Abdominal pain
Your doctor may ask the following questions about your abdominal pain: - Is the pain all over (diffuse or generalized) or in a specific location?
- What part of the abdomen is affected? Lower or upper? Right, left or middle? Around the navel?
- Is the pain severe, sharp or cramping, persistent or constant, periodic and changing intensity over minutes?
- Does the pain awaken you at night?
- Have you had similar pain in past? How long has each episode lasted?
- How often do you have the pain?
- Does it occur within minutes following meals? Within 2 to 3 hours after meals?
- Is it getting increasingly more severe?
- Does it occur during menstruation (dysmenorrhea)?
- Does the pain go into your back, middle of the back, below the right shoulder blade, or your groin, buttocks, or legs?
- Does the pain get worse after lying on the back?
- Does the pain get worse after eating or drinking? After greasy foods, milk products, or alcohol?
- Does the pain get worse after stress? After straining efforts?
- Does the pain get better after eating or a bowel movement?
- Does the pain get better after milk or antacids?
- What medications are you taking?
- Have you had a recent injury?
- Are you pregnant?
- What other symptoms are occurring at the same time?
Diagnostic tests that may be performed include: Prevention:
For prevention of many types of abdominal pain: - Eat small meals more frequently.
- Make sure that your meals are well-balanced and high in fiber. Eat plenty of fruits and vegetables.
- Limit foods that produce gas.
- Drink plenty of water each day.
- Exercise regularly.
For prevention of symptoms from heartburn or gastroesophageal reflux disease: - Quit smoking.
- Lose weight if you need to.
- Finish eating at least 2 hours before you go to bed.
- After eating, stay upright for at least 30 minutes.
- Elevate the head of your bed.
References:
American Academy of Pediatrics Subcommittee on Chronic Abdominal Pain. Chronic Abdominal Pain in Children. Pediatrics. 2005; 115(3): 812-815. D'Agostino J. Common abdominal emergencies in children. Emerg Med Clin North Am. 2002; 20(1): 139-153.
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