Is allergic purpura with abdominal pain easy to treat?

Written by Zhang Peng
General Surgery
Updated on September 27, 2024
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Allergic purpura with abdominal pain, also known as abdominal allergic purpura, involves gastrointestinal symptoms associated with allergic purpura, primarily characterized by episodic severe abdominal pain, usually around the navel or lower abdomen, and may sometimes be accompanied by vomiting. Treatment typically involves bed rest, actively identifying the cause, controlling infections, and supplementing relevant vitamins. It's also important to check for any symptoms of gastrointestinal bleeding. If there are signs of gastrointestinal bleeding, strict dietary management is necessary, blood transfusions may be required when needed, and the healing of the gastrointestinal tract must be monitored. Medications to suppress acid or protect the gastric mucosa could be considered. Generally, the prognosis for allergic purpura is favorable, though very few severe cases may experience gastrointestinal complications such as bleeding, intussusception, or even necrosis. Although the prognosis is generally good, relapse is common. (Please use medications under the guidance of a professional physician and do not self-medicate.)

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Written by Yang Ya Meng
Rheumatology
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What medicine is taken for allergic purpura?

The medication for allergic purpura should be determined based on the severity of the patient's condition. If the patient only shows symptoms like rashes, the focus should be on reducing the rashes, and medications such as compound glycyrrhizin and desloratadine can be used for their anti-allergic effects. If the main clinical manifestation of allergic purpura is joint pain, some non-steroidal pain relief medications can be added for pain relief. However, if the patient primarily exhibits involvement of internal organs, such as gastrointestinal involvement in allergic purpura starting with abdominal pain, or kidney damage marked by significant proteinuria, then corticosteroids and immunosuppressants should be considered for treatment. (Please use medications under the guidance of a doctor).

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Written by Liu Jing
Dermatology
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Can allergic purpura be cured completely?

Allergic purpura is a type of vasculitis that recurs symptomatically, but most cases can be cured with systematic and standardized medication. This disease has complex classifications including skin type, gastrointestinal type, joint type, and renal type. The simple types generally have milder symptoms and are easier to cure; however, complex damages often exhibit a clinical characteristic of being difficult to cure. It is important to rest, control physical activity, and follow a cautious and reasonable diet, avoiding cold foods and seafood. Treatment involves anti-inflammatory measures, improving the permeability of peripheral blood vessels, and supporting immune regulation.

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Written by Yang Ya Meng
Rheumatology
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Can people with allergic purpura eat chicken?

Patients with allergic purpura can eat chicken. In the diet of patients with allergic purpura, the general principle is to try to reduce the consumption of spicy foods and some potential irritants such as celery, coriander, and shiitake mushrooms, which should be eaten sparingly. Chicken is not considered an irritant and can be consumed. In addition to strict dietary precautions to avoid allergens, patients with allergic purpura should also avoid vigorous exercise and strictly avoid getting cold and infections, as both vigorous exercise and infections can potentially trigger acute episodes of allergic purpura.

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Written by Li Jing
Rheumatology
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Can allergic purpura cause itching?

Allergic purpura is mainly seen in adolescents and children, with a higher incidence in spring and autumn. The most common cause is infection, followed by medications or food, which can also trigger an episode of allergic purpura. The most common symptoms include purpura on the skin and mucous membranes, abdominal pain, blood in stools, hematuria, or joint pain. The purpura primarily affects the limbs, rarely appears on the trunk, and is symmetrically distributed. At this time, the bleeding spots often have no symptoms, meaning there is no itching of the skin. However, when there is concomitant skin edema or hives, itching can occur.

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Written by Yang Ya Meng
Rheumatology
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Recurrent symptoms of allergic purpura

The clinical manifestations of recurrent allergic purpura primarily include purpuric rashes on the lower limbs. If the patient experiences joint pain, it is also a clinical symptom of recurrent allergic purpura. Some severe cases of allergic purpura may even present with abdominal pain and other gastrointestinal symptoms. Additionally, some patients may exhibit significant amounts of protein in the urine and impaired creatinine levels. This indicates allergic purpura with purpuric nephritis, which is considered severe in the context of allergic purpura. Therefore, if a patient presents with the aforementioned symptoms, the recurrence of allergic purpura should be considered. At this point, further examinations such as blood tests, urine tests, and kidney function tests can be conducted to assess the condition.