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What are the causes of sharp abdominal pain that comes and goes? Learn about the potential health conditions, from appendicitis to gallstones, that can lead to this type of discomfort and how to seek proper treatment.
Causes of Sharp Abdominal Pain That Comes and Goes
There are several potential causes of sharp, stabbing stomach pain that comes and goes. While it can sometimes be traced to gas or indigestion, most cases of this type of abdominal discomfort require medical attention to diagnose and treat the underlying condition.
Appendicitis
Appendicitis, the inflammation of the appendix, is a common cause of sharp abdominal pain. This pain is typically felt in the lower right part of the abdomen and can be accompanied by nausea, vomiting, and bloating. Appendicitis often requires surgical removal of the appendix as treatment.
Gallstones
Gallstones are stone-like objects that form in the gallbladder or bile ducts. When these stones block a duct, it can cause intense pain in the abdomen, along with other symptoms like sweating, vomiting, fever, and jaundice. Gallstones may be treated with medication or laparoscopic surgery to remove the stones or the entire gallbladder.
Ovarian Cysts
Ovarian cysts are fluid-filled sacs that can form in the ovaries. If they become large enough, they can cause sharp pain in the lower abdomen, usually on the side of the body where the cyst is located. Bloating and swelling may also occur. Some cysts go away on their own, while others may require surgical removal.
Irritable Bowel Syndrome (IBS)
Irritable bowel syndrome is a condition that can cause mild to severe abdominal pain before a bowel movement. Individuals with IBS often notice patterns in their pain, as it consistently occurs after eating certain foods or at particular times of the day.
When to Seek Medical Attention
If you experience sudden, sharp stomach pain that does not subside within 2 hours, it’s important to contact your healthcare provider or go to the emergency room immediately. Keeping track of any additional symptoms, such as nausea, vomiting, dizziness, or confusion, can also help your healthcare provider make an accurate diagnosis and provide appropriate treatment.
Diagnosing and Treating Sharp Abdominal Pain
To diagnose the cause of sharp abdominal pain that comes and goes, your healthcare provider may perform a physical examination, order imaging tests (e.g., ultrasound, CT scan), or recommend blood or other laboratory tests. The specific treatment will depend on the underlying condition, but may include medication, lifestyle changes, or surgical intervention.
It’s important to note that while some cases of sharp stomach pain can be attributed to minor issues like gas or indigestion, any persistent or severe abdominal discomfort should be evaluated by a medical professional. Early diagnosis and prompt treatment are key to managing the underlying condition and preventing potential complications.
What are the common causes of sharp abdominal pain that comes and goes? Appendicitis, gallstones, ovarian cysts, and irritable bowel syndrome are some of the most frequent culprits. How can these conditions be identified and treated?
Appendicitis is typically characterized by sharp pains in the lower right abdomen, along with nausea, vomiting, and bloating. It often requires surgical removal of the appendix as treatment.
Gallstones are stone-like objects that can form in the gallbladder or bile ducts. When they block a duct, it can cause intense abdominal pain, as well as other symptoms like sweating, vomiting, fever, and jaundice. Gallstones may be treated with medication or surgery to remove the stones or the entire gallbladder.
Ovarian cysts are fluid-filled sacs that can develop in the ovaries. If they grow large enough, they can cause sharp pain in the lower abdomen, usually on the side of the body where the cyst is located. Bloating and swelling may also occur. Some cysts resolve on their own, while others may need to be surgically removed.
Irritable bowel syndrome (IBS) is a condition that can cause mild to severe abdominal pain before a bowel movement. Individuals with IBS often notice patterns in their pain, as it consistently occurs after eating certain foods or at particular times of the day.
To diagnose the cause of sharp, intermittent abdominal pain, healthcare providers may perform a physical examination, order imaging tests (e.g., ultrasound, CT scan), or recommend blood or other laboratory tests. The specific treatment will depend on the underlying condition but may include medication, lifestyle changes, or surgical intervention.
If you experience sudden, sharp stomach pain that does not subside within 2 hours, it’s important to contact your healthcare provider or go to the emergency room immediately. Keeping track of any additional symptoms, such as nausea, vomiting, dizziness, or confusion, can also help your healthcare provider make an accurate diagnosis and provide appropriate treatment.
Sharp Abdominal Pain That Comes and Goes: Causes and Treatment
Sharp Abdominal Pain That Comes and Goes: Causes and Treatment
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Medically reviewed by Alana Biggers, M. D., MPH — By Kathryn Watson — Updated on February 14, 2023
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Sharp, stabbing stomach pain that comes and goes can occur with gas or indigestion. But it can often indicate a health condition that requires medical attention.
While severe stomach pain can sometimes be traced to indigestion, most cases of sharp pain in your abdomen require a healthcare professional’s diagnosis and prompt treatment.
It’s important to keep a record of other symptoms, such as nausea, vomiting, dizziness, or confusion.
This article will address some of the causes of sharp stomach pain and identify symptoms that might be causing the discomfort.
If stabbing pains in your stomach area begin suddenly and don’t stop within 2 hours, contact your healthcare professional or go directly to the emergency room.
There are many potential causes of sharp abdominal pain. Some causes are more serious than others.
Appendicitis
Appendicitis is inflammation of your appendix, a tubed organ. Appendicitis can be recognized by sharp pains in the lower right part of your abdomen. Nausea, vomiting, and bloating are other common symptoms.
Though appendicitis is most commonly felt in the right lower quadrant, it’s possible to experience it as a referred pain in another area of the body.
Surgical removal of your appendix is the usual treatment for appendicitis.
Gallstones
Gallstones are stone-like objects that can form in your gallbladder or bile ducts. Cholesterol or bilirubin comprise the stones.
When gallstones block a duct in your gallbladder, you’ll feel intense pain in your abdomen. The pain is from inflammation of the gallbladder, which is called cholecystitis.
Other symptoms of cholecystitis include:
- sweating
- vomiting
- fever
- a yellowish tint to the skin, eyes, or inside of the mouth (jaundice)
If gallstones cause symptoms, they may need to be treated with medication or laparoscopic surgery to dissolve or remove the stones. Sometimes the entire gallbladder needs to be removed.
Ovarian cysts
Ovarian cysts are fluid-filled sacs in the ovaries. They can form by themselves during ovulation.
If they become large enough, ovarian cysts can cause intense pain in the lower abdomen, usually on the side of the body where the cyst is. Bloating, swelling, and pressure in the area may also occur.
Ovarian cysts sometimes go away on their own, but sometimes they need to be surgically removed.
Irritable bowel syndrome
Irritable bowel diseases are digestive tract conditions that cause mild or severe pain before a bowel movement.
If you have irritable bowel syndrome (IBS), you’ll notice patterns in your abdominal pain because it consistently occurs after you eat specific foods or at certain times of the day.
Other symptoms include:
- bloating
- gassiness
- mucus in your bowel movement
- diarrhea
Treatment for IBS includes:
- lifestyle and dietary changes
- antispasmodic drugs
- nerve pain medication
Urinary tract infection
A urinary tract infection (UTI) is most often an infection in your bladder. Other parts of your urinary tract can also become infected, including your urethra and kidneys.
In addition to abdominal pain, a UTI causes a burning sensation during urination and a frequent urge to urinate.
UTIs are usually treated with antibiotics.
Indigestion and gas
Indigestion is a common set of symptoms you may experience after eating. Eating too quickly, drinking alcohol and fatty foods, and eating while you feel anxious can all cause indigestion.
Gas, trapped air in your digestive tract, results from your body digesting food. Sometimes gas and indigestion can cause sharp pains in your upper abdomen or lower intestine. This pain usually resolves itself after you’ve had a bowel movement.
Indigestion and gas pain can be treated with over-the-counter (OTC) antacids.
You can shop for antacids online.
Gastroenteritis
Gastroenteritis is also called “the stomach flu” — even though it isn’t caused by a flu virus.
Gastroenteritis is an infection in your intestines that causes:
- diarrhea
- vomiting
- sharp stomach pains
Stomach flu symptoms are uncomfortable but aren’t considered an emergency unless you become dehydrated.
Rest and staying hydrated are the first-line treatments for gastroenteritis.
Peptic ulcers
A peptic ulcer is a sore in the lining of your stomach. It can be caused by long-term use of ibuprofen or an infection of Helicobacter pylori bacteria.
Peptic ulcers cause a dull, burning abdominal pain. A peptic ulcer needs to be diagnosed and treated so that it can heal, but most of the time, it’s not a medical emergency.
Peptic ulcers are typically treated with proton pump inhibitors or antibiotics, depending on their cause.
Lactose intolerance and food allergies
Eating food you’re allergic or sensitive to can cause sharp pains in your abdomen as your body works to digest it. Sometimes gas and indigestion symptoms occur if you eat food your body “doesn’t agree with.”
Unless you have food allergies that put you at risk for anaphylaxis, abdominal pain from food allergies or sensitivities is not an emergency. You may also notice bloating or diarrhea after eating food your body can’t digest properly.
If you have a lactose allergy, speak with a healthcare professional about replacement enzyme pills, which may allow you to consume dairy without discomfort.
Ectopic pregnancy
Between 1% and 2% of pregnancies are ectopic pregnancies, according to a 2011 review published in the BMJ Sexual and Reproductive Health journal.
An egg that implants in the fallopian tube instead of the uterus cannot sustain a pregnancy to full term. If not addressed, this kind of pregnancy could be life threatening.
Strong pain in the lower abdomen and some vaginal bleeding could indicate an ectopic pregnancy. Fertility drugs and smoking increase the risk of this kind of pregnancy. Diarrhea and vomiting also sometimes occur.
Ectopic pregnancies need to be treated with medication and surgery to save the fallopian tubes and preserve fertility. The symptoms of this condition are similar to those of a typical pregnancy in its earliest phases.
Speak with a healthcare professional if you suspect this condition.
Ovulation pain
Around the time of ovulation, it’s not uncommon for people to experience stomach pain.
Before the egg is dropped, the ovary may feel “stretched” just before the egg is released, causing some pain in the lower abdomen. This pain can feel intense, but it shouldn’t last more than a few hours.
There’s currently no treatment for ovulation pain, but oral contraceptives may lessen its severity.
Food poisoning
Food poisoning happens when bacteria in the food you eat infect your digestive tract and causes diarrhea, nausea, and sharp stomach pain.
Food poisoning is acute, meaning it begins quickly and doesn’t usually last very long. If you become dehydrated, or if your food poisoning is caused by certain strains of dangerous bacteria, food poisoning can become an emergency.
There are some instances when a healthcare professional should address your abdominal right away.
Call 911 or your local emergency number or go to the emergency room if you experience any of the following:
- abdominal pain during pregnancy
- persistent, sharp abdominal pain that lasts for more than 6 hours
- sudden abdominal pain that begins after eating
- bloody stools
- abdominal swelling
- yellow skin, which may be harder to see on darker skin tones
- other signs of jaundice, such as yellowing of the eyes, inside of the mouth or both
If you have strong abdominal pain and need medical attention, a healthcare professional will likely ask you questions about your symptoms and the nature of your pain. Your answers will help them figure out the next steps in testing and diagnosis.
Testing that may be performed to evaluate your abdominal pain includes:
- blood tests
- urinalysis
- abdominal X-ray
- CT scan
- vaginal ultrasound
The causes of sharp abdominal pain range in severity. Though a little discomfort after eating or occasional indigestion happens to all of us, deep inner pain shouldn’t be ignored.
Watch for other symptoms as you monitor your abdominal pain, and call a healthcare professional if you’re experiencing severe pain.
Last medically reviewed on August 16, 2022
How we reviewed this article:
Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.
- Ovarian cysts. (2019).
medlineplus.gov/ovariancysts.html - Peptic ulcers (stomach ulcers). (n.d.).
niddk.nih.gov/health-information/digestive-diseases/peptic-ulcers-stomach-ulcers - Savalingham V, et al. (2011). Diagnosis and management of ectopic pregnancy.
srh.bmj.com/content/37/4/231 - Stomach and abdominal pain. (2021).
nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/stomach-ache-and-abdominal-pain - Symptoms and causes of bladder infection in adults. (n.d.).
niddk.nih.gov/health-information/urologic-diseases/bladder-infection-uti-in-adults/symptoms-causes - Symptoms and causes of indigestion. (2016).
niddk.nih.gov/health-information/digestive-diseases/indigestion-dyspepsia/symptoms-causes - Viral gastroenteritis. (n.d.).
niddk.nih.gov/health-information/digestive-diseases/viral-gastroenteritis
Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.
Current Version
Feb 14, 2023
Written By
Kathryn Watson
Edited By
John Bassham
Copy Edited By
Douglas Backstrom
Aug 16, 2022
Medically Reviewed By
Alana Biggers, MD, MPH
VIEW ALL HISTORY
Share this article
Medically reviewed by Alana Biggers, M.D., MPH — By Kathryn Watson — Updated on February 14, 2023
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Sharp Abdominal Pain That Comes and Goes: Causes and Treatment
Sharp Abdominal Pain That Comes and Goes: Causes and Treatment
- Health Conditions
- Featured
- Breast Cancer
- IBD
- Migraine
- Multiple Sclerosis (MS)
- Rheumatoid Arthritis
- Type 2 Diabetes
- Articles
- Acid Reflux
- ADHD
- Allergies
- Alzheimer’s & Dementia
- Bipolar Disorder
- Cancer
- Crohn’s Disease
- Chronic Pain
- Cold & Flu
- COPD
- Depression
- Fibromyalgia
- Heart Disease
- High Cholesterol
- HIV
- Hypertension
- IPF
- Osteoarthritis
- Psoriasis
- Skin Disorders and Care
- STDs
- Featured
- Discover
- Wellness Topics
- Nutrition
- Fitness
- Skin Care
- Sexual Health
- Women’s Health
- Mental Well-Being
- Sleep
- Product Reviews
- Vitamins & Supplements
- Sleep
- Mental Health
- Nutrition
- At-Home Testing
- CBD
- Men’s Health
- Original Series
- Fresh Food Fast
- Diagnosis Diaries
- You’re Not Alone
- Present Tense
- Video Series
- Youth in Focus
- Healthy Harvest
- No More Silence
- Future of Health
- Wellness Topics
- Plan
- Health Challenges
- Mindful Eating
- Sugar Savvy
- Move Your Body
- Gut Health
- Mood Foods
- Align Your Spine
- Find Care
- Primary Care
- Mental Health
- OB-GYN
- Dermatologists
- Neurologists
- Cardiologists
- Orthopedists
- Lifestyle Quizzes
- Weight Management
- Am I Depressed? A Quiz for Teens
- Are You a Workaholic?
- How Well Do You Sleep?
- Tools & Resources
- Health News
- Find a Diet
- Find Healthy Snacks
- Drugs A-Z
- Health A-Z
- Health Challenges
- Connect
- Breast Cancer
- Inflammatory Bowel Disease
- Psoriatic Arthritis
- Migraine
- Multiple Sclerosis
- Psoriasis
Medically reviewed by Alana Biggers, M. D., MPH — By Kathryn Watson — Updated on February 14, 2023
We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.
Healthline only shows you brands and products that we stand behind.
Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:
- Evaluate ingredients and composition: Do they have the potential to cause harm?
- Fact-check all health claims: Do they align with the current body of scientific evidence?
- Assess the brand: Does it operate with integrity and adhere to industry best practices?
We do the research so you can find trusted products for your health and wellness.
Read more about our vetting process.
Was this helpful?
Sharp, stabbing stomach pain that comes and goes can occur with gas or indigestion. But it can often indicate a health condition that requires medical attention.
While severe stomach pain can sometimes be traced to indigestion, most cases of sharp pain in your abdomen require a healthcare professional’s diagnosis and prompt treatment.
It’s important to keep a record of other symptoms, such as nausea, vomiting, dizziness, or confusion.
This article will address some of the causes of sharp stomach pain and identify symptoms that might be causing the discomfort.
If stabbing pains in your stomach area begin suddenly and don’t stop within 2 hours, contact your healthcare professional or go directly to the emergency room.
There are many potential causes of sharp abdominal pain. Some causes are more serious than others.
Appendicitis
Appendicitis is inflammation of your appendix, a tubed organ. Appendicitis can be recognized by sharp pains in the lower right part of your abdomen. Nausea, vomiting, and bloating are other common symptoms.
Though appendicitis is most commonly felt in the right lower quadrant, it’s possible to experience it as a referred pain in another area of the body.
Surgical removal of your appendix is the usual treatment for appendicitis.
Gallstones
Gallstones are stone-like objects that can form in your gallbladder or bile ducts. Cholesterol or bilirubin comprise the stones.
When gallstones block a duct in your gallbladder, you’ll feel intense pain in your abdomen. The pain is from inflammation of the gallbladder, which is called cholecystitis.
Other symptoms of cholecystitis include:
- sweating
- vomiting
- fever
- a yellowish tint to the skin, eyes, or inside of the mouth (jaundice)
If gallstones cause symptoms, they may need to be treated with medication or laparoscopic surgery to dissolve or remove the stones. Sometimes the entire gallbladder needs to be removed.
Ovarian cysts
Ovarian cysts are fluid-filled sacs in the ovaries. They can form by themselves during ovulation.
If they become large enough, ovarian cysts can cause intense pain in the lower abdomen, usually on the side of the body where the cyst is. Bloating, swelling, and pressure in the area may also occur.
Ovarian cysts sometimes go away on their own, but sometimes they need to be surgically removed.
Irritable bowel syndrome
Irritable bowel diseases are digestive tract conditions that cause mild or severe pain before a bowel movement.
If you have irritable bowel syndrome (IBS), you’ll notice patterns in your abdominal pain because it consistently occurs after you eat specific foods or at certain times of the day.
Other symptoms include:
- bloating
- gassiness
- mucus in your bowel movement
- diarrhea
Treatment for IBS includes:
- lifestyle and dietary changes
- antispasmodic drugs
- nerve pain medication
Urinary tract infection
A urinary tract infection (UTI) is most often an infection in your bladder. Other parts of your urinary tract can also become infected, including your urethra and kidneys.
In addition to abdominal pain, a UTI causes a burning sensation during urination and a frequent urge to urinate.
UTIs are usually treated with antibiotics.
Indigestion and gas
Indigestion is a common set of symptoms you may experience after eating. Eating too quickly, drinking alcohol and fatty foods, and eating while you feel anxious can all cause indigestion.
Gas, trapped air in your digestive tract, results from your body digesting food. Sometimes gas and indigestion can cause sharp pains in your upper abdomen or lower intestine. This pain usually resolves itself after you’ve had a bowel movement.
Indigestion and gas pain can be treated with over-the-counter (OTC) antacids.
You can shop for antacids online.
Gastroenteritis
Gastroenteritis is also called “the stomach flu” — even though it isn’t caused by a flu virus.
Gastroenteritis is an infection in your intestines that causes:
- diarrhea
- vomiting
- sharp stomach pains
Stomach flu symptoms are uncomfortable but aren’t considered an emergency unless you become dehydrated.
Rest and staying hydrated are the first-line treatments for gastroenteritis.
Peptic ulcers
A peptic ulcer is a sore in the lining of your stomach. It can be caused by long-term use of ibuprofen or an infection of Helicobacter pylori bacteria.
Peptic ulcers cause a dull, burning abdominal pain. A peptic ulcer needs to be diagnosed and treated so that it can heal, but most of the time, it’s not a medical emergency.
Peptic ulcers are typically treated with proton pump inhibitors or antibiotics, depending on their cause.
Lactose intolerance and food allergies
Eating food you’re allergic or sensitive to can cause sharp pains in your abdomen as your body works to digest it. Sometimes gas and indigestion symptoms occur if you eat food your body “doesn’t agree with.”
Unless you have food allergies that put you at risk for anaphylaxis, abdominal pain from food allergies or sensitivities is not an emergency. You may also notice bloating or diarrhea after eating food your body can’t digest properly.
If you have a lactose allergy, speak with a healthcare professional about replacement enzyme pills, which may allow you to consume dairy without discomfort.
Ectopic pregnancy
Between 1% and 2% of pregnancies are ectopic pregnancies, according to a 2011 review published in the BMJ Sexual and Reproductive Health journal.
An egg that implants in the fallopian tube instead of the uterus cannot sustain a pregnancy to full term. If not addressed, this kind of pregnancy could be life threatening.
Strong pain in the lower abdomen and some vaginal bleeding could indicate an ectopic pregnancy. Fertility drugs and smoking increase the risk of this kind of pregnancy. Diarrhea and vomiting also sometimes occur.
Ectopic pregnancies need to be treated with medication and surgery to save the fallopian tubes and preserve fertility. The symptoms of this condition are similar to those of a typical pregnancy in its earliest phases.
Speak with a healthcare professional if you suspect this condition.
Ovulation pain
Around the time of ovulation, it’s not uncommon for people to experience stomach pain.
Before the egg is dropped, the ovary may feel “stretched” just before the egg is released, causing some pain in the lower abdomen. This pain can feel intense, but it shouldn’t last more than a few hours.
There’s currently no treatment for ovulation pain, but oral contraceptives may lessen its severity.
Food poisoning
Food poisoning happens when bacteria in the food you eat infect your digestive tract and causes diarrhea, nausea, and sharp stomach pain.
Food poisoning is acute, meaning it begins quickly and doesn’t usually last very long. If you become dehydrated, or if your food poisoning is caused by certain strains of dangerous bacteria, food poisoning can become an emergency.
There are some instances when a healthcare professional should address your abdominal right away.
Call 911 or your local emergency number or go to the emergency room if you experience any of the following:
- abdominal pain during pregnancy
- persistent, sharp abdominal pain that lasts for more than 6 hours
- sudden abdominal pain that begins after eating
- bloody stools
- abdominal swelling
- yellow skin, which may be harder to see on darker skin tones
- other signs of jaundice, such as yellowing of the eyes, inside of the mouth or both
If you have strong abdominal pain and need medical attention, a healthcare professional will likely ask you questions about your symptoms and the nature of your pain. Your answers will help them figure out the next steps in testing and diagnosis.
Testing that may be performed to evaluate your abdominal pain includes:
- blood tests
- urinalysis
- abdominal X-ray
- CT scan
- vaginal ultrasound
The causes of sharp abdominal pain range in severity. Though a little discomfort after eating or occasional indigestion happens to all of us, deep inner pain shouldn’t be ignored.
Watch for other symptoms as you monitor your abdominal pain, and call a healthcare professional if you’re experiencing severe pain.
Last medically reviewed on August 16, 2022
How we reviewed this article:
Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.
- Ovarian cysts. (2019).
medlineplus.gov/ovariancysts.html - Peptic ulcers (stomach ulcers). (n.d.).
niddk.nih.gov/health-information/digestive-diseases/peptic-ulcers-stomach-ulcers - Savalingham V, et al. (2011). Diagnosis and management of ectopic pregnancy.
srh.bmj.com/content/37/4/231 - Stomach and abdominal pain. (2021).
nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/stomach-ache-and-abdominal-pain - Symptoms and causes of bladder infection in adults. (n.d.).
niddk.nih.gov/health-information/urologic-diseases/bladder-infection-uti-in-adults/symptoms-causes - Symptoms and causes of indigestion. (2016).
niddk.nih.gov/health-information/digestive-diseases/indigestion-dyspepsia/symptoms-causes - Viral gastroenteritis. (n.d.).
niddk.nih.gov/health-information/digestive-diseases/viral-gastroenteritis
Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.
Current Version
Feb 14, 2023
Written By
Kathryn Watson
Edited By
John Bassham
Copy Edited By
Douglas Backstrom
Aug 16, 2022
Medically Reviewed By
Alana Biggers, MD, MPH
VIEW ALL HISTORY
Share this article
Medically reviewed by Alana Biggers, M.D., MPH — By Kathryn Watson — Updated on February 14, 2023
Read this next
- 10 Ways to Get Rid of Gas Pains and Bloating
Medically reviewed by Cynthia Taylor Chavoustie, MPAS, PA-C
Gas is a normal part of the digestion process. If you’re unable to expel gas, you may start to feel pain and discomfort. Learn 10 ways to relieve gas…
READ MORE
- Abdominal Pain During Pregnancy: Is It Gas Pain or Something Else?
Medically reviewed by Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT
Gas pain is common during pregnancy. Sometimes, though, your stomach pain could be a sign of something more serious. Here’s what to look out for.
READ MORE
- What to Know About Viral Gastroenteritis (Stomach Flu)
Viral gastroenteritis, also known as the stomach flu, is an inflammation of the intestines. It can be caused by different viruses, such as norovirus…
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Pain in the left side | causes of pain in the hypochondrium, diagnosis, prevention and treatment
Pain is a mechanism by which the body notifies us of possible problems and damage to organs and tissues. In case of pain anxiety, we very often endure to the last and only then turn to a specialist.
It is not surprising that pain in the left side is one of the most common reasons for visiting a doctor There are many important organs in the abdominal cavity on the left: diaphragm, spleen, part of the stomach, pancreas, duodenum, bowel loops, kidney, urinary bladder and, in women, the ovaries of the uterus. In addition to diseases associated with internal organs, pain in the left side sometimes has a different origin.
Contents
- What hurts in the left side
- Symptoms to look out for
- Which doctor to contact with pain in the left side
- Diagnostics
- Treatment
- Conservative therapy
- Surgical treatment
What hurts in the left side
- Physiological pain on the left side . Physiological muscle pain occurs due to injury, overuse and physical activity, especially as a result of running, when the spleen presses on the membrane due to overflow with blood, causing spasms and pain. That is why before running it is necessary to warm up thoroughly and maintain even breathing during activity. you should not be afraid of such pain, you just need to stop and catch your breath. Return to training, slightly slowing down the pace when the intensity of the pain passes. In such cases, massage is prescribed, manual therapy helps well.
- Intestines . There are many reasons for pain in the intestines on the left: intestinal infection, colic, irritable bowel syndrome, neoplasm growth. You should not worry if the pain is one-time and goes away on its own in a couple of days. If the pain becomes constant and interferes with normal life, you need to undergo an examination by contacting a medical center with doctors of the highest category.
- Pancreas . Constant aching pain in the left side, which intensifies after eating, may be a symptom of chronic pancreatitis. This is an inflammation of the pancreas that occurs due to repeated damage to the organ. When such pain occurs for the first time and persists for several days, an examination should be performed to detect acute pancreatitis.
- Stomach . most of the stomach is located in the left half of the abdominal cavity, so the pain associated with it occurs most often on the left. Acute pain in the upper abdomen in both an adult and a child signals gastritis or peptic ulcer. Therefore, the child must be urgently shown to the doctor if he complains of pain in his left side.
- Kidneys . With diseases of the organs of the excretory system, often discomfort occurs in the lower back. Renal colic, which occurs when a stone enters the ureter, causes severe pain that radiates down the ureter and into the perineum. Dull, aching pain in the lower abdomen is a symptom of pyelonephritis.
Based on complaints and the results of additional examinations and tests, the specialist will be able to make an accurate diagnosis. With a one-time occurrence of pain, you should not panic, however, you should pay close attention when a sharp pain is accompanied by additional symptoms.
Symptoms to look out for
In addition to pain, there are other symptoms that are a reason to call an ambulance or see a doctor urgently.
- Increased body temperature . A characteristic symptom of intestinal infections, acute pancreatitis, stomach diseases, pyelonephritis and other diseases. It is necessary to call an ambulance if the temperature does not subside even after antipyretics.
- Nausea and vomiting are associated symptoms of the diseases listed above. If vomiting does not stop or there is blood in the vomit, you should not delay calling a doctor.
- Diarrhea . Increased stool accompanies diseases such as: intestinal infections, pancreatitis, gastritis and others. It is worth contacting a specialist immediately when there is bleeding, blood impurities or black stools.
Pain that occurs in the left hypochondrium can be accompanied by less dangerous factors: bloating, heartburn, heaviness after eating fried, fatty, salty foods, strong rumbling in the stomach.
Which doctor to contact with pain in the left side
If you find pain in your left side, the first thing to do is to make an appointment with a gastroenterologist. After the examination, in the absence of gastrointestinal diseases, the attending physician, if necessary, can refer to specialists in other areas: a cardiologist, neurologist, urologist or surgeon.
Diagnostics
In the laboratory of the clinic, according to the doctor’s prescription, you should do a general blood test and perform the procedures necessary for examining the body, such as ultrasound, MRI, CT, in order to quickly find out the results of the examination.
A gastroenterologist or a surgeon examines the condition of a patient with pain in the left hypochondrium, if necessary, a therapist, cardiologist, gynecologist, pulmonologist are connected to them. On examination, the abdomen is palpated, symptoms of pancreatitis and peptic ulcer are checked. To establish the diagnosis correctly, laboratory and instrumental methods are required:
Ultrasound of the abdominal organs. Sonography of the spleen to assess the size and shape of the organ, detect splenomegaly, abscesses, cysts, malignant tumors, ultrasound imaging of the gastroduodenal and pancreatic zone.
X-ray. On the x-ray, you can find an enlarged spleen, displacement of neighboring structures, Payr’s syndrome, complications of peptic ulcer. MSCT is recommended for visualization of the abdominal organs. To detect pleurisy and pneumonia with a chest x-ray.
Spleen scintigraphy is a radioisotope method for evaluating functioning in the event of changes in the parenchyma in myeloproliferative or infectious diseases.
Diagnostic laparoscopy . The doctor resorts to a visual examination of the peritoneal cavity through a laparoscope if it is difficult to make a diagnosis to confirm signs of a heart attack, tumor, or rupture of the spleen, to examine the walls of the stomach and duodenum.
Laboratory methods: hemogram, blood glucose test, clinical urinalysis, coprogram to detect problems with the pancreas. For lung diseases, sputum analysis is required.
Treatment
Assistance before diagnosis
In the case of mild pain in the left side due to the abuse of fatty and heavy foods, patients should follow the diet and diet selected by the doctor. In chronic gastritis or stomach ulcers, antispasmodics should be taken. With a prolonged feeling of pain or a sudden pain syndrome, it is necessary to urgently seek medical help.
Conservative therapy
Complex treatment depends on its cause. To facilitate well-being during a severe pain syndrome, narcotic analgesics are introduced, sometimes novocaine blockades are made. Etiopathogenetic therapy consists of:
- Enzymes . With insufficient external secretory function of the pancreas, medications normalize digestion, eliminate pain and discomfort, and eliminate steatorrhea. In order to improve the microflora in the colon, pacrheic enzymes are sometimes combined with probiotics.
- Antisecretory drugs . To reduce the effect of hydrochloric acid on the mucous membranes with ulcers, gastritis with high acidity, for the rapid removal of pain attacks against the background of hyperacidity.
- Non-steroidal anti-inflammatory drugs . Due to the relief of the inflammatory process, they act pathogenetically, as well as symptomatically, effectively relieving abdominal pain. With a stomach ulcer, they are not recommended, as they violate the mucous membrane.
- Antibacterials . Used for infections accompanied by splenomegaly, pneumonia and pleurisy. If the enlargement of the spleen is non-bacterial, then etiotropic antiviral or antiprotozoal agents are taken.
- Proteolysis inhibitors . They are prescribed for acute pancreatitis, to neutralize damaging enzymes. The symptoms of Payr’s syndrome provoke pain in the left side and lend themselves well to physiotherapeutic procedures, for example, electrophoresis with anesthetics, UHF therapy, diathermy, iontophoresis with proserin – to increase intestinal motility and prevent constipation, with intercostal neuralgia, reflexotherapy, UHF, magnetotherapy are used.
Surgery
When acute pancreatitis is complicated by abscess or necrosis, surgical interventions such as endoscopy, necrectomy, pancreatic resection are performed. In case of heart disease – myocardial infarction, operations are performed to restore blood flow: coronary angioplasty, coronary artery bypass grafting. With exudative pleurisy, punctures are indicated.
A number of diseases: heart attack, abscess, vein thrombosis require emergency assistance from an abdominal surgeon. Taking into account the degree of damage, resection is performed – excision of individual sections of the parenchyma, or splenectomy – removal of the organ.
Do not ignore the pain in the left side, seek help in a timely manner to prevent possible complications. You can ask a question or make an appointment at our DNA Clinic medical center in Dubna, where trained doctors will promptly provide the necessary assistance and prescribe the appropriate treatment.
Pain in the left side: causes and explanations
Pain in the abdomen may be subtle or severe. There are quite a few reasons why the left side can hurt. Some of them are commonplace, while others become a cause for concern and signal serious illnesses. We collected the reasons why the left side can hurt.
Tags:
Women Health
man’s health
Causes of pain
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The large intestine is located on the lower left of the abdomen, and the left ovary is also located approximately there. If we are talking about a blow or a more serious injury in this area, then immediately call an ambulance, it is possible that you will need hospitalization, it is not necessary to endure pain and even dangerous.
When the pain is accompanied by fever, the abdomen seems swollen, and something hard is felt inside, in addition, the stool is bloody, nausea and vomiting do not stop, then this is a reason for urgent medical attention. Do not ignore the pain if your weight has decreased on its own within a fairly short time or the skin has acquired a yellowish tint. In addition, there are many non-urgent reasons for which the left side may hurt. And here are the most common ones.
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Why can the left side hurt?
Diverticulosis
Diverticulosis, or diverticular disease, is quite common. Diverticula – protrusions of the intestine, small hernias, inside which inflammation can develop. The disease mainly occurs in people after 50 years of age, but recently it has also been observed in younger people. The reasons for its appearance: sedentary lifestyle, unbalanced diet.
In addition to pain, the disease may be accompanied by other symptoms:
- fever;
- nausea;
- vomiting;
- bloating.
For mild cases, diet and lifestyle changes and antibiotics may help. In more serious cases, surgery may be required.
Increased flatulence
The accumulation of gases in the stomach and intestines can also cause pain in the left side. This condition is sometimes provoked by overeating, chewing gum abuse, smoking, the use of certain products, and violations of the composition of the microbiome.
Usually this problem is not considered serious and does not require immediate medical attention, but it is better to discuss it with a doctor if it affects the quality of life or is accompanied by the following symptoms:
- nausea;
- vomiting;
- diarrhea;
- constipation;
- weight loss for no reason;
- heartburn;
- appearance of blood in the stool.
Indigestion
Indigestion often occurs after meals. When eating, acid is released, which can irritate the walls of the stomach, esophagus, and intestines. The pain is usually localized in the upper abdomen, but may also radiate to the left side.
Usually the pain that occurs with indigestion is not too severe, although it causes some discomfort. In addition, it may be accompanied by other symptoms:
- heartburn;
- full stomach feeling;
- bloating;
- nausea.
Hernia
Hernia occurs when part of an internal organ is compressed by muscle tissue. It can be localized in different places and the pain is also felt in the left side.
Hernia may be indicated by the following symptoms:
- enlarged abdomen on one side;
- increased pain in one place;
- pain when lifting heavy things;
- dull pain in the abdomen;
- sensation of a full stomach.
What kind of treatment you need, the doctor will decide – first you need to determine the type of hernia, and then choose the therapy.
Kidney stones
The formation of kidney stones often goes unnoticed. By themselves, they can become an accidental finding and manifest themselves only at the moment when they begin to move along the ureters. The pain can be very, very severe. It is localized not only in the left or right side, but also spreads throughout the abdomen and up and down. Often severe pain is followed by periods of improvement.
Kidney stones often present with other symptoms:
- blood in the urine;
- cloudy urine;
- painful urination;
- nausea and vomiting;
- fever or chills.
The appearance of kidney stones is associated with various reasons – sometimes genetics are to blame, as well as nutrition and lifestyle.
Shingles
If you have had chickenpox, then the herpes virus that causes this disease is definitely hiding in your body. It can go unnoticed for many years, and at one, not the most beautiful moment, manifest itself in the form of shingles.
A painful rash appears on the skin, often only on one side. Rarely, the rash appears on the cheek or neck. Sometimes patients experience pain, but there is no rash on their body.
Pay attention to other symptoms:
- tingling, burning sensation;
- hypersensitivity to touch;
- itching.
If you think that you have shingles, then consult a doctor – the sooner you start treatment, the sooner your condition will improve.
Causes of pain in the left side, which only women experience
The structure of the body of men and women is different, and therefore some causes of pain in the lower abdomen on the left may be relevant only for women or only for men. And that’s what women should pay attention to.
Menstrual pain
Painful menstruation is common among women. While some almost never experience such a problem, for others it turns out to be a monthly ordeal that worsens the quality of life and interferes with daily activities.
If you really can’t do anything because of severe pain, it is almost not removed by analgesics and becomes stronger over time, then you should consult a doctor for help. In addition, it is worth visiting a specialist if you first encountered painful periods only after 25 years.
Endometriosis
Endometriosis is an overgrowth of endometrial tissue, which is usually located inside the uterus – this condition is very painful and abdominal pain is not the only sign.
You may also experience the following symptoms:
- painful menstruation;
- pain during sex;
- pain when urinating;
- very profuse menses;
- bleeding between periods.
The exact cause of endometriosis is not known, but your doctor can make recommendations to help improve the condition.
Ovarian cyst
A cyst may appear in the ovary – a formation filled with fluid. It can be located both on the surface of the ovary and inside it. Some cysts require only monitoring, but others are dangerous – their rupture is fraught with serious problems. Acute pain in the left side, as well as bleeding, can be a sign of a ruptured cyst.
Ovarian torsion
If the cysts are quite large, they can cause the ovaries to change their normal position. The risk of ovarian torsion in this case is quite high, and if torsion occurs, then this can cause disruption of the normal blood supply.
If you feel a sudden sharp pain in your side, as well as nausea and vomiting, then immediately go to the doctor – most likely you will need an operation.
Ectopic pregnancy
A fertilized egg can attach itself not inside the uterus, but in another, not very suitable place. For example, inside the fallopian tube, which is not intended for the development of the fetus.
An ectopic pregnancy may occur without symptoms, or may be accompanied by pain in the side, as well as bleeding, or, conversely, the disappearance of menstruation, discomfort when urinating. If you suspect pregnancy, then it is advisable to go for an early ultrasound to make sure that the egg has attached in a suitable place.
If you feel very weak or dizzy, the pain does not subside, contact your doctor as soon as possible.
Pelvic inflammatory disease
Pelvic inflammatory disease is often accompanied by abdominal pain. These diseases are usually caused by the overgrowth of sexually transmitted bacteria.
In addition to pain, you may also experience:
- discomfort when urinating;
- vaginal discharge and malodor;
- fever;
- bleeding outside of menstruation.
All these signs should be discussed with a gynecologist – he will prescribe examinations to identify the causative agent of infection and prescribe treatment.
Causes of pain in the left side, which only men experience
In men, the causes of pain are different from the causes of abdominal pain in women – the reason for this lies in physiology.
Inguinal hernia
Women also experience this pathology, but much less frequently than men.
In addition to abdominal pain, this condition may be accompanied by other unpleasant symptoms: swelling of the scrotum, weakness or burning sensation in the groin, as well as pain in the groin, which is aggravated by movement, coughing and even laughter.
Inguinal hernia requires surgical treatment, but in any case, with these symptoms, a doctor’s consultation is necessary.
Testicular torsion
Testicular torsion causes circulatory disorders – in addition to pain in the side, swelling may occur, which should alert. The condition may be accompanied by vomiting, nausea, and pain when urinating. Testicular torsion can occur at any age, but most patients are boys and young adults under the age of 18.