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Although abdominal pains oftenturn 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 tosomething more significant:
Severe, debilitating pain (unable to goto work or perform any usual activities of daily living) should be evaluated byphysician.
Here are the most common reasons forsevere abdominal pain in adults:
Appendicitis is the condition that always comes to mind first. It canoccur in people of any age but may be difficult to diagnose in the very youngand the elderly. Frequently the pain is non-specific to start with. There maybe vomiting and perhaps a fever. The pain tends to gradually get worse and thenusually becomes localized in the lower right side of the abdomen. The diagnosismay not be initially clear.
Gall Stones/ Spasm can cause severe pain, sometimes in waves of spasms. Frequently theycause 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 betriggered off by a fatty meal.
Kidney Stones often cause very severe pain, usually felt initially in theloin 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 getany relief. While women put the pain in the childbirth category, men oftencompare it in severity to a kick in the testicles.
Duodenal Ulcerpain is like severeindigestion. It is often a burning pain just below the breastbone and it may berelieved with antacid. It may wake the person from sleep. Gastric ulcer pain isquite similar but tends to come on with eating.
Abdominalaneurysm can form in theaorta. 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. Thisis more likely to happen in older people with vascular disease. An abdominalaortic aneurysm can cause severe pain, sometimes also felt in the back. Ifblood is leaking into the abdominal cavity the blood pressure may drop sharplyand the person may look sweaty and pale. A leaking or ruptured abdominal aorticaneurysm is a surgical emergency. Immediate ambulance transport to a majorhospital is necessary if a leaking aneurysm is suspected.