Male left lower abdominal pain

Pain in the lower left abdomen is a very acute symptom for male friends. There will be no obvious signs before the onset. Sometimes you will feel radiating pain in your body, which means your condition is getting worse. Patients with acute abdominal pain should first go to the hospital to check the primary disease so that they can receive targeted treatment. Never seek medical treatment rashly.

1. For patients with acute abdominal pain, a preliminary diagnosis should be made based on the nature of the pain, location, duration, presence or absence of radiating pain, and other characteristics, combined with accompanying symptoms and the results of abdominal physical examination.

2. According to the results of the initial diagnosis, necessary tests or special examinations should be carried out in a timely manner, such as the three routine tests, blood and urine amylase, liver and kidney function, abdominal or lower abdominal B-ultrasound examination (including urinary system and pelvic cavity), abdominal plain film, chest X-ray, and CT or MRI examination when necessary; the elderly should also undergo electrocardiogram and other examinations to ensure a timely and clear diagnosis.

3. For patients with acute abdominal pain, the patient's condition and vital signs should be observed at all times, including changes in body temperature, pulse, respiration, blood pressure and urine volume.

4. Do not give strong analgesics to patients with acute abdominal pain before a clear diagnosis, let alone narcotic analgesics such as morphine or pethidine (pethidine), so as not to mask the condition or misdiagnose. Only when the diagnosis is initially confirmed can analgesics or anticonvulsants be used to relieve the patient's pain.

5. If the abdominal pain is clearly caused by gastrointestinal perforation, the patient should fast, replenish energy and electrolytes, and use broad-spectrum antibiotics in a timely manner to lay a good foundation for timely surgical treatment.

6. If the acute abdominal pain is caused by liver or spleen rupture (such as rupture of liver cancer nodules or liver and spleen rupture caused by extra-abdominal trauma), a large amount of bloody fluid can often be drawn out of the abdominal cavity, and the patient is often accompanied by hemorrhagic shock. At this time, in addition to the use of analgesics, anti-shock treatments such as blood volume replenishment should be actively used to create good conditions for surgical treatment.

7. If the abdominal pain is caused by acute intestinal obstruction, intestinal ischemia, intestinal necrosis or acute pancreatitis, the patient should fast and undergo gastrointestinal decompression surgery with a nasogastric tube, and then take appropriate treatment measures.

8. If the abdominal pain is clearly caused by cholelithiasis or urinary tract stones, anticonvulsants can be given for treatment. Patients with common gallbladder stones can be treated with pethidine (Demerol).

9. Women of childbearing age who experience acute abdominal pain, especially severe pain in the middle and lower abdomen, should be asked about their history of amenorrhea and undergo a pelvic B-mode ultrasound examination in a timely manner to determine whether they have ectopic pregnancy, ovarian cyst pedicle torsion, and other diseases.