Abdominal pain is a very common symptom, and may be an indication of both minor ailments such as indigestion and constipation, or major diseases such as ulcers, cancers and intestinal obstruction. It may arise from problems with the digestive system including the stomach, the colon, the appendix, liver, gallbladder, pancreas. It may also arise from kidney or bladder problems such as kidney stones. Sometimes the problem lies with the female reproductive organs, or from diseases affecting the skin and layers of the abdominal wall, e.g. shingles and hernia. Sometimes, pain felt over the abdomen may be due to diseases arising not within the abdomen, but elsewhere, e.g. heart attack and pneumonia. Occasionally, no physical abnormality is found despite a very comprehensive evaluation. In such a situation, the abdominal pain may be functional in nature.
One of the first questions the doctor would ask the patient is the location of the abdominal pain, as this would give the doctors a clue of where the pain is coming from. For this purpose, the abdomen is divided into 9 segments.
Pain may arise from the Stomach (e.g. ulcer), Oesophagus (e.g. Reflux), Pancreas (e.g. pancreatitis), Liver (e.g. hepatitis)
Pain may arise from the Gallbladder (e.g. gallstones), Liver (e.g. hepatitis, liver abscess), Bile duct (e.g. bile duct stones) and Colon (e.g. diverticulitis)
Pain may arise from the Stomach (e.g. gastritis, ulcer), Pancreas (e.g. pancreatitis), Colon (e.g.diverticulitis), Spleen (e.g. abscess)
Pain may be from the Small Bowel (e.g. gastroenteritis, bowel obstruction), Colon (e.g. constipation, obstruction), Aorta (e.g. aortic aneurysm)
Pain may be from the Right Kidney (e.g. kidney stones), Gallbladder (e.g. gallstones), Colon (e.g. colitis, diverticulitis)
Pain may be from the Left Kidney (e.g. kidney stones), Colon (e.g. colitis, diverticulitis)
Pain may be from the Appendix (e.g. appendicitis), Colon (e.g. colitis), Female Reproductive organs (e.g, ovarian cyst, ectopic pregnancy, endometriosis), Lymph Node (e.g. mesenteric adenitis)
Pain may be from the Female Reproductive organs (e.g, ovarian cyst, ectopic pregnancy, endometriosis), Colon (e.g. colitis, constipation)
Pain may be from the Bladder (urinary tract infection), Female Reproductive organs (e.g, fibroids, ectopic pregnancy, endometriosis), Colon (e.g. colitis, diverticulitis), Prostate (e.g. prostatitis)
In addition to the location of the pain, the doctor will often ask the following:
What are the danger symptoms?
Depending on the doctor’s suspicion after he has performed a detailed history taking and a physical examination, he may order certain tests. Such tests include blood tests, stool and urine tests, X-rays, endoscopy, and scans such as an ultrasound or CT scans.
Treatment depends on the cause of the pain once it is determined. It can be lifestyle modification such as with gastric reflux disease. Or medications may be necessary for both symptom control and specific treatment of the problem. For conditions like acute pancreatitis, a person can become very sick and may even need to be admitted into ICU in some situations. In other situations, surgical operation may be required, such as for conditions like acute appendicitis, gallbladder stones and cancer.
HepatoBiliary, Pancreas & General Surgeon
Colorectal & General Surgeon
Upper Gastrointestinal, Bariatric & General Surgeon
HepatoBiliary, Pancreas & General Surgeon
Urologist
Colorectal & General Surgeon
Upper Gastrointestinal, Bariatric & General Surgeon
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Our clinics will be closed from 16 – 18 Feb for CNY
Our clinic at Mt Alvernia Medical Centre A will be relocating from #06-05 to #03-03 (within the same building) on Friday, 26 Sep afternoon.
Our telephone line 6353 4855 will be temporarily unavailable from 12:00pm – 6:00pm on 26 September. During this period, you may reach out to our other clinics for assistance:
We will begin operations at our new premises (#03-03) from Tuesday, 30 Sep onwards.
We look forward to serving you at our new clinic!
Nexus Surgical clinics at Mt Elizabeth Novena Specialist Centre, Gleneagles Medical Centre, Parkway East Medical Centre and Mt Alvernia Medical Centre will be closed on 28 January 2025 for Lunar New Year celebrations, while our clinic at Mt Elizabeth Orchard Medical Centre remains open from 0900-1300 hours on 28 January 2025.
Please leave a message in our voice mails and we will respond to you as soon as we can when we resume our clinics on 31 January 2025. If you require any urgent assistance, kindly go to the Urgent Care Centre of any hospitals or contact your doctor through the Emergency Answering Service. Our team at Nexus Surgical would like to take this opportunity to wish you and your loved ones a Happy & Prosperous Lunar New Year with good health in the Year of the Snake!
Nexus Surgical will be away from 17 to 20 October 2024 for our Annual Company Retreat. The aim of our retreat is to review and to recharge, so that we may serve you better.
Our clinics at Mount Elizabeth Orchard, Mount Elizabeth Novena, Mount Alvernia and Parkway East hospitals will therefore be closed during this period. In the meantime, if you require any urgent assistance, kindly contact us through our Answering Service at +65 6333 5550.
We thank you for your understanding and patience for any inconvenience.
