Abdominal pain with fever

Among the symptoms that make a person seek emergency medical care, one of the most common is high temperature and abdominal pain. In this case, contacting a doctor is the most correct tactic. Even if these are the patient's only complaints, they can be symptoms of very dangerous conditions that require urgent medical intervention, often surgical.

[ 1 ], [ 2 ], [ 3 ], [ 4 ], [ 5 ]

Reasons

If, in addition to abdominal pain, a person has a fever, 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 organs. Any organs located in the abdomen can also become inflamed - kidneys, urinary tract, pancreas, liver, genital system, intestines and stomach. Temperature and abdominal pain accompany hepatitis and intestinal infections - salmonellosis, dysentery, cholera, rotavirus infection, food poisoning. Such symptoms can also be observed in the terminal stage of cancer of the peritoneal organs.

Abdominal pain and fever may be caused by inflammation of the peritoneum or peritonitis, which in most cases is a complication of an inflammatory or oncological process of the organs of this 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 be observed with inflammation of the membranes or valves of the heart muscle and pneumonia, other diseases that contribute to inflammation of the intra-abdominal 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, diseases of the pelvic bones and joints.

In addition, there is unsanitary conditions, consumption of water and food of dubious origin, gastronomic preferences - fatty and spicy food, fast food, semi-finished products, physical and nervous overload, injuries (operations) on the abdominal organs and their consequences, hypothermia, decreased immunity, unbalanced diet, alcohol abuse, autoimmune, endocrinological and oncological pathologies.

[ 6 ], [ 7 ], [ 8 ]

Temperature and abdominal pain as a symptom of illness

Diseases, the first signs of which are fever and abdominal pain, generally require immediate examination of the patient, since such manifestations are possible in many pathologies. Some of them are related to the "acute abdomen" syndrome and, although not rare conditions, nevertheless require emergency measures to save the patient's life.

When a person complains of stomach pain, fever and weakness, this may be a sign of many diseases - acute inflammation of the appendix, kidneys, liver, pancreas, female and male genital organs, intestinal infections or peritonitis due to the same appendicitis and other inflammations, ulcer perforation, intestinal obstruction, neoplasms in the abdominal cavity. It is impossible to differentiate them at home, a specialist examination is required who can analyze the accompanying symptoms, test results, additional instrumental studies may be needed.

Diarrhea, abdominal pain and fever, first of all, suggest the presence of an acute intestinal infection. The occurrence of such symptoms is usually associated with the oral ingestion of pathogenic microorganisms - bacteria, viruses, parasites, causing inflammation of its mucous membrane in some area - the stomach, duodenum, small or large intestine. Additional symptoms of intestinal infections are weakness, vomiting, headache, rumbling in the abdomen, bloating. The temperature can vary - from normal or subfebrile to very high, in addition, some infections have specific symptoms that help diagnose the disease.

Intestinal infections are divided into bacterial, viral and protozoal by etiology. They can be caused by bacteria - pathogenic (salmonellosis, dysentery, yersiniosis, cholera, typhoid fever, etc.) and opportunistic (E. coli, Staphylococcus aureus), which are present in small quantities in the intestinal microbiocenosis and cause disease when the balance of beneficial and harmful microorganisms is disturbed. Rotaviruses, adenoviruses, coronaviruses and other representatives of the virus family, as well as amoebas, lamblia, helminths, and other parasites cause diseases accompanied by diarrhea combined with abdominal pain and fever.

Diarrhea, along with spasmodic pain in the area of the intestines, is the main symptom of its damage by infectious agents and usually appears first.

For example, with such a dangerous infection as cholera, the first sign is severe diarrhea, while the stomach does not hurt much, sometimes a slight soreness is felt in the navel area. Typical bowel movements (when feces come out) resemble rice broth in appearance and consistency (transparent mucous liquid with whitish flakes). Elevated temperature is also not typical for cholera, and during the period of dehydration it even drops below 36℃. About five hours after the onset of the disease, vomiting appears (without nausea), sometimes rare, only twice a day, but can also be very frequent - about twenty times.

Dysentery can be either bacterial (shigellosis) or amoebic (mainly in hot countries). The first signs of the disease are symptoms of general intoxication - body temperature rises, fever, loss of strength, headache appear, then cramping pains in the abdomen appear, intensifying with the urge to defecate. Intestinal symptoms in the case of a moderate disease appear after two to three hours, bowel movements occur ten to twenty times, the contents are mucus with streaks of blood. In severe cases, nausea and vomiting are observed.

If the first two infections mainly flourish in places with low sanitary standards, then salmonellosis is called the "disease of civilization", it is common in large well-equipped settlements, where the production and sale of food products is centralized. The disease begins acutely, the most typical onset is abdominal pain, vomiting and fever, accompanied by a loss of strength, myalgia. The patient complains of headaches, stomach pain - in the umbilical area and epigastrium, vomiting - repeated. Diarrhea begins quite quickly. After the passage of feces, the stool becomes watery, foamy, often greenish. The smell is very unpleasant. Bloody streaks may also be observed, the temperature depends on the form of the disease and can be either subfebrile or very high.

With all intestinal infections, significant water and electrolyte losses pose a great danger, even a fatal outcome. There are about thirty common intestinal infections, many of which are so-called food poisonings. Depending on the massiveness of the invasion, the type of pathogen and the patient's immunity, some of them are milder, for example, abdominal pain and diarrhea without fever can pass on their own within a day. Often, they are accompanied by severe symptoms with signs of general intoxication - loss of strength, headache, fever. High temperature (39-40 ℃), abdominal pain and diarrhea combined with nausea and vomiting are also present in severe food poisonings.

The presence of the above symptoms cannot be ruled out in acute appendicitis, as well as in hepatitis. Although diarrhea in this case is not a typical symptom.

The most common surgical pathology is acute appendicitis, which first of all manifests itself as a sudden pain that does not go away. The classic localization of pain is first in the stomach area, then descends to the lower right corner of the abdomen, where the cecum is located. The pain is quite pronounced, but quite bearable. It can be pulsating, cramping or even. The temperature is usually at 38-39 ℃, but can also be subfebrile. Vomiting in adults is no more than twice, and may not be there. Nausea, often quite bearable, is usually present. Diarrhea is extremely rare, more often there is a combination of abdominal pain, constipation and fever, bloating and distension due to accumulated and non-emitted gases. A characteristic symptom is a complete lack of appetite.

Peritonitis, as a complication of appendicitis and other inflammatory processes in the peritoneum, does not occur suddenly in most cases. The patient should have already experienced discomfort in the abdominal area. The main symptoms of peritonitis are severe abdominal pain and fever. Some describe the pain as extremely severe, however, this is an exaggeration, not all patients speak of it this way. Sometimes the pain can be tolerated, but it does not subside and there is a feeling of inevitability of trouble. The patient has hyperthermia, hypotension, confusion, pale skin. The muscles of the peritoneum are rigid, there may be one or two vomiting and other dyspeptic symptoms. Such patients need emergency surgical care.

Viral hepatitis can also begin with a rise in temperature, often up to 39℃ and higher, in addition, abdominal pain is not excluded and there may be repeated vomiting, however, not very often (1-2 times). Sometimes you just feel sick. This condition is usually characteristic of the anicteric stage of the disease, later the temperature will drop, the sclera of the eyes, skin will turn yellow, and the symptoms will become more obvious - urine will darken, and feces will become white-gray, like newsprint.

Vomiting and abdominal pain without fever can also be symptoms of Botkin's disease (in a milder form), you need to monitor the color of urine and feces. Gastritis, peptic ulcer, neoplasms of this localization, functional dyspepsia, chronic inflammation of the pancreas can also make themselves known in the same way. In this case, belching, heartburn, heaviness in the epigastrium are usually present.

Vomiting and mild abdominal pain without fever may indicate a concussion. One should remember about falls and head blows the day before. Dizziness and/or headache are also usually present. If injuries are excluded, other brain pathologies, neuroses or mental disorders can be suspected. They are also accompanied by headache, hypertension, and sometimes clouding of consciousness.

Drug therapy, in particular antibiotics of the fluorinated quinolone series and iron preparations, in addition, hormonal contraception can cause abdominal pain and vomiting without an increase in temperature. The cause of this condition can be intoxication, for example, with heavy metals.

Abdominal pain, nausea and fever are almost always present in the symptom complex of acute appendicitis, hepatitis, cholecystitis, cholangitis, pancreatitis, initial stage (local) peritonitis, combined pathologies of these organs. Diarrhea is not typical for these diseases, although it cannot be completely excluded.

The first sign of acute cholecystitis is a pain attack just below the right rib, radiating to the scapula and shoulder on the same side or the supraclavicular area. The pain is dull and intensifies over time, accompanied by nausea and repeated vomiting (in most patients). The temperature rises to 38℃, in more severe cases - up to 40℃, fever appears, the heartbeat increases. The sclera may turn yellow, and if the bile duct is blocked (stone or stricture), jaundice is observed. In the right hypochondrium, the muscles of the peritoneum are tense. A specific symptom of the disease is increased pain when pressing on the area of the right hypochondrium during inhalation (at the time of palpation, the patient cannot inhale). Patients are necessarily hospitalized in the surgical department.

Acute pancreatitis begins with an immediate pain syndrome. This usually happens after a heavy feast. The pain is localized in the upper abdomen - the stomach area, to the left or right of it in the hypochondrium, radiating to the lumbar region - "girdling" the patient. The triad of the main symptoms of this disease is pain, vomiting and bloating. The temperature fluctuates from above subfebrile to loss of strength, the 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 inflammation of the mucous membrane of the digestive tract, neoplasms of the peritoneum, anemia, immunodeficiency states, and as an atypical reaction - in food poisoning.

Abdominal pain, cough and fever can be observed with viral intestinal infections, which are more common in children. Usually in such cases, in addition to the above symptoms, there is nausea, vomiting and maybe a runny nose.

With pneumonia, bronchitis, tracheitis and other diseases of the respiratory system, prolonged and continuous severe coughing can cause pain in the abdominal area.

Abdominal pain, constipation and fever also require medical advice. Such symptoms may be present with appendicitis, in which case the lower right side of the abdomen hurts. Diverticulitis manifests itself in the same way - saccular protrusions in the colon (diverticula), in which fecal matter accumulates. In surgery, it is called left-sided appendicitis, since the symptoms are very similar, but the pain bothers the vast majority of patients on the left side of the lower abdomen. The risk group includes elderly people who prefer meat and flour dishes.

Fever and joint and abdominal pain may indicate the early stages of Whipple's disease, a fairly rare condition that affects men, mostly between 40 and 50 years old, most of whom were agricultural workers. However, fever itself can cause joint and muscle pain and body aches.

A precisely described nature of pain can suggest the direction of diagnostic measures. Severe abdominal pain and a temperature above 38℃ are characteristic of appendicitis. Pain, in most cases, appears in the stomach area, and after a while descends to the lower right corner of the abdomen.

Sharp abdominal pain and fever occur in cases of acute pancreatitis, the symptoms of which resemble acute appendicitis, however, the nature of the pain helps differentiate these two diseases. Inflammation of the pancreas is accompanied by radiating abdominal pain in the shoulder or collarbone area and a temperature above subfebrile. Half of the patients develop yellowing of the sclera and skin.

Inflammatory kidney diseases (acute nephritis) caused by infection of the organs also make themselves known as acute abdominal pain and temperature, not too high, which in some cases may not rise. The pain is localized in the lumbar region. Also characteristic are headaches, swelling and pallor of the face, scanty urine, which becomes cloudy, often with a reddish tint. With nephritis, some patients complain of nausea, there may be vomiting.

High temperature and cramping abdominal pain are typical of dysentery. They are localized in the intestinal area and are necessarily accompanied by acute diarrhea.

Acute salpingo-oophoritis (adnexitis, inflammation of the appendages) is also characterized by cramping pain. The temperature rises to 39℃, the symptoms resemble acute appendicitis. The lower abdomen hurts, often on one side, and the pain radiates to the lumbar region. There is no diarrhea. In contrast to appendicitis, vaginal discharge and pain during urination are observed.

Temperature and cramping pain in the lower abdomen may be signs of endometritis, which is often combined with an inflammatory process in the tubes or ovaries.

Cramping (spastic) pain, sometimes increasing, sometimes practically disappearing, is usually a consequence of excessive gas formation and a specific sign of intestinal infections.

Constant, intense, cutting abdominal pain and fever are more typical of surgical pathologies and are combined into the concept of "acute abdomen". The option of moderate dull pain and subfebrile temperature cannot be ruled out, however, the general condition of the patient is poor - weakness, nausea, vomiting.

Constant temperature and abdominal pain, the meaning of which is asked about on the Internet, can be a symptom of many chronic pathologies. It is assumed that the constant temperature is at the subfebrile level, and the pain is moderate, it is unlikely that anyone can constantly tolerate a temperature of about 39℃ and very severe pain. Such symptoms require a thorough examination and mandatory visit to the doctor.

Localization of pain is certainly an important symptom that allows one to assume pathology, however, it is impossible to make a diagnosis based on this symptom alone.

Thus, abdominal and lower back pain and temperature can be symptoms of nephritis (when tapping in the kidney area, the pain intensifies) or inflammation of the ureters, inflammatory processes of the pelvic organs - adnexitis, endometritis (mainly accompanied by vaginal discharge), while it is also impossible to exclude inflammation of the appendix with such localization of pain, it is possible with the location of the appendix of the cecum behind it. Such pain often radiates to the thigh and external genitalia.

Pain in the lower abdomen and fever can be caused by gynecological diseases, acute cystitis, intestinal infections, as well as acute appendicitis if it is located in the pelvis - the pain is felt directly above the pubis.

Temperature, pain in the lower back and abdomen are also characteristic of inflammatory processes in the pelvis. Usually in such cases, pain from below radiates to the lower back. In women, such pain is usually caused by salpingo-oophoritis and endometritis, in men - inflammation of the testicles and their appendages (orchitis, epidymitis, a combination of both), while the patient has a fever and nausea. Prostatitis also manifests itself as pain in the lower abdomen radiating to the lower back, however, in most patients the temperature remains within normal limits, but the pain intensifies when emptying the bladder, in general this act causes difficulties. Infections of the urinary organs: nephritis, cystitis, urethritis and their combinations, intestinal infections and bacterial colitis in both sexes cause a similar condition. The notorious appendicitis and local peritonitis due to a ruptured ovarian cyst, advanced inflammation of the pelvic organs, neoplasms of the genitourinary and digestive organs are also possible.

Osteochondrosis of the lumbar vertebrae causes pain in the lower back, radiating to the suprapubic area and leg. Usually the temperature is normal, however, if the attack developed after hypothermia, then the symptoms of a cold with an increase in temperature can be superimposed on the clinical picture of the disease.

Pain in the upper abdomen and fever can be a symptom of acute pancreatitis (temperature fluctuations from low to very high values), gastritis and an acute attack of peptic ulcer disease (usually subfebrile, but can rise higher), food poisoning (usually high temperature).

Acute appendicitis begins with pain above the navel, with time, as a rule, fever and pain in the abdomen on the right appear. Cholecystitis and cholangitis can also begin with pain in this localization, as well as inflammation of the pancreas, parts of the large and small intestines, local peritonitis.

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 may appear with diaphragmatic pleurisy, right-sided pneumonia, vascular pathologies that lead to the development of tissue hypoxia, local peritonitis, lymphadenitis.

Temperature and pain in the abdomen on the left, especially in elderly people, are the main symptoms of diverticulitis. The same signs appear with inflammation of the peritoneum organs of the left-sided localization, vessels, lymph nodes, pelvic bones and joints. In most cases, pain on the left side in the lower abdomen is caused by acute inflammatory processes in the organs of the genitourinary system. Quite often, such pain is caused by inflammation or infarction of the digestive organs - the spleen, small (its second section) and large (left side of the transverse and descending part of the colon) intestines. Somewhat less often, 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 temperature and abdominal pain in an adult indicate many serious pathologies, which can only be differentiated by a specialist, since the symptoms overlap with each other. High temperature is evidence of an intense inflammatory process or injury with a threat of damage to the integrity of internal organs, so you must urgently contact a medical institution.

Abdominal pain and fever during pregnancy

These symptoms in the expectant mother may be manifestations of any of the above reasons. Let's focus on the most common pathologies that occur during this period.

During pregnancy, many chronic diseases that did not make themselves known before pregnancy become aggravated. This is due to a drop in immunity in the first months and an increased load on the body. Dormant chronic gastritis often becomes aggravated - pain is localized in the epigastric region, dull, pressing, accompanied by nausea, heartburn, belching and a slight increase in temperature. Often, this is facilitated by the gastronomic preferences of the expectant mother in favor of sour, fatty, sweet or spicy foods, which appeared precisely during pregnancy.

The same reasons can cause an exacerbation of chronic cholecystitis. Acute pancreatitis in pregnant women develops extremely rarely, since it is most often provoked by heavy drinking, however, girdle pain in combination with elevated temperature should alert.

Acute appendicitis can develop in pregnant women, its clinical picture, especially in the second half, has some differences. In particular, due to the displacement of the appendix 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 the aggravation of gynecological inflammations. High temperature may indicate the severity of the inflammatory process, since abdominal pain can also be caused by such reasons as stretching of the ligamentous apparatus due to the growth of the uterus. In women who have suffered from inflammatory gynecological diseases in the past and the associated adhesion process, intense pain from stretching of the abdominal muscles during pregnancy occurs quite often, but it is not accompanied by an increase in temperature.

The most dangerous condition is a disrupted ectopic pregnancy. It is referred to as an "acute abdomen" and requires immediate surgical intervention. Usually the patient's temperature is not elevated, however, in rare cases, subfebrile temperatures may be observed, caused by the influence of progesterone and the absorption of blood entering the peritoneum. In the second or third week, with a delay in menstruation, cramping pains appear in the lower abdomen, radiating to the rectum and scanty vaginal discharge. Sometimes, with minor blood loss, moderate nagging pains appear. Only when the blood entering the abdominal cavity reaches 500 ml, the symptoms become more pronounced - the pain intensifies, and the patient cannot take a comfortable position (the "Tumbler" syndrome): it is impossible to lie down due to increased pain, since the phrenic nerve is irritated, and it is impossible to sit down due to dizziness (fainting).

Abdominal discomfort in pregnant women at different stages is not uncommon and in many cases does not pose a danger; a slightly elevated temperature, especially in the early stages, is also not always a threatening symptom. However, a pregnant woman should inform her doctor about this, and severe pain with a high temperature is a reason to seek medical help.

[ 9 ], [ 10 ]

The child has a stomach ache and a fever

The most common cause of such symptoms in children are intestinal infections. A child, especially a small one, tastes almost all new objects, puts toys and fingers into his mouth, which are not always sterile, so there is no need to be surprised by the infection. Symptoms of intestinal infections, in addition to those already mentioned, are acute diarrhea, nausea, vomiting. At high temperature, confusion and delirium may be observed. The child quickly becomes dehydrated.

Stomach flu or rotavirus infection can be accompanied by respiratory symptoms, and a child can “catch” it through airborne droplets.

A child's temperature with an intestinal infection can be either very high or subfebrile. To make an accurate diagnosis, the child must be examined by a doctor.

Infants cannot complain of abdominal pain, but a temperature higher than normal and signs that the baby has a tummy ache - he cries, arches or, on the contrary, pulls up his legs - should prompt parents to see a doctor.

Acute appendicitis usually develops at the age of over nine years, however, it can also happen to a very young child. The child does not allow his stomach to be touched, often lies in the fetal position. The condition worsens quickly. Vomiting may be single, but sometimes the child vomits continuously. Temperature - from normal to very high (39.5 ℃). With purulent appendicitis, strong thirst, dryness of the mucous membrane of the mouth and lips are characteristic.

Peritonitis can develop in a child as a result of appendicitis, or when the peritoneum is infected with streptococcus or pneumococcus. The pain is diffuse, the temperature is 39-40℃, the child is pale, and a white coating can be seen on his tongue. With bacterial peritonitis, diarrhea with yellowish-green foul-smelling discharge can begin.

Acute Meckel's diverticulitis 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 the development of peritonitis.

A child has a stomach ache and a temperature of 39℃ or higher with acute inflammation of the gallbladder and its ducts. Symptoms, like those in adults, are characterized by bloating and tension in the right side of the abdomen, loss of appetite, vomiting with bile, nausea, and bowel disorder. An older child may complain that the pain radiates to the right arm.

The child has a stomach ache and a temperature of 37℃ and slightly higher with acute inflammation of the pancreas, which can develop with errors in the diet with a predominance of fatty foods, and also - sometimes as a complication of mumps (epidemic parotitis). The pain is of a girdle nature, anorexia is observed, the child is nauseous, he often vomits and has diarrhea. He asks for a drink, there is a white coating on the tongue.

Abdominal pain and temperature of 38℃ and much higher in a child can be observed with various diseases (childhood infections, tonsillitis, acute respiratory viral infections, flu) as a result of lymphadenitis of the intra-abdominal lymph nodes. A specific symptom of this condition is increased pain when inhaling, when the diaphragm presses on the inflamed nodes.

Very emotional children growing up in an unfavorable psycho-emotional climate may experience psychogenic abdominal pain, accompanied by a slight increase in body temperature, migraine-like pain, changes in skin color of the face - hyperemia or pallor, nausea, diarrhea or constipation.

In children, as well as in adults, these two symptoms can indicate many pathologies, therefore, when a child’s temperature suddenly rises and he complains of abdominal pain, it is necessary to consult a doctor, and without delay.

Diagnostics

Abdominal pain and fever are primarily symptoms of an “acute abdomen,” so diagnostics include a rapid examination that will confirm the need for urgent surgery or allow observation and further examination of the 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 for symptoms of peritoneal irritation, tapping and listening to sounds of organ function, blood and urine tests, as well as ultrasound examination of the peritoneum, retroperitoneal space and pelvis. Other instrumental diagnostics may be prescribed - tomography, radiography, laparotomy.

If an intestinal or sexually transmitted infection is suspected, tests are performed to expressly identify the pathogen's antigens using the enzyme immunoassay, radioimmunological method, or the latex agglutination reaction. The type of infectious agent is finally determined using the polymerase chain reaction or serological methods. A longer period of time is required to isolate pathogens from vomit or feces cultures using the bacteriological method.

The tests prescribed depend on the symptoms identified and the suspected pathology. These may include liver function tests, blood and urine biochemistry.

Endoscopic examination of the gastrointestinal tract may be necessary. ECHO and electrocardiography, bronchopulmonary system examinations, and pelvic and chest X-rays may be prescribed to differentiate pseudoabdominal syndrome.

[ 11 ], [ 12 ], [ 13 ], [ 14 ], [ 15 ], [ 16 ], [ 17 ], [ 18 ], [ 19 ]

Differential diagnostics

Differentiation is made between surgical and therapeutic pathologies, and among surgical ones, acute appendicitis, cholecystitis, pancreatitis, perforated ulcer, acute and obstructive (caused by the presence of a tumor) intestinal obstruction, phlegmon of the intestine and stomach, diverticulitis, disrupted ectopic pregnancy, hemorrhage in the ovary, strangulated hernia, the presence of peritonitis and other diseases are distinguished.

There are also pathologies of the peritoneum that do not require immediate surgical intervention - newly discovered uncomplicated cholecystitis and pancreatitis, acute mesenteric lymphadenitis, exacerbation of peptic ulcer disease, Crohn's disease, cecal mobility syndrome, endometriosis and lipomatosis of the ileocecal valve, renal colic.

Non-surgical pathologies are distinguished from surgical ones by intestinal dyskinesia, acute gastritis, parasitic invasions, intestinal infections (cholera, salmonellosis, dysentery, actinomycosis, food poisoning, etc.), lead colic, acute gynecological inflammations without organ perforation and peritonitis, pseudo-abdominal syndrome (acute pleuropneumonia, cardiovascular pathologies, spinal diseases, "sprinter's fracture").

[ 20 ], [ 21 ], [ 22 ], [ 23 ], [ 24 ]

Treatment of abdominal pain with fever

Abdominal pain that suddenly appears, even without a fever, is already an alarming symptom, and if there is a high temperature, especially above subfebrile, it requires immediate medical consultation. In this case, delay can be fatal. With symptoms such as abdominal pain and high temperature, it is necessary to ensure that the patient rests, if vomiting occurs, turn the head to the side so that he does not choke on vomit, and call an ambulance. The patient is not recommended to give painkillers (so as not to distort the clinical picture) and in no case put a heating pad on the stomach. Even if the temperature is subfebrile and the pain syndrome is moderate and bearable, it is better not to let the patient go to the clinic alone, but to call a doctor at home.

Fever and abdominal pain are just symptoms of a very long list of diseases, the treatment of which will be prescribed depending on the established diagnosis.

If necessary, the patient will undergo urgent surgery, in doubtful cases he will be placed under observation in a surgical hospital for several days. If severe pathologies are detected, the patient will be hospitalized in the appropriate department, in milder cases - outpatient treatment will be prescribed.

You should not take medications for fever and abdominal pain; analgesics and antipyretics will only distort the symptom complex and complicate diagnosis.

The same applies to traditional methods of treatment.

Homeopathy can help in cases where 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 organs are easily eliminated, which cannot be said about complicated ones, for example, perforation, when the purulent contents of the inflamed organ and necrotic tissue fragments enter the abdominal cavity. Diffuse peritonitis occurs, which can only be dealt with at the initial stages of its development. The operation to cleanse the abdominal cavity can last several hours, then the patient undergoes a long course of inpatient treatment using detoxification and antibacterial therapy. With diffuse peritonitis, every fourth patient dies, so the cause of abdominal pain and a temperature above normal should be established as soon as possible, at least diseases requiring immediate surgical intervention should be excluded - acute appendicitis, severe forms of acute cholecystitis and pancreatitis, perforated ulcer, intraperitoneal hemorrhage.

Temperature and abdominal pain in 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, infectious toxic shock can develop with subsequent cerebral edema, renal or cardiovascular failure. Dysentery can be complicated by prolapse of the rectal mucosa.

Serious consequences can be avoided by promptly seeking medical help, since almost all uncomplicated diseases that cause abdominal pain and fever are currently curable, if not by conservative, then by surgical methods.

[ 25 ], [ 26 ], [ 27 ], [ 28 ], [ 29 ], [ 30 ], [ 31 ], [ 32 ]

Prevention

The main measures to prevent the development of diseases manifested by abdominal pain and fever are proper nutrition, eradication of bad habits, compliance with basic sanitary and hygienic standards and hygiene of sexual life.

Forecast

In most cases, diseases accompanied by symptoms such as abdominal pain and fever are completely curable if you see a doctor in a timely manner.

If such symptoms are ignored, the consequences can be very dire, even fatal.

[ 33 ]