Stomach Ache

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Stomach ache?

Let's figure out what is going on with the stomach and make a good decision.
Pharmacist

You will narrow down the cause and determine if you need urgent care or if it is something that can be taken care of at the local pharmacy with over-the-counter remedies.




Lady with stomach ache

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Stomach ache

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How bad is it?

Good to have an idea of what you are dealing with.
Pharmacist

Know that:
The severity of the stomach pain may not reflect the magnitude of the problem causing the pain. For instance pain caused by appendicitis is usually dull in the beginning.

 

With this stomach pain, are you seeing blood in the stool?

Or vomiting blood?
Pharmacist

 

Seek urgent care or the emergency room.
Pharmacist

Here is why:

  • This is serious.
  • Possible bleeding ulcers.

Nearest Clinic

 

What about chest pain?

Or neck pain?
Pharmacist

 

 

Any shoulder pain?

Or pain in or between shoulder blades?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Heart attack warning.
  • Need to rule this out unless it is pain you are familiar with.

Nearest Clinic

 

If a female, are you pregnant or think you could be pregnant?
Pharmacist

 

Seek a doctor or emergency room.
Pharmacist

Here is why:

  • Need to rule out a serious cause if pregnant.
  • Need to rule out pregnancy if not pregnant.

Nearest Clinic

 

Are you having difficulty breathing with this stomach ache?
Pharmacist

 

Go to the Emergency Room.
Pharmacist

Here is why:

  • Consider this an urgent medical situation.

Seek urgent care

Note:
You should only continue if you are not experiencing the question asked.

Nearest ER

 

Are you currently being treated for cancer?
Pharmacist

 

Seek emergency room.
Pharmacist

Here is why:

  • Serious situation going on.

Nearest ER

 

Did this stomach pain start suddenly?

And is sharp?
Pharmacist

 

Seek urgent care or the emergency room.
Pharmacist

Here is why:

  • Possible emergency situation.

Nearest ER

 


You've been trying to rule out going to the emergency room.
Pharmacist

But wait!
You are not out of the woods yet.

Let's make sure it is not something like kidney stones, appendicitis, or even food poisoning.

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Stomach ache

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What could cause it?

Is the pain confined to the lower right belly area?
Pharmacist

Yes No

 

 

 

 

Stomach ache

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Is it appendicitis?

Yes?
Let's make sure you are not looking at appendicitis.
Pharmacist

 

Did this stomach pain start around the belly button?
Pharmacist

 

 

Was this pain minor at first, but became sharper and severe?
Pharmacist

 

Yes?
Appendicitis usually start this way. But don't panic yet.
Pharmacist

Appendicitis usually start with:

  • Pain around the belly button
  • Pain, minor at first, but becomes sharp and severe.

 

Are you feeling nauseated and/or vomiting?
Pharmacist

 

Yes?
There is a feeling of nausea or vomiting with appendicitis.
Pharmacist

Symptoms include:

  • Pain around the belly button
  • Pain, minor at first, but becomes sharp and severe.
  • Nausea and / or vomiting

 

Do you have any appetite for food?
Pharmacist

 

No appetite?
With appendicitis, there is reduced appetite for food.
Pharmacist

Symptoms include:

  • Pain around the belly button
  • Pain, minor at first, but becomes sharp and severe.
  • Nausea and/or vomiting
  • Reduced appetite.

 

Are you experiencing low grade fever?
Pharmacist

 

Yes?
This can be a symptom of appendicitis.
Pharmacist

Symptoms include:

  • Pain around the belly button
  • Pain, minor at first, but becomes sharp and severe.
  • Nausea and/or vomiting
  • Reduced appetite.
  • Low grade fever

 

Gently press on the right lower belly area.

Does the pain increase?
Pharmacist

 

Yes?
This is a sign of inflammation of the appendix.
Pharmacist

Pressing on the right lower belly area increases the pain.

 

Does this pain get worse when you walk?
Pharmacist

 

Yes?

 

Does the stomach pain get worse when you cough?
Pharmacist

 

Yes?
This is a sign of appendicitis. The stomach pain is worse when you cough or walk.
Pharmacist

 


Those were signs and symptoms of appendicitis.
Pharmacist

Appendicitis is swelling or inflammation of the appendix caused by infection or fecal matter blockade.

The appendix is a small pouch attached to the beginning of your large intestine.

Tap on the "FYI" button to see a description of the symptoms.

Continue if it is not what you are looking at.

FYI Hospital Continue

 

 

 

Symptoms may start with:

  • pain around your belly button.
  • pain may be minor at first, but it becomes more sharp and severe.
  • your appetite will be reduced
  • you may have nausea or vomiting
  • you may have low grade fever.

As the swelling in the appendix increases, in 12 to 24 hours after the start of the illness:

  • Pain tends to move into your right lower abdomen
  • Focuses right above the appendix at a place called McBurney's point.
  • Pain will increase when you gently press on your lower right belly area.

If your appendix ruptures:

  • You may have less pain for a short time and feel better.
  • However, the lining of your abdomen can become infected and swollen from the rupture (peritonitis).
  • Then the pain gets worse and you become very sick.
  • Your pain may be worse when you walk or cough.
  • Sudden movement causes pain.
  • You may prefer to lie still because any movement gives you pain.
  • You might have nausea and vomiting
  • You might be shaking and feverish
  • You might have chills with diarrhea

If you are nodding your head to any of these, this is a
medical emergency
and you need to get to the hospital now.

 

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Stomach ache

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Is it gallstones?

Is the stomach pain in the right or middle upper belly area?
Pharmacist

No

 

Yes?
let's make sure you are not looking at a gallstone situation.
Pharmacist

 

If the pain is in the right or middle upper belly..

..is it dull and constant?
Pharmacist

 

Yes?

 

Is it sharp and cramping?
Pharmacist

 

Yes?
This is a symptom of a gallstone attack. But don't panic yet.
Pharmacist

Symptoms include:

  • Dull, constant pain in the right upper or middle upper abdomen
  • Sharp, cramping pain in the right upper or middle upper abdomen

 

Is this pain spreading or did it spread to your back?
Pharmacist

 

Yes?

 

Did it spread to below the right shoulder blade?
Pharmacist

 

Yes?
This is a sign and symptom of gallstones attack.
Pharmacist

Symptoms include:

  • Dull, constant pain in the right upper or middle upper abdomen
  • Sharp, cramping pain in the right upper or middle upper abdomen
  • Pain that may spread to the back or below the right shoulder blade

 

Are you passing clay-colored stools
Pharmacist

 

You are?
With gallstones, you may pass clay-colored stools.
Pharmacist

Symptoms of gallstones include:

  • Dull, constant pain in the right upper or middle upper abdomen
  • Sharp, cramping pain in the right upper or middle upper abdomen
  • Pain that may spread to the back or below the right shoulder blade.
  • Clay colored stools

 

Is your skin or whites of your eyes yellowing (jaundice)?
Pharmacist

 

Yes?
With gallstones, the skin or whites of the eyes may be yellowing.
Pharmacist

 

Any fever with this pain?
Pharmacist

 

Yes?

 

What about nausea or vomiting?
Pharmacist

 

Yes?

 


Those were signs of gallstones attack.
Pharmacist

If you nodded your head to the discussion so far, you should go to the nearest hospital or urgent care clinic?

If that is not the case, we can keep looking into what may be causing this stomach pain you are experiencing.

FYI Hospital Continue

 

 

 

Gallstones may be as small as a grain of sand or as large as a golf ball. They form inside the gallbladder

These stones are often found during a routine x-ray, abdominal surgery, or other medical procedure. But, if a large stone blocks either the cystic or common bile duct (called choledocholithiasis), you may have a cramping pain in the middle to right upper abdomen.

The pain goes away if the stone passes into the first part of the small intestine (the duodenum). Else, you will need surgery as soon as possible if not right away.

If you have these symptoms, you should seek urgent or emergency care if the pain is very severe and:

  • Constant, sharp, cramping or dull pain in the right upper or middle upper abdomen
  • This pain may spread to the back or below the right shoulder blade
  • Yellowing of skin and whites of the eyes (jaundice)
  • Clay-colored stools
  • nausea and vomiting
  • fever

 

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Stomach ache

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Is it kidney stones?

Did this pain start on the belly area or side of the back?

And moved down to the groin or bladder area?
Pharmacist

No

 

Yes?
Hmmm. Let's make sure you are not looking at kidney stones.
Pharmacist

 

Is this a severe pain that started suddenly?

It may also go away suddenly only to return later.
Pharmacist

 

Yes?
This is a sign of kidney stones. But don't panic yet.
Pharmacist

 

Any blood in the urine?
Pharmacist

 

Yes?

 

What about an abnormal urine color?

Or cloudy urine with strong odor?
Pharmacist

 

Yes?
This is a sign and symptom of kidney stones.
Pharmacist

Symptoms include:

  • Severe pain that started suddenly
  • Pain that comes in waves (colicky)
  • Pain that moved down to the groin or bladder area
  • Bloody urine
  • Cloudy urine with strong odor

 

Are you experiencing nausea and or vomiting?
Pharmacist

 

Yes?
You may experience this with kidney stones.
Pharmacist

Symptoms include:

  • Severe pain that started suddenly
  • Pain that comes in waves (colicky)
  • Pain that moved down to the groin or bladder area
  • Bloody urine
  • Cloudy urine with strong odor
  • Nausea and vomiting

 

What about frequent urge to urinate with this severe stomach pain?
Pharmacist

 

Yes?
Possible kidney stones.
If with severe stomach pain.
Pharmacist

kidney stones symptoms include:

  • Severe pain that started suddenly
  • Pain that comes in waves (colicky)
  • Pain that moved down to the groin or bladder area
  • Bloody urine
  • Cloudy urine with strong odor
  • Nausea and vomiting
  • Frequent urge to urinate

 

Fever and chills.
Any of that?

Pharmacist

 

Yes?
Passing kidney stones can aslo cause this.
Pharmacist

kidney stones symptoms include:

  • Severe pain that started suddenly
  • Pain that comes in waves (colicky)
  • Pain that moved down to the groin or bladder area
  • Bloody urine
  • Cloudy urine with strong odor
  • Nausea and vomiting
  • Frequent urge to urinate
  • Fever and chills

 


Those were symptoms of kidney stones pain.
Pharmacist

Main signs your stomach pain might be due to kidney stones are listed in the "FYI" below.

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Severe pain that:

  • started suddenly and may go away suddenly
  • comes in waves (colicky)
  • is felt in the belly area or side of the back
  • may move to groin area (groin pain) or testicles (testicle pain)

Also severe pain with

  • Blood in urine
  • Abnormal urine color
  • nausea and vomiting
  • chills or fever

If these apply to you, we suggest you go to the nearest hospital or urgent care clinic.

Would you like to do that now or continue if you don't think it is a kidney stone situation?

FYI Hospital Continue

 

 

 

 

Stomach ache

Back Menu

Do you feel pain mainly when you apply pressure to certain parts of the belly?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Doctors call this point tenderness. It means you have tenderness in a certain area.
  • May be looking at peritonitis (inflammation of the tissue that lines the abdominal cavity)
  • May be looking at appendicitis or twisted Fallopian tube.
  • May be looking at certain types of hernia.

If you or someone else touch parts of the belly and you feel pain in that part or the area feels tender, we consider this a medical emergency.

Nearest ER

 

Would you describe the stomach pain as being cramp-like?
Pharmacist

 

Yes?
This is more likely due to gas and bloating.
Pharmacist

If it is followed by diarrhea, then it is due to gas or bloating. You may be suffering from lactose intolerance or food allergies.

If it lasts more than 24 hours or there is fever, then you will need to seek urgent care.

 

Do you feel the stomach ache all over your belly?

Or in more than half of your belly?
Pharmacist

 

Yes?
You may be looking at a stomach virus, indigestion, or gas.
Pharmacist

If it gets more severe, your intestines might be blocked.

 

Is this pain dull and coming in waves?

And you are vomiting?
Pharmacist

 

Yes?
May be looking at intestinal obstruction.
Pharmacist

 

Is this stomach ache sharp and constant?

Worse when you move?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • May be looking at peritonitis.

  • If you feel relief when lying still and severe pain when you move or try to get up. Call 911.

Nearest ER

 

Did the pain start suddenly, like turning on the light switch?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Possible causes include kidney stones, perforated ulcer.

  • Something may have ruptured in the stomach.

  • If you are pregnant, you might be looking at a ruptured ectopic pregnancy.

Nearest ER

 

Does this pain travel to any other areas of the body?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

If it travels to:

  • Right collar bone:
    May suggest gallbladder pain

  • Left shoulder area:
    May suggest a ruptured spleen or even pancreatitis.

  • Private parts:
    May suggest Kidney stones.

  • The back:
    Must seek emergency help.

Nearest ER

 

There are other causes of stomach pain not discussed so far.
Pharmacist

Some will require emergency care, others urgent care while others are due to minor stomach discomfort.

Bottom line:
If you are writhing around with severe pain trying to find the best comfortable position for you, you should start heading to the emergency room or seek urgent care.

Especially if it started suddenly and you know you didn't eat anything bad or do not have gas problems.

If you are convinced your stomach pain is not life threatening or does not require urgent care, let's see what a pharmacist recommend you take to relieve the pain that is available over-the-counter.

Urgent Care Pharmacist