The cause of
abdominal problems can be hard to pinpoint. Sometimes minor and serious
abdominal problems start with the same symptoms. Fortunately, most abdominal
problems are minor, and home treatment is all that is needed.
Many
times the exact
cause of abdominal pain is hard to find. The severity of your pain, its
location, and other symptoms you have may help determine what is causing the
pain.
Generalized pain occurs
in half of the abdomen or more. Generalized pain can occur with many different
illnesses.
Indigestion and the
stomach flu are common problems that can cause
generalized pain. Home treatment may help relieve some of the discomfort.
Generalized mild pain or crampy pain that becomes more severe over several
hours may be a symptom of a blockage of the intestines (bowel obstruction).
Localized pain is located in one area
of the abdomen. Localized pain that comes on suddenly and gets worse is more
likely to be a symptom of a serious problem. The pain of
appendicitis may start as generalized pain, but it
often moves (localizes) to one area of the abdomen. The pain from gallbladder
disease or
peptic ulcer disease often starts in one area of the
abdomen and stays in that same location. Localized pain that gradually becomes
more severe may be a symptom of inflammation of an abdominal
organ.
Cramping, which can be very painful, is rarely serious
if it is relieved by passing gas or a stool. Many women have cramping pain with
their menstrual periods. Generalized cramping pain is usually not a cause for
concern unless it gets worse, lasts for longer than 24 hours, or localizes.
Cramping that starts suddenly with diarrhea or other minor health problems can
be quite painful but is usually not serious.
Occasionally, severe pain that comes on suddenly may be a
symptom of a rupture of the stomach or intestines (perforation),
torsion of the testicle or
ovary, a
kidney stone,
gallbladder disease, or blood vessel problems, such as
an
aortic aneurysm. The pain caused by appendicitis or
gallbladder disease may increase when you move or cough. Pain that increases
with movement or coughing and does not appear to be caused by strained muscles
is more likely to be a symptom of a serious problem. A visit to a doctor is
usually needed when
severe abdominal pain comes on suddenly, or new and
different mild pain slowly becomes more severe over several hours or
days.
After a minor
abdominal injury, pain, nausea, or vomiting may occur
but often gets better in a few minutes. Pain and other symptoms that continue,
increase, or develop following an injury may mean an abdominal organ has been
damaged.
Many
medicines can cause abdominal pain. Some medicines
also cause side effects, such as constipation, that can make abdominal pain
worse.
Specific abdominal symptoms have been linked with
ovarian cancer. These symptoms include abdominal or
pelvic pain, increased abdominal size or bloating, and difficulty eating or
feeling full quickly. If you have had these symptoms 12 or more times each
month over the past 12 months, talk with your doctor.
Review the
Emergencies and Check Your Symptoms sections to determine if and when you need
to see a doctor.
Do you have any of the following symptoms that require emergency treatment?
Call 911 or other emergency services immediately.
Shock. Shock is more likely to occur
with an injury, bleeding, infection, or a serious illness.
Pain in
the upper abdomen that occurs with chest pain that is crushing or squeezing,
feels like a heavy weight on the chest, or occurs with any other
symptoms of a heart attack
If you are pregnant and have severe pain in the belly, go to
the topic
Pregnancy-Related Problems for evaluation of your
symptoms.
Check Your Symptoms
If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.
Review
health risks that may increase the seriousness of your
symptoms.
Have you had mild pelvic pain that is different than your
usual menstrual cramps or pelvic pain for longer than 24 hours and you have
done a pregnancy test and you are not pregnant?
You need an appointment within the next 1 to 2 weeks if you answer "Yes" to
the following question.
Review
health risks that may increase the seriousness of your
symptoms.
Note:
Call 911 or other emergency services if you have blood in your stool and any
signs of shock, such as:
Passing out (losing
consciousness).
Feeling very dizzy or lightheaded, like you may
pass out.
Feeling very weak or having trouble standing
up.
Being less alert. You may suddenly be unable to respond to
questions, or you may be confused, restless, or fearful.
Certain foods and medicines can change
how the stool looks. Taking medicines that contain bismuth, such as
Pepto-Bismol, or iron tablets can make the stool black, and eating lots of
beets may turn the stool red. Some food colorings also can change the color of
your stool. Eating foods that contain black or dark blue food coloring can turn
your stool black.
Call your health professional immediately if you answer "Yes" to
the following question.
Review
health risks that may increase the seriousness of your
symptoms.
Note:
When you vomit blood, watch for blood in the
stools, such as
tarry, black, or maroon stools. If you think you have
blood in your stool, be sure to answer the question in this section about blood
in the stool.
Call your health professional immediately if you answer "Yes" to
the following question.
Note:
Do not eat or drink anything until you have talked with your doctor.
Did your
abdominal pain start after taking a medicine?
Note:
If your answer is Yes:
Call the doctor who prescribed the
medicine the same day to see whether you should stop taking the medicine or
take a different one. An appointment may not be needed.
If you are
taking a medicine not prescribed by a doctor, stop taking the medicine. Call
your doctor if you feel you need to keep taking the medicine or if you need
help to control your symptoms after you stop the medicine.
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Do you have any of the following symptoms that require emergency treatment?
Call 911 or other emergency services immediately.
Shock. Shock is more likely to occur
with an injury, bleeding, infection, or a serious illness.
Pain in
the upper abdomen that occurs with chest pain that is crushing or squeezing,
feels like a heavy weight on the chest, or occurs with any other
symptoms of a heart attack
If you are pregnant and have severe pain in the belly, go to
the topic
Pregnancy-Related Problems for evaluation of your
symptoms.
Check Your Symptoms
If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.
Review
health risks that may increase the seriousness of your
symptoms.
Have you had mild pelvic pain that is different than your
usual menstrual cramps or pelvic pain for longer than 24 hours and you have
done a pregnancy test and you are not pregnant?
You need an appointment within the next 1 to 2 weeks if you answer "Yes" to
the following question.
Review
health risks that may increase the seriousness of your
symptoms.
Note:
Call 911 or other emergency services if you have blood in your stool and any
signs of shock, such as:
Passing out (losing
consciousness).
Feeling very dizzy or lightheaded, like you may
pass out.
Feeling very weak or having trouble standing
up.
Being less alert. You may suddenly be unable to respond to
questions, or you may be confused, restless, or fearful.
Certain foods and medicines can change
how the stool looks. Taking medicines that contain bismuth, such as
Pepto-Bismol, or iron tablets can make the stool black, and eating lots of
beets may turn the stool red. Some food colorings also can change the color of
your stool. Eating foods that contain black or dark blue food coloring can turn
your stool black.
Call your health professional immediately if you answer "Yes" to
the following question.
Review
health risks that may increase the seriousness of your
symptoms.
Note:
When you vomit blood, watch for blood in the
stools, such as
tarry, black, or maroon stools. If you think you have
blood in your stool, be sure to answer the question in this section about blood
in the stool.
Call your health professional immediately if you answer "Yes" to
the following question.
Note:
Do not eat or drink anything until you have talked with your doctor.
Did your
abdominal pain start after taking a medicine?
Note:
If your answer is Yes:
Call the doctor who prescribed the
medicine the same day to see whether you should stop taking the medicine or
take a different one. An appointment may not be needed.
If you are
taking a medicine not prescribed by a doctor, stop taking the medicine. Call
your doctor if you feel you need to keep taking the medicine or if you need
help to control your symptoms after you stop the medicine.
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
If a visit to a health professional is not needed immediately, see the Home Treatment section for self-care information.
Home Treatment
Most of the time, abdominal pain
improves with home treatment and you do not need a visit to a doctor. Specific
home treatment for abdominal pain often depends on the symptoms you have along
with the pain, such as diarrhea or nausea and vomiting.
If you
have mild abdominal pain without other symptoms, try the following:
Rest until you are feeling
better.
Drink plenty of fluids to prevent
dehydration. You may find that taking small, frequent
sips of a beverage is easier on your stomach than trying to drink a whole glass
at once. Do not drink carbonated or caffeinated drinks, such as soda pop, tea,
or coffee.
Try eating several small meals instead of 2 or 3 large
ones. Eat mild foods, such as rice, dry toast or crackers, bananas, and
applesauce. Do not eat spicy foods, other fruits, alcohol, and drinks that have
caffeine until 48 hours after all symptoms have gone away.
Do not
eat foods that are high in fat. Foods high in fat may increase your abdominal
pain.
Do not use aspirin and other nonsteroidal anti-inflammatory
medicines, such as ibuprofen and naproxen. These
medicines may irritate your stomach and increase your pain.
Symptoms to Watch For During Home Treatment
Use the Check Your Symptoms section to
evaluate your symptoms if one or more of the following symptoms occur during
home treatment:
Pain increases or
localizes to one specific area of the
abdomen.
Pain does not improve in 24 to 48 hours.
Other
symptoms develop, such as diarrhea, nausea, vomiting, a fever, or a change in
urination.
Symptoms become more severe or frequent.
Prevention
Abdominal pain can often be
prevented.
Develop regular bowel habits to prevent
abdominal pain caused by constipation. For more information, see the topic
Constipation, Age 12 and Older.
Develop
regular eating habits. Overeating is a common cause of abdominal discomfort.
Eat slowly and stop when you feel full.
To prevent abdominal pain
caused by swallowing air (aerophagia), do not chew gum or drink carbonated
beverages.
Prevent abdominal injuries by wearing your seat belt
safely and correctly every time you drive or are a passenger in a car.
Wear both your lap and shoulder belts. The
shoulder strap should cross the collarbone, and the lap belt should fit low and
tight.
Do not wear your shoulder strap slipped behind the back or
under the arm. This dangerous habit can cause severe injury, especially in cars
with air bags.
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