Thursday, 11 May 2017

ACUTE ABDOMINAL PAIN… WHEN IT REALLY HURTS…

Acute abdominal pain is, in the majority of cases, due to an inflammation or rupture of an organ located in the abdomen and is always a medical emergency.

The abdomen is a cavity that harbours organs such as the liver, pancreas, intestines, uterus, ovaries, blood vessels, etc.

The main causes of acute abdominal pain are:
  • Acute Appendicitis.
It is the inflammation of a small saccule located in the lower right ride of the abdominal cavity, it presents itself as a severe pain that is sometimes accompanied by vomiting and a slight rise in body temperature. It is commonly suffered by children and young people.


  • Ruptured Abdominal Aortic Aneurysm.
It is consists of a dilation and rupture of the Aorta, which is the biggest major blood vessel located in the abdomen.
It has similar symptoms to those of appendicitis with the only difference being that it emerges in males older than 60 that are hypertensive and smokers.

  • Diverticulitis.
The diverticulum of the colon, usually found in older adults, consists of a dilation of the walls of the colon causing acute abdominal pain, high fever, nausea, vomiting, etc. when they are inflamed. In the majority of cases the pain is located on the lower left side of the abdomen, which is why it is also called ‘appendicitis of the left side’.

  • Ectopic Pregnancy.
The development of the embryo where it should not be, meaning that the embryo develops in the fallopian tubes instead of in the uterus. Acute abdominal pain is accompanied by vaginal bleeding and dizziness.

  • Acute Cholecystitis.
Acute cholecystitis is an acute pain located in the right side of the abdomen, which radiates to the back. It is usually caused by the obstruction of gallstones in the gallbladder, which is an organ that is located below the liver. Other symptoms that can emerge in cholecystitis are: fever, nausea and vomiting.

  • Acute Pancreatitis.
It is an acute inflammation of the pancreas, characterised for a cross-cutting pain in the upper part of the abdomen, which the patient describes it as the feeling of being stabbed by a knife. It radiates to the back and it is generally presented through stones flushed through the gallbladder and through great ingestions of alcohol.
Nauseas and vomiting are symptoms that they are accompanied by.


Other pathologies that can produce acute abdominal pain are perforated gastric ulcers, torsion of abdominal and inguinal hernias, inflammatory diseases of the colon, tumours, ovarian ruptures, acute pyelonephritis, abdominal traumas, etc.

Eventhough all of the pathologies that can cause acute abdominal pain will be explored further in upcoming articles, having a basic idea of them can always help us to save a life.

Dr J. Hurtado Martínez
Medical Director of HealthSalus

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