Abdominal pain can be experienced and described in a variety of ways that includes the sensation of burning or pressure in the upper abdomen and chest area. People with abdominal pain may also describe the pain as sharp, dull, achy or crampy. Abdominal pain can occur in one very small specific area, such as the right lower area of the abdomen with appendicitis. Abdominal pain can also be more diffuse and spread throughout the abdomen. Crampy abdominal pain in the pelvic area can be a symptom of menstrual cramps or endometriosis.
Other symptoms that accompany abdominal pain vary depending on the underlying cause. Symptoms can include diarrhea, nausea, vomiting, bloating, abdominal distention, gas, belching, fever and constipation. Other coexisting symptoms can include flu-like symptoms, fatigue, rectal bleeding, vomiting blood (hematemesis), yellow skin and eyes (jaundice) and weight loss. Abdominal pain may also occur without other symptoms.
Complications of underlying causes of abdominal pain vary depending on the specific disease, conditions or disorder. Abdominal pain accompanied by vomiting and/or diarrhea can result in the complication of dehydration. If untreated, severe dehydration can lead to an electrolyte imbalance and shock.
Abdominal pain accompanied by the vomiting of blood or rectal bleeding can result in severe complications of anemia, hypovolemic shock and death. This type of abdominal pain is a symptom of a potentially serious, even life-threatening, condition. These include perforated perforated peptic ulcer.
Abdominal pain that occurs with fever can be due to a serious condition, such as intestinal obstruction or appendicitis. Abdominal pain accompanied by abnormal vital signs or sign of shock is a life-threatening condition. Abdominal pain during pregnancy can be a sign of normal labor or can be a sign of a premature labor or a life-threatening ectopic pregnancy.
All of the above conditions are medical emergencies that should be immediately evaluated in an emergency setting.
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