The pain below the tibia is more consistent with the symptoms of acute gastritis, but it is difficult to draw an accurate conclusion based on a single symptom. It is necessary to have a comprehensive understanding of acute gastritis and make a judgment based on one's own situation to determine whether it is caused by this disease. If so, timely treatment should be sought. So, what is the cause of pain below the zygomatic bone? Let’s take a look at the reasons below. Clinical manifestations Clinically, acute simple gastritis caused by infection or eating food contaminated by bacterial toxins is the most common. The onset is generally acute, occurring several hours to 24 hours after ingesting contaminated food. Symptoms vary in severity, including discomfort and pain in the upper and middle abdomen, and even severe abdominal cramps, anorexia, nausea, and vomiting. Because it is often accompanied by enteritis, there is diarrhea and watery stools. In severe cases, there may be fever, vomiting and (or) bloody stools, dehydration, shock, and acidosis. Acute simple gastritis caused by drinking, irritating food and drugs is often manifested by upper abdominal distension, pain, loss of appetite, nausea, vomiting and other indigestion symptoms. The symptoms vary in severity. Those accompanied by enteritis may experience fever, colic in the middle and lower abdomen, diarrhea and other symptoms. Physical examination revealed epigastric or periumbilical tenderness and hyperactive bowel sounds. treat 1. General treatment The cause of the disease should be eliminated, the patient should rest in bed, stop eating any food or taking any medicine that may irritate the stomach, give a light diet, fast if necessary, drink plenty of water, and drink sugar and salt water when diarrhea is severe. 2. Symptomatic treatment Treatment is provided for different symptoms. (1) For patients with abdominal pain, local hot compress can be applied. For patients with severe pain, antispasmodics and analgesics such as atropine, compound belladonna tablets, and scopolamine can be given. (2) Metoclopramide (Metoclopramide) can be injected in case of severe vomiting. (3) If necessary, oral H2 receptor antagonists such as cimetidine and ranitidine can be given to reduce gastric acid secretion and alleviate mucosal inflammation. Antacids or mucosal protective drugs such as aluminum carbonate or sucralfate can also be used. 3. Anti-infection treatment Generally, anti-infection treatment is not required, but if the disease is caused by bacteria, especially if accompanied by diarrhea, antibacterial drugs such as berberine (berberine), furazolidone (furazolidone), sulfonamide preparations, quinolone preparations such as norfloxacin (norfloxacin), and gentamicin can be used. 4. Maintain water, electrolyte and acid-base balance When water and electrolyte imbalance is caused by vomiting and diarrhea, oral rehydration can be given for mild cases, and intravenous rehydration should be given for severe cases. Balanced salt solution or 5% glucose saline can be used, and attention should be paid to potassium supplementation. For those with acidosis, 5% sodium bicarbonate injection can be used to correct it. |
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