On and Off Again Stomach Pain

Pain in the breadbasket (abdomen) is common. Usually it doesn't concluding long and is often due to a gut infection or a pocket-sized upset - merely in that location are many other possible causes. Hurting that is severe or doesn't settle rapidly may need attending from a medico. The about common causes of abdominal pain are mentioned beneath.

The belly is that part of your body which is below your ribs and above your hips. Some people call it the tum, trunk, abdomen or gut. When yous accept a pain in that area, doctors volition phone call it abdominal hurting. However, other popular terms for abdominal pain include tummy pain, tummy ache, breadbasket ache, tum hurting, gut anguish, abdomen ache and gut rot.

Usually, hurting that you feel here will be caused by a trouble in your gut. Sometimes it tin can be caused past issues in other organs.

What is the gut?

The gut (alimentary canal) starts at the mouth and ends at the anus. When we eat or drink, the food and liquid travel down the gullet (oesophagus) into the tum. The stomach churns up the food and so passes it into the small intestine.

Diagram naming the parts of the gut

The Gut - simple

Large bowel diagram

Large bowel

The small-scale intestine - sometimes called the small-scale bowel - is several metres long and is where nutrient is digested and absorbed. Undigested food, h2o and waste material products are then passed into the big intestine - sometimes called the large bowel. The main office of the large intestine is called the colon, which is about 150 cm long. This is split into iv sections: the ascending, transverse, descending and sigmoid colon. Some water and salts are absorbed into the body from the colon. The colon leads into the back passage (rectum) which is about fifteen cm long. The rectum stores stools (faeces or poo) earlier they are passed out from the anus.

Doctors have different words to describe the different types of pain you can feel in the gut. Very broadly, pains may be sharp or stabbing, crampy, colicky or a general dull ache. Colicky ways gradually condign worse, then easing off again. This may happen repeatedly.

Doctors may also exist interested in where the pain is and whether the pain seems to be travelling (radiating) in a certain direction. Having this information and putting it together with other information, such as whether you take been being sick (vomiting) or have had diarrhoea, volition assistance the doc work out what is incorrect.

Hurting that comes on of a sudden may be called astute. Longer-standing hurting is chosen chronic.

This listing does not include all the possible causes of gut pain but some of the more than common causes include the following:

Indigestion

Indigestion means unlike things to different people. You lot might feel pain in your upper abdomen or behind your breastbone. This usually happens afterwards eating certain types of food. The foods might be fatty or very rich. Yous may feel like burping a lot or have a nasty acid taste coming into your mouth. It usually goes in a few hours. Nearly people will discover relief from uncomplicated remedies they can buy at the pharmacist.

If yous are older, or are known to take heart disease, indigestion-type pains that come on with exertion or stress are worrying. Sometimes it can exist difficult to tell angina or a centre assail from indigestion. If you lot have pain that goes into your jaw or down your left arm, it might exist angina. If it goes off quickly, try to run across your GP to discuss it. If information technology doesn't settle and you feel unwell, phone 999/112/911 for an ambulance.

Wind

Crampy pains subsequently eating may be air current. Your abdomen may experience swollen or bloated. If you are able to go to the toilet and open your bowels or pass air current, the pain usually goes. If not, a pharmacist may be able to recommend some medication to ease the pain.

Constipation

Constipation is common. Information technology means either going to the toilet less oftentimes than usual to empty the bowels, or passing hard or painful stools. Sometimes crampy pains occur in the lower abdomen. You may too feel bloated and ill if you accept astringent constipation. See the separate leaflets called Constipation and Constipation in Children for more information.

Irritable bowel syndrome (IBS)

IBS is a common gut disorder. The crusade is non known. Symptoms can exist quite variable and include abdominal pain, wind, bloating, and sometimes bouts of diarrhoea and/or constipation. Symptoms tend to come and go. In that location is no cure for IBS but symptoms can oft be eased with handling. See the separate leaflet called Irritable Bowel Syndrome for more details.

Diverticular disease

Diverticular disease is common in older people. It is thought to be caused by eating a diet too low in fibre for a long fourth dimension. It commonly causes no symptoms at all only some people have an ongoing lower abdominal aching, and information technology tin also cause flares of more astringent pain which require treatment with painkillers and antibiotics. Come across the separate leaflet called Diverticula (Diverticulosis, Diverticular Disease, Diverticulitis) for more than details.

Appendicitis

Appendicitis ways inflammation of the appendix. The appendix is a small pouch that comes off the gut wall. Appendicitis is quite common. Typical symptoms include abdominal hurting and being sick (vomiting) that gradually become worse over 6-24 hours. The pain usually starts in the centre of the belly but over time seems to move towards the right hip. Some people have less typical symptoms. See the separate leaflet chosen Appendicitis for more details.

Kidney stones

Hurting that starts in your back and seems to travel around the side of your belly to your groin, may be a kidney rock. The pain is severe and comes and goes. This is called renal colic. The pain goes when the stone is passed. Sometimes the stone cannot be passed and you may need to accept the stone broken into small pieces at the local hospital. There may be claret in your urine too. Meet the divide leaflet chosen Kidney Stones for more details.

Urine infection

This is a common cause of aching lower abdominal hurting in women. It is much less common in men. Along with pain, you may feel sick and sweaty. There may be a sharp stinging when you pass urine and there may be blood in the urine. See the divide leaflets called Cystitis in Women, Urine Infection in Men and Urine Infection in Children for more details.

Pelvic inflammatory disease (PID)

PID is an infection of the womb and/or Fallopian tubes. Treatment is with antibiotics. Pain in the lower abdomen (pelvic expanse) is the most mutual symptom. It can range from mild to severe. Hurting during sexual practice can also occur. Women commonly besides take vaginal discharge with PID. See the dissever leaflet chosen Pelvic Inflammatory Disease for more than details.

Gallstones

Many people do non know they have gallstones. Symptoms include severe pain in the upper right side of the belly. This is called biliary colic. The pain is usually worst to the right-hand side, merely below the ribs. The hurting eases and goes if the gallstone is pushed out into the bile duct (and so usually out into the gut) or if it falls dorsum into the gallbladder.

Hurting from biliary colic tin concluding for merely a few minutes but, more commonly, lasts for several hours. A severe hurting may simply happen in one case in your lifetime or it may flare upwards from time to time. Sometimes less severe just niggly pains occur now and and then, especially after a fat meal when the gallbladder contracts near. See the separate leaflet called Cholecystitis for more details.

Menses pain

Nearly women have some lower abdominal pain during periods. The pain is frequently balmy but for some women, the hurting is severe enough to affect day-to-day activities. The hurting can be so astringent that they are unable to go to school or piece of work. Periods tend to go less painful as you get older. An anti-inflammatory painkiller often eases the pain. See the divide leaflet called Period Pain (Dysmenorrhoea) for more details.

Nutrient poisoning

When we think of food poisoning, we usually think of the typical gastroenteritis - an infection of the gut (intestines) - that usually causes diarrhoea with or without vomiting. Crampy pains in your breadbasket (belly) are common. Pains may ease for a while each time y'all pass some diarrhoea. See the carve up leaflets called Food Poisoning and Food Poisoning in Children for more details.

Breadbasket and duodenal ulcers

The hurting from an ulcer may come and get. The pain is in the top function of your gut just may also feel like it goes through into your back. The pain often comes at night and wakes you upwards. Food may go far amend in some types of ulcer, or may arrive worse. See the split up leaflets called Stomach Ulcer (Gastric Ulcer) and Duodenal Ulcer for more details.

Inflammatory bowel disease

At that place are ii main types of inflammatory bowel affliction: Crohn's disease and ulcerative colitis. They are both weather condition which crusade inflammation in the gut. The symptoms can flare upward from fourth dimension to time. Symptoms vary, depending on the function of the gut affected and the severity of the condition. Common symptoms include bloody diarrhoea, intestinal pain and feeling unwell.

Gastritis

Gastritis is inflammation of the stomach lining. It may cause upper abdominal hurting (just beneath your breastbone). The pain is oft described every bit a called-for feeling. In that location are ordinarily other symptoms besides, such as feeling sick (nausea), vomiting and feeling full later eating.

Cancer

People often worry that gut pain is caused by cancer. If you have pain that doesn't settle chop-chop or with simple remedies, and then you should go and see your medico. Some of the questions they ask will be to make certain at that place is not whatsoever serious crusade, such as cancer, for the pain you are having.

Bowel cancer tin can cause abdominal pain. It commonly besides causes weight loss, a change in bowel addiction and claret in the stools.

Pancreatic cancer can cause upper abdominal pain which goes through to the dorsum, only more normally starts with other symptoms such as jaundice.

Stomach cancer can cause upper abdominal hurting similar to the symptoms of gastritis but it does not get ameliorate with simple remedies.

The list does non include every condition that causes intestinal hurting. These are just some of the most common causes.

Some weather may not need any investigations. Otherwise, the blazon of investigation will depend on which part of the gut is afflicted. Claret tests sometimes provide useful information about what is causing intestinal pain. Sometimes an 10-ray or ultrasound scan will be carried out, which volition wait for specific things your doctor may suspect. The gut tin can be looked at directly with endoscopy. A gastroscopy will look at the oesophagus and stomach, and a colonoscopy will wait at the large bowel. More details can exist found in the individual condition leaflets, mentioned above.

Again, this will depend on what the likely cause of your pain is. Some types of pain can be treated simply with over-the-counter remedies yous can buy at the chemist. Others may need treatment at a hospital.

Follow the links to the individual condition leaflets for more than details.

You may recognise your type of hurting from the descriptions here. Nonetheless, if you have a pain that is not going away quickly (within a few hours) or that you cannot cope with, you should encounter a GP. This may be your ain GP, or an on-phone call GP if out of hours.

Swallow enough of fruit and vegetables

Information technology is recommended that nosotros consume at least five portions of a variety of fruit or vegetables each day. If y'all eat a lot of fruit and vegetables then your chances of developing eye disease, a stroke or bowel cancer are reduced. In addition, fruit and vegetables:

  • Incorporate lots of fibre, which helps to keep your bowels healthy. Problems such every bit constipation and diverticular illness are less likely to develop.
  • Contain plenty of vitamins and minerals, which are needed to keep yous good for you.
  • Are naturally low in fat.
  • Are filling only are low in calories.

Consume enough of roughage (fibre)

Fibre is the office of food that is not digested. It is filling but has few calories. It helps your bowels to move regularly, which reduces constipation and other bowel problems. Fibre may besides assistance to lower your cholesterol level.

Starchy foods, and fruit and vegetables contain the most fibre. So the tips to a higher place on starchy foods and fruit and vegetables will also increase fibre. If you switch to wholemeal rice and pasta and wholemeal bread, this can significantly increase your fibre intake. Pulses similar lentils and beans are besides total of fibre.

Have plenty to drinkable when yous eat a loftier-fibre diet (at least vi-8 cups of fluid a day).

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Source: https://patient.info/signs-symptoms/abdominal-pain-leaflet

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