Abdominal Pain: Causes and Concerns in Gastroenterology - Gastroenterology and Hepatology

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Abdominal pain throughout the entire abdomen?


Doctor, I have several concerns.
I am experiencing intermittent pain in my left side of the abdomen, as well as pain in the upper abdomen.
There is also discomfort around my navel and in the lower abdomen, which I can't quite determine if it's soreness or pain.
These symptoms seem to be increasing in number and intensity.
What could be the cause?

Minnie, 10~19 year old female. Ask Date: 2016/02/20

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: If all the pain in various locations is due to a single cause, it may be related to issues with the small intestine or large intestine.
It could also be a combination of discomfort from several organs.
It is advisable to consult a gastroenterologist for a proper diagnosis.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/02/20

More Info


Abdominal pain can be a complex and multifaceted issue, often requiring careful evaluation to determine its underlying causes. In your case, the presence of intermittent pain in various regions of the abdomen, including the left side, upper abdomen, and around the navel, suggests that there may be several potential factors at play.

Firstly, it is essential to understand that abdominal pain can arise from various organs and systems within the abdominal cavity, including the gastrointestinal tract, liver, gallbladder, pancreas, kidneys, and even the reproductive organs in females. The location and nature of the pain can provide clues to its origin. For instance, pain in the left upper quadrant may be related to issues with the stomach, spleen, or pancreas, while pain around the navel could indicate problems in the small intestine or early appendicitis.

One common cause of abdominal pain is gastrointestinal disturbances, such as gastritis, which is inflammation of the stomach lining, or peptic ulcers, which can cause pain in the upper abdomen. Conditions like irritable bowel syndrome (IBS) can also lead to cramping and discomfort in various parts of the abdomen, often accompanied by changes in bowel habits.

Another possibility is the presence of diverticulitis, which occurs when small pouches in the colon become inflamed or infected, typically causing pain in the lower left abdomen. Additionally, conditions like kidney stones or urinary tract infections can manifest as abdominal pain, particularly if the pain radiates to the back or is associated with urinary symptoms.

It is also important to consider the role of stress and psychological factors in abdominal pain. While you mentioned that there is no perceived stress, the mind-body connection can sometimes lead to physical symptoms, including abdominal discomfort, even in the absence of identifiable medical issues.

Given the complexity of abdominal pain, it is crucial to conduct a thorough evaluation. This may include imaging studies such as ultrasound or CT scans, blood tests to check for signs of infection or inflammation, and possibly endoscopic procedures if gastrointestinal issues are suspected.
In your case, since the pain is increasing in frequency and intensity, it is advisable to seek further medical evaluation. A gastroenterologist can provide specialized insights and may recommend additional diagnostic tests to pinpoint the cause of your symptoms.
In summary, abdominal pain can arise from a myriad of causes, and understanding the specific characteristics of the pain, along with a comprehensive medical evaluation, is essential for accurate diagnosis and effective treatment. If the pain persists or worsens, do not hesitate to seek medical attention to ensure that any serious underlying conditions are addressed promptly.

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