Differential diagnosis of dull pain in the right lower abdomen

Many people may experience symptoms such as pain below the abdomen. Some patients can endure it, but for some patients the abdominal pain will become more and more severe. So, what are the diseases that are likely to cause pain below the abdomen in daily life? How to make a differential diagnosis? Now, let me introduce it to you.

Differential diagnosis of abdominal pain:

(1) If severe upper abdominal pain suddenly occurs after a full meal or drinking, gastric or duodenal perforation should be considered.

(2) Paroxysmal colic pain in the right upper abdomen radiating to the right shoulder is usually caused by cholecystitis or cholelithiasis.

(3) Severe abdominal pain in the left middle of the upper abdomen, accompanied by vomiting, persistent pain, paroxysmal aggravation, and radiating to the side of the waist should be considered as acute pancreatitis.

(4) The pain starts in the upper abdomen and moves to the right lower abdomen a few hours later, accompanied by nausea and vomiting. This is usually acute appendicitis.

(5) If a woman suddenly experiences lower abdominal pain and vaginal bleeding about 6 weeks after her menstruation has ended, she should consider an ectopic pregnancy. When women of childbearing age experience abdominal pain, gynecological acute abdomen must be considered. (6) Paroxysmal colic in the flank or lower abdomen, radiating to the lower back, back, and perineum, accompanied by frequent urination and hematuria, indicates ureteral stones.

(7) Abdominal pain accompanied by diarrhea should be considered as infectious diseases such as enteritis, dysentery, and paracholera. (8) Persistent abdominal pain accompanied by vomiting may be due to intestinal obstruction.

The following points may serve as danger signs of acute abdominal pain and the patient must be sent to the hospital as soon as possible for further treatment.

(1) Abdominal pain that gradually worsens or becomes unbearable;

(2) accompanied by severe vomiting or hematemesis;

(3) accompanied by high fever;

(4) Accompanied by symptoms of peritoneal irritation such as the abdominal muscles being as hard as a board and the abdomen being unable to be touched, the patient takes a posture of bending the knees and the waist to relieve abdominal pain.

(5) The patient develops symptoms of shock such as cold sweats, cold and clammy limbs, pale and bluish complexion, weak pulse, and low blood pressure. The above introduces in detail the diseases that cause pain below the abdomen and how to make a differential diagnosis. It also introduces some detailed symptoms. Everyone must adhere to the principle of early detection and early treatment so that they can recover as soon as possible. Of course, the strong cooperation of patients and friends is still needed.