Understanding Abdominal Pain: What Is the Cause?

Abdominal pain is not a condition in itself but a symptom of something else that is going wrong in your body. There can be many reasons.

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Dr. Marina Sharoyko

Internal Medicine Physician | MNr. 80134
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Dr. Marina Sharoyko is a medical specialist in clinical pharmacology and internal medicine, with additional expertise in cardiology and physiology.

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Abdominal pain is something that almost everyone experiences at some point in their life. The pain can be mild or acute. This is a dull pain for some people, and for others, it can be sharp recurring cramps. For most people, there is nothing to worry about, and abdominal pain improves with home treatment. Sometimes, however, it may be a symptom of something more serious that may require medical treatment.

What causes Abdominal Pain?

Digestive Issues

Most stomach pain is related to digestion. It usually occurs after eating food very fast, consuming certain foods, or having a sensitive stomach. This may cause: 

  • Indigestion: A burning or bloated feeling in the stomach, usually after eating oily, spicy, or acidic food.
  • Gas and bloating: When the digestive system cannot digest food, gas builds up and causes discomfort. Foods like beans, dairy products, and carbonated drinks worsen the condition.
  • Constipation: If you have not passed a bowel movement in a while, stool may be backed up in the intestines, leading to bloating and cramping.
  • Diarrhea: Loose or watery stools can lead to stomach pains. It is most frequently caused by infections, food intolerances, or stomach conditions.

Infections and Inflammation

Pain in the stomach is also sometimes caused by inflammation of the digestive tract. This may be caused by infection, bacteria, or inflammatory disease, including:

  • Gastroenteritis (stomach flu): It is typically caused by viruses or bacteria, which lead to nausea, vomiting, diarrhea, and cramping. 
  • Gastritis: An inflammation of the lining of the stomach. It is usually caused by stress, alcohol, or infection.
  • Irritable Bowel Syndrome (IBS): A chronic condition that causes bloating, cramps, diarrhea, or constipation. It may be due to food sensitivity or stress. 

Period Cramps

Abdominal pain in most women is related to period cramps. Menstrual cramps occur when the uterus contracts to shed its lining. This can feel like pain in the abdomen or cramps that are painful and interfere with daily routines.

More Serious Causes

Not all abdominal pain is harmless. Sometimes, it can be a symptom of something more serious. Warning signs include:

  • Food poisoning: Abdominal pain, nausea, vomiting, and diarrhea after eating contaminated food. 
  • Appendicitis: Severe pain in the lower right abdomen that worsens over time.
  • Gallstones: Sudden abdominal pain, increasing when the stomach is empty.
  • Ulcers: Burning abdominal pain that increases when the stomach is empty. 

Best Painkillers for Abdominal Cramps

Relief from pain depends on the underlying cause of abdominal pain. The following is an overview of the most commonly used drugs:

Paracetamol: The Safest Option

Paracetamol (acetaminophen) is generally best for most stomach cramps. It is suitable for mild to moderate pain and is gentle on the stomach. It does not irritate the stomach lining like ibuprofen or aspirin can, so it’s a good option for people with acid reflux, ulcers, or gastritis. 

Buscopan: A Go-To for Cramps

Buscopan (hyoscine butylbromide) is an antispasmodic. It works by causing the muscles in the gastrointestinal tract to relax. It is most commonly used for stomach cramps caused by IBS, bloating, or gastrointestinal spasms. 

Mebeverine: Helps with IBS Cramps

Another antispasmodic is Mebeverine. It is primarily used for cramps associated with IBS. It relaxes the muscles in the gut, easing pain, bloating, and discomfort. 

Painkillers to Avoid

  • Ibuprofen & Diclofenac: These are NSAIDs (nonsteroidal anti-inflammatory drugs). They can irritate the stomach lining and aggravate cramps, especially if you have an ulcer or acid reflux.
  • Aspirin: Like ibuprofen, aspirin also upsets the stomach. So, it is better to avoid it for digestive pain. 

Best Medication for Period Cramps

Period pains (dysmenorrhea) are caused by contractions of the uterine muscle. The following are the most effective drugs used to relieve pain: 

  • Ibuprofen (Advil): One of the best choices for relieving period cramps. It is an anti-inflammatory and pain reliever.
  • Naproxen (Aleve): A longer-acting NSAID that might be more useful for more severe cramps.
  • Mefenamic Acid (Ponstan): A prescribed NSAID that is regularly used for painful menstruation.
  • Paracetamol (Acetaminophen): It eases mild pain but is not as effective as NSAIDs for cramps.

For extra relief, take pain relievers at the onset of cramping. You can also try applying heat to relieve cramps. Staying hydrated also helps ease cramps. If cramps are very painful, talk to a doctor about other types of treatment.

Tips to Relieve Abdominal Discomfort at Home

Unless the pain is severe, you might not need to take any medication. Some home remedies can alleviate discomfort naturally:

  • Ginger tea: Ginger has anti-inflammatory properties that can ease nausea and stomach issues.
  • Peppermint tea: Helps to ease the muscles in the digestive tract, reducing bloating and cramping.
  • Heat therapy: A hot water bottle or heating pad across the stomach soothes cramps and relaxes the muscles.
  • Hydration: Dehydration may worsen stomach aches. Proper water consumption ensures smooth digestion.
  • Light exercise: Taking a short walk after a large meal helps digest food and relieve bloating.

If you’re not certain whether your pain is serious, Transtoyou offers a convenient method of online doctor consultation. You can get expert consultation and, if necessary, have medicines prescribed and delivered to your doorstep. 

Disclaimer

The information in this article is intended for informational purposes and not as a substitute for professional medical advice. Always consult a physician or other qualified healthcare provider for specific questions about your health.

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Frequently Asked Questions

Common questions about Understanding Abdominal Pain: What Is the Cause?

Severe abdominal pain is intense, sudden, or persistent, and often associated with fever, vomiting, blood in stool, weight loss, or abdominal swelling. If you're uncertain, consult a doctor.
Diclofenac is not usually recommended for stomach pain since it can further irritate the stomach. It may be helpful for period pain or pain due to inflammation but should be taken with food and only as instructed.
Paracetamol is safer as it is gentler on the stomach. Ibuprofen may help with period pain or inflammation but can irritate the stomach. Avoid it if you have ulcers or acid reflux.
Take codeine for moderate to severe pain if paracetamol or ibuprofen does not work. It is ideally used for a short duration, as it can cause drowsiness and constipation.

Test Your Knowledge

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Abdominal Pain: What Your Stomach Is Telling You

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Abdominal pain is always a sign of a serious medical condition.

Abdominal pain is always a sign of a serious medical condition.
Most abdominal pain is caused by mild digestive issues and improves with home care, though some cases may need medical attention.
Many causes of abdominal pain are harmless, but certain symptoms can indicate a more serious problem.

Which of the following is a common digestive cause of abdominal pain?

Which of the following is a common digestive cause of abdominal pain?
Indigestion often causes burning, bloating, or discomfort in the upper abdomen after certain foods.
Digestive issues such as indigestion are a frequent cause of abdominal pain, especially after meals.

Which image best represents the location of appendix-related pain?

Appendicitis typically causes pain that starts near the belly button and moves to the lower right abdomen.
Pain from appendicitis usually localizes to the lower right abdomen rather than other body areas.

Paracetamol is generally gentler on the stomach than ibuprofen or aspirin.

Paracetamol is generally gentler on the stomach than ibuprofen or aspirin.
Paracetamol does not irritate the stomach lining and is usually safer for people with digestive sensitivity.
Unlike NSAIDs, paracetamol does not increase stomach irritation in most people.

Which medication is specifically used to relax gut muscles and relieve cramping?

Which medication is specifically used to relax gut muscles and relieve cramping?
Buscopan works by relaxing smooth muscles in the digestive tract, helping reduce cramps.
Antispasmodic medicines like Buscopan are designed to ease gut muscle spasms.

NSAIDs such as ibuprofen and diclofenac are usually the best first choice for stomach pain.

NSAIDs such as ibuprofen and diclofenac are usually the best first choice for stomach pain.
NSAIDs can irritate the stomach lining and may worsen digestive pain.
These medicines can aggravate stomach discomfort, especially in people with ulcers or acid reflux.

Which home remedy may help reduce bloating and abdominal cramps?

Which home remedy may help reduce bloating and abdominal cramps?
Peppermint helps relax digestive muscles and can ease bloating and cramping.
Some natural remedies support digestion, while others may worsen symptoms.

Abdominal pain with fever, persistent vomiting, or blood in the stool should be medically evaluated.

Abdominal pain with fever, persistent vomiting, or blood in the stool should be medically evaluated.
These symptoms can indicate a more serious underlying condition that needs medical assessment.
Severe or persistent symptoms may signal complications that should not be ignored.
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