120
FAMILY ILLNESS
Abdominal pain( adults)
For children under 12, see p. 124 Mild abdominal pain is often due to a stomach or bowel upset that will clear up without treatment. However, severe or persistent abdominal pain, especially if it is accompanied by other symptoms, may indicate a more serious problem that should be investigated by your doctor.
START
Have you had more than one episode of pain?
Single continuous episode
Recurrent episodes
How severe is the pain?
Severe
Mild or moderate
Are any danger signs present?
! Danger signs
Dial 911 or call EMS if you have severe abdominal pain that lasts for longer than 4 hours and is associated with any of the following additional symptoms:
• Vomiting.
• Fever.
• Swollen or tender abdomen.
• Feeling faint, drowsy, or confused.
• Blood in the urine or feces.
Do you have diarrhea?
Diarrhea
No diarrhea
ACTION
MAKE AN APPOINTMENT TO SEE YOUR DOCTOR You may have a urinary tract problem or a digestive tract disorder.
ACTION
DIAL 911 OR CALL EMS
! You may have a serious abdominal condition, such as appendicitis.
Danger signs
No danger signs
ACTION
TRY SELF-HELP MEASURES You may have a case of gastroenteritis.
• Drink plenty of clear fluids or overthe-counter rehydration solutions to prevent dehydration.
CONSULT YOUR DOCTOR if you are no better in 2 days or if other symptoms develop.
ACTION
SEE YOUR DOCTOR WITHIN 24 HOURS You may have gallstones, especially if you have suffered from nausea and vomiting following a fatty meal.
• Take an analgesic such as acetaminophen to relieve symptoms.
• Avoid eating foods that are high in fat.