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Common stomach problems and how to deal with them vol.1 (abdominal pain)

Updated: Jan 9


Illustration depicting the upper body with a focus on the stomach

Abdominal pain is a general term for the symptoms of ``stomach pain.'' The cause of the abdominal pain is determined based on the location of the abdominal pain, the intensity of the pain, dull pain (dull pain), intrusive pain (colic), how it develops, and concurrent symptoms. In addition to those caused by the digestive system such as the stomach and intestines, there are also those caused by the circulatory system, urinary system, gynecological system, etc.


Parts

Upper abdomen(abdominal pain)

Most of the pain is in the epigastric region (the epigastric region), because the nerves that feel pain in the stomach, duodenum, gallbladder, pancreas, etc. are concentrated there. In particular, it seems to be caused by stomach pain.


Lower abdomen(abdominal pain)

Pain in the mid-abdominal area (around the navel) is most often caused by intestinal disease. Appendicitis is the most common cause of right lower abdominal pain. Pain in the left lower abdomen suggests a disease of the large intestine. Enteritis may be accompanied by symptoms of diarrhea. Additionally, there is a possibility of urinary or gynecological diseases.


Type of pain

There are two main types of abdominal pain: visceral pain and somatic pain.


Visceral pain

Pain caused by contraction, stretching, spasm, or dilation of the digestive tract. Abdominal pain felt via the visceral nerves (autonomic nerves). The location of the pain is not clearly defined, and it is a periodic dull pain throughout the abdomen that may be accompanied by symptoms such as nausea, nausea, and cold sweats.

For example, the pain caused by diarrhea becomes visceral pain. The cause is pain caused by increased internal pressure in the hollow organ. Eventually, pain occurs due to lumen obstruction and traction.


Body pain

Abdominal pain is caused by stimulation of sensory nerves distributed in areas such as the peritoneum surrounding internal organs, mesentery (the membrane between the intestines), and diaphragm. There is usually a sharp, stabbing pain (colic) that lasts a long time. The location of the pain is more obvious than in visceral pain.

For example, if you have appendicitis, you will first feel pain in your stomach area, then gradually you will feel sick, develop a slight fever, and the area around your appendix will become sore, but eventually the pain will feel like it's sticking in your appendix. Initially, as the intestines stop moving, internal pressure rises and the balance of peristalsis is disrupted, causing visceral pain. Furthermore, when appendicitis develops into peritonitis, somatic pain occurs, resulting in colic.


Approach

Treatment with medicine

Please choose medicine depending on the location of the pain, type of pain, and concurrent symptoms.


・Pain in the epigastrium

Since it is often caused by stomach pain, gastrointestinal medications containing antacids or H2 blockers are appropriate.

>Acinon Tablets 75mg "ZERIA" 100Tablets




>Lafutidine tablet 10㎎ 「SAWAI」




・Visceral pain with widespread pain around the navel

Antispasmodics may reduce pain.

>BUSCOPAN Tablets 10mg 100Tablets





>Cospanon Tablets 80mg 100Tab





・sharp somatic pain

It is difficult to control it with antispasmodics. If you just want to stop the pain, we recommend analgesics.

>LOXONIN TABLETS 60mg 100Tablets






In some cases, the symptom of ``stomach pain'' may be too late if the nature of the pain is not determined. When choosing a medicine, we recommend consulting with a pharmacist.

If the pain is severe or if medication does not seem to be effective, we recommend seeing a medical institution.



In the future, I will write columns about the following contents.


Stomach troubles and how to deal with them vol.2 (diarrhea/loose stools)


Stomach troubles and how to deal with them vol.3 (constipation)


Stomach troubles and how to deal with them vol.4 (stomach tension)



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