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| Meta Title | Underlying causes of abdominal pain - when a medical emergency | healthdirect |
| Meta Description | Abdominal pain has many causes, and may be short-term, long-term or come and goes. Sudden and severe abdominal pain is a medical emergency. |
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| Boilerpipe Text | Key facts
Abdominal (tummy) pain can have many different causes.
Depending on the cause, abdominal pain can vary in intensity, duration and nature.
There are often other symptoms associated with abdominal pain.
Severe abdominal pain is a medical emergency.
Mild abdominal pain may only last for a few hours or a few days and can clear up without treatment.
On this page
What causes abdominal pain?
What can cause severe abdominal pain?
What can cause ongoing abdominal pain?
What can cause short-term abdominal pain?
Which medicines can cause abdominal pain?
Resources and support
Related information on Australian websites
What causes abdominal pain?
There are many causes of
abdominal pain
. Some of these result in short-term pain, while others can cause ongoing (chronic) pain. Some types of abdominal pain may get better without treatment. But others need urgent medical attention, as they may be life-threatening.
Some causes of abdominal pain mainly affect children. For more information on these, see
abdominal pain in children
.
CHECK YOUR SYMPTOMS
— Use the
Symptom Checker
and find out if you need to seek medical help.
What can cause severe abdominal pain?
Sudden and severe abdominal pain should never be ignored. Abdominal pain that is getting worse may also be a sign of a serious condition.
If you have severe abdominal pain, go immediately to your nearest hospital emergency department or call triple zero (000) for an ambulance.
Some of the causes of severe abdominal pain include the following:
abdominal aortic aneurysm
appendicitis
bowel obstruction
diverticulitis
ectopic pregnancy
gallstones
heart attack
kidney stones
Abdominal aortic aneurysm (AAA)
An
aneurysm
is an abnormal, enlarged area in a blood vessel, where the walls of the blood vessel have become weak and allowed it to bulge out. Aneurysms can affect your aorta — the large artery that carries blood from your heart to the rest of your body.
Aortic aneurysms can affect the part of the aorta in your abdomen (abdominal aortic aneurysm — AAA). These aneurysms can swell, causing abdominal pain. They can also burst — a burst AAA is a life-threatening emergency.
Symptoms of a burst AAA are:
sudden, severe abdominal that goes through to your back, groin or legs
feeling faint
nausea and vomiting
Appendicitis
Appendicitis
usually causes abdominal pain that starts around the belly button area but then travels to the lower right of your abdomen. It’s usually felt as a sharp pain that is worse with movement.
Other symptoms of appendicitis can include:
loss of appetite
nausea
and
vomiting
fever
diarrhoea
If left untreated, your appendix can become very swollen and infected, and may burst.
Urgent surgery is usually needed to treat appendicitis.
Bowel obstruction
A bowel obstruction
can be partial or complete, and can affect your small or large bowel.
Symptoms of bowel obstruction are:
abdominal pain that is cramping or colicky, so it comes and goes in waves
bloating
or swelling of the abdomen
nausea and vomiting
not being able to poo or fart (pass gas/wind)
You might need surgery, depending on your situation.
Diverticulitis
Diverticulitis
occurs when small abnormal pockets in the wall of the bowel become inflamed or infected. Symptoms can include:
left-sided abdominal pain
fever
loss of appetite
nausea and vomiting
constipation or diarrhoea
Diverticular disease becomes more common with increasing age.
Ectopic pregnancy
An
ectopic pregnancy
is when a pregnancy implants outside the womb (uterus). It can cause serious internal bleeding and be life-threatening. Symptoms can include:
lower abdominal pain
vaginal
bleeding
or spotting
back pain
shoulder tip pain
nausea and vomiting
feeling faint or light-headed
Gallstones
Gallstones
can cause pain known as biliary colic.
Biliary colic pain is felt on the upper right side of your abdomen, under the ribs. It’s a constant pain that may last a few hours. The pain is often severe, and it can start after a meal, often at night. It’s often accompanied by nausea.
Gallstones can also cause
pancreatitis
(inflammation of the pancreas).
Heart attack
Heart attacks
can cause
chest
pain that may radiate to your jaw, arms, neck or back. Other symptoms of heart attack can include:
upper abdominal pain
indigestion
nausea or vomiting
dizziness
breathlessness
tiredness
Females, especially, may experience symptoms other than chest pain.
Kidney stones
Kidney stones
can cause a sudden pain called renal colic. It starts as a gripping pain in your back, just below your ribs. The pain may move around to your abdomen or groin. The pain may come and go in waves.
You may also have:
fever
nausea and vomiting
an urge to urinate
blood in your urine
Kidney stones are more common in older people.
FIND A HEALTH SERVICE
— The
Service Finder
can help you find doctors, pharmacies, hospitals and other health services.
What can cause ongoing abdominal pain?
Ongoing (chronic) abdominal pain is pain that lasts for at least 3 months. It may be present all the time or it may come and go.
Some of the causes of chronic abdominal pain are:
coeliac disease
GORD (reflux)
inflammatory bowel disease
irritable bowel disease
lactose intolerance
peptic ulcers
period pain
some types of cancer
Coeliac disease
Coeliac disease
can cause ongoing abdominal pain and other gastrointestinal symptoms, such as:
cramping
diarrhoea
bloating and flatulence
weight loss
GORD (reflux)
Acid reflux (gastro-oesophageal reflux disease, or GORD)
causes discomfort or burning pain in your upper abdomen. This is commonly known as
heartburn
. Other symptoms can include:
belching (burping) and bloating
chest
pain
indigestion
tasting acid in your mouth
Your symptoms may flare up after eating certain foods or large meals. They may also be worse when you lie down.
Inflammatory bowel disease
Crohn’s disease
and
ulcerative colitis
are types of
inflammatory bowel disease
.
Symptoms of inflammatory bowel disease can include:
crampy abdominal pain
diarrhoea
a feeling of urgently needing to do a poo
You may see
blood
or mucus in your poo.
Irritable bowel syndrome
Irritable bowel syndrome (IBS)
causes cramping abdominal pain, bloating and episodes of constipation or diarrhoea.
The cramping pain is often relieved by passing wind (farting) or a bowel motion (doing a poo).
Lactose intolerance
Lactose intolerance
is when you can’t fully digest lactose (a sugar in milk). After eating or drinking dairy products, people with lactose intolerance can have:
abdominal pain and cramps
bloating
flatulence
(wind)
diarrhoea
Peptic ulcers
Peptic ulcers, such as
stomach ulcers
and
duodenal ulcers
, can cause dull upper abdominal pain that comes and goes. The pain often comes on at night.
Taking antacids or eating food may relieve the pain. But sometimes, eating makes the pain worse.
Use of
non-steroidal anti-inflammatory medicines (NSAIDs)
and alcohol is associated with peptic ulcer disease.
Seek urgent medical attention if you:
vomit blood
have vomit that looks like coffee-grounds
pass blood in your poo
have black, tarry poo
These can be signs of a bleeding ulcer that needs urgent treatment.
Period pain
Cramping pain in your lower abdomen that comes on with your period is known as
period pain
.
Some types of cancer
Cancer affecting your abdominal organs can cause abdominal pain.
Bowel cancer
,
stomach cancer
and
liver cancer
can all cause abdominal pain that may steadily worsen over time.
What can cause short-term abdominal pain?
Most Australians will experience mild or moderate abdominal pain from time to time. Often these episodes last only a few hours or days. They may clear up without the need for treatment.
Some of the causes of short-term abdominal pain are:
gastroenteritis or food poisoning
urinary tract infections
gastritis
Gastroenteritis or food poisoning
Gastroenteritis
is an infection of your
digestive system
. It’s usually caused by a virus.
Sometimes it is caused by
food poisoning
. Symptoms usually last for only a few days and include:
crampy abdominal pain
nausea and vomiting
diarrhoea
fever
Gastroenteritis and food poisoning are more serious for the very young and for older people since they are more at risk of
dehydration
.
Urinary tract infections
Urinary tract infections
(UTIs) can cause abdominal pain:
Cystitis (bladder infection)
can cause dull lower abdominal pain.
Pyelonephritis (kidney infection)
can cause pain in your abdomen and flank (side), fever, nausea and vomiting.
Gastritis
Gastritis
is inflammation of your stomach lining. It can be due to infection, medicines or alcohol.
Gastritis causes upper abdominal pain. It may also cause indigestion and nausea.
Which medicines can cause abdominal pain?
Some medicines can cause abdominal pain as a side effect. Common examples include:
non-steroidal anti-inflammatory drugs
(known as NSAIDs), such as ibuprofen and
ketoprofen
aspirin
medicines to help manage the symptoms of dementia or Alzheimer’s disease
antibiotics
If you, or someone you are caring for, has an episode of abdominal pain that you think may be related to a medicine, talk to your pharmacist or doctor. There may be an alternative medicine that is better for you.
ASK YOUR DOCTOR
— Preparing for an appointment? Use the
Question Builder
for general tips on what to ask your GP or specialist.
Resources and support
For more information on what to do if you have abdominal pain, see:
abdominal pain
abdominal pain in children
For more information and support, try these resources:
The
Gut Foundation
Gastroenterological Society of Australia
(GESA)
You can also call the healthdirect helpline on
1800 022 222
(known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week. |
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[beginning of content]()
# Underlying causes of abdominal pain
*11-minute read*
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**If you have severe pain in your abdomen, go immediately to your nearest hospital emergency department or call triple zero (000) for an ambulance.**
## Key facts
- Abdominal (tummy) pain can have many different causes.
- Depending on the cause, abdominal pain can vary in intensity, duration and nature.
- There are often other symptoms associated with abdominal pain.
- Severe abdominal pain is a medical emergency.
- Mild abdominal pain may only last for a few hours or a few days and can clear up without treatment.
## On this page
- [What causes abdominal pain?](https://www.healthdirect.gov.au/what-causes-abdominal-pain#causes)
- [What can cause severe abdominal pain?](https://www.healthdirect.gov.au/what-causes-abdominal-pain#severe)
- [What can cause ongoing abdominal pain?](https://www.healthdirect.gov.au/what-causes-abdominal-pain#ongoing)
- [What can cause short-term abdominal pain?](https://www.healthdirect.gov.au/what-causes-abdominal-pain#short-term)
- [Which medicines can cause abdominal pain?](https://www.healthdirect.gov.au/what-causes-abdominal-pain#medicines)
- [Resources and support](https://www.healthdirect.gov.au/what-causes-abdominal-pain#resources)
- [Related information on Australian websites](https://www.healthdirect.gov.au/what-causes-abdominal-pain#searchGeneralResults)
## What causes abdominal pain?
There are many causes of [abdominal pain](https://www.healthdirect.gov.au/abdominal-pain). Some of these result in short-term pain, while others can cause ongoing (chronic) pain. Some types of abdominal pain may get better without treatment. But others need urgent medical attention, as they may be life-threatening.
Some causes of abdominal pain mainly affect children. For more information on these, see [abdominal pain in children](https://www.healthdirect.gov.au/abdominal-pain-in-children).
[**CHECK YOUR SYMPTOMS** — Use the **Symptom Checker** and find out if you need to seek medical help.](https://www.healthdirect.gov.au/symptom-checker)
## What can cause severe abdominal pain?
Sudden and severe abdominal pain should never be ignored. Abdominal pain that is getting worse may also be a sign of a serious condition.
**If you have severe abdominal pain, go immediately to your nearest hospital emergency department or call triple zero (000) for an ambulance.**
Some of the causes of severe abdominal pain include the following:
- abdominal aortic aneurysm
- appendicitis
- bowel obstruction
- diverticulitis
- ectopic pregnancy
- gallstones
- heart attack
- kidney stones
### Abdominal aortic aneurysm (AAA)
An [aneurysm](https://www.healthdirect.gov.au/aneurysms) is an abnormal, enlarged area in a blood vessel, where the walls of the blood vessel have become weak and allowed it to bulge out. Aneurysms can affect your aorta — the large artery that carries blood from your heart to the rest of your body.
Aortic aneurysms can affect the part of the aorta in your abdomen (abdominal aortic aneurysm — AAA). These aneurysms can swell, causing abdominal pain. They can also burst — a burst AAA is a life-threatening emergency.
Symptoms of a burst AAA are:
- sudden, severe abdominal that goes through to your back, groin or legs
- feeling faint
- nausea and vomiting
### Appendicitis
[Appendicitis](https://www.healthdirect.gov.au/appendicitis) usually causes abdominal pain that starts around the belly button area but then travels to the lower right of your abdomen. It’s usually felt as a sharp pain that is worse with movement.
Other symptoms of appendicitis can include:
- [loss of appetite](https://www.healthdirect.gov.au/changes-to-your-appetite)
- [nausea](https://www.healthdirect.gov.au/nausea) and [vomiting](https://www.healthdirect.gov.au/vomiting)
- [fever](https://www.healthdirect.gov.au/fever)
- [diarrhoea](https://www.healthdirect.gov.au/diarrhoea)
If left untreated, your appendix can become very swollen and infected, and may burst.
Urgent surgery is usually needed to treat appendicitis.
### Bowel obstruction
[A bowel obstruction](https://www.healthdirect.gov.au/bowel-obstruction) can be partial or complete, and can affect your small or large bowel.
Symptoms of bowel obstruction are:
- abdominal pain that is cramping or colicky, so it comes and goes in waves
- [bloating](https://www.healthdirect.gov.au/bloating) or swelling of the abdomen
- nausea and vomiting
- not being able to poo or fart (pass gas/wind)
You might need surgery, depending on your situation.
### Diverticulitis
[Diverticulitis](https://www.healthdirect.gov.au/diverticular-disease-and-diverticulitis) occurs when small abnormal pockets in the wall of the bowel become inflamed or infected. Symptoms can include:
- left-sided abdominal pain
- fever
- loss of appetite
- nausea and vomiting
- constipation or diarrhoea
Diverticular disease becomes more common with increasing age.
### Ectopic pregnancy
An [ectopic pregnancy](https://www.healthdirect.gov.au/ectopic-pregnancy) is when a pregnancy implants outside the womb (uterus). It can cause serious internal bleeding and be life-threatening. Symptoms can include:
- lower abdominal pain
- vaginal [bleeding](https://www.pregnancybirthbaby.org.au/bleeding-during-pregnancy) or spotting
- back pain
- shoulder tip pain
- nausea and vomiting
- feeling faint or light-headed
### Gallstones
[Gallstones](https://www.healthdirect.gov.au/gallstones) can cause pain known as biliary colic.
Biliary colic pain is felt on the upper right side of your abdomen, under the ribs. It’s a constant pain that may last a few hours. The pain is often severe, and it can start after a meal, often at night. It’s often accompanied by nausea.
Gallstones can also cause [pancreatitis](https://www.healthdirect.gov.au/pancreatitis) (inflammation of the pancreas).
### Heart attack
[Heart attacks](https://www.healthdirect.gov.au/heart-attack) can cause [chest](https://www.healthdirect.gov.au/chest-pain) pain that may radiate to your jaw, arms, neck or back. Other symptoms of heart attack can include:
- upper abdominal pain
- indigestion
- nausea or vomiting
- [dizziness](https://www.healthdirect.gov.au/dizziness)
- [breathlessness](https://www.healthdirect.gov.au/shortness-of-breath)
- tiredness
Females, especially, may experience symptoms other than chest pain.
### Kidney stones
[Kidney stones](https://www.healthdirect.gov.au/kidney-stones) can cause a sudden pain called renal colic. It starts as a gripping pain in your back, just below your ribs. The pain may move around to your abdomen or groin. The pain may come and go in waves.
You may also have:
- fever
- nausea and vomiting
- an urge to urinate
- [blood in your urine](https://www.healthdirect.gov.au/blood-in-urine)
Kidney stones are more common in older people.
[**FIND A HEALTH SERVICE** — The **Service Finder** can help you find doctors, pharmacies, hospitals and other health services.](https://www.healthdirect.gov.au/australian-health-services)
## What can cause ongoing abdominal pain?
Ongoing (chronic) abdominal pain is pain that lasts for at least 3 months. It may be present all the time or it may come and go.
Some of the causes of chronic abdominal pain are:
- coeliac disease
- GORD (reflux)
- inflammatory bowel disease
- irritable bowel disease
- lactose intolerance
- peptic ulcers
- period pain
- some types of cancer
### Coeliac disease
[Coeliac disease](https://www.healthdirect.gov.au/coeliac-disease) can cause ongoing abdominal pain and other gastrointestinal symptoms, such as:
- cramping
- diarrhoea
- bloating and flatulence
- weight loss
### GORD (reflux)
[Acid reflux (gastro-oesophageal reflux disease, or GORD)](https://www.healthdirect.gov.au/gord-reflux) causes discomfort or burning pain in your upper abdomen. This is commonly known as [heartburn](https://www.healthdirect.gov.au/heartburn). Other symptoms can include:
- belching (burping) and bloating
- [chest](https://www.healthdirect.gov.au/sore-throat) pain
- indigestion
- tasting acid in your mouth
Your symptoms may flare up after eating certain foods or large meals. They may also be worse when you lie down.
### Inflammatory bowel disease
[Crohn’s disease](https://www.healthdirect.gov.au/crohns-disease) and [ulcerative colitis](https://www.healthdirect.gov.au/ulcerative-colitis) are types of [inflammatory bowel disease](https://www.healthdirect.gov.au/inflammatory-bowel-disease-ibd).
Symptoms of inflammatory bowel disease can include:
- crampy abdominal pain
- diarrhoea
- a feeling of urgently needing to do a poo
You may see [blood](https://www.healthdirect.gov.au/blood-in-stool) or mucus in your poo.
### Irritable bowel syndrome
[Irritable bowel syndrome (IBS)](https://www.healthdirect.gov.au/irritable-bowel-syndrome-ibs) causes cramping abdominal pain, bloating and episodes of constipation or diarrhoea.
The cramping pain is often relieved by passing wind (farting) or a bowel motion (doing a poo).
### Lactose intolerance
[Lactose intolerance](https://www.healthdirect.gov.au/lactose-intolerance) is when you can’t fully digest lactose (a sugar in milk). After eating or drinking dairy products, people with lactose intolerance can have:
- abdominal pain and cramps
- bloating
- [flatulence](https://www.healthdirect.gov.au/flatulence) (wind)
- diarrhoea
### Peptic ulcers
Peptic ulcers, such as [stomach ulcers](https://www.healthdirect.gov.au/stomach-ulcers) and [duodenal ulcers](https://www.healthdirect.gov.au/duodenal-ulcer), can cause dull upper abdominal pain that comes and goes. The pain often comes on at night.
Taking antacids or eating food may relieve the pain. But sometimes, eating makes the pain worse.
Use of [non-steroidal anti-inflammatory medicines (NSAIDs)](https://www.healthdirect.gov.au/anti-inflammatory-medicines) and alcohol is associated with peptic ulcer disease.
Seek urgent medical attention if you:
- vomit blood
- have vomit that looks like coffee-grounds
- pass blood in your poo
- have black, tarry poo
These can be signs of a bleeding ulcer that needs urgent treatment.
### Period pain
Cramping pain in your lower abdomen that comes on with your period is known as [period pain](https://www.healthdirect.gov.au/managing-period-pain).
### Some types of cancer
Cancer affecting your abdominal organs can cause abdominal pain. [Bowel cancer](https://www.healthdirect.gov.au/bowel-cancer), [stomach cancer](https://www.healthdirect.gov.au/stomach-cancer) and [liver cancer](https://www.healthdirect.gov.au/liver-cancer) can all cause abdominal pain that may steadily worsen over time.
## What can cause short-term abdominal pain?
Most Australians will experience mild or moderate abdominal pain from time to time. Often these episodes last only a few hours or days. They may clear up without the need for treatment.
Some of the causes of short-term abdominal pain are:
- gastroenteritis or food poisoning
- urinary tract infections
- gastritis
### Gastroenteritis or food poisoning
[Gastroenteritis](https://www.healthdirect.gov.au/gastroenteritis) is an infection of your [digestive system](https://www.healthdirect.gov.au/digestive-system). It’s usually caused by a virus.
Sometimes it is caused by [food poisoning](https://www.healthdirect.gov.au/food-poisoning). Symptoms usually last for only a few days and include:
- crampy abdominal pain
- nausea and vomiting
- diarrhoea
- fever
Gastroenteritis and food poisoning are more serious for the very young and for older people since they are more at risk of [dehydration](https://www.healthdirect.gov.au/dehydration).
### Urinary tract infections
[Urinary tract infections](https://www.healthdirect.gov.au/urinary-tract-infection-uti) (UTIs) can cause abdominal pain:
- [Cystitis (bladder infection)](https://www.healthdirect.gov.au/cystitis) can cause dull lower abdominal pain.
- [Pyelonephritis (kidney infection)](https://www.healthdirect.gov.au/kidney-infection) can cause pain in your abdomen and flank (side), fever, nausea and vomiting.
### Gastritis
[Gastritis](https://www.healthdirect.gov.au/gastritis) is inflammation of your stomach lining. It can be due to infection, medicines or alcohol.
Gastritis causes upper abdominal pain. It may also cause indigestion and nausea.
## Which medicines can cause abdominal pain?
Some medicines can cause abdominal pain as a side effect. Common examples include:
- [non-steroidal anti-inflammatory drugs](https://www.healthdirect.gov.au/anti-inflammatory-medicines) (known as NSAIDs), such as ibuprofen and
- ketoprofen
- aspirin
- medicines to help manage the symptoms of dementia or Alzheimer’s disease
- [antibiotics](https://www.healthdirect.gov.au/antibiotics)
If you, or someone you are caring for, has an episode of abdominal pain that you think may be related to a medicine, talk to your pharmacist or doctor. There may be an alternative medicine that is better for you.
[**ASK YOUR DOCTOR** — Preparing for an appointment? Use the **Question Builder** for general tips on what to ask your GP or specialist.](https://www.healthdirect.gov.au/question-builder)
## Resources and support
For more information on what to do if you have abdominal pain, see:
- [abdominal pain](https://www.healthdirect.gov.au/abdominal-pain)
- [abdominal pain in children](https://www.healthdirect.gov.au/abdominal-pain-in-children)
For more information and support, try these resources:
- The [Gut Foundation](https://gutfoundation.com.au/)
- [Gastroenterological Society of Australia](https://www.gesa.org.au/) (GESA)
You can also call the healthdirect helpline on [1800 022 222](tel:1800022222) (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week.
#### Sources:
Safer Care Victoria *[(Abdominal pain)](https://www.safercare.vic.gov.au/sites/default/files/2019-07/Abdominal%20pain.pdf "Abdominal pain")*, BMJ Best Practice *[(Evaluation of acute abdomen)](https://bestpractice.bmj.com/topics/en-us/503 "Evaluation of acute abdomen")*, BMJ Best Practice *[(Evaluation of chronic abdominal pain)](https://bestpractice.bmj.com/topics/en-us/767 "Evaluation of chronic abdominal pain")*, BMJ Best Practice *[(Cholelithiasis (gallstones))](https://bestpractice.bmj.com/topics/en-gb/3000206/management-recommendations "Cholelithiasis (gallstones)")*, Emergency Care Institute *[(Gastro-oesophageal reflux disease (GORD))](https://aci.health.nsw.gov.au/networks/eci/clinical/ed-factsheets/gastro-oesophageal-reflux-disease "Gastro-oesophageal reflux disease (GORD)")*, Heart Foundation *[(Cardiovascular disease risk factors and heart attack warning signs in women)](https://www.heartfoundation.org.au/bundles/your-heart/risk-factors-for-women "Cardiovascular disease risk factors and heart attack warning signs in women")*, Queensland Clinical Guidelines *[(Ectopic pregnancy – consumer information)](https://www.health.qld.gov.au/__data/assets/pdf_file/0028/651583/c-epl-ectopic.pdf "Ectopic pregnancy – consumer information")*, Safer Care Victoria *[(Gastritis)](https://www.safercare.vic.gov.au/sites/default/files/2019-07/Gastritis.pdf "Gastritis")*
Learn more here about the [development and quality assurance of healthdirect content](https://www.healthdirect.gov.au/about-our-content).
Last reviewed: February 2024
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## Related pages
- [Abdominal pain](https://www.healthdirect.gov.au/abdominal-pain "Abdominal pain")
- [Abdominal pain in children](https://www.healthdirect.gov.au/abdominal-pain-in-children "Abdominal pain in children")
## Search our site for
- [Appendicitis](https://www.healthdirect.gov.au/search-results/Appendicitis "Search results for: Appendicitis")
- [Gallstones](https://www.healthdirect.gov.au/search-results/Gallstones "Search results for: Gallstones")
- [Vomiting](https://www.healthdirect.gov.au/search-results/Vomiting "Search results for: Vomiting")
- [Gastritis](https://www.healthdirect.gov.au/search-results/Gastritis "Search results for: Gastritis")
- [Stomach](https://www.healthdirect.gov.au/search-results/Stomach "Search results for: Stomach")
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## Need more information?
These trusted information partners have more on this topic.
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[Abdominal pain and stomach ache factsheet The abdomen is the area of the body that holds organs like the stomach, bowel, and kidneys. Abdominal pain is common in children and is often called a stomach or tummy ache. *Read more on Sydney Children's Hospitals Network website* ](https://www.schn.health.nsw.gov.au/abdominal-pain-and-stomach-ache-factsheet)
[Abdominal pain (belly ache) - Liver Foundation Call an ambulance or to straight to the Emergency Department if you have liver disease and you develop sudden, severe pain in your belly. Abdominal pain, or belly ache, is common in people who have liver disease. It can get worse as the liver disease gets worse (progresses). Abdominal pain… *Read more on Liver Foundation website* ](https://liver.org.au/your-liver/symptoms/abdominal-pain-belly-ache/)
[Abdominal pain in adults \| Better Health Channel The type of pain felt in the abdomen can vary greatly. *Read more on Better Health Channel website* ](https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/abdominal-pain-in-adults)
[Abdominal pain in children \| Better Health Channel Children may feel stomach pain for a range of reasons and may need treatment *Read more on Better Health Channel website* ](https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/abdominal-pain-in-children)
[Stomach pain How to take care of stomach pain *Read more on WA Health website* ](https://www.healthywa.wa.gov.au/Articles/S_T/Stomach-pain)
[Kids Health Info : Abdominal pain *Read more on Royal Children's Hospital website* ](https://www.rch.org.au/kidsinfo/fact_sheets/Abdominal_pain/)
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## Related pages
- [Abdominal pain](https://www.healthdirect.gov.au/abdominal-pain "Abdominal pain")
- [Abdominal pain in children](https://www.healthdirect.gov.au/abdominal-pain-in-children "Abdominal pain in children")
## Search our site for
- [Appendicitis](https://www.healthdirect.gov.au/search-results/Appendicitis "Search results for: Appendicitis")
- [Gallstones](https://www.healthdirect.gov.au/search-results/Gallstones "Search results for: Gallstones")
- [Vomiting](https://www.healthdirect.gov.au/search-results/Vomiting "Search results for: Vomiting")
- [Gastritis](https://www.healthdirect.gov.au/search-results/Gastritis "Search results for: Gastritis")
- [Stomach](https://www.healthdirect.gov.au/search-results/Stomach "Search results for: Stomach")
- [Bloating](https://www.healthdirect.gov.au/search-results/Bloating "Search results for: Bloating")
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| Readable Markdown | ## Key facts
- Abdominal (tummy) pain can have many different causes.
- Depending on the cause, abdominal pain can vary in intensity, duration and nature.
- There are often other symptoms associated with abdominal pain.
- Severe abdominal pain is a medical emergency.
- Mild abdominal pain may only last for a few hours or a few days and can clear up without treatment.
## On this page
- [What causes abdominal pain?](https://www.healthdirect.gov.au/what-causes-abdominal-pain#causes)
- [What can cause severe abdominal pain?](https://www.healthdirect.gov.au/what-causes-abdominal-pain#severe)
- [What can cause ongoing abdominal pain?](https://www.healthdirect.gov.au/what-causes-abdominal-pain#ongoing)
- [What can cause short-term abdominal pain?](https://www.healthdirect.gov.au/what-causes-abdominal-pain#short-term)
- [Which medicines can cause abdominal pain?](https://www.healthdirect.gov.au/what-causes-abdominal-pain#medicines)
- [Resources and support](https://www.healthdirect.gov.au/what-causes-abdominal-pain#resources)
- [Related information on Australian websites](https://www.healthdirect.gov.au/what-causes-abdominal-pain#searchGeneralResults)
## What causes abdominal pain?
There are many causes of [abdominal pain](https://www.healthdirect.gov.au/abdominal-pain). Some of these result in short-term pain, while others can cause ongoing (chronic) pain. Some types of abdominal pain may get better without treatment. But others need urgent medical attention, as they may be life-threatening.
Some causes of abdominal pain mainly affect children. For more information on these, see [abdominal pain in children](https://www.healthdirect.gov.au/abdominal-pain-in-children).
[**CHECK YOUR SYMPTOMS** — Use the **Symptom Checker** and find out if you need to seek medical help.](https://www.healthdirect.gov.au/symptom-checker)
## What can cause severe abdominal pain?
Sudden and severe abdominal pain should never be ignored. Abdominal pain that is getting worse may also be a sign of a serious condition.
**If you have severe abdominal pain, go immediately to your nearest hospital emergency department or call triple zero (000) for an ambulance.**
Some of the causes of severe abdominal pain include the following:
- abdominal aortic aneurysm
- appendicitis
- bowel obstruction
- diverticulitis
- ectopic pregnancy
- gallstones
- heart attack
- kidney stones
### Abdominal aortic aneurysm (AAA)
An [aneurysm](https://www.healthdirect.gov.au/aneurysms) is an abnormal, enlarged area in a blood vessel, where the walls of the blood vessel have become weak and allowed it to bulge out. Aneurysms can affect your aorta — the large artery that carries blood from your heart to the rest of your body.
Aortic aneurysms can affect the part of the aorta in your abdomen (abdominal aortic aneurysm — AAA). These aneurysms can swell, causing abdominal pain. They can also burst — a burst AAA is a life-threatening emergency.
Symptoms of a burst AAA are:
- sudden, severe abdominal that goes through to your back, groin or legs
- feeling faint
- nausea and vomiting
### Appendicitis
[Appendicitis](https://www.healthdirect.gov.au/appendicitis) usually causes abdominal pain that starts around the belly button area but then travels to the lower right of your abdomen. It’s usually felt as a sharp pain that is worse with movement.
Other symptoms of appendicitis can include:
- [loss of appetite](https://www.healthdirect.gov.au/changes-to-your-appetite)
- [nausea](https://www.healthdirect.gov.au/nausea) and [vomiting](https://www.healthdirect.gov.au/vomiting)
- [fever](https://www.healthdirect.gov.au/fever)
- [diarrhoea](https://www.healthdirect.gov.au/diarrhoea)
If left untreated, your appendix can become very swollen and infected, and may burst.
Urgent surgery is usually needed to treat appendicitis.
### Bowel obstruction
[A bowel obstruction](https://www.healthdirect.gov.au/bowel-obstruction) can be partial or complete, and can affect your small or large bowel.
Symptoms of bowel obstruction are:
- abdominal pain that is cramping or colicky, so it comes and goes in waves
- [bloating](https://www.healthdirect.gov.au/bloating) or swelling of the abdomen
- nausea and vomiting
- not being able to poo or fart (pass gas/wind)
You might need surgery, depending on your situation.
### Diverticulitis
[Diverticulitis](https://www.healthdirect.gov.au/diverticular-disease-and-diverticulitis) occurs when small abnormal pockets in the wall of the bowel become inflamed or infected. Symptoms can include:
- left-sided abdominal pain
- fever
- loss of appetite
- nausea and vomiting
- constipation or diarrhoea
Diverticular disease becomes more common with increasing age.
### Ectopic pregnancy
An [ectopic pregnancy](https://www.healthdirect.gov.au/ectopic-pregnancy) is when a pregnancy implants outside the womb (uterus). It can cause serious internal bleeding and be life-threatening. Symptoms can include:
- lower abdominal pain
- vaginal [bleeding](https://www.pregnancybirthbaby.org.au/bleeding-during-pregnancy) or spotting
- back pain
- shoulder tip pain
- nausea and vomiting
- feeling faint or light-headed
### Gallstones
[Gallstones](https://www.healthdirect.gov.au/gallstones) can cause pain known as biliary colic.
Biliary colic pain is felt on the upper right side of your abdomen, under the ribs. It’s a constant pain that may last a few hours. The pain is often severe, and it can start after a meal, often at night. It’s often accompanied by nausea.
Gallstones can also cause [pancreatitis](https://www.healthdirect.gov.au/pancreatitis) (inflammation of the pancreas).
### Heart attack
[Heart attacks](https://www.healthdirect.gov.au/heart-attack) can cause [chest](https://www.healthdirect.gov.au/chest-pain) pain that may radiate to your jaw, arms, neck or back. Other symptoms of heart attack can include:
- upper abdominal pain
- indigestion
- nausea or vomiting
- [dizziness](https://www.healthdirect.gov.au/dizziness)
- [breathlessness](https://www.healthdirect.gov.au/shortness-of-breath)
- tiredness
Females, especially, may experience symptoms other than chest pain.
### Kidney stones
[Kidney stones](https://www.healthdirect.gov.au/kidney-stones) can cause a sudden pain called renal colic. It starts as a gripping pain in your back, just below your ribs. The pain may move around to your abdomen or groin. The pain may come and go in waves.
You may also have:
- fever
- nausea and vomiting
- an urge to urinate
- [blood in your urine](https://www.healthdirect.gov.au/blood-in-urine)
Kidney stones are more common in older people.
[**FIND A HEALTH SERVICE** — The **Service Finder** can help you find doctors, pharmacies, hospitals and other health services.](https://www.healthdirect.gov.au/australian-health-services)
## What can cause ongoing abdominal pain?
Ongoing (chronic) abdominal pain is pain that lasts for at least 3 months. It may be present all the time or it may come and go.
Some of the causes of chronic abdominal pain are:
- coeliac disease
- GORD (reflux)
- inflammatory bowel disease
- irritable bowel disease
- lactose intolerance
- peptic ulcers
- period pain
- some types of cancer
### Coeliac disease
[Coeliac disease](https://www.healthdirect.gov.au/coeliac-disease) can cause ongoing abdominal pain and other gastrointestinal symptoms, such as:
- cramping
- diarrhoea
- bloating and flatulence
- weight loss
### GORD (reflux)
[Acid reflux (gastro-oesophageal reflux disease, or GORD)](https://www.healthdirect.gov.au/gord-reflux) causes discomfort or burning pain in your upper abdomen. This is commonly known as [heartburn](https://www.healthdirect.gov.au/heartburn). Other symptoms can include:
- belching (burping) and bloating
- [chest](https://www.healthdirect.gov.au/sore-throat) pain
- indigestion
- tasting acid in your mouth
Your symptoms may flare up after eating certain foods or large meals. They may also be worse when you lie down.
### Inflammatory bowel disease
[Crohn’s disease](https://www.healthdirect.gov.au/crohns-disease) and [ulcerative colitis](https://www.healthdirect.gov.au/ulcerative-colitis) are types of [inflammatory bowel disease](https://www.healthdirect.gov.au/inflammatory-bowel-disease-ibd).
Symptoms of inflammatory bowel disease can include:
- crampy abdominal pain
- diarrhoea
- a feeling of urgently needing to do a poo
You may see [blood](https://www.healthdirect.gov.au/blood-in-stool) or mucus in your poo.
### Irritable bowel syndrome
[Irritable bowel syndrome (IBS)](https://www.healthdirect.gov.au/irritable-bowel-syndrome-ibs) causes cramping abdominal pain, bloating and episodes of constipation or diarrhoea.
The cramping pain is often relieved by passing wind (farting) or a bowel motion (doing a poo).
### Lactose intolerance
[Lactose intolerance](https://www.healthdirect.gov.au/lactose-intolerance) is when you can’t fully digest lactose (a sugar in milk). After eating or drinking dairy products, people with lactose intolerance can have:
- abdominal pain and cramps
- bloating
- [flatulence](https://www.healthdirect.gov.au/flatulence) (wind)
- diarrhoea
### Peptic ulcers
Peptic ulcers, such as [stomach ulcers](https://www.healthdirect.gov.au/stomach-ulcers) and [duodenal ulcers](https://www.healthdirect.gov.au/duodenal-ulcer), can cause dull upper abdominal pain that comes and goes. The pain often comes on at night.
Taking antacids or eating food may relieve the pain. But sometimes, eating makes the pain worse.
Use of [non-steroidal anti-inflammatory medicines (NSAIDs)](https://www.healthdirect.gov.au/anti-inflammatory-medicines) and alcohol is associated with peptic ulcer disease.
Seek urgent medical attention if you:
- vomit blood
- have vomit that looks like coffee-grounds
- pass blood in your poo
- have black, tarry poo
These can be signs of a bleeding ulcer that needs urgent treatment.
### Period pain
Cramping pain in your lower abdomen that comes on with your period is known as [period pain](https://www.healthdirect.gov.au/managing-period-pain).
### Some types of cancer
Cancer affecting your abdominal organs can cause abdominal pain. [Bowel cancer](https://www.healthdirect.gov.au/bowel-cancer), [stomach cancer](https://www.healthdirect.gov.au/stomach-cancer) and [liver cancer](https://www.healthdirect.gov.au/liver-cancer) can all cause abdominal pain that may steadily worsen over time.
## What can cause short-term abdominal pain?
Most Australians will experience mild or moderate abdominal pain from time to time. Often these episodes last only a few hours or days. They may clear up without the need for treatment.
Some of the causes of short-term abdominal pain are:
- gastroenteritis or food poisoning
- urinary tract infections
- gastritis
### Gastroenteritis or food poisoning
[Gastroenteritis](https://www.healthdirect.gov.au/gastroenteritis) is an infection of your [digestive system](https://www.healthdirect.gov.au/digestive-system). It’s usually caused by a virus.
Sometimes it is caused by [food poisoning](https://www.healthdirect.gov.au/food-poisoning). Symptoms usually last for only a few days and include:
- crampy abdominal pain
- nausea and vomiting
- diarrhoea
- fever
Gastroenteritis and food poisoning are more serious for the very young and for older people since they are more at risk of [dehydration](https://www.healthdirect.gov.au/dehydration).
### Urinary tract infections
[Urinary tract infections](https://www.healthdirect.gov.au/urinary-tract-infection-uti) (UTIs) can cause abdominal pain:
- [Cystitis (bladder infection)](https://www.healthdirect.gov.au/cystitis) can cause dull lower abdominal pain.
- [Pyelonephritis (kidney infection)](https://www.healthdirect.gov.au/kidney-infection) can cause pain in your abdomen and flank (side), fever, nausea and vomiting.
### Gastritis
[Gastritis](https://www.healthdirect.gov.au/gastritis) is inflammation of your stomach lining. It can be due to infection, medicines or alcohol.
Gastritis causes upper abdominal pain. It may also cause indigestion and nausea.
## Which medicines can cause abdominal pain?
Some medicines can cause abdominal pain as a side effect. Common examples include:
- [non-steroidal anti-inflammatory drugs](https://www.healthdirect.gov.au/anti-inflammatory-medicines) (known as NSAIDs), such as ibuprofen and
- ketoprofen
- aspirin
- medicines to help manage the symptoms of dementia or Alzheimer’s disease
- [antibiotics](https://www.healthdirect.gov.au/antibiotics)
If you, or someone you are caring for, has an episode of abdominal pain that you think may be related to a medicine, talk to your pharmacist or doctor. There may be an alternative medicine that is better for you.
[**ASK YOUR DOCTOR** — Preparing for an appointment? Use the **Question Builder** for general tips on what to ask your GP or specialist.](https://www.healthdirect.gov.au/question-builder)
## Resources and support
For more information on what to do if you have abdominal pain, see:
- [abdominal pain](https://www.healthdirect.gov.au/abdominal-pain)
- [abdominal pain in children](https://www.healthdirect.gov.au/abdominal-pain-in-children)
For more information and support, try these resources:
- The [Gut Foundation](https://gutfoundation.com.au/)
- [Gastroenterological Society of Australia](https://www.gesa.org.au/) (GESA)
You can also call the healthdirect helpline on [1800 022 222](tel:1800022222) (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week. |
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