Duration Of Current Abdominal Pain

What Causes Acute Or Chronic Abdominal Pain?

Acute or chronic abdominal pain can have various causes, ranging in severity from 'minor' to 'critical'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose acute or chronic abdominal pain, we could:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "acute or chronic abdominal pain" as a symptom.  Here are eight of many possibilities (more below):
  • Intestinal Obstruction
  • Sickle Cell Disease
  • Diverticular Disease
  • Pericarditis
  • Pelvic Inflammatory Disease
  • Porphyria
  • Overconsumption
  • Appendicitis

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
severe right iliac pain
meals worsen left iliac pain
excess caloric intake
frequent unexplained vomiting
flatulence
nausea for 1-3 months
moderate unexplained fevers
sickle cell trait
dark urine color
mild hypogastric discomfort
meals worsen hypogastric pain
frequent episodes of diarrhea
... and more than 30 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of acute or chronic abdominal pain:
Cause Probability Status
Pelvic Inflammatory Disease 95% Confirm
Appendicitis 24% Unlikely
Intestinal Obstruction 19% Unlikely
Pericarditis 0% Ruled out
Sickle Cell Disease 0% Ruled out
Overconsumption 0% Ruled out
Diverticular Disease 0% Ruled out
Porphyria 0% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

If you indicate abdominal pain unaffected by eating, abdominal pain reduced by eating or abdominal pain increased by eating, The Analyst™ will ask further questions including this one:
If you are experiencing episodes of abdominal discomfort or pain, how long ago did they start occurring?
Possible responses:
→ No abdominal pain / only after meals / don't know
→ Less than 24 hours
→ 1-6 days
→ 1-4 weeks
→ 1 month or more
Based on your response to this question, which may indicate acute abdominal pain, recent onset abdominal pain, medium-term abdominal pain or chronic abdominal pain, The Analyst™ will consider possibilities such as:
Aneurysm / Rupture

Abdominal Aortic Aneurysm is asymptomatic in 75% of cases, but may present as sudden severe pain that is not relieved by position change.

Sickle Cell Trait / Disease

Abdominal pain is one of the most common symptoms of a sickle cell crisis – a painful episode that often occurs a few times each year in people who have sickle cell anemia.  The sickle-shaped red blood cells block blood vessels, restricting blood and oxygen supply to various tissues, causing pain.

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