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 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)
- Pain from loin to groin, testes and thigh
- Associated with vomiting, sweating, oliguria, hematuria
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