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Abdominal pain can be one of the symptoms associated with transient disorders or serious disease.Making a definitive diagnosis of the cause of abdominal pain can be difficult, because many diseases can result in this symptom.Abdominal pain is a common problem.Introduction
2 Types and mechanisms
3 Causes
4 Acute Abdomen
5 Recurrent Abdominal Pain in Female Adolescents
5.Introduction
Abdominal pain is traditionally described by its chronicity (acute or chronic), its progression over time, its nature (sharp, dull, colicky), its distribution (by various methods, such as abdominal quadrant (left upper quadrant, left lower quadrant, right upper quadrant, right lower quadrant) or other methods that divide the abdomen into nine sections), and by characterization of the factors that make it worse, or alleviate it.Occasionally, patients with rare causes can see a number of specialists before being diagnosed adequately (e.Types and mechanisms
The pain associated with the abdomen of inflammation of the parietal peritoneum (the part of the peritoneum lining the abdominal wall) is steady and aching, and worsened by changes in the tension of peritoneum caused by pressure or positional change.It is often accompanied by tension of the abdominal muscles contracting to relieve such tension.The pain associated with obstruction of a hollow viscus (as opposed to peritoneal and solid organ pain) is often intermittent or "colicky", coinciding with the peristaltic waves of the organ.Such cramps are exactly what is experienced with early acute appendicitis and gastroenteritis and are somewhat relieved by writhing and massage.The pain associated with abdominal vascular disturbances (thrombosis or embolism) can be sudden or gradual in onset, and can be severe or mild.Pain associated with the rupture of an abdominal aortic aneurysm may radiate to the back, flank, or genitals.Causes
The following is an incomplete list of possible causes of abdominal pain.Acute Abdomen
Acute abdomen can be defined as severe, persistent abdominal pain of sudden onset that is likely to require surgical intervention to treat its cause.The pain may frequently be associated with nausea and vomiting, abdominal distention, fever and signs of shock.It is important also for a physician to remember that abdominal pain can be caused by problems outside the abdomen, especially heart attacks and pneumonias which can occasionally present as abdominal pain.Investigations that would aid diagnosis include
Blood tests including Full Blood Count, Electrolytes, Urea, Creatinine, Liver function tests, pregnancy test and lipase.An electrocardiograph to rule out a heart attack which can occasionally present as abdominal pain
If diagnosis remains unclear after history, examination and basic investigations as above then more advanced investigations may reveal a diagnosis.References
Apley J, Naish N: Recurrent abdominal pains: A field survey of 1,000 school children.Lambert J: Biopsychosocial issues in functional abdominal pain.Stomach ache or abdominal pain can be misdiagnosed.Evaluation of Acute Abdominal Pain in Adults.All text is available under the terms of the GNU Free Documentation License."Are you sure you want to block this user?Are you sure you want to block this user?Band MembersJust lil' ol' me.Sounds Like A little slice of heaven.Myspace Canada and Do Right Music Present: Abdominal's 'PEDAL PUSHER' Remix Contest All you have to do is download the acappella above in the Myspace Music player, and send us your hottest remix by June 19th.Once we have your remixes, they will be reviewed by a panel of rigorous hip hop judges to decide who's got the tightest track.The winner's remix will be included on Abdominal's upcoming 'Remixed' EP set for release later this year."You can tell there's nothing fake about Abdominal.Abdominal Pain
Medical Author: Dennis Lee, MD
Medical Editor: Jay W.How is the cause of abdominal pain diagnosed?Special problem in irritable bowel syndrome (IBS) of diagnosing the cause of abdominal pain
Why can diagnosis of the cause of abdominal pain be difficult?How can I help my doctor to determine the cause of my abdominal pain?The more serious the
problem, the greater the urgency.Nevertheless, urgency should never replace
careful and complete diagnostic testing, as is illustrated by a recent
experience.During the episodes, he would not eat; he also noted some nausea.The patient was healthy except for the bouts of
abdominal pain.Since the episodes always resolved
completely, I thought the best course of action would be to see him during
an episode of pain.By examining the patient during an episode, I hoped to
be able to decide on the best diagnostic course.Read more about this case of severe abdominal pain and the diagnosis.Abdominal pain is pain that is felt in the abdomen.Although abdominal
pain can arise from the tissues of the abdominal wall that surround the
abdominal cavity (i.These organs include the
stomach, small intestine, colon, liver, gallbladder, and pancreas.Occasionally,
pain may be felt in the abdomen even though it is arising from organs that are
close to but not within the abdominal cavity, for example, the lower lungs, the
kidneys, and the uterus or ovaries.This latter type of pain is called "referred"
pain because the pain, though originating outside the abdomen, is being referred
to (felt) in the abdominal area.Abdominal pain is caused by inflammation (e.To complicate matters, however, abdominal pain also can occur without
inflammation, distention or loss of blood supply.It is not clear what
causes the abdominal pain in IBS, but it is believed to be due either to
abnormal contractions of the intestinal muscles (e.Next: How is the cause of abdominal pain diagnosed?Length Symptoms Lasted
The MedicineNet physician editors ask:
How long did the symptoms of your abdominal pain last?CT Scan (Computerized Axial Tomography) information.Medical information on magnetic resonance imaging (MRI) used in detecting structural abnormalities of the body.Learn uses, risks, and how to prepare for an MRI scan Source:MedicineNet
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C.MedicineNet provides reliable doctor produced health and medical information.Gut Bacteria Fights Inflammatory Bowel Disease
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E.MedicineNet does not provide medical advice, diagnosis or treatment.Chair Exercise
The Best and the Worst Ab ExercisesFrom Elizabeth Quinn,Your Guide to Sports Medicine.Health's Disease and Condition content is reviewed by Medical Review Board
Research Finds the Best and the Worst Abdominal (Ab) ExercisesThe best ab exercises are surprisingly easy to do.This is the finding of a study done at the Biomechanics Lab at San Diego State University that looked at a variety of common abdominal exercises in order to determine the best ab exercises and what really works to strengthen abs.Study Results: Top 3 Ab Exercises:
Bicycle Crunch ExerciseShop for an Exercise Floor Mat
Captain's Chair Exercise
Shop for a Vertical Knee Raise Machine.Top Abdominal Exercise Equipment
Commercial: Vertical Knee Raise Machine.The Ab Roller and the Torso Track were better than the Ab Rocker, but statistically they were not much better than the basic crunch.How Many Calories are in That?Core Muscle Strength and Stability Testing
There are many exercises available for developing strong abs and building core strength, but few methods offered for evaluating that strength.The Plank exercise is one that can be used to assess your core strength.Sports coach, Brian Mackenzie, created this test as a way to determine an individual's current core strength and stability and then to monitor progress over time.Learn how to do the Core Muscle Strength and Stability Test.For more information about the ACE study or how to perform the exercises, visit ACE Fitness.New Study Puts the Crunch on Abdominal Exercises.Cholesterol ResourcesManage Your CholesterolWhich Fats Are Healthy?What is Abdominal Ultrasound Imaging?How should I prepare for the procedure?What will I experience during and after the procedure?What are the benefits vs.What are the limitations of Abdominal Ultrasound Imaging?What is Abdominal Ultrasound Imaging?Ultrasound imaging is usually a painless medical test that helps physicians diagnose and treat medical conditions.An abdominal ultrasound produces a picture of the organs and other structures in the upper abdomen.Doppler ultrasound study may be part of an abdominal ultrasound examination.How should I prepare for the procedure?Tell your doctor if you have had a barium enema or a series of upper GI (gastrointestinal) tests within the past two days.Barium that remains in the intestines can interfere with the ultrasound test.For ultrasound of the kidneys, you may be asked to drink four to six glasses of liquid about an hour before the test to fill your bladder.For ultrasound of the aorta, you may need to avoid eating for eight to 12 hours before the test.What does the equipment look like?The principles are similar to sonar used by boats and submarines.The ultrasound image is immediately visible on a nearby screen that looks much like a computer or television monitor.When a sound wave strikes an object, it bounces backward, or echoes.By measuring these echo waves it is possible to determine how far away the object is and its size, shape, consistency (whether the object is solid, filled with fluid, or both) and uniformity.In medicine, ultrasound is used to detect changes in appearance and function of organs, tissues, or abnormal masses, such as tumors.In an ultrasound examination, a transducer both sends the sound waves and records the echoing waves.As the sound waves bounce off of internal organs, fluids and tissues, the sensitive microphone in the transducer records tiny changes in the sound's pitch and direction.These live images are usually recorded on videotape and one or more frames of the moving pictures are typically captured as still images.Doppler ultrasound, a special application of ultrasound, measures the direction and speed of blood cells as they move through vessels.How is the procedure performed?Doppler sonography is performed using the same transducer.When the examination is complete, the patient may be asked to dress and wait while the ultrasound images are reviewed.What will I experience during and after the procedure?After an ultrasound exam, you should be able to resume your normal activities.Who interprets the results and how do I get them?In some cases the radiologist may discuss preliminary results with you at the conclusion of your examination.Ultrasound scanning is noninvasive (no needles or injections) and is usually painless.What are the limitations of Abdominal Ultrasound Imaging?Ultrasound waves are reflected by air or gas; therefore ultrasound is not an ideal imaging technique for the bowel.Ultrasound waves do not pass through air; therefore an evaluation of the stomach, small intestine and large intestine may be limited.Please do NOT enter questions here.Note About Images: Images are shown for illustrative purposes.Do not attempt to draw conclusions or make diagnoses by comparing these images to other medical images, particularly your own.RSNA), comprising physicians with expertise in several radiologic areas.Let us welcome you to Sixpacknow.So you want to get a flat stomach?How often should you train abs and for how long?Everything you wanted to know about six pack abs, but afraid to...The Abdominal Training Frequently Asked Questions list (FAQ)
is intended as an introduction to the basic principles of training
the abdominal area, sometimes known as the belly or the abs.Q1: How do I get abs like giant ravioli?Q4: How do I exercise the abs?Q10: Should I do side bends to reduce
my love handles?Q12: Are there any special abdominal
exercises during pregnancy?Health For Life's Legendary Abs booklet
endless threads about abdominal training in misc.See the references list at the end for
how to get hold of these things for yourself.This FAQ is once again under constant monthly revision.Research shows that fat is lost all over your body,
not just in the area that you work.Q3: How do I reduce the fat covering my middle?This is controversial, but most people agree that eating very
little fat and lots of complex carbs (like rice, pasta and potatoes)
helps ensure that you don't add additional fat.Then you have
to work at using the fat you already have stored which involves...The abs are designed to perform one main task, to shorten the
distance between your sternum, or breastbone, and your pelvis.In short, any exercise which makes you move your sternum toward
your pelvis or your pelvis toward your sternum is good.To do
this safely, the lower back should be slightly rounded, not arched.Don't fret about pressing your back
into the ground.The action of the
psoas muscles, which run from the lower back around to the front
of the thighs, is to pull the thighs closer to the torso.Because of this,
situps primarily engage the psoas making them inefficient at exercising
your abs.More importantly, they also grind the vertebrae in your
lower back.They're inefficient because the psoas work best when the legs
are close to straight (as they are when doing situps), so for
most of the situp the psoas are doing most of the work and the
abs are just stabilising.Putting the thighs at a right angle to the torso to begin with
means that the psoas can't pull it any further, so all of the
stress is placed on the abs.This is because
to work the abs effectively you are trying to make the lower back
round, but tension in the psoas encourages the lower back move
into an exaggerated arch.If anyone knows what it is, please let the
FAQ maintainer know.Q6: What are good ab exercises?We've divided the exercises into upper and lower ab exercises.Note that there aren't two separate muscles that you can truly
isolate, so all the exercises stress the whole abdominal wall.Make sure your knees are slightly
bent.If you're big or have long legs or both, you should probably
avoid this exercise.For people with legs that are too heavy for
their lower abs strength, this exercise pulls the lower back into
an exaggerated arch which is bad (and painful).All you need is something behind your head to hold.Lying on your back, hold a weight or a chair leg (if lying
on the floor) or the foot bar (if using the situp board).Pull your pelvis and legs up so that your knees are above your
chest and then return to beginning position.This exercise is very similar to a hanging knee raise, but
a little less intense.Put your fists under your buttocks to form a cradle.If you feel any strain on your lower back, bend your knees
a little more.Raise your head and shoulders off the ground slightly if
you can to help keep the abs stressed.Lower out of the thrust back to your fists, leaving your
feet above your pelvis.Lower your legs back to the initial position.Your pelvis should rock slightly
forward.Don't lower your
legs all the way.Make sure that you don't start swinging.You want your abs
to do the work, not momentum.It's important that you don't move
your legs too far or your psoas muscle will be doing a lot of
work and possibly causing back problems as in a situp.Although Legendary Abs recommends these,
The American Council on Exercise's Aerobics Instructor
book warns that they have the same back problems
as conventional situps.This makes sense since, like situps, the
legs are kept straight and the hips move.The Aerobics and Fitness
Association of America (AFAA) also regards hanging leg raises
as dangerous.For safety you should probably stick to leg
thrusts and knee raises.The position
is held for 10 seconds.The same cautions about back position still
hold.Lying on your back, put your knees up in the air so that your
thighs are at a right angle to your torso, with your knees bent.If you like you can rest your feet on something, like a chair.Now, slowly raise your shoulders off the ground and try to
touch your breastbone to your pelvis, breathing out as you go.Although the actual movement will be very small (your upper
torso should move through less than 30 degrees) you should try
to go as high as possible.You can increase the difficulty of the exercise by extending
your hands out behind your head instead of keeping them at the
side.Same as an ab crunch except that you raise your shoulder up,
instead of pulling them toward your pelvis.Kneel far enough away from the machine
so that the cable comes down at a slight angle.The exercise is the same movement as an ab crunch, but using
the weight instead of gravity.Q7: Is there a specific order I should do exercises in?According to Legendary Abs, you should
exercise the lower abs before the upper abs and do any twisting
upper ab movements before straight upper ab ones.Q8: How do I structure an ab routine?Some writers recommend doing abs at every workout.Others recommend
doing them however often you do anything else in other words treating
them as you would any other body part.Since most people want good abdominal tone more than freaky
abdominal size, it probably makes sense to exercise the abs with
lower intensity and more frequently, rather than with high intensity
and less frequently.If anyone feels they can offer an authoritative answer on this
question, please contribute.For more details consult the misc.Make sure your
hips are supported so your pelvis can't move.Keep your head, shoulders and upper back arched through the
whole movement.Don't exercise your lower
back more than about three times a week.Don't exercise it if
it's still sore from the previous workout.If you're using a bar, the bar has to
be behind you so try hanging with the bar in front of you and
walk you legs through.When you have the position, lower yourself, pivoting at your
shoulders until your body is parallel to the ground (or as close
as you can safely get) belly facing downwards and hold the position
for several seconds.When you can't hold it anymore bring your
self back up to vertical.Take care as you have to be able to get out of any situation
you get into, so don't go too low on the first try and make sure
you only do it over a crash mat or with a couple of helpers to
catch you if you have to let go.Q12: Are there any special abdominal exercises during pregnancy?During pregnancy, abdominal exercises can help preserve muscle
tone and take strain off the lower back.However, you might need
to learn new routines, since most experts have counseled against
lying on your back after the fourth month due to pressure on the
vena cava, the blood vessel that returns blood from the lower
body to the heart.Elizabeth Noble offer many
suggestions for safely strengthening the abdominals during pregnancy.Repeat five times, several times
a day.Postpartum moms should check their abdominal muscles for separation
before starting any abdominal exercise program, because damage
can be exacerbated by exercise if there is separation.Test this
by pressing your fingers into the area by your belly button as
you attempt to do an abdominal crunch.Place your feet the
same way, but cross your arms across the abdomen and squeezing
the muscles together as you exhale and contract the abdominals,
lifting only your head (not the shoulders).My midwife cautioned against crunches after the belly
rose above the pubic bone, saying that the stress this caused
was a factor in abdominal separation.There are several types of abdominal machine provided in gyms
and many more plastic varieties available in stores and via mail
order.An ab contraction (as explained in
Question 4) is when the sternum is pulled
toward the pubic bone or vice versa as the main action.If you have the form, machines are
not greatly useful.Dissenting opinions are welcomed (and will probably be included
in the FAQ) as are reviews of popular ab gadgets and machines.The Complete Book of Abs by Kurt Brungardt, Villard
Books, New York, NY 10022, May 1993.Shows over one hundred
different exercises for the various abdominal muscles plus routines,
diet and general advice.It will also be posted monthly
to misc.Please notify the FAQ maintainer if you intend to distribute this
FAQ by any means other than via USENET feed or from an Internet
archive site.Abdominal pain is pain that you feel anywhere between your chest and groin.You may also have a generalized infection, such as the flu or strep throat, that affects many parts of your body.Severe abdominal pain can be from mild conditions, such as gas or the cramping of viral gastroenteritis.Many different conditions can cause abdominal pain.The key is to know when you must seek medical care right away.In many cases you can simply wait, use home care remedies, and call your doctor at a later time only if the symptoms persist.Viral gastroenteritis (stomach flu)
When an inflamed organ (such as the appendix) in the abdomen ruptures or leaks fluid, you not only have excruciating pain, your abdomen will be very stiff and you likely will have a fever.This occurs as peritonitis (inflammation and infection of the lining of the abdominal cavity) develops and spreads from the site of the rupture.This is a medical emergency.In infants, prolonged unexplained crying (often called "colic") may be caused by abdominal pain that may end with the passage of gas or stool.Colic is often worse in the evening.Abdominal pain that occurs during menstruation may be from menstrual cramps or it may indicate a problem in a reproductive organ.Abdominal pain may actually be caused by an organ in the chest, like the lungs (for example, pneumonia) or the heart (like a heart attack).Or, it may stem from a muscle strain in the abdominal muscles.Cancers of the colon and other gastrointestinal areas are serious but uncommon causes of abdominal pain.Other more unusual causes of abdominal pain include a type of emotional upset called somatization disorder, reflected as physical discomfort (including recurrent abdominal pain).Strep throat in children can cause abdominal pain.For mild pains:
Sip water or other clear fluids.If you have been vomiting, wait 6 hours.If the pain is high up in your abdomen and occurs after meals, antacids may provide some relief, especially if you feel heartburn or indigestion.You may also try H2 blockers (Tagamet, Pepcid, or Zantac) available over the counter.From your medical history and physical examination, your doctor will try to determine the cause of your abdominal pain.He or she will be checking to see if the pain is related to inflammation of the peritoneum (called peritonitis).If the health care provider finds evidence of peritonitis, the abdominal pain may be classified as an "acute abdomen", which may require surgery right away.Your doctor may ask the following questions about your abdominal pain:
Is the pain all over (diffuse or generalized) or in a specific location?Is the pain severe, sharp or cramping, persistent or constant, periodic and changing intensity over minutes?Have you had similar pain in past?How long has each episode lasted?Does it occur within minutes following meals?Is it getting increasingly more severe?Does it occur during menstruation (dysmenorrhea)?Does the pain go into your back, middle of the back, below the right shoulder blade, or your groin, buttocks, or legs?Does the pain get worse after lying on the back?Does the pain get worse after eating or drinking?Does the pain get worse after stress?Does the pain get better after milk or antacids?What medications are you taking?Have you had a recent injury?What other symptoms are occurring at the same time?For prevention of many types of abdominal pain:
Eat small meals more frequently.Limit foods that produce gas.Drink plenty of water each day.For prevention of symptoms from heartburn or gastroesophageal reflux disease:
Quit smoking.After eating, stay upright for at least 30 minutes.Elevate the head of your bed.American Academy of Pediatrics Subcommittee on Chronic Abdominal Pain.Chronic Abdominal Pain in Children.Townsend CM, Beauchamp RD, Evers BM, Mattox KL.Sabiston Textbook of Surgery, 17th ed.Review provided by VeriMed Healthcare Network.Also reviewed by David Zieve, MD, MHA, Medical Director, A.
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