Health ResourcesSymptom AdvisorStomach or Lower Abdominal Pain - Adult Male

Stomach or Lower Abdominal Pain - Adult Male

If this is an emergency, call 911 immediately

Symptom Search:

Step 1Symptoms

General Information

  • There are multiple causes of abdominal pain.
  • Abdominal pain in the elderly carries with it a higher risk of serious illness.

Does this describe your symptoms?

  • Pain or discomfort located between the bottom of the rib cage and the groin crease.

 

Step 1Should I Call?

  • Call 911 NOW (you may need an ambulance) IF:
    • Passed out (fainted)
    • Very weak (can't stand)
  • Call Your Doctor NOW (night or day) IF you have any ONE of the following:
    • You feel weak or very sick
    • Severe pain
    • Constant abdominal pain for more than 2 hours
    • Vomiting contains blood or black ("coffee ground"-like) material
    • Vomiting bile (bright yellow or green)
    • Vomiting and abdomen looks much more swollen than usual
    • Blood in bowel movements (black/tarry or red)
    • Recent injury or blow to the abdomen
    • Fever of 103 F (39.4 C) or higher
    • Fever of 100.5 F (38.1 C) or higher and you:
    • Are over 60 years of age
    • Have diabetes mellitus or a weakened immune system (e.g. HIV positive, cancer chemotherapy, chronic steroid treatment, splenectomy)
    • Are bedridden (e.g. nursing home patient, stroke, chronic illness, recovering from surgery)
    • Whites of the eyes have turned yellow (jaundice)
    • Unable to urinate and bladder feels full
    • Blood in urine
    • Pain in scrotum or testicle

    Action: If you are unable to reach your doctor - go to one of our nearby urgent care clinics or to a local hospital Emergency Department.

    Use our Facility Search to find an urgent care clinic near you.

  • Call Your Doctor WITHIN 24 HOURS (during regular daytime office hours) IF:
    • You think you need to be seen
    • Moderate or mild pain comes and goes (cramps), but lasts greater than 24 hours
    • Over 60 years old
  • Call Your Doctor DURING WEEKDAY OFFICE HOURS IF:
    • You have other questions or concerns
    • Abdominal pain is a recurrent problem
  • Provide Care at Home for:
    • Mild abdominal pain and you don't think you need to be seen 

Step 1Care at Home

Reassurance

A mild stomachache can be caused by indigestion, gas pains or overeating. Sometimes a stomachache signals the onset of a vomiting illness due to a viral infection (gastroenteritis).

Rest

Lie down and rest until feeling better.

Fluids

Sip clear fluids only (e.g. water, flat soft drinks or ½ strength fruit juice) until the pain has been gone for over 2 hours. Then slowly return to a regular diet.

Diet

  • Slowly advance diet from clear liquids to a bland diet.
  • Avoid alcohol or caffeinated beverages.
  • Avoid greasy or fatty foods.

Pass A BM

Sit on the toilet and try to pass a bowel movement (BM). Do not strain. This may relieve the pain if it is due to constipation or impending diarrhea.

Avoid Medicines

Any drug could irritate the stomach lining and make the pain worse, especially anti-inflammatory medicines such as aspirin and ibuprofen. Other than Tylenol, do not take any pain medicines, fever medicines or laxatives for stomach cramps.

Expected Course

With harmless causes, the pain is usually better or goes away within 2 hours. With viral gastroenteritis (stomach flu), belly cramps may precede each bout of vomiting or diarrhea, and may last 2-3 days. With serious causes (such as appendicitis) the pain becomes constant and more severe.

IF your symptoms become worse:

Review Should I Call? recommendations.


Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Copyright 1994-2010 Barton D. Schmitt, M.D.; David A. Thompson, M.D., Self-Care Decisions LLC
Last Review Date: 10/1/2008

 
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