The papillary region in medical practice serves as a projection guide for internal organs. Another name for this zone is the epigastrium. Given the localization of the pain syndrome, the doctor during the examination of the patient identifies the site of the lesion, and also establishes a preliminary diagnosis. Where is the pit of stomach located ? The epigastrium is located directly under the xiphoid process. The subrenal region corresponds to the projection of the stomach onto the anterior wall of the peritoneum.
Clinical picture
Pain in the epigastric region occurs with pathologies of the gastrointestinal tract. In order to determine which part of the digestive organ is affected, it is necessary to establish the intensity of pain from the midline of the body. Soreness of a blunt or acute, as well as aching and bursting nature may indicate gastritis or a stomach ulcer. In these cases, the patient feels discomfort in the sternum along the esophagus. As a rule, soreness is not associated with physical activity. However, discomfort can also occur in connection with a violation of the diet. Typically, the pancreas begins to bother lovers of spicy and sour foods, strong coffee and other products. During the period of greatest exacerbation, vomiting is observed. After it, the sensations of soreness usually disappear. To prevent such attacks, you should strictly follow the diet prescribed by your doctor. To relieve such symptoms, it is recommended to apply a warm heating pad to the epigastric region, drink weak tea or hot water.
Meal time
In the event of discomfort in the epigastrium, it is necessary to establish its relationship with the use of food. When seizures occur within half an hour or an hour after eating, the pain is called early. Its duration usually varies between 1-1.5 hours. After the intake of food masses from the stomach into the intestines, such sensations disappear. If, after a meal, one and a half to three hours have passed, and the epigastric region began to disturb, then it is called the late. This is due to the penetration into the duodenum of gastric juice, causing irritation of its mucous membranes. Patients with these symptoms tend to feel "hungry pains." They begin 6-7 hours after eating and end after a meal. People suffering from an ulcer of an organ in the digestive system have pain at night. They usually occur from 11 pm and last until about 3 in the morning.
Body position and physical exertion
With the omission of the stomach, the pain intensifies significantly when the human body is in an upright position. In the case of adhesions with surrounding organs, sensations are aggravated by lifting weights and changing the position of the body.
Nature and intensity
Diseases of the stomach are most often accompanied by aching or cramping pains. Usually they are moderately intense. However, perforation of a gastric ulcer is characterized by severe "dagger" pain. In addition, the frequency of attacks is characteristic of ulcerative pathologies (pain alternates with the stage of absence of symptoms), seasonality of exacerbation (manifests itself mainly in the spring-autumn period and passes in the summer).
Treatment
In order to achieve the highest results, complex therapy is used to reduce the acidity of the stomach, heal ulcers, destroy harmful bacteria, as well as a sparing diet. Epigastric pain can reduce antacids, which tend to envelop the gastric mucosa. In the treatment of malignant tumors, only narcotic analgesics bring relief , therapy is impossible without them.