Abdomen pain, can be acute in onset and short in duration, or may be chronic of long duration
Common causes of acute abdomen pain are
- Acute appendicitis
- Cholecystitis due to gall bladder stones
- Acute pancreatitis
- Perforated peptic ulcer
- Intestinal obstruction
- Intestinal perforation
- Mesentric vascular ischemia
- Diverticulitis
- Renal and ureteric stones and pyelonephritis
- Metabolic such as diabetic ketoacidosis, uremia, porphyria
- Gynecological causes such as ectopic pregnancy, abortion, ovarian tumors
Causes of chronic pain abdomen are
- Functional dyspepsia-Indigestion and bloating
- Irritable bowel syndrome
- Peptic ulcer disease
- Ulceration in small or large intestine
- Chronic pancreatitis
- Chronic cholecystitis
- Abdomen tuberculosis
- Inflammatory bowel disease (Ulcerative colitis and Crohn’s disease)
- Fluid in peritoneal cavity due to tuberculosis, pancreatitis or malignancy
- Tumor of stomach, intestine, liver, and pancreas
Treatment
Treatment of pain depends upon the cause of pain, patient with acute severe pain abdomen should be immediately brought to medical attention, so that exact diagnosis can be established with proper investigations.
Chronic pain abdomen is mostly due to functional disorders like Functional dyspepsia and irritable bowel syndrome, which are diagnosed once the organic causes are ruled out with proper investigations.
