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Abdominal Pain - Causes, Symptoms and Treatment
Abdominal pain — a dull ache, a burning sensation, or a sharp, stabbing pain — is one of the most common complaints in all of medicine. Most people can blame abdominal pain on their stomachs, but the stomach is just one potential trouble spot. Any organ in your midsection can cause pain, including your appendix, gallbladder, pancreas, kidneys, and intestines
What causes abdominal pain?
Abdominal pain is caused by inflammation (for example, appendicitis, diverticulitis, colitis ), by stretching or distention of an organ (for example, obstruction of the intestine, blockage of a bile duct by gallstones, swelling of the liver with hepatitis), or by loss of the supply of blood to an organ (for example, ischemic colitis).
Symptoms of Abdominal pain
In a woman who might be pregnant: severe pain that arises suddenly in the lower right or lower left abdomen, usually without vomiting or fever. Some people have constipation, while others have frequent loose stools, often with an urgent need to move the bowels and still others experience alternating constipation and diarrhea. Symptoms may vary from person to person. Severe pain that starts in the upper abdomen and often spreads to the sides and the back. The pain may flare up soon after a large meal, or six to 12 hours after an episode of heavy drinking.
Treatment of Abdominal pain
If the pain eventually proves to be due to a serious problem, and the stomach should be empty to allow the prompt surgery or diagnostic tests. Anticipate this possibility. Sips of water or other clear fluids may be taken, but avoid solid foods. A bowel movement, passage of gas through the rectum, or a good belch may give relief - don’t hold back. If you have not had a bowel movement for several days, an enema can sometimes give relief. Be gentle. A warm bath helps some of you. The key is periodic reevaluation. Any persistent pain should be evaluated at the emergency room or the physician’s office. This treatment should be reserved for mild pains that resolve within 24 hours or are clearly identifiable as viral gastroenteritis, gas pains, heartburn, or another minor problem.
Combination Drugs
Some drugs have a combination of pain reliever with antispasmodic drug. It is an example of shot-gun treatment and these combinations are not rational. At times peptic ulcer pain may resemble colicky pain (or an ulcer without symptoms) that may be aggravated by unnecessary use pain relieving drug combinations. You should feel free to ask the doctor to prescribe a safe drug.
If the pain is high up in your abdomen and occurs after meals, antacids may provide some relief, especially if you feel heartburn or indigestion. Avoid citrus, high-fat foods, fried or greasy foods, tomato products, caffeine, alcohol, and carbonated beverages. You may also try H2 blockers (Tagamet, Pepcid, or Zantac) available over the counter. If any of these medicines worsen your pain, CALL your doctor right away.
AVOID aspirin, ibuprofen or other anti-inflammatory medications, and narcotic pain medications unless your health care provider prescribes them. If you know that your pain is not related to your liver, you can try acetaminophen (Tylenol).
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