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Stomach Pain?
Here are the 9 Most Common Sources and What to Do
© 2017 Health Realizations, Inc. Update


Stomach pain is incredibly common, impacting just about everyone at one point or another. Sometimes, such as if you've just eaten a giant bowl of spicy chili, the cause is obvious. Others, and more often, you may have no idea what's causing the pain.

Constipation is the most common cause of stomach pain in children, new research shows.

Because your abdomen houses numerous organs (your stomach, small intestine, colon, liver, gallbladder, and pancreas), the first step to identifying the cause of your stomach pain is to figure out where it hurts. According to the Mayo Clinic, you can then narrow down the source accordingly.

Navel: Pain near your bellybutton may be related to a small intestine disorder or an inflammation of your appendix.

Upper middle abdomen: Pain in the upper middle section of your stomach, just above your abdomen, may be a sign of a stomach disorder. Persistent upper middle abdomen pain may be related to your pancreas or gallbladder.

Upper left abdomen: Pain in this area is uncommon, but may signal a stomach, colon, spleen or pancreas problem.

Upper right abdomen: Pain in your upper right abdomen (that may also extend to your back) may be related to inflammation of your gallbladder, or on occasion could be caused by an inflamed pancreas, colon or duodenum.

Lower middle abdomen: Pain that spreads to either side below your navel can indicate a colon disorder, kidney stones or urinary tract infection. In women it may also signify pelvic inflammatory disease.

Lower left abdomen: This suggests a problem with your lower colon, where food waste is expelled. This could include inflammatory bowel disease or diverticulitis.

Lower right abdomen: Pain in this area may be caused by inflammation of the bowel, spreading pain from appendicitis, hernia, or ectopic pregnancy.

Migrating pain: Because your abdomen houses deep nerve pathways, it's possible for pain to migrate to other areas of your body. For instance, gallbladder inflammation can cause pain in your chest and right shoulder, while pain related to your pancreas can travel between your shoulder blades.

The Most Common Causes of Abdominal Pain

Most of the time abdominal pain is not serious, however it can be a sign of severe underlying illness in some cases. Most often, pain in your abdomen will have one of these causes:

1. Indigestion: This results in burning in the stomach or upper abdomen, along with bloating, belching and gas. Indigestion may be a sign of gastroesophageal reflux disease (GERD), ulcers or gallbladder disease. Most cases of indigestion go away within a few hours, but if your symptoms get worse you should see a doctor.

2. Constipation: A swollen abdomen and abdominal pain is common with constipation. In children, in particular, constipation is the most common cause of abdominal pain, according to a recent study in the Journal of Pediatrics. Constipation can often be relieved by:

  • Drinking two to four extra glasses of water a day

  • Drinking warm liquids, particularly in the morning

  • Eating more fruits and vegetables

  • Eating prunes or bran cereal

3. Stomach flu: More than 90 percent of stomach flu outbreaks in the United States each year are caused by a group of related viruses called norovirus. The illness is usually self-limiting and will disappear after a day or two (though you can remain contagious for at least three days, and up to three weeks, after symptoms resolve).

4. Menstrual cramps: It's estimated that three out of every four menstruating women experience some form of menstrual stress, such as menstrual cramps. Menstrual cramps may be caused by prostaglandins, which are hormone-like substances involved in pain and inflammation that trigger your uterus to contract to expel its lining. Exercise, rest, massage, yoga and meditation may all help to relieve the symptoms.

If your stomach pain is accompanied by shortness of breath, dizziness, bleeding, vomiting or high fever you should seek help right away.

5. Food poisoning: More than 250 different diseases can cause food poisoning, but some of the most common diseases are infections caused by bacteria, such as Campylobacter, Salmonella, Shigella, E. coli O157:H7, Listeria, and botulism. Most cases of food poisoning go away on their own in several days, but if the condition is persistent or severe you should see a doctor.

6. Food allergies: To find out if a food allergy is causing your abdominal pain and cramping, make note of recurring symptoms associated with a certain food. To help you narrow down what may be causing your symptoms, The Food Allergy and Anaphylaxis Network suggests keeping track of and writing down the following:

  • How the symptoms felt
  • How soon they came on after eating
  • How long they lasted after eating
  • The food or foods eaten prior to the onset of the symptoms
  • The amount of each food eaten
  • Whether similar reactions have occurred before

There are also two tests that can be used to determine if an allergy exists, and they work by indicating whether or not IgE is present. They are:

  1. A skin prick test: A doctor places a drop of the substance being tested on your forearm or back, then pricks the skin. If you are allergic the site will begin swelling within 15 minutes.
  2. A blood test: These include a RAST (radioallergosorbent test) or a CAP ELISA (enzyme linked immunosorbent assay). The blood sample is sent to a lab where tests are done with specific foods to determine whether you have IgE antibodies to those foods. Results usually take about a week.

Ideally, a food allergy should be diagnosed using the food/symptoms history you've been keeping, along with a skin prick or blood test.

There is currently no way to cure food allergies, so the best, and only, way to avoid a reaction is to strictly avoid the allergy-causing foods. If you believe you have a food allergy, be sure to make an appointment as soon as possible to share your specific symptoms and what you believe might be related foods to discuss what your food triggers might be, how to avoid them, and alternatives.

7. Gas: According to the American College of Gastroenterology, 10 to 18 passages per day are normal. Despite its frequency, passing gas is something that is almost never discussed ... except among the elementary school crowd. Which means, for the millions of North Americans who suffer from excess gas and bloating from time to time, they're suffering largely in silence (or so they hope). Vegans are said to often have less bloating and flatulence. Traditionally , one of the top recommendations to keep gas to a minimum is to identify what was believed to be gas-forming foods in your diet, then avoid or reduce them. Such foods that were typically considered to be highly suspect included:

  • Broccoli

  • Baked beans and other beans

  • Cabbage

  • Cauliflower

  • Brussels sprouts

  • Onions

However, many experts are now saying that avoiding these foods, particularly those that are high in fiber, may be a driving force behind the gas.

The solution is to be sure to include these foods in your diet regularly, but make the initial transition very slowly.

Though most food allergies begin in childhood before the age of 2, you can develop a food allergy at any age.

8. Lactose intolerance: This is an inability to fully digest lactose, or milk sugar, in dairy products. It's caused by a deficiency in lactase, an enzyme produced by your small intestine that breaks down lactose.

If you love dairy but are lactose intolerant, there's good news: it doesn't mean you can't ever eat dairy. Consuming dairy products in small amounts and with other foods usually helps to bypass symptoms. Also, certain dairy foods, such as hard cheeses, have small amounts of lactose and can be enjoyed by most people. Cultured milk products like yogurt and kefir are also a good choice because they contain good bacteria that help break down the lactose for you.

Other options for people with lactose intolerance include taking probiotics -- good bacteria that may help your body digest lactose -- and using lactase enzyme tablets just before a meal or snack. 

9. Ulcers: Ulcers lead to a burning pain in the middle or upper stomach between meals or at night. You may also have bloating. To help treat and prevent an ulcer, eliminate the substances that may be causing it, such as alcohol and cigarettes. Overuse of certain medications (NSAIDs) may also be a problem. If your ulcer is caused by a bacteria known as H. pylori, antibiotics may be necessary to eliminate the ulcer.

When to Seek Help

If your abdominal pain is severe, recurrent, persistent, keeping you from eating, accompanied by fever or chills, or getting worse, you should see your doctor. You should get help immediately, however, if you notice:

  • Pain accompanied by shortness of breath, dizziness, bleeding, vomiting or high fever

  • Sudden or severe abdominal pain

  • Abdominal pain that radiates to your chest, neck or shoulder

  • Vomiting blood

  • Blood in your stool

  • Stoll that turns black

  • Blood in your urine

  • Swollen or tender abdomen

Sources Digestive Diseases: Abdominal Pain Abdominal Pain

The Food Allergy & Anaphylaxis Network

Food Allergy News

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