Brief Answer:
Considerations.

Detailed Answer:
hello and thank you for sending the question.

Regarding a domino pain there are many different possible contributing factors. One thing that is important to try to understand is too narrow down the potential contributing factors. If you could provide some additional history regarding the location of the abdominal pain, how long the pain has been present, anything that has been done to make the pain better or worse this would be helpful.

It is possible thatThe pain maybe related to acid reflux or increased acid secretions in the gastrointestinal system. Other considerations include gastroenteritis caused by viruses or possibly by bacteria. If the pain is accompanied by fevers or chills this is something that should be evaluated in the emergency department as soon as possible.

thanks again for sending the question. I look forward to hearing some additional details from you regarding the symptoms and remember to report to the emergency room if the symptoms progress or if fever or chills are involved.

thanks again for sending your question and please let us know if we can be of any additional assistance in the future.

Sincerely,

Dr. Galamaga

---