Pain below the ribs

Pain below the ribs

Pain in the lower part of the inverted V just below the ribs is a symptom that is very consistent with gastritis, but pain alone cannot determine whether you have this disease. We can first have a comprehensive understanding of the condition of gastritis, and then make a comprehensive judgment based on our other manifestations, so that we can determine whether we have gastritis. If we are not sure, we should go to the hospital for diagnosis and treatment as soon as possible. Let’s take a look at the situation of gastritis.

Clinical manifestations 1. Acute gastritis has an acute onset and the clinical symptoms vary in severity. The most common is acute simple gastritis, the main symptoms of which are upper abdominal pain, abdominal distension, belching, loss of appetite, nausea, vomiting, etc. Those caused by Salmonella or Staphylococcus aureus toxins are often accompanied by diarrhea, fever, and even dehydration and shock. Acute erosive hemorrhagic gastritis may cause vomiting of blood and black stools. The main clinical manifestations of acute suppurative gastritis are systemic sepsis and acute peritonitis. The symptoms of acute corrosive gastritis are the most obvious, manifested as severe pain in the mouth, throat, behind the sternum, and upper abdomen after swallowing corrosives, accompanied by nausea, vomiting, and even vomiting blood. The mucous membranes of the lips, mouth, and throat can produce caustic scabs of different colors, which help to identify various corrosive agents.

2. Chronic gastritis The clinical manifestations of different types of gastritis may vary, but the symptoms lack specificity, and the severity is often inconsistent with the severity of the lesion. Some patients may be asymptomatic. (1) Upper abdominal pain or discomfort Most gastritis patients experience upper abdominal pain or discomfort. Most upper abdominal pain is irregular and has nothing to do with diet. The pain is generally diffuse upper abdominal burning pain, dull pain, bloating, etc. (2) Upper abdominal distension and early satiety Some patients experience abdominal distension, especially a noticeable feeling of fullness after a meal. It is often caused by food retention in the stomach, delayed emptying, and indigestion. Early satiety refers to a feeling of fullness soon after eating despite having a clear sense of hunger, and a significant reduction in food intake. (3) Belching, acid reflux, and nausea Belching indicates an increase in gas in the stomach, which is discharged through the esophagus, temporarily relieving upper abdominal fullness. Acid reflux is caused by increased gastric acid secretion. (4) Other severe atrophic gastritis patients may have weight loss, glossitis, and diarrhea; autoimmune gastritis patients may have anemia.

The diagnosis of acute gastritis is not difficult based on medical history and symptoms. Care should be taken to differentiate it from early acute appendicitis, acute cholecystitis, and acute pancreatitis. The diagnosis of acute erosive hemorrhagic gastritis requires emergency gastroscopy. The diagnosis of acute erosive gastritis is based primarily on a history of ingestion of caustic agents. The diagnosis of chronic gastritis depends on gastroscopy and gastric mucosal biopsy pathology. Gastroscopy can be used to differentiate it from diseases such as gastric cancer and gastric ulcer.

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