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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
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.
Seek professional care if you experience any of the following symptoms
Generally, Abdominal pain can be related to:
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.
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.
Sometimes, Abdominal pain may be related to these serious diseases:
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.
Your doctor may ask these questions to check for this symptom:
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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With a free 3-min Abdominal Pain quiz, powered by Ubie's AI and doctors, find possible causes of your symptoms.
This questionnaire is customized to your situation and symptoms, including the following personal information:
Biological Sex - helps us provide relevant suggestions for male vs. female conditions.
Age - adjusts our guidance based on any age-related health factors.
History - considers past illnesses, surgeries, family history, and lifestyle choices.
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Q.
Sharp Side Pain? Why Your Oblique Hurts & Medically Approved Next Steps
A.
There are several factors to consider: sharp side pain is often from an oblique muscle strain after twisting, lifting, workouts, or coughing, but rib or intercostal injury, a hernia, or internal organ problems like kidney stones, infection, gallbladder issues, or appendicitis can mimic it. Next steps include relative rest with gentle movement, ice for 48 hours then heat, appropriate OTC pain relief, gradual stretching, and physical therapy if it lingers, while severe or constant pain, fever, nausea or vomiting, chest pain, shortness of breath, blood in urine, a visible bulge, or pain after trauma warrant urgent care; see complete guidance below.
References:
* van den Broek, W. T., van Wieren, M., & van der Plas, R. M. (2018). Acute abdominal wall pain: Clinical presentation, differential diagnosis, and management. *World Journal of Gastroenterology*, *24*(35), 4050–4058.
* Saini, M., & Al-Ameri, A. (2020). Abdominal Wall Pain: Etiology, Diagnosis, and Management. *Current Sports Medicine Reports*, *19*(12), 527–533.
* Sifakis, J., & Patel, K. V. (2020). Abdominal wall pain: a systematic review of treatment approaches. *Postgraduate Medical Journal*, *96*(1133), 167–172.
* Saini, M., & O'Connor, A. (2021). Rehabilitation of Abdominal Wall Injuries. *Current Sports Medicine Reports*, *20*(4), 183–188.
* Cheatham, M. L., & Khaja, A. (2023). Abdominal Wall Pain. In *StatPearls [Internet]*. StatPearls Publishing.
Q.
Unexplained Pain? Why a CT Is Your Medically Approved Next Step
A.
A CT scan is often the medically appropriate next step for unexplained, persistent, or severe pain, especially with red flag symptoms, because it can quickly identify or rule out serious problems in the abdomen, chest, or head and direct treatment. There are several factors to consider. See below to understand when a CT is and is not needed, safety and radiation, what to expect, alternatives, and when to seek urgent care, since these details can affect your next steps.
References:
* Bains, S., et al. (2013). The role of imaging in chronic pain. *Pain Physician*, 16(3), E237-47.
* Chou, R., et al. (2007). Diagnostic imaging for low back pain: a systematic review of the evidence for guideline development. *Spine J*, 7(4), 428-48.
* Van Der Molen, D. M. F. (2007). CT for acute abdominal pain. *Eur Radiol*, 17 Suppl 1, A37-47.
* Patel, N. D., et al. (2011). ACR Appropriateness Criteria® Low Back Pain. *J Am Coll Radiol*, 8(10), 734-43.
* Park, S. H., et al. (2007). Diagnostic accuracy of multidetector computed tomography in patients with nonspecific abdominal pain. *J Clin Gastroenterol*, 41(7), 695-700.
Q.
Sharp Pain? Why Your Abdomen is Hurting & Medically Approved Next Steps
A.
Sharp abdominal pain can stem from minor causes like gas or constipation, or signal emergencies such as appendicitis, gallstones, pancreatitis, kidney stones, or bowel obstruction. Next steps depend on location, severity, duration, and red flags like fever, persistent vomiting, blood in stool or vomit, chest pain, fainting, pregnancy, or a rigid abdomen; mild pain may improve with hydration, light meals, rest, heat, and gentle movement, while severe or worsening pain needs urgent care. Doctors diagnose using history, exam, and tests like blood, urine, ultrasound, or CT, and you can organize symptoms with a reliable checker before seeking care; see the full guidance below, since important details could change what you should do next.
References:
* Gajjar K, Desai Y, Thuluvath PJ. Acute abdominal pain: A guide to diagnosis. Cleve Clin J Med. 2021 Jul 1;88(7):407-415. doi: 10.3949/ccjm.88a.20037. PMID: 34210741.
* Schwartz ML. Acute abdominal pain. Prim Care. 2018 Jun;45(2):295-307. doi: 10.1016/j.pop.2018.02.006. PMID: 29759132.
* Anand P, Majumdar M. Acute Abdominal Pain: A Review for General Physicians. J Assoc Physicians India. 2018 Jul;66(7):65-71. PMID: 30349942.
* Reintam Blaser A. Approach to Acute Abdominal Pain. Curr Gastroenterol Rep. 2021 May 29;23(7):13. doi: 10.1007/s11894-021-00810-6. PMID: 34050212; PMCID: PMC8160477.
* Adkins A, Clark B, Boudi AB. Acute Abdominal Pain. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 32491500.
Q.
What causes lower left abdominal pain in a female?
A.
Lower left abdominal pain in women can stem from the GI tract (diverticulitis, IBS/IBD, constipation, colitis or obstruction), gynecologic causes (ovarian cysts or torsion, ectopic pregnancy, endometriosis, PID, ovulation pain), urinary issues (UTI, kidney stones, pyelonephritis), or musculoskeletal/hernia and vascular problems. There are several factors to consider—and some are emergencies, especially sudden severe pain, fever, vomiting, abnormal vaginal bleeding, or symptoms in early pregnancy—so see the complete details below to recognize red flags and choose the right next steps.
References:
Strate LL, & Morris AM. (2019). Epidemiology, pathophysiology, and treatment of diverticulitis. Gastroenterology, 30514432.
https://pubmed.ncbi.nlm.nih.gov/30514432/
Castera L, Foucher J, Bernard P-H, et al. (2005). Prospective comparison of transient elastography, FibroTest, APRI, and AST/ALT … Gastroenterology, 15907118.
https://pubmed.ncbi.nlm.nih.gov/15907118/
Moreau R, Jalan R, Gines P, et al. (2013). Acute-on-chronic liver failure is a distinct syndrome that develops in … Gastroenterology, 23433837.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1Sherman 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/