Abdominal pain is pain that occurs between the chest and pelvic regions. Abdominal pain can be crampy, achy, dull, intermittent or sharp. It’s also called a stomachache.
Inflammation or diseases that affect the organs in the abdomen can cause abdominal pain. Major organs located in the abdomen include:
- intestines (small and large)
- kidneys
- appendix (a part of the large intestine)
- spleen
- stomach
- gallbladder
- liver
- pancreas
Viral, bacterial, or parasitic infections that affect the stomach and intestines may also cause significant abdominal pain.
Abdominal pain can be caused by many conditions. However, the main causes are infection, abnormal growths, inflammation, obstruction (blockage), and intestinal disorders.
Infections in the throat, intestines, and blood can cause bacteria to enter your digestive tract, resulting in abdominal pain. These infections may also cause changes in digestion, such as diarrhea or constipation.
Cramps associated with menstruation are also a potential source of lower abdominal pain, but more commonly these are known to cause pelvic pain.
Other common causes of abdominal pain include:
- constipation
- diarrhea
- gastroenteritis (stomach flu)
- acid reflux (when stomach contents leak backward into the esophagus, causing heartburn and other symptoms)
- vomiting
- stress
Diseases that affect the digestive system can also cause chronic abdominal pain. The most common are:
- gastroesophageal reflux disease (GERD)
- irritable bowel syndrome or spastic colon (a disorder that causes abdominal pain, cramping, and changes in bowel movements)
- Crohn’s disease (an inflammatory bowel disease)
- lactose intolerance (the inability to digest lactose, the sugar found in milk and milk products)
Causes of severe abdominal pain include:
- organ rupture or near-rupture (such as a burst appendix, or appendicitis)
- gallbladder stones (known as gallstones)
- kidney stones
- kidney infection
Abdominal pain can be described as localized, cramp-like, or colicky.
Localized pain is limited to one area of the abdomen. This type of pain is often caused by problems in a particular organ. The most common cause of localized pain is stomach ulcers (open sores on the inner lining of the stomach).
Cramp-like pain may be associated with diarrhea, constipation, bloating, or flatulence. In women, it can be associated with menstruation, miscarriage, or complications in the female reproductive organs. This pain comes and goes, and may completely subside on its own without treatment.
Colicky pain is a symptom of more severe conditions, such as gallstones or kidney stones. This pain occurs suddenly and may feel like a severe muscle spasm.
The location of the pain within the abdomen may be a clue as to its cause.
Pain that is generalized throughout the abdomen (not in one specific area) may indicate:
- appendicitis (inflammation of the appendix)
- Crohn’s disease
- traumatic injury
- irritable bowel syndrome
- urinary tract infection
- the flu
Pain that is focused in the lower abdomen may indicate:
- appendicitis
- intestinal obstruction
- ectopic pregnancy (a pregnancy that occurs outside the womb)
In women, pain in the reproductive organs of the lower abdomen can be caused by:
- severe menstrual pain (called dysmenorrhea)
- ovarian cysts
- miscarriage
- fibroids
- endometriosis
- pelvic inflammatory disease
- ectopic pregnancy
Upper abdominal painmay be caused by:
- gallstones
- heart attack
- hepatitis (liver inflammation)
- pneumonia
Pain in the center of the abdomen might be from:
- appendicitis
- gastroenteritis
- injury
- uremia (buildup of waste products in your blood)
Lower left abdominal pain may be caused by:
- Crohn’s disease
- cancer
- kidney infection
- ovarian cysts
- appendicitis
Upper left abdominal pain is sometimes caused by:
- enlarged spleen
- fecal impaction (hardened stool that can’t be eliminated)
- injury
- kidney infection
- heart attack
- cancer
Causes of lower right abdominal pain include:
- appendicitis
- hernia (when an organ protrudes through a weak spot in the abdominal muscles)
- kidney infection
- cancer
- flu
Upper right abdominal painmay be from:
- hepatitis
- injury
- pneumonia
- appendicitis
Mild abdominal pain may go away without treatment. However, in some cases, abdominal pain may warrant a trip to the doctor.
You should seek immediate medical care if the pain is so severe that you can’t sit still or need to curl into a ball to get comfortable, or if you have any of the following:
- bloody stools
- high fever (greater than 101°F)
- vomiting up blood (called hematemesis)
- persistent nausea or vomiting
- yellowing of the skin or eyes
- swelling or severe tenderness of the abdomen
- difficulty breathing
Make an appointment with your doctor if you experience any of the following symptoms:
- abdominal pain that lasts longer than 24 hours
- prolonged constipation
- vomiting
- a burning sensation when you urinate
- fever
- loss of appetite
- unexplained weight loss
Not all forms of abdominal pain are preventable. However, you can minimize the risk of developing abdominal pain by doing the following:
- Eat a healthy diet.
- Drink water frequently.
- Exercise regularly.
- Eat smaller meals.
If you have an intestinal disorder, such as Crohn’s disease, follow the diet your doctor has given you to minimize discomfort. If you have GERD, don’t eat within two hours of bedtime.
Lying down too soon after eating may cause heartburn and abdominal pain. Try waiting at least two hours after eating before lying down.
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