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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Abdominal Pain?

I am now experiencing severe cramping (lower abdomen the spreads through my entire stomach up to my diaphragm. stomach pain. Started last night. The pain comes and goes but when I feel it, it is the most painful feeling I felt. Lasts for a few seconds. Pain also radiates on my left shoulder. Feels like. I need to pass air but I can t. Please help. Thanks
Fri, 18 Jul 2014
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General Surgeon,  's  Response
Hi.
With the history you have provided the spasmodic pain in the abdomen with a referred pain to shoulder is suggestive of the peritonitis part also .
I would advise you to go to ER/ Hospital immediately. Be nil orally, do not take anything orally.
You need the investigations of ::
X-ray of the abdomen in the standing position to see for the gas under the diaphragm. X-ray of the chest.
Ultrasonography for fluid in the peritoneal cavity.
If you have a perforation you may need urgent surgery.
If there is obstruction and causing secondary peritonitis , conservative treatment can be tried.

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What Causes Severe Abdominal Pain?

Hi. With the history you have provided the spasmodic pain in the abdomen with a referred pain to shoulder is suggestive of the peritonitis part also . I would advise you to go to ER/ Hospital immediately. Be nil orally, do not take anything orally. You need the investigations of :: X-ray of the abdomen in the standing position to see for the gas under the diaphragm. X-ray of the chest. Ultrasonography for fluid in the peritoneal cavity. If you have a perforation you may need urgent surgery. If there is obstruction and causing secondary peritonitis , conservative treatment can be tried.