Abdominal Pain: Is It Gas or Something More Serious?

I have an unusual feeling in my abdomen?

Hello, Dr.
Yang.
I have a question regarding my health.
Just two days ago, I experienced pain when pressing about 20 centimeters to the right of my navel; no other areas hurt.
Yesterday, early Saturday morning, I went to the emergency room in Taoyuan because I was afraid it might be appendicitis and that I would need surgery like my family members.
However, the doctor that day said it might be gas and told me to go home.
But I still feel something is off, and the pain hasn't improved.
I am 20 years old and have never had surgery before, so I am worried that there might be an issue in another area.
I hope the doctor can provide some answers.
Thank you.

Mr. Luo, 20~29 year old female. Ask Date: 2002/11/17

Dr. Yang Peizhen reply Gastroenterology and Hepatology

Dear Mr.
Luo,
The tenderness located approximately 20 centimeters to the right of the umbilicus may have several potential causes, including enteritis, constipation, kidney stones, or muscle pain, among others.
The typical location for an acute appendicitis attack is in the right lower abdomen; however, in the early stages, the pain may migrate to any part of the abdomen before ultimately settling in the right lower quadrant.
If accompanied by symptoms such as fever, nausea, vomiting, and elevated white blood cell count, there is a strong suspicion of acute appendicitis.
Therefore, a simple abdominal X-ray, along with urine and blood tests for white blood cell count, can provide initial differential diagnosis.
Wishing you and your family peace and happiness.
Sincerely,
Dr.
Yang Pei-Zhen
Taoyuan Hospital, Department of Health, Executive Yuan

Reply Date: 2002/11/17

More Info

Understanding abdominal pain can be quite complex, as it can stem from a variety of causes, ranging from benign issues like gas to more serious conditions that may require medical intervention. In your case, the localized pain near your belly button, particularly on the right side, raises several considerations.

First, it's important to note that abdominal pain can be categorized into different types based on its characteristics, location, and associated symptoms. Since you mentioned that pressing on the area causes pain, this could indicate a few possibilities. One common cause of localized pain in the right lower abdomen is appendicitis, which is an inflammation of the appendix. However, since you have already visited the emergency room and were reassured that it might be gas, it’s essential to consider other factors.

Gas pain, or flatulence, can indeed cause discomfort and may be mistaken for more serious conditions. It typically results from the buildup of gas in the intestines, which can occur due to various reasons, including dietary choices, swallowing air, or gastrointestinal disorders. If you have been consuming foods that are known to cause gas (such as beans, carbonated beverages, or high-fiber foods), this could explain your symptoms. Additionally, anxiety and stress can exacerbate gastrointestinal symptoms, leading to increased gas production and discomfort.

Another possibility to consider is a condition known as Irritable Bowel Syndrome (IBS), which can cause abdominal pain, bloating, and changes in bowel habits. IBS is often triggered by stress, certain foods, and can lead to symptoms that mimic those of more serious conditions. Given that you are 20 years old and have no prior surgical history, it is less likely that you would have a serious underlying condition, but it is still important to monitor your symptoms.

If the pain persists or worsens, or if you develop additional symptoms such as fever, vomiting, or changes in bowel habits (like diarrhea or constipation), it would be prudent to seek further medical evaluation. A thorough examination, including a detailed medical history and possibly imaging studies, may be necessary to rule out conditions such as appendicitis, diverticulitis, or other gastrointestinal issues.

In the meantime, consider keeping a food diary to track what you eat and any associated symptoms. This can help identify potential dietary triggers for your gas and discomfort. Additionally, practicing relaxation techniques, such as deep breathing exercises or mindfulness, may help alleviate anxiety that could be contributing to your symptoms.

In summary, while gas can certainly cause abdominal pain, it is essential to remain vigilant about your symptoms. If you experience any changes or worsening of your condition, do not hesitate to consult with a healthcare professional for a more comprehensive evaluation. Your health and peace of mind are paramount, and it’s always better to err on the side of caution when it comes to abdominal pain.

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