Abdominal Pain Around the Belly Button: Causes and Tests

Q: Abdominal Pain Around the Belly Button: Causes and Tests

Hello： The area around the navel may be related to the gastrointestinal tract, with a higher likelihood involving the pancreas. <br>You should consult a gastroenterologist, and the specific tests to be performed should be determined by the clinical physician. <br>Changhua Hospita

Pain around the abdomen and waist?

Hello doctor, recently I've been experiencing a dull pain around my navel that feels hard when pressed, and it hurts.
The pain seems to move around; for instance, pressing one area might hurt, but after a while, that area feels fine, and pressing another part causes pain.
I initially thought it was a muscle strain from work, but the rehabilitation doesn't seem to be effective.
When sitting, the tenderness on the left side of my navel is particularly noticeable.
What kind of examinations should I undergo? Should I be concerned about my liver, gallbladder, intestines, or kidneys? Thank you.

Awei, 20~29 year old female. Ask Date: 2017/04/05

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: The area around the navel may be related to the gastrointestinal tract, with a higher likelihood involving the pancreas.
You should consult a gastroenterologist, and the specific tests to be performed should be determined by the clinical physician.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/04/05

More Info

Understanding abdominal pain, particularly around the belly button, can be quite complex due to the various organs and structures located in that area. The symptoms you describe—dull pain, tenderness upon pressure, and the shifting nature of the pain—can be indicative of several underlying issues.

Possible Causes of Pain Around the Belly Button
1. Gastrointestinal Issues:
- Irritable Bowel Syndrome (IBS): This common condition can cause cramping, bloating, and changes in bowel habits. The pain can be intermittent and may shift in location.

- Appendicitis: Although typically presenting with pain that starts near the belly button and then moves to the lower right abdomen, early appendicitis can sometimes cause pain around the belly button.

- Diverticulitis: Inflammation of diverticula in the colon can lead to localized pain, often accompanied by changes in bowel habits.

- Hernias: If there is a weakness in the abdominal wall, a hernia can develop, leading to localized pain, especially when straining or lifting.

2. Musculoskeletal Issues:
- Muscle Strain: Given your mention of a possible work-related injury, a strain in the abdominal muscles could lead to localized pain, especially when moving or pressing on the area.

- Nerve Entrapment: Conditions like intercostal neuralgia can cause pain that mimics abdominal pain but originates from nerve irritation.

3. Urological Issues:
- Kidney Stones: Pain from kidney stones can radiate to the abdomen and may be felt around the belly button.

- Urinary Tract Infections (UTIs): These can sometimes present with abdominal pain, particularly if the infection has spread to the kidneys.

4. Gynecological Issues (in females):
- Ovarian Cysts: These can cause localized pain and may be felt around the belly button.

- Endometriosis: This condition can lead to chronic pelvic pain that may be felt in the abdominal area.

Recommended Tests and Evaluations
Given the variety of potential causes, it is essential to undergo a thorough evaluation. Here are some tests that may be recommended:
1. Physical Examination: A healthcare provider will perform a physical exam to assess tenderness, swelling, or any palpable masses in the abdominal area.

2. Blood Tests: These can help identify signs of infection, inflammation, or organ dysfunction (e.g., liver function tests, complete blood count).

3. Urinalysis: This can help rule out urinary tract infections or kidney issues.

4. Imaging Studies:
- Ultrasound: This is a non-invasive way to visualize organs in the abdomen and can help identify issues like gallstones, kidney stones, or ovarian cysts.

- CT Scan: A more detailed imaging study that can provide a comprehensive view of the abdominal organs and help diagnose conditions like appendicitis or diverticulitis.

5. Endoscopy: If gastrointestinal issues are suspected, an endoscopy may be performed to visualize the inside of the digestive tract.

Conclusion
The shifting nature of your pain and its location around the belly button suggests that it could be related to either gastrointestinal or musculoskeletal issues. Given your history of work-related strain, it is plausible that muscle strain could be contributing to your symptoms. However, due to the potential for more serious conditions, it is crucial to consult a healthcare professional for a comprehensive evaluation. Early diagnosis and treatment can help alleviate symptoms and address any underlying issues effectively. If your symptoms persist or worsen, do not hesitate to seek medical attention promptly.

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