CONDITIONS
Abdominal Pain of Unknown Origin
What is abdominal pain of unknown origin?
Abdominal pain of unknown origin refers to discomfort in the abdominal region for which no clear cause can be identified. This pain may persist for three months or longer and may be accompanied by additional symptoms, depending on individual patient factors.
How do you evaluate chronic, recurrent abdominal pain?
Clinicians must first determine whether the pain is functional or results from an underlying disorder, exposure to toxins, or medication use. This distinction is often challenging, necessitating a comprehensive evaluation.
The typical warning signs include:
- High fever
- Weight loss
- Spots of blood in the urine, stool, or vomit.
- Frequent and severe vomiting
- Yellowing of the white regions of the eyes and skin (jaundice)
- Swelling in the legs and abdomen.
When should I see a doctor for abdominal pain?
Consultation with a physician and a gastroenterology specialist is recommended for unexplained abdominal pain. Individuals experiencing additional symptoms such as loss of appetite, swelling, or jaundice should seek medical attention promptly.
What does an evaluation involve?
The physician and gastroenterology specialist will inquire about symptoms, review the patient's medical history, and conduct a detailed physical examination. This examination includes a thorough assessment of the abdominal region to identify areas of tenderness, organ enlargement, or abnormal masses. A rectal and pelvic examination may also be performed as indicated.
Additional tests may be performed, such as the following:
- A blood cell count to assess the function of the pancreas, kidneys, and liver.
- Urinalysis
- Colonoscopy, a minimally invasive procedure, may be recommended for individuals who have not previously undergone colon cancer screening.
- Abdominal computed tomography (CT) may be indicated for certain age groups based on clinical assessment.
The selection of diagnostic tests is determined by the findings from the physical examination and the patient's medical history.
How do you resolve recurrent or chronic abdominal pain?
Management of abdominal pain is based on the underlying cause and presenting symptoms. Treatment strategies are individualized to address specific patient needs.
Frequently Asked Questions
All disease
begins in the gut.
