Abdominal Pain / Stomachache

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Nearly everyone will experience a stomachache at some point of time or the other. The causes of stomach aches are usually minor, which can be diagnosed and treated easily. However, in some cases, abdominal pain may signify a serious disease. If the pain is persistent or accompanied by other severe symptoms, it is recommended to consult a physician.

Abdominal pain is caused by:

Inflammation of an organ such as: ???? Appendicitis, Diverticulitis & Colitis
Stretching or Distention of an organ such as: ???? Bowel Obstruction, Blockage of a Bile duct by Gallstones & Swelling of the liver with Hepatitis
Loss of blood supply to an organ such as: ???? Ischemic Colitis
Functional disorder such as: ???? Irritable Bowel Syndrome (IBS)

Some of the most common causes of abdominal pain are listed as follows:

Constipation
Indigestion
Food Poisoning
Stomach Virus
Gas
Lactose Intolerance
Menstrual cramps
Pelvic inflammatory disease
Gallstones
Hernia
Ulcers
Kidney stones
Urinary tract infection
Endometriosis
Appendicitis
Gastro-Esophageal Reflux Disease (GERD)

Other symptoms may be associated with abdominal pain

Bloating
Belching
Gas (flatus, farting)
Indigestion
Discomfort in the upper left or right; middle; or lower left or right abdomen
Constipation
Diarrhea
GERD (gastro-esophageal reflux disease)
Heartburn
Chest discomfort
Pelvic discomfort
Painful urination and or Lack of urination

Serious Symptoms

The inability to keep food down for many days in a row after eating a meal
Inability to pass stool for a few days
Fever
Frequent or painful urination
Uncontrollable vomiting
Stomach is tender to touch
Pain persists for several days
Pain is an outcome of abdominal injury
Vomiting blood
Rectal Bleeding & tarry stool
pain during pregnancy
difficulty breathing

Determining the Cause of Pain

To treat abdominal pain, it is most important to identify the underlying cause. The doctor will usually perform a detailed physical exam, listen to the patient’s description of symptoms and pain, and then arrive at a conclusion.

The cause of abdominal pain is diagnosed on the basis of:
- Its characteristics
- The physical examination
- Testing by conducting stool tests, blood tests,
- X-rays to arrive a conclusion
- Occasionally, surgery is necessary for diagnosis.

The medical diagnosis of the cause is challenging because the characteristics may be atypical, tests are not always abnormal, diseases causing pain may mimic each other, and the characteristics of the pain may change over time.
Important questions will be asked by your physician reaching the diagnosis:
- What is the severity of pain?
- Is it dull or stabbing?
- Is the pain localized to a part of or spread throughout the abdomen?
- When does the pain occur more often? Daytime or While sleeping
- Does the pain get better or worse with eating and or on empty stomach?
- Is the pain continuous or intermittent?
- Does the pain radiate to the shoulders, lower back, buttocks, or groin?
- Does any activity such as lying on side relieve the pain?

Treatment

Medical treatment depends upon:

The patient’s history of disease or other health conditions that may be the cause.
The treatment for abdominal pain may range from drugs to reduce inflammation to antibiotics for infections.
Surgery may be necessary if the ache has been caused due to hernia or appendicitis.

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Came in with a headache and started to feel sick. Had a big trip for New Years, therefore I had to solve my problems quickly. Dr. Farah helped me right away and treated all my problems, he saved my weekend. Will come here again soon.

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I was in a lot of pain and I walked in and the receptionist was so lovely. I was into see the doctor within five minutes and he listened to me and was wonderful. I’ve been to a few urgent cares and this one by far is the best !

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