Abdominal Pain: Just Gas Or An Emergency?
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Gallstones:
Women are much more likely than men to have gallstones, to suffer from their
symptoms, and to have their gallbladders removed. In addition to being female,
other risk factors include: being overweight, being over 40, being pregnant
or having previous pregnancies, and a history of taking birth control pills
or estrogen replacement therapy. The good news is that most women with gallstones
are not symptomatic. The other good news is that if you are symptomatic, chances
are good that you won't need surgery: there are several medications, ultrasound
therapy, and lifestyle changes that can manage the symptoms. If you need surgery,
it may be performed on a scheduled basis rather than an emergency basis, which
is always preferable.
Some cases are emergent, however, especially in pregnancy. If a gallstone
gets stuck in the bile duct, it can cause severe pain on the right upper part
of the abdomen, which may radiate to the back. The pain may be accompanied
by nausea and vomiting and distention of the upper right abdomen. This pain
may subside and recur-usually after a fatty meal-or it may persist. If the
pain persists, seek emergency medical attention immediately. If the pain comes
and goes, see your physician sooner rather than later on an outpatient basis.
Bladder or Kidney Infections:
Bladder infections (also called urinary tract infections or "UTI's") are very
common in women and they often recur. They are generally easily treated with
oral antibiotics when they are recognized early. If untreated, however, they
can progress to serious kidney infections, and even require hospitalization,
or rarely surgery, dialysis, or transplantation. Symptoms of common UTI's
include: urinary frequency or urgency, burning with urination, cloudy or bloody
urine, discomfort or pain in the lower abdomen, and sometimes fever or chills.
In pregnancy, bladder infections are commonly asymptommatic, or may only be
indicated by small abdominal contractions (like Braxton-Hicks contractions).
Kidney Stones:
Kidney stones are much less common and the pain is much more severe. Women
who have gone through both compare this pain with the pain of giving birth.
The pain of a kidney stone is sudden, intense, generally on one side of the
back (near the waist) which radiates around the front to the same side. This
may be accompanied by fever, chills, and other urinary symptoms, including some
bloody spotting.