er visit for stomach pain

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How Do I Know if My Stomach Pain Is Serious?

Signs and symptoms that warrant a trip to your healthcare provider or the ER

• Signs of an Emergency

When to See a Healthcare Provider

• Managing Pain

You can't know for sure if your stomach pain is due to something serious or not without an evaluation, but some signs indicate you need urgent medical attention. For example, if your abdomen is sensitive to touch or your pain is accompanied by high fever, persistent vomiting, or chest pain, you need to go to the hospital.

If you're pregnant or have had recent abdominal surgery, you should consider any stomach pain potentially serious.

This article walks you through how to know if your stomach pain is likely serious or not and how quickly you should seek medical care. It also provides some suggestions for how to ease stomach pain when the cause is not serious.

Verywell / JR Bee

Signs Stomach Pain Is an Emergency

Your stomach pain may be serious and indicate a medical emergency if it is accompanied by any of the following symptoms:

• Extremely hard abdomen
• Abdominal tenderness when touched
• Coughing up or vomiting blood
• Vomiting that won't stop
• Bloody diarrhea
• Chest pain or pressure
• Trouble breathing
• Inability to have a bowel movement, along with vomiting
• Pain in the neck, shoulder, or between shoulder blades
• Vision changes
• Pain that starts in the belly button and moves to the right side (a warning sign of appendicitis )

Sometimes stomach pain is mild at first but gets worse after a few hours. These symptoms may not develop until that time.

If you have these symptoms, call for an ambulance or have someone drive you to the ER. You should not "wait and see" or take medicine for the pain. Get help right away.

Causes of Serious Stomach Pain

When stomach pain is associated with other serious symptoms, it may be caused by a life-threatening condition. Some examples of these conditions include:

• Appendicitis (inflammation of the appendix)
• Bowel obstruction (when food or waste blocks the intestine)
• Bowel perforation (a hole in the intestine that leaks food material)

These emergencies usually cause pain that feels extreme.

Other circumstances in which you should discuss stomach pain with a healthcare provider include when:

• You're pregnant
• Your pain started within a week of abdominal surgery
• Your pain started after a procedure in your stomach area, like an endoscopy
• You have ever had surgery on your digestive tract, like a gastric bypass , colostomy , or bowel resection
• Your pain started shortly after an abdominal trauma
• Your abdomen is bruised or rapidly expanding
• Excessive vaginal bleeding, or blood clots and bleeding longer than usual
• You have rectal bleeding or tarry-looking or bloody stool

Lower Abdominal Pain

The area of your stomach below your belly button is called your lower abdomen. Pain in this area can have many different causes. While it may be a sign of an emergency such as appendicitis, it may also be related to minor ailments or situations that don't need immediate medical attention, including colitis , cystitis , kidney stones , trapped gas, menstrual cramps , constipation , and irritable bowel syndrome (IBS) are some possibilities.

Some kinds of stomach pain need immediate attention. With others, you can call or visit your healthcare provider. It can be hard to know what you should do. Listen to your body and trust your instincts if you're not sure. Speak to your healthcare provider if you have:

• Burning with urination
• An urgent need to urinate
• Blood in the urine
• Pain, discomfort, or nausea when you eat
• Diarrhea that lasts more than five days
• Fever above 100 degrees
• Fever for three days or longer
• Loss of appetite
• Pain that gets worse or doesn't get better within one or two days

You should also call your healthcare provider if you have stomach pain while being treated for cancer.

Stomach Pain in Children

Stomach pains are common in children. Causes include indigestion, stress, constipation, food allergies, or more serious cases like appendicitis. Stomach pain of three hours or less is usually not severe. Call your healthcare provider immediately if a child has a fever of 100.4F or other symptoms such as diarrhea that could lead to dehydration.

How to Manage Stomach Pain

If your stomach pain is not severe or long-lasting, and if you're not having symptoms like those mentioned above, the pain may go away on its own.

This pain is often caused by minor problems such as constipation, gas, or something you ate. Waiting a few hours, having a bowel movement, or passing gas may help.

You can also try taking these steps:

• Limit yourself to clear liquids for a few hours.
• If you have vomiting or diarrhea, make sure to stay hydrated. Small sips of fluids and electrolyte replacement beverages are important. If you can tolerate food, eat low-fiber foods such as bread and crackers until you feel better. Some people find success following the BRAT diet for the short term until symptoms have improved.
• Avoid foods that are hard to digest. Fatty, fried, or spicy foods can cause stomach pain. So can drinks containing alcohol or caffeine.
• Try an over-the-counter antacid or a product to relieve gas.
• If you are constipated, eating foods with fiber can help to initiate a bowel movement. Fruits, vegetables, high-fiber grains, breads, and cereals can help. Make sure you drink plenty of fluids with your fiber.
• Use a hot water bottle or heating pad. Place the pad on your abdomen for a half hour at a time, with a towel under the pad to protect your skin.

Your symptoms may improve within a day or two. If they do not, call your healthcare provider.

Acute vs Chronic Pain

Acute abdominal pain comes on suddenly. It may be severe and is usually due to a short-term condition. Chronic pain is long term. It often comes and goes and is due to a chronic condition like IBS.

Pain Reliever

Some people choose to take OTC pain relievers for stomach pain, and you can, but choose wisely. Avoid nonsteroidal anti-inflammatory drugs ( NSAIDs ), such as aspirin, Motrin or Advil (ibuprofen), or Aleve (naproxen). These can irritate your stomach lining and cause ulcers. Tylenol (acetaminophen) tends to be easier on the stomach.

Stomach pain may mean you have an urgent medical problem like appendicitis or a blockage or leak in your intestines. A hard stomach, vomiting, bleeding, dizziness, or fainting are signs of a medical emergency when they happen with stomach pain.

If you're pregnant, being treated for cancer, or have had an abdominal procedure or trauma, don't wait. Go to the emergency room right away.

Call your doctor if you have other symptoms such as fever or diarrhea with stomach pain. You may have a health condition that needs treatment. Otherwise, you may be able to try some home remedies to ease the pain.

Cervellin G, Mora R, Ticinesi A, et al. Epidemiology and outcomes of acute abdominal pain in a large urban emergency department: retrospective analysis of 5,340 cases . Ann Transl Med. 2016;4(19):362. doi:10.21037/atm.2016.09.10

Lohsiriwat V. Anorectal emergencies .  World J Gastroenterol . 2016;22(26):5867-5878. doi:10.3748/wjg.v22.i26.5867

Michigan Medicine.  Abdominal pain, age 11 and younger .

Harvard Health Publishing. Where to turn for pain relief - acetaminophen or NSAIDs? .

Poonai N, Cowie A, Davidson C, et al. Reported provision of analgesia to patients with acute abdominal pain in Canadian pediatric emergency departments . CJEM . 2016;18(5):323-30. doi:10.1017/cem.2015.112

Wöhrl S. NSAID hypersensitivity - recommendations for diagnostic workup and patient management . Allergo J Int . 2018;27(4):114-121. doi:10.1007/s40629-018-0064-0

By Barbara Bolen, PhD Barbara Bolen, PhD, is a licensed clinical psychologist and health coach. She has written multiple books focused on living with irritable bowel syndrome.

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When to visit the ER for abdominal pain

Severe or persistent abdominal pain may be a sign of a more serious condition. Use these guidelines to help you decide when it's time for an ER visit.

Everyone experiences abdominal pain at one time or another. But how do you know if your pain, or that of a loved one, is severe enough that it requires an emergency department visit?

The short answer is, if your “gut” tells you that you need help right away, you should visit the emergency department. If you're not sure whether emergency care is necessary, consider these guidelines.

If you have these symptoms, you may require emergency care

If the pain is severe and unrelenting, your abdomen is tender to the touch or the pain radiates to your back, you should immediately visit the closest emergency department. If the pain is accompanied by any of the following symptoms, you should also seek emergency care:

• Vomiting blood
• Dark, black stool
• Unable to keep food down
• Experiencing chest pain or having difficulty breathing
• Irregular heartbeat
• A feeling of lightheadedness  or that you might pass out

If you meet any of the following conditions and are experiencing severe abdominal pain, you should visit an emergency department right away:

• Individuals who have undergone gastric bypass surgery
• Individuals who have had a recent endoscopy or abdominal surgery
• Women who are pregnant or might be pregnant
• Individuals over 45 experiencing upper abdominal pain (may indicate a heart attack)

When to take your child to the ER for abdominal pain

Most children experience abdominal pain at one time or another. In some circumstances, this pain can be a simple reaction to food and activity or a symptom of stomach flu or food poisoning. In other cases, stomach pain can indicate a larger issue. It is important for parents to be able to recognize the symptoms that may indicate that a child's pain is severe enough to require an emergency department visit.

If your child has these symptoms, emergency care may be necessary:

Seek pediatric ER treatment if the abdominal pain meets the following factors:

• The child is inconsolable
• Pain is severe and unrelenting
• The abdomen is tender to the touch or pain radiates to your child's back

If your child meets any of following conditions and is experiencing abdominal pain, your child should visit an emergency department right away:

• Repeated vomiting
• Significant or bloody diarrhea
• The child is difficult to rouse and has no interest in eating or drinking
• Seizures or fainting
• Distended abdomen

Wesley EmergencyCare Network ERs

Online er check-in.

Patients can complete advance check-in to any of Wesley's four emergency rooms with a free mobile app available for Apple iPhones in iTunes and for Android Phones in the Google Play app Store. Patients can also complete advance registration at Wesley ER Check In. Users simple select which Wesley facility they would like to go to and fill out a few required fields. The selected ER will be instantly notified, enabling the ER staff to better prepare for the patient's arrival. The app and website include the facilities' average wait times so patients can better plan their visit.

ER average wait times

ER wait times are approximate and provided for informational purposes only. If you are having a medical emergency, call 911.

ER wait times represent a four-hour rolling average updated every 30 minutes and are defined as the time of patient arrival until the time the patient is greeted by a qualified medical professional. Patients are triaged at arrival and are seen by a qualified medical professional in priority order based on their presenting complaint and reason for visit.

The ER wait time represents the time it takes to see a qualified medical professional, defined as a doctor of medicine (MD), doctor of osteopathy (DO), physician assistant (PA) or advanced registered nurse practitioner (ARNP).

National average wait time is one hour, according to the Centers for Disease Control and Prevention (CDC). HCA hospitals strive to beat the national average.

Wesley's main emergency department also provides Ready Care services, an “express lane” through the emergency department in a convenient, timely setting. These services are an alternative care route to the regular emergency department where treatment is determined on the severity of the patient's condition. Ready Care is ideal for patients who need immediate care for small emergencies, such as sprains, sore throats, ear infections and rashes. The service area is managed by providers trained in emergency medicine and is fully supervised by board-certified physicians. Patients are referred to the area through the regular emergency department.

If you are experiencing a medical emergency, please contact 911 or seek medical attention immediately.

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What to Expect if You Visit an Emergency Room for Stomach Pain

Everyone has experienced stomach pain at some point in their lives. Often harmless, stomach issues usually disappear within hours or a few days. Symptoms such as nausea, indigestion, bloating, diarrhea and constipation are common, so it may be tough to know when stomach pain becomes a medical emergency.

If stomach pain persists for several days or becomes intense, it may be time to seek medical care. Knowing the common symptoms can help you determine whether your stomach pain is serious and when to go to the emergency room. Hospital emergency departments offer 24/7 care and can quickly diagnose and treat your stomach pain when it becomes urgent.

Different Causes of Stomach Pain

Stomach pain is experienced differently by everyone. While some people have mild symptoms that last only a few hours, others may experience extreme pain that lasts for days.

The common types of stomach pain include:

Acute pain usually comes on suddenly and is caused by something specific.

Chronic pain is ongoing and can last weeks or months.

Progressive pain becomes worse over time and comes with other symptoms.

By identifying the region where you feel pain, your healthcare provider may be able to narrow down the kind of pain you’re experiencing. The doctor may ask if the pain is in one of the following areas of the stomach:

• Right upper quadrant
• Left upper quadrant
• Right lower quadrant
• Left lower quadrant

Stomach pain can have many causes. Some causes are mild, while others are more serious underlying conditions. Each condition comes with a different set of symptoms.

Here are some of the most common causes of stomach pain:

• Indigestion
• Constipation
• Menstrual cramps
• Irritable bowel syndrome (IBS)
• Stomach Virus
• Crohn’s disease
• Food poisoning
• Food allergies
• Urinary tract infection
• Abdominal muscle strain or pull
• Kidney stones
• Endometriosis
• Gastroesophageal reflux disease ( GERD )
• Appendicitis
• Diverticulitis

When to Go to an ER for Stomach Pain

So, how do you know when it’s time to head to the ER for stomach pain? Most episodes of stomach pain are nothing to worry about and will resolve on their own. However, it may be time to seek medical attention when stomach pain progresses, and you begin to develop other symptoms.

If the following symptoms accompany your stomach pain, it may be time to go to the emergency room:

• Abdomen is extremely hard
• Abdominal tenderness when touched
• Coughing up or vomiting blood
• Persistent vomiting
• Bloody diarrhea
• Difficulty with breathing
• Trouble having a bowel movement
• Vision changes

How ERs Treat Stomach Pain

Stomach pain and other medical emergencies can happen at all hours of the day. That’s why hospital emergency departments offer 24-hour emergency care. Visiting an emergency room can be a scary experience, but knowing what to expect can help you prepare.

When arriving at your hospital’s emergency department, know that you are seen in the order of medical severity. You will first be seen by a triage nurse who will document your symptoms and place you in a priority queue with others receiving care.

Next, the nurse will take you into an exam room, where emergency medical staff will examine you to determine the right course of treatment. They will likely take a medical history, review your medications, go over your symptoms, and perform an exam. At this time, your doctor may order further testing to help diagnose your condition.

Below are some common diagnostic tools to evaluate your stomach condition:

• Abdominal X-ray
• Abdominal CT Scan
• Magnetic Resonance Cholangiopancreatography
• Abdominal ultrasound
• Blood and urine analysis

Once your doctor has determined the cause of your stomach pain , they can begin treatment. Treatments can vary depending on the severity and cause of the pain. You may be offered medication to help treat inflammation, acid reflux, ulcers, or infection. If they are concerned about dehydration from vomiting or diarrhea, they may start you on IV fluids. For more severe conditions involving the internal organs, surgery may be needed.

What Happens After Your ER Visit

Emergency room visits are intended to treat and stabilize acute illnesses and injuries. Following your treatment, your healthcare provider will determine whether you can be discharged or need to be hospitalized for further treatment. If discharged, you often must stay for a short period to ensure you are stable and safe to go home. Hospital staff may give you medication and instructions for returning home.

It is important to always follow up with your primary care doctor after a trip to the emergency room. When it comes to a stomach condition, your doctor may want to do a more thorough exam to evaluate you for underlying health concerns.

Emergency Care at Community Hospital of Huntington Park

Medical emergencies can happen unexpectedly at any time, so it’s important to know where to go for care. At Community Hospital of Huntington Park , we offer 24/7 emergency services for fast and efficient care. We’re committed to treating everyone who comes through our doors with compassion and the highest level of care.

While offering the same advanced treatment options as a large hospital, our emergency department is conveniently located close to home in a comfortable, personalized setting. Our on-site laboratory, pharmacy, and radiology ensure thorough, comprehensive treatment.

If you are unable to take yourself or a loved one to the hospital in the event of a medical emergency, always call 911.

Appointments at Mayo Clinic

• Abdominal pain
• When to see a doctor

Call 911 or emergency medical assistance

Seek help if your abdominal pain is severe and is associated with:

• Trauma, such as an accident or injury.
• Pressure or pain in your chest.

Seek immediate medical attention

Have someone drive you to urgent care or the emergency room if you have:

• Severe pain.
• Bloody stools.
• Persistent nausea and vomiting.
• Weight loss.
• Skin that appears discolored.
• Severe tenderness when you touch your abdomen.
• Swelling of the abdomen.

Schedule a doctor's visit

Make an appointment with your health care provider if your abdominal pain worries you or lasts more than a few days.

In the meantime, find ways to ease your pain. For instance, eat smaller meals if your pain is accompanied by indigestion and drink enough fluids. Avoid taking nonprescription pain relievers or laxatives unless directed by your health care provider.

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• Penner RM, et al. Evaluation of the adult with abdominal pain. https://www.uptodate.com/contents/search. Accessed June 3, 2021.
• Abdominal pain syndrome. American College of Gastroenterology. https://gi.org/topics/abdominal-pain/. Accessed June 2, 2021.
• Cameron P, et al., eds. Approach to abdominal pain. In: Textbook of Adult Emergency Medicine. 5th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed June 3, 2021.

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INTRODUCTION

Despite sophisticated diagnostic modalities, undifferentiated abdominal pain remains the diagnosis for approximately 25 percent of patients discharged from the ED and between 35 and 41 percent for those admitted to the hospital [ 2,5-7 ]. Approximately 80 percent of patients discharged with undifferentiated abdominal pain improve or become pain free within two weeks of presentation [ 7 ].

Older adults, patients with immunocompromise or diabetes, and female patients of childbearing age pose special diagnostic challenges. Older adults and patients with diabetes are at greater risk for potentially life-threatening conditions and often present with nonspecific complaints and atypical symptoms [ 8,9 ].

This topic will discuss the evaluation of the adult patient presenting to the ED with nontraumatic abdominal or flank pain. The outpatient evaluation of adults with abdominal pain, a synopsis of causes of abdominal pain, an approach to pelvic pain, and evaluation of blunt abdominal trauma are found separately.

● (See "Evaluation of the adult with abdominal pain" .)

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When to Visit the ER with Abdominal Pain

Causes of abdominal pain can vary. They range from the common upset stomach caused by something you ate, gastroenteritis, or acid reflux to more emergent life-threatening causes such as a gallbladder infection, ruptured ulcer, or appendicitis, among a number of other possibly life-threatening conditions. So how do you know when you should go to the emergency room (ER)?

Taylor Delgado , MD, an emergency medicine physician and adjunct professor at University of Utah Health, says that the challenge with abdominal pain is that there can be so many causes. Instead, she says, it is best to identify “red flag” symptoms that indicate a serious underlying cause of the pain. Questions she asks include:

• Is the pain so severe that it is interrupting how you can function?
• Are you having pain associated with intractable vomiting or inability to tolerate liquids?
• Are you constipated or cannot have a bowel movement and experiencing severe pain?
• Have you had abdominal surgery in the past?
• Do you have abdominal pain that seems similar to pain you have had in the past but is different in this case? Is it more severe, or is the vomiting is different?

If the answer is yes to any of these questions, an ER visit is warranted.

Delgado says that in the ER, physicians and health care professionals are simultaneously diagnosing the patient’s condition and treating symptoms. “Our job is to take a lot of the information and assemble it into an entire clinical picture of this patient to determine the best course of treatment,” she says.

Some Causes of Severe Abdominal Pain

• Kidney stones: Delgado notes that kidney stones are one of the more common causes of severe abdominal pain. In fact, according to the National Kidney Foundation , more than half a million people go to the ER for kidney stone symptoms. Delgado says kidney stone symptoms often show up first thing in the morning when people wake up a bit dehydrated and go to urinate. They will have an abrupt cramp or sharp pain in the lower abdomen that reaches maximum intensity as soon as it starts—almost like a runner’s cramp.
• Bowel obstruction: For those patients who are bloated and constipated or cannot have a bowel movement and have had abdominal surgery before, a bowel obstruction is likely the cause of pain, Delgado says.
• Acute pancreatitis: This can include pain in the upper abdomen that may begin with mild pain that worsens when you eat. The pain can become severe and constant and might include nausea, fever, and a rapid pulse.

Other causes may include irritable bowel syndrome, food poisoning, endometriosis, diverticulitis, hernia gallstones, or even an abdominal muscle strain or pull.

Appendicitis Is a Common Cause of Acute Abdominal Pain

One of the most common abdominal emergencies is appendicitis . It can occur at any age but is more common among people in their teens and twenties, according to the National Institutes of Health (NIH), and more common among males than females. Delgado explains that appendicitis can start off slowly. “People may initially have a nagging pain in the middle of their abdomen and they're not really hungry,” she says. "Then the pain becomes progressively severe over the course of 12 to 24 hours and will often migrate down to the right lower abdomen as the appendicitis progresses.”  

Delgado warns that there is no textbook presentation of symptoms with appendicitis. Children especially may have atypical symptoms of appendicitis.

According to the NIH , pain with appendicitis may:

• Begin near the belly button then move lower and to your right
• Start suddenly
• Get worse as you move, cough, sneeze, or take deep breaths
• Occur before other symptoms and worsen in a matter of hours

Other symptoms include:

• Loss of appetite
• Nausea or vomiting
• Swelling in your abdomen
• An inability to pass gas
• Constipation or diarrhea

Many of those who visit the ER with abdominal pain will be released as the pain is caused by a virus, a gas bubble, or something the patient ate. But Delgado and others like the American College of Emergency Physicians say it is better to be safe than sorry in these instances. The American College of Emergency Physicians states, “Anyone who thinks they are having a medical emergency should not hesitate to seek care.”

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Should You Go to the Emergency Room for Abdominal Pain?

February 28, 2018 | Gastroenterology • Value-Based Care

Abdominal or stomach pain is uncomfortable and can be difficult to diagnose. It can be mild, due to harmless conditions such as bloating or constipation, or it can be severe and due to medical conditions that require urgent interventions such as appendicitis.

In most cases, you can visit an urgent care for your stomach pain. In fact, according to the Centers for Disease Control and Prevention,  only 17.1 percent of ER visits for abdominal pain result in a serious diagnosis. So, when does abdominal pain warrant a trip to the emergency room?

Urgent Care or ER: What to Consider

When seeking care for your abdominal pain, it’s important to consider the following:

SEVERITY AND LOCATION

If your abdominal pain is extreme or debilitating—severe enough that you can’t stand up straight—you may want to visit an ER. However, mild to moderate pain, which is usually from non-serious conditions such as menstrual cramps, food poisoning, a urinary tract infection, IBS, gastroenteritis, acid reflux, indigestion, etc., can all safely be treated at an urgent care.

The location of your pain may signal what’s causing it and what level of treatment you need. Pain in the lower right side of the abdomen, for example, may be appendicitis, which requires immediate medical treatment. If you aren’t sure about your pain and its location and where the best place for you to seek care is, call your doctor or the nearest urgent care facility. They can often direct you where to go for the appropriate level of care.

CURRENT DIAGNOSES AND RECENT PROCEDURES

Abdominal pain may be due to a more serious condition if you’ve recently undergone a medical procedure or if you already have certain medical conditions.  Abdominal pain after a recent surgery may be due to constipation; however, infections or other issues are also more likely. If any of the following are concerns, an ER is likely a more appropriate place to be further evaluated:

• Chest tightness and upper abdominal pain especially in individuals over age 45
• Recent abdomen surgery
• Recent endoscopy (colonoscopy or upper endoscopy)
• Individuals with a history of gastric bypass surgery
• Individuals with a history of heart attacks, stroke or heart disease

ADDITIONAL SYMPTOMS

If you experience these symptoms in addition to abdominal pain, go to an ER:

• Bleeding while pregnant
• Vomiting blood
• Blood with bowel movements (this can appear as black, tarry bowel movements or red blood)
• Difficulty breathing or chest pain
• Severe, sudden-onset abdominal pain

Additional symptoms such as nausea, vomiting and diarrhea can often be evaluated at an urgent care, which usually costs less than a visit to the emergency room.

Tips to Ease Your Stomach Pain

Tip 1: Use heat

Heating pads or warm water bottles can be an effective treatment for some forms of abdominal pain. If you don’t have an electric blanket or a heating pad, make one using an old sock and some rice.

Tip #2: Take over-the-counter medications

Antacids can be useful for stomach pain caused by heartburn, and gas pain can be treated with medicines, such as Gas-X, that contain simethicone. If your pain is caused by constipation, try a stool softener or mild laxative. Avoid anti-inflammatory medications such as Advil and Aleve, however, as they can further irritate your stomach.

Tip #3: Stretch it out

Sometimes, stretching can improve abdominal pain. Frequent stretching and exercise can also relieve stress, which can exacerbate abdominal pain.

Tip #4: Try some mint

Peppermint can be a safe and simple remedy for abdominal pain. You can take advantage of peppermint’s natural pain-relieving properties by:

• Drinking peppermint tea
• Chewing on peppermint leaves
• Sucking on a peppermint mint (avoid sugar-based candy mints)
• Taking peppermint oil capsules

Tip #5: Change your diet

Avoiding greasy, sugary, fatty foods can improve or minimize abdominal pain. Take other dietary needs into account as well (e.g., if you are lactose intolerant, avoid dairy when possible). Overeating can also cause stomach pains; remedy this by eating smaller portions throughout the day.

Although most gastrointestinal symptoms, such as cramping, bloating or nausea are not serious, call your doctor if you are unsure about your symptoms. Depending on your unique symptoms and medical conditions, your doctor may refer you to a gastroenterologist who can help treat your condition.

Revere Health’s experienced gastroenterology professionals offer comprehensive prevention, diagnosis and treatment of digestive disorders. We will work with you to develop a treatment plan based on your individual needs and goals.

https://rosemed.com/service/go-to-the-er-abdominal-pain

https://advanceer.com/start-worrying-abdominal-pain/

https://www.medicinenet.com/abdominal_pain_causes_remedies_treatment/article.htm#how_does_ibs_irritable_bowel_syndrome_cause_abdominal_pain

https://www.webmd.com/first-aid/abdominal-pain-in-adults-treatment

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Revere Health

Telehealth is not appropriate for every medical concern, so it’s important to ask your provider whether a virtual visit is suitable for your needs.

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This information is not intended to replace the advice of a medical professional. You should always consult your doctor before making decisions about your health.

10 Symptoms That Warrant A Trip To The ER

It can be hard to tell when your best bet is to rush to the emergency room.

When you wake up in the middle of the night with an alarming symptom—maybe it's a high fever or splitting headache—it's hard to know whether to rush to the emergency room or not. You don't want to overact, but you definitely don't want to underreact either. So how do you know when that stomach pain needs to be treated ASAP or if that numb feeling can wait until morning to deal with? We spoke to Ryan Stanton, MD, a board-certified emergency physician and spokesman for the American College of Emergency Physicians to find out.

While you may be used to an occasional headache from stress or one too many drinks, certain types of headaches can be cause for more concern. The three most common—and not dangerous—types of headaches are tension, cluster, and migraines , but "there are a couple of characteristics we look for as emergency doctors that tip us off that a headache is more than the average headache," explains Stanton.

Head to the ER if...  the pain is intense and sudden. "Is it the worst headache of your life? Did it come on suddenly like you were struck by lightning or hit in the head with a hammer?" says Stanton. "These are the two major questions we will ask to gauge the risk for a potentially deadly cause of headache known as subarachnoid hemorrhage." A headache is also worrisome if it is accompanied by a fever, neck pain, or stiffness and a rash, which could signal meningitis.

Abdominal Pain

From tummy aches to belly bloat, abdominal pain is the number one non-injury reason for adult emergency room visits, according to the National Hospital Ambulatory Medical Care Survey. The pain can be caused by a number of factors from gas or a pulled muscle to the stomach flu or more serious conditions like appendicitis or urinary tract infections. 

Head to the ER if... you're experiencing intense localized pain, especially in the right lower part of your abdomen or your right upper region, explains Stanton, as this could hint at an issue with your appendix or gallbladder that may require immediate surgery. Other concerning symptoms are abdominal pain accompanied by an inability to keep down any food or fluids; blood in the stool; or a severe and sudden onset of the pain.

With heart attacks as the number one killer for both American men and women, it's no surprise that sudden chest pain can be scary and is one of the leading causes of emergency room visits for adults. "Heart attacks are at the top of the list due to their frequency and potential risk," says Stanton. 

Head to the ER if... you are experiencing chest pain along with shortness of breath, decreased activity tolerance, sweating, or pain that radiates to the neck, jaw, or arms—especially if your age or family history puts you at a higher risk for heart attacks. "This is not a time for the walk-in or urgent care clinic," says Stanton. "They will just take a look and send you to the ER since they don't have the ability to deal with cardiac-related issues."

Infection can run the spectrum from a simple infected skin wound to serious forms such as kidney infections. The vast majority of infections are viral, which means they won't respond to antibiotics and can be treated at home with over-the-counter symptom management until the virus passes. The key then is to look at the severity of the symptoms. "The more severe infections are sepsis (infection throughout the body), pneumonia , meningitis, and infections in people who have weakened immune systems," says Stanton.

Head to the ER... based on the severity of your symptoms. "You want to show up at the ER if there are any concerns, such as confusion, lethargy, low blood pressure , or inability to tolerate any oral fluids," says Stanton. "These may suggest a more sinister infection or may just need a little emergency room TLC, such as medications to help with symptom management, fluids, or possibly antibiotics, to turn the corner."

Blood in your stool or urine

Blood shouldn't ever be found in your stool or urine, so even if your symptoms don't require a trip to the ER, it's important to make an appointment with your physician as soon as possible to determine the source and decide on a treatment plan. "Blood in the urine is usually caused by some kind of infection such as a urinary tract or kidney infection or kidney stones," says Stanton. "When it comes to stool, it's often benign, but it can be the sign of something very dangerous." The number one cause is hemorrhoids followed by fissures, infections, inflammation, ulcers, or cancer. If you have a little blood with no other symptoms, make an appointment to talk with your doctor. 

Head to the ER if... you have large amounts of blood in your stool or urine, or if you have blood in your stool or urine in addition to other symptoms such as a fever, rash or fatigue, intense pain, or evidence of a blockage.

Difficulty Breathing

"Shortness of breath is one of the most common emergency department presentations," says Stanton. The most common causes are asthma, Chronic Obstructive Pulmonary Disease ( COPD ) from smoking or infections such as pneumonia. When it comes to shortness of breath, it's pretty straightforward, says Stanton. "If you can't breathe, get to the ER."

Head to the ER ... always.

Cuts, Bumps & Falls

Whether it's a knife accident chopping veggies for dinner or a misstep off the deck stairs, many cuts, bumps, and bruises can be handled at home with ice or a home first aid kit supplies.

Head to the ER if... what's supposed to be on the inside is on the outside, or what's supposed to be on the outside is on the inside, says Stanton. If you can see muscle, tendons, or bone, it requires more than just a BandAid. "It's important to get these addressed because they are fraught with potential secondary complications from infection to loss of function and ischemia [reduced blood flow]," warns Stanton.

While not pleasant, vomiting is a common symptom that can be caused by various conditions, most often viral gastroenteritis ("stomach flu") or food poisoning. Usually, vomiting can be managed with home care and a check-in with your primary care doctor.

Head to the ER if... there is blood in the vomit, significant stomach pain, or dark green bilious vomit which could suggest bowel obstruction. Another important factor with vomiting is dehydration. "If you are unable to keep anything down, you will need to get medication or treatments to help you stay hydrated," explains Stanton. "Young children can become dehydrated rather quickly, but most healthy adults can go several days before significant dehydration becomes an issue."

"Rarely is a fever anything other than an indication that you are ill," Stanton explains. It's actually a healthy sign that your body is responding to an infection. The concern then is not with the fever itself, but with what infection is causing the fever. Don't hesitate to treat it with over-the-counter medicines such as ibuprofen. 

Head to the ER if... a fever is accompanied by extreme lethargy or there are other symptoms of infection present. Most concerning to Stanton are "fevers in kids with lethargy, fevers in adults with altered mental status, and fevers with headache and neck pain ."

Loss Of Function

Numbness in your legs, slack facial muscles, a loss of bowel control—if a certain body part or body function stops working suddenly or over time, it's worth finding out why. 

Head to the ER... always, recommends Stanton. "Whether it is due to a trauma or just develops over time, any loss of function requires immediate evaluation." The two most common causes are physical trauma and stroke, both of which are serious and require medical attention. "When something is not working, don't try to 'sleep it off'," advises Stanton. "If it doesn't work, there is a reason, and we need to see if we can diagnose, reverse, or prevent ongoing problems."

The bottom line for any symptom: If you truly can't decide what to do, it's better to be safe than sorry. "Any time you have a concern or emergency, it's always better to get checked than to wait until the problem escalates," recommends Stanton.

Other things to consider

While not symptoms, per say, according to the National Institutes of Health , you should always head to the ER if you:

• Inhaled smoke or poisonous fumes
• Consumed a toxic substance or overdosed on a medication or drug
• Possibly broke a bone 
• Are having seizures
• Suffered a serious burn
• Had a severe allergic reaction and are have trouble breathing, swelling, or hives
• Are having suicidal thoughts 

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Abdominal Pain: When to Visit Urgent Care vs. the Emergency Room

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Nothing can ruin your day like coming down with a stomach bug or an unexpected bout of food poisoning. Often these issues and other forms of abdominal pain can be treated at home, with a bland diet, rest, and fluids. But other times, you may want to see a health care provider to ensure it’s not a serious health condition.

Ronak V. Shah, MD, associate medical director of  Mass General Brigham Urgent Care , discusses common types of stomach complaints and describes when it may be best to seek urgent care or visit an emergency department.

Urgent care for abdominal pain

If you have new-onset abdominal pain, diarrhea, or constipation, Dr. Shah recommends calling your  primary care provider (PCP) . If you don’t have a PCP or no appointments are available, he recommends going to  urgent care . “I would encourage anybody who is having abdominal pain that is brand new to them or severe to see a doctor in person,” he says.

Depending on your symptoms, clinicians evaluate abdominal pain in the following ways:

• Taking vital signs like your temperature, blood pressure , and pulse or heart rate
• Doing a physical exam of your abdomen to determine the location and severity of your pain
• Discussing your  family and medical history , including recent weight loss or gain
• Conducting stool studies to diagnose parasites or bacterial infection
• Drawing blood samples to look at enzymes that show how your organs are functioning
• Making referrals to specialists like gastroenterologists, or to the ER if needed
• Prescribing antibiotics or medications for nausea, diarrhea, constipation and more

“These in-person exams are thorough, and we’ll get a better picture of what’s affecting the patient,” says Dr. Shah. For example, appendicitis is usually marked by severe pain in the lower right side of the abdomen. “But often, appendicitis starts off as a vague pain that’s located more generally instead. In urgent care, we can help identify things like that at an earlier stage and educate patients about what to watch out for before it becomes a true emergency,” he explains.

Emergency care for abdominal pain

If you experience the following severe symptoms, Dr. Shah recommends going to an emergency room instead of urgent care:

• Severe stomach pain that makes it difficult to function, move, eat, or drink
• Sudden onset of stomach pain
• Blood in your stool or vomit
• Stomach pain following an accident that has caused trauma to the abdomen

Heart disease, including heart attacks , can sometimes present as severe nausea or pain in the upper abdomen under the rib cage. If you have any doubt, go to the ER.

“Don’t ignore any of these red flags,” Dr. Shah warns. If necessary, dial 911 for an ambulance.

I would encourage anyone who is having abdominal pain that is brand new to them, severe, or with those red flag symptoms, to see a doctor in person.

Ronak V. Shah, MD Associate Medical Director Mass General Brigham Urgent Care

Can abdominal pain be treated virtually?

In most cases of abdominal pain, seeing a health care provider in person is better because the doctors check vital signs and perform a physical exam. However, some conditions involving stomach pain can be treated with  virtual care . For example, if you have previously diagnosed acid reflux disease or irritable bowel syndrome, a virtual visit may be appropriate. Mass General Brigham now offers several convenient ways to access care virtually for many health conditions that require timely care, but aren’t health emergencies. These virtual options can save patients a trip to urgent care or an emergency room.

What should you do if you have an urgent health need that’s not an emergency? Your primary care provider is a good place to start. Your doctor's office can recommend next steps. Please call your primary care provider's office for urgent issues. Many Mass General Brigham primary care practices for adults and children offer same-day, in-person and  virtual visits .

Another helpful option is  Mass General Brigham Virtual Urgent Care . It’s open to all patients ages 3 and up, even if they haven’t seen a Mass General Brigham provider before. Both new and current patients can schedule a virtual urgent care visit for that day or the next day on Mass General Brigham Patient Gateway.

Contributor

When to Go to the ER for Stomach Pain

Abdominal Pain

Jan 19, 2021

So, how do you know when stomach pain is serious enough for a trip to the ER? 

Complete Care to help answer this question. No more second-guessing when to go to the ER for stomach pain. Learn exactly which scenarios might necessitate a trip to the emergency room and which you can likely handle at home. 

6 definitive reasons you should go to the ER for stomach pain 

Before we get into cases that require some interrogation of whether or not you should go to the ER, it’s important to cover those cases of stomach pain that, without question, require emergency medical assessment and treatment. If you meet any of the following conditions and you’re experiencing severe stomach pain, seek medical attention immediately. 

1. You have undergone certain procedures 

After certain types of surgical procedures, moderate to severe stomach pain could indicate a serious complication. These procedures include:

• Abdominal surgery (if you experience pain within a week of the surgery) 
• Bowel resection (any time post-surgery, including years after the procedure) 
• Colostomy ( any time post-surgery, including years after the procedure) 
• Gastric bypass (any time post-surgery, including years after the procedure) 
• Gastrointestinal procedures (if you experience pain within a week of the surgery) 

If you are experiencing stomach pain after one of these procedures, do not hesitate. Head to the emergency room as soon as possible.

2. You are pregnant

Experiencing stomach pain during pregnancy is scary. If you are pregnant and experiencing stomach pain, it’s important to keep in mind that some types of pain are normal, and may be caused by the growth of your uterus, Braxton Hicks contractions, or even constipation and gas. Severe pain during pregnancy, however, may be a sign of complications, including:

• Ectopic pregnancies: Pregnancy occurring in the fallopian tube. The stomach pain is often accompanied by excessive bleeding. Complications begin between 6-10 weeks of pregnancy.
• Placental abruption: Early separation of the placenta from the wall of the uterus. The stomach pain is often accompanied by excessive bleeding, severe back pain, tenderness, and contractions. Typically occurs in the 3rd trimester.
• Preeclampsia: A condition that causes high blood pressure and excess protein in your urine. The stomach pain is often accompanied by sudden weight gain, excessive swelling, and severe headaches. Occurs after 20 weeks of pregnancy.
• Preterm labor: Labor that begins before 37 weeks of pregnancy. Stomach pain is often accompanied by regular contractions. Immediate action can drastically improve outcomes for your baby. 

If you are pregnant or could be pregnant and you’re experiencing moderate to severe stomach pain, call your ob-gyn or go to the emergency room ASAP. 

3. Your abdomen is suddenly expanding/swelling, is bruised in appearance, or feels hard

Sometimes changes in the look and feel of your stomach are enough to tell you when to go to the ER for stomach pain. These symptoms go beyond the more common discomfort of swelling and bloating due to gas, and include: 

• Swelling / expanding: Sudden expansion or swelling of your belly couple with severe stomach pain may indicate acute pancreatitis, a blocked intestine, bowel perforation, or other serious complications.
• Bruising: If you are experiencing severe stomach pain and notice sudden bruising of the belly (not related to trauma), seek immediate medical treatment. There are two main types of bruising that occur during pancreatitis and a hemorrhagic ectopic pregnancy: Grey Turner’s sign (on the flanks) and Cullen’s sign (around the belly button).
• Hard stomach: In patients over 40, a hard stomach in addition to stomach pain and other symptoms can indicate diverticulitis (inflammation/infection of the digestive tract), among other conditions.

If you are experiencing any of these symptoms in addition to severe stomach pain, they may be a sign of a life-threatening condition. In these cases, it’s much better to be safe than sorry and take a trip to the ER.

4. You have experienced severe abdominal trauma 

You see this phrase — abdominal trauma — thrown around a lot when discussing when to go to the ER for stomach pain, but rarely is it explained. Abdominal trauma typically occurs as a result of an accident, such as a car crash or a sports injury. It can involve a severe compression or displacement of the internal organs, such as when a seatbelt strains against your stomach in a car accident. 

This type of abdominal trauma can also be caused by physical abuse. Finally, abdominal trauma can also be the result of penetrating wounds to the stomach, including knife and gun wounds. 

If you have recently been the victim of abdominal trauma and are experiencing stomach pains, now is not likely the best time to question when to go to the ER for abdominal pain. Seek treatment immediately. 

5. You can’t stand up

This indicator may seem a little arbitrary, but it’s honestly one of the simplest ways to tell when to go to the ER for stomach pain. The operative word here is can’t . All of us are familiar with the more typical, run-of-the-mill stomach pain caused by eating spicy food or indulging in too much candy. These stomach aches aren’t fun, and they may make you uncomfortable enough that you do not want to stand up. But if the pain is so bad that you physically can’t stand upright, that’s different; it is time to go to the emergency room. 

Of course, if you find yourself in severe pain but are able to force yourself to stand up, that doesn’t mean you should skip seeking treatment. Have you experienced severe pain for 24-48 hours, despite being able to stand up? Is the pain so bad that you cannot focus on work or other activities, even if you can stand up? If yes, then you should still go to the ER. 

6. Your stomach pain is accompanied by other severe symptoms 

When severe stomach pain isn’t your only symptom, that increases the likelihood that you are suffering from a serious medical condition. Symptoms to be concerned about include but are not limited to:

• Bloody diarrhea 
• Bloody or burning urine 
• Bowel movements accompanied by vomiting 
• Chest pain or pressure (especially if you are over 45, as this may be a sign of an impending heart attack)
• Coughing up or vomiting blood 
• Diarrhea lasting more than 5 days 
• Difficulty Breathing 
• Excessive vaginal bleeding 
• Fever above 100 degrees 
• Inability to pass a stool (severe constipation)
• Pains in the shoulders or between shoulder blades
• Persistent vomiting and/or inability to keep food down for 2 days
• Vision changes 

If you or someone you love is experiencing any of these symptoms in addition to severe stomach pain, this is cause enough to go to the ER. If you are experiencing chest pain, please make sure you know when to go to the ER for chest pain . 

Causes of severe stomach pain that sends you to the ER

Now that you know when to go to the ER for stomach pain, you may be wondering what illnesses and conditions might be sending you there. Stomach pain can be caused by a seemingly infinite number of diseases, disorders, and injuries. However, not all of these causes will send you to the ER. What follows are the top stomach pain causes that will likely merit an ER visit. 

Please note that this list is not exhaustive. Also, note that the stomach flu and food poisoning can both present stomach pain and some of the additional symptoms listed above. In some cases, both of these ailments can warrant a trip to the ER, but not always. If you are concerned,  read up on stomach flu vs. food poisoning symptoms to understand more about when these issues can turn serious.

Appendicitis

Appendicitis is caused by a blockage of the appendix, typically by feces. Pain typically begins near the belly button then moves to the lower right-hand side of the abdomen. Appendicitis is one of the most common causes of emergency surgery; treatment typically involves the removal of the appendix. 

For more information, read our article: What Does Appendicitis Feel Like?

Bleeding or ruptured blood vessels

Internal bleeding can be caused by an array of conditions and injuries, from colitis to ectopic pregnancy and from bleeding disorders to trauma. The cause of the bleeding will need to be determined before appropriate treatment can be applied. 

Blocked intestines and diverticulitis 

Your intestines play an important role in moving food and liquid through your body. They can be blocked by impacted feces, hernias, inflammation (Crohn’s disease), colon cancer, the growth of fibrous tissues, and diverticulitis (inflamed, infected pouches in your intestines). Typically, blockages such as these require immediate attention. If you suspect your pain is caused by blocked intestines, this is definitely an instance of when to go to the ER for stomach pain.   

For more information, read our article: When to Go to the ER for Diverticulitis 

Gallbladder issues

Gallstones are small, hardened deposits, typically made of cholesterol. While they typically do not cause symptoms, they can lead to intense pain in your stomach if they get trapped in the opening of the gallbladder. If the duct of your gallbladder is frequently obstructed (by gallstones or another source), this can lead to a painful inflammation of the gallbladder called cholecystitis. Treatment depends on the severity of the issue; your gallbladder can be removed if necessary. 

Kidney stones 

Kidney stones form in your urine. There are many types of stones that vary depending on what creates them, although most kidney stones are calcium stones. If a kidney stone passes into the ureters (the tube that carries urine from the kidneys to the bladder) it can create severe stomach pain, discolored urine that burns, and a persistent need to urinate. 

For more information, read our article: When to go to the ER for Kidney Stones

Pancreatitis

Pancreatitis is the inflammation of the pancreas, typically caused by gallstones and heavy alcohol use. While both acute and chronic pancreatitis can occur, the former is more likely to send you to the ER. Acute pancreatitis typically results in severe upper abdominal pain, nausea, and vomiting. Treatment typically includes IV fluids and pain medications and removal of gallstones, if necessary. In very extreme cases, the pancreas is removed. 

Peptic ulcers occur as a result of an infection by H. pylori bacteria, the overuse of certain medications, and lifestyle factors, including stress. The perforation of an ulcer may cause internal bleeding, blood in your stool, vomiting with a coffee-ground-type consistency, and can be life-threatening without surgical treatment

For more information on stress reduction, read our article: The Signs and Symptoms of Stress

How do I get admitted to the ER for stomach pain? 

When you arrive at the ER, your doctor will review your health history and give you pain medication to relieve your discomfort. They’ll also conduct a variety of tests to determine the root cause and rule out other possibilities.

Common tests you may receive when you go to the ER for stomach pain include:

• Physical examination
• Liver function test

During the physical examination, the location of your severe stomach pain can provide insight into what may be causing issues. For example, pain 2 inches left of the belly button can be a sign of a few different ailments, including appendicitis and constipation. However, blood tests and tests of organ functions are much more reliable at diagnosing conditions than the placement of pain.

Once your doctor has diagnosed the source of your pain, they can provide treatment options to get you on the road to recovery. Your treatment plan will depend on the cause of your severe stomach pain, and will likely include a prescription for pain medication to help relieve your symptoms. 

You should always talk to your doctor about your options before beginning any treatment plans.

What to do if you decide your stomach pain is not serious

If none of the above information seems to match up with your current situation, then it could be possible that this is not one of those times when you should go to the ER for your abdominal pain. If the pain is bearable and you have no secondary symptoms, then your body could just need a little time to work through things. 

Here’s some simple guidance on what could help alleviate this pain from home:

• Take an antacid 
• Use a heating pad
• Avoid spicy food, caffeine, and fried foods 
• Avoid overeating (learn more about methods of portion control )
• Use the restroom (but don’t force it)
• Drink plenty of water
• Take a warm bath

Diet changes and regular light exercise can alleviate regular stomach aches. However, If your stomach pain is recurrent, consider scheduling an appointment with your doctor to rule out issues such as irritable bowel syndrome (IBS) and other chronic stomach ailments. 

Experiencing severe stomach pain? Complete Care can help.  

At Complete Care, we understand that self-diagnosing yourself is tricky, and knowing when to go to the ER for stomach pain can be complicated. We hope that this guide has provided you with some answers. 

If you are experiencing stomach pain, Complete Care is open 24/7 and welcomes walk-ins that can typically be seen within a few minutes, not hours. Our stand-alone emergency room facilities are able to offer our patients the same level of care as an emergency room attached to a hospital but without the wait time . 

If you or a loved one is experiencing severe stomach pain, visit your nearest Complete Care location for professional, award-winning, patient-centered care.

More Helpful Articles by Complete Care:

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• Falling off a Ladder : Care Tips & Common Injuries 
• Holiday Gatherings During the Pandemic
• Staying Healthy During the Flu Season
• What Do I Do When My Child Has the Flu

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Should You Go to Urgent Care for Stomach Pain or the Emergency Room?

September 5, 2023

Stomach pain isn’t just uncomfortable; it can also be worrying enough to leave you wondering if you should go to an urgent care center or the nearest emergency room. Understanding when to visit an urgent care center for stomach pain versus the emergency room is vital to receiving timely and effective treatment.

Urgent Care for Stomach Pain: When It’s Appropriate

Urgent care is the ideal avenue for seeking medical attention if your stomach pain can be categorized as mild to moderate. If you’re experiencing these symptoms, it’s wise to visit urgent care:

• Mild to moderate stomach pain – If your stomach pain is manageable and not severe, urgent care can provide the care you need to find relief. Skilled healthcare professionals at an urgent care center can evaluate your symptoms and provide appropriate treatment in a less crowded and frantic setting than the emergency room.
• Associated symptoms – If your stomach pain is accompanied by vomiting, headache or persists for several hours, it’s advisable to seek medical attention at an urgent care center. These symptoms can be particularly serious, and seeing a doctor is the safest course of action.

Emergency Room Care for Stomach Pain: When It’s Essential

Emergency rooms are equipped to handle life-threatening conditions that require immediate medical attention. Because stomach pain can sometimes indicate a severe underlying issue, it’s crucial to know when emergency care is necessary. If you’re experiencing the following symptoms, it’s best to head directly to the nearest emergency room:

• Severe or worsening stomach pain – If your pain is persistent, severe, or rapidly worsening, it could indicate a medical emergency.
• Associated symptoms – Distressing symptoms accompanying stomach pain like dizziness, confusion, loss of consciousness, vomiting blood or bloody stools, jaundice, or high-grade fever are causes for immediate concern. Emergency care is vital if you experience any of these symptoms alongside your stomach pain.

Why You Should Choose Urgent Care for Mild to Moderate Stomach Pain

Urgent care centers offer the accessibility and convenience you need on an immediate basis, with no appointment or long emergency room wait times required. CLEAR Immediate Care is equipped with experienced medical professionals and cutting-edge diagnostic tools, so we can perform necessary tests to determine the root cause of mild to moderate stomach pain.

Emergency rooms operate on a triage basis, meaning patients are seen in order of severity. If your stomach pain is not a medical emergency, you can expect long wait times and a high-pressure environment. Instead, contact CLEAR Immediate Care for quick, efficient, and effective treatment for your stomach pain.

Patient Testimonials

Shvonne H. This medical office is very detailed and interested in helping me maintain good health. I would recommend this clinic to anyone looking for a new physician for health needs. Everyone is nice, knowledgeable, and professional. Highly recommend. 7 days a week!

Richard T. Despite my being mildly irritated with the state of healthcare in this country, the front desk and doctor were patient and amicable in their service. I appreciate their patience and rapid response times in getting me on a telehealth appointment. Some real professionals.

Cooper I could not hear out of one ear, and they were able to take care of it very quickly and professionally. It’s great being able to hear out of both ears again after several weeks!

Donissa B. Cassandra the MA was amazing an made me so comfortable during my visit Dr Patel is very kind an knowledgeable.

Lana E. It was good. Although the doctor was unavailable, Krishna, the PA was able to call me.

Brian B. Office appointment made via Telemedicine. Very courteous front end staff. They comforted and communicated start to finish. Met with Ekta Patel and she unlike recent experiences with health care listened to my concerns about personal health and rise in blood pressure. We grabbed labs and she set me in a course of well being. She was very knowledgeable and compassionate. In short – I did not feel like s number in a waiting room. Ekta Patel is what a GP should aim and look foward to a long and healthy relationship.

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Having Abdominal Pains? When You Should Go To The ER

Virtually everyone experiences some form of stomach pain from time to time. In many cases, pain in the abdomen can be mild and harmless. However, some stomach pains – particularly when they are severe or accompanied by additional symptoms – may be indicative of a more serious problem that requires immediate diagnosis and treatment. The expert team of board-certified emergency room physicians and professional medical staff at iCare ER & Urgent Care in Frisco and Fort Worth, TX utilize the most advanced diagnostic tools and treatment techniques available to help identify the cause of abdominal pain, provide rapid relief, and avoid further complication. Learn more about stomach pain here, including how to tell if your symptoms warrant a trip to the ER.

What could be causing my stomachache?

Abdominal pain  can occur for a number of reasons and range from mild to severe. It may come on suddenly, but it can also develop gradually and may remain constant, become progressively worse, or wax and wane in intensity. In some cases, the cause of stomach pain is relatively harmless and will resolve on its own. Other times, a potentially life-threatening condition or process may be causing abdominal pain. Because a stomachache is a common symptom for such a wide range of diagnoses, it is important to be evaluated by an experienced ER physician to determine with certainty what may be causing your pain and get appropriate treatment.

Possible causes of stomach pain that may still warrant treatment but don’t necessarily require emergent care include:

• Constipation or bowel gas
• Food poisoning
• Heartburn, reflux, or GERD
• Stomach virus
• Stomach flu

More serious causes of abdominal pain that should be diagnosed and treated in the 24/7 emergency room side of our unique dual hybrid facilities in Fort Worth and Frisco, TX include:

• Appendicitis
• Bowel obstruction
• Stomach or colon cancer
• Cholecystitis
• Diverticulitis
• Endometriosis
• Kidney stones
• Pancreatitis

Additionally, there are a number of potentially fatal conditions that can cause abdominal pain and require immediate diagnosis and treatment as an emergency case, including:

• AAA (abdominal aortic aneurysm)
• Ectopic pregnancy (ruptured)
• Ruptured appendix
• Ischemic bowel
• Perforated bowel or stomach

How do I know when to go to the ER for stomach pain?

Because common conditions, like food poisoning or constipation, can cause abdominal pain, it can often be difficult to know when your symptoms require a trip to the ER. If you are having unexplained or severe abdominal pain, or if you are in doubt about the cause of your abdominal pain, it is always best to be examined by a professional. If your stomach pain is severe, chronic, or accompanied by additional symptoms, visit your nearest ER as soon as possible to receive a diagnosis and treatment. Some signs and symptoms that may mean your stomach pain is serious enough to go to the ER include:

• New onset of pain
• Chronic abdominal pain
• Worsening pain
• Radiating pain
• Nausea or vomiting
• Dehydration
• Bloating or swelling
• Loss of consciousness
• Shortness of breath
• Blood in stool

When you arrive at either of iCare ER & Urgent Care’s state-of-the-art facilities in Fort Worth or Frisco, you will be promptly seen by one of our knowledgeable board-certified ER physicians. Your physician will perform a thorough examination, take a detailed health history, and run any necessary tests – such as lab work or imaging studies – to help elucidate the cause of your stomach pain. From there, effective and appropriate treatment will be administered depending on your diagnosis, severity of symptoms, and other factors. Your doctor may recommend additional therapies or prescribe medications for you to continue at home.

Don’t take any chances when it comes to abdominal pain in North Texas

Get to the bottom of your stomach pain, get rapid relief from your symptoms, and start feeling more like yourself again with advanced diagnosis and treatment at either of iCare ER & Urgent Care’s convenient locations in Frisco and Fort Worth, TX. Whether your abdominal pain is moderate, severe, chronic, or new, our team of award-winning board-certified emergency room physicians and professional staff is here to help you get the effective treatment and reliable relief you deserve.

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When Should I Go To The ER For Abdominal Pain?

• December 6, 2023
• Minor Emergencies

Dealing with abdominal pain can be both uncomfortable and concerning. It’s important to recognize the difference between a fleeting discomfort and a potentially serious medical emergency requiring urgent attention.

In this article, we’ll take a comprehensive look at abdominal pain, helping you understand when it’s time to seek urgent help.

What Is Abdominal Pain?

Abdominal pain is a common symptom affecting the area between your chest and pelvis, also known as the belly. This discomfort can stem from any of the numerous organs housed within the abdominal cavity, including the stomach, intestines, liver, gallbladder, pancreas, and kidneys.

The nature of this pain can vary significantly – it might be a sharp, acute pain that demands immediate attention, a chronic dull ache indicating an ongoing issue, or a sudden severe discomfort signaling a serious condition. Factors like the pain’s location, intensity, duration, and accompanying symptoms (such as bloating, fever, or changes in bowel habits) are crucial in understanding its underlying cause.

In scenarios where the pain is persistent, severe, or associated with other alarming symptoms, a visit to a healthcare facility like Aether Health , equipped to provide comprehensive care, becomes imperative.

How Common Is Abdominal Pain?

Abdominal pain is one of the most prevalent health issues that prompt visits to medical facilities, ranging from primary care offices to emergency rooms. It’s a symptom that crosses age groups and can be caused by a wide array of conditions, from minor digestive upsets to serious acute health crises.

This widespread nature of abdominal pain makes it a significant focus for healthcare providers. Whether it’s a routine discomfort or a symptom of something more serious, abdominal pain is a common and important health concern that merits careful attention.

What Are the Four Types of Abdominal Pain?

Abdominal pain is not a one-size-fits-all symptom. It can manifest in various forms, each indicating different potential causes. 

Understanding these types can aid in identifying the underlying issue:

Visceral Pain

This type originates from the internal organs, or viscera, within the abdomen. It often feels like a deep, aching sensation and can be difficult to localize. Visceral pain is typically associated with conditions like gastroenteritis, irritable bowel syndrome, and bladder infections. It can be intermittent and is often influenced by the functioning of the organ involved, such as contraction, distention, or ischemia.

Parietal Pain

Parietal , or somatic, pain is more localized and intense than visceral pain. It arises from the parietal peritoneum, the lining of the abdominal cavity. This type of pain is usually sharper and more easily pinpointed. It can be caused by conditions like appendicitis or peritonitis, where the peritoneum becomes inflamed.

Referred Pain

This pain is felt in a part of the body other than its actual source. It occurs because of the network of nerves in the abdomen. For example, pain from a gallbladder attack might be felt in the right shoulder, and kidney stone pain can sometimes be felt in the groin or thigh.

Functional Pain

This type of pain is a bit of a medical mystery. It’s pain without obvious physical cause, and it’s often chronic. Functional abdominal pain is frequently seen in conditions like functional dyspepsia and non-ulcer stomach pain. It’s believed to result from the abnormal function of the nervous system, rather than from a distinct organ disease.

What Does Abdominal Pain Location Tell You?

Understanding the location of your abdominal pain can be key in pinpointing its cause, as specific areas are often linked to particular organs and health issues. For instance, experiencing a sharp pain on the left side of the stomach can be a significant indicator of issues related to the stomach itself, spleen, or colon. Such pain might be a sign of conditions like gastritis, problems with the spleen, or even colitis. Additionally, left stomach pain and bloating could suggest digestive issues or concerns with the lower portion of the colon.

On the other hand, upper abdominal pain might hint at problems with the stomach, gallbladder, or pancreas, whereas pain in the lower abdominal area might be related to conditions affecting the intestines or bladder. Specifically, pain in the lower right abdomen is often associated with appendicitis, and central abdominal pain might indicate gastritis or be an early sign of appendicitis.

For healthcare professionals at Aether Health, understanding the exact location and nature of your pain – whether it’s a sharp pain on the left side or bloating and discomfort – is crucial in guiding diagnostic processes and determining the most effective treatments.

Different Causes of Abdominal Pain

Various conditions can lead to abdominal pain:

• Appendicitis: Typically marked by pain starting around the belly button and shifting to the right.
• Bleeding or Ruptured Blood Vessels: Can cause sudden and severe pain.
• Blocked Intestines and Diverticulitis: Often result in sharp pain and bloating.
• Gallbladder Issues: May cause intense pain in the upper right abdomen.
• Kidney Stones: Known for causing severe pain on either side of the lower back.
• Pancreatitis: Leads to severe pain in the upper abdomen.
• Ulcers: Usually cause a burning or painful sensation in the stomach.

Signs Your Abdominal Pain May Be Serious

Identifying when abdominal pain is a sign of a serious condition is crucial. Certain accompanying symptoms are clear indicators that the pain is not just a simple discomfort but potentially a symptom of a more severe health issue. These signs suggest that immediate medical attention is necessary, as they could indicate serious complications or underlying health problems. Recognizing these symptoms and acting promptly can be vital for effective treatment and could be lifesaving.

If you experience any of the following symptoms in conjunction with abdominal pain, it’s important to seek medical care immediately:

• Extremely hard abdomen
• Tender abdomen to the touch
• Coughing up or vomiting blood
• Persistent vomiting
• Bloody diarrhea
• Chest pain or pressure
• Difficulty breathing
• Dizziness or fainting
• Inability to have a bowel movement with vomiting
• Pain in the neck, shoulder, or between shoulder blades
• Vision changes

How Is the Cause of Abdominal Pain Diagnosed?

Diagnosing the cause of abdominal pain typically begins with a comprehensive review of the patient’s medical history, which includes discussing previous health issues , current medications , and the specifics of the pain such as onset, duration, and severity .

A physical examination follows , where healthcare professionals assess the abdomen for tenderness, swelling, and any abnormal sounds using palpation, auscultation, and percussion techniques.

Based on these initial findings, further diagnostic tests may be ordered to pinpoint the cause. These tests can include blood and urine analysis to check for infections or organ function issues, imaging tests like ultrasounds, X-rays, or CT scans to visualize internal structures, and endoscopic procedures to directly examine the gastrointestinal tract.

This multi-faceted approach ensures a thorough evaluation, helping healthcare providers accurately identify the underlying issue causing the abdominal pain.

How Long Should You Have Abdominal Pain Before Going to the ER?

It’s essential to seek emergency room (ER) care without delay if you experience severe or sudden abdominal pain, especially if it’s accompanied by serious symptoms such as persistent vomiting, bloody stools, extreme tenderness, or significant discomfort that disrupts your daily activities . Such instances can indicate acute conditions that require immediate medical intervention.

When Should You Go to the Emergency Room with Abdominal Pain?

Deciding between an ER visit or seeking urgent care for abdominal pain can be challenging. An ER visit is crucial when abdominal pain is accompanied by severe symptoms. For example, if you experience intense sharp pain on the left side of your stomach, it could indicate a significant issue with your spleen or colon. Persistent bloating, often a sign of digestive problems, is another symptom that may require immediate emergency room attention.

However, if your abdominal pain is less severe, and you’re wondering, ‘Should I go to urgent care for abdominal pain?’, the answer is yes. Conditions like mild digestive discomfort or less intense pain can typically be evaluated at an urgent care facility. But for symptoms indicative of more serious conditions, such as the localized pain of appendicitis, heading straight to the ER is the safest option.

What Does the ER Do to Check Abdominal Pain?

Upon arrival at the ER, you will undergo a comprehensive evaluation to determine the cause of your abdominal pain. 

This typically involves the following:

• Physical Examination

Doctors assess for areas of tenderness, swelling, or abnormality.

• Diagnostic tests

Blood work, urine analysis, and imaging tests like ultrasounds or CT scans, may be conducted to gain a clearer picture of your internal condition. This thorough approach helps in accurately diagnosing the cause of the pain.

How Is Abdominal Pain Treated?

The approach to treating abdominal pain in an emergency room (ER) setting is tailored to address the specific underlying cause identified through diagnosis. Treatment strategies typically include:

Medications

These are often the first line of treatment for less severe conditions. 

Depending on the diagnosis, this could include:

• Pain relievers: To alleviate discomfort.
• Anti-inflammatory drugs: To reduce inflammation that might be causing pain.
• Antacids or proton pump inhibitors: For acid-related stomach issues.
• Antibiotics: If an infection is the root cause of the pain.

Surgical Interventions

Surgery may be necessary in more serious cases, particularly when there is a risk of complications without surgical intervention. 

Common conditions requiring surgery include:

• Appendicitis: Removal of an inflamed or burst appendix.
• Gallbladder problems: Such as gallstones or cholecystitis requiring gallbladder removal.
• Obstructions or perforations in the intestines: Which might need immediate surgical repair.

What Is the Average Cost of an ER Visit for Abdominal Pain?

The cost of an ER visit for abdominal pain can vary widely, primarily influenced by the specific treatments and diagnostic tests required. 

Factors affecting the cost include:

Type of Diagnostic Tests

Basic tests like blood work and urine analysis are generally less expensive than advanced imaging tests such as CT scans or MRIs.

Severity of the Condition

More severe conditions may require extensive testing and treatments, including surgery, which can significantly increase costs.

Length of ER Stay

Longer stays, which might involve observation or additional testing, can also contribute to higher costs.

Insurance Coverage

The patient’s health insurance plan plays a crucial role in determining out-of-pocket expenses.

Aether Health focuses on providing affordable care options, striving to balance the necessity for comprehensive and accurate diagnosis with cost-effectiveness.

Can Abdominal Pain Be Prevented?

While not all causes of abdominal pain are preventable, certain lifestyle changes can reduce the risk of developing common abdominal issues:

Eating a balanced diet, rich in fiber, and avoiding known irritants like spicy foods, excessive caffeine, and alcohol can prevent digestive problems.

Staying well-hydrated helps maintain healthy digestion and can prevent issues like kidney stones.

Regular Exercise

This aids in overall digestive health and can help prevent conditions such as constipation and bloating.

Stress Management

Stress can exacerbate gastrointestinal issues, so managing stress through techniques like meditation, exercise, and adequate rest is beneficial.

Regular Medical Checkups

These can help in the early detection and management of conditions that could lead to abdominal pain.

It’s important to note that some causes of abdominal pain, such as certain medical conditions or genetic predispositions, may not be preventable. In these cases, working closely with healthcare providers for ongoing management and early intervention is crucial.

Partnering with Aether Health for Your Health Needs

Dealing with abdominal pain can often leave you unsure about the next steps. Aether Health can help clear up that uncertainty. Aether Health’s team specializes in evaluating and treating abdominal pain, determining whether your situation calls for a visit to the abdominal pain emergency room or if it can be managed with less urgent interventions.

If you’re facing abdominal pain and uncertain about the need for an ER visit, Aether Health in Pearland, TX, is ready to assist. Contact us today , check-in online , or find a location near you . We’re committed to your health and comfort, ensuring you get the right care at the right time. 

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