Beiping said | The abdominal pain after meals is unbearable, but this is why

Author:Guangdong Provincial Hospital Time:2022.09.06

"Beiping Word" opens the bar

The spleen and stomach are the basis of the day after tomorrow. The spleen and stomach plays an important role in maintaining physical health.

Zhang Beiping, chief physician of the Department of Spleen and Stomach Diseases of Guangdong Provincial Hospital of Traditional Chinese Medicine, and the Integrated Traditional Chinese and Western Medicine Prevention Team of the Gastrointestinal Cancer will regularly push the knowledge of health care and Chinese and Western medicine to escort your digestive health through this column to escort your digestive and health! Welcome to follow.

A few days ago was Aunt Li's birthday. In order to celebrate his birthday, Aunt Li prepared a rich dinner. After eating and drinking, Aunt Li suddenly felt abdominal pain and discomfort. She felt that it might be because she had just eaten and had poor digestion, so she took a few slices of hawthorn slices to eliminate food.

As a result, abdominal pain not only did not relieve it, but also became more and more severe, and more serious is that nausea and vomiting began to occur. Aunt Li was unbearable, so she accompanied her family to see a doctor in Guangdong Province.

After inquiries and detailed physical examinations, the doctor found that Aunt Li's left abdominal tenderness was obvious, and the abdominal muscles were tight. In order to clarify the diagnosis, the doctor opened a blood routine, blood amylase and other examinations for Aunt Li, and suggested that Aunt Li improved the abdomen CT examination. Aunt Li thinks that she just eats the wrong stomach and my stomach is painful for a while. How can I do so many inspections? The doctor patiently explained that the cause of the abdominal pain is very complicated, and it is mild and serious. If severe abdominal pain is misdiagnosed, it may cause the consequences of life. Aunt Li agreed to check after hearing it.

After the test results came out, the abdominal CT flat sweeping showed that the pancreas increased, and the surrounding was obvious, and the blood amylase increased several times. After comprehensive analysis, the doctor considers that Aunt Li's abdominal pain is caused by acute pancreatitis.

Aunt Li lamented that fortunately, the doctor was in time, the doctor was experienced, and the cause of abdominal pain was soon found. It may be severe complications when the consultation was late. It seems that this abdominal pain cannot be ignored, otherwise it will cause big trouble!

【Beiping Say】

1. What is acute pancreatitis?

Acute pancreatitis is an inflammatory response that causes the pancreatic tissue to digestion, edema, bleeding, and even necrosis after the pancreas is activated in the pancreas. Clinically, it is characterized by acute abdominal pain, nausea, vomiting, heating and increasing blood pancreatic enzymes. The condition is too severe. Light is mainly pancreatic edema, severe cases of pancreatic bleeding, and multiple complications such as secondary infection, peritonitis and shock, and high mortality rate.

2. What causes acute pancreatitis?

There are many causes of acute pancreatitis. The most common causes of acute pancreatitis in my country are gallstone, a lot of alcohol and overeating. Aunt Li this time was acute pancreatitis caused by overeating.

Overlashing causes a large amount of peeds into the duodenum in a short period of time, causing duodenal nipple edema and ODDI sphincter, resulting in poor discharge of bile and pancreatic fluid. At the same time, a large number of foods stimulate the increase of pancreatic secretion. A large amount of secretion cannot be discharged in time to stay in the pancreas "self -digestion", which will cause necrosis of acute pancreatitis and tissue around the pancreas. I believe that everyone always has a large and small dinner in life. Remember not to eat and drink because the picture is happy and unauthorized for a while, and be careful to find it!

Third, the following acute abdominal pain needs attention

(1) Sudden abdominal pain after diet: drinking or full meals may cause acute pancreatitis; eating greasy foods may occur for acute cholecystitis; unclean diet may lead to acute gastrointestinalitis; irregular diet may be stomach or duodenum finger Intestinal ulcers.

(2) Continuous abdominal pain after trauma: The abdominal pain should be considered after abdominal pain after the abdomen is severely impacted.

(3) Sudden abdominal pain after strenuous exercise: Intestinal twisting should be considered after sudden exercise. If you radiate to the perineum or groin area, kidney and ureteral stones are considered.

(4) Sudden knife cut -like abdominal pain: Urgent onset, suddenly occur, severe pain, persistent abdominal pain, rapid development, and gradually affecting the whole abdomen. For example, the middle and upper abdomen knife is painful or burning.

(5) Abdominal pain with bleeding: Suddenly appear, accompanied by hidden or significant signs of bleeding, such as vomiting blood, black stool, blood in the stool, etc., even the symptoms of shock symptoms such as pale, cold sweat, and palpitations.

(6) Continuous abdominal pain Course the exhaust stool with the anus: The anus stops exhausting and the stool is stopped, and the intestinal obstruction needs to be considered.

(7) Sudden abdominal pain after menopause: Women of childbearing age have been considered more than 6 weeks or more to consider ectopic pregnancy.

(8) Abdominal pain cannot be relieved: the cause of abdominal pain is very complicated. If abdominal pain cannot be relieved, it should be visited in time.

Therefore, once acute abdominal pain and symptoms are gradually aggravated, please go to the hospital in time to find out the cause and treat them in time.

Fourth, traditional Chinese medicine eliminates dietary tricks

I just mentioned that abdominal pain, nausea and vomiting need to go to the hospital for medical treatment in time. Do not care about it. Then you will inevitably eat a little bit of stomach bloating. Next, you will introduce a few Chinese medicine to eliminate Xiaomiao tricks!

traditional Chinese medicine:

1) Dietary stagnation: For patients with pure sexual accumulation, hawthorn, divine songs, malt, Lai Xunzi, Chenpi, etc. can be used, which has the function of eliminating food, qi, and stomach.

2) Spleening and eliminating food: The accumulation caused by the weak spleen and stomach can add Chinese medicine, such as Codonopsis, Poria, Coix Seed, yam, lentils, and Atractylodes on the basis of the above -mentioned elimination medicine.

3) Disposal accumulation: For stagnation caused by food stagnation heat and childcare syndrome, you can choose a combination of consumption drugs, diarrhea, heat -clearing drugs, qi drugs or a small amount of blood circulation drugs.

Acupoint massage:

1) Zusanli: Foot Yangming's stomach meridian acupoint is a commonly used acupoint for gastrointestinal digestive problems. Press the Zusanli acupoint once a day, press each point for 5-10 minutes each time, and press it to feel sour and fever.

2) Four sewing points: Meridians, pressing hard, pressing force, 2 to 3 minutes each time, have the effects of eliminating food and stagnation.

3) Zhongye acupoint: The stomach raising acupoint has the effect of treating spleen and stomach diseases such as stomach pain, bloating, dazzling, and children's accumulation. The finger pointers are pressed on the acupuncture point and released in about 10 seconds. Then click again, let go again. Establishment is based on its own tolerance until the symptoms are relieved.

Medicated tea:

1) Guipi Hawthorn Drink

[Ingredients] 6 grams of cinnamon, 10 grams of hawthorn, 30 grams of brown sugar

[Method] Add a moderate amount of Gui skin and hawthorn. After boiling the Wuhuo, turn it to the fire for 30 minutes, remove the residue and get the juice, incorporate the brown sugar drinking dress, 1 dose daily

[Function] Warm stomach is scattered cold, and dietary stagnation. It is suitable for gastric abnormalities and painful pain, dry stinky qi, anorexia and uncomfortable stool.

2) Hawthorn lotus leaf tea

[Ingredients] 50 grams of hawthorn, lotus leaves, and coix kernels, 30 grams of green onion, and appropriate amount of sugar.

[Method] Fry the four potions of water to remove the juice, season the sugar, drink frequently in tea, 1 dose daily.

[Function] Spleen turbidity. It is suitable for indigestion caused by phlegm blockage.

3) Hawthorn malt skin soup

[Ingredients] 40 grams each of hawthorn and malt, 15 grams of lotus leaf, 5 flowers, 250 grams of lean meat, 650ml of water, and an appropriate amount of salt.

[Method] Lean meat in advance to remove the water, wash the water and hawthorn flushing water, inject water into the pot, put all the ingredients, cook for about 1 hour, add salt and season it! Essence

[Function] Spleen stagnation, diuretic and detoxifying. The soup is equipped with meat, and it can also ensure normal nutrient intake.

End

【Expert Introduction】

Zhang Beiping, a doctor of medicine, chief physician, doctoral tutor. Guangdong Provincial Hospital of Traditional Chinese Medicine (the Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine) Deputy Director of the Department of Spleen and Stomach Diseases. The target of colleges and universities, the first batch of outstanding young medical talents in Guangdong Province, the second batch of outstanding Chinese medicine talents in Guangdong Province, was selected as the 8th batch of Lingnan famous medical records, and the first batch of Hu Run Ping An China good doctors in 2017.

Chairman of the Commission for Early Early Cancer Committee of the Chinese and Western Medicine Society of Chinese and Western Medicine Institute of Chinese and Western Medicine;

Chairman of the Professional Committee of Gastrointestinal Tumor Prevention and Control of the Guangdong Academy of Traditional Chinese Medicine;

Chairman of the Guangdong Health Society of Health and Health Association;

Good at: gastrointestinal, esophageal tumors and anterior cancer lesions, endoscopic diagnosis of endoscopic diseases with bile pancreas; combination of traditional Chinese and western medicine; endoscopic treatment of various digestive tract obstruction; inflammatory bowel disease (ulcerative colitis and Crole Grace) The combination of traditional Chinese and western medicine.

[Introduction to the Department of Spleen and Disease Diseases of Guangdong Provincial Hospital of Traditional Chinese Medicine]

The Department of Spleen and Stomach Diseases of Guangdong Provincial Hospital of Traditional Chinese Medicine is a key specialty of the "Eleventh Five -Year Plan" of the State Administration of Traditional Chinese Medicine, a key specialty of the Guangdong Provincial Administration of Traditional Chinese Medicine, the National Poor Battle Management Project Sub -Center, the National Capsule Endoscopy Research Center Clinical Training Base, Guangzhou Branch Center, National Helicobacter Pylori Molecular Diagnosis Center. Lead the establishment of the Society of Chinese and Western Medicine Society of Chinese and Western Medicine Institute of Digestion of Endoscopy, Early Early Cancer Expert Committee, the Guangdong Provincial Society of Traditional Chinese Medicine Society, the Guangdong Provincial Chinese and Western Medicine Society Gastroscopy Professionals Professional committees, Lingnan Traditional Chinese Medicine Digestive Endoscopy Medical Alliance and Lingnan (South China) Chinese and Western Medicine Integrated Cynefront Clear Screw -related Stomach Diseases Academic Alliance

Under the guidance of the three professors of the academic leader Yu Shaoyuan, Luo Yunjian and Huang Suiping, under the leadership of Zhang Beiping, the deputy director of the Discipline leader, the deputy director of the Great Division of the spleen and stomach disease and the digestive endoscopy center, Zhang Haiyan, the director of the Department of Spleen and Stomach Diseases of the General Hospital of Dade Road Wang Jing, director of the Department of Spleen and Stomach Diseases of the Hospital, Chen Yan, Director of the Department of Spleen and Stomach Diseases of Fangcun Hospital, and Liu Tianwen, Director of the Department of Spleen and Stomach Diseases of the College City Hospital, led the team to follow the team and bring the team for progress. The combination of traditional Chinese and western medicine to prevent early cancer and inflammatory cancer transformation diseases such as chronic atrophic gastritis, colorectal adenoma, inflammatory bowel disease, biler and pancreas, etc., especially at 3E technology (ESD, ERCP, EUS ) Waiting for various surgical treatment and postoperative Chinese medicine to promote rehabilitation, achieve good clinical efficacy, and be welcomed by patients.

Supply: Ruan Guodong, a Department of Spleen and Stomach Diseases, Guangdong Provincial Hospital of Traditional Chinese Medicine Hospital, Mo Yan Han Lu

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

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