Abdominal pain has many potential causes. The most common causes — such as gas pains, indigestion or a pulled muscle — usually aren't serious. Other conditions may require more-urgent medical attention.

While the location and pattern of abdominal pain can provide important clues, its time course is particularly useful when determining its cause.

Acute abdominal pain develops, and often resolves, over a few hours to a few days. Chronic abdominal pain may be intermittent, or episodic, meaning it may come and go. This type of pain may be present for weeks to months, or even years. Some conditions cause progressive pain, which steadily gets worse over time.

Acute

The various conditions that cause acute abdominal pain are usually accompanied by other symptoms and develop over hours to days. Causes can range from minor conditions that resolve without any treatment to serious medical emergencies, including:

  1. Aneurisma aórtico abdominal
  2. Apendicitis
  3. Cholangitis (bile duct inflammation)
  4. Crohn's disease
  5. Cistitis (bladder inflammation)
  6. Cetoacidosis diabética (high levels of ketones in the blood)
  7. Diverticulitis
  8. Oclusión intestinal
  9. Embarazo ectópico
  10. Fecal impaction (hardened stool that can't be eliminated)
  11. Ataque cardiaco
  12. Injury
  13. Invaginación (in children)
  14. Kidney infection
  15. Cálculos renales
  16. Liver abscess (pus-filled pocket in the liver)
  17. Isquemia mesentérica (decreased blood flow to the intestines)
  18. Linfadenitis mesentérica (swollen lymph nodes in the folds of membrane that hold the abdominal organs in place)
  19. Mesenteric thrombosis (blood clot in a vein carrying blood away from your intestines)
  20. Pancreatitis (pancreas inflammation)
  21. Pericarditis (inflammation of the tissue around the heart)
  22. Peritonitis (infection of the abdominal lining)
  23. Pleuresía (inflammation of the membrane surrounding the lungs)
  24. Neumonía
  25. Pulmonary infarction (loss of blood flow to the lungs)
  26. Rotura de bazo
  27. Urinary tract infection (UTI)
  28. Mesenteritis esclerosante
  29. Shingles
  30. Spleen infection
  31. Splenic abscess (pus-filled pocket in the spleen)
  32. Torn colon
  33. Urinary tract infection (UTI)
  34. Gastroenteritis viral (stomach flu)

Chronic (intermittent, or episodic)

The specific cause of chronic abdominal pain is often difficult to determine. Symptoms may range from mild to severe, coming and going but not necessarily worsening over time. Conditions that may cause chronic abdominal pain include:

  1. Angina de pecho (reduced blood flow to the heart)
  2. Celiaquía
  3. Endometriosis
  4. Cálculos biliares
  5. Gastritis (inflammation of the stomach lining)
  6. Gastroesophageal reflux disease (GERD) (gastroesophageal reflux disease)
  7. Hernia de hiato
  8. Hernia inguinal
  9. Bazo dilatado (esplenomegalia)
  10. Dolor intermenstrual (pain associated with ovulation)
  11. Dolor estomacal no ulceroso
  12. Ovarian cysts
  13. Enfermedad inflamatoria pélvica — infection of the female reproductive organs
  14. Úlcera péptica
  15. Anemia de células falciformes
  16. Strained or pulled abdominal muscle
  17. Ulcerative colitis

Progressive

Abdominal pain that steadily worsens over time, often accompanied by the development of other symptoms, is usually serious. Causes of progressive abdominal pain include:

  1. Cáncer
  2. Crohn's disease
  3. Bazo dilatado (esplenomegalia)
  4. Gallbladder cancer
  5. Hepatitis (liver inflammation)
  6. Kidney cancer
  7. Lead poisoning
  8. Cáncer de hígado
  9. Linfoma no hodgkiniano
  10. Cáncer de páncreas
  11. Cáncer de estómago
  12. Tubo-ovarian abscess (pus-filled pocket involving a fallopian tube and an ovary)
  13. Uremia (buildup of waste products in your blood)

Las causas que aquí se muestran se asocian comúnmente con este síntoma. Trabaja con tu médico u otro profesional de atención médica para obtener un diagnóstico preciso.

Oct. 25, 2016