What are sharp pains in the stomach?
![Causes of sharp pains in the stomach can include gas, stomach viruses, appendicitis, gallstones, irritable bowel syndrome, kidney stones, ovarian cysts, and other conditions.](https://images.medicinenet.com/images/article/main_image/premenstrual-syndrome.jpg?output-quality=75)
Abdominal painispainthat you feel anywhere in your stomach region.Paincan range from mild stomach aches to severe pain. While someabdominal paincan be traced toindigestion, other cases may require a doctor’s diagnosis to determine the source.
Types of sharp pains in the stomach
There are several types ofabdominal pain, depending on the duration of the pain:
- Acute pain occurs over a few hours or days
- Chronic paincan last weeks, months, or more and it may come and go
- Progressive pain gets worse over time
Some abdominal pain or discomfort is normal, but sharp, stabbing pain can be frightening. Most abdominal pain isn’t a cause for worry, but it may be a sign of a more serious health concern.
The severity of the pain, the location within the abdomen, and other symptoms can help determine the potential cause behind your sharp stomach pains—and whether or not you need to see a doctor.
Symptoms of sharp pains in the stomach
The symptoms of sharp stomach pains depend on the characteristics and location of the pain. It can also be accompanied by other symptoms, likenausea,vomiting, orfever.
You may experience different types ofstomach pain. These characteristics can include:
Generalized pain
Generalized pain is pain that you feel in large areas of your stomach, typically more than half of your abdominal area. This pain may be caused by a stomach virus,indigestion, orgas. If the pain is severe, it could be caused by blockedintestines.
Localized pain
Localized pain is focused in one area of your stomach. This is more likely to be a sign of issues in an organ, like theappendix, uterus, gallbladder, or stomach.
Cramp pain
Cramp pain may feel more like a muscle tightening inside your abdomen. Most of the time, this type of pain is due to gas,bloating, or menstrual issues. However, if the pain is persistent, lasts longer than 24 hours, or is accompanied byfever, it may be more serious.
Colicky pain
Colicky pain may come and go, seeming to arrive in waves. It may start and end suddenly. If severe,kidney stonesorgallstonesmay be a cause.
Location of stomach pain
Stomach pain may be generalized—taking up more than half of the abdomen—but it also may be stronger in some areas of the stomach. It can occur in these locations:
- Upper or lower abdomen
- Right upper and lower abdomen
- Left upper and lower abdomen
- Right and left pelvis
Additional symptoms
Additional symptoms associated with abdominal pain can include:
- Fever
- 困难eating or keeping down food
- Dehydration
- Inability to passstool
- Vomiting
- Loss of appetite
- Painful orfrequent urination
- Bloating
- Belching
- Gas
- Indigestion
- Constipation
- Diarrhea
- 心burn
- Chest discomfort
米ore serious additional symptoms can include:
- Severe pain
- Blood in the stool
- Persistentnauseaand vomiting
- Weight loss
- Yellowing skin
- Tenderness in the abdomen
- Swelling in the abdomen
![](https://images.medicinenet.com//images/slideshow/appendicitis_s1_appendix_illustration.jpg)
SLIDESHOW
Appendicitis: Symptoms, Signs, Causes, Appendectomy in DetailSee SlideshowCauses of sharp pains in the stomach
Depending on the type, location, and severity of the pain, sharp pains in the stomach can be attributed to many cause, including the following.
Gas
Gas and bloating can cause stomach pains, ranging from mild to severe. Although the pain doesn’t last long-term, the pain may come in waves and last for up to a few hours.
Stomach viruses
Stomachviruses, like thenorovirus, can cause intense, cramp-like pains. Viruses can cause symptoms for several days and typically clear up over time. Other symptoms can include cramping, nausea, vomiting, fever, and muscle aches.
Appendicitis
Appendicitis, or inflammation of the appendix, can lead to sharp pains in the lower right part of your abdomen. There may also be symptoms like nausea, vomiting, and bloating.
Gallstones
Gallstonesare hardened deposits that can form in your gallbladder. When a gallstone blocks a duct in your gallbladder, it can lead to severe pain in the abdomen, orcholecystitis. Other symptoms can includesweating, vomiting, fever, or a yellowish tint to the skin.
Irritable bowel syndrome
Irritable bowel syndromecan lead to cramp-like pain in the lower abdomen. It may also be accompanied by bloating,diarrhea, orconstipation.
Kidney stones
A sharp, stabbing pain in the lower stomach area may be a sign of kidney stones, or deposits made of矿物质and salts that build up in urine. Other symptoms can include nausea, vomiting, fever, andchills.
Ovarian cysts
Ovarian cystsare sacs filled with fluid that form on the ovaries duringovulation. If large enough, thesecystscan trigger intense pain in the lower abdomen. They may also lead to bloating, swelling, and pressure in the area of thecyst.
When to see the doctor for sharp pains in the stomach
While some types of stomach pain may go away over time, other forms of abdominal pain should be addressed right away by a doctor. Seek emergency care if you experience any of the following symptoms.
- Abdominal pain duringpregnancy
- Sharp abdominal pain that lasts for more than 6 hours
- Sudden pain that begins after eating
- Pain and tenderness in the lower right side of the abdomen
- Bloodystool
- Hematemesis, or vomiting up blood
- Abdominal swelling
- Yellow skin
- 困难breathing
- High fever
Diagnosing sharp pains in the stomach
If you seek medical attention for sharpabdominal pains, your doctor will likely ask you questions to better understand your symptoms and the type of pain you’re experiencing.
Further testing may help evaluate your pain, including:
- Blood tests
- Urinalysis
- Abdominal X-ray
- CT scan
- Vaginalultrasound
Treatments for sharp pains in the stomach
Treatments for abdominal pain depend on the cause, but they may include medications to reduce inflammation or treat infection. Other treatment can include surgery to treat issues with the organs.
In some cases,over-the-counterpain relievers can irritate the stomach and worsen the pain. Don’t take medications likeaspirinoribuprofenunless recommended by a doctor.
When recovering from stomach pain, staying hydrated and using heating pads can help speed recovery and reduce pain.
When should I be concerned about abdominal pain - symptoms?
In most cases, abdominal pain is not a cause for concern. However, you should be concerned about abdominal pain that is severe or is accompanied by symptoms such as:
- Fever
- 困难breathing
- Pale stools
- Bloody stools
- Diarrheawithmucusin stools
- Blood in urine
- Burning sensation while passing urine
- Vomiting blood
- Two or more episodes of vomiting with loss of appetite
- Spottingor bleeding in between two menstrual periods
- 米enorrhagia(excessive bleeding during a menstrual period)
- Tender to the touch
- Severe pain withpregnancy
- Pain so severe that it makes you pass out
- Pain that worsens or lasts for several days
- Pain after injury to the abdomen
- Unexplained or unintentionalweight loss
- Jaundice
Seek medical attention if you notice the above symptoms in addition to abdominal pain, as they could indicate internal inflammation, infection, or bleeding. Less common causes includecolorectal、卵巢、胃或pancreatic cancer.
When is abdominal pain a medical emergency?
Abdominal pain requires emergency medical help if:
- You arepregnant(can be due to rupturedectopic pregnancyormiscarriage).
- Your pain starts or worsens within a week of abdominal surgery
- Your pain started within 1-2 days of abdominaltrauma.
- Your abdomen is expanding or bloating.
Conditions that can cause sudden, extreme abdominal pain and are life-threatening include:
- Appendicitis
- Bowel obstruction caused by conditions such as:
- Hernia
- Scartissue from previous abdominal surgery
- Swelling in the intestine caused bycolon cancer
- Volvulus (twisting of the loops of the intestine)
- Intussusception(滑动部分的肠道本身)
- Bowel perforation (hole in the intestine) due to ulcers, which can be due toinflammatory bowel disease
What are the most common causes of abdominal pain?
Because your abdomen is home to multiple organs, abdominal pain has multiple causes, such as inflammation, infection, or other problems. The most common causes include:
- Digestive issues
- Constipation
- Gas
- 佛od allergies
Less common causes of abdominal pain include:
- Appendicitis
- 佛od poisoning
- 佛od allergies
- Lactose intolerance
- Diverticulitis(infection or inflammation of pouches that can form in your intestines)
- Gallstones
- Cholecystitis (inflammation of the gallbladder)
- Gastroesophageal reflux disease
- Hernia
- Inflammatory bowel disease(such as Crohn’s disease)
- Kidney stones
- Gastroenteritis(stomach flu)
- Stomach ulcer
- Duodenal ulcer(ulcer in the first part of the intestine)
- Pancreatitis(inflammation of the pancreas)
- Hepatitis(infection of theliver)
- Alcoholicliver disease
- Fatty liver disease
- Endometriosis
- 米enstrual cramps
- Ovarian cysts
- Pelvic inflammatory disease
- Urinary tract infections
- Pulmonary embolism
- 心attack
How are causes of abdominal pain diagnosed?
To determine the cause of your abdominal pain, your doctor may ask about the following:
- Location and severity of your abdominal pain
- When the abdominal pain started
- Whether the abdominal pain started after consuming certain foods
- Whether sleeping in certain positions aggravates the pain
- Additional symptoms such as bloody stools or vomiting
Your doctor will take your medical history, including past surgeries, and examine your abdomen for tenderness or color changes.
To rule out serious causes of abdominal pain and confirm a diagnosis, your doctor may order one or more tests such as:
- Blood tests to test for infection, red blood cell count, liver and kidney function, andelectrolytes
- Stool tests
- Urine tests
- Abdominal ultrasound
- Abdominal computed tomography scan
- Endoscopy(use of a flexible, tube-like camera to visualize the inside of the organs)
- Biopsy (surgical removal of a small piece of an organ to check for cancerous cells)
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UpToDate: "Evaluation of the Adult with Abdominal Pain"
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