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Abdominal Pain in Adults (cont.)

When to Seek Medical Care

Call or see your healthcare provider if the patient has any of the following:

  • Abdominal pain that lasts more than six hours or is getting worse

  • Pain that stops the patient from eating

  • Pain accompanied by vomiting more than three or four times

  • Pain that worsens when the patient tries to move around

  • Pain that starts all over, but settles into one area especially the right lower abdomen

  • Pain that wakes the patient up at night

  • Pain with vaginal bleeding or pregnancy, even if the patient only thinks she might be pregnant

  • Pain accompanied by fever over 101°F

  • Pain along with inability to urinate, move the bowels, or pass gas

  • Any other pain that feels different from a simple stomach ache

  • Any other pain that alarms the patient, or concerns the them in any way

If the patient has any of the following, or cannot reach their healthcare provider, go to a hospital emergency department:

  • The "worst pain of your life" or very severe pain

  • Pain so bad the patient passes out or almost passes out

  • Pain so bad the patient cannot move

  • Pain and vomiting blood, or any vomiting that lasts more than six hours

  • Pain and no bowel movement for more than three days

  • Pain that reminds you of pain you had before, when you ended up needing surgery

  • Pain the patient thinks might be in their chest, but they aren't sure

  • Pain that seems to come from the patient's testicles


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Read What Your Physician is Reading on eMedicine

Abdominal Angina »

Although Schnitzler first described the clinical picture of postprandial clinical pain in 1901, the syndrome of postprandial abdominal angina generally is attributed to Baccelli or Goodman (1918).

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