Pain when hit to the stomach

[Function]

Hi everyone

 

Most of you have been the lucky ones to have received a blow to the stomach (right under the proc. xyphoideus), whether on purpose or not, and first of all, I was wondering if it hurts with you guys as bad as it does to me. To clarify, it's an extreme pain that causes nausea, dizziness, extreme sweating (in short, for all males here: same symptoms you might experience when getting a blow to the scrotum).

 

If not, then I shouldn't ask my next question and well... Not consult a doctor since it's been extremely painful for all my life. I mean serious, just pressing on the top of my stomach (let's call it epigastric region from now on) even feels uncomfortable, as if your stomach hurts, truth be told.

 

This made me think it's nerves to the stomach itself that sense the blow and make it feel extremely painful.

 

Opinions on the cause? Is the stomach a much-innervated organ? More than others? Cause a blow to the umbilical, or hypogastric region doesn't hurt, or not as much.

 

Thanks!

 

F.

Edited May 24, 2015 by Function

[fiveworlds]

If not, then I shouldn't ask my next question and well... Not consult a doctor since it's been extremely painful for all my life. I mean serious, just pressing on the top of my stomach (let's call it epigastric region from now on) even feels uncomfortable, as if your stomach hurts, truth be told.

 

I am not an expert in stomach blows. You should talk to the doctor.

 

wondering if it hurts with you guys as bad as it does to me.

 

It hurts but how bad depends on how fit you are the abdominal muscles can help.

 

same symptoms you might experience when getting a blow to the scrotum

 

Not really that hurts a ton more

 

nausea, dizziness, extreme sweating

 

Not as much as a slap to the ear.

[physica]

Come on med student you've missed out time scale and pulse and temp , if it hurts on movement, first rule of diagnosis is to go for the most common cause. Most common cause for epigastric pain is acid reflux. This can be linked to trauma as some guys are born with a loose epigastric sphincter.

[Xalatan]

You're describing being winded from being punched in the stomach. Don't know the exact cause, but working off first principles, the stomach is innervated by the vagus nerve and the greater splanchnic nerve. So reflex visceromotor symptoms may include vasovagal reflex, and perhaps there may be an adrenergic component. Referred pain to T5-9 may factor in also.

 

Plus there is a concentration of viscera in the epigastrium - pancreas, liver and gall bladder to the right, spleen to the left.it may be more sensitive vs. the umbilical region. The hypogastrium is protected by the pubic symphysis to a point.