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Home > Patient & Family Resources > Health Library > Abdominal Pain, Age 12 and Older
FLU RESTRICTIONS (Effective January 8): Due to a steady increase in flu cases in our community and in our hospitals, children age 12 and younger should not visit people in Cone Health hospitals. Get the Details
The cause of abdominal problems can be hard to pinpoint. Sometimes minor and serious abdominal problems start with the same symptoms. Fortunately, most abdominal problems are minor, and home treatment is all that is needed.
Many times the exact cause of abdominal pain is hard to find. The severity of your pain, its location, and other symptoms you have may help determine what is causing the pain.
Occasionally, severe pain that comes on suddenly may be a symptom of a rupture of the stomach or intestines (perforation), torsion of the testicle or ovary, a kidney stone, gallbladder disease, or blood vessel problems, such as an aortic aneurysm. The pain caused by appendicitis or gallbladder disease may increase when you move or cough. Pain that increases with movement or coughing and does not appear to be caused by strained muscles is more likely to be a symptom of a serious problem. A visit to a doctor is usually needed when severe abdominal pain comes on suddenly, or when new and different mild pain slowly becomes more severe over several hours or days.
After a minor abdominal injury, pain, nausea, or vomiting may occur but often gets better in a few minutes. Pain and other symptoms that continue, increase, or develop following an injury may mean an abdominal organ has been damaged.
Many medicines can cause abdominal pain. Some medicines also cause side effects, such as constipation, that can make abdominal pain worse.
Abdominal symptoms can also occur from an infection passed on by animals or while traveling to a foreign country.
Specific abdominal symptoms have been linked to ovarian cancer. These symptoms include abdominal or pelvic pain, increased abdominal size or bloating, and trouble eating or feeling full quickly. If you have one or more of these symptoms, and it occurs almost daily for more than 2 or 3 weeks, talk with your doctor.
Check your symptoms to decide if and when you should see a doctor.
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
With cramping pain in the belly:
Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.
Adults and older children often have several symptoms of shock. These include:
If you're not sure if a fever is high, moderate, or mild, think about these issues:
With a high fever:
With a moderate fever:
With a mild fever:
Temperature varies a little depending on how you measure it. For adults and children age 12 and older, these are the ranges for high, moderate, and mild, according to how you took the temperature.
Oral (by mouth) temperature
A forehead (temporal) scanner is usually 0.5°F (0.3°C) to 1°F (0.6°C) lower than an oral temperature.
Ear or rectal temperature
Armpit (axillary) temperature
Certain health conditions and medicines weaken the immune system's ability to fight off infection and illness. Some examples in adults are:
Pain in adults and older children
It is easy for your diabetes to become out of control when you are sick. Because of an illness:
An illness plan for people with diabetes usually covers things like:
The plan is designed to help keep your diabetes in control even though you are sick. When you have diabetes, even a minor illness can cause problems.
You can get dehydrated when you lose a lot of fluids because of problems like vomiting or fever.
Symptoms of dehydration can range from mild to severe. For example:
Severe dehydration means:
Moderate dehydration means:
Mild dehydration means:
Blood in the stool can come from anywhere in the digestive tract, such as the stomach or intestines. Depending on where the blood is coming from and how fast it is moving, it may be bright red, reddish brown, or black like tar.
A little bit of bright red blood on the stool or on the toilet paper is often caused by mild irritation of the rectum. For example, this can happen if you have to strain hard to pass a stool or if you have a hemorrhoid.
Certain medicines and foods can affect the color of stool. Diarrhea medicines (such as Pepto-Bismol) and iron tablets can make the stool black. Eating lots of beets may turn the stool red. Eating foods with black or dark blue food coloring can turn the stool black.
If you take aspirin or some other medicine (called a blood thinner) that prevents blood clots, it can cause some blood in your stools. If you take a blood thinner and have ongoing blood in your stools, call your doctor to discuss your symptoms.
Symptoms of a heart attack may include:
The more of these symptoms you have, the more likely it is that you're having a heart attack. Chest pain or pressure is the most common symptom, but some people, especially women, may not notice it as much as other symptoms. You may not have chest pain at all but instead have shortness of breath, nausea, or a strange feeling in your chest or other areas.
Many prescription and nonprescription medicines can cause belly pain or cramping. A few examples are:
Based on your answers, you need emergency care.
Call911or other emergency services now.
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
Based on your answers, the problem may not improve without medical care.
After you call 911 , the operator may tell you to chew 1 adult-strength (325 mg) or 2 to 4 low-dose (81 mg) aspirin. Wait for an ambulance. Do not try to drive yourself.
Most of the time, abdominal pain improves with home treatment and you do not need a visit to a doctor. Specific home treatment for abdominal pain often depends on the symptoms you have along with the pain, such as diarrhea or nausea and vomiting.
If you have mild abdominal pain without other symptoms, try the following:
Call your doctor if any of the following occur during home treatment:
Abdominal pain can often be prevented.
To prepare for your appointment, see the topicMaking the Most of Your Appointment.
You can help your doctor diagnose and treat your condition by being prepared to answer the following questions:
Current as of: June 26, 2019
Author: Healthwise StaffMedical Review: William H. Blahd Jr. MD, FACEP - Emergency MedicineAdam Husney MD - Family MedicineKathleen Romito MD - Family Medicine
Current as of:
June 26, 2019
Medical Review:William H. Blahd Jr. MD, FACEP - Emergency Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine
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