All rights reserved. The most common are: Abdominal pain can be described as localized, cramp-like, or colicky. Imaging tests, such as MRI scans, ultrasounds, and X-rays, are used to view organs, tissues, and other structures in the abdomen in detail.  Surgical management for causes of abdominal pain includes but is not limited to cholecystectomy, appendectomy, and exploratory laparotomy. Some of the possible causes of abdominal pain when pressing on it (abdominal tenderness) has been discussed below. Tenderness when pressing on these quadrants is usually indicative of a problem with an organ in the specific quadrant. my.clevelandclinic.org/health/diseases_conditions/hic_Abdominal_Pain, med.umich.edu/yourchild/topics/abpain.htm, mayoclinic.org/symptoms/abdominal-pain/basics/definition/sym-20050728, The 14 Most Common Signs of Gluten Intolerance, 10 Things That Could Be Causing Morning Stomach Pain, The Best Stretch Mark Creams for Pregnancy, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, acid reflux (when stomach contents leak backward into the esophagus, causing heartburn and other symptoms), organ rupture or near-rupture (such as a burst appendix, or appendicitis), severe menstrual pain (called dysmenorrhea), uremia (buildup of waste products in your blood), abdominal pain that lasts longer than 24 hours, Boyse, K. (2012, November). However, the pressure on the abdomen like with pressing (palpation) during a physical examination will intensify this pain. However, you can minimize the risk of developing abdominal pain by doing the following: If you have an intestinal disorder, such as Crohn’s disease, follow the diet your doctor has given you to minimize discomfort. It’s also … Blood, urine, and stool samples may also be collected to look for evidence of bacterial, viral, and parasitic infections. Lying down too soon after eating may cause heartburn and abdominal pain. Abdominal pain, also known as a stomach ache, is a symptom associated with both non-serious and serious medical issues.  About 15% of people have a more serious underlying condition such as appendicitis, leaking or ruptured abdominal aortic aneurysm, diverticulitis, or ectopic pregnancy. In women, it can be associated with menstruation, miscarriage, or complications in the female reproductive organs. Other common causes of abdominal pain include: Diseases that affect the digestive system can also cause chronic abdominal pain.  The midgut contains portions of the duodenum (distal), cecum, appendix, ascending colon, and first half of the transverse colon. , Additional investigations that can aid diagnosis include:, If diagnosis remains unclear after history, examination, and basic investigations as above, then more advanced investigations may reveal a diagnosis. It provides support to the organs within the abdomen and also allows for blood/lymphatic vessels and nerves to pass through.
Abdominal pain (RUQ, radiates epigastric), nausea, vomiting, fever, Abdominal pain (sharp epigastric, shooting to back), nausea, vomiting, Clinical (history & physical exam, including.
How is the cause of abdominal pain diagnosed? If you don’t already have a gastroenterologist, the Healthline FindCare tool can help you find a physician in your area. Infections in the throat, intestines, and blood can cause bacteria to enter your digestive tract, resulting in abdominal pain. These tests can help diagnose tumors, fractures, ruptures, and inflammation. This pain occurs suddenly and may feel like a severe muscle spasm. General surgery consultation, possible appendectomy, Labs (leukocytosis, transamintis, hyperbilirubinemia), General surgery consultation, possible cholecystectomy, Possibly consultation of general surgery or interventional radiology, Labs (complete blood count, coagulation profile, transaminases, stool guaiac), Medications: proton pump inhibitor, octreotide, Unstable patient: consultation (general surgery, gastroenterology, interventional radiology), Imaging (abdominal X-ray or CT showing free air), Cecal volvulus: Abdominal pain (acute onset), nausea, vomiting, Cecal: General surgery consultation (right hemicolectomy), If ruptured ectopic pregnancy, patient may present with peritoneal irritation and hypovolemic shock, Labs: complete blood count, urine pregnancy test followed with quantitative blood beta-hCG, If patient is stable: continue diagnostic workup, establish OBGYN follow-up, Imaging: Ultrasound, CT angiography, MRA/magnetic resonance angiography, If patient is stable: admit for observation, Imaging: Chest X-Ray (showing widened mediastinum), CT angiography, MRA, transthoracic echocardiogram/TTE, transesophageal echocardiogram/TEE, Blood transfusion as needed (obtain type and cross), Medications: reduce blood pressure (sodium nitroprusside plus beta blocker or calcium channel blocker), Imaging: FAST examination, CT of abdomen and pelvis, Diagnostic peritoneal aspiration and lavage, If patient is unstable: general or trauma surgery consultation with subsequent exploratory laparotomy, If patient is unstable: general or trauma surgery consultation with subsequent exploratory laparotomy and possible splenectomy, If patient is stable: medical management, consultation of interventional radiology for possible arterial embolization, Abdominal pain is the reason about 3% of adults see their family physician. At times it can be difficult to isolate the problem to one specific quadrant as organs may overlap and pain can radiate to neighboring quadrants. If you have GERD, don’t eat within two hours of bedtime. A more extensive list includes the following: The location of abdominal pain can provide information about what may be causing the pain. Remember that some of the serious and even life threatening conditions may appear with mild to moderate symptoms whereas less serious conditions can present with severe symptoms. tobacco use, alcohol consumption, drug use, and sexual activity) that might make certain diagnoses more likely. It can occur due to various illnesses, or if a … Locations and associated conditions include:, Abdominal pain can be referred to as visceral pain or peritoneal pain. Cramp-like pain may be associated with diarrhea, constipation, bloating, or flatulence. This article lists 10 symptoms of food…, Stomach pain in the morning could be a number of things, including indigestion. It could be something more serious if it persists. If you're seeking a preventative, we've gathered a few of the best stretch mark creams for pregnancy. 2. specifically, such a sensation in the abdomen, considered a sign of peritonitis. Trauma to the abdominal wall can occur for a number of reasons, such as a blow to the abdomen, and the area may be tender for days or even weeks. It is often called a stomachache. Colicky pain is a symptom of more severe conditions, such as gallstones or kidney stones.
Localized pain is limited to one area of the abdomen. Clarifying the patient's current medication regimen, including prescriptions, over-the-counter medications, and supplements. Abdominal pain can be cramp-like, achy, dull, or sharp. About 10% of cases have a more serious cause including gallbladder (gallstones or biliary dyskinesia) or pancreas problems (4%), diverticulitis (3%), appendicitis (2%) and cancer (1%). Here are 14 common signs to look…. One of the most common conditions associated with acute abdominal pain is acute appendicitis. It may also feel sore and tender. Learning about the patient's past medical history, focusing on any prior issues or surgical procedures. Given that a variety of diseases can cause some form of abdominal pain, a systematic approach to the examination of a person and the formulation of a differential diagnosis remains important. Abdominal pain is pain that occurs between the chest and pelvic regions. This pain comes and goes, and may completely subside on its own without treatment. Abdominal pain, Mayo Clinic Staff. The cause of abdominal pain can be diagnosed through a series of tests. Last medically reviewed on January 3, 2020, Gluten intolerance is fairly common and can cause widespread symptoms, some of which are not related to digestion. It should not be confused with the pain that a patient perceives without touching.
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