Abdominal pain medical therapy: Difference between revisions
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| [[File:Siren.gif|30px|link=Abdominal pain resident survival guide]]|| <br> || <br> | |||
| [[Abdominal pain resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']] | |||
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| [[File:Critical_Pathways.gif|88px|link=Abdominal pain critical pathways]]|| <br> || <br> | |||
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{{Abdominal pain}} | {{Abdominal pain}} | ||
{{CMG}} | |||
==Overview== | |||
==Medical Therapy== | ==Medical Therapy== | ||
If there is mild abdominal pain, the following tips might be helpful: | If there is mild abdominal pain, the following tips might be helpful: | ||
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* Avoid solid food for the first few hours. | * Avoid solid food for the first few hours. | ||
* If there is [[vomiting]] wait for 6 hours, and then eat small amounts of mild foods such as rice, applesauce, or crackers. Dairy products should be avoided. | * If there is [[vomiting]] wait for 6 hours, and then eat small amounts of mild foods such as rice, applesauce, or crackers. Dairy products should be avoided. | ||
* If the pain is high up in the abdomen and occurs after meals, [[antacid]]s may help, especially if there is | * If the pain is high up in the abdomen and occurs after meals, [[antacid]]s may help, especially if there is [[heartburn]] or [[indigestion]]. Avoid citrus, high-fat foods, fried or greasy foods, tomato products, [[caffeine]], [[alcohol]], and carbonated beverages. | ||
* Avoid [[aspirin]], [[ibuprofen]] or other [[anti-inflammatory medication]]s, and narcotic pain medications. | * Avoid [[aspirin]], [[ibuprofen]] or other [[anti-inflammatory medication]]s, and narcotic pain medications. | ||
===Chronic Functional Abdominal Pain=== | ===Chronic Functional Abdominal Pain=== | ||
Non-pharmaceutical approaches to treating CFAP also overlap with treatments for [[irritable bowel syndrome]]. This includes enteric coated peppermint oil capsules, which act as anti-spasmodics to relax the gut and also have pain-killing properties due to the methyl salicylate that naturally occurs in peppermint. Gut-directed hypnotherapy or self-hypnosis can also mitigate the hyperreactive nervous system of CFAP, and help alleviate abdominal pain. | Non-pharmaceutical approaches to treating CFAP also overlap with treatments for [[irritable bowel syndrome]]. This includes enteric coated peppermint oil capsules, which act as anti-spasmodics to relax the gut and also have pain-killing properties due to the methyl salicylate that naturally occurs in peppermint. Gut-directed hypnotherapy or self-hypnosis can also mitigate the hyperreactive nervous system of CFAP, and help alleviate abdominal pain. | ||
====Contraindicated medications==== | |||
{{MedCondContrAbs | |||
|MedCond = Abdominal pain in the absence of diarrhea|Loperamide}} | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{Gastroenterology}} | |||
{{WikiDoc Help Menu}} | |||
{{WikiDoc Sources}} | |||
[[Category:Emergency medicine]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Gynecology]] | [[Category:Gynecology]] | ||
[[Category: | [[Category:Medicine]] | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
Latest revision as of 20:14, 29 July 2020
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Abdominal pain On the Web |
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American Roentgen Ray Society Images of Abdominal pain |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Medical Therapy
If there is mild abdominal pain, the following tips might be helpful:
- Sip water or other clear fluids.
- Avoid solid food for the first few hours.
- If there is vomiting wait for 6 hours, and then eat small amounts of mild foods such as rice, applesauce, or crackers. Dairy products should be avoided.
- If the pain is high up in the abdomen and occurs after meals, antacids may help, especially if there is heartburn or indigestion. Avoid citrus, high-fat foods, fried or greasy foods, tomato products, caffeine, alcohol, and carbonated beverages.
- Avoid aspirin, ibuprofen or other anti-inflammatory medications, and narcotic pain medications.
Chronic Functional Abdominal Pain
Non-pharmaceutical approaches to treating CFAP also overlap with treatments for irritable bowel syndrome. This includes enteric coated peppermint oil capsules, which act as anti-spasmodics to relax the gut and also have pain-killing properties due to the methyl salicylate that naturally occurs in peppermint. Gut-directed hypnotherapy or self-hypnosis can also mitigate the hyperreactive nervous system of CFAP, and help alleviate abdominal pain.
Contraindicated medications
Abdominal pain in the absence of diarrhea is considered an absolute contraindication to the use of the following medications: