Abdominal Pain
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Try one of these related symptoms.
Stomachache
I have lower abdominal pain
I have left lower abdominal pain
Pain in the lower right stomach
Upper left abdominal pain
Upper right abdominal pain
Have periodic abdominal pain
Have pelvic pain
Sharp abdominal pain
Stomach pain with diarrhea
Localized abdominal pain
Flank pain
About the Symptom
Abdominal pain is a painful sensation in the abdominal area. The abdominal area is the part between the chest and pelvis, often called the belly, tummy, stomach. The pain may be pressing, aching, cramping, sharp or dull in nature.
When to See a Doctor
Seek professional care if you experience any of the following symptoms
- Intermenstrual bleeding
- Jaundice
- Fever
- Sensation of incomplete voiding
- Melena (black stools)
- Edema
- Recent weight loss
- Constipation
Possible Causes
Generally, Abdominal pain can be related to:
- Ovulation Bleeding
Ovulation is the process when the ovary releases an egg as part of the normal female reproductive cycle. It typically happens in the middle of a menstrual cycle (about 2 weeks after the end of the period). At the time of ovulation, some women may feel some cramping or lower abdominal pain that resolves by itself. This is called mid-cycle pain (mittelschmerz), and it can occasionally cause some mild bleeding or spotting along with it. If there is no other cause for the pain or bleeding, this is not considered to be harmful.
- Cholelithiasis
Gallbladder stones or pieces of solid material that form in the gallbladder. Many people have gallbladder stones without any symptoms for their entire lives. Severe cases may require surgery.
Related Serious Diseases
Sometimes, Abdominal pain may be related to these serious diseases:
- Intestinal Perforation
Intestinal perforation is a hole in the intestinal wall. It's a serious, painful condition that can cause fatal complications. Causes include twisted intestines, inflammation, ulcers, or injury to the intestinal walls. Elderly people, those who recently had abdominal surgery, and those with a history of cancer or gastrointestinal problems are at higher risk.
- Acute Appendicitis
- Torsion of Ovarian Cyst
- Ischemic Enteritis
- Peritonitis
- Ovarian Hemorrhage
- Ectopic Pregnancy
- Pseudomembranous Colitis
Doctor's Diagnostic Questions
Your doctor may ask these questions to check for this symptom:
- Do you have any stomach or abdominal pain?
- When did you first notice your stomach or abdominal pain?
- Which of the following best describes how your stomach or abdominal pain began?
- How often do you experience stomach or abdominal pain?
- On a scale of 1 to 10, how severe was your stomach or abdominal pain at its worst?
Reviewed By:
Samantha Nazareth, MD (Gastroenterology)
Board-certified gastroenterologist. Experience managing gastrointestinal conditions (GERD, IBS, ulcerative colitis, Crohn’s, celiac disease, NASH) within healthcare organizations (three ambulatory surgical centers, single-specialty practice, multi-specialty practice and solo practice).
Aiko Yoshioka, MD (Gastroenterology)
Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.
Content updated on Feb 6, 2025
Following the Medical Content Editorial Policy
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- Pit of the stomach has burning sensation
- Stomach discomfort and grouchiness comes and goes with fussiness / grouchiness
- Child starts crying or pushes me away if I try to massage the stomachache area
- I ate something in the previous 3 days that might be causing symptoms
- Child can't move around much because it makes the stomach pain worse
- Lower stomach pain that goes away after having a bowel movement
- Stomach looks swollen and bloated up whenever the pain occurs
- Stomach pain when standing on tiptoe then dropping to heels
- Standing on tiptoes then dropping heels causes stomach pain
- Stomach pain is worse when letting go than when pressing
- Pain spreading from the stomach to the surrounding area
- Pushing lightly on the stomach cause muscles to stiffen
- Cannot take a deep breath because of stomach pain pain
- Sharp or stabbing stomach pain exacerbated by walking
- Frequent bowel movements associated with stomach pain
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FAQs
Q.
When Should I See a Doctor for an Upset Stomach?
A.
Generally, you should see a doctor if you are: 1. Unable to keep any liquids down for more than a day at a time 2. Develop fevers and intensely worsening abdominal pain 3. Notice blood in your stools or vomit.
References:
Viniol A, Keunecke C, Biroga T, Stadje R, Dornieden K, Bösner S, Donner-Banzhoff N, Haasenritter J, Becker A. Studies of the symptom abdominal pain--a systematic review and meta-analysis. Fam Pract. 2014 Oct;31(5):517-29. doi: 10.1093/fampra/cmu036. Epub 2014 Jul 1. PMID: 24987023.
Q.
How Can Daily Habits Improve an Upset Stomach?
A.
Eat in moderation, avoid heavy drinking and exercise moderately.
References:
Rinninella E, Cintoni M, Raoul P, Lopetuso LR, Scaldaferri F, Pulcini G, Miggiano GAD, Gasbarrini A, Mele MC. Food Components and Dietary Habits: Keys for a Healthy Gut Microbiota Composition. Nutrients. 2019 Oct 7;11(10):2393. doi: 10.3390/nu11102393. PMID: 31591348; PMCID: PMC6835969.
Garcidueñas-Fimbres TE, Paz-Graniel I, Nishi SK, Salas-Salvadó J, Babio N. Eating Speed, Eating Frequency, and Their Relationships with Diet Quality, Adiposity, and Metabolic Syndrome, or Its Components. Nutrients. 2021 May 15;13(5):1687. doi: 10.3390/nu13051687. PMID: 34063439; PMCID: PMC8156274.
Clauss M, Gérard P, Mosca A, Leclerc M. Interplay Between Exercise and Gut Microbiome in the Context of Human Health and Performance. Front Nutr. 2021 Jun 10;8:637010. doi: 10.3389/fnut.2021.637010. PMID: 34179053; PMCID: PMC8222532.
Bonilla DA, Pérez-Idárraga A, Odriozola-Martínez A, Kreider RB. The 4R's Framework of Nutritional Strategies for Post-Exercise Recovery: A Review with Emphasis on New Generation of Carbohydrates. Int J Environ Res Public Health. 2020 Dec 25;18(1):103. doi: 10.3390/ijerph18010103. PMID: 33375691; PMCID: PMC7796021.
de Oliveira EP, Burini RC. The impact of physical exercise on the gastrointestinal tract. Curr Opin Clin Nutr Metab Care. 2009 Sep;12(5):533-8. doi: 10.1097/MCO.0b013e32832e6776. PMID: 19535976.
Q.
What Are the Possible Causes of an Upset Stomach?
A.
Commonly, an upset stomach is caused by gas or bloating from benign causes like poor digestion of certain foods or additives.
References:
Hasler WL. Gas and Bloating. Gastroenterol Hepatol (N Y). 2006 Sep;2(9):654-662. PMID: 28316536; PMCID: PMC5350578.
Q.
What Are the Possible Causes of Stomach Ache When Lying Down on Your Back Facing Up?
A.
Stomach pain in the back when lying down facing up can be a result of stomach gas/bloating, positional discomfort or less commonly a disease of the pancreas and surrounding organs.
References:
Sherman R. Abdominal Pain. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 86.
https://www.ncbi.nlm.nih.gov/books/NBK412/
Mealie CA, Ali R, Manthey DE. Abdominal Examination. [Updated 2024 May 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.
Q.
What Are the Possible Causes of Abdominal Pain?
A.
Causes of abdominal pain run the gamut from benign to life-threatening. It may be a pulled or strained abdominal wall muscle, damaged nerve, broken bone or issues with internal organs.
References:
Govender I, Rangiah S, Bongongo T, Mahuma P. A Primary Care Approach to Abdominal Pain in Adults. S Afr Fam Pract (2004). 2021 Mar 10;63(1):e1-e5. doi: 10.4102/safp.v63i1.5280. PMID: 33764143; PMCID: PMC8378095.
Yew KS, George MK, Allred HB. Acute Abdominal Pain in Adults: Evaluation and Diagnosis. Am Fam Physician. 2023 Jun;107(6):585-596. PMID: 37327158.
Q.
How Can You Differentiate Kidney Pain From Other Types of Abdominal Pain?
A.
Kidney pain is usually felt in your side or back, near or just below your ribs, and often comes in sharp bursts, unlike other types of belly pain.
References:
https://www.ncbi.nlm.nih.gov/books/NBK412/
https://www.ncbi.nlm.nih.gov/books/NBK412/
Cox C, MacDonald S, Henneberry R, Atkinson PR. My patient has abdominal and flank pain: Identifying renal causes. Ultrasound. 2015 Nov;23(4):242-50. doi: 10.1177/1742271X15601617. Epub 2015 Aug 17. PMID: 27433264; PMCID: PMC4760602.
Patti L, Leslie SW. Acute Renal Colic. [Updated 2024 Dec 23]. In: StatPearls [Internet].
Q.
What Could Cause Pain in the Lower Right Abdomen When I Cough?
A.
Pain in the lower right abdomen when coughing is most commonly a muscle strain.
References:
Gaude GS. Pulmonary manifestations of gastroesophageal reflux disease. Ann Thorac Med. 2009 Jul;4(3):115-23. doi: 10.4103/1817-1737.53347. PMID: 19641641; PMCID: PMC2714564.
Kodama K, Takase Y, Yamamoto H, Noda T. Cough-induced internal oblique hematoma. J Emerg Trauma Shock. 2013 Apr;6(2):132-4. doi: 10.4103/0974-2700.110789. PMID: 23723625; PMCID: PMC3665063.
Mostafavi M, Kamangar N. A 44-year-old man with abdominal pain, lung nodules, and hemoperitoneum. Chest. 2015 May;147(5):e181-e184. doi: 10.1378/chest.14-1735. PMID: 25940261.
Q.
What Might Cause Pain in the Lower Right Abdomen under the Ribs?
A.
Pain in the lower right abdomen under the ribs may be due to issues with the gallbladder, liver, or other causes.
References:
Fradá G. Sulla sindrome dolorosa da costola fluttuante [The painful floating-rib syndrome]. Minerva Med. 1975 Aug 18;66(54):2679-89. Italian. PMID: 1153118.
Scott EM, Scott BB. Painful rib syndrome--a review of 76 cases. Gut. 1993 Jul;34(7):1006-8. doi: 10.1136/gut.34.7.1006. PMID: 8344569; PMCID: PMC1374244.
Laurin JM, DeSotel CK, Jorgensen RA, Dickson ER, Lindor KD. The natural history of abdominal pain associated with primary biliary cirrhosis. Am J Gastroenterol. 1994 Oct;89(10):1840-3. PMID: 7942679.
Q.
Why Might Someone Experience Lower Abdominal Pain?
A.
Lower abdominal pain can be caused by many things, including problems with the digestive system, conditions affecting the reproductive organs, or other causes.
References:
Fayez JA, Toy NJ, Flanagan TM. The appendix as the cause of chronic lower abdominal pain. Am J Obstet Gynecol. 1995 Jan;172(1 Pt 1):122-3. doi: 10.1016/0002-9378(95)90097-7. PMID: 7847518.
Yew KS, George MK, Allred HB. Acute Abdominal Pain in Adults: Evaluation and Diagnosis. Am Fam Physician. 2023 Jun;107(6):585-596. PMID: 37327158.
Carlberg DJ, Lee SD, Dubin JS. Lower Abdominal Pain. Emerg Med Clin North Am. 2016 May;34(2):229-49. doi: 10.1016/j.emc.2015.12.003. PMID: 27133242.
Q.
Why Do I Have Severe Pain in My Lower Abdomen?
A.
Severe pain in your lower abdomen can come from many sources, including issues with reproductive organs or problems with your digestive system.
References:
Flock F, Sauer G. Gynäkologische Ursachen von Unterleibsschmerzen. Die wichtigsten Differenzialdiagnosen im Uberblick [Gynecological aspects of pain in the lower abdomen]. MMW Fortschr Med. 2004 May 6;146(19):38-41. German. PMID: 15357478.
Yew KS, George MK, Allred HB. Acute Abdominal Pain in Adults: Evaluation and Diagnosis. Am Fam Physician. 2023 Jun;107(6):585-596. PMID: 37327158.
Yew KS, George MK, Allred HB. Acute Abdominal Pain in Adults: Evaluation and Diagnosis. Am Fam Physician. 2023 Jun;107(6):585-596. PMID: 37327158.
Q.
What Could Cause Lower Abdominal Pain Without a Period?
A.
Lower abdominal pain when you're not on your period can be due to many causes including gynecologic or gastrointestinal conditions.
References:
Luscombe GM, Markham R, Judio M, Grigoriu A, Fraser IS. Abdominal bloating: an under-recognized endometriosis symptom. J Obstet Gynaecol Can. 2009 Dec;31(12):1159-71. doi: 10.1016/s1701-2163(16)34377-8. PMID: 20085682.
Heitkemper MM, Chang L. Do fluctuations in ovarian hormones affect gastrointestinal symptoms in women with irritable bowel syndrome? Gend Med. 2009;6 Suppl 2(Suppl 2):152-67. doi: 10.1016/j.genm.2009.03.004. PMID: 19406367; PMCID: PMC3322543.
Oladosu FA, Tu FF, Farhan S, Garrison EF, Steiner ND, Roth GE, Hellman KM. Abdominal skeletal muscle activity precedes spontaneous menstrual cramping pain in primary dysmenorrhea. Am J Obstet Gynecol. 2018 Jul;219(1):91.e1-91.e7. doi: 10.1016/j.ajog.2018.04.050. Epub 2018 May 5. PMID: 29733841; PMCID: PMC6741772.
Q.
What Might Cause Severe Pain in the Lower Middle Abdomen in Females?
A.
Severe pain in the lower middle part of the belly in females can have different causes, such as problems with the gut, issues with the pelvic organs, or other causes.
References:
Cain KC, Headstrom P, Jarrett ME, Motzer SA, Park H, Burr RL, Surawicz CM, Heitkemper MM. Abdominal pain impacts quality of life in women with irritable bowel syndrome. Am J Gastroenterol. 2006 Jan;101(1):124-32. doi: 10.1111/j.1572-0241.2006.00404.x. PMID: 16405544.
Reddy J, Barber MD, Walters MD, Paraiso MF, Jelovsek JE. Lower abdominal and pelvic pain with advanced pelvic organ prolapse: a case-control study. Am J Obstet Gynecol. 2011 Jun;204(6):537.e1-5. doi: 10.1016/j.ajog.2011.01.015. Epub 2011 Feb 23. PMID: 21345412.
Higaki T, Urushidani S, Kuriyama A, Ikegami T. Mesosalpinx hernia of the sigmoid colon: A cause of lower abdominal pain in women. Clin Case Rep. 2020 Feb 26;8(5):855-857. doi: 10.1002/ccr3.2754. PMID: 32477533; PMCID: PMC7250968.
Q.
What Might Be Causing Pain in My Lower Left Abdomen?
A.
Lower left abdominal pain can be caused by many things, including problems with the intestines, issues with the ovaries, or other conditions.
References:
Bodmer NA, Thakrar KH. Evaluating the Patient with Left Lower Quadrant Abdominal Pain. Radiol Clin North Am. 2015 Nov;53(6):1171-88. doi: 10.1016/j.rcl.2015.06.005. Epub 2015 Aug 5. PMID: 26526432.
Yamane F, Ohta R, Sano C. Left Lower Abdominal Pain as an Initial Symptom of Multiple Myeloma. Cureus. 2021 Dec 23;13(12):e20652. doi: 10.7759/cureus.20652. PMID: 35103208; PMCID: PMC8783953.
Nelson MJ, Pesola GR. Left lower quadrant pain of unusual cause. J Emerg Med. 2001 Apr;20(3):241-5. doi: 10.1016/s0736-4679(00)00316-4. PMID: 11267811.
Q.
What Could Cause Pain in the Lower Right Abdomen During Intercourse?
A.
Pain in the lower right abdomen during intercourse can sometimes be caused by conditions like endometriosis or pelvic floor dysfunction.
References:
Mulari S, Mustonen M, Sotaniemi EA. Iron deficiency anemia, backache, and abdominal pain attacks during sexual intercourse in a 42-year-old woman. Scand J Gastroenterol. 1996 Jun;31(6):622-3. doi: 10.3109/00365529609009138. PMID: 8789904.
Wang J, Packer CD. Acute abdominal pain after intercourse: adrenal hemorrhage as the first sign of metastatic lung cancer. Case Rep Med. 2014;2014:612036. doi: 10.1155/2014/612036. Epub 2014 Jul 13. PMID: 25126096; PMCID: PMC4122014.
Lee GJ, Porreca F, Navratilova E. Prolactin and pain of endometriosis. Pharmacol Ther. 2023 Jul;247:108435. doi: 10.1016/j.pharmthera.2023.108435. Epub 2023 May 9. PMID: 37169264.
Q.
What Might Cause Periodic Abdominal Pain?
A.
Periodic abdominal pain is commonly caused by issues with the digestive system but other causes are also possible.
References:
Marcoccia A, Zippi M, Bruni A, Salvatori FM, Badiali D, Donato G, Picarelli A. Chronic abdominal pain associated with intermittent compression of the celiac artery. Minerva Gastroenterol Dietol. 2007 Jun;53(2):209-13. PMID: 17557048.
McOmber ME, Shulman RJ. Recurrent abdominal pain and irritable bowel syndrome in children. Curr Opin Pediatr. 2007 Oct;19(5):581-5. doi: 10.1097/MOP.0b013e3282bf6ddc. PMID: 17885479; PMCID: PMC2831174.
Müller-Lissner S, Andresen V, Corsetti M, Bustos Fernández L, Forestier S, Pace F, Valdovinos MA. Functional Abdominal Cramping Pain: Expert Practical Guidance. J Clin Gastroenterol. 2022 Nov-Dec 01;56(10):844-852. doi: 10.1097/MCG.0000000000001764. Epub 2022 Sep 23. PMID: 36149666; PMCID: PMC9553264.
Q.
Is It Normal to Experience Abdominal Pain?
A.
Abdominal pain is a common experience that can occur for lots of reasons, and in many cases, it is not a sign of a serious health problem.
References:
Macaluso CR, McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012;5:789-97. doi: 10.2147/IJGM.S25936. Epub 2012 Sep 26. PMID: 23055768; PMCID: PMC3468117.
Mehta H. Abdominal Pain. Clinical Pathways in Emergency Medicine. 2016 Feb 22:329–45. doi: 10.1007/978-81-322-2710-6_26. PMCID: PMC7121692.
Lakhoo K, Almario CV, Khalil C, Spiegel BMR. Prevalence and Characteristics of Abdominal Pain in the United States. Clin Gastroenterol Hepatol. 2021 Sep;19(9):1864-1872.e5. doi: 10.1016/j.cgh.2020.06.065. Epub 2020 Jul 3. PMID: 32629129; PMCID: PMC7779743.
Q.
What Could Be Causing Pain in My Abdomen?
A.
Abdominal pain can be caused by many things such as problems with your digestive organs, urinary, or reproductive organs.
References:
https://www.ncbi.nlm.nih.gov/books/NBK412/
https://www.ncbi.nlm.nih.gov/books/NBK412/
Shian B, Larson ST. Abdominal Wall Pain: Clinical Evaluation, Differential Diagnosis, and Treatment. Am Fam Physician. 2018 Oct 1;98(7):429-436. PMID: 30252418.
Patterson JW, Kashyap S, Dominique E. Acute Abdomen. [Updated 2023 Jul 10]. In: StatPearls [Internet].
Q.
What Might Cause Pain in the Lower Right Abdomen After Peeing?
A.
Pain in the lower right abdomen after peeing can be caused by a urinary tract infection or, less commonly, muscle issues.
References:
Sherman R. Abdominal Pain. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 86. Available from: https://www.ncbi.nlm.nih.gov/books/NBK412/
Car J. Urinary tract infections in women: diagnosis and management in primary care. BMJ. 2006 Jan 14;332(7533):94-7. doi: 10.1136/bmj.332.7533.94. PMID: 16410583; PMCID: PMC1326933.
Boulet S, Milliron ML, Lund KH. It's Not Always the Appendix: An Unusual Case of Right Lower Quadrant Pain in an Emergency Department Patient Due to Iliopsoas Bursitis From Uncommon Sleep Positioning. Cureus. 2022 Feb 15;14(2):e22251. doi: 10.7759/cureus.22251. PMID: 35186610; PMCID: PMC8849435.
Q.
What Are the Potential Causes of Left Lower Abdominal Pain in Females?
A.
Left lower abdominal pain in females can have many causes, including issues with the ovaries or other parts of the reproductive system, as well as gastrointestinal problems like diverticulitis.
References:
Hammond NA, Nikolaidis P, Miller FH. Left lower-quadrant pain: guidelines from the American College of Radiology appropriateness criteria. Am Fam Physician. 2010 Oct 1;82(7):766-70. PMID: 20879699.
Yew KS, George MK, Allred HB. Acute Abdominal Pain in Adults: Evaluation and Diagnosis. Am Fam Physician. 2023 Jun;107(6):585-596. PMID: 37327158.
Franco PN, García-Baizán A, Aymerich M, Maino C, Frade-Santos S, Ippolito D, Otero-García M. Gynaecological Causes of Acute Pelvic Pain: Common and Not-So-Common Imaging Findings. Life (Basel). 2023 Oct 9;13(10):2025. doi: 10.3390/life13102025. PMID: 37895407; PMCID: PMC10608316.
Q.
What Should I Consider If I Have Abdominal Pain?
A.
When you have abdominal pain, it is important to consider where the pain is located, how long it lasts, its severity, and if any other symptoms accompany it. These details help in understanding what is triggering the pain and how best to treat it.
References:
Sherman R. Abdominal Pain. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 86. Available from: https://www.ncbi.nlm.nih.gov/books/NBK412/?utm_source=chatgpt.com
Cartwright SL, Knudson MP. Evaluation of acute abdominal pain in adults. Am Fam Physician. 2008 Apr 1;77(7):971-8. PMID: 18441863.
Yew KS, George MK, Allred HB. Acute Abdominal Pain in Adults: Evaluation and Diagnosis. Am Fam Physician. 2023 Jun;107(6):585-596. PMID: 37327158.
Q.
Why Do I Keep Experiencing Abdominal Pain?
A.
Abdominal pain can happen for many reasons, like problems related to digestion, underlying medical conditions, dietary habits, or even stress.
References:
Fields JM, Dean AJ. Systemic causes of abdominal pain. Emerg Med Clin North Am. 2011 May;29(2):195-210, vii. doi: 10.1016/j.emc.2011.01.011. PMID: 21515176.
Marsicano E, Vuong GM, Prather CM. Gastrointestinal causes of abdominal pain. Obstet Gynecol Clin North Am. 2014 Sep;41(3):465-89. doi: 10.1016/j.ogc.2014.06.002. PMID: 25155126.
Shian B, Larson ST. Abdominal Wall Pain: Clinical Evaluation, Differential Diagnosis, and Treatment. Am Fam Physician. 2018 Oct 1;98(7):429-436. PMID: 30252418.
Q.
What Could Cause Pain in the Lower Right Abdomen When Bending Over?
A.
Pain in the lower right abdomen when bending over may be due to a muscle strain, back issues, or other issues.
References:
Sodhi JS, Zargar SA, Javid G, Khan MA, Khan BA, Yattoo GN, Shah A, Gulzar GM, Shoukat A. Effect of bending exercise on gastroesophageal reflux in symptomatic patients. Indian J Gastroenterol. 2008 Nov-Dec;27(6):227-31. PMID: 19405255.
Chen PR, Spetzler RF. Persistent lower abdominal pain induced by long peritoneal shunt catheter. Acta Neurochir (Wien). 2008 Aug;150(8):829-31; discussion 831. doi: 10.1007/s00701-008-1616-8. Epub 2008 Jun 23. PMID: 18574547.
Mabuchi H, Higuchi H, Imada T, Watari T. Unexplained Abdominal Pain Caused by Fracture of the Thoracic Vertebra. Am J Case Rep. 2022 Nov 2;23:e937740. doi: 10.12659/AJCR.937740. PMID: 36320141; PMCID: PMC9638903.
Q.
What Could Cause Both Lower Abdominal Pain and Back Pain?
A.
When you feel pain in both your lower belly and your back, it may be because the same condition is affecting both areas, like the digestive system, urinary system, or musculoskeletal system.
References:
Smith MD, Russell A, Hodges PW. How common is back pain in women with gastrointestinal problems? Clin J Pain. 2008 Mar-Apr;24(3):199-203. doi: 10.1097/AJP.0b013e31815d3601. PMID: 18287824.
Paulson JD. Abdominal and urogenital diseases can often be the cause of lower back pain and sciatic-like symptoms. Pain Manag. 2012 May;2(3):279-94. doi: 10.2217/pmt.12.14. PMID: 24654670.
Yildizgoren MT, Ogut H, Kayali A, Turhanoglu AD. Abdominal Aortic Aneurysm as a Long Time Cause of Low Back Pain and Vertebral Scalloping. Pain Med. 2016 Feb;17(2):372-3. doi: 10.1111/pm/pme.12888. PMID: 26893462.
Q.
What Should I Do If I Have Pain in My Lower Left Abdomen?
A.
Left lower abdominal pain can come from several different causes, ranging from common issues with your digestive system to problems with your ovaries or other conditions.
References:
Greco S, Maconi G, Bareggi E, Radice E, Porro GB, Norsa A. An infrequent cause of acute left lower quadrant abdominal pain. Gut. 2008 May;57(5):567, 622. doi: 10.1136/gut.2006.119248. PMID: 18408096.
Siosaki MD, Costa MM, Figueiredo HF, da Silva Junior MF, da Silva Junior RA. A differential diagnosis in chronic lower abdominal pain. Int J Surg Case Rep. 2012;3(10):504-6. doi: 10.1016/j.ijscr.2012.06.005. Epub 2012 Jul 7. PMID: 22858791; PMCID: PMC3421139.
Yew KS, George MK, Allred HB. Acute Abdominal Pain in Adults: Evaluation and Diagnosis. Am Fam Physician. 2023 Jun;107(6):585-596. PMID: 37327158.
Q.
Why Do I Have Left Lower Abdominal Pain?
A.
Lower left abdominal pain can be caused by many things, including gut issues, issues with the ovaries, or other conditions.
References:
Hwang JA, Kim SM, Song HJ, Lee YM, Moon KM, Moon CG, Koo HS, Song KH, Kim YS, Lee TH, Huh KC, Choi YW, Kang YW, Chung WS. Differential diagnosis of left-sided abdominal pain: primary epiploic appendagitis vs colonic diverticulitis. World J Gastroenterol. 2013 Oct 28;19(40):6842-8. doi: 10.3748/wjg.v19.i40.6842. PMID: 24187459; PMCID: PMC3812483.
Bodmer NA, Thakrar KH. Evaluating the Patient with Left Lower Quadrant Abdominal Pain. Radiol Clin North Am. 2015 Nov;53(6):1171-88. doi: 10.1016/j.rcl.2015.06.005. Epub 2015 Aug 5. PMID: 26526432.
Tursi A, Elisei W, Picchio M, Giorgetti GM, Brandimarte G. Moderate to severe and prolonged left lower-abdominal pain is the best symptom characterizing symptomatic uncomplicated diverticular disease of the colon: a comparison with fecal calprotectin in clinical setting. J Clin Gastroenterol. 2015 Mar;49(3):218-21. doi: 10.1097/MCG.0000000000000094. PMID: 24583746.
Q.
What Could Cause Periodic Abdominal Pain on the Right Side?
A.
Periodic right-side abdominal pain can be due to a number of issues. The location of the pain and associated symptoms may be helpful in identifying the cause.
References:
Lin PH, Koffron AJ, Heilizer TJ, Lujan HJ. Right lower quadrant abdominal pain due to appendicitis and an incarcerated spigelian hernia. Am Surg. 2000 Aug;66(8):725-7. PMID: 10966026.
Jones J, Wong N, Drummond KJ, Kaye AH. An unusual cause for chronic right-sided abdominal pain: question. J Clin Neurosci. 2014 Dec;21(12):2226, 2259. doi: 10.1016/j.jocn.2014.04.012. PMID: 25580507.
Yew KS, George MK, Allred HB. Acute Abdominal Pain in Adults: Evaluation and Diagnosis. Am Fam Physician. 2023 Jun;107(6):585-596. PMID: 37327158.
Q.
When I Feel the Pain in the Left Side of the Abdomen What Are Some Possible Causes?
A.
A wide ranges of diseases can cause left-sided abdominal pain that often involve the underlying organs in that area.
References:
Yew KS, George MK, Allred HB. Acute Abdominal Pain in Adults: Evaluation and Diagnosis. Am Fam Physician. 2023 Jun;107(6):585-596. PMID: 37327158.
Sabo CM, Grad S, Dumitrascu DL. Chronic Abdominal Pain in General Practice. Dig Dis. 2021;39(6):606-614. doi: 10.1159/000515433. Epub 2021 Feb 25. PMID: 33631744.
Q.
Why Do I Experience Abdominal Pain Before My Period?
A.
Abdominal pain before your period is common and usually happens because your body is getting ready for your monthly cycle, which involves changes in hormones and the uterus.
References:
Avant RF. Dysmenorrhea. Prim Care. 1988 Sep;15(3):549-59. PMID: 3054962.
Gudipally PR, Sharma GK. Premenstrual Syndrome. 2023 Jul 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 32809533.
Velho RV, Werner F, Mechsner S. Endo Belly: What Is It and Why Does It Happen?-A Narrative Review. J Clin Med. 2023 Nov 19;12(22):7176. doi: 10.3390/jcm12227176. PMID: 38002788; PMCID: PMC10671958.
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Sherman R. Abdominal Pain. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 86. Available from: https://www.ncbi.nlm.nih.gov/books/NBK412/
https://www.ncbi.nlm.nih.gov/books/NBK412/