When Should I Go To The ER For Abdominal Pain?

girl holding her stomach from abdominal pain

Dealing with abdominal pain can be both uncomfortable and concerning. It’s important to recognize the difference between a fleeting discomfort and a potentially serious medical emergency requiring urgent attention.

In this article, we’ll take a comprehensive look at abdominal pain, helping you understand when it’s time to seek urgent help.

What Is Abdominal Pain?

Abdominal pain is a common symptom affecting the area between your chest and pelvis, also known as the belly. This discomfort can stem from any of the numerous organs housed within the abdominal cavity, including the stomach, intestines, liver, gallbladder, pancreas, and kidneys.

The nature of this pain can vary significantly – it might be a sharp, acute pain that demands immediate attention, a chronic dull ache indicating an ongoing issue, or a sudden severe discomfort signaling a serious condition. Factors like the pain’s location, intensity, duration, and accompanying symptoms (such as bloating, fever, or changes in bowel habits) are crucial in understanding its underlying cause.

In scenarios where the pain is persistent, severe, or associated with other alarming symptoms, a visit to a healthcare facility like Aether Health, equipped to provide comprehensive care, becomes imperative.

How Common Is Abdominal Pain?

Young woman suffering from abdominal pain while sitting on sofa at home

Abdominal pain is one of the most prevalent health issues that prompt visits to medical facilities, ranging from primary care offices to emergency rooms. It’s a symptom that crosses age groups and can be caused by a wide array of conditions, from minor digestive upsets to serious acute health crises.

This widespread nature of abdominal pain makes it a significant focus for healthcare providers. Whether it’s a routine discomfort or a symptom of something more serious, abdominal pain is a common and important health concern that merits careful attention.

What Are the Four Types of Abdominal Pain?

Abdominal pain is not a one-size-fits-all symptom. It can manifest in various forms, each indicating different potential causes. 

Understanding these types can aid in identifying the underlying issue:

Visceral Pain

This type originates from the internal organs, or viscera, within the abdomen. It often feels like a deep, aching sensation and can be difficult to localize. Visceral pain is typically associated with conditions like gastroenteritis, irritable bowel syndrome, and bladder infections. It can be intermittent and is often influenced by the functioning of the organ involved, such as contraction, distention, or ischemia.

Parietal Pain

Parietal, or somatic, pain is more localized and intense than visceral pain. It arises from the parietal peritoneum, the lining of the abdominal cavity. This type of pain is usually sharper and more easily pinpointed. It can be caused by conditions like appendicitis or peritonitis, where the peritoneum becomes inflamed.

Referred Pain

This pain is felt in a part of the body other than its actual source. It occurs because of the network of nerves in the abdomen. For example, pain from a gallbladder attack might be felt in the right shoulder, and kidney stone pain can sometimes be felt in the groin or thigh.

Functional Pain

This type of pain is a bit of a medical mystery. It’s pain without obvious physical cause, and it’s often chronic. Functional abdominal pain is frequently seen in conditions like functional dyspepsia and non-ulcer stomach pain. It’s believed to result from the abnormal function of the nervous system, rather than from a distinct organ disease.

What Does Abdominal Pain Location Tell You?

Understanding the location of your abdominal pain can be key in pinpointing its cause, as specific areas are often linked to particular organs and health issues. For instance, experiencing a sharp pain on the left side of the stomach can be a significant indicator of issues related to the stomach itself, spleen, or colon. Such pain might be a sign of conditions like gastritis, problems with the spleen, or even colitis. Additionally, left stomach pain and bloating could suggest digestive issues or concerns with the lower portion of the colon.

On the other hand, upper abdominal pain might hint at problems with the stomach, gallbladder, or pancreas, whereas pain in the lower abdominal area might be related to conditions affecting the intestines or bladder. Specifically, pain in the lower right abdomen is often associated with appendicitis, and central abdominal pain might indicate gastritis or be an early sign of appendicitis.

For healthcare professionals at Aether Health, understanding the exact location and nature of your pain – whether it’s a sharp pain on the left side or bloating and discomfort – is crucial in guiding diagnostic processes and determining the most effective treatments.

Different Causes of Abdominal Pain

Woman experiences abdominal discomfort due to menstrual pain, pancreatitis, gastritis or diarrhea.

Various conditions can lead to abdominal pain:

  • Appendicitis: Typically marked by pain starting around the belly button and shifting to the right.
  • Bleeding or Ruptured Blood Vessels: Can cause sudden and severe pain.
  • Blocked Intestines and Diverticulitis: Often result in sharp pain and bloating.
  • Gallbladder Issues: May cause intense pain in the upper right abdomen.
  • Kidney Stones: Known for causing severe pain on either side of the lower back.
  • Pancreatitis: Leads to severe pain in the upper abdomen.
  • Ulcers: Usually cause a burning or painful sensation in the stomach.

Signs Your Abdominal Pain May Be Serious

Identifying when abdominal pain is a sign of a serious condition is crucial. Certain accompanying symptoms are clear indicators that the pain is not just a simple discomfort but potentially a symptom of a more severe health issue. These signs suggest that immediate medical attention is necessary, as they could indicate serious complications or underlying health problems. Recognizing these symptoms and acting promptly can be vital for effective treatment and could be lifesaving.

If you experience any of the following symptoms in conjunction with abdominal pain, it’s important to seek medical care immediately:

  • Extremely hard abdomen
  • Tender abdomen to the touch
  • Coughing up or vomiting blood
  • Persistent vomiting
  • Bloody diarrhea
  • Chest pain or pressure
  • Difficulty breathing
  • Dizziness or fainting
  • Inability to have a bowel movement with vomiting
  • Pain in the neck, shoulder, or between shoulder blades
  • Vision changes
  • Fever

How Is the Cause of Abdominal Pain Diagnosed?

Diagnosing the cause of abdominal pain typically begins with a comprehensive review of the patient’s medical history, which includes discussing previous health issues, current medications, and the specifics of the pain such as onset, duration, and severity.

A physical examination follows, where healthcare professionals assess the abdomen for tenderness, swelling, and any abnormal sounds using palpation, auscultation, and percussion techniques.

Based on these initial findings, further diagnostic tests may be ordered to pinpoint the cause. These tests can include blood and urine analysis to check for infections or organ function issues, imaging tests like ultrasounds, X-rays, or CT scans to visualize internal structures, and endoscopic procedures to directly examine the gastrointestinal tract.

This multi-faceted approach ensures a thorough evaluation, helping healthcare providers accurately identify the underlying issue causing the abdominal pain.

How Long Should You Have Abdominal Pain Before Going to the ER?

It’s essential to seek emergency room (ER) care without delay if you experience severe or sudden abdominal pain, especially if it’s accompanied by serious symptoms such as persistent vomiting, bloody stools, extreme tenderness, or significant discomfort that disrupts your daily activities. Such instances can indicate acute conditions that require immediate medical intervention.

When Should You Go to the Emergency Room with Abdominal Pain?

Young guy with acute pain in right side talking to doctor.

Deciding between an ER visit or seeking urgent care for abdominal pain can be challenging. An ER visit is crucial when abdominal pain is accompanied by severe symptoms. For example, if you experience intense sharp pain on the left side of your stomach, it could indicate a significant issue with your spleen or colon. Persistent bloating, often a sign of digestive problems, is another symptom that may require immediate emergency room attention.

However, if your abdominal pain is less severe, and you’re wondering, ‘Should I go to urgent care for abdominal pain?’, the answer is yes. Conditions like mild digestive discomfort or less intense pain can typically be evaluated at an urgent care facility. But for symptoms indicative of more serious conditions, such as the localized pain of appendicitis, heading straight to the ER is the safest option.

What Does the ER Do to Check Abdominal Pain?

Upon arrival at the ER, you will undergo a comprehensive evaluation to determine the cause of your abdominal pain. 

This typically involves the following:

  1. Physical Examination

Doctors assess for areas of tenderness, swelling, or abnormality.

  1. Diagnostic tests

Blood work, urine analysis, and imaging tests like ultrasounds or CT scans, may be conducted to gain a clearer picture of your internal condition. This thorough approach helps in accurately diagnosing the cause of the pain.

How Is Abdominal Pain Treated?

The approach to treating abdominal pain in an emergency room (ER) setting is tailored to address the specific underlying cause identified through diagnosis. Treatment strategies typically include:


These are often the first line of treatment for less severe conditions. 

Depending on the diagnosis, this could include:

  • Pain relievers: To alleviate discomfort.
  • Anti-inflammatory drugs: To reduce inflammation that might be causing pain.
  • Antacids or proton pump inhibitors: For acid-related stomach issues.
  • Antibiotics: If an infection is the root cause of the pain.

Surgical Interventions

Surgery may be necessary in more serious cases, particularly when there is a risk of complications without surgical intervention. 

Common conditions requiring surgery include:

  • Appendicitis: Removal of an inflamed or burst appendix.
  • Gallbladder problems: Such as gallstones or cholecystitis requiring gallbladder removal.
  • Obstructions or perforations in the intestines: Which might need immediate surgical repair.

What Is the Average Cost of an ER Visit for Abdominal Pain?

The cost of an ER visit for abdominal pain can vary widely, primarily influenced by the specific treatments and diagnostic tests required. 

Factors affecting the cost include:

Type of Diagnostic Tests

Basic tests like blood work and urine analysis are generally less expensive than advanced imaging tests such as CT scans or MRIs.

Severity of the Condition

More severe conditions may require extensive testing and treatments, including surgery, which can significantly increase costs.

Length of ER Stay

Longer stays, which might involve observation or additional testing, can also contribute to higher costs.

Insurance Coverage

The patient’s health insurance plan plays a crucial role in determining out-of-pocket expenses.

Aether Health focuses on providing affordable care options, striving to balance the necessity for comprehensive and accurate diagnosis with cost-effectiveness.

Can Abdominal Pain Be Prevented?

Female doctor are examining by abdominal palpation of female patient sitting in the bed within the clinic.

While not all causes of abdominal pain are preventable, certain lifestyle changes can reduce the risk of developing common abdominal issues:


Eating a balanced diet, rich in fiber, and avoiding known irritants like spicy foods, excessive caffeine, and alcohol can prevent digestive problems.


Staying well-hydrated helps maintain healthy digestion and can prevent issues like kidney stones.

Regular Exercise

This aids in overall digestive health and can help prevent conditions such as constipation and bloating.

Stress Management

Stress can exacerbate gastrointestinal issues, so managing stress through techniques like meditation, exercise, and adequate rest is beneficial.

Regular Medical Checkups

These can help in the early detection and management of conditions that could lead to abdominal pain.

It’s important to note that some causes of abdominal pain, such as certain medical conditions or genetic predispositions, may not be preventable. In these cases, working closely with healthcare providers for ongoing management and early intervention is crucial.

Partnering with Aether Health for Your Health Needs

Dealing with abdominal pain can often leave you unsure about the next steps. Aether Health can help clear up that uncertainty. Aether Health’s team specializes in evaluating and treating abdominal pain, determining whether your situation calls for a visit to the abdominal pain emergency room or if it can be managed with less urgent interventions.

If you’re facing abdominal pain and uncertain about the need for an ER visit, Aether Health in Pearland, TX, is ready to assist. Contact us today, check-in online, or find a location near you. We’re committed to your health and comfort, ensuring you get the right care at the right time. 

Last updated on December 8, 2023
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