Abdominal pain: When is it innocent?

Abdominal pain is pain that you feel from your sides to your pelvis. It is also known as stomach pain or belly pain. The abdomen houses many organs, including the stomach, liver, pancreas, small and large intestines, and reproductive organs. There are also large blood vessels in the abdomen.

Serious causes of abdominal pain include appendicitis and pregnancy-related issues. However, most abdominal pain is harmless and will resolve without the need for surgery. Most people only need relief from their symptoms. Sometimes, abdominal pain may stop, and the cause will never be known, or the cause may become clearer over time.

When to See a Doctor for Abdominal Pain

You should go straight to your doctor or to the nearest hospital emergency department if you experience any of the following:

  • Severe pain
  • Pain that lasts for several hours
  • Pain or vaginal bleeding if you are pregnant
  • Pain and vomiting or shortness of breath
  • Pain and vomiting with blood
  • Pain that radiates to your chest, neck, or shoulder
  • Fever and sweating
  • Difficulty urinating
  • Any other concerns

Causes of Abdominal Pain in Adults

There are many reasons why you might have abdominal pain. People often worry about appendicitis, gallstones, ulcers, infections, and pregnancy-related issues. Doctors also consider these causes, as well as many other conditions.

Abdominal pain may not even originate from the abdomen itself. Some causes include heart attacks, pneumonia, pelvic or groin issues, certain skin rashes like shingles, and problems with stomach muscles such as a strain. The pain may also occur alongside issues with urination or menstrual problems. With so many organs and structures in the abdomen, it can be difficult for a doctor to be completely sure of the cause of your problem.

Your doctor will ask you many questions and then examine you carefully. Further tests may be necessary. The cause of your pain may not be serious. Another scenario is that the doctor may not be able to find the cause, but the pain improves within hours or days. The doctor will assess whether your pain requires surgery or hospitalization.

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