How the cause of an abdominal pain diagnosed?
Doctors consider some attributes to diagnose the abdominal pain which include: pain characteristics, endoscopic, radiological and laboratory testing, surgery, diagnosis on physical examination and symptoms of abdominal pain. There is some of the information, which is taken from patient’s history that helps doctors to diagnose the disease.
Location of the pain
Appendicitis causes pain in the lower right abdomen which is the most usual site of appendicitis.
Diverticulitis causes pain in the lower left abdomen where colonic diverticula are situated.
Gallbladder pain is felt basically in the upper right abdomen where this gallbladder is generally present.
How pain begins?
A sudden abdominal pain suggests a specific event say, for example, the blood supply interruption to colon or bile duct obstruction by any gallstone.
Abdominal pain pattern
Intestinal obstruction causes cramp waves of severe abdominal pain due to intestinal muscle contraction and its distention.
Acute pancreatitis generally causes severe persistent and unrelenting abdominal pain.
Acute appendicitis pain generally starts near an umbilicus but with the further progression in the inflammation, this pain then moves to the lower right abdomen.
Abdominal pain symptoms and character can change with time.
Pain duration
Biliary colic generally lasts for several hours while pancreatic pain lasts for some days.Fuctional pain shows the same periodicity pattern. Abdominal pain gets worse by any sort of inflammation like pancreatitis, appendicitis, cholecystitis and diverticulitis, which is aggravated by coughing, sneezing or any sort of jarring motion.
Pain relief
Abdominal pain due to constipation generally relieves by bowel movements or any change in the bowel habit. Pain that usually awakens the patient from sleep normally bears non functional causes. Acid which causes irritation in ulcer patients can cause pain in stomach or duodenum and its effects can be minimized by taking neutralizers as antacids, which combine with food to neutralize its effects.
A clear sign of inflammation is fever, which should be noticed immediately while rectal bleeding and diarrhea suggest that the abdominal cause of pain is hidden in the intestinal complications which can be infectious or non-infectious like Crohn’s disease or ulcerative colitis.
Abdominal Pain, Gallbladder, Pain | Tayyaba Akmal | November 17, 2009
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