If your pain is intermittent, I think it might be gall bladder
problems. If it is constant, then kidney stones or ulcer may be the
I think you need to be evaluated as soon as possible. All of the
conditions below need intervention. Sometimes putting off getting
help can result in a very bad outcome. A ruptured (burst)
appendix, for example, can result in peritonitis (infection
spread through the abdomen from the infected appendix) and be life
threatening as can be the aortic aneurysm.
Although abdominal pains often
turn out to be no more than a tummy upset with some cramping bowel spasms.
However, there are clues to suggest that abdominal pain might be due to
something more significant:
- Pain that is severe or just getting worse.
- The person looking very sick, for instance agitated,
sweating or pale.
- Pain that prevents the person lying comfortably in bed
or makes walking difficult.
- The presence of other symptoms like vomiting, fever or
passing blood in the urine or bowel motions.
Severe, debilitating pain (unable to go
to work or perform any usual activities of daily living) should be evaluated by
Here are the most common reasons for
severe abdominal pain in adults:
Appendicitis is the condition that always comes to mind first. It can
occur in people of any age but may be difficult to diagnose in the very young
and the elderly. Frequently the pain is non-specific to start with. There may
be vomiting and perhaps a fever. The pain tends to gradually get worse and then
usually becomes localized in the lower right side of the abdomen. The diagnosis
may not be initially clear.
Gall Stones/ Spasm can cause severe pain, sometimes in waves of spasms. Frequently they
cause severe colicky pain high up on the right side to mid area of the abdomen.
Sometimes the pain can be felt in the back or even the chest, and may be
triggered off by a fatty meal.
Kidney Stones often cause very severe pain, usually felt initially in the
loin area. The pain may travel around to the front or to the groin or to the back,
flank area. People often thrash about, can’t sit still and are unable to get
any relief. While women put the pain in the childbirth category, men often
compare it in severity to a kick in the testicles.
pain is like severe
indigestion. It is often a burning pain just below the breastbone and it may be
relieved with antacid. It may wake the person from sleep. Gastric ulcer pain is
quite similar but tends to come on with eating.
aneurysm can form in the
aorta. The aorta is the main arterial trunk that carries blood from the heart.
Sometimes its wall can become weak, and an aneurysm, or bubble may occur. This
is more likely to happen in older people with vascular disease. An abdominal
aortic aneurysm can cause severe pain, sometimes also felt in the back. If
blood is leaking into the abdominal cavity the blood pressure may drop sharply
and the person may look sweaty and pale. A leaking or ruptured abdominal aortic
aneurysm is a surgical emergency. Immediate ambulance transport to a major
hospital is necessary if a leaking aneurysm is suspected.