Abdominal Pain (Causes, Remedies, Treatment)


Abdominal pain definition and facts


  • Abdominal (belly) pain is pain or discomfort that is felt in the part of the trunk below the ribs and above the pelvis.
  • It comes from organs within the abdomen or organs adjacent to the belly.
  • It is caused by inflammation, distention of an organ, or by loss of the blood supply to an organ.
  • In irritable bowel syndrome (IBS) it may be caused by contraction of the intestinal muscles or hyper-sensitivity to normal intestinal activities.
  • Symptoms associated with it may include:
    • Bloating.
    • Belching.
    • Gas (flatus, farting).
    • Indigestion.
    • Discomfort in the upper left or right; middle; or lower left or right abdomen.
    • Constipation.
    • Diarrhea.
    • GERD (gastro-esophageal reflux disease).
    • Heartburn.
    • Chest discomfort.
    • Pelvic discomfort.
  • The cause of abdominal pain is diagnosed on the basis of its characteristics of the, physical examination, and testing. Occasionally, surgery is necessary for diagnosis.
  • The medical diagnosis of the cause is challenging because the characteristics may be atypical, tests are not always abnormal, diseases causing pain may mimic each other, and the characteristics may change over time.
  • Medical treatment depends upon the patient’s history of disease or other health conditions that may be the cause.

What is abdominal pain?

Feel the abdomen in the abdomen. The abdomen is an anatomical area that is bounded by the lower margin of the ribs and the diaphragm above, the pelvic bone (pub pub) below and the wings on each side. Although pain may arise from the tissues of the abdominal wall that surround the abdominal cavity (such as skin and muscles), the term abdominal pain is generally used to describe the discomfort arising from the organs within the abdominal cavity. The abdominal organs include stomach, small intestine, colon, liver, gall bladder, spleen and pancreas.

Technically, the lower part of the area described above, is the aquarium, which contains the urinary bladder and rectum, as well as the prostate gland in men, uterus, fallopian tubes and ovaries in women. Often, it can be difficult to know if lower abdominal pain comes from the lower abdomen or pelvis (pelvic pain).

Sometimes the pain can be felt in the abdomen, although it originates in nearby organs, but not inside, from the abdominal cavity, for example, in the affections of the lungs, kidney, uterus or lower ovaries. On the other hand, it is also possible to feel the pain of the abdominal organs. For example, the pain may feel pancreatitis in the back. These last types of pain are described as “transmitted” because they do not arise in the place where they feel, but the cause falls far from where they feel (that is, they are known as a different area).

What causes abdominal pain?


  • Abdominal pain is caused by inflammation of the limb (for example, appendicitis, diverticulitis, colitis), by expanding or swelling device (for example, obstruction of the bowel, obstruction of the bile duct of gallstones, inflammation of the liver with inflammation Liver ), or loss of blood supply to a device (eg, ischemic colitis).
  • To complicate matters, however, abdominal pain can also occur without inflammation, swelling or loss of blood supply. An important example of this is Irritable Bowel Syndrome (IBS). It is not clear what causes abdominal pain in irritable bowel syndrome, but it is thought to be due either to contractions of the abnormal muscles of the intestine (eg, spasm) or sensitive nerves are not normal within the intestines that leads to painful sensations inappropriately (hyper visceral – sensitivity). This is often called functional pain because no specific abnormalities are found to identify the cause, at least not yet.

Where is the pain?


  • Appendicitis usually causes discomfort in the middle of the abdomen and then moves to the right abdomen and the usual location of the appendix.
  •  Usually, dislocations cause discomfort in the lower left abdomen, where most of the diverticular colon is located.
  •   The discomfort of the gallbladder (biliary colic or inflammation of the gallbladder) is usually felt in the middle, upper abdomen, or right upper right near where the gallbladder is located.

What kind and style of pain?


  •  Is it severe, crispy, fixed, or is it waxed and removed? The intestinal obstruction initially causes waves of pain contracted by intestinal muscle contractions and intestinal swelling. Real pain, like cramps, refers to severe contractions in the intestine.
  •   Blockage of the bile ducts through gallstones often causes constant (constant) abdominal pain lasting between 30 minutes and several hours.
  •  Acute pancreatitis usually causes severe, unrelenting, and persistent pain in the upper abdomen and upper back.
  •   The acute pain of appendicitis may initially begin near the navel, but as the inflammation progresses, it moves to the lower right abdomen.
  •   The pain can change over time. For example, obstruction of the bile ducts sometimes progresses to inflammation of the gallbladder with or without infection (acute inflammation of the gallbladder). When this happens, the properties change to those of inflammatory pain.


How is the cause of abdominal pain diagnosed?


  1. Characteristics, physical signs, and other accompanying symptoms.
  2. Findings on physical examination.
  3. Laboratory, radiological, and endoscopic testing.
  4. Surgery.


How long does the pain last?

  •  Anxiety usually uses wax and diminishes for months or years and can last for years or decades.
  • Biliary colic lasts more than several hours.
  •   The pain of pancreatitis lasts a day or more.
  •  Pain Associated with acid – GERD or duodenal ulcer – usually occurs for weeks or months that gets worse followed by periods of weeks or months that are better (periodically).
  •   Functional pain may show this same pattern of cyclicity.

What makes the pain worse?

  •  Pain due to inflammation (appendicitis, blockages, inflammation of the gallbladder, pancreatitis) is usually aggravated by sneezing, coughing or any movement of dissonance. People who suffer from inflammation prefer to lie down.
  • What are the health conditions that worsen or improve abdominal pain?

What relieves the pain?

  •  Epic pain and constipation is often temporarily relieved by bowel movements, and may be associated with changes in bowel habits.
  • Pain can be relieved by temporarily obstructing the stomach or upper intestine with vomiting that reduces swelling caused by blockage.
  •   Eating or taking antacids can temporarily alleviate ulcer pain in the stomach or duodenum, since both food and acid neutralizers are acidic and are responsible for the irritation of ulcers and cause pain.
  •   It is more likely that the pain that arouses the sleep patient is due to non-functional and more important reasons.
  •  Other associated symptoms that accompany abdominal pain may refer to:
  •  Fever suggests inflammation or infection.
  •   Diarrhea or rectal bleeding refers to the bowel cause.
  •   Fever and diarrhea suggest an inflammation of the intestine that can be contagious or non-contagious.
  •   How is the cause of abdominal pain diagnosed?
  •   Doctors determine the cause of pain based on:
  •   Its properties, physical markers and other symptoms that accompany it.
  •   Results of the physical examination.
  •   Medical laboratory, radiological and endoscopic tests


What exams and tests help diagnose the cause of abdominal pain?

  • Physical examination.
  • Laboratory tests.
  • Plain X-rays of the abdomen.
  • Radiographic studies.
  • Endoscopic procedures.


Foods, natural remedies, and OTC treatments for certain causes of abdominal pain


If you are not sure if you need medical advice for abdominal pain, contact your doctor or other health professional before using any home remedy.

Common home remedies and over-the-counter medications include:

  • Eat less food
  • Take small amounts of baking soda
  •   Use lemon juice and / or lime
  • Start a Pratt diet (bananas, rice, apples and toast) for a day or more to relieve symptoms.
  •   Do not smoke or drink alcohol. 

    Some health professionals recommend: 

  •  Take the ginger.
  •  mint.
  • Licorice.
  •  Chamomile tea.
  •   Medications such as bismuth subsalicylate (pepto-psemol), lupramide (imodium), ranitidine (Zantac) and other over-the-counter drugs.

Some of these may help reduce symptoms, but if symptoms persist, seek medical attention. Be careful with the “treatments” advertised as a remedy that can cure all the causes of this problem because there is no such treatment or cure present.

Aspirin or nonsteroidal anti-inflammatory drugs should be avoided until the cause of the pain is diagnosed because the medications can worsen some of the causes (eg, peptic ulcers, gastrointestinal bleeding).

Why can it be difficult to diagnose the cause of abdominal pain?

Recent advances in technology have greatly improved the accuracy, speed and ease of determining the cause of abdominal pain, but there are still major challenges. There are many reasons why a diagnosis is caused by difficulty.
Symptoms can be atypical

For example, pain from appendicitis is sometimes located in the upper part of the right abdomen, and the apology is on the right side. Elderly patients and those who eat corticosteroids may have little or no pain and sensitivity when there is inflammation, for example, with inflammation or blockages of the gallbladder. This occurs because corticosteroids reduce inflammation.

The tests are not always abnormal.

  •  Ultrasound tests can lose gallstones, especially small ones.
  •  Computed tomography may not show pancreatic cancer, especially small ones.
  •  The cup may miss the signs of intestinal obstruction or gastric orifice.
  • Ultrasound and a computed tomography scan can test appendicitis or even cysts, especially if the cysts are small.
  •   Caffeine and other blood tests may be normal despite acute infection or inflammation, especially in people receiving corticosteroids or other drugs that suppress the immune system. 

    The diseases can mimic each other. 

  •  The symptoms of EBS can mimic intestinal obstruction, cancer, ulcers, gall bladder attacks or even appendicitis.
  •   Crohn’s disease can simulate appendicitis.
  •   Right kidney infection can mimic acute inflammation of the gallbladder.
  •   The right ovarian cyst can rupture the appendix. While the left broken ovary sac can imitate blockages.
  •   Kidney stones can mimic appendicitis or blockages. 

    The characteristics of pain can change. 

    An example discussed above is the extent of the inflammation of the pancreas to involve the entire abdomen and the development of colic colics to inflammation of the gallbladder.


What lifestyle choices can I make to prevent abdominal pain?

Changes in lifestyle really depend on the cause of the pain.

  • Eat a healthy diet, exercise, avoid smoking and consume too much alcohol to reduce your chances of finding certain causes.
  •   Good hygiene, especially washing hands and avoiding substances and food contaminated with viruses and bacteria, will reduce the chances of infection due to many infectious causes.


When should you call your doctor about abdominal pain?

Some doctors suggest that if you have reasons for “less severe” pain in the abdomen you will probably have to see a doctor if the symptoms resolve in approximately 24 to 48 hours. For example, if you have viral or bacterial food poisoning, the discomfort was, but did not dry up.

If you have a chronic problem that sometimes causes abdominal discomfort, most doctors suggest that you contact the person who is treating you to get an appointment or a prescription. However, if you have any of the problems or symptoms listed in the previous section on “severe abdominal pain,” you should seek immediate medical attention.

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