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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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