Acute abdomen, causes, symptoms, first emergency medical care for acute abdomen.

An acute abdomen is a severe abdominal pain in diseases of the internal organs. It is often difficult to immediately identify the source of pain and make an accurate diagnosis, which is why this collective concept is used. The place of greatest pain is not necessarily associated with the location of the diseased organ. 

Acute abdomen, causes, symptoms, first emergency medical care for acute abdomen.

Pain can vary in character. Cramping pain is characteristic of spastic contractions of the muscles of the stomach or intestines. If the pain grows gradually, then you can think about the inflammatory process. When the pain appeared suddenly, like a blow with a dagger, it means that an abdominal disaster occurred. Breakthrough of a stomach or intestinal ulcer, abscess, abdominal bleeding inside, blockage of the vessels of the spleen, kidney.

and vomiting, sometimes already in the first minutes of the disease. An agonizing persistent hiccup happens.

When constipation occurs and intestinal gas ceases to flow away, you can think about the development of intestinal obstruction. Less often in this case, loose stools are noted. When probing the abdomen, pain and tension of the muscles of the anterior abdominal wall are determined. When listening to the abdomen, it is possible to detect a weakening of bowel movements.

First aid for acute abdomen.

In cases of acute abdomen, the patient should be immediately hospitalized in the surgical department of the hospital. The patient is forbidden to eat, drink, an ice bladder is placed on his stomach. Pre-hospitalization and clarification of the diagnosis in no case should be used painkillers and antibacterial agents, give laxatives or do enemas. In some cases, a gastric tube is administered to patients during transportation, for example, with frequent vomiting due to intestinal obstruction.

At low blood pressure as a result of bleeding, blood-replacing solutions are intravenously poured, cardiac drugs are administered (2 ml of cordiamine, 1-3 ml of 10% sulfocamphocaine). In many cases, an emergency operation is performed. In serious condition, the patient is preliminarily prepared for surgery. Sometimes (with heavy bleeding) they operate immediately, while resuscitating.

Based on the book “Quick help in emergency situations”.
Kashin S.P..

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