Consultations in London & Manchester | Treatment in Izmir, Turkey | Caring for UK patients since 2005
Also called: stomach pain, stomach ache, tummy pain, belly pain, abdominal pain, bloating
TYPICALLY OCCURS
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Abdominal pain can originate from many different organs and tissues, which is why the location, type and duration of pain can provide important clues to its cause. The stomach, intestines, gallbladder, liver, pancreas, kidneys and urinary system can all produce pain felt within the abdomen. Common short-term causes include indigestion, trapped wind, constipation and gastroenteritis. Food intolerances and temporary digestive disturbances can also cause cramping, bloating or discomfort, particularly around meals.
Persistent or recurring stomach pain can have a wider range of causes. Acid reflux, gastritis and stomach ulcers may produce discomfort or burning in the upper abdomen, while irritable bowel syndrome (IBS) can cause recurring abdominal pain associated with changes in bowel habits. Gallstones, kidney stones, inflammatory bowel disease, coeliac disease, diverticular disease and pancreatic conditions can also cause abdominal symptoms. Depending on the individual, reproductive and pelvic conditions such as ovarian cysts or endometriosis may produce pain that is perceived as lower abdominal or stomach pain.
The pattern of pain is often as important as its location. Sudden severe pain has different potential causes from mild discomfort that gradually develops over several weeks. Pain that moves, repeatedly occurs after eating, wakes someone from sleep or occurs alongside vomiting, fever, jaundice, bowel changes, urinary symptoms, bleeding or unexplained weight loss may require further investigation. Because abdominal pain has such a wide range of possible causes, persistent symptoms should not automatically be attributed to indigestion or diet without considering the overall pattern and accompanying symptoms.
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Treatments that address this
Professional assessment is worthwhile when stomach pain persists, repeatedly returns, progressively worsens or interferes with eating, sleeping or normal activities. Pain accompanied by persistent changes in bowel habits, difficulty swallowing, unexplained weight loss, recurrent vomiting, urinary symptoms, jaundice or blood in the stool should also be investigated.
Seek urgent medical attention for sudden or severe abdominal pain, particularly if the abdomen becomes very tender, swollen or rigid, or if the pain occurs with persistent vomiting, high fever, fainting, confusion or significant bleeding. Vomiting blood or passing black, tar-like stools also requires urgent assessment.
Severe abdominal pain during pregnancy or when pregnancy is possible, particularly with vaginal bleeding, dizziness, shoulder-tip pain or fainting, also requires urgent medical assessment.
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