Tenderness Anywhere On The Abdomen
There are several structures of the abdomen that may extend across the entire abdominal cavity or at least across multiple quadrants.
- Peritonitis is inflammation of the peritoneum that lines the abdominal cavity and its organs. There is usually severe abdominal pain with tenderness.
- Hernias are outpuchings from the abdominal wall and sometimes a portion of the bowel can get trapped within it . A hernia itself may not always be painful or tender.
- Trauma to the abdominal wall can occur for a number of reasons, such as a blow to the abdomen, and the area may be tender for days or even weeks.
- Abdominal muscle strain is a common cause of abdominal pain and tenderness. These muscles may be strained not only be trauma but also by overuse and other forms of stress.
How To Diagnose Pain Below Sternum
There are many possible causes of upper abdominal pain or pain below the sternum. Aside from taking a medical history and conducting a physical exam, healthcare providers may order some diagnostic tests to help confirm the diagnosis. These include blood tests, chest X-ray, magnetic resonance imaging and computed tomography scan.
It is always best to seek medical consultation, especially when the symptoms do not get better with over-the-counter medications or other home remedies.
How Are Ovarian Cysts Diagnosed
Sometimes ovarian cysts may be noticed by a doctor during a bimanual examination of the pelvis. If a cyst is suspected based upon symptoms or physical examination, imaging techniques are used. Most cysts are diagnosed by ultrasound, which is the best imaging technique for detecting them. Ultrasound uses sound waves to produce an image of structures within the body. Ultrasound imaging is painless and harmless. Transvaginal ultrasound is a diagnostic tool to better visualize the ovaries using a thin ultrasound probe inside the vagina.
Functional ovarian cysts: If a woman is in her 40’s, or younger, and has regular menstrual periods, most ovarian masses are “functional ovarian cysts,” which are not really abnormal. Examples include follicular cysts and corpus luteum cysts. These are related to the process of ovulation that happens with the menstrual cycle. They usually disappear on their own during a future menstrual cycle. Therefore, especially in women in their 20’s and 30’s, these cysts are watched for a few menstrual cycles to verify that they disappear.
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Pain Below Breastbone Causes Symptoms
Posted by Dr. Chris
Any pain in the chest area, whether high up or lower down, slightly to the left or right of the midline, is naturally a cause for concern especially among adults. Considering that the vital organs like the heart and lungs are located here, breastbone pain is usually taken seriously. For some people like those who are obese, have a history of heart disease and smoke heavily, the concern is much greater. However, it is important to note that the abdomen starts much higher than most of us realize. Pain lower down in the chest area may actually be abdominal pain.
Central Abdominal Pain Share Your Experience Here
Are you or a loved one having pain in the central abdomen? Or do you have an experience with such pain in your child, yourself, a friend or anyone else? Why not share your thoughts here.You can also post queries here and get help from our online doctor or perhaps someone else from the forum here who might have experienced similar problem. It’s easy. Just…
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Why Is There Pain With Pressing
The abdomen should not be tender to touch. Pressing on the abdomen only elicits pain when an organs or tissues are inflamed. This inflammation may be due to a host of causes, such as injury, infection or immne-mediated reactions like allergies and autoimmune diseases. Inflammation is a mechanism to protect against tissue damage. Therefore tenderness of the abdomen is an indication of some underlying tissue damage in the abdominal cavity or abdominal wall.
What Are The Characteristics Of Abdominal Pain
Abdominal pain may include any of the following, or a combination of these characteristics:
- bowel obstruction
- causes of heart pain
If you are experiencing abdominal pain, the exact location of the pain and any other symptoms you might have may suggest the cause.
If you feel pain right across your stomach area or low down, its probably coming from your bowel. You may also have bloating and wind. If your stomach cramps have started recently and you also have diarrhoea, the cause is probably gastroenteritis. If you are very ill for example, with chills or a fever you may have a more serious infection such as food poisoning.
If the pain is coming from higher up in your stomach, it could be caused by acid reflux or an ulcer. You might also have heartburn and belching, and the pain might be made worse, or relieved, by food.
If the pain is in the middle of your stomach and extends to your back, it could be a sign of gallstones. Pain in the lower right part of the stomach, along with fever, nausea and vomiting, could be appendicitis.
If the pain is made worse by exercise it could be heart pain. Read more in the chest pain section. If you are experiencing this type of pain, call triple and ask for an ambulance.
Some medicines, such as aspirin and anti-inflammatory and anti-dementia drugs, can cause stomach pain as a side effect.
You can find more information about the underlying causes of abdominal pain here.
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What Are The Symptoms Of A Ruptured Ovarian Cyst
A ruptured ovarian cyst will not always cause symptoms, particularly if the cyst is small. However, sometimes a ruptured ovarian cyst can lead to severe pain and internal bleeding. The pain with a ruptured ovarian cyst typically comes on suddenly and occurs on one side only. The pain may begin during physical activity such as vigorous exercise or may begin during sexual intercourse. A ruptured ovarian cyst usually does not cause fever or gastrointestinal symptoms.
Taking Care Of Yourself At Home
Most abdominal pain goes away without special treatment. Be guided by your doctor, but there are some things you can do to help ease the pain, including:
- Place a hot water bottle or heated wheat bag on your abdomen.
- Soak in a warm bath. Take care not to scald yourself.
- Drink plenty of clear fluids such as water.
- Reduce your intake of coffee, tea and alcohol as these can make the pain worse.
- When you are allowed to eat again, start with clear liquids, then progress to bland foods such as crackers, rice, bananas or toast. Your doctor may advise you to avoid certain foods.
- Get plenty of rest.
- Try over-the-counter antacids, to help reduce some types of pain.
- Take mild painkillers such as paracetamol. Please check the packet for the right dose. Avoid aspirin or anti-inflammatory drugs unless advised to take them by a doctor. These drugs can make some types of abdominal pain worse.
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What Is Lower Abdominal Pain
Pain in the lower abdomen is often related to the digestive tract, but can also be related to conditions of the body wall, skin, blood vessels, urinary tract, or reproductive organs. The area may be tender to the touch or the pain may be severe and the whole abdomen might be rigid.
Lower can be extremely uncomfortable and with that comes severe . Patients and parents become worried with the onset of lower abdominal pain.
Severe pain can be a symptom of inflammation, , , or . Severe pain in women may result from twisting of an ovary , rupture of an ovarian , ectopic pregnancy, or pelvic inflammatory disease. Men may experience severe lower abdominal pain from testicular torsion or injury. Crampy pain may be due to gas, , inflammation or infection, or, in women, from menstrual cramps or .
Severe pain that comes in waves may be caused by kidney stones. Trauma to the body wall, hernias, and shingles can also cause lower abdominal pain. A is a weakening of muscle or tissue that allows organs or other tissues to protrude through it. Shingles is a reactivation of the virus involving a painful, blistering rash that often forms a stripe across the affected area of skin.
Pain that is sudden in onset, severe, persistent, recurring, or worsening, or that is accompanied by other serious symptoms is often the most worrisome.
What Questions Will The Doctor Ask About My Abdominal Pain
Diagnosing the cause of abdominal pain is one of the hardest tasks for a doctor. Sometimes all that the professional can do is be sure that the pain does not require surgery or admission to the hospital.
The healthcare professional may ask these or similar questions to try to determine what is causing the patient’s pain. Some may seem unrelated to the patient’s current condition, but it is important to try to answer them as completely as possible. The answers to these questions can help the healthcare professional find the cause of the patient’s pain more quickly and easily.
- How long have you had the pain?
- What were you doing when it started?
- How did you feel before the pain started?
- Have you felt OK over the last few days?
- What have you tried to make the pain better? Did it work?
- What makes the pain worse?
- Where is the pain located?
- Right side?
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Causes And Risk Factors Of Abdominal Pain
While we dont usually feel the inner workings of our abdomen, pain can occur when there is a disruption of the normal functioning of an organ or area of tissue inside.
Abdominal pain can be caused by inflammation , organ distention or stretching , or loss of blood supply .
Some prescription and over-the-counter medications, as well as dietary supplements, can cause stomach pain. Medications can do this by irritating the stomach, leading to nausea, pain, and diarrhea, or by slowing digestion, leading to constipation. Be sure to check the label of any drug you take to see if abdominal pain is listed as a possible side effect.
- Lead poisoning, often from eating paint chips
- Emotional upset
When To Seek Medical Advice
Before you seek medical advice, answer these questions:
- Does the pain come on as a sharp or dull ache just below your sternum in the middle of your upper abdomen?
- Does it spread through the middle towards your back? Have you noticed that this pain tends to come after your means? Does it make you feel like vomiting sometimes?
- Does the pain wake you up at night?
- Is the pain a sharp piercing pain through the upper stomach?
- Do you feel bloated even after a small meal?
If you answered yes to any of these questions it is worth seeking medical attention.
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Serious Stomach Pain Below Chest Situations
Most of the times what seems to be confounding not only for the patient but also for the doctor is the fact that dangerous health conditions can cause no or little abdominal discomfort, while health conditions of a benign nature may be responsible for inducing moderate to severe pains on the abdomens right side.
This type of pain may occur somewhere else in the abdomen or it may already be present. However, regarding the appendicitis pain, its most of the times accompanied by symptoms like bowel changes, appetite changes, and fever, but this kind of pain cannot be predicted. Due to the fact that the possibility of someone suffering from a ruptured appendix, they need to be rushed to the hospital as soon as they feel this pain installing. This is especially true for children.
Appendicitis is a common cause of emergency abdominal surgery in the United States. Telltale signs of a bursting appendix can be determined by pressing the abdomen gently. Immediately call your physician if you develop a back and stomach pain showing symptoms of appendicitis.
One common cause of back and stomach pain is kidney stones. These stones form due to heavy concentrations of certain substances in the urine. Pain is usually severe and fatal. If left untreated, it will result in kidney failure. If your family has a history of kidney stones, you should keep a close watch on this condition.
Signs And Symptoms Of Pain In Upper Stomach
People experiencing pain in the upper stomach may have only one symptom or may have a combination of several symptoms. Here are some of the most common symptoms of pain in the upper stomach:
Belching is natural and common. Its your bodys way of getting rid of excess air. Everyone belches from time to time. However, if it interferes with your day-to-day life, it could be a sign of something more serious.
Most people have a regular desire to eat, but if you lose this desire, or appetite, the reason could be connected to pain in the upper stomach.
An unexplained drop in weight can be a sign of an underlying medical condition. Pain in the upper stomach combined with weight loss could be related to disorders that prevent your body from absorbing the nutrients it needs.
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Colon Damage From Impaired Blood Flow
Acute intestinal ischemia means that the blood flow to the large and/or small intestines has been cut off. It is also called acute mesenteric ischemia, or AMI.
The ischemia is caused by blockage in one of the arteries leading into the abdomen, usually due to atherosclerosis or a blood clot.
Most susceptible are those with very high or low blood pressure heart disease or using illegal drugs such as cocaine or methamphetamine.
Symptoms include sudden, severe pain in one area of the abdomen nausea and vomiting and repeated, urgent bowel movements, often with blood.
Acute intestinal ischemia is a life-threatening medical emergency. If it is suspected, take the patient to the emergency room or call 9-1-1.
Diagnosis is made through arteriogram, which involves injecting dye into the abdominal arteries under x-ray in order to find the exact location of the blockage.
Treatment involves “clot-busting” drugs to destroy a clot, or emergency surgery to remove whatever is causing the blockage and possibly some of the damaged intestine as well.
Top Symptoms: abdominal pain , nausea, loss of appetite, diarrhea, being severely ill
Urgency: Hospital emergency room
When It’s Not An Emergency
If your stomach pain is not severe, persistent, or associated with concerning symptoms like those already discussed, it is likely to resolve on its own. Abdominal pain is usually caused by minor problems such as constipation, trapped gas, or eating something that didn’t agree with you, like a high dairy meal or a spice that you aren’t used to.
Waiting a few hours, having a bowel movement, or passing gas usually helps. There are a few things you can do so that you can be more comfortable and to help relieve your symptoms as your pain resolves:
- Limit yourself to clear liquids for a few hours.
- If you experience vomiting and/or diarrhea, stick with the BRAT diet and other mild foods until your symptoms start to subside.
- Avoid foods that are tough on the digestive system, such as food that is high in fat, fried foods, spicy foods, and drinks containing alcohol or caffeine.
- Try an over-the-counter antacid or gas-relieving product.
- Try to have a bowel movement. Often, eating raw fruit, vegetables, beans, or high-fiber cereal can help.
- Use a hot water bottle or heating pad. This may help to soothe your pain. Place the pad on your abdomen for half-hour intervals and be sure to use a towel under the pad to protect your skin.
Your symptoms may completely improve within one to two days. If they do not, call your doctor’s office for advice.
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What Are Ovarian Cysts
Ovarian cysts are closed, sac-like structures within an ovary that contain a liquid, or semisolid substance. “Cyst” is merely a general term for a fluid-filled structure, which may or may not represent a tumor or neoplasm . If it is a tumor, it may be benign or malignant. The ovary is also referred to as the female gonad.
- difficulty with emptying the bladder completely,
- feeling an urge to defecate
- having difficult bowel movements, or
- pain with sexual intercourse.
What Types Of Pain Are There
Doctors have different words to describe the different types of pain you can feel in the gut. Very broadly, pains may be sharp or stabbing, crampy, colicky or a general dull ache. Colicky means gradually becoming worse, then easing off again. This may happen repeatedly.
Doctors may also be interested in where the pain is and whether the pain seems to be travelling in a certain direction. Having this information and putting it together with other information, such as whether you have been being sick or have had diarrhoea, will help the doctor work out what is wrong.
Pain that comes on suddenly may be called acute. Longer-standing pain is called chronic.
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