PO Box 837
301 Linville Street
Glen Alpine, NC  28628
Phone (828) 584-2481
Fax (828) 584-8371

 
 
 
 
 

Our Providers

Meet the Staff

Hours of Operation

Insurance

Contact Us

Patient Forms

Patient Education

 

 

 

 
Choose a different Symtom

Compliments of American Academy Of  Family Physicians

Abdominal Pain, Short-Term

Printer-friendly version
   
  Just about everyone has had a "stomachache" at one time
  or another. But severe abdominal pain, also called acute, is
  nothing to be ignored. it often indicates a serious problem.
  Follow this chart for more information about abdominal pain that has recently started. See
  Topic 28 for abdominal pain that has occurred for more than three days.
SYMPTOMS   DIAGNOSIS   SELF-CARE
Begin here        
1. Do you have severe, constant and dull pain, severe knife-like pain or severe, cramping abdominal pain? No --> Go to Question 6.*    
Yes, go down        
2. Do you have any of the following symptoms?
  1. Is your stomach very tender to touch?
  2. Do you have bloody diarrhea?
  3. Are you vomiting blood or do you have black, tarry bowel movements?
  4. Do you have a temperature above 101°?
  5. Do you have a history of diverticulosis or previous abdominal surgery?
  6. Are you pregnant or believe you might be pregnant?
Yes -->
You probably have a serious problem and should contact your doctor right away. You may have one of the following:
  • APPENDICITIS
  • INFECTIOUS DIARRHEA
  • BLEEDING FROM THE BOWELS
  • PERFORATED APPENDIX, DIVERTICULA or ULCER
  • MISCARRIAGE or ECTOPIC PREGNANCY
  • PANCREATITIS
  • BOWEL BLOCKAGE
--> CALL YOUR DOCTOR RIGHT AWAY OR GO TO THE HOSPITAL.
No, go down        
3. Does the pain start on the right upper abdomen and go through to the back, or does fatty or greasy food bring on this pain? Yes --> You may have GALLSTONES or an INFECTION of the gallbladder. --> See your doctor promptly.
No, go down        
4. Does the pain start in the back near the ribs and move down toward the groin, or is the pain knife-like, searing and does its severity come and go, or is there blood in the urine? Yes --> Your pain may be from a KIDNEY STONE or TUMOR. If you have a fever, you may also have a KIDNEY or BLADDER INFECTION. --> See your doctor promptly.
No, go down        
5. Do you ever have blood or mucus in your bowel movements? Yes --> This may be from ULCERATIVE COLITIS or from CROHN'S DISEASE, inflammatory diseases of the colon or large intestine. An INFECTION can also cause bloody diarrhea. --> See your doctor.
No, go down        
*6. Do you have a mild ache or burning pain in the upper abdomen, or cramping pain that comes and goes? No --> Go to Question 10.**    
Yes, go down        
7. Do you have fever, diarrhea, aches, chills, nausea or vomiting? Yes --> You probably have GASTROENTERITIS, or the stomach flu. Severe cases can lead to dehydration in infants and young children. --> Use fever-reducing medicines. (Don't give children aspirin without consulting your doctor.) Call your doctor if you see any blood or mucus in the diarrhea, or if you have excessive diarrhea. Call your doctor if your child has signs of dehydration: lethargy, dry mouth, decreased urination.
No, go down        
8. Has it been a few days or longer since you have had a bowel movement? Yes --> CONSTIPATION may be the source of your discomfort. Occasionally a child will hold a bowel movement because of pain from a HEMORRHOID or an ANAL FISSURE. --> Try a bulk-forming laxative. Children should be given a glycerin suppository for a laxative. See your doctor if the pain or constipation continues.
No, go down        
9. Do you have a pain or "burning" in the abdomen that is relieved by eating? Yes --> This may be from simple GASTRITIS, an irritation of the stomach, or from an ULCER. --> Try an antacid on a regular basis. See your doctor if this is ineffective or if the pain comes back quickly.
No, go down        
**10. Are you a woman who has a constant pain in the lower abdomen along with a vaginal discharge? Yes --> A dull, constant pain accompanied by a discharge may be from an INFECTION around your ovaries, uterus and fallopian tubes. --> This condition requires an antibiotic. See your doctor.
No, go down        
11. Do you have lower abdominal pain that is worse with urination? Yes --> Infection of the urinary tract, CYSTITIS, can be painful and cause abdominal discomfort. --> See your doctor promptly.
No, go down        
12. Is the person an infant who has constipation and then produces large amounts of bowel movement? Yes --> This could be due to a problem with the wall of the large intestine, called HIRSCHSPRUNG'S DISEASE. --> See your doctor.
No, go down        
If the pain doesn't stop within a few hours, see your doctor. For more information, please consult your doctor. If you think your problem is serious, call right away.        

This tool has been reviewed by doctors and is for general educational purposes only. It is not a substitute for medical advice. The information in this tool should not be relied upon to make decisions about your health. Always consult your family doctor with questions about your individual condition(s) and/or circumstances. Source: American Academy of Family Physicians. Family Health & Medical Guide. Dallas: Word Publishing; 1996.

Copyright © 2006 American Academy of Family Physicians
 


 
 
 

Designed By:  Watts Computer Specialist