The Ovarian Cysts Types - Symptoms And Diagnosis

We can hardly find someone who hasn't suffered from abdominal pain one or more times in his life. Abdominal pain might be of different kinds, the result of a amount of causes, which range between simple your threatening conditions. Irrespective of the cause and the severity, it is troublesome for the sufferers and the caregivers, and hence forces them to get a medical consultation.

Abdomen is the area of the body between the thorax and the pelvis, that will be separated from the thorax by a diaphragm and from the actual pelvis by an imaginary plane อาการ คน ท้อง. Anteriorly the anterior abdominal wall supports it and posteriorly, the spine and back muscles. Skin, superficial fascia, deep fascia, muscles, layers of fascia (Fascia transversalis), extra peritoneal connective tissue and the outer layer of peritoneum form the anterior abdominal wall. The abdominal cavity extends upwards in the concavity of diaphragm and downwards into the pelvic cavity. Since there is overlapping by the ribs in the top of part and pelvic bones in the lower part, the exact size of the abdominal cavity is masked.

The abdomen contains digestive organs like stomach, small intestine, large intestine, liver, gall bladder, pancreas, and uro-genital organs like kidneys, ureters, bladder, fallopian tubes, ovaries and uterus. It also includes organs like spleen, adrenal glands, mesenteric lymph nodes, blood vessels and lymphatic vessels etc. Ligaments formed by peritoneal tissue attach these organs and keep them in position. The peritoneum is a large serous membrane lining the abdominal cavity and offers two layers. The outer layer is known as parietal peritoneum and it covers the inner surface of the abdominal wall and the inner layer is known as visceral peritoneum, which covers the organs and restricts their mobility. These two layers of peritoneum are connected by omentum and mesentery through that your organs get blood supply and nerve supply. The cavity formed by the two layers of peritoneum is really a potential space, called peritoneal cavity, which is moistened with a serous fluid to avoid friction of abdominal contents.

Kinds of abdominal pain:

Depending upon the origin, there might be different types of abdominal pains.

1. Visceral pain (Splanchnic pain): That is due to stimulation of visceral nerves with a noxious agent, which can be living organisms, toxins, mechanical stimuli like stretching, excessive muscular contraction or an ischaemia. Visceral pain is dull in nature and is poorly localized and felt in the midline.

2. Parietal pain: That is also known as somatic pain. Here, some noxious agents stimulate the parietal peritoneum causing a sharp and localized pain. This sort of pain is worse by movements.

3. Referred pain: Here the pain, though originating in other sites, is felt in the abdomen due to common nerve supply. Example: Conditions like pleurisy, pericarditis, torsion of testes etc. cause pain in abdominal region as a result of method of getting nerves having the same root value (Spinal segments).

It was already mentioned that abdominal pain is agonizing for the affected person and his family unit members irrespective of its cause and severity. Intensity of pain may not necessarily indicate the seriousness of the problem because severe pain can be from mild conditions like indigestion and flatulency, where as mild pain might be within life threatening conditions like perforation, cancer etc. Hence proper diagnosis and management is very essential.

Modes of presentation of abdominal pain:

1. Acute abdominal pain: Here, the pain is sudden with a rapid onset and short course, which might be because of severe or mild lesions. The word'acute abdomen'is utilized in conditions wherein the in-patient complains of acute abdominal symptoms that suggest a disease, which definitely or possibly threatens life and may or may not demand urgent surgical interference. Acute pain might be colicky or non colicky in nature.

2. Chronic abdominal pain: Here the pain is long lasting and recurrent or characterized by long suffering. The complaints persist for quite a while with fluctuations in the intensity of symptoms.

3. Sub acute abdominal pain: Whilst the name indicates the duration of pain lies between acute and chronic conditions.

4. Acute exacerbation: In this state, an individual having chronic symptoms includes sudden onset of symptoms that simulate an acute condition. In such cases the individual or the bystanders give the annals of chronic sufferings.