Abdominal pain is a feeling of discomfort along with pain in the part of the body between lower chest and pelvis. The abdominal cavity consist various structures like stomach, liver, gall bladder, small intestine, large intestine, pancreas, kidney, cecum, appendix, ureter, spleen and also possesses abdominal muscles. The whole abdomen is divided in to 9 regions which are, right hypochondrium, epigastrium, left hypochondrium, right lumber, umbilical, left lumber, right iliac, hypogastrium and left iliac. A person can feel pain in any of these regions.
Cause of abdominal Pain
Peptic ulcer – Mucosal ulceration near the acid bearing regions of the gastrointestinal tract, pain characteristically sharply circumscribed to an area about 1 inch in diameter between xephoid and umbilicus.Cholecystitis – Attacks of epigastric pain with tenderness over gall bladder.Carcinoma of pancreas – mid gastric pain, steady and dull or paroxysmal colicky painCarcinoma stomach – Daily discomfort along with pain in the abdomenAcute appendicitis – Severe colicky pain initially felt in umbilical region and after few hours the pain localizes to the right iliac fossa.Acute pancreatitis – Severe backache and tenderness in the epigastriumIrritable bowel syndrome – Post prandial type of pain which is related to mealHiatus hernia – Causes epigastric pain.Abdominal angina – Due to chronic intestinal ischemia in which there is post prandial pain usually cramping and radiates to the back.Carcinoma colon – Pain in the right side below the level of umbilicusBilateral salping – Oophoritis – pain in both side of lower abdomenTorsion of the ovarian cyst – Produces very severe abdominal pain.Other causes – Include gastroenteritis, meckel’s diverticulitis, intestinal obstruction, ulcerative colitis, porphyria, pneumonia, indigestion, ruptured spleen, ectopic pregnancy, hepatitis, endometriosis, gastritis etc.
Blood test – Complete blood count, pregnancy test, blood cultureUrinalysisX ray abdomen – To diagnose renal stone, intestinal obstruction etcAbdominal CT scan – To evaluate internal organs and tissues, useful to detect tumor infections, renal stones, appendicitis.Abdominal MRI – To diagnose abnormal growth tumorsAbdominal ultrasound – To assess the structures with in the abdomen, used to evaluate gall bladder stone, renal stone, ectopic pregnancy etc.
treatment of abdominal pain
Homeopathic treatment of abdominal pain – Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat pain but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several well-proved medicines are available for abdominal pain treatment that can be selected on the basis of cause, location, sensation, modalities and extension of the pain. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. Some useful medicines are given below for the treatment of abdominal pain:
Nux vom – One of the best remedy for abdominal pain especially due to indigestionColocynthis – Abdominal pain which is better by bending double or by hard pressure.Pulsatilla – Abdominal pain which is caused after taking rich food, pastryNatrum carb – Abdominal pain which is relieved by eatingCuprum met. – Violent spasms which is aggravated by cold drinks.Croton tig – gripping pain in abdomen which is associated with profuse watery diarrheaChamomilla – Spasmodic abdominal pain especially after angerDioscorea – Pain in umbilical region which is better by bending backwardBelladonna – abdominal pain due to intestinal obstructionMag phos – violent, spasmodic pain which is better by hot application..China off – Epigastric pain associated with distension and fullness specially after eatingLycopodium – abdominal pain after eating which is worse between 4 – 8 P.M.
Allopathic treatment of abdominal pain – treatment is depending upon cause or medical condition; surgery can also be done in few surgical diseases.
Other alternative treatment of abdominal pain – include naturopathy, Ayurveda, Vitamin B3, VitaminB5, meditation etc.
Case of abdominal pain
This is a case of a 15 years old girl. In July 2005 she drank fruit juice from a roadside vendor and within two days she developed severe offensive diarrhoea. She started feeling very thirsty and the next day she developed very high fever – 104° F, severe vomiting and intense pain in the abdomen. On carefully investigating the details of her suffering, we found the following totality.
She was feeling extremely hot in spite of running 104°F temperature. She wanted the fan to be very fast and didn’t want her abdomen to be covered. She would lie down under the fan and would lift her dress all the way up. She didn’t want anything to be tied around the waist, not even her regular undergarment. Also, she desired to drink cold water. She had no appetite and would vomit on eating. She felt intense nausea from smell of food. As there was no clear totality coming up as yet, so we gave her placebo for a day and decided to review any further development of symptoms the next day. Also, as we clinically suspected infectious hepatitis, we asked for her Liver function test, which was highly abnormal.
Liver function test: date: 14.7.2005
Total Bilirubin 3.8 mg/dl
Direct Bilirubin 2.2 mg/dl
Indirect Bilirubin 1.6 mg/dl
SGPT 1703.5 I.U./lit
SGOT 980 I.U./lit
On going into further details the next day and on listening to her patiently, we found that her vitality was throwing peculiar symptoms. She now complained of severe pain localized in the liver region. Her mother told us that she wanted to be rubbed in that region and that was the only thing making her feel better from the pain. “She wants us to rub gently up and down.” While we took her for the physical examination, we asked her to demonstrate exactly how she wanted to be rubbed and where. She was very specific and clearly mentioned that she felt immensely better by stroking the liver region. She still felt nausea from the smell of food. Her desire for cold water was persistent. She was feeling very hot and wanted the fan full. Stools were watery and offensive. Urine was dark yellow in colour. Tongue had thick, white coating. Emotionally she was feeling “tired of this illness.”
As one goes through the careful investigation and details of her case, we are sure the remedy will simply stand right in front of you! The whole totality is so strikingly simple and clear. We gave her Podophyllum 30 single, minimum dose on the following totality of symptoms on 14th July 2005.
• Abdomen, Pain, liver, rubbing ameliorates.
• Better: Rubbing or stroking liver. (Phatak’s materia medica)
• Stomach, Nausea, food , smell of
• Desires, cold water
What we intend to highlight through this case is the beauty of case receiving. Having patience and carefully going into the details of the case are of prime importance. It is not necessary for you to prescribe something for the patient immediately.
She received the remedy on the seventh day from the start of her suffering. It takes some time for the totality to develop and patiently waiting is the best thing to do, for to do something otherwise will spoil the case.
She started feeling better in every respect. Her fever subsided and gradually over the next two days her pain in the liver region disappeared. Her appetite improved. In seven days she was smiling and energetic. We repeated her liver function test …
Liver function test: date: 25. 8. 2005
Total Bilirubin 0.5 mg/dl
Direct Bilirubin 0.2 mg/dl
Indirect Bilirubin 0.3 mg/dl
SGPT 26 I.U./lit
SGOT 34 I.U./lit
In achieving such rapid, gentle and permanent healing, what matters is the application of the law. All of us are students of homoeopathy, striving continuously to sharpen our skills; but if one indulges in theorizing, this quality of healing will be out of reach and yes, there is no alternative to hard work!