Abdominal pain

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Abdominal pain
Gray1220.png

Abdominal pain can be characterized by the region it affects.
ICD-10R10
ICD-9789.0
 
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Abdominal pain
Gray1220.png

Abdominal pain can be characterized by the region it affects.
ICD-10R10
ICD-9789.0

Abdominal pain (or stomach ache) is a common symptom associated with transient disorders or serious disease. Diagnosing the cause of abdominal pain can be difficult, because many diseases can cause this symptom. Most frequently the cause is benign and/or self-limiting, but more serious causes may require urgent intervention.

Contents

Differential diagnosis

Acute abdominal pain

Acute abdomen can be defined as severe, persistent abdominal pain of sudden onset that is likely to require surgical intervention to treat its cause. The pain may frequently be associated with nausea and vomiting, abdominal distention, fever and signs of shock. One of the most common conditions associated with acute abdominal pain is acute appendicitis.

Selected causes of acute abdomen

By location

Location[1]

Diagnostic approach

When a physician assesses a patient to determine the etiology and subsequent treatment for abdominal pain the patient's history of the presenting complaint and physical examination should derive a diagnosis in over 90% of cases.

It is important also for a physician to remember that abdominal pain can be caused by problems outside the abdomen, especially heart attacks and pneumonias which can occasionally present as abdominal pain.

Investigations that would aid diagnosis include

If diagnosis remains unclear after history, examination and basic investigations as above then more advanced investigations may reveal a diagnosis. These as such would include

Management

Butylscopolamine (Buscopan) is used to treat cramping abdominal pain with some success.[2]

References

  1. ^ Richard F.LeBlond (in English). Diagnostics. US: McGraw-Hill Companies, Inc.. ISBN 0-07-140923-8. 
  2. ^ Tytgat GN (2007). "Hyoscine butylbromide: a review of its use in the treatment of abdominal cramping and pain". Drugs 67 (9): 1343–57. PMID 17547475. 

Further reading