Suffering from abdominal pain can be confusing, mainly because there are many potential causes.
However, understanding the location of your abdominal pain can help you and your doctor narrow down the possible diagnosis and provide the most appropriate treatment.
Location of Abdominal Pain
Abdominal pain can occur anywhere below the chest and above the groin. It can be divided into four quadrants or sections:.
Upper Right Quadrant
Pain in the upper right quadrant (URQ) of the abdomen can indicate several issues such as:.
- Gallbladder disease – inflammation or gallstones
- Liver disease – hepatitis, cirrhosis or liver abscess
- Pancreatitis – inflammation of the pancreas
- Duodenal Ulcer
Upper Left Quadrant
Pain in the upper left quadrant (ULQ) of the abdomen can indicate several issues such as:.
- Spleen disease or enlargement
- Stomach disease – inflammation or peptic ulcer
- Pancreatitis – inflammation of the pancreas
Lower Right Quadrant
Pain in the lower right quadrant (LRQ) of the abdomen can indicate several issues such as:.
- Appendicitis – inflammation of the appendix
- Bladder/kidney infection – commonly occurs in women
- Endometriosis – occurs in women and affects the reproductive organs
- Inguinal hernia – a bulging protrusion in the lower right abdomen
Lower Left Quadrant
Pain in the lower left quadrant (LLQ) of the abdomen can indicate several issues such as:.
- Diverticulitis – inflammation of the small pouches that develop along the colon
- Ovarian cysts – occurs in women and affects the reproductive organs
- Ulcerative Colitis – inflammation of the colon
Generalized Abdominal Pain
Abdominal pain that is not localized can indicate:.
- Gastroenteritis – inflammation of the stomach and/or intestine usually from viral or bacterial infections
- Food poisoning
- Constipation – can cause generalized abdominal pain and discomfort
- Indigestion – acid reflux or stomach upset
Diagnosing Abdominal Pain
To accurately diagnose the cause of abdominal pain, doctors use an array of diagnostic tools and procedures. The diagnostic tests include:.
- Blood tests, including complete blood count, blood chemistry tests and liver function tests
- Diagnostic imaging – X-rays, CT scan, ultrasound or MRI
- Endoscopy- visual examination of the digestive tract, using a specialized scope that is inserted via the mouth or rectum
- Colonoscopy – endoscopic examination of the colon and rectum to detect diseases or abnormalities
- Stool tests – checking for inflammation or infections in the digestive tract
When to Seek Medical Attention
It is essential to seek medical attention if the abdominal pain is severe, and it lasts for more than a few days. Seek immediate medical help if:.
- The pain is sudden and severe
- The pain is accompanied by vomiting or nausea
- The pain is accompanied by high fever and chill
- The pain is accompanied by blood in your vomit or stool
- The pain is accompanied by shortness of breath or chest pain
- The pain is persistent, and there are no signs of improvement after few hours
Conclusion
There are various causes of abdominal pain, which makes it challenging to diagnose. However, physicians use the location of the pain as a crucial tool to diagnose the cause of the pain.
The diagnostic methods used include blood tests, diagnostic imaging, endoscopy, colonoscopy, and stool tests, amongst others. It is crucial to seek medical attention if the pain is severe or lasts for a prolonged period.