Abdominal pain can have many causes. Often the specific symptoms help determine the cause of the pain.
Causes of abdominal pain Cause
Most common symptoms
Gastrointestinal problems, such as constipation, gallbladder disease, bowel obstruction, pancreatitis, appendicitis, gastritis, peptic ulcer disease, gastroesophageal reflux disease (GERD), or diverticulitis
- Abdominal pain or cramping
- Change in bowel habits
- Nausea or vomiting
- Bloating
- Blood in stool or in vomit
Food poisoning
- Diarrhea
- Nausea (feeling sick to your stomach)
- Vomiting
- Abdominal cramps
Urinary problems, such as a kidney stone, kidney disease, kidney infection, or bladder infection
- Burning when urinating
- Blood in the urine
- Flank pain or lower pelvic pain
- Need to urinate small amounts frequently
- Unable to urinate
- Fever
Dietary, such as lactose intolerance or food allergy
- Chronic, generalized abdominal pain
- Diarrhea (nonbloody)
- Gas and bloating
Inflammatory disease, such as Crohn's disease or ulcerative colitis
- Diarrhea (may be bloody)
- Fever (may come and go)
- Generalized abdominal pain (frequently awakens you at night)
- Weight loss
Irritable bowel syndrome
- Chronic or intermittent abdominal pain with either diarrhea or constipation (pain does not awaken you at night)
- Increases with stress
- No weight loss
Ectopic pregnancy or miscarriage
- Abdominal pain (may be severe)
- Vaginal bleeding
- Common pregnancy symptoms
Infection with a parasite, such as giardia
- Diarrhea (nonbloody)
- Abdominal pain or cramping
- Gas and bloating
- Weight loss
Reproductive problems, such as endometriosis or pelvic inflammatory disease (PID)
- Abdominal pain or cramping
- Fever
- Abnormal vaginal bleeding
- Abnormal vaginal discharge
- Pain with intercourse
Sickle cell disease
- Abdominal pain
- Pain in the arms and legs, the chest, or the spinal bones
Blood vessel problems, such as an aortic aneurysm or peripheral arterial disease
- Sudden abdominal pain or back pain
- Drop in blood pressure
- Signs of shock
Hernias, such as hiatal, inguinal, or umbilical
- Abdominal pain
- Bulging area in the belly or groin
Current as of: March 21, 2023
Author: Healthwise Staff
Clinical Review Board: All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.