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Abdominal pain with fever
Last reviewed: 19.10.2021
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Among the symptoms that cause a person to seek emergency medical care, one of the most common is high fever and abdominal pain. In this case - contacting a doctor is the most correct tactic. Even if these are the only complaints of the patient, they can be symptoms of very dangerous conditions requiring urgent medical intervention, often prompt.
Causes
If in addition to abdominal pain a person is understood as a temperature, this indicates the development of an acute and dangerous condition. The most common cause of such complaints is inflammation of the appendix - the most common surgical pathology of the abdominal cavity. Also can be inflamed any organs that are in the abdomen - kidneys, urinary tract, pancreas, liver, genital system, intestines and stomach. The temperature and pain in the abdomen is accompanied by hepatitis and intestinal infections - salmonellosis, dysentery, cholera, rotavirus infection, food poisoning. Such symptoms can be observed in the terminal stage of cancer of the peritoneum.
Abdominal pain and temperature can be caused by inflammation of the peritoneum or peritonitis, which in most cases is a complication of the inflammatory or oncological process of organs of a given localization. More than half of peritonitis develops with appendicitis. Primary peritonitis is extremely rare.
In addition, an increase in temperature in combination with abdominal pain can occur with inflammation of the membranes or valves of the heart muscle and pneumonia, and other diseases that contribute to inflammation of the intraperitoneal lymph nodes.
Risk factors for the development of conditions accompanied by abdominal pain and fever are the presence of an inflamed organ, acute and chronic infections and their complications, insufficient secretion of gastric juice, stones and / or vascular changes in the gallbladder and ducts, other organs, pelvic bone disease and joints.
In addition - unsanitary, the use of water and food of doubtful origin, gastronomic preferences - fatty and spicy food, fast food, semi-finished products, physical and nervous overload, injuries (operations) on the peritoneal organs and their consequences, hypothermia, decreased immunity, unbalanced diet, alcohol abuse , autoimmune, endocrinological and oncological pathologies.
Temperature and abdominal pain as a symptom of the disease
Diseases, the first signs of which are manifested by fever and abdominal pain, basically require an immediate examination of the patient, since such manifestations are possible in many pathologies. Some of them refer to the syndrome of "acute abdomen" and, not being rare states, nevertheless, require taking emergency measures to save the patient's life.
The person complains that his stomach hurts, the temperature and weakness, this can be a sign of very many diseases - acute inflammation of the process of the cecum, kidneys, liver, pancreas, female and male genital organs, intestinal infections or peritonitis due to the same appendicitis and other inflammations, perforation of the ulcer, intestinal obstruction, neoplasm in the abdominal cavity. To differentiate them at home is impossible, it is necessary to examine a specialist who will be able to analyze the accompanying symptoms, the results of the analyzes, additional instrumental studies may be needed.
Diarrhea, abdominal pain and temperature, in the first place, suggest the presence of an acute intestinal infection. The occurrence of such symptoms is usually associated with ingestion of pathogenic microorganisms - bacteria, viruses, parasites, causing inflammation of its mucous membrane on any site - the stomach, duodenum, small or large intestine. Additional symptoms of intestinal infections are weakness, vomiting, headache, rumbling in the abdomen, bloating. The temperature can be different - from normal or subfebrile to very high, in addition, some infections have specific symptoms that help diagnose the disease.
Intestinal infections by etiology are divided into bacterial, viral and protozoal. They can be caused by pathogenic bacteria (salmonellosis, dysentery, yersiniosis, cholera, typhoid fever and others) and opportunistic (E. Coli, golden staphylococcus), which are present in a small amount in the intestinal microbiocenosis and cause the disease if the balance of useful and harmful microorganisms. Rotaviruses, adenoviruses, coronaviruses and other members of the family of viruses, in addition - amoebas, lamblia, helminths, other parasites give rise to diseases accompanied by diarrhea in combination with abdominal pain and temperature.
Diarrhea or diarrhea, along with spastic pain in the area of the intestine - the main symptom of its defeat by infectious agents, appears, as a rule, first.
For example, with such a dangerous infection as cholera, the first sign is severe diarrhea, while the stomach does not hurt much, sometimes there is a slight soreness in the navel area. Typical bowel movements (when the feces come out) resemble the shape and consistency of the rice broth (a clear mucous liquid with whitish flakes). Elevated temperature for cholera is also not typical, and during the dehydration period it even falls below 36 ℃. About five hours after the onset of the disease, vomiting (without nausea) occurs, sometimes rare, only twice a day, but can be very frequent - about twenty times.
Dysentery happens, as bacterial (shigellosis), and amoeba (mainly in hot countries). The first signs of the disease manifest symptoms of general intoxication - the body temperature rises, fever, loss of strength, headache, then there are cramping pains in the abdomen, which intensify when urinating for excrement. Intestinal symptoms with the disease of moderate severity appear within two to three hours, bowel evacuation occurs from ten to twenty times, the contents are mucus with blood veins. In severe cases, there is nausea and vomiting.
If the first two infections mostly thrive in places with a low sanitary level, then salmonellosis is called a "disease of civilization", it is distributed in large, well-equipped settlements where the release and sale of food products is centralized. The disease begins acutely, the most typical beginning - abdominal pain, vomiting and fever, accompanied by a decline in strength, myalgia. The patient complains that his head hurts, the abdomen is in the peripodal zone and epigastrium, and vomiting is repeated. Diarrhea begins quickly enough. After the outcome of stool, the stool becomes watery, foamy, often greenish. The smell is very unpleasant. There may be bloody streaks, the temperature depends on the form of the disease and can be both subfebrile and very high.
In all intestinal infections, a pronounced water-electrolyte loss is a great danger, up to a lethal outcome. There are about thirty common enteric infections, many of them are so-called food poisoning. Depending on the massiveness of the infestation, the type of pathogen and the immunity of the patient, some of them flow more easily, for example, abdominal pain and diarrhea without temperature can pass through the day on their own. Often accompanied by severe symptoms with signs of general intoxication - a decline in strength, headache, fever. High fever (39-40 ℃), abdominal pain and diarrhea in combination with nausea and vomiting are also present in severe food poisoning.
The presence of the above symptoms can not be excluded even with acute appendicitis, and also with hepatitis. Although diarrhea in this case - not a typical symptom.
The most common surgical pathology - acute appendicitis, first of all, manifests itself suddenly a pain that does not let go. Classical localization of pain - first in the region of the stomach, then descends into the lower right corner of the abdomen, where the cecum is located. The pain is quite pronounced, but quite tolerable. Can be pulsating, cramping or even. The temperature is usually at 38-39 ℃, but can be subfebrile. Vomiting in adults no more than two times, there may not be. Nausea, often quite tolerable, is usually present. Diarrhea is extremely rare, pain in the abdomen, constipation and temperature, bloating and bursting due to accumulated and non-exhausting gases are more common. A characteristic feature is a complete lack of appetite.
Peritonitis, as a complication of appendicitis and other inflammatory processes in the peritoneum, arises in most cases not suddenly. The patient should already have had uncomfortable sensations in the abdominal area. The main symptoms of peritonitis are severe abdominal pain and fever. Some describe the pain as the strongest, however, this is an exaggeration, not all patients respond about it so. Sometimes pain can be tolerated, but it does not wane and there is a sense of the inevitability of trouble. The patient has hyperthermia, hypotension, confused consciousness, skin pale. The musculature of the peritoneum is rigid, there may be one-two-time vomiting and other dyspeptic symptoms. Such patients need emergency surgical care.
Viral hepatitis can also start with a rise in temperature, often up to 39 ℃ and above, in addition, abdominal pain is not excluded and there may be repeated vomiting, however, not very frequent (1-2 times). Sometimes just sick. Such a condition is usually characteristic of the jaundice stage of the disease, later the temperature will drop, yellow eyes scleras, skin integuments, and the symptomatology will become more obvious - the urine will darken, and the feces will turn white-gray, like newsprint.
Vomiting and abdominal pain without temperature can also be symptoms of Botkin's disease (in a lighter form), you need to monitor the color of urine and feces. In the same way gastritis, peptic ulcer, new formations of the given localization, functional dyspepsia, chronic inflammation of the pancreas can make themselves felt. In this case, there is usually a belch, heartburn, heaviness in the epigastrium.
Vomiting and not too strong abdominal tenderness in the absence of fever may indicate concussion. It should be remembered about the falls and blows to the head the day before. Usually there is also dizziness and / or headache. If injuries are excluded, then it is possible to suspect other brain pathologies, neuroses or mental disorders. They are also accompanied by headache, hypertension, sometimes - confusion of consciousness.
Drug therapy, in particular, antibiotics of a number of fluorinated quinolones and iron preparations, in addition, hormonal contraception can cause pain in the abdominal region and vomiting without raising the temperature. The cause of this condition can be intoxication, for example, heavy metals.
Abdominal pain, nausea and fever are almost always present in the symptomatic complex of acute appendicitis, hepatitis, cholecystitis, cholangitis, pancreatitis, initial stage (local) peritonitis, combined pathologies of these organs. Diarrhea for these diseases is not typical, although it is impossible to exclude it altogether.
The first sign of acute cholecystitis is a painful attack just below the right rib, giving into the scapula and shoulder from the same side or the supraclavicular zone. The pain is dull and with time increasing, accompanied by nausea and repeated vomiting (in most patients). The temperature rises to 38 ℃, in more complicated cases - up to 40 ℃, fever, palpitations. Yellow sclera can yellow, and jaundice is observed in the obstruction of the bile duct (stone or stricture). In the right hypochondrium musculature of the peritoneum is strained. A specific symptom of the disease is the intensification of pain when pressing on the right hypochondrium on inspiration (at the time of palpation the patient can not breathe). Patients must be hospitalized in the surgical department.
Acute pancreatitis begins with an instant pain syndrome. Basically it happens after a plentiful feast. The pain is localized at the top of the abdomen - the area of the stomach, to the left or right of it in the hypochondrium, gives into the region of the waist - "girdles" the patient. The triad of the main signs of this disease is pain, vomiting and bloating. The temperature fluctuates from the indices above the subfebrile state to the decline of forces, fluctuations are frequent, debilitating. Immediate hospitalization of the patient is necessary.
Abdominal pain and low temperature (subnormal) can be observed in acute pancreatitis, cholera, peptic ulcer and inflammations of the mucosa of the digestive canal, neoplasm of the peritoneum, anemia, immunodeficiency states, as an atypical reaction in food poisoning.
Abdominal pain, cough and temperature can be observed with viral intestinal infections, which are more prone to children. Usually in such cases, in addition to the indicated symptoms in the presence - nausea, vomiting and may be a runny nose.
With inflammation of the lungs, bronchitis, tracheitis and other diseases of the respiratory system from prolonged and continuous severe cough, soreness in the abdominal region may occur.
Abdominal pain, constipation and fever also require medical advice. Such symptoms can be with appendicitis, then it hurts right in the lower abdomen. In the same way, diverticulitis manifests itself - sack-like protrusions in the large intestine (diverticula), in which feces accumulate. His surgery is called left-sided appendicitis, because the symptomatology is very similar, but the pain is worried by the vast majority of patients just to the left in the lower abdomen. At risk - the elderly, who prefer meat and flour dishes.
The fever and pains in the joints and abdomen can be indicative of the initial stage of Whipple's disease, a fairly rare disease that affects men, mostly from 40 to 50 years old, most of them were related to agriculture by occupation. However, a high fever itself can cause joint and muscle pains, an ache all over the body.
Suggest the direction of diagnostic activities can accurately describe the nature of pain. Severe abdominal pain and a temperature above 38 ℃ are characteristic for inflammation of the appendix of the cecum. Pains, in most cases, appear in the stomach area, and after a while fall to the right lower corner of the abdomen.
Sharp abdominal pain and temperature appear in cases of acute pancreatitis, the symptoms of which resemble acute appendicitis, however, the character of pain helps to differentiate the two diseases. Inflammation of the pancreas accompanies the irising in the shoulder or clavicle area, girdling pain in the abdomen and a temperature above the subfebrile. At half of patients the sclera and skin integuments develop.
Inflammatory kidney diseases (acute nephritis) caused by infection of organs also make themselves felt, like acute abdominal pain and temperature, not too high, which in some cases may not rise. The pain is localized in the lumbar region. Also typical headache, puffiness and pallor of the face, scanty discharge of urine, which becomes cloudy, often with a reddish tinge. In nephritis, some patients complain of nausea, there may be vomiting.
Elevated temperature and cramping pain in the abdomen are characteristic of dysentery. They are localized in the intestinal region and necessarily accompanied by acute diarrhea.
For acute salpingo-oophoritis (adnexitis, inflammation of the appendages), the cramping character of pain is also typical. The temperature rises to 39 ℃, the symptomatology is like acute appendicitis. The lower abdomen hurts, often on the one hand, and pain is given to the lumbar region. There is no diarrhea. In contrast to appendicitis, there are discharge from the vagina and soreness with urination.
The temperature and cramping pains in the lower abdomen can be signs of endometritis, which is often combined with an inflammatory process in the tubes or ovaries.
Cramping (spastic) pain, then increasing, then virtually disappearing, is usually the result of excessive gas formation and a specific sign of intestinal infections.
Constant intensive abdominal pain and temperature are more characteristic of surgical pathologies and are united in the concept of "acute abdomen". It is impossible to exclude the option with moderate blunt pain and subfebrile temperature, however, the general condition of the patient is poor - weakness, nausea, vomiting.
The constant temperature and abdominal pain, the importance of which is asked on the Internet, can be a symptom of many chronic pathologies. It is assumed that the constant temperature at the subfebrile level, and pain-moderate, it is unlikely that someone will be able to constantly tolerate a temperature of about 39 ℃ and very severe pain. Such symptoms require careful examination and compulsory medical attention.
The localization of pain, of course, is an important symptom, suggesting pathology, however, only on this basis the diagnosis can not be made.
Thus, pain in the abdomen and lower back and temperature may be symptoms of jade (if pain is amplified in the kidney region), or inflammation of the ureters, inflammatory processes of the pelvic organs - adnexitis, endometritis (mainly accompanied by vaginal discharge), while excluding the inflammation of the appendix such localization of pain sensations is also not possible, it is possible with the location of the process of the caecum posterior to it. Such pain is often given to the hip and external genitalia.
Pain in the abdomen and temperature can be caused by gynecological diseases, acute cystitis, intestinal infections, and acute appendicitis with its pelvic location - the soreness is felt just above the pubis.
Temperature, low back pain and lower abdomen are also characteristic for inflammatory processes in the small pelvis. Usually in such cases, the pain from below gives in the lower back. In women, the causes of such pains are usually salpingoophoritis and endometritis, in men - inflammation of the testicles and their appendages (orchitis, epididymitis, a combination of both), while the patient is feverish and sick. Prostatitis also manifests itself in the lower abdominal pain irradiating the lower back, however, in most patients the temperature remains within the normal range, but pain intensifies when the bladder is emptied, in general this act causes difficulties. Urinary tract infections: nephritis, cystitis, urethritis and their combinations, intestinal infections and bacterial colitis in both sexes cause a similar condition. Also notorious is the appendicitis and local peritonitis due to rupture of the ovarian cyst, neglected inflammation of the pelvic organs, neoplasms of the urino-genital and digestive organs.
The osteochondrosis of the lumbar vertebrae causes soreness in the lower back, giving to the suprapubic zone and the leg. Usually, the temperature is normal, however, if the attack develops after hypothermia, then the symptoms of a cold with an increase in temperature can lodge on the clinical picture of the disease.
The pain in the upper abdomen and the temperature can be a symptom of acute pancreatitis (temperature rises from low to very high values), gastritis and an acute attack of peptic ulcer (usually subfebrile, but can rise higher), food-borne diseases (usually high temperature).
Acute appendicitis begins with pain above the navel, over time, as a rule, there is a fever and pain in the abdomen on the right. Cholecystitis and cholangitis can also start with the pain of this localization, as well as inflammation of the pancreas, parts of the thick and small intestine, local peritonitis.
The temperature and pain in the right side of the abdomen can be symptoms of viral hepatitis, an inflammatory process in the right paired organ - kidney, ovary, testicle.
These symptoms can occur with diaphragm pleurisy, right-sided pneumonia, vascular pathologies, leading to the development of tissue hypoxia, local peritonitis, lymphadenitis.
The temperature and abdominal pain on the left, especially in the elderly, are the main symptoms of diverticulitis. The same signs appear with inflammation of the peritoneal organs of the left-sided localization, vessels, lymph nodes, pelvic bones and joints. In most cases, the pain on the left side of the lower abdomen is caused by acute inflammatory processes in the organs of the genitourinary system. Quite often, such pains cause inflammation or infarction of the digestive organs - the spleen, the thin (its second part) and the thick (left side of the transverse and descending part of the colon). More rarely, such symptoms are observed in pathologies of the joints and bones of the pelvic girdle, as well as nerves, vessels or lymph nodes of this localization.
High fever and abdominal pains in the adult indicate a number of serious pathologies, which can only be differentiated by a specialist, since the symptoms resonate with each other. High temperature is evidence of an intensive inflammatory process or injury with a threat of violation of the integrity of internal organs, so you need to urgently go to a medical facility.
Abdominal pain and fever during pregnancy
These symptoms in the future mummy can be manifestations of any of the above reasons. Let us dwell on the most common pathologies that occur during this period.
During the period of gestation, many chronic diseases are aggravated, which did not remind of themselves until the onset of pregnancy. This is due to the fall of immunity in the first months, and with increased strain on the body. Dormant chronic gastritis is often exacerbated - pain localizes in the epigastric region, blunt, pressing, accompanied by nausea, heartburn, eructations and a slight increase in temperature. Often this is facilitated by the gastronomic preferences of the future mummy in favor of sour, fatty, sweet or savory products that appeared precisely during the carrying of the child.
The same causes can cause an exacerbation of chronic cholecystitis. Acute pancreatitis in pregnant women is extremely rare, as it is often provoked by abundant libations, however, shingles in combination with fever should alert.
Acute appendicitis can develop in pregnant women, its clinical picture, especially in the second half, has some differences. In particular, because of the movement of the process of the cecum, the localization of pain is often atypical, so a thorough examination of the patient is required for diagnosis.
Pregnancy also contributes to exacerbation of gynecological inflammation. High fever can be indicative of the severity of the inflammatory process, since abdominal pain can be caused by such causes as stretching of the ligamentous apparatus due to the growth of the uterus. In women who have undergone inflammatory gynecological diseases and associated adhesions in the past, intense pain in stretching the muscles of the abdomen during pregnancy occurs quite often, but they are not accompanied by an increase in temperature.
The most dangerous condition is a disturbed ectopic pregnancy. He is referred to as an "acute abdomen", it requires immediate surgical intervention. Usually, the temperature of the patient is not increased, however, in rare cases, subfebrile temperatures can be observed, caused by the influence of progesterone and absorption of blood entering the peritoneum. In the second and third week, with a delay in menstruation, cramping pains appear in the lower abdomen, which give to the rectum and scant excreta from the vagina. Sometimes with small blood loss there are moderate pulling pains. Only when the blood enters the abdominal cavity quantitatively reaches 500ml, the symptomatology becomes more pronounced - the pain intensifies and the patient can not take a comfortable position (Vanka-Vstanka syndrome): it is impossible to lie down because of the pain intensification, as the diaphragmatic nerve irritates, but you can not sit down because of dizziness (fainting).
Discomfort in the abdomen of pregnant women at different times is not uncommon, and in many cases is not dangerous, slightly increased temperature, especially in the early stages, is also not always a threatening symptom. Nevertheless, a pregnant woman needs to inform the doctor about it, and a severe pain syndrome with a high temperature is an occasion for compulsory medical treatment.
[13], [14], [15], [16], [17], [18]
The stomach and temperature of the child hurts
The most common cause of such symptoms in children are intestinal infections. The child, especially the smallest, almost tries all the new things, tastes toys and fingers in his mouth, which are not always sterile, so it is not worth to be surprised at the infection. Symptoms of intestinal infections, in addition to those already mentioned, are acute diarrhea, nausea, vomiting. At a high temperature there can be confused consciousness, delirium. The child quickly dehydrates.
Intestinal flu or rotavirus infection can be accompanied by respiratory symptoms, and "catch" her child can airborne.
The temperature at the child at intestinal infection can be, both very high, and subfebrile. To make an accurate diagnosis, the child should be examined by a doctor.
Babies can not complain of abdominal pain, but the temperature is higher than normal and signs that the baby has a tummy aches - he cries, bends or vice versa - he presses his legs to encourage parents to see a doctor.
Acute appendicitis often develops at the age of more than nine years, however, it can happen in a very young child. The child does not touch the abdomen, often lies in the fetal position. The condition worsens quickly. Vomiting happens once, but sometimes the baby tears continuously. The temperature is from normal to very high (39.5 ℃). When purulent appendicitis is characterized by severe thirst, dryness of the mucous membrane of the mouth and lips.
Peritonitis can develop in the child as a result of appendicitis, and when the peritoneum is infected with streptococcus or pneumococcus. The pain is diffuse, the temperature is 39-40 ℃, the child is pale, he has a white coating on his tongue. With bacterial peritonitis, diarrhea may start with a yellowish-green stench.
The acute diverticulitis of Meckel in a child is the result of a congenital malformation of the ileum. Symptoms resemble acute appendicitis and are often diagnosed as a result of surgery. Inflammation of the diverticulum often leads to its perforation and development of peritonitis.
The abdomen and temperature of 39 ℃ and above in a child with acute inflammation of the gallbladder and its ducts. Symptoms, like those of an adult, are characterized by swelling and tension in the right side of the abdomen, lack of appetite, vomiting with an admixture of bile, nausea, defecation disorder. An older child may complain that pain is given to the right arm.
The abdomen and temperature of the child hurts 37 ℃ and slightly higher with acute inflammation of the pancreas, which can develop with inaccuracies in the diet with a predominance of fatty foods, and also sometimes as a complication of mumps (mumps). The pain is shrouded in nature, anorexia is observed, the child is sick, he often tears and swears. Asks to drink, on the tongue - white coating.
Abdominal pain and temperature of 38 ℃ and much higher in the child can be observed in various diseases (childhood infections, angina, acute respiratory viral infection, influenza) as a result of lymphadenitis of the intraperitoneal lymph nodes. A specific symptom of this condition is an increase in inspiratory pain when the pressure of the diaphragm occurs on the inflamed nodes.
Very emotional children growing up in an unfavorable psycho-emotional climate may experience pains in the abdomen of a psychogenic nature, accompanied by a slight increase in body temperature, migraine-like pains, a change in the skin color of the face - flushing or pallor, nausea, diarrhea, or constipation.
In children, just like in adults, these two symptoms can talk about many pathologies, so when the child has jumped to a fever and complains of abdominal pain - it is necessary to consult a doctor, and without delay.
Who to contact?
Diagnostics
Abdominal pain and temperature are primarily symptoms of the "acute abdomen", so the diagnosis includes an express examination that confirms the need for urgent surgery or allows you to observe and doobesledovat patient for pathologies that do not require emergency surgical measures.
The main diagnostic measures are questioning the patient, superficial palpation of the abdomen with checking the symptoms of irritation of the peritoneum, tapping and listening to the sounds of organs functioning, blood and urine tests, and ultrasound examination of the peritoneal, retroperitoneal and pelvic organs. Other instrumental diagnostics may be prescribed - tomography, radiography, laparotomy.
If suspicion of intestinal or sexual infection is made by rapid detection of antigens of the pathogen immunoenzyme, radioimmunological method, using the latex agglutination reaction. Finally, the form of the infectious agent is established using a polymerase chain reaction or serological methods. A longer time interval takes the isolation of pathogens from the vomit mass or stool culture using the bacteriological method.
The purpose of the tests depends on the symptoms detected and the expected pathology. It can be liver tests, biochemical analysis of blood and urine.
There may be a need for endoscopic examination of the gastrointestinal tract. For the differentiation of pseudo-abdominal syndrome, ECHO and electrocardiography, broncho-pulmonary system studies, and radiography of pelvic and thoracic bones can be prescribed.
[19], [20], [21], [22], [23], [24], [25], [26], [27], [28], [29], [30]
Differential diagnostics
Differentiation is performed between surgical and therapeutic pathologies, as well as acute appendicitis, cholecystitis, pancreatitis, perforated ulcer, acute and obturation (due to the presence of a tumor), intestinal obstruction, phlegmon of the intestine and stomach, diverticulitis, impaired ectopic pregnancy, hemorrhage into the ovary, strangulated hernia, the presence of peritonitis and other diseases.
Peritoneal pathologies that do not require immediate surgical intervention are also identified, for the first time uncomplicated cholecystitis and pancreatitis, acute mesenteric lymphadenitis, peptic ulcer disease, Crohn's disease, cecal motility syndrome, endometriosis and lipoctomy of the ileocecal valve, renal colic.
Nonsurgical pathologies distinguish from surgical ones - dyskinesia of the intestine, acute gastritis, parasitic infestations, intestinal infections (cholera, salmonellosis, dysentery, actinomycosis, food poisoning, etc.), lead colic, acute gynecological inflammations without perforation of organs and peritonitis, pseudoabdominal syndrome (acute pleuropneumonia, cardiovascular pathologies, spine diseases, "sprint fracture").
Treatment of abdominal pain with fever
A sudden pain in the abdomen, even without a temperature, is already an alarming symptom, and if there is a fever, especially above the low-grade, this requires immediate medical advice. In this case, delay can be fatal. With symptoms such as abdominal pain and high fever, it is necessary to provide the patient with peace, if vomiting occurs, turn his head to one side so that he does not choke on vomit, and call an ambulance. The patient is not recommended to give anesthetic medications (so as not to distort the clinical picture) and never put a heating pad on his stomach. Even if the temperature has low-grade values and the pain syndrome is mild and tolerable, it is better not to let the sick one go to the polyclinic, but call the doctor at home.
The temperature and pain in the abdomen are just symptoms of a very long list of diseases whose treatment will be administered depending on the diagnosis.
If necessary, the patient immediately undergo surgery, in doubtful cases, they will be placed for several days under observation in a surgical hospital. If severe pathologies are found, the patient is hospitalized in the appropriate department, in more mild cases, an outpatient treatment is prescribed.
Medicines for fever and pain in the stomach should not be taken, analgesics and antipyretics will only distort the symptom complex and make diagnosis difficult.
The same goes for folk methods of treatment.
Homeopathy can help in cases when surgical treatment is not required, however, the decision to consult a homeopathic doctor does not exclude a thorough modern examination and the establishment of a correct diagnosis.
Consequences and complications
Uncomplicated inflammatory processes of the peritoneum are easily eliminated, which can not be said of complicated, for example, perforation, when the purulent contents of the inflamed organ and the necrotic tissue fragments enter the abdominal cavity. There is a diffuse peritonitis, it can be cured only at the initial stages of its development. The operation to clean the abdominal cavity can last several hours, then the patient undergoes a long course of inpatient treatment with the use of detoxification and antibacterial therapy. In case of diffuse peritonitis, every fourth patient dies, so the cause of abdominal pain and temperature above the norm should be established as soon as possible, at least diseases that require immediate surgery - acute appendicitis, severe forms of acute cholecystitis and pancreatitis, perforated ulcers, intraperitoneal hemorrhages .
The temperature and pain in the abdomen with intestinal infections are complicated by frequent vomiting and diarrhea, threatening the development of dehydration, which can also lead to death. In severe forms of intestinal infections, for example, salmonellosis may develop an infectious-toxic shock with further edema of the brain, kidney or cardiovascular insufficiency. Dysentery can be complicated by the prolapse of the mucous membrane of the rectum.
Severe consequences can be avoided by seeking medical help in a timely manner, since virtually all uncomplicated diseases that cause abdominal pain and temperature are currently curable, if not conservative, then by surgical methods.
[41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51]
Prevention
The main measures preventing the development of diseases manifested by abdominal pain and temperature are proper nutrition, eradication of bad habits, adherence to basic sanitary and hygienic norms and hygiene of sexual life.