Launching January 2027

Abdominal Pain

Abdominal Pain At A Glance

  • Abdominal pain is a symptom rather than a disease and can have many different underlying causes, ranging from mild digestive issues to serious medical emergencies.
  • Common causes include indigestion, constipation, viral gastroenteritis, acid reflux (GERD), food poisoning, appendicitis, gallstones, kidney stones, and urinary tract infections.
  • The location, severity, timing, and associated symptoms help healthcare providers determine the most likely cause of abdominal pain.
  • Evaluation may include a physical examination, laboratory testing, and imaging studies depending on your symptoms and medical history.
  • Treatment depends on the underlying cause and may range from rest, fluids, and medications to surgery or hospitalization for more serious conditions.
  • Seek emergency medical care immediately if abdominal pain is sudden, severe, or occurs with symptoms such as vomiting blood, black or bloody stools, difficulty breathing, or loss of consciousness.

Table of Contents

Table of Contents

What Is Abdominal Pain?

Abdominal pain, commonly called a stomachache, stomach pain, or belly pain, is discomfort that occurs anywhere between the chest and pelvis. The pain may be mild or severe, sudden or gradual, and can last for a short time (acute) or persist for weeks to months (chronic).

Abdominal pain is a symptom—not a disease—and can have many possible causes. Some causes are minor and improve on their own, while others require prompt medical evaluation or emergency treatment.

Common causes include indigestion, constipation, viral gastroenteritis (“stomach flu”), acid reflux (GERD), food poisoning, gallstones, kidney stones, urinary tract infections, appendicitis, inflammatory bowel disease, irritable bowel syndrome (IBS), and gynecologic conditions.

The location, severity, timing, and associated symptoms help healthcare providers determine the underlying cause.

Learn More

Abdominal Pain – NIH MedlinePlus
https://medlineplus.gov/abdominalpain.html

Provides easy-to-understand information about abdominal pain, common causes, diagnosis, treatment, and prevention.

Abdominal Pain – American College of Gastroenterology (ACG)
https://gi.org/

Provides patient education about digestive disorders and abdominal pain.

How Common Is Abdominal Pain?

Abdominal pain is one of the most common reasons people visit healthcare providers and emergency departments. People of all ages can experience abdominal pain, and most episodes are caused by non-serious conditions that improve with treatment or supportive care.

However, severe or persistent abdominal pain may indicate a more serious medical condition requiring prompt evaluation.

Learn More

Abdominal Pain – NIH MedlinePlus
https://medlineplus.gov/abdominalpain.html

Provides information about common causes of abdominal pain and when medical evaluation is recommended.

What Symptoms Might You Notice?

Symptoms vary depending on the underlying cause.

Common symptoms may include:

  • Abdominal pain or cramping
  • Bloating
  • Nausea
  • Vomiting
  • Diarrhea
  • Constipation
  • Gas
  • Heartburn
  • Loss of appetite
  • Fever
  • Pain that worsens with movement or eating
  • Pain that comes and goes or remains constant

Depending on the cause, abdominal pain may occur in one area or throughout the abdomen.

How Is Abdominal Pain Diagnosed?

Your healthcare provider will review your symptoms, medical history, medications, and perform a physical examination. The location and characteristics of your pain help guide the evaluation.

Additional testing depends on the suspected cause.

Learn More

Abdominal Pain – NIH MedlinePlus
https://medlineplus.gov/abdominalpain.html

Explains how abdominal pain is evaluated and when additional testing is recommended.

Abdominal Pain infographic – click to enlarge

What Causes Abdominal Pain?

Abdominal pain can result from many different medical conditions.

Common causes include:

  • Indigestion (dyspepsia)
  • Viral gastroenteritis
  • Constipation
  • Gas
  • Acid reflux (GERD)
  • Food poisoning
  • Irritable bowel syndrome (IBS)
  • Inflammatory bowel disease (Crohn’s disease or ulcerative colitis)
  • Appendicitis
  • Gallstones
  • Kidney stones
  • Urinary tract infection (UTI)
  • Peptic ulcer disease
  • Menstrual cramps or other gynecologic conditions

Learn More

Abdominal Pain – NIH MedlinePlus
https://medlineplus.gov/abdominalpain.html

Learn about the many possible causes of abdominal pain and when additional evaluation is needed.

What Can Make Abdominal Pain Worse?

Several factors may worsen abdominal pain depending on the underlying cause.

Common factors include:

  • Eating certain foods
  • Fatty or spicy meals
  • Alcohol
  • Smoking
  • Dehydration
  • Stress
  • Delaying medical care
  • Certain medications, including some anti-inflammatory medications (NSAIDs)

Learn More

Abdominal Pain – NIH MedlinePlus
https://medlineplus.gov/abdominalpain.html

Provides information about common triggers and risk factors for abdominal pain.

Prevention

Not all causes of abdominal pain can be prevented, but healthy habits may reduce your risk.

Helpful prevention tips include:

  • Eat a balanced diet rich in fruits, vegetables, and fiber.
  • Drink plenty of water.
  • Exercise regularly.
  • Practice good hand hygiene to reduce viral stomach illnesses.
  • Prepare and store food safely.
  • Limit alcohol.
  • Avoid smoking and vaping.
  • Manage chronic digestive conditions with your healthcare provider.
  • Keep recommended preventive healthcare appointments.

Learn More

American College of Gastroenterology (ACG)
https://gi.org/

Provides practical recommendations for digestive health and preventing gastrointestinal disorders.

Labs

Laboratory testing depends on your symptoms and the suspected cause.

Common laboratory tests may include:

  • Complete Blood Count (CBC): Evaluates for infection, inflammation, or anemia.
  • Comprehensive Metabolic Panel (CMP): Assesses liver function, kidney function, electrolytes, and hydration.
  • Lipase: Evaluates for pancreatitis.
  • Liver Function Tests (LFTs): Assesses liver and gallbladder disease.
  • Urinalysis: Evaluates for urinary tract infections or kidney stones.
  • Pregnancy Test: Recommended for individuals of childbearing potential when appropriate.
  • Stool Studies: May be performed if infection or gastrointestinal bleeding is suspected.

Learn More

Laboratory Tests – NIH MedlinePlus
https://medlineplus.gov/lab-tests/

Provides information about laboratory testing commonly used to evaluate abdominal pain.

Diagnostics

Additional testing depends on your symptoms and physical examination.

Common diagnostic tests include:

  • Abdominal Ultrasound: Evaluates the gallbladder, liver, kidneys, and other abdominal organs.
  • CT Scan of the Abdomen and Pelvis: Helps identify appendicitis, diverticulitis, kidney stones, bowel obstruction, and other conditions.
  • Abdominal X-ray: May identify bowel obstruction, constipation, or free air.
  • Upper Endoscopy (EGD): Evaluates the esophagus, stomach, and upper small intestine.
  • Colonoscopy: Evaluates the large intestine for inflammatory bowel disease, polyps, or colorectal cancer.
  • Pelvic Ultrasound: May be recommended when gynecologic conditions are suspected.

Learn More

American College of Gastroenterology (ACG)
https://gi.org/

Provides patient education about gastrointestinal testing and digestive disorders.

Treatment & Management

Treatment Options

Treatment depends entirely on the underlying cause of your abdominal pain.

Treatment options may include:

  • Rest
  • Increased fluid intake
  • Dietary changes
  • Medications for nausea, constipation, diarrhea, or acid reflux
  • Antibiotics for certain bacterial infections
  • Surgery for conditions such as appendicitis or gallbladder disease
  • Hospitalization for severe illness when needed

Learn More

Abdominal Pain – NIH MedlinePlus
https://medlineplus.gov/abdominalpain.html

Provides information about treatment options for common causes of abdominal pain.

Lifestyle Changes

Healthy habits may help reduce the risk of many causes of abdominal pain.

Helpful lifestyle changes include:

  • Eat a balanced diet.
  • Stay well hydrated.
  • Exercise regularly.
  • Eat smaller meals when appropriate.
  • Avoid foods that trigger symptoms.
  • Limit alcohol.
  • Avoid smoking and vaping.
  • Practice good hand hygiene to reduce the spread of viral stomach illnesses.
  • Maintain a healthy weight.

Learn More

American College of Gastroenterology (ACG)
https://gi.org/

Provides practical recommendations for digestive health and preventing gastrointestinal disorders.

Medications

Treatment depends on the underlying cause of your abdominal pain.

Common medications may include:

  • Acetaminophen: May help relieve mild pain.
  • Antacids: Help relieve indigestion or acid reflux symptoms.
  • Proton Pump Inhibitors (PPIs): Reduce stomach acid in GERD and peptic ulcer disease.
  • H2 Blockers: Reduce stomach acid production.
  • Anti-nausea Medications: Help relieve nausea and vomiting.
  • Antispasmodic Medications: May reduce intestinal cramping in certain conditions.
  • Laxatives or Stool Softeners: Help treat constipation when appropriate.
  • Antibiotics: Used only when a bacterial infection is confirmed or strongly suspected.

Learn More

Abdominal Pain – NIH MedlinePlus
https://medlineplus.gov/abdominalpain.html

Provides information about medications used to treat common causes of abdominal pain.

Procedures

Most people with abdominal pain do not require surgery or invasive procedures. Treatment depends on the underlying cause of the pain. However, certain procedures may be recommended to diagnose the cause or treat conditions that require medical intervention.

Common procedures may include:

  • Upper Endoscopy (EGD): A flexible camera is used to examine the esophagus, stomach, and upper small intestine for ulcers, inflammation, bleeding, or other abnormalities.
  • Colonoscopy: A flexible camera is used to examine the colon and rectum for inflammatory bowel disease, polyps, diverticulosis, or colorectal cancer.
  • Abdominal Ultrasound: Uses sound waves to evaluate the liver, gallbladder, pancreas, kidneys, and other abdominal organs.
  • CT Scan of the Abdomen and Pelvis: Helps diagnose appendicitis, diverticulitis, bowel obstruction, kidney stones, pancreatitis, and other abdominal conditions.
  • Surgery: Some causes of abdominal pain, such as appendicitis, bowel obstruction, perforated ulcers, or gallbladder disease, may require emergency or planned surgery.

Learn More

Abdominal Pain – NIH MedlinePlus
https://medlineplus.gov/abdominalpain.html

Learn about abdominal pain, diagnostic testing, and treatment options.

What Should You Expect Long-Term?

The long-term outlook depends on the cause of your abdominal pain.

Many common causes, such as indigestion, constipation, viral gastroenteritis, or mild food poisoning, improve completely with treatment and supportive care.

Other conditions, such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), Crohn’s disease, ulcerative colitis, or chronic acid reflux (GERD), may require ongoing management to control symptoms and prevent complications.

Early diagnosis and appropriate treatment often improve outcomes and reduce the risk of serious complications.

What Can You Do At Home?

Home care depends on the cause of your abdominal pain, but general recommendations include:

  • Drink plenty of fluids.
  • Eat small, bland meals if tolerated.
  • Avoid foods that worsen your symptoms.
  • Get adequate rest.
  • Stay physically active when appropriate.
  • Take medications exactly as directed.
  • Avoid excessive alcohol.
  • Avoid smoking and vaping.
  • Follow dietary recommendations provided by your healthcare provider.

Learn More

Abdominal Pain – NIH MedlinePlus
https://medlineplus.gov/abdominalpain.html

Provides practical recommendations for managing abdominal pain and promoting digestive health.

Frequently Asked Questions

When should I worry about abdominal pain?

Severe abdominal pain, pain that worsens rapidly, pain associated with fever, persistent vomiting, bloody stools, black stools, or difficulty breathing should be evaluated immediately.

Can stress cause abdominal pain?

Yes. Stress and anxiety can contribute to abdominal pain and may worsen conditions such as irritable bowel syndrome (IBS), indigestion, or acid reflux.

Should I take pain medication before seeing my healthcare provider?

Ask your healthcare provider before taking pain medication for severe abdominal pain, as some medications may mask important symptoms or worsen certain conditions.

Can constipation cause severe abdominal pain?

Yes. Constipation can cause significant abdominal discomfort, bloating, and cramping, particularly if it is prolonged or severe.

Can abdominal pain be a medical emergency?

Yes. Conditions such as appendicitis, bowel obstruction, perforated ulcers, ruptured abdominal aneurysm, ectopic pregnancy, and severe pancreatitis require immediate medical attention.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • What is causing my abdominal pain?
  • Do I need additional testing?
  • Should I change my diet?
  • Are there foods I should avoid?
  • Do I need medications?
  • When should I return if my symptoms do not improve?
  • What symptoms should prompt emergency medical care?

Specialist Referrals

Many causes of abdominal pain are managed by a primary care provider. Depending on your symptoms or diagnosis, your provider may recommend seeing a specialist.

You may be referred to:

  • Primary Care Provider: Coordinates diagnosis, treatment, and follow-up care.
  • Gastroenterologist: Evaluates digestive disorders such as GERD, ulcers, IBS, inflammatory bowel disease, liver disease, and chronic abdominal pain.
  • General Surgeon: Evaluates conditions that may require surgery, such as appendicitis, gallbladder disease, or bowel obstruction.
  • Urologist: Evaluates kidney stones or urinary tract conditions causing abdominal pain.
  • Gynecologist: Evaluates pelvic pain or gynecologic conditions affecting the abdomen.

Learn More

American College of Gastroenterology (ACG)
https://gi.org/

Provides patient education about digestive diseases, abdominal pain, and specialty care.

Is Abdominal Pain Curable?

Many causes of abdominal pain are temporary and completely treatable, especially when identified early.

Some chronic conditions, such as IBS, Crohn’s disease, ulcerative colitis, or chronic pancreatitis, cannot be cured but can often be successfully managed with medications, lifestyle changes, and ongoing medical care.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you experience:

  • Sudden, severe abdominal pain
  • Chest pain with abdominal pain
  • Difficulty breathing
  • Vomiting blood
  • Black or bloody stools
  • Severe abdominal swelling
  • Loss of consciousness
  • Severe abdominal pain following an injury

Seek prompt medical evaluation if you notice:

  • Fever with abdominal pain
  • Persistent vomiting
  • Pain lasting longer than several hours without improvement
  • Yellowing of the skin or eyes (jaundice)
  • Difficulty passing urine or stool
  • Symptoms that continue to worsen instead of improving

Learn More

Abdominal Pain – NIH MedlinePlus
https://medlineplus.gov/abdominalpain.html

Learn about abdominal pain complications and when emergency medical care is needed.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Abdominal Pain – NIH MedlinePlus
https://medlineplus.gov/abdominalpain.html

Easy-to-understand information about abdominal pain, symptoms, diagnosis, treatment, and prevention.

American College of Gastroenterology (ACG)
https://gi.org/

Comprehensive patient education about digestive disorders, abdominal pain, gastrointestinal testing, and treatment.

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/

Reliable information about digestive diseases, abdominal pain, liver disease, and gastrointestinal health.

American Gastroenterological Association (AGA)
https://gastro.org/

Evidence-based patient education about digestive health, gastrointestinal diseases, and available treatments.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact your healthcare provider if your symptoms worsen, do not improve as expected, or new symptoms develop. Call 911 immediately if you experience sudden severe abdominal pain, difficulty breathing, vomiting blood, black or bloody stools, loss of consciousness, or another medical emergency.

Get personalized care for Abdominal Pain

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