Abdominal Pain

Abdominal Pain

Most patients have had pain in their abdomen at one point in their life. Usually the cause is treatable and not serious, but abdominal pain may be the sign of something more serious and ensuing complications.

It is crucial to get an adequate diagnosis and subsequent treatment to sidestep complications if the abdominal pain is chronic and doesn't go away.

The most common causes

A variety of causes may result in pain of the abdomen including:


  • Stones: Gall or kidney
  • a stomach virus
  • hernias
  • an ulcer
  • menses
  • constipation
  • UTIs
  • endometrial growths
  • scar tissue after surgery
  • pancreatitits
  • Pancreatic or stomach cancer

Symptoms of Pain in this region

Primary symptoms include pain and cramping, but they may be associated by a set of secondary complaints including:

abdominal pain2 photo

  • Persistent Nausea
  • Frequently urinating
  • difficulty eliminating
  • bloody stool
  • tenderness in the groin
  • swelling abdomen
  • yellow skin

More serious symptoms requiring immediate medical intervention may include: radiating pain in the chest, vomiting, black or tarry stool, radiating pain from the torso. If you cannot sit still or go into the fetal position to obtain relief, immediate care is needed.

How is it commonly diagnosed?

Suspected causes of the pain may be diagnosed with imagery:  X-ray, CT scan, or MRI. Blood work may be needed for inflammation or infection. For more severe cases a celiac plexus block may be used as a diagnostic tool of chronic pain. In more severe conditions, a block can be used, such as with: Pancreatitis, chronic pain, symptomatic pain, cancers, IBS, internal adhesions, or HIV.

The conservative treatment options

  • Cognitive therapy - this type of therapy is most useful with patients suffering from (IBS) irritable bowel syndrome, which is 25% of the overall population.
  • Behavioral modification- if specific diet characteristics caused the patients to experience abdominal pain, modification of behavior may be needed to help alleviate pain.
  • Celiac Plexus BlockCeliac Plexus Block
  • Over-the-counter medicine- for acute pain, NSAIDS and OTC medications they be effective.
  • Prescription pain medicine.
  • Celiac plexus block- this type of injection can be diagnostic or therapeutic by blocking pain signals to the brain thereby providing pain relief.
  • Thoracic epidural analgesia injection
  •  Intervention to remove tissue with surgery - usually with patients that have adhesions post-surgery or endometrial growth, surgical removal of tissue (including cysts) may help eliminate problematic masses or scar tissue causing problems.

Most patients with chronic abdominal pain can achieve pain relief with nonoperative therapies at Premier Pain & Spine. Call (847) 519 4701 today!



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