What Causes Sharp Pains in the Stomach?

米edically Reviewed on2/28/2022

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.
Causes of sharp pains in the stomach can include gas, stomach viruses, appendicitis, gallstones, irritable bowel syndrome, kidney stones, ovarian cysts, and other conditions.

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:

米ore serious additional symptoms can include:

SLIDESHOW

Appendicitis: Symptoms, Signs, Causes, Appendectomy in DetailSee Slideshow

Causes 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:

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:

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:

Less common causes of abdominal pain include:

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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米edically Reviewed on2/28/2022
References
American Family Physician: "Evaluation of Acute Abdominal Pain in Adults"

Cleveland Clinic: "Abdominal Pain"

UpToDate: "Evaluation of the Adult with Abdominal Pain"

Image Source: "iStock Images"

University of Michigan: "Stomachache"

U.S. National Library of Medicine: "Abdominal Pain"