A site for medical students - Practical,Theory,Osce Notes

Types of Abdominal pain

Types of abdominal pain are given below
  • Colicky pain - Pain originated from Tubular organ
  • Dull aching type of pain -occur from capsules of viscera - Liver
  • Sharp well localized pain –observed from Parietal peritoneum
  • Referred pain
Colicky pain 
Colicky pain  can arise from  Upper Gl, lower Gl, biliary, renal, uterine sources
Features of Upper Gl colic
 This is characterised by Upper abdominal pain,intermittent in  nature, related with food intake and
other upper gastrointestinal symptom - nausea, vomiting, hematemesis are also seen
Features of Lower Gl colic 
Depending on the organ affected site of pain varry
Small intestine - Central abdominal pain is seen
Large intestine - Loin pain occur
Other symptoms like diarrhoea, constipation, bleeding PR may be noticed
Features of Biliary colic 
  • Pain in the right hypochondrium and epigastrium
  • Referred to angle of Right scapula
  • Related to fatty food
  • Associated with jaundice and fever
  • Virchow's intermittent biliary fever (intermittent colic, jaundice and fever)
Renal colic features 
  • Pain from loin to groin, testes and thigh
  • Associated with vomiting, sweating, oliguria, hematuria
Referred pain
 In referred pain, pain arise from lesions outside abdomen and referred to abdomen
Acute myocardial infarction - Inferior wall Ml  pain is referred to epigastrium
Diaphragmatic pleurisy  pain is referred to  upper abdomen
Basal pneumonia  pain is referred to upper abdomen
Radicular pain  D7- L1, B/L radicular pain encircles the abdomen it is called girdle pain
Herpes Zoster - Preherpetic and postherpetic neuralgia is seen