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Abdominal pain: what is behind it?

Abdominal pain can have many causes. Pay attention to where they occur when.
Photo: iStock
  1. The abdominal pain Atlas
  2. 1. stomach
  3. 2. Pancreas
  4. 3rd gallbladder
  5. 4.Blinddarm
  6. 5.Leiste
  7. When do I have to go to the doctor?

The abdominal pain Atlas

Abdominal pain is not the same as abdominal pain. Where does it hurt? And how does it hurt? We tell you whether the stomach, the groin or the cecum are to blame.

Violent abdominal pain can be harmless, but also an indication of serious illnesses. We tell you how to differentiate between different abdominal pain and what to do in each case.

1. stomach

It stings, pulls, burns or cramps left or center in the upper abdomen ? Then you probably have a harmless stomach upset. Pain relief provides a hot water bottle, chamomile tea counteracts the dull feeling. If the symptoms do not go away, you should consult a doctor: it could be a gastritis or a stomach ulcer. The stomach pains always occur after eating? Maybe you are suffering from a food intolerance.

2. Pancreas

A severe persistent pain, which forms like a belt around the upper abdomen and radiates into the back, is typical for inflammation of the pancreas. Most common cause: A stone blocks the gland exit. As a result, digestive juices accumulate and attack the own tissue. See the doctor immediately - pancreas complaints are an emergency.

3rd gallbladder

You can feel the abdominal pain especially in the right upper abdomen under the costal arch . It runs in waves and can radiate up to the back and the right shoulder. Mostly gallstones or inflammations are the cause. An ultrasound examination brings clarity. In case of emergency, a small procedure helps to remove the gallbladder. To prevent gallstones, a low-cholesterol diet with low animal fats and high fiber is suitable.


Violent abdominal pain beginning in the umbilical region and extending into the right lower abdomen indicates inflammation of the appendix (appendix of the cecum). As quickly as possible consult a doctor - in a small operation, the worm appendage can be removed. Caution: Cysts or inflammation of the ovary can lead to very similar symptoms - digestion gives an ultrasound examination.


Strong abdominal pain in the lower abdomen, right at the transition to the leg, speak for a hernia. In the process, a section of intestine or fatty tissue is pressed into the inguinal canal (palpable as a bump). Common triggers: coughing, sneezing or heavy wearing. Above all, men are affected. The fracture is usually corrected by a minimally invasive surgery.

When do I have to go to the doctor?

Go to the family doctor if mild symptoms last or last for more than three days .

See a clinic immediately if symptoms start suddenly and become more violent .

If the abdomen is bloated and hard and every touch causes severe pain, you should call an ambulance.

Violent vomiting with the addition of blood is also a reason to alert the ambulance.

If you have had a gastric ulcer, check for mild pain yourself.

Even with strong abdominal pain with fever or yellowish discolored skin should call the ambulance.