
Peristalsis of the stomach occurs when food enters the stomach about 5-10 minutes. The closer the food comes down to the heart, the more peristalsis increases. The result is contractions, kneading, grinding food with gastric juices and moving food down the intestines.
A day the stomach can excrete 1.5l of gastric juice, protein, albumin, immune globuin and amino acids as well as enzymes such as: Pepsinozen, pepsin, glucide, glycoprotein...
The digestive function has the effect of regulating the opening or closing of the pylorus, helping to stimulate the secretion of digestive enzymes. The stomach then produces secretin to stimulate the secretion of pancreatic juice.
2. What is stomach pain?
This is a very common gastrointestinal disease today. Stomach pain has many symptoms and ways to recognize it through the treatment of abdominal pain or the manifestation of external disease of the patient's body. Most patients have some signs such as heartburn, bloating, belching, epigastric pain ... these are the most common symptoms of stomach pain.
3. Causes of stomach pain
To have effective prevention and treatment measures, patients should understand some of the main causes of stomach pain, which are:
Due to smoking
Due to drinking alcohol
Due to unscientific eating
Caused by bacteria HP
Due to stress, stress...
3.1. Causes of stomach pain caused by smoking:
Smoking is also one of the most common causes of stomach pain today. The drug has a lot of toxic substances that increase the secretion of HCL and Pepsin (these are the two causes leading to the erosion of the gastric mucosa).
3.2. Causes of stomach pain due to alcohol use:
Alcohol is considered the leading beverage causing digestive diseases and health damage. Most of the substances in alcohol cause damage to the stomach lining gradually leading to the possibility of stomach ulcers or worse, bleeding or stomach perforation if not treated promptly.
3.3. Causes of stomach pain due to eating
Improper eating and drinking is also one of the causes of diseases of the gastrointestinal tract such as colon, appendix and especially stomach pain. Due to some unscientific eating habits, unscientific rest, or unsafe food, eating a lot of hot and spicy food, etc., leading to a greater possibility of disease.
3.4. Helicobacter pylori causes stomach pain
According to research at Favina General Hospital, more than 75% of stomach pain cases are caused by HP infection. Helicobacter pylori, after a period of time residing in the stomach, will damage the mucosa, leading to ulcers, causing stomach pain.
3.5. Causes of stomach pain due to mental stress
Mental stress causes stomach spasms, thereby stimulating intestinal peristalsis, making stomach pain worse. Therefore, while treating stomach diseases, doctors at favinahospital always recommend that patients should always keep a good spirit to avoid affecting the treatment process.
4. Signs and symptoms of stomach pain
According to leading gastrointestinal endoscopy professors in Vietnam, most people with stomach pain have 5 signs and symptoms, the main symptoms are:
Abdominal pain above the navel (epigastric region)
Stomach full of indigestion
แปข Sour, belching, heartburn...
Nausea or vomiting
Bloody stools
4.1. Stomach pain location
Stomach pain on which side? where, where...? Most people with stomach pain initially have signs of abdominal pain located above the navel, also known as epigastric pain. In addition, the patient may have dull abdominal pain or severe pain continuously for a period of time. Abdominal pain on the belly button is getting thicker and heavier or pain when too full, abdominal pain when too hungry ... is one of the recognizable symptoms of stomach ulcers in the early stages.
4.2. Epigastric pain
This is a common sign in patients with stomach pain. People with duodenal disease also have this symptom. The patient will feel a dull pain and tightness in the abdomen, a burning pain that is very uncomfortable.
Severe abdominal pain does not appear with epigastric pain. The location of stomach pain can be from the abdomen to the chest or spread to the back; usually appear in one to two weeks in the early stages of the disease and recur again and again. When the weather changes or the seasons change, the pain will reappear. If this condition persists, the patient will suffer from constant pain.
For people with gastroduodenal pain, epigastric pain is often meal-related and cyclical.
In patients with peptic ulcer disease, epigastric pain is often cyclical.
For people with stomach cancer, abdominal pain is not cyclical, but continuous.
For patients with duodenal ulcers, when fasting, pain will appear.
For patients with stomach ulcers, when eating food, they will feel pain in the epigastrium, but when they are hungry, there is no pain.
For patients with stomach ulcers, when eating food, they will feel pain in the epigastrium
4.3. Stomach full of indigestion
Patients with stomach pain often have signs of poor appetite expressed by reduced food intake or poor appetite.
The reason is because food is digested slowly, after eating, the patient feels bloated, full, feeling heavy and warm.
After eating, the patient feels epigastric pain, burning in the epigastrium, then spreading to the sternum and causing nausea.
4.4. Due to microorganisms
Many types of bacteria and fungi cause stomach ulcers that cause pain and bleeding. Among them, the most common is HP bacteria, which stands for Helicobacter pylori. Many cases of patients infected with HP bacteria but do not have stomach ulcers, drinking a lot of alcohol, eating toxic foods will create a good environment for bacteria to grow and damage the stomach.
Helicobacter pylori is one of the causes of stomach diseases
4.5. sour, burp
This is a very important symptom of stomach pain. Heartburn, belching cause discomfort for the patient, affecting the patient's daily life.
The cause of this phenomenon is due to a disordered stomach function, so food is difficult to digest, leading to fermentation. Patients with stomach pain have belching, heartburn and accompanying signs of epigastric pain. The patient will feel a bitter or sour taste when food or slightly up the throat but only halfway up, at this time the patient will feel pain in the breastbone area or behind the breastbone.
4.6. Nausea or vomiting
This is a manifestation of a disease such as acute gastritis, peptic ulcer disease, gastric bleeding or possibly stomach cancer. When the patient vomits a lot, it will lead to consequences such as tearing the lining of the esophagus, seriously affecting health.
Besides, vomiting a lot causes dehydration and electrolytes in the gastric juice to occur. More severe can be low blood pressure, cardiovascular collapse. Patients with rapid weight loss lead to anemia, edema...
4.7. Psychological factors
People who are constantly under stress and pressure often have a higher risk of stomach pain than the general population. The cause is due to stress, pressure causes the stomach to increase contraction and secretion, imbalance leads to self-erosion of the mucosa, causing ulcers.
People who are constantly under pressure often have higher digestive diseases than usual
4.8. Bloody stools
Blood that flows out of the walls of blood vessels into the lumen of the digestive tract is called gastrointestinal bleeding. This sign is very serious, it can be life-threatening in a very short time. Therefore, when seeing these signs, the patient should be taken to a medical facility immediately for prompt treatment.
When you have gastrointestinal bleeding, there will be the following manifestations: vomiting fresh blood or black blood, blood in the stool is bright red or black. Patients will feel dizzy, dizzy, and low in blood pressure when in acute blood loss.
When signs of gastrointestinal bleeding appear, it is most likely a manifestation of diseases such as: acute gastritis due to drug use, peptic ulceration of the stomach and duodenum, ruptured esophageal veins due to liver disease.... More serious is stomach cancer.
Gastrointestinal bleeding is very dangerous, if not treated promptly, the patient can be life-threatening.
When seeing any of the above signs, the patient needs to go to the hospital for examination, diagnosis and timely treatment to avoid dangerous complications later.
5. Dangerous complications of stomach pain
Stomach pain is a disease that can be treated very simply if it is diagnosed and detected in time. But a lot of patients are subjective and disregard the progression of the disease, causing some dangerous stomach diseases that we cannot know in advance. Some complications of stomach pain are:
Stomach ulcers
Gastritis
Gastroesophageal reflux
Bleeding (bleeding) in the stomach
Stomach cancer Stomach cancer
5.1. Complications into peptic ulcer disease
This is a condition in which the lining of the stomach and duodenum is damaged, causing inflammation. Currently at FaViNa General Hospital, doctors say: the disease can be encountered at any age and the characteristics of the disease depend on the location of the ulcer. Some common ulcers are: duodenal ulcer, small curvature ulcer...
5.2. Complications into gastritis
This is a disease caused by inflammation of the antrum of the stomach. While antral inflammation is not too dangerous, it can spread the infection to other areas, causing frequent discomfort for the patient.
5.3. Progression to gastroesophageal reflux disease
As one of the stomach diseases, if not treated early, it will lead to damage to the esophagus, causing dangerous diseases such as: respiratory inflammation, esophageal stricture and esophageal cancer...
5.4. Complications causing stomach bleeding
Also known as stomach bleeding disease, when the body will be tired and lack of vitality, if not detected and stopped in time, it can lead to life-threatening danger to the patient.
5.5. Dangerous complications into stomach cancer
The disease develops from tumors called gastric polyps. When infected, the patient will experience rapid weight loss accompanied by vomiting, bloody stools. This is the second most common disease in Vietnam. Gastric polyps are considered as one of the most dangerous complications of gastric pathology. Every year around the world, more than 600,000 people die from stomach cancer. If detected early with a good prognosis, the patient's life expectancy can be extended.
PART 1