ATт, 26 апр 2016 Автор: врач-хирург, эндокринологArtyom Shimansky
The rhythm of our life does not allow you to fully take care of your
nutrition: fast food, snacks on the run “what is horrible” have become familiar
part of the human diet.
Because of such a frivolous attitude to health, about 80%
people suffer from pathologies of the gastrointestinal tract.
This is the official figure, real indicators can be
above.
One of the most common manifestations of gastrointestinal disease is pain.
left side.
Unpleasant sensations in the side may indicate
relatively harmless states or serious illnesses.
How to independently determine the source of the problem and take
necessary actions?
Contents
Болит левый man’s side: причины, первая помощь
Discomfort never appears “from scratch.” This is a signal of
malfunctions in the body. There is at least 10-15
common diseases that are accompanied by pain
ощущениями в left side.
• Гастрит. Inflammation of the mucous membrane
stomach. It is believed that gastritis pains are localized in
the middle part of the abdomen. This is not entirely true. Anatomically stomach
oriented to the left. Moreover, if a person is prone to overeating,
the size of the stomach increases, and the space they occupy
getting wider. Pain radiates to the left side. Such
localization of pain is not as common, therefore it is necessary
pay attention to concomitant symptoms. Rarely pain –
the only manifestation of gastritis.
• Заболевания кишечника. Occupy “honorable”
place among the causes of this kind of pain. This includes significant
number of pathologies: diverticulitis, inflammation of the sigmoid colon,
intestinal polyps, sigmoid malignant neoplasms
guts, colitis, etc. Independently understand the specific reason
того, что болит левый man’s side в этом случае без медицинского
intervention is impossible. �Intestinal pains are localized as
usually in the left iliac region (just above and to the left of the pubic
zones) are dull, aching in nature. Fortunately, the rare cause of such
pain is a direct danger to life and health. However if
patient over 50, suspicions of oncology become quite
reasonable.
• Метеоризм. Increased gas formation
leads to stretching of the intestinal wall and colic. Such pains
accompanied by rumbling in the abdomen and abundant discharge of gas.
In addition, they are associated with the intake of a particular food. Unlike
bowel disease, pain is much more intense, wear
cramping character.
• Панкреатит. Serious illness carrying
danger of life. It is an inflammation of the pancreas.
glands. Pain in most cases is extremely intense.
(figuratively speaking, “even climb the wall”), are described as cutting,
stabbing or stupid. Are localized or slightly higher and to the left of the navel, or
in the entire left abdomen (may girdle).
• Заболевания почек. The most frequent is
pyelonephritis. Pain in the left side of a man with pyelonephritis no less
intense than with pancreatitis. Determine exactly what the problem is
can only be based on the results of special studies.
• Патологии легких. Pleurisy, pneumonia (in
lower lobes) may be masked as gastrointestinal diseases.
• Грыжа диафрагмы. As a result of hernia diaphragm
the stomach “bulges” in the chest cavity. Occurs relatively
seldom.
• Инфекционные заболевания, отравления различными
веществами. Generate characteristic intestinal
symptomatology.
• Аппендицит. Extremely rare, but pain when
аппендиците могут отражаться в left side. More often they accompany
characteristic pain syndrome in the right iliac region.
Given all the variety of possible causes, a person should
use caution when providing first aid (to yourself or
to someone else). If the pain first appeared, wears intolerable
character or become sharper than before, self-medicate
dangerously. In this case, it is wiser to call an ambulance. First aid
is to alleviate the condition before the arrival of the doctors. Maximum that
it is possible to make a patient without coordination with a specialist – take
antispasmodic (No-shpa, Drotaverin, Duspatalin, Spazgan, Baralgin and
others). Do not be zealous: there is a risk of “smear” clinical
picture and complicate your life, and the doctor – his work.
It is recommended to keep the same position until the arrival of the doctor.
(the cause is unknown, in some diseases a change in body position
provokes increased pain, with others – to change the position of the body and
completely dangerous).
In other cases – the same advice. Need to take antispasmodics
(most often, pain is associated with spasm of the organ’s smooth muscles). AT
In the future, it is worth planning a visit to a gastroenterologist.
Болит левый man’s side: как поставить диагноз
Diagnosing is the prerogative of the doctor. Self-staging
diagnosis is the same as a roulette game: it may be lucky, and maybe
no (usually the second).
The diagnosis is determined based on:
A) Typical symptomatic complex.
B) Results diagnostic activities.
Задача пациента — четко сформулировать свои
complaints. AT домашних условиях можно лишь предположить в чем источник
ailment. This can be done by observing the attendant
manifestations.
• If it hurts левый man’s side, при этом наблюдаются: изжога,
belching, vomiting – most likely talking about gastritis. If gastritis or
all the more, the ulcer was observed earlier, and then came to replace them
a sudden attack of unbearable pain in the left abdomen, this is the reason
sound the alarm. Can open so-called. perforated ulcer. This pathology
requires immediate surgical treatment in the hospital.
• Pains associated with impaired stool, bleeding,
mucus or pus talk about intestinal problems. It may be
harmless irritable bowel syndrome (“fashionable” in our days
disease), and polyps, and colitis.
• If, in addition to pain, there are problems with urination (pain
during or after, turbidity of urine, etc.) problem, rather
all in the kidneys.
AT целом же, подобный способ определения заболевания сродни
guessing on daisy. Easier and more effective to consult a doctor and go through
examination.
What is included in this broad concept?
1) Collecting anamnesis. ATрач опрашивает пациента, уточняет характер
complaints to make a picture of the process and determine
further diagnostic tactics.
2) Palpation. Consists in conducting functional tests
(the doctor “feels” the affected area, focusing on
the occurrence of pain).
3) Measurement of body temperature. Hyperthermia – frequent satellite
gastrointestinal tract diseases. When pancreatitis fever
much. Especially indicative of the temperature measured
rectally
4) ultrasound diagnostics. Allows you to detect changes in structure
body, assess its size, presence or absence
formations.
5) X-ray. It is used less frequently. More often – after
contrast enhancement.
6) Endoscopic examinations (FGDs, colonoscopy, etc.).
Endoscopic research – a visual way to assess the condition
organs. Somewhat unpleasant, but the result justifies itself on all
one hundred percent. Also, when detecting extraneous formations
enables their removal (polyps) or biopsy (unknown
neoplasms).
7) Laboratory tests of blood, feces, urine. Most
informative:
• Complete blood count (shows inflammation,
processes of a different kind).
• Urinalysis (detects kidney problems).
• Analysis of feces (determines what is the situation with the digestive tract). Besides
coprograms are assigned to fecal occult blood test.
• Biochemical blood test (the doctor will be interested in an indicator
pancreatic amylase).
• Urine biochemistry (also tested for amylase).
• Biochemistry of feces (to determine the concentration of pancreatic
elastase-1).
AT комплексе этих исследований достаточно, чтобы определиться с
likely source of pain. According to the testimony of a gastroenterologist
assign additional studies or refer a patient to
another doctor (for kidney disease, the doctor is a nephrologist,
if you suspect a problem with the lungs, the direction is given to
pulmonologist).
Болит левый man’s side: лечение и лекарства
Pain treatment is to eliminate its source. Insofar as
causes of discomfort are very heterogeneous, diverse and options
treatment. These are two types of therapeutic measures:
• Conservative therapy.
• Surgical treatment.
Conservative therapy (this also includes physiotherapy)
is to take medication. Specific Names
prescribed by a doctor. If we talk about groups of drugs, it is usually
appoint:
• Спазмолитики. To relieve spasm smooth
musculature of the body. These are the already mentioned No-Spa, Drotaverin, and
other medicines. Fortunately, now there is no shortage of drugs.
The pharmaceutical market offers a huge number of analogs for
very different prices.
• Анальгетики. Appointed with caution
since many by themselves have side effects from
Gastrointestinal tract. Used to relieve severe pain.
• Ферменты и антиферменты. Used for
нормализации работы поджелудочной glands. Among the enzymatic
of drugs: Creon, Pancreatin, Mezim, etc., antienzymes: Gordoks
and etc.
• Антацидные препараты. Used when
gastritis with high acidity. Reduce acid concentration:
Альмагель, Рутацид, Гастал and etc.
• Диуретики. With pyelonephritis apply
drugs that increase the rate of urine excretion from the body and
provoking a temporary polyuria.
• With proven inflammatory origin of what hurts
левый man’s side, назначаются
противовоспалительные (аспирин содержащие
препараты и others).
Physical therapy is prescribed after taking a course of medication or
in parallel with their reception. Careful approach to physiotherapy
specific appointments are determined by the physician-physiotherapist.
Surgical treatment is applied strictly according to indications. Among
them:
• Acute pancreatitis.
• Appendicitis.
• Hernia of a diaphragm.
• Прободная язва stomach.
• Polyps or sigmoid colon (often resorted to
endoscopic operations).
Surgical treatment aims to removal of formations either
restoration of the anatomical integrity of the body. Similar operations
transferred relatively easily.
Болит левый man’s side: чего нельзя делать
There are a number of actions that are worth abstaining from.
• Uncontrolled intake of drugs (except antispasmodics).
• As has been said, in the event of acute pain, the position cannot be changed.
тела, это может быть dangerously.
• It is necessary to refuse to accept folk remedies: in most
cases is a waste of time. It is better to spend it on visiting
the doctor.
• Do not self-medicate (in any form). If it hurts
левый man’s side — затягивать с визитом к врачу нельзя.
Causes of abdominal pain on the left are manifold, with everything said
applies not only to men, but also to women. Pain syndrome
always indicative of problems with the body as a rule
искать источник следует в Gastrointestinal tract. Independently determine the cause
pain and even more so to cope with its source is an impossible task:
it is unsafe and hopeless.
