Conditions

Abdominal Pain

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Causes and Evaluation

Abdominal pain refers to any discomfort or unpleasant sensation felt in the area between the chest and the pelvis. This broad region contains many vital organs, including the stomach, small and large intestines, liver, gallbladder, pancreas, kidneys, and, in women, the reproductive organs. Because of this complexity, abdominal pain can have many possible causes—ranging from mild and temporary to serious and life-threatening. The pain can vary widely in intensity, duration, and character. It may feel sharp or stabbing, dull or aching, or cramp-like. Some people describe a burning or gnawing sensation, while others experience pain that is localized to one area or more diffuse across the abdomen. Understanding the type, location, and timing of the pain can offer valuable clues about its source.

Man on couch with abdominal pain
Why it matters

Abdominal pain is one of the most common reasons people seek medical care, especially in emergency settings. While many cases are harmless and self-limiting, others may signal a more serious underlying issue. Early evaluation can lead to prompt diagnosis and treatment, preventing complications and improving outcomes.

Abdominal pain
Common Causes of Abdominal Pain
Digestive Causes
  • Indigestion or gas
  • Dyspepsia
  • Constipation
  • Gastroenteritis
  • Gastroparesis
  • Food intolerances (e.g., lactose or gluten)
  • Gastroesophageal reflux disease (GERD)
  • Peptic ulcers (often caused by H. pylori)
  • Bowel obstruction
  • Hernias
  • Gallstones
  • Pancreatitis
  • Appendicitis
  • Diverticulitis
  • Inflammatory bowel disease (Crohn’s, ulcerative colitis)
  • Celiac disease
Urinary:
  • Kidney stones
  • Urinary tract infection (UTI)
  • Kidney infection (pyelonephritis)
Reproductive
  • Menstrual cramps

  • Ectopic pregnancy

  • Pelvic inflammatory disease (PID)

  • Endometriosis

  • Ovarian cysts or torsion/Testicular torsion

  • Prostatitis
Musculoskeletal
  • Abdominal wall injury

  • Muscle strain

Vascular/Other
  • Abdominal aortic aneurysm

  • Mesenteric ischemia (reduced blood flow to intestines)

  • Cancer
  • Irritable bowel syndrome (IBS) with diarrhea or constipation
  • Abdominal cutaneous nerve entrapment syndrome

  • Chronic abdominal pain

  • Functional Dyspepsia

  • Stress or anxiety-related abdominal pain

Woman with abdominal pain on couch

When to Seek Medical Attention

You should consult a healthcare provider immediately if your abdominal pain is:

  • Severe or sudden
  • Associated with fever, vomiting, or chills
  • Accompanied by unintentional weight loss
  • Linked to blood in stool or vomit
  • Worsening over time or lasting more than a few days
  • Interrupting sleep or daily activities

How Abdominal Pain is Diagnosed

Diagnosing the cause of abdominal pain usually involves a step-by-step approach:

1. Medical History and Physical Examination
  • Location, quality, timing, and triggers of pain
  • Medical and surgical history
  • Associated symptoms
  • Blood tests (e.g., complete blood count, liver enzymes)
  • Urinalysis
  • Stool tests
  • Ultrasound (Abdominal or Pelvic)
  • CT scan of the abdomen and/or pelvis
  • MRI of the abdomen and/or pelvis
  • Endoscopy/colonoscopy
  •  

Treatment Options

Treatment for abdominal pain depends entirely on the underlying cause, the severity of symptoms, and the patient’s overall health. In many cases, mild abdominal discomfort resolves on its own or with simple home care. However, more serious conditions may require medical intervention.

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