Система Orphus

Symptoms of disease - abdominal pain

Abdominal pain (stomach pain) - one of the most common complaints of patients. It can be very different - indeed, in the abdominal cavity next to each other are many organs: stomach, liver, gall bladder, pancreas, intestine, and is just around the buds and ovaries. Each of them hurts-in their own and require treatment. In some cases you can get home remedies, and sometimes an urgent need to call an ambulance emergency assistance.



Which diseases there is abdominal pain

How can you describe abdominal pain?
It is possible to allocate two most common type of pain:

- Spastic (seizure) abdominal pain, the so-called colic. It usually manifests itself wavy attacks, the intensity of which increases or decreases. The pain is caused by deformations in the intestine (tensions or compressions), and, as a rule, is a consequence of hyperactive both peristalsis. The pain causes excess gas formation in the intestine, infectious inflammatory processes or stress.
The most dangerous and unpleasant conditions are combined in the concept of "acute abdomen" (acute pancreatitis, peritonitis). The pain is most often intense, taste, sense of well-being - bad, often the temperature rises, opens a severe vomiting, abdominal wall muscles are tense. In this situation it is impossible to give any pain medication prior to the medical examination, and urgently call an ambulance and hospitalized in a surgical hospital. Appendicitis in the early stages usually is not accompanied by great pain. On the contrary, the pain is dull, but rather the constant on the right side of the abdomen (though begin may top left), usually at the same time - a small rise in temperature, can be single vomiting. State of health may deteriorate with time, and as a result there are signs of "acute abdomen".

- Constant abdominal pain. This type of pain in the abdomen is characterized by relatively constant and stable over. Patients often describe it as a "burning in the stomach", sharp and cutting or "starve" the pain. This type of pain is the result of serious inflammation of abdominal cavity organs, ulcerative lesions of the attacks, gallbladder disease, abscesses or acute pancreatitis.

- Another type of pain - chronic pain, which periodically disappear, then reappear. Such pain is usually accompanied by any of the following conditions (chronic disease or infection of the gastrointestinal tract). If there is such a pain, you should consult your doctor and be prepared to answer these questions: whether the pain with food (i.e. they appear always to or always after a meal, or only after some kind of a particular meal); how often there is pain, as far as they are strong; whether the pain with physiological functions, and the older girls with monthly; where usually hurts, is there some specific localization of the pain, the pain somewhere spread; it is desirable to describe the nature of the pain, if a child can already do this ("pull", "burns", "colette", "cut" and etc.); what types of activities are usually help with pain (drugs, enema or venting tube, massage, calm, cold, heat, etc.). Best of all, if the doctor will you come, already having on hands the results of the analysis on disbacteriosis, ULTRASOUND examination of abdominal cavity organs.

- There are such abdominal pain, which are not associated with diseases of the intestines and other internal organs - neurotic pain. People may complain of pain, when he was afraid of something or does not want to or after some psycho-emotional stress, turmoil. In this case, it is not necessary that it simulates, the stomach can really hurt, sometimes even pain - very strong, like "acute abdomen". But in the survey find nothing. In this case, you need to consult a psychologist or a neurologist. You can go and to see a cardiologist, if the pain in the abdomen are part of the vegetative-vascular dystonia, when the child has, in addition to the pain in the abdomen may be sweating, fatigue, palpitations.

Often abdominal pain accompanied by other unpleasant symptoms, such as sweating, nausea, vomiting, rumbling (particularly when making a horizontal position or change of position). The symptoms are important factors, pointing to the disturbance of the function of the intestines, stomach, biliary tract or inflammatory processes in the pancreas. Chills and fever usually accompany dangerous intestinal infection or obstruction of the bile ducts. Change the color of urine and feces is also a sign of the blockade of the biliary tract. When the urine, as a rule, becomes a dark color, and calories lighter. Intensive a convulsive pain, accompanied by a black or bloody chair, indicates the presence of internal bleeding and requires immediate hospitalization.

How long does it take abdominal pain?
Usually the pain, which lasts from a few seconds to a minute, is not a serious cause for concern.

The pain, the duration of which is hours or even days, is a serious symptom, and You should as soon as possible to undergo a medical examination.

When may appear abdominal pain?
Abdominal pain may occur spontaneously at any time. Look at some of the most frequent manifestations of the syndrome of abdominal pain.

Intense abdominal pain, which makes You wake up in the night. It may appear before or after meals. The pain can often be preceded by a bowel movement, or is manifested immediately after the act of defecation. "Cutting" pain, characteristic for ulcer of the intestines, is manifested directly before eating. The intense pain caused by gallbladder disease, as the pain for pancreatitis usually develops after a meal. The most frequent reasons that determine abdominal pain, are irritable bowel syndrome, diskinesia biliary tract. For people suffering from irritable bowel syndrome characterized by the appearance of pain immediately after the meal, which is accompanied by swelling of the abdomen, increased peristalsis, rumble, diarrhoea or shortening chair. The pain subside after defecation, and passing the gases and, as a rule, do not bother at night. Pain syndrome irritable bowel syndrome is not accompanied by loss of body weight, fever, anemia.

Inflammatory bowel disease, accompanied by diarrhoea (diarrhea), also may cause spasm and pain usually before or after bowel movements. Among patients with psychogenic disorders of the gastro-intestinal tract pain in the abdomen as the leading symptom occurs in 30% of cases.

Where do You hurt?
The place of localization of pain is one of the main factors of the diagnosis of the disease. Pain concentrated in the upper parts of the abdominal cavity is usually caused by violations in the esophagus, intestines, bile ducts, liver, pancreas. Pain that occurs during the gallbladder disease or inflammatory processes in the liver, is localized in the upper right of the department of the peritoneum; (may irradiate under the right shoulder blade). Pain in the ulcers and pancreatitis, as a rule, changes across the whole back. Pain, caused by disorders of the small intestine, usually focused around the navel, then as the pain caused by a thick intestine, are recognized in the middle of the abdomen and below the navel. Pelvic pain is usually felt as a pressure and discomfort in the rectal area. Syndrome of abdominal pain, pain, as a rule, small intensity, is concentrated in the upper middle part of the abdomen, or in the lower left her department. Pain syndrome is characterized by diversity of manifestations: from diffuse dull pain to acute, spasmodic; from permanent to paroxysms of pain in the abdomen. Duration of pain episodes - from several minutes to several hours. In 70% of cases the pain is accompanied by a violation of the motor activity of the bowel (diarrhea or constipation).

What causes abdominal pain?
The most common reason is the food that we eat. Irritation of the esophagus (pressing pain) causes salty, too hot or cold food. Some of the products (bold, rich in cholesterol food) stimulate the formation or movement of gallstones, causing bouts of biliary colic. Not a secret, that many people have intolerance to certain kinds of products, for example, milk, dairy sugar or lactose. Their use in food leads to spastic pains in the abdomen, swelling stomach and diarrhea.

In any case, it is necessary to visit the doctor?
In case of a positive answer to at least one of the following questions, You should consult to the doctor- gastroenterologist:
- You often feel pain in your stomach?
- Does the pain in Your everyday activity and working responsibilities?
- You see weight loss or loss of appetite?
Your pain is accompanied by vomiting or nausea?
- Do You see a change in bowel habits?
- Wake up do You from intense pain in the abdomen?
- Suffered do You in the past from such diseases as plague, gallstone disease, inflammatory bowel diseases, surgical intervention?
- Do not possess if Your medications side effects from the STOMACH (aspirin, nonsteroidal anti-inflammatory drugs)?

Pain in the epigastric region

Character. Blunt or sharp, swelling or aching.
Where he gives. May give retrosternal in the course of the esophagus.
What are accompanied with. May occur vomiting at the moment of special enhance pain. After vomiting pain, as a rule, disappears.
After that. Do not depend on the previous exercise, but may be associated with the consumption of food spicy, acidic foods, strong coffee, transferred strong stress in the course of the last year.
What it can be. Gastritis or peptic ulcer disease.
What to do? Surveyed in the gastroenterologist. If the diagnosis is confirmed, gastritis or ulcers can be cured for 7-14 days. To facilitate the state during the attack attach to painful place warm heater, you can drink hot weak tea or just hot water. If vomiting with some blood (when the masses have the form of coffee grounds) "call "ambulance".

The pain in the right hypochondrium

Character. Sharp, squeezing.
Where he gives. In the small of the back to the right, the right half of the thorax, the right shoulder, under the right shoulder blade.
What are accompanied with. Feeling of bitterness in the mouth, may be vomiting bile, after which comes the relief, can raise the temperature.
After that. After the abuse of acute fatty meal or after the bumps in the road transport.
The Diagnosis. Cholecystitis.
What to do? Take antispasmodic (preparation on the basis of drotaverin or papaverine) and any drug of digestive enzymes (this will provide the body to complete peace). Go for an ULTRASOUND to make sure that in the gall bladder no stones. If not, then warn attacks blind soundings. To do this, a little heat, stirring constantly, to come all the bubbles, a glass of cholagogue mineral water. Drink small sips for two-three minutes. After that, attach the warm hot water bottle to the right hypochondrium and lie down on the right side of 40-60 minutes. After that should be relaxed. If it is not - repeat. If the stones are, then consult surgeon about surgery to remove the gallbladder.

Pain around the abdomen

Character. Surrounded by the upper regions of the abdomen.
Where he gives. In the small of the back.
What are followed. Dryness and unpleasant taste in the mouth, repeated vomiting, after which does not occur, facilitate, may increase the blood pressure.
After that. After use, on the eve of alcohol, spicy or fatty foods.
The Diagnosis. Acute pancreatitis.
What to do? Immediately need to seek medical help. Without it there may come necrosis of pancreatic - pancreatic necrosis, and it is vital dangerous condition.

Pain near the navel

Character. Appeared suddenly, sharp, cramping, strong.
Where he gives. Impact no.
What are followed. Weakness, chills.
After that. After eating food rich in fiber, strong coffee, chocolate.
The Diagnosis. Intestinal kolica.
What to do? Take a tablet-antispasmodic (for example, on the basis of drotaverin or papaverine) and take the situation lying down. Pain are themselves a few 15-20 min. (sometimes after easing), but may later appear again - then the tactics you can repeat. So that they no longer appeared, not drinking too much coffee, chocolate and do not overeat.

Pain in the middle of the belly with one hand

Character. Appeared suddenly. May be so severe that patients are tossing in bed, not finding a place, groaning.
Where he gives. In the small of the back, crotch.
What are accompanied with. Quickened urge to urinate.
After that. After abundant drinking water mineral water, over-eating watermelon.
What it can be. Close the stones from the kidney.
What to do? Treat hot-water bottle, a hot tub, antispasmodics. If the urine was bleeding or pain reaches a shock force, call "ambulance".

Pain bottom right

Character. At first appear in the epigastric region, then gradually become stronger and down in the bottom right (iliac) of the abdomen.
Where he gives. In the rectum, is enhanced when walking (patients move bent to the right), will be strengthened when you try to lie down on the left side.
What are accompanied with. May increase the temperature, nausea.
After that. The exact relationship is not.
What it can be. Appendicitis.
What to do? Call "ambulance".

The pain was all over his stomach

Character. It hurts all of his belly at the same time, constantly.
Where he gives. In other sections of the abdomen (if any).
What are followed. Dryness in the mouth, nausea, fever, weakness.
After that. After the pain, in which the day did not help any of the medications.
What it can be. Inflammation of the peritoneum (peritonitis). Mortally dangerous disease.
What to do? Call "ambulance".

Pain in women in the lower abdomen.

Over pubis in the center or from two parties

Character. Drawing, non-permanent.
Where he gives. In the crotch and (or) in the lower side of the departments of the stomach.
What are accompanied with. May be a discharge from the genital tract. Amplified when walking.
After that. After hypothermia, acute food, strong stress.
What it can be. Disease gynecology, for example, adnexitis, endometriosis, fibroma.
What to do? Go to the gynecologist at the reception.

Right or left over pubis.

Character. Arisen suddenly, sharply, very strong.
Where he gives. In the anus or anywhere pain (local).
What are accompanied with. Dizziness, weakness, may be faint.
After that. Most often after sexual intercourse (at the breaking of cysts) or after 1-2 weeks of delay of menstruation (for ectopic pregnancy).
What it can be. One of the symptoms of rupture of ovarian cysts or ectopic pregnancy.
What to do? To call an ambulance.



Which doctor should I contact if there is a abdominal pain

  • Gastroenterologist
  • The emergency doctor


Are you experiencing abdominal pain? You want to know more detailed information, or you need an inspection? Please sign up on reception to the doctor! Doctors will examine you, examine the external signs and help to determine the disease the symptoms, they will consult you and provide the necessary assistance. You can also call the doctor on the house.

Do you feel abdominal ache? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

Pains by category

Pains by alphabet


Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.