01
One day back pain, man dies suddenly, doctors caught off guard
I have been practicing medicine for so many years, and I have come to realize a truth: “The King of Hell told you to die at the third watch, and no one can keep you until the fifth watch.” Especially the patient who passed away suddenly just now, let me Once again I felt the impermanence of life.
“He obviously has back pain, why is he gone so soon? I still can’t believe it!”
The trainee nurse who witnessed the death of a patient didn’t know how to calm down for a while. When the uncle was sent, it seemed that he only had a little pain in his back, and there were no other serious symptoms. But what the nurse didn’t know was that he had aortic dissection, a serious condition.
Looking back on this patient, although I felt unwilling, more of it was powerless. At the age of 52, he was in his prime. His son had just got married. After finally settling everything down and enjoying the rest of his life, he just left without even seeing his son for the last time.
In the morning, he was taken to the emergency department. It turned out that as early as the night before, he had intermittent back pain, and the pain did not disappear until the next day, and even evolved into a tear-like pain.
A colleague, out of professional instinct, immediately realized that this might be an aortic dissection. Sure enough, subsequent blood pressure measurements confirmed this, with a blood pressure difference of 28mmHg between the left and right hands.
Although my colleagues responded quickly, they were no match for the changes in the condition. The patient who had been sitting in a chair for a second suddenly fell to the ground, his carotid artery pulsation and breathing stopped, and his heart also stopped.
Three hours of resuscitation did not save the patient’s life. Looking at the red-eyed colleagues and the weeping family members, for the first time, I felt our helplessness in the face of a serious illness.
Back pain is mainly caused by two reasons: physiological and pathological. Physiological is that we often wear high heels and flip-flops for a long time, use mobile phones and computers for a long time, and the bra does not fit well. As well as chronic emotional stress and stress.
For physiological reasons, as long as we change the habit, the pain will usually go away, and there is no need to be too nervous. The pathological cause is back pain caused by some diseases, such as cervical spondylosis, ankylosing spondylitis, internal organs disease, heart disease, etc.
For pathological pain, we must pay attention to prevent the tragedy from happening again!
02
Left Back: Cardiovascular Disease
The human heart is generally on the left side, so back pain caused by heart disease is generally concentrated on the left side of the back. Among them, the most typical ones are angina pectoris, acute aortic dissection and myocardial infarction.
When angina pectoris occurs, there will be significant pain in the precordial area, but this is not absolute. Pain in the back, left shoulder, jaw, etc. may occur. Therefore, if pain in these parts occurs, and angina pectoris is suspected, you can go to the hospital for electrocardiogram, coronary angiography, and electrocardiographic stress test.
Pain in the chest, back, and abdomen that develops for a very short period of time and becomes severe, even to the point of tearing, may be acute aortic dissection. It should be noted that this pain often starts in the front chest and extends to the back.
Myocardial infarction is highly suspected if chest pain is present and complicated neuralgia in the back They are all aggravated by activity and lightened by rest.
Reminder: If patients with three highs and coronary heart disease suddenly experience chest pain or back pain, as well as breathing difficulties and a sense of impending death, they must call the emergency number immediately without delay!
03
Lower Waist: Ankylosing Spondylitis
Ankylosing spondylitis manifests early as pain in the neck, back, sacral, and shoulders of the spine. Because many patients mistakenly believe that it isAnkylosing spondylitis is easily misdiagnosed in the early stages due to overwork and pain that did not manifest itself in the spine at first.
Low back pain caused by ankylosing spondylitis generally lasts for a long time, basically more than or equal to three months, and the more rest, the stronger the pain. Especially in the lower waist position, pain starts from the sacrum from bottom to top, and the movement of these parts is limited, it is difficult to squat, and it is highly suspected of ankylosing spondylitis. You can go to the hospital for routine X-ray, CT, MRI examination and Physical examination, etc. to diagnose.
04
Both sides of waist: acute nephritis
Because the sensory nerve fibers of the kidneys and ureters pass through the splanchnic nerves to the lumbar and thoracic nerves, pain in the lower back can be noticeable after problems with the ureters and kidneys. Especially the pain caused by acute nephritis, the most typical is low back pain or dull pain, the pain will be aggravated when the disease is serious, and the pain may even extend along the ureter to the perineum .
Of course, other diseases of the kidneys can also cause back pain, such as kidney stones, hydronephrosis, and tuberculosis.
05
Vest: Duodenal Ulcer
If you have a duodenal ulcer, you can irritate the celiac plexus and cause pain. At this time, the pain will radiate to the back, especially the vest area.
It should be noted that: if the pain is only in the upper abdomen and there is no pain in the back, it may be a duodenal ulcer on the anterior wall of the bulb; if If the back pain is present, the duodenal ulcer may be posterior wall of the bulb; if the back pain persists, it may be posterior penetrating ulcer .
Duodenal ulcer can usually be diagnosed by gastroscopy. If gastroscopy is not possible, it can be diagnosed by capsule endoscopy and take antacids.
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Spine: Bone Pain
The vast majority of low back pain, especially spinal pain, is associated with primary osteoporosis. Generally, this pain will radiate to both sides along the spine, and the pain will be relieved to a certain extent when lying down or sitting, and the pain will be exacerbated when standing and stretching for a long time.
If primary osteoporosis is suspected, you can go to the hospital for a bone density test, and strengthen nutrition to ensure exercise.
In the event of radiating sciatica, pain in the waist, buttocks, outer calf, dorsum of the foot, a lumbar disc herniation is highly suspected. It can be diagnosed by X-ray, CT or MRI. Such patients must pay more attention to rest at ordinary times, and must be able to be treated by surgery.
If it is muscle pain in the lower back, and this pain has evolved from soreness at the beginning to induration of the muscles in the lower back, which is aggravated after exertion and relieved after proper rest, it may be
strong>Long-term exposure to wet and cold environments results. These patients should rest more and keep warm.
If you have any unexplained back pain, be sure to go to the hospital for a checkup. No disease can be left to chance, only early detection and early treatment can minimize the harm!