An Approach to Acute Abdominal Pain
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- Опубліковано 11 чер 2024
- An overview of the etiologies and diagnostic evaluation of acute abdominal pain, including a discussion of the surgical abdomen.
Also included are specific descriptions of the presenting features of gastroenteritis, peptic ulcer disease, small bowel obstruction, appendicitis, pancreatitis, biliary colic, cholecystitis, cholangitis, and acute hepatitis.
Companion Video on An Approach to Chronic Abdominal Pain: • An Approach to Chronic...
![Abdominal Pain Causes by Location and Quadrant [Differential Diagnosis Chart]](http://i.ytimg.com/vi/fQq3KOaSMIM/mqdefault.jpg)
I'm very sorry, but I cannot give specific, individualized medical advice on this channel. If you are experiencing abdominal pain yourself, I recommend speaking to your physician.
This video is specifically about *acute* abdominal pain; in clinical medicine, "acute" refers to a single episode developing over minutes to days. Thus, causes of *Chronic Abdominal Pain* (e.g. abdominal cutaneous nerve entrapment syndrome, functional abdominal pain) and/or recurrent episodic pain (e.g. menstrual pain, endometriosis, IBD, IBS) are covered in a companion video here: ua-cam.com/video/qfVHJQu-dfw/v-deo.html.
Thanks for the advice, but which physician should I visit to check out abdominal and back pain. And test should I do for checking the nature of sickness?
i keep feeling this pain under my left rib . only way to explain is. when i bend or cross legs it feels like an organ is catching under rib going into a spasm omg its very very painful anyone experienced this it keeps coming and going but last couple of days it been every day
@JACULUS GAMING so very pain and when you try get up it like hold there and the pain omg i scream my neighbours must think iam getting killed lol . have you found out what it is
Please also consider ACNES because it isn't well known, it is a long way until diagnosed because it isn't the first thing that comes to mind to doctors. Please look this up when pain is a problem that isn't explained after a lot of examinations didn't give a diagnose. Please keep this ACNES mention visible so people can learn and maybe be alert to this possible diagnosis. So many people are suffering for such a long time without diagnose, please research and mention this too❤️❤️ so this gets more recognized. And more awareness can be spread. Thank you in advance I do hope this comment doesn't get lost. Wishing everybody a swift recovery and hopefully this information reaches more people so it can help and educate and most of all end some suffering earlier due to more awareness of what the cause can be and what can be done about it.
@@snltgr I have taken to doing my own research due to severe right quadrant -- all routine labs and testing (CT, MRI, X-ray) are all normal. After researching, my symptoms match perfectly. I'm seeing my doctor tomorrow, butvi don't know how to bring ACNES up to him! I rarely go to the doctor and hadn't seen a doc since early n 2016 (I had a mild stroke and herniated 3 cervical discs, went to ER complaining o stoke symptoms & arm/armpit pain-- l had a fusion shortly afterwards & have no lasting signs of stroke). Prior to 2016, I can't even recall going to a doc in the previous 10yrs. I have to be in excruciating pain or have obvious symptoms like those of a atroke-- drooling face, slurring words,weakness on one side, etc).Basically, i know no one likes going to the doctor, but I avoid it at all costs. If my illness or symptoms interfere w/my sleep. I'm also self-paying and those tests weren't inexpensive!
I'm just trying to get the point across that I don't go to doctors unless I am in too much pain to sleep or it makes me cry out loud.
After a few trip ls to the doc and each resulting in a referral for a test (remember I'm self-paying! I pay more than the contract rate insurance companies pay (usually 2.4 times more) and the office gets paid right away by me in cash and has no firms to fill out and mil)
Anyway, *HOW* do I bring up to my doctor that I'd like him to check me for ACNES? I remember going with my mom to an appointment she had and wjenvi brought up a possibility for her symptoms, the doc nastily said, "I wish patients would stay off the internet!"
So, any suggestions? I thought maybe I should ask about 2 or 3 things that it ISNT and then ask about ACNES so he can confidently tell me why it's not the first 2 or 3. That way if he's not familiar with ACNES, I've saved his ego with his knowledge of the first 2 or 3. *ANY* and *ALL* suggestions, replies and comments will be GREATLY APPRECIATED! .
I cannot live, cannot survive, with this pain. It's just too intense for too long that my head has briefly wondered if a doctor will purposely injure a patient's spinal cord so they are numb/paralyzed from the waist down. I'm not quite there yet, but I am beginning to wonder if I could find relief after going to the 'hood in ATL and buying some crack or heroin or whatever might help. I honestly would trade being an addict for this pain because I figure there treatment for it and I can crawl myself out of addiction. Unfortunately, narcotics/opioids, do nothing for this and have refused any refills or higher dose. if pain pills font work WHAT DOES WORK??i
abdominal cramps are a whole new level of sheer pain. i nearly cried during an episode of it
im saying
What you do to help
Honestly I was experiencing with drugs and I think I’ve almost killed myself
Imma wait a few days until it’s out of my system then go to the doctor
I ate too.many tacos for superbowl my stomach hurts bad now
Simply astounding. Covered a lot of clinically relevant information in such a short amount of time. Can’t get this summarized info anywhere else-this is gold, thank you so much!
👏
Just keep listening to these videos in a daily basis, and you will become a great physician like this Professor. Thank you doctor. One of my favorite medical youtube channels!!!
Life is scary :/
Life sucks
but it's also beautiful.
Alhamdulilah for everything
@@fj1914 indeed glory be to Allah for his creation without him WE. ARE. NOTHING.
@@fj1914 bhagwan sab ko dekh rha hai
I suffered from unbearable abdominal pain for many years. Once I took gluten out of my diet, the pain went away. Try a diet free of wheat & barley and see if it doesn't help. I also stopped eating eggs , corn, and peanut butter. This made a HUGE change. Now my stomach feels even better than it did when I was a child.
Same here
I will try anything to never feel this excruciating abdominal pain ever again.
Dr. Strong thank you so much for making these videos. The way you organize information and explain them is very professional and easy to understand. Sincerely, a medical student from Turkey :)
An excellent, and thorough presentation, but you already know that. Thank you for all the time and effort you clearly have put into this video. We are all in your debt in innumerable ways.
If you appreciated this video, you may also want to know the indicators of a healthy gut! They include: colon transit time of 12-24 hours, type 4 stool on the Bristol stool chart, not having diarrhea or constipation, having 1-3 bowel movements per day, and light-dark brown colored stools!
I suffered a perforated duodenal ulcer over 12 years ago. It was nearly fatal. I spent the whole month of November in the hospital, mostly in ICU. I haven’t forgotten that pain nor the symptoms leading up to the acute situation. I say all this because I am very aware of slight changes in most parts of my body, especially my abdominal area. I don’t look for pain. I love being healthy. However, I am in my 60s now, and I worry about my stomach area more than any area. I really enjoyed your video. I don’t feel as anxious about my present onset of pain in my upper right quadrant. I feel confident that I can wait and watch for any other symptoms. I don’t need to panic!
Thank you!
What were the symptoms leading up to that?
Was it scary spending all that time in the hospital? Did you have family stay with you?
Please pray for me, I'm having pain tenderness on the left side of waist
The most helpful and concise and simplified straightforward information in a short video I have ever seen ...thank u so much doctor ...God bless you
Brilliant as always .. I REALLY got the most clinical benefit on UA-cam from your channel .. شكراً لك
Thank you Dr. Strong, I am a medical student, and this is very important to my internship years.
man this is absolutely mind blowing video on the hole internet hats off
Thank you. Your lectures are inspiring and precise. Keep up the noble work!
Grazie! Informazioni utili ed importanti. Lei e molto intelligente chiaro e servirebbero insegnanti medici esperti come lei!
I'm not sure what kind of doctor you are but you sound like a genius to me
I wish you were my doctor I can tell you will get to the root of what's causing my pains
to cause my doctors are not trying to help me with my pains I wish you were my doctor,
thank you for this wonderful video thank you amen.
this was so helpful and the exact thing what I was searching...thank you so much
Excellent. Thank you. Highly professional and meticulous.
I've just found your channel and this video for the first time. And let me just say... wow! Thank you! I've done so much in depth research yet there was one thing I've missed that was on your video. I've been living with chronic pain for 12+ years and an array of other symptoms affecting every body system, my quality of life,... just everything. Yet doctors can't fully explain what's happening to me and like so many others - must of my tests all come back "normal".
A little over a year ago I went to the ER finally - because I've been so traumatized by medical professionals in so many different ways this was huge for me.
They did an ultrasound on my gallbladder - said my results were normal - no gallstones and only mild wall thickening. However, after just a few moments into the ultrasound I went into a severe "episode" exactly the same as I have been for years and it caused tremendous pain.
I've known all of this time that that couldn't be normal but still they said it was heartburn along with one other ER person & then a couple of different drs said it was me having panic attacks or was FND.
Also, during my HIDA Scan (normal results of course), severe pain & an episode was triggered by the meds they injected towards the end (cck/ckk?).
I'm still fighting for answers- it shouldn't be this hard. After all of these years of suffering, being home bound, and losing so so much - I'm finally going to Mayo Clinic appt this month. I'm terrified they will dismiss me too, tell me it's mental health only, won't believe me, etc... but I'm still going to find the strength to drive 14+ hrs to get there because they are what feels like my last hope.
I deserve better than the care I've recieved and how I've been treated because... well, because I'm a human being who is suffering to such lengths that I can't so much physically now and it's similar to screaming but noone can hear me because they aren't listening to the few things I can still say. If I go into an episode during an appt which is very likely if they start by being kinda mean - I can't even speak in full sentences or explain myself properly.
By the way, in case anyone reads this and needs a better picture... I'm only 36 so this all started when I was 24 years old, healthy, strong, slim, etc... And still to this day even people who know me well don't believe me - some not fully - because I can still walk and they can't visibly see anything wrong with me.
I'm still choosing to love, to be understanding, to not let the bitterness consume me, and I want to live!! But not like this... this isn't living, it's only surviving and not very well at that.
Ok, done spewing now ♡♡♡
Hope all is good with you now
Hey! How r u
Omg this reminds me of my situation so much. The abdominal attacks I have had disabled me while doctors think I’m too young and can’t find anything wrong. I’m 34 female and these attacks all started when I was 18. Doctors my whole life said it was ibs. Took my gallbladder and made my stomach much worse. Iv tried everything and most days hate my existence. I found a new doctor I am preying can give me some answers. This has caused bad anxiety and I do not leave the house. I do not date,drink or eat things I like. I’m in miserable pain 75% of my life. I think my family think I’m crazy. My stomach hurts so bad and there is no releaf. I hope you find out something I’m feel so alone and trapped
Have you checked for endometriosis? if youre female@@nickolaslane6873
have you ckecked for endometriosis?
Very clear description and explanation. Thanks.
Thank you for your presentation !
THANK YOU! That was the most Informative and Well described Video on Acute Abdominal Pain I have EVER VIEWED. I have the advantage of understanding most medical terminology and I’m in excruciating pain now. Trying to narrow my condition down as much as possible. Pain slightly began several hours ago and has continuously worsened. Have it narrowed down to 3 or 4. Holding off as long as possible until I can reach my Primary. I’m complicated and need for him to speak to Hospitalist. They’ll Never believe my knowledge of my Own Body.
Big thx from saudi arabia my consultant was impressed from answering which taken from ur video 😍
Hey Strong Medicine! Thanks for a very informative video. Any chance we can get access to the various charts in your presentation?
Screengrab and crop!
You are of much help Congrats.
Excellent video with great presentation.
hopefully this helps people understand why we ER docs have to resort to getting so many abdominal CTs. how are you going to send someone home knowing that things present atypically, that WBC is not reliable, that appendicitis can present without fever, vomiting...sigh.
Agree! There are many situations in medicine when docs generally over-order radiographic studies, but ordering imaging in the ED for patients with acute abdominal pain is not one of them. There are too many serious diseases that present similarly which can only be reliably distinguished via imaging.
In my first draft of this video, I spent a few minutes talking specifically about imaging indications for acute abdominal pain, but it was impossible to summarize beyond: "If the patient looks ill and you aren't confident as to what's going on, get a CT or ultrasound" which doesn't sound consistent with "Choosing Wisely" principles in the US that aim to reduce healthcare costs and exposure to adverse events from unnecessary testing, but having a low threshold to scan an painful belly nevertheless seems the most clinical prudent.
Huh. Well, I went in and they said interstitial cystitis probable and to take Tylenol and good bye. I took antihistamine and antacid and within 24 hours could function again. All started 6 months ago with a bad root canal. Over 2 weeks to see a GP. Currently looking for a country where medical care is readily available.....
This video is amazing. Coming from a 3rd year med student. Preparing for my surgery OSCE. Thank you!
Ummm so I have discomfort not pain in my lower right abdomen I can walk and everything but I just dont feel comfortable and I dont feel sharp pains I was scared that it was appendicitis 🥺
Please help me what is it and good luck with your career
If you liked this video, you may also want to know that Gut health is so important for overall health! Indicators of a healthy gut include: colon transit time of 12-24 hours, type 4 stool on the Bristol stool chart, not having diarrhea or constipation, having 1-3 bowel movements per day, and light-dark brown colored stools!
Thanks for making and sharing this well detailed video.
Outstanding video tutorial. Thank you very much. My patients will benefit.
Im dissuaded to get any answers from the current available healthcare systems. The industry is not health driven but monetarily and pharmaceuticaly infiltrated. I find few interested in seeking deeper origins of pathologies that most would rather suppress the pain than find the root origin. This video presentation is exceptionally insightful
So true!
Wow! This was informative and helpful the best I have seen on the matters big thanks
You are our superpower sir
Highly informative.. thank you so much.. you give peace of mind .
You are the absolute best
wow ...this is very informative. so brilliant. im so excited after watching this video
I ate to many tacos for the superbowl now.i am here😔
lesson learned. 😆
Go back. This is not a good place
HEL
This happens I consume a big meal compared to my usual small meal
@@subscribeforsomeafricanvil7105 rita are the foods u consume very acidic? I think that was my problem the tacos were really good but super acidic
That is amazing approach
Epiploic appendagitis is another reason for abdominal pain. I’ve had 2. One was surgically removed.
Precise and interested.
Wow - Awesome presentation. Thank You
Excellent Presentation. I happen to have RUQ acute abdominal pain which is very unpleasant so very helpful video
I’m having pain under my stomach it’s Either on the right or left side ive been having sharp pains there kinda like gas pain and I be feeling like gas is moving around in my stomach and it makes sounds like I’m hungry and sometimes I pass gas and the pain gets less painful and wen this happens I can’t even walk it’s kinda like having period cramps but it’s not period cramps and I feel like farting but the fart won’t come out and it just bulids up in my stomach and causes pain under my stomach
The same is happening to me. It hurts really bad, but when I pass gas the pain lessens. It comes back after awhile though.
Do you know what did you eat or drank a few hour before the pain begin?
It could be trapped wind since u said you feel relief when passing gas. Try boiling some ginger with water (u could add tea and honey for taste). Drink this, it will help release gas. It really works wonders if the problem is trapped gas. You should also watch the type of food u eat which can cause the production of gas. If problem still occurs, you should see a doctor! There might be an underlying problem
@Ai zee 8604 that's great, but don't ignore it . If the problem continues, go see the doctor. you may have allergy to some food or have some medical condition. Best is to get a doctor to examine you
Banana Cake thank you
Great presentation!
Acute abdominal pain is very common, so this is gold!
So informative for my current stomach problem .I have mild pain mild burning sensation in stomach 😭 God save all
any update to ur problem or no
Well explained ! Thank you doctor
Thank you, it's very clear, very useful and realistic.
I really appreciate your great effort on this presentation
just aim high
Made sooo v easy .... thank you..!!!
Amazing video. Thanks doc
Waaaaw,this is all i needed.
Thank u sooo much
Thanks for this video
A big thank you sir.
great video and very informative
Thanks,
Very helpful informational, now i understand what happen in my health body.
A+ video. GI NP. Outpt/ some inpt. In outpt setting i always rule out constipation quickly 😊. Love a hospital w/u for the immediacy of diagnostic findings.
thanks for detail and cover every part of acute abdomen pain. love from India ''😘
Earned a subscriber for this video alone.
Fantastic video. Just what i was looking for 🤗
If you enjoyed this video, you may also want to know about some mistakes people may make in trying to fix gut health include: adding a probiotic to help with excessive gas and bloating (that's just one piece of the puzzle), eliminating a food for 4 days and expecting it solve the issue (will take at least 2 weeks), and not thinking about root causes!
Great advice !
This was so long. But also well made
We appreciate this video! Gut health is so important for overall health! A survey from 2018 of 71,000 Americans found that 61% had at least 1 bothersome gut issue! The most common gut symptom was acid reflux or GERD, then abdominal pain, then bloating.
This is so informative for med exams
Very nice explanation.. thanks sir
Thank you..
Thank you... this is really helpful ✅✅✅
thank you so much for this video it helped me alot your the best..
The right lower side of my abdomen just below the belly button bulges out slightly more not sure if this normal and I’ve only just noticed this! I have no pain there and I can’t feel any lump or bump when I press into the skin so not sure what it is 🤔
Very helpful information. It released my stress and doubt on my stomach pain condition...
go see a doc before it gets worse
Thank you
Thank you for this video❤️
Thank you sir, this is informative.
nicely explained
Greetings from india.
Highly informative lecture❤❤❤❤❤
Thanks a lot 💗
Long time No see...Sir. Please give us More video sir
Thank you very very much! Excellent video!
Thanks Dr , your video is helpful.
Imaging should not be used for abdominal pain. Historical features you expressed are very informative. PUD EUD relayed gastritis. GREAT VIDEO.
What about the Meckel's diverticulitis? How could we differentiate it from acute appendicitis?
I get recurring liver pain but like mild pain but enough for it to hurt every now and then which I'd really like to know what's causing it! I don't drink or overeat so don't know why :(
i read t Crohn’s produces colicky pain in the RLQ in a young
person and mycobacterium bovis too
Great video!
Thank you so much🙏🏽
Just what I needed before osces. Thankyou so much Doc!
My LLQ area have a very faint pain, because I miss and hit under my lower abdomen. Now I have this annoying sensation of a pain in that area. I wonder if it will stop.
It's a shame that my own PCM isn't this thorough. No one can seem to tell me what is causing my pain. Got to educate ourselves, thank you for the video.
No CT scan?
Thank you so much dear.
I have stomach cramp which radiates to both sides of lower back. My skin is sore to touch in my back, and shooting pain seems to shoot through to my bones. Doctors are given different diagnosis. I am in a lot of pain 😔
Really really sensational!!!
I get a sever pulling in my upper left to mid abdominal in the same spot every time I jump as hard as I physically can or when I do dips . It last less than a second and feels like it is almost under my ribs . In 7th grade I got punched really hard in that spot and quit breathing for 5 mins and that might be it
I've been experiencing mild pain on my right side of my stomach.. it's very mild.. I had done some ab work outs a few days back and I think it started from that.. I've been panicking because I've been experiencing gassy stomach too.. I don't know if I have kidney stone or not that's what I'm guessing.. can exercise cause such pain.. also I'm male
I have the same thing hurts when i sleep
If its on ur right that maybe appendicitis
@@delighthe8 what about left side?
I don't know but have same pain 😞
Amazing! Well presented 🔥🔥🔥
I'm 14 I'm having pain in the left flank when I blow air in my stomach it goes away after a night or so and returns after some weeks or months it's annoying 😔
Same here did u ever figure this out?
@@sweeptheleg3097 some weeks ago i was eating a apple sause it was not cold. I was sitting hunch over while eating it (bad posture) after eating it had this pain above my navel that happen right away. Then the pain move from above of my navel to the side of my navel. The next moring i woke up with lower abdomen pain which move from the right to the left which last about 2or 3 days with bloating. After the adbomen pain was over, the pain travelled to my lower side then my rids area on the right side. When lower back pain which would moves to the upper area. Some times i pain went to my chest or so i think. The twist in my story is before i pain above my navel that started all this ago i was having bodyaches dure to axniety physical sysmtoms. So now i dont know if all this is axniety related or now. I did find a little lump in the back of my neck. I think i have cancer which every person with health anxiety think they have i dont know
Now i pain in my belly area has stop but a little will happen every now and then.
I’m 13 and this happened to me
Ok now I’m scared
@@m7_ji Is Your Pain Is Intense?
Doctor i have a problem in my stomach specially the upper left in my stomach then it goes to the upper right again and it makes beating and i feel tired or exsaust that comes while i eat something thank u i wait your answers
im having a pain on my lower left side whenever i try to make my tummy small. like do u get me? i dont know whats the word the english but yea but on a normal basis it doesnt hurt. when i flatten my tummy then thats where it hurts. do any of u know what do u think its called? and how can i stop it? TIA
My sharp pain in the upper right quadrant came from a 1 cm benign tumor in my large intestine, right close to my appendix, so they did a resection and removed my appendix.The tumor was found during my first routine colonoscopy at age 52. Should have gone in at age 50, then they could have snipped it out. It grew too big to snip, thus the surgery.
Did you have that pain all time long during those two years or it sudenly apeared
How was it after the surgery? You could eat?
Thanks a lot
Excellent video! What about LLQ pain after eating and gets better when standing up? On antibiotics for 10 days and nothing helps. Dr's thought diverticulitis but antibiotics didn't help. Stones? Ovarian cyst?
I'm sorry that the antibiotics did not help your symptoms. Unfortunately, I can't offer specific, individualized medical advice here. I recommend you either speak again with the doctor who provided the initial prescription, or seek a formal second opinion.
Update?