Abdominal Pain

admin — Wed, 14 May 2008 19:22:39 -0600

Aortic Pain Aortic pain can be severe and may have a tearing component if there is associated expanding, leaking or dissecting aneurysm. Abdominal pains are usually most marked in the back and may originate in the chest and spread down the legs.

Anal Pain Anal pain is usually well localized around the anal area of the perineal region. It is most often caused by fissures or piles. Anal abdominal pain is aggravated by defaecation. The anal fissures are narrow splits in the perianal skin, usually in the midline posteriorly which extend towards the anal edge where a sentinel pile may be found. Fissures are generally very painful.

Appendix Pain Generally appendix abdominal pain has a persistent pain wtarting in the central abdomen and then will localize to the right lower quadrant at Mc Burneys point. The pain can called re-bound pain as it is often more painful when the area is released during palpation which brings more pain.

Biliary Tract Pain Biliary tract abdominal pain classically is felt in the right upper quadrant and may radiate to the midline of the body. Biliary tract pain may also radiate towad the right scapula. The pain is often a minor discomfort but in the case of gallstones passing down this tract biliary colic may result and extreme pain ensures. (biliary colic is not colic!)