6 Signs Your Abdominal Pain is Urgent: Balaguru Sambandam, MD, FACS: General Surgery (2024)

North Tarrant Health Providers Blog 6 Signs Your Abdominal Pain is Urgent

6 Signs Your Abdominal Pain is Urgent: Balaguru Sambandam, MD, FACS: General Surgery (1)

From indigestion to the stomach flu, abdominal pain is a common complaint among people of all ages. And with all the possible causes, that pain isn’t easy to diagnose on your own.

Most types of stomach pain aren’t serious, but some are — and it’s important to know the difference. Balaguru Sambandam, MD, FACS, and our team at North Tarrant Health Providers specialize in diagnosing and treating abdominal pain, and we’re here to help.

When to seek urgent medical care for abdominal pain

Stomach pain is common, and there are a few symptoms you should never ignore. Here are six telltale signs that your abdominal pain is urgent:

1. Your pain is intense and it came on suddenly

Pain is your body’s way of telling you something isn’t right. While pain feels different for everyone, sudden and severe pain should never be ignored. If the pain is in your abdomen, it could indicate bowel obstruction, kidney stones, a gallbladder attack, or even a heart attack.

2. You have blood in your stool

Stomach pain accompanied by bloody stool, particularly if it’s diarrhea, could indicate food poisoning. E.coli, campylobacter, salmonella, and shigella are common causes of foodborne illness, and symptoms include intense abdominal pain, bloody diarrhea, and fever.

While mild food poisoning may pass on its own, severe food poisoning often necessitates medical attention.

3. You have persistent nausea and vomiting

Intense abdominal pain can cause nausea and vomiting. If the vomiting won’t stop, you may need urgent medical care to diagnose your condition. Persistent nausea and vomiting can increase your risk of dehydration and other complications if you wait to seek treatment.

4. You have a high fever

A fever is a sign of infection. When it’s coupled with stomach pain, it might mean you have an infection in your gastrointestinal tract or abdominal organs. Ignoring a high fever may put you at risk of serious complications, and seeking treatment is the best way to lower your fever and start fighting the infection as promptly as possible.

5. Your abdomen is swollen or very tender

Like a fever, swelling indicates infection and inflammation. Severe swelling that makes your abdomen feel tender to the touch are signs you should seek prompt medical care for your abdominal pain.

If the pain and swelling concentrate in your lower right abdomen, you could have appendicitis. Appendicitis is a medical emergency that requires immediate attention. If you wait to get help, your appendix could burst and threaten your life.

6. Your pain spreads to your lower back

Abdominal pain that spreads to your lower back may indicate a more serious condition. Pancreatitis, cholecystitis, and kidney stones are a few of the most common causes of intense stomach and lower back pain, and all of these necessitate prompt medical care.

What to do about abdominal pain

If any of the above symptoms sound familiar, schedule an expeditious appointment with Dr. Sambandam or seek urgent medical care as soon as possible.

These symptoms are signs that your abdominal pain is urgent, but you should remember that it’s not a complete list. Consider scheduling a doctor’s appointment if you’re concerned about your abdominal pain or you have ongoing abdominal pain of any kind, along with symptoms like chronic nausea, constipation, or reduced appetite.

As an abdominal pain specialist, Dr. Sambandam can diagnose your condition and prescribe an appropriate treatment plan. The best treatment depends on the cause of your pain, and your options can range from watchful waiting to abdominal surgery.

When abdominal pain hits, it’s important to know what to do. Learn more at North Tarrant Health Providers in Fort Worth, Texas. Call our office at 817-904-4165 today, or request your appointment online any time.

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6 Signs Your Abdominal Pain is Urgent: Balaguru Sambandam, MD, FACS: General Surgery (2024)

FAQs

What is a red flag for abdominal pain? ›

Red Flags Signaling Medical Attention

Severe abdominal pain accompanied by high fever, vomiting blood, or sudden intense pain could signal an issue requiring immediate medical attention.

When is abdominal pain urgent? ›

If the pain is sudden, severe or does not ease within 30 minutes, seek emergency medical care. Sudden abdominal pain is often an indicator of serious intra-abdominal disease, such as a perforated ulcer or a ruptured abdominal aneurysm, although it could also result from a benign disease, such as gallstones.

What are the red flags for functional abdominal pain? ›

Review of systems should include potential "red flag" symptoms such as blood in the stool, persistent vomiting, dysphagia, odynophagia, nocturnal diarrhea, unintentional weight loss, growth delay, unexplained fever, signs of abuse, referred pain, jaundice or other skin changes, and joint pain.

What are the signs and symptoms of severe abdominal pain? ›

The pain may also be accompanied by other symptoms, such as:
  • bloating, belching and burping.
  • loss of appetite.
  • heartburn.
  • nausea and vomiting.
  • a change in bowel habits (doing a poo) — including diarrhoea or constipation.
  • problems with urinating (doing a wee)
  • fever.

What is the biggest red flag in the gut? ›

Red flag symptoms that should prompt referral to secondary care:
  • Abdominal masses.
  • A family history of ovarian cancer.
  • Rectal masses.
  • Anaemia.
  • Rectal bleeding.
  • Unintentional and unexplained weight loss.
  • A family history of bowel cancer.
  • Aged >60 years change in bowel habit lasting >6 weeks.

What is the red flag for pancreatitis? ›

What are the warning signs of pancreatitis? The main early sign is pain in the upper belly that comes on suddenly and lingers, along with nausea and vomiting. The pain may spread to your back, and you may have yellowing (jaundice) of your skin and the whites of your eyes.

How long is too long for abdominal pain? ›

Cramp-like pain -- This type of pain is not serious most of the time. It is likely to be due to gas and bloating, and is often followed by diarrhea. More worrisome signs include pain that occurs more often, lasts more than 24 hours, or occurs with a fever or rectal bleeding.

Which abdominal pain is serious? ›

Serious causes of abdominal pain include appendicitis and pregnancy problems. However, most abdominal pain is harmless and goes away without surgery. Most people only need relief from their symptoms. Sometimes, abdominal pain can stop and the cause will never be known, or the cause may becomes more obvious with time.

When is abdominal pain becomes a serious matter? ›

Always see your doctor if your pain is unexplained, persistent or severe, or if you have been injured or are pregnant. Also, see your doctor if your abdominal pain is accompanied by any of these symptoms: Persistent fever. Persistent nausea or vomiting.

What are the 5 F's of abdominal pain? ›

Background: The time-honoured mnemonic of '5Fs' is a reminder to students that patients with upper abdominal pain and who conform to a profile of 'fair, fat, female, fertile and forty' are likely to have cholelithiasis.

What stomach pain should you not ignore? ›

Your pain is intense and it came on suddenly

While pain feels different for everyone, sudden and severe pain should never be ignored. If the pain is in your abdomen, it could indicate bowel obstruction, kidney stones, a gallbladder attack, or even a heart attack.

What is the best test for abdominal pain? ›

Tests for abdominal pain

Your doctor may order urine, blood and stool tests. Imaging tests are also helpful for detecting abnormalities inside your digestive system and other organs. These tests may include X-rays, CT scan, ultrasound, double-contrast barium enema or endoscopy.

What are the red flags for abdominal pain? ›

Red flags that raise suspicion of serious pathology

Systemically unwell/septic-looking. Signs of dehydration. Rigid abdomen. Patient lying very still or writhing.

At what point should I go to the ER for abdominal pain? ›

Shah recommends going to an emergency room instead of urgent care: Severe stomach pain that makes it difficult to function, move, eat, or drink. Sudden onset of stomach pain. High fever.

What is the number one cause of abdominal pain? ›

The most common causes usually aren't serious, such as gas pains, indigestion or a pulled muscle. Other conditions may need urgent medical attention. The location and pattern of abdominal pain can provide important clues, but how long it lasts is especially useful when figuring out its cause.

What Is Abdominal Pain? Symptoms, Causes ...Everyday Healthhttps://www.everydayhealth.com ›

Most people experience abdominal discomfort or pain at some point in their lives. Abdominal pain (sometimes called stomachache or bellyache) is usually felt in ...
Pain is an important symptom for diagnosing abdominal diseases. Pains located away from the center of the abdomen often indicate issues that are more serious.
It's also a classic symptom of irritable bowel syndrome (IBS), a chronic digestive disorder that has been on the rise since the start of the COVID-19 pandem...

What are 5 red flag symptoms? ›

Examples of red flag symptoms in the older adult include but are not limited to: fever, sudden unexplained weight loss, acute onset of severe pain, neural compression, loss of bowel or bladder function, jaw claudication, new headaches, bone pain in a patient with a history of malignancy or that awakens the patient from ...

What is the first test for abdominal pain? ›

Key takeaways: Abdominal pain is a common symptom that has many causes. The pain's location and the way it feels can narrow down the list of potential causes. Common testing for abdominal pain includes blood tests, urine tests, and imaging studies like a CT scan or ultrasound.

What are red flags in pain? ›

Other red flag features to be aware of in people with chronic pain include: Older age and new onset symptoms. People who are immunosuppressed. History of cancer — especially in people with back pain.

What are red flag emergency symptoms? ›

Red Flag quick guide for Adults & Children
  • Eyes. Sudden loss of vision, foreign body in the eye, trauma resulting in rapid swelling, any chemical injury – direct patient straight to A&E.
  • Mouth. ...
  • Throat. ...
  • Ears. ...
  • Chest & Breathing. ...
  • Heart / Chest pain. ...
  • Suspected Sepsis. ...
  • Abdominal Pain.

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