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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Acute Abdominal Pain?

I am 37 years old. Two days ago I started having severe abdominal pain. The pain has been relentless, and keeps getting worse. I cannot hardly stand or move without sharp pains. The pain is across my abdomen at belly button level. I cannot even touch my abdomen without wanting to scream. I have been having bowel movements just fine. Could it be gall bladder?
Thu, 21 Aug 2014
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General Surgeon 's  Response
HI.The signs and symptoms you have described are suggestive of Peritonitis. You can not move or can not touch abdomen is called a Rebound tenderness. This is a pathognomonic sign of a peritonitis and you need an Urgent Surgical Exploration of the abdomen. Before surgery you can undergo the tests of : Blood for CBC, sugar, liver and kidney functions and electrolytes. and for Typhoid as it can cause Perforation of the small intestine.
X-ray of the abdomen in the standing position to see a gas under diaphragm.
Ultrasonography to see for fluid in the peritoneal cavity.
The most common cause of this can be : Perforated Peptic ulcer, perforation of the small intestine by Tuberculosis , typhoid, Internal herniation, volvulus with dis-integrity of the intestine and so on.
Do not take anything orally, VISIT ER and get admitted .

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What Causes Acute Abdominal Pain?

HI.The signs and symptoms you have described are suggestive of Peritonitis. You can not move or can not touch abdomen is called a Rebound tenderness. This is a pathognomonic sign of a peritonitis and you need an Urgent Surgical Exploration of the abdomen. Before surgery you can undergo the tests of : Blood for CBC, sugar, liver and kidney functions and electrolytes. and for Typhoid as it can cause Perforation of the small intestine. X-ray of the abdomen in the standing position to see a gas under diaphragm. Ultrasonography to see for fluid in the peritoneal cavity. The most common cause of this can be : Perforated Peptic ulcer, perforation of the small intestine by Tuberculosis , typhoid, Internal herniation, volvulus with dis-integrity of the intestine and so on. Do not take anything orally, VISIT ER and get admitted .