What is Abdominal Guarding?
Abdominal guarding is unvoluntary tensing and response of the sinew of the abdominal paries to protect the reddened or injured organ present within the abdomen from feeling the pressure or pain . Abdominal guarding is sense when someone palpates or agitate the abdominal wall . Abdominal guarding is a characteristic finding follow during physical examination for acute painful venter with peritoneal inflammation . The cause could be diverticulitis or appendicitis . The injured muscles of the abdominal rampart tense or stiffen involuntarily by going into a muscle spasm to protect the underlying wound electronic organ and tissues from being disturbed . Abdominal guarding is an involuntary response by the abdominal muscles to prevent pain that can be felt from exam of the venter .
Abdominal guarding is different from intentionally flex the muscles of the abdomen and the tenseness or rigidity felt in people with severe gas . Abdominal guarding is completely involuntary in nature and is an denotation that the trunk is trying to protect itself from further pain . Abdominal guarding can also be a sign of a serious and even fatal medical condition . If you have abdominal guarding , then it is significant to seek immediate medical attention .
What Causes Abdominal Guarding?
Abdominal guarding and abdominal painfulness go hand in mitt . patient role hold abdominal pain will have abdominal guarding . Abdominal pain can be due to a mixed bag of causes , such as problems with abdominal organs , which includeliver , gall bladder , pancreas , diminished and large intestines , tum , aorta , ureters and kidneys . Appendicitis is the common cause of abdominal guarding .
Any problem with the pelvic organs , such as vesica , womb , lower ureter , rectum , ovary and fallopian underground ( in charwoman ) and prostate gland gland ( in men ) can also produce abdominal guarding . Very seldom , lower lung diseases may also get abdominal pain in the neck and guarding .
The site of the abdominal pain calculate on the harmonium , which is cause the problem . Our venter is divided into four quadrants . If the patient is suffering from stomach ulcers , then pain is felt in the left upper quadrant . If gallstones are present , then pain is felt in the right upper quadrant of the abdominal cavity . The pain of the appendicitis is ab initio felt in the correct down in the mouth quarter-circle and then moves towards the umbilicus . Whatever , the location of the abdominal annoyance , it leads to the reception of abdominal guarding in the patient .
As mention before , there are different causes of abdominal annoyance and abdominal guarding . The cause in the adult could be abdominal abscess or cholecystitis . Other causes of abdominal guarding from abdominal botheration include intestine obstruction , Crab , perforation in the belly , bowel , or gall bladder , pancreatitis , gastroenteritis , colic , pyloric stricture , viral infection , abdominal trauma and peritonitis . Dysmenorrhea can also make abdominal guarding in female adolescent . Other campaign for abdominal guarding in women include pelvic inflammatory disease , peritoneal inflammation , ovarian cysts or ectopic maternity .
Symptoms Associated with Abdominal Guarding
Abdominal guarding is almost always a sign of medical parking brake . Other serious symptoms , which can take place with abdominal guarding and indicate a life threatening stipulation include :
Other symptoms link up with abdominal guarding let in :
Diagnosis of Abdominal Guarding
If the affected role has involuntary abdominal guarding , then it is important to consult a Dr. directly to except any serious job . The cause of abdominal guarding could also be something pocket-size , such as a stomach computer virus . So , it is authoritative to name the cause of abdominal guarding before any appropriate treatment can be started . Patient should not take medication to facilitate the painfulness in the abdomen without consult a doctor first , as call for unneeded medicinal drug will alter the pattern of the pain and make it difficult to diagnose the actual underlying consideration for brawn guarding .
The doctor will enquire questions , such as the time when the symptoms pop out , the nature of the pain ; whether it is penetrative , dense , intermittent , duration of the pain and the natural process which triggered theabdominal pain , what makes the pain better and worse . Other symptom besides abdominal guarding should be convey to the doctor . After the affected role ’s medical history is discussed , the doctor then performs a physical exam and rescript lab examination such as :
How is Abdominal Guarding Treated?
handling for abdominal guarding depends on the underlying cause . For small consideration , which cause abdominal guarding , such as intestinal colic , treatment will be simple , such as observation of the patient role and prescribing antibiotics etc . For serious case , such as cancer , treatment will be different and more aggressive .
discourse also includes intravenous fluids to the patient for preventing dehydration , intravenous antibiotics , nasogastric feeding tube and surgery if take .
Complications of Abdominal Guarding
If the grounds of abdominal guarding is not treated , then it can show to be disastrous . If the crusade is abdominal transmission , then the bacteria can infix the pedigree stream ( septicemia ) and there can be a severe drop curtain in the blood pressure resulting in the patient being in shock . If the patient has extreme loss of blood line , then it can also prove to be very fateful . protract vomiting and diarrhoea can lead to electrolyte imbalance and desiccation along with abnormal tenderness cycle , kidney bankruptcy and cushion .
