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Abdominal pain

Posted on  December 4, 2021  by  Mandela

Abdominal pain on the left and right side of the upper and lower abdomen:


Abdominal pain is considered to be the foremost reason for the rush of patients in the emergency department, and it covers a range of 5 to 10% of the total admits in ED departments. It is a diagnostic challenge for emergency physicians because its causes vary, ranging from benign to life-threatening. The common causes include gastro-intestinal, gynecological issues, and so on.


Despite the detailed review, one-fourth of patients were usually left with a non-specific cause, but with recent x-ray imaging breakthroughs, that number has significantly reduced. The older individuals have anomalous briefings, with pain lasting longer at the time of diagnosis. Related features such as vomiting, tachycardia, etc were diagnostic, whereas other features were not. Emergency physicians must know and understand how to recommend a person with an "acute abdomen" who requires emergency reconstructive surgery.


The 4 cornerstone C's of ED care for an acute abdomen should be:


  • Caution
  • Consultation
  • Careful Investigation
  • Close Observation Pain in the abdomen can be felt anywhere from the lower ribs to the pelvis.

Tummy discomfort or stomach ache are other names for the same thing. Many organs are located in the abdomen, such as the stomach, liver, pancreas, small and large intestine, and reproductive organs. The stomach is located in the abdomen. The abdomen is also home to several large blood arteries. Appendicitis and pregnancy complications are both serious causes of stomach discomfort. Mostly abdominal pain, on the other hand, is not harmful and does not require surgery to resolve.


For the most part, individuals just want respite from their ailments. The abdominal pain might go away and the cause will never be discovered, or it can grow more apparent over time.

Common causes of abdominal pain:

Abdominal pain can be caused by an inflammatory reaction, organ expansions, or broadening or loss of blood supply (like ischemic colitis). Some solutions and over medications, as well as a few dietary supplements, can lead to stomach pain.


Drugs can cause this by either aggravating the stomach, causing sickness, torment, and loss of bowels, or by easing back digestion, causing a blockage. Check the label of any medication you are taking to see if stomach pain is listed as a potential side effect. Causes of abdominal pain in adults: The common causes of serve abdominal pain include peptic ulcer, indigestion. gastritis, menstrual cramps, fecal impaction, diverticulitis, torsion of the testicle or an ovary, etc .


Causes of abdominal pain in children:


Emotional imbalance, allergy from milk, urinary tract infections, food poisoning

Diagnosis of abdominal pain:

The reason for abdominal pain is determined based on your symptom history, physical assessment, and, if necessary, tests. A specialist will in all probability pose you a few inquiries concerning the idea of your discomfort, pain, and whether you have any intrinsic clinical or emotional issues that can be the cause of your stomach torment.


Frequent questions by the physicians:


The doctor can ask you questions about the following elements

  • Whether this is dull, stinging, searing, or cramping
  • Whether it comes in waves
  • When you experience or notice it the most.
  • Whether it spreads to other parts of your body Whether some activities or behaviors appear to make it even worse or lighter.


Test that helps in diagnosis of Abdominal pain:

Doctors usually prescribe some of the following tests to determine the source of your abdominal pain if he detects a significant health problem that needs treatment.


  • Colon X-Ray
  • Endoscopy
  • ECG or EKG
  • stool, blood, and urine tests
  • Computerized tomography of the abdomen(CT Scan)
  • X-ray of the lower or upper abdomen

How long abdominal pain can last:

The duration and improvement or worsening of your abdominal depend on the cause of your distress and how your agony reacts to any remedies. Constipation, dietary allergies, lactose intolerance, or stomach infections can all lead to abdominal pain that responds well to self-care methods or goes away on its own. Acute or chronic diseases that produce significant abdominal pain may need long-term therapy before it subsides.


Examples of these conditions include appendicitis, peptic ulcer, intestinal blockage, cancer, and inflammatory bowel disease Pain Is Sustained In Which Part of the Body. Abdominal pain can be classified approximately into many categories, all of which (terms) have occurred in the medical literature:


Types of abdominal pain:


The sort of pain you are experiencing may also provide some insight into the root of your discomfort. Unfortunately, the pain can be diffused at times, making a diagnosis more difficult. Some forms of pain, on the other hand, can help to restrict the diagnosis.


There are several forms of abdominal pain:


  • cramping, twisting, pressure, and bloating are all symptoms of acute, dull, stabbing, or ripping pain.


Upper abdominal pain:


Many causes of 'abdominal discomfort' are not located in the abdomen. This is especially true for upper abdominal pain that arises in an organ or organ system near to the upper abdomen, such as the lower section of the lungs (pneumonia), or infrequently the heart (angina) in women.


  • A sharp ache in the upper abdomen (right, left, both sides, center, or pelvic indicated by R, L, B, C, or P)
  • Poisoning from food-grade C
  • Stones in the gallbladder
  • indigestion and gastric reflux disease (gastroesophageal reflux disease) in the form of an asterisk (C)
  • RBC: Heart attack.

Aches and Pains (reduced blood flow to the heart) In the words of RLBC:


  • Cholangitis (inflammation of the bile ducts) – RC
  • Cholecystitis (inflammation of the gallbladder) – RC
  • a disease of the digestive tract (upper small intestine inflammation) concerning RC
  • Infection with Hepatitis B and C
  • A hiatal hernia in the lower abdomen
  • Occlusion of the digestive tract - RLBC
  • RLBC Injury Reports
  • Cancer of the liver – RC


The ischemia of the mesentery (decreased blood flow to the intestines) In the words of RLBC:


  • Chronic lymphocytic leukemia In the words of RLBC
  • Stomach ache that is not due to an ulcer - C
  • Irritable bowel syndrome (pancreas inflammation, cysts) CRLB
  • Ulcerative colitis of the stomach
  • lower abdominal pain
  • pelvis pain (right and left).

Abdominal Bloating and Upper abdominal pain Lower abdominal pain:

Pain in the lower abdomen (right, left, both sides, center or pelvic indicated by R, L, B, C, P)

  • RLCP: appendicitis, RC cancer, and RLCP
  • Crohn's disease – LC
  • Riddle Me This: Diverticulitis
  • The pregnancy that was not intended - RL
  • Cervical Rectal Lymphoma with Pelvic Pain
  • A hernia in the inguinal area, or RLB
  • RLC Injury - RLBCP: intestinal blockage
  • Rheumatoid arthritis


RLBP: kidney stones.


  • Medium pain during ovulation - RLCP
  • Cysts in the ovaries - RL
  • PID (infection of the female reproductive organs) - CRLP
  • Conception and Pregnancy (PP)
  • (inflammation of the Fallopian tubes) - RL Salpingitis
  • Inflammation of the seminal vesicles - RLBP
  • Shingles - RL
  • Thoracic aortic aneurysm

Can stomach discomfort be caused by anything other than the things listed above? It's unfortunate because the more serious reasons can be any of the "less serious" factors listed above. As a result, most clinicians consider any cause of abdominal pain to be severe if it results in at least one of the following symptoms or signs:


  • Injury is caused by an instrument piercing the abdomen or back.
  • Abdominal or back injuries caused by a sharp item
  • Dehydration
  • an inability to stop feeling sick
  • Stools that are red or tar-colored
  • the sudden halt of bowel motions

Tenderness to hand pressure in the abdomen, pelvis, or flanks Treatment and Medication Options for Abdominal Pain:


Surgery in abdominal pain:


The method of treating abdominal pain is determined by the underlying cause. Self-care techniques, over-the-counter or prescription medicines, or treatments such as drug injections or surgery may be the best course of therapy depending on the source of your pain,


The treatment prescribed by the majority of doctors includes:


Gas discomfort can be relieved with the aid of medicines containing the active component simethicone (Mylanta, Gas-X). An antacid or acid reducer can help relieve heartburn caused by gastroesophageal reflux disease (GERD) (Pepcid AC, Zantac 75). The use of a moderate stool softener or laxative for constipation can help things move along again. Loperamide (Imodium) and bismuth subsalicylate (Kaopectate or Pepto-Bismol)-containing medications may help relieve diarrheal cramps.


Self-Care Measures for abdominal pain:

The following self-care actions may help relieve mild abdominal pain caused by digestive upset:


  • Avoiding solid meals for a few hours
  • Drinking just water or clear fluids
  • Taking it easy until you feel better
  • Avoid dairy products, citrus fruits, fatty meals, tomato products, caffeine, alcohol, and carbonated beverages.

Consume only bland foods, such as crackers, grains, bananas, or applesauce+6 Aspirin, ibuprofen, and other nonsteroidal anti-inflammatory medicines (NSAIDs) might irritate your stomach and worsen your discomfort, according to Kaiser Permanente.

Procedures and Surgery for abdominal pain:

Abdominal discomfort can be treated efficiently with office treatments or surgery in some situations. The following are examples of methods that could be used

  • Anesthesia injections, corticosteroid injections, hernia repair surgery, and appendectomy are all options.


Alternative and Complementary Therapies for abdominal pain:


In addition to self-care measures, alternative therapies may help you minimize or manage stomach discomfort. MedlinePlus lists the following preventative measures:


Treatments include:


  • Acupuncture
  • Hypnosis
  • Meditation
  • stress reduction instruction.

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