I'm very sorry, but I cannot give specific, individualized medical advice on this channel. If you are experiencing abdominal pain yourself, I recommend speaking to your physician. This video is specifically about *acute* abdominal pain; in clinical medicine, "acute" refers to a single episode developing over minutes to days. Thus, causes of *Chronic Abdominal Pain* (e.g. abdominal cutaneous nerve entrapment syndrome, functional abdominal pain) and/or recurrent episodic pain (e.g. menstrual pain, endometriosis, IBD, IBS) are covered in a companion video here: th-cam.com/video/qfVHJQu-dfw/w-d-xo.html.
Thanks for the advice, but which physician should I visit to check out abdominal and back pain. And test should I do for checking the nature of sickness?
i keep feeling this pain under my left rib . only way to explain is. when i bend or cross legs it feels like an organ is catching under rib going into a spasm omg its very very painful anyone experienced this it keeps coming and going but last couple of days it been every day
@JACULUS GAMING so very pain and when you try get up it like hold there and the pain omg i scream my neighbours must think iam getting killed lol . have you found out what it is
Please also consider ACNES because it isn't well known, it is a long way until diagnosed because it isn't the first thing that comes to mind to doctors. Please look this up when pain is a problem that isn't explained after a lot of examinations didn't give a diagnose. Please keep this ACNES mention visible so people can learn and maybe be alert to this possible diagnosis. So many people are suffering for such a long time without diagnose, please research and mention this too❤️❤️ so this gets more recognized. And more awareness can be spread. Thank you in advance I do hope this comment doesn't get lost. Wishing everybody a swift recovery and hopefully this information reaches more people so it can help and educate and most of all end some suffering earlier due to more awareness of what the cause can be and what can be done about it.
@@snltgr I have taken to doing my own research due to severe right quadrant -- all routine labs and testing (CT, MRI, X-ray) are all normal. After researching, my symptoms match perfectly. I'm seeing my doctor tomorrow, butvi don't know how to bring ACNES up to him! I rarely go to the doctor and hadn't seen a doc since early n 2016 (I had a mild stroke and herniated 3 cervical discs, went to ER complaining o stoke symptoms & arm/armpit pain-- l had a fusion shortly afterwards & have no lasting signs of stroke). Prior to 2016, I can't even recall going to a doc in the previous 10yrs. I have to be in excruciating pain or have obvious symptoms like those of a atroke-- drooling face, slurring words,weakness on one side, etc).Basically, i know no one likes going to the doctor, but I avoid it at all costs. If my illness or symptoms interfere w/my sleep. I'm also self-paying and those tests weren't inexpensive! I'm just trying to get the point across that I don't go to doctors unless I am in too much pain to sleep or it makes me cry out loud. After a few trip ls to the doc and each resulting in a referral for a test (remember I'm self-paying! I pay more than the contract rate insurance companies pay (usually 2.4 times more) and the office gets paid right away by me in cash and has no firms to fill out and mil) Anyway, *HOW* do I bring up to my doctor that I'd like him to check me for ACNES? I remember going with my mom to an appointment she had and wjenvi brought up a possibility for her symptoms, the doc nastily said, "I wish patients would stay off the internet!" So, any suggestions? I thought maybe I should ask about 2 or 3 things that it ISNT and then ask about ACNES so he can confidently tell me why it's not the first 2 or 3. That way if he's not familiar with ACNES, I've saved his ego with his knowledge of the first 2 or 3. *ANY* and *ALL* suggestions, replies and comments will be GREATLY APPRECIATED! . I cannot live, cannot survive, with this pain. It's just too intense for too long that my head has briefly wondered if a doctor will purposely injure a patient's spinal cord so they are numb/paralyzed from the waist down. I'm not quite there yet, but I am beginning to wonder if I could find relief after going to the 'hood in ATL and buying some crack or heroin or whatever might help. I honestly would trade being an addict for this pain because I figure there treatment for it and I can crawl myself out of addiction. Unfortunately, narcotics/opioids, do nothing for this and have refused any refills or higher dose. if pain pills font work WHAT DOES WORK??i
Simply astounding. Covered a lot of clinically relevant information in such a short amount of time. Can’t get this summarized info anywhere else-this is gold, thank you so much!
I suffered a perforated duodenal ulcer over 12 years ago. It was nearly fatal. I spent the whole month of November in the hospital, mostly in ICU. I haven’t forgotten that pain nor the symptoms leading up to the acute situation. I say all this because I am very aware of slight changes in most parts of my body, especially my abdominal area. I don’t look for pain. I love being healthy. However, I am in my 60s now, and I worry about my stomach area more than any area. I really enjoyed your video. I don’t feel as anxious about my present onset of pain in my upper right quadrant. I feel confident that I can wait and watch for any other symptoms. I don’t need to panic! Thank you!
I suffered from unbearable abdominal pain for many years. Once I took gluten out of my diet, the pain went away. Try a diet free of wheat & barley and see if it doesn't help. I also stopped eating eggs , corn, and peanut butter. This made a HUGE change. Now my stomach feels even better than it did when I was a child.
Ooh i want to cut gluten so bad. Along with dairy. My issue is with low income how to make meals at an affordable cost and consistently. I always struggle with what to eat/make so i end up cavjng
I've just found your channel and this video for the first time. And let me just say... wow! Thank you! I've done so much in depth research yet there was one thing I've missed that was on your video. I've been living with chronic pain for 12+ years and an array of other symptoms affecting every body system, my quality of life,... just everything. Yet doctors can't fully explain what's happening to me and like so many others - must of my tests all come back "normal". A little over a year ago I went to the ER finally - because I've been so traumatized by medical professionals in so many different ways this was huge for me. They did an ultrasound on my gallbladder - said my results were normal - no gallstones and only mild wall thickening. However, after just a few moments into the ultrasound I went into a severe "episode" exactly the same as I have been for years and it caused tremendous pain. I've known all of this time that that couldn't be normal but still they said it was heartburn along with one other ER person & then a couple of different drs said it was me having panic attacks or was FND. Also, during my HIDA Scan (normal results of course), severe pain & an episode was triggered by the meds they injected towards the end (cck/ckk?). I'm still fighting for answers- it shouldn't be this hard. After all of these years of suffering, being home bound, and losing so so much - I'm finally going to Mayo Clinic appt this month. I'm terrified they will dismiss me too, tell me it's mental health only, won't believe me, etc... but I'm still going to find the strength to drive 14+ hrs to get there because they are what feels like my last hope. I deserve better than the care I've recieved and how I've been treated because... well, because I'm a human being who is suffering to such lengths that I can't so much physically now and it's similar to screaming but noone can hear me because they aren't listening to the few things I can still say. If I go into an episode during an appt which is very likely if they start by being kinda mean - I can't even speak in full sentences or explain myself properly. By the way, in case anyone reads this and needs a better picture... I'm only 36 so this all started when I was 24 years old, healthy, strong, slim, etc... And still to this day even people who know me well don't believe me - some not fully - because I can still walk and they can't visibly see anything wrong with me. I'm still choosing to love, to be understanding, to not let the bitterness consume me, and I want to live!! But not like this... this isn't living, it's only surviving and not very well at that. Ok, done spewing now ♡♡♡
Omg this reminds me of my situation so much. The abdominal attacks I have had disabled me while doctors think I’m too young and can’t find anything wrong. I’m 34 female and these attacks all started when I was 18. Doctors my whole life said it was ibs. Took my gallbladder and made my stomach much worse. Iv tried everything and most days hate my existence. I found a new doctor I am preying can give me some answers. This has caused bad anxiety and I do not leave the house. I do not date,drink or eat things I like. I’m in miserable pain 75% of my life. I think my family think I’m crazy. My stomach hurts so bad and there is no releaf. I hope you find out something I’m feel so alone and trapped
Just keep listening to these videos in a daily basis, and you will become a great physician like this Professor. Thank you doctor. One of my favorite medical youtube channels!!!
I'm not sure what kind of doctor you are but you sound like a genius to me I wish you were my doctor I can tell you will get to the root of what's causing my pains to cause my doctors are not trying to help me with my pains I wish you were my doctor, thank you for this wonderful video thank you amen.
An excellent, and thorough presentation, but you already know that. Thank you for all the time and effort you clearly have put into this video. We are all in your debt in innumerable ways.
If you appreciated this video, you may also want to know the indicators of a healthy gut! They include: colon transit time of 12-24 hours, type 4 stool on the Bristol stool chart, not having diarrhea or constipation, having 1-3 bowel movements per day, and light-dark brown colored stools!
Dr. Strong thank you so much for making these videos. The way you organize information and explain them is very professional and easy to understand. Sincerely, a medical student from Turkey :)
Ummm so I have discomfort not pain in my lower right abdomen I can walk and everything but I just dont feel comfortable and I dont feel sharp pains I was scared that it was appendicitis 🥺
If you liked this video, you may also want to know that Gut health is so important for overall health! Indicators of a healthy gut include: colon transit time of 12-24 hours, type 4 stool on the Bristol stool chart, not having diarrhea or constipation, having 1-3 bowel movements per day, and light-dark brown colored stools!
Im dissuaded to get any answers from the current available healthcare systems. The industry is not health driven but monetarily and pharmaceuticaly infiltrated. I find few interested in seeking deeper origins of pathologies that most would rather suppress the pain than find the root origin. This video presentation is exceptionally insightful
THANK YOU! That was the most Informative and Well described Video on Acute Abdominal Pain I have EVER VIEWED. I have the advantage of understanding most medical terminology and I’m in excruciating pain now. Trying to narrow my condition down as much as possible. Pain slightly began several hours ago and has continuously worsened. Have it narrowed down to 3 or 4. Holding off as long as possible until I can reach my Primary. I’m complicated and need for him to speak to Hospitalist. They’ll Never believe my knowledge of my Own Body.
I'm from India.🇮🇳...i don't have problem, Bt your video is very knowledgeable, that why I'm is here and watching videos....😇😇😇 I prey to God,all people stay healthy and live long life 🍁
It's a shame that my own PCM isn't this thorough. No one can seem to tell me what is causing my pain. Got to educate ourselves, thank you for the video.
hopefully this helps people understand why we ER docs have to resort to getting so many abdominal CTs. how are you going to send someone home knowing that things present atypically, that WBC is not reliable, that appendicitis can present without fever, vomiting...sigh.
Agree! There are many situations in medicine when docs generally over-order radiographic studies, but ordering imaging in the ED for patients with acute abdominal pain is not one of them. There are too many serious diseases that present similarly which can only be reliably distinguished via imaging. In my first draft of this video, I spent a few minutes talking specifically about imaging indications for acute abdominal pain, but it was impossible to summarize beyond: "If the patient looks ill and you aren't confident as to what's going on, get a CT or ultrasound" which doesn't sound consistent with "Choosing Wisely" principles in the US that aim to reduce healthcare costs and exposure to adverse events from unnecessary testing, but having a low threshold to scan an painful belly nevertheless seems the most clinical prudent.
Huh. Well, I went in and they said interstitial cystitis probable and to take Tylenol and good bye. I took antihistamine and antacid and within 24 hours could function again. All started 6 months ago with a bad root canal. Over 2 weeks to see a GP. Currently looking for a country where medical care is readily available.....
@@StrongMedI've had so many CTs' with contrast/ double contrast, I should glow in the dark, an ERCP that made the pain 50% worse , his equipment malfunctioned, hospitalized 3 times w/more CTs .. 30 years later a Dr doing a lung CT found Pneumobilia, end of treatment so I sit here in pain with not much longer to live..
thank you so much for this video breaking down the different area's and types and kinds of pain I never seen a video like this before, I really enjoyed it very informative thank you so much thank you. I no one of these situations conditions is me I pray a doctors can get to the root of my pains in time, I pray, I pray, lord I pray, they find what's causing my side stomach, and pelvic pains, i've had them both off an on for a long time and the pain is getting more frequently, and doctors just ant doing good medicine to solve my pains medical problem I pray lord they do, get to the root of my pains lord god, I no one of these conditions is me I just don't no whitch one is me, i've told every doctor I had about these pains over the years, and non so far has solved or got to the root of these pains, in my stomach or pelvic, I pray they do, again I thank you so much for this very informative information video, thank you, Amen.
Drink a glass of warm water with lemon juice drops 30 min before eating. No gluten no sugar no alcohol. Try vegetarian food for 2 weeks. Can clean up your internals nicely
A+ video. GI NP. Outpt/ some inpt. In outpt setting i always rule out constipation quickly 😊. Love a hospital w/u for the immediacy of diagnostic findings.
We appreciate this video! Gut health is so important for overall health! A survey from 2018 of 71,000 Americans found that 61% had at least 1 bothersome gut issue! The most common gut symptom was acid reflux or GERD, then abdominal pain, then bloating.
When you a woman and have acute stomach pain while have mensrruation, a lot of physician take it as nothing.... I AM SORRY BUT I'VE BLEEDING ONCE A MONTH FOR MORE THAN 10 YEARS AND I KNOW THE DIFFERENCE BETWEEN MENSTRUAL PAIN AND SOMETHING WRONG GOING ON MY STOMACH
I’m having pain under my stomach it’s Either on the right or left side ive been having sharp pains there kinda like gas pain and I be feeling like gas is moving around in my stomach and it makes sounds like I’m hungry and sometimes I pass gas and the pain gets less painful and wen this happens I can’t even walk it’s kinda like having period cramps but it’s not period cramps and I feel like farting but the fart won’t come out and it just bulids up in my stomach and causes pain under my stomach
It could be trapped wind since u said you feel relief when passing gas. Try boiling some ginger with water (u could add tea and honey for taste). Drink this, it will help release gas. It really works wonders if the problem is trapped gas. You should also watch the type of food u eat which can cause the production of gas. If problem still occurs, you should see a doctor! There might be an underlying problem
@Ai zee 8604 that's great, but don't ignore it . If the problem continues, go see the doctor. you may have allergy to some food or have some medical condition. Best is to get a doctor to examine you
To make ur belly out if pain i prefer listening to very powerful beats for stomach, ofcourse only recommended. I listened to few ones for abt 10mins all my very hard pain was almost gone.
well i suggest you also consider ovarian torsion as a reason of suprapubic/umblical abdominal pain , ovarian torsion is easy to miss but very important to find out
My sharp pain in the upper right quadrant came from a 1 cm benign tumor in my large intestine, right close to my appendix, so they did a resection and removed my appendix.The tumor was found during my first routine colonoscopy at age 52. Should have gone in at age 50, then they could have snipped it out. It grew too big to snip, thus the surgery.
I'm just curious if you have ever seen a patient with an abdominal depression and how common it is? Not asking for a diagnosis of course but I would like to know more about the possible causes for it. I am waiting to hear from University of Michigan hospital to get scheduled so I can find out what exactly I have going on and what I need to do. Thanks
I'm very sorry, but I am not familiar with the term "abdominal depression". If you are describing a visible, physical abnormality of the abdominal wall, I wouldn't want to speculate on that, and I recommend seeing a physician in person as you have indicated you are trying to arrange.
If you enjoyed this video, you may also want to know about some mistakes people may make in trying to fix gut health include: adding a probiotic to help with excessive gas and bloating (that's just one piece of the puzzle), eliminating a food for 4 days and expecting it solve the issue (will take at least 2 weeks), and not thinking about root causes!
I've had pain in my stomach for over 60 days now. It started around the belly button, then the line below, it would move around day to day. Then it finally settled in the lower left hip area. It's not a hernia because I have no bulge. Blood test are fine, waiting for an ultrasound.
That's so strange, I'm having the same thing. Emergency department said a bladder issue but I know it's digestive. Mine had pain in lower left too, but also no swelling such as hernia. Mine felt like a string was being pulled from the belly button in different directions. I've started myself on antihistamine and antacid while I wait 2 weeks to see GP, and it has helped a lot. If I ever win the lottery I shall have faster access to medical care. :(
I have the same problem too but it's all over my right abdomen and back pains too (probably one of the reasons is probably dehydration coz I drink water 3-5 glasses a day and not eating healthy)
My daughter woke up in severe pain this morning. It's in the upper middle part of her stomach and her upper back. She has diarrhea and vomiting. She can't keep anything down. I had her take halve of a muscle relaxer. It did help her rest. She has no fever.
@shinchan noharah I have PAIN on my mid left side of stomach. I'm almost 60 and drink wine more than the norm. It just started yesterday and a heating pad isn't helping. Hurts nauseated too. 1/29/22. What to do? Please
The right lower side of my abdomen just below the belly button bulges out slightly more not sure if this normal and I’ve only just noticed this! I have no pain there and I can’t feel any lump or bump when I press into the skin so not sure what it is 🤔
@Slim so sorry to hear that. My mum has abdominal pains and paramedics said it sounds like trapped gas. Mum has been taking stomach lining tablets for past month but not improved. I asked about polyps because aunts said they had similar pains and they had polyps removed and now they feel better.
Very knowledgeable, thank you so much for sharing. But you forgot one that is destroying lives due to the undiagnosed pain. It's Acute Cutaneous Nerve Entrapment Syndrome. Please include this one.
I know what you mean, this was the very subject I was hoping to be in the video as well as it needs more awareness so people don't have to suffer needlessly for a long time while undergoing a lot of unnecessary invasive examinations and scopes.
I'm 14 I'm having pain in the left flank when I blow air in my stomach it goes away after a night or so and returns after some weeks or months it's annoying 😔
@@sweeptheleg3097 some weeks ago i was eating a apple sause it was not cold. I was sitting hunch over while eating it (bad posture) after eating it had this pain above my navel that happen right away. Then the pain move from above of my navel to the side of my navel. The next moring i woke up with lower abdomen pain which move from the right to the left which last about 2or 3 days with bloating. After the adbomen pain was over, the pain travelled to my lower side then my rids area on the right side. When lower back pain which would moves to the upper area. Some times i pain went to my chest or so i think. The twist in my story is before i pain above my navel that started all this ago i was having bodyaches dure to axniety physical sysmtoms. So now i dont know if all this is axniety related or now. I did find a little lump in the back of my neck. I think i have cancer which every person with health anxiety think they have i dont know
Sudden pain in lower abdomen and also pain while urinating which pain is this sir. It have been since 4 years and it's is sudden . It comes in gap 20 days
Hey bro..I want to talk with you about pain below belly button..I also have same problem Sharp pain..hurts like hell withe urinating n usually comes every 15-20 days
mine got this..i try ultrasound then they see cystisis gave me meds..i feel it like 8yrs come n go..it got me when dehaydrated so much pain but when resting and rehaydrated the pain goes away.i thought it was appendicitis..i hope will not comeback..
You should look up ACNES (anterior cutaneous nerve entrapment syndrome) I’ve been having pain for 6 years and I’ve never been able to find the cause after multiple doctors and upon researching I stooped upon ACNES and many if not all of the symptoms match I haven’t been diagnosed yet but I think that’s it.
I've been experiencing mild pain on my right side of my stomach.. it's very mild.. I had done some ab work outs a few days back and I think it started from that.. I've been panicking because I've been experiencing gassy stomach too.. I don't know if I have kidney stone or not that's what I'm guessing.. can exercise cause such pain.. also I'm male
I'm very sorry, but I cannot give specific, individualized medical advice on this channel. If you are experiencing abdominal pain yourself, I recommend speaking to your physician.
This video is specifically about *acute* abdominal pain; in clinical medicine, "acute" refers to a single episode developing over minutes to days. Thus, causes of *Chronic Abdominal Pain* (e.g. abdominal cutaneous nerve entrapment syndrome, functional abdominal pain) and/or recurrent episodic pain (e.g. menstrual pain, endometriosis, IBD, IBS) are covered in a companion video here: th-cam.com/video/qfVHJQu-dfw/w-d-xo.html.
Thanks for the advice, but which physician should I visit to check out abdominal and back pain. And test should I do for checking the nature of sickness?
i keep feeling this pain under my left rib . only way to explain is. when i bend or cross legs it feels like an organ is catching under rib going into a spasm omg its very very painful anyone experienced this it keeps coming and going but last couple of days it been every day
@JACULUS GAMING so very pain and when you try get up it like hold there and the pain omg i scream my neighbours must think iam getting killed lol . have you found out what it is
Please also consider ACNES because it isn't well known, it is a long way until diagnosed because it isn't the first thing that comes to mind to doctors. Please look this up when pain is a problem that isn't explained after a lot of examinations didn't give a diagnose. Please keep this ACNES mention visible so people can learn and maybe be alert to this possible diagnosis. So many people are suffering for such a long time without diagnose, please research and mention this too❤️❤️ so this gets more recognized. And more awareness can be spread. Thank you in advance I do hope this comment doesn't get lost. Wishing everybody a swift recovery and hopefully this information reaches more people so it can help and educate and most of all end some suffering earlier due to more awareness of what the cause can be and what can be done about it.
@@snltgr I have taken to doing my own research due to severe right quadrant -- all routine labs and testing (CT, MRI, X-ray) are all normal. After researching, my symptoms match perfectly. I'm seeing my doctor tomorrow, butvi don't know how to bring ACNES up to him! I rarely go to the doctor and hadn't seen a doc since early n 2016 (I had a mild stroke and herniated 3 cervical discs, went to ER complaining o stoke symptoms & arm/armpit pain-- l had a fusion shortly afterwards & have no lasting signs of stroke). Prior to 2016, I can't even recall going to a doc in the previous 10yrs. I have to be in excruciating pain or have obvious symptoms like those of a atroke-- drooling face, slurring words,weakness on one side, etc).Basically, i know no one likes going to the doctor, but I avoid it at all costs. If my illness or symptoms interfere w/my sleep. I'm also self-paying and those tests weren't inexpensive!
I'm just trying to get the point across that I don't go to doctors unless I am in too much pain to sleep or it makes me cry out loud.
After a few trip ls to the doc and each resulting in a referral for a test (remember I'm self-paying! I pay more than the contract rate insurance companies pay (usually 2.4 times more) and the office gets paid right away by me in cash and has no firms to fill out and mil)
Anyway, *HOW* do I bring up to my doctor that I'd like him to check me for ACNES? I remember going with my mom to an appointment she had and wjenvi brought up a possibility for her symptoms, the doc nastily said, "I wish patients would stay off the internet!"
So, any suggestions? I thought maybe I should ask about 2 or 3 things that it ISNT and then ask about ACNES so he can confidently tell me why it's not the first 2 or 3. That way if he's not familiar with ACNES, I've saved his ego with his knowledge of the first 2 or 3. *ANY* and *ALL* suggestions, replies and comments will be GREATLY APPRECIATED! .
I cannot live, cannot survive, with this pain. It's just too intense for too long that my head has briefly wondered if a doctor will purposely injure a patient's spinal cord so they are numb/paralyzed from the waist down. I'm not quite there yet, but I am beginning to wonder if I could find relief after going to the 'hood in ATL and buying some crack or heroin or whatever might help. I honestly would trade being an addict for this pain because I figure there treatment for it and I can crawl myself out of addiction. Unfortunately, narcotics/opioids, do nothing for this and have refused any refills or higher dose. if pain pills font work WHAT DOES WORK??i
Simply astounding. Covered a lot of clinically relevant information in such a short amount of time. Can’t get this summarized info anywhere else-this is gold, thank you so much!
👏
abdominal cramps are a whole new level of sheer pain. i nearly cried during an episode of it
im saying
What you do to help
Honestly I was experiencing with drugs and I think I’ve almost killed myself
Imma wait a few days until it’s out of my system then go to the doctor
I ate too.many tacos for superbowl my stomach hurts bad now
I suffered a perforated duodenal ulcer over 12 years ago. It was nearly fatal. I spent the whole month of November in the hospital, mostly in ICU. I haven’t forgotten that pain nor the symptoms leading up to the acute situation. I say all this because I am very aware of slight changes in most parts of my body, especially my abdominal area. I don’t look for pain. I love being healthy. However, I am in my 60s now, and I worry about my stomach area more than any area. I really enjoyed your video. I don’t feel as anxious about my present onset of pain in my upper right quadrant. I feel confident that I can wait and watch for any other symptoms. I don’t need to panic!
Thank you!
What were the symptoms leading up to that?
Was it scary spending all that time in the hospital? Did you have family stay with you?
Please pray for me, I'm having pain tenderness on the left side of waist
I suffered from unbearable abdominal pain for many years. Once I took gluten out of my diet, the pain went away. Try a diet free of wheat & barley and see if it doesn't help. I also stopped eating eggs , corn, and peanut butter. This made a HUGE change. Now my stomach feels even better than it did when I was a child.
Same here
I will try anything to never feel this excruciating abdominal pain ever again.
Ooh i want to cut gluten so bad. Along with dairy. My issue is with low income how to make meals at an affordable cost and consistently. I always struggle with what to eat/make so i end up cavjng
*caving
I've just found your channel and this video for the first time. And let me just say... wow! Thank you! I've done so much in depth research yet there was one thing I've missed that was on your video. I've been living with chronic pain for 12+ years and an array of other symptoms affecting every body system, my quality of life,... just everything. Yet doctors can't fully explain what's happening to me and like so many others - must of my tests all come back "normal".
A little over a year ago I went to the ER finally - because I've been so traumatized by medical professionals in so many different ways this was huge for me.
They did an ultrasound on my gallbladder - said my results were normal - no gallstones and only mild wall thickening. However, after just a few moments into the ultrasound I went into a severe "episode" exactly the same as I have been for years and it caused tremendous pain.
I've known all of this time that that couldn't be normal but still they said it was heartburn along with one other ER person & then a couple of different drs said it was me having panic attacks or was FND.
Also, during my HIDA Scan (normal results of course), severe pain & an episode was triggered by the meds they injected towards the end (cck/ckk?).
I'm still fighting for answers- it shouldn't be this hard. After all of these years of suffering, being home bound, and losing so so much - I'm finally going to Mayo Clinic appt this month. I'm terrified they will dismiss me too, tell me it's mental health only, won't believe me, etc... but I'm still going to find the strength to drive 14+ hrs to get there because they are what feels like my last hope.
I deserve better than the care I've recieved and how I've been treated because... well, because I'm a human being who is suffering to such lengths that I can't so much physically now and it's similar to screaming but noone can hear me because they aren't listening to the few things I can still say. If I go into an episode during an appt which is very likely if they start by being kinda mean - I can't even speak in full sentences or explain myself properly.
By the way, in case anyone reads this and needs a better picture... I'm only 36 so this all started when I was 24 years old, healthy, strong, slim, etc... And still to this day even people who know me well don't believe me - some not fully - because I can still walk and they can't visibly see anything wrong with me.
I'm still choosing to love, to be understanding, to not let the bitterness consume me, and I want to live!! But not like this... this isn't living, it's only surviving and not very well at that.
Ok, done spewing now ♡♡♡
Hope all is good with you now
Hey! How r u
Omg this reminds me of my situation so much. The abdominal attacks I have had disabled me while doctors think I’m too young and can’t find anything wrong. I’m 34 female and these attacks all started when I was 18. Doctors my whole life said it was ibs. Took my gallbladder and made my stomach much worse. Iv tried everything and most days hate my existence. I found a new doctor I am preying can give me some answers. This has caused bad anxiety and I do not leave the house. I do not date,drink or eat things I like. I’m in miserable pain 75% of my life. I think my family think I’m crazy. My stomach hurts so bad and there is no releaf. I hope you find out something I’m feel so alone and trapped
Have you checked for endometriosis? if youre female@@nickolaslane6873
have you ckecked for endometriosis?
Just keep listening to these videos in a daily basis, and you will become a great physician like this Professor. Thank you doctor. One of my favorite medical youtube channels!!!
I'm not sure what kind of doctor you are but you sound like a genius to me
I wish you were my doctor I can tell you will get to the root of what's causing my pains
to cause my doctors are not trying to help me with my pains I wish you were my doctor,
thank you for this wonderful video thank you amen.
The most helpful and concise and simplified straightforward information in a short video I have ever seen ...thank u so much doctor ...God bless you
An excellent, and thorough presentation, but you already know that. Thank you for all the time and effort you clearly have put into this video. We are all in your debt in innumerable ways.
If you appreciated this video, you may also want to know the indicators of a healthy gut! They include: colon transit time of 12-24 hours, type 4 stool on the Bristol stool chart, not having diarrhea or constipation, having 1-3 bowel movements per day, and light-dark brown colored stools!
So informative for my current stomach problem .I have mild pain mild burning sensation in stomach 😭 God save all
any update to ur problem or no
Dr. Strong thank you so much for making these videos. The way you organize information and explain them is very professional and easy to understand. Sincerely, a medical student from Turkey :)
Thank you Dr. Strong, I am a medical student, and this is very important to my internship years.
This video is amazing. Coming from a 3rd year med student. Preparing for my surgery OSCE. Thank you!
Ummm so I have discomfort not pain in my lower right abdomen I can walk and everything but I just dont feel comfortable and I dont feel sharp pains I was scared that it was appendicitis 🥺
Please help me what is it and good luck with your career
If you liked this video, you may also want to know that Gut health is so important for overall health! Indicators of a healthy gut include: colon transit time of 12-24 hours, type 4 stool on the Bristol stool chart, not having diarrhea or constipation, having 1-3 bowel movements per day, and light-dark brown colored stools!
An excellent, and thorough presentation! Thank you for all the time and effort you clearly have put into this video.
Im dissuaded to get any answers from the current available healthcare systems. The industry is not health driven but monetarily and pharmaceuticaly infiltrated. I find few interested in seeking deeper origins of pathologies that most would rather suppress the pain than find the root origin. This video presentation is exceptionally insightful
So true!
Thank you for all this information, one of the best clinical advice videos I have ever seen. It was very thorough.
THANK YOU! That was the most Informative and Well described Video on Acute Abdominal Pain I have EVER VIEWED. I have the advantage of understanding most medical terminology and I’m in excruciating pain now. Trying to narrow my condition down as much as possible. Pain slightly began several hours ago and has continuously worsened. Have it narrowed down to 3 or 4. Holding off as long as possible until I can reach my Primary. I’m complicated and need for him to speak to Hospitalist. They’ll Never believe my knowledge of my Own Body.
Big thx from saudi arabia my consultant was impressed from answering which taken from ur video 😍
Acute abdominal pain is very common, so this is gold!
Brilliant as always .. I REALLY got the most clinical benefit on TH-cam from your channel .. شكراً لك
Very helpful information. It released my stress and doubt on my stomach pain condition...
go see a doc before it gets worse
Wow! This was informative and helpful the best I have seen on the matters big thanks
I'm from India.🇮🇳...i don't have problem, Bt your video is very knowledgeable, that why I'm is here and watching videos....😇😇😇 I prey to God,all people stay healthy and live long life 🍁
Life is scary :/
Life sucks
but it's also beautiful.
Alhamdulilah for everything
@@fj1914 indeed glory be to Allah for his creation without him WE. ARE. NOTHING.
@@fj1914 bhagwan sab ko dekh rha hai
man this is absolutely mind blowing video on the hole internet hats off
Gotta time stamp some things…
3:19 basic etiologies
4:41 right hypochondrium/ RUQ
5:06 generalised pain
6:14 common radiation patterns
6:57 classical appendicitis
17:34 midline pain differentials
21:53 RUQ pain differentials
23:58 surgical abdomen
It's a shame that my own PCM isn't this thorough. No one can seem to tell me what is causing my pain. Got to educate ourselves, thank you for the video.
No CT scan?
hopefully this helps people understand why we ER docs have to resort to getting so many abdominal CTs. how are you going to send someone home knowing that things present atypically, that WBC is not reliable, that appendicitis can present without fever, vomiting...sigh.
Agree! There are many situations in medicine when docs generally over-order radiographic studies, but ordering imaging in the ED for patients with acute abdominal pain is not one of them. There are too many serious diseases that present similarly which can only be reliably distinguished via imaging.
In my first draft of this video, I spent a few minutes talking specifically about imaging indications for acute abdominal pain, but it was impossible to summarize beyond: "If the patient looks ill and you aren't confident as to what's going on, get a CT or ultrasound" which doesn't sound consistent with "Choosing Wisely" principles in the US that aim to reduce healthcare costs and exposure to adverse events from unnecessary testing, but having a low threshold to scan an painful belly nevertheless seems the most clinical prudent.
Huh. Well, I went in and they said interstitial cystitis probable and to take Tylenol and good bye. I took antihistamine and antacid and within 24 hours could function again. All started 6 months ago with a bad root canal. Over 2 weeks to see a GP. Currently looking for a country where medical care is readily available.....
@@StrongMedI've had so many CTs' with contrast/ double contrast, I should glow in the dark, an ERCP that made the pain 50% worse , his equipment malfunctioned, hospitalized 3 times w/more CTs .. 30 years later a Dr doing a lung CT found Pneumobilia, end of treatment so I sit here in pain with not much longer to live..
Thank you so much for this amazing video. Acute abdomen is so important and grateful to have found a precise and informative video
thanks for detail and cover every part of acute abdomen pain. love from India ''😘
You are our superpower sir
This was so informative, concise, and really solidified my concepts! Thank you so much!
thank you so much for this video breaking down the different area's and types and kinds of pain I never seen a video like this before, I really enjoyed it very informative thank you so much thank you. I no one of these situations conditions is me
I pray a doctors can get to the root of my pains in time, I pray, I pray, lord I pray, they find what's causing my side stomach, and pelvic pains, i've had them both off an on for a long time and the pain is getting more frequently, and doctors just ant doing good medicine to solve my pains medical problem I pray lord they do, get to the root of my pains lord god, I no one of these conditions is me I just don't no whitch one is me, i've told every doctor I had about these pains over the years, and non so far has solved or got to the root of these pains, in my stomach or pelvic, I pray they do, again I thank you so much for this very informative information video, thank you, Amen.
Sounds like chronic pelvic pain syndrome
This is excellent!
Can also be IBS .. that’s what I have ... It’s unbearable !! 🦋
Drink a glass of warm water with lemon juice drops 30 min before eating. No gluten no sugar no alcohol. Try vegetarian food for 2 weeks. Can clean up your internals nicely
@@jack_knife-1478 Pelvic Pain.
Grazie! Informazioni utili ed importanti. Lei e molto intelligente chiaro e servirebbero insegnanti medici esperti come lei!
I ate to many tacos for the superbowl now.i am here😔
lesson learned. 😆
Go back. This is not a good place
HEL
This happens I consume a big meal compared to my usual small meal
@@subscribeforsomeafricanvil7105 rita are the foods u consume very acidic? I think that was my problem the tacos were really good but super acidic
Hey Strong Medicine! Thanks for a very informative video. Any chance we can get access to the various charts in your presentation?
A+ video. GI NP. Outpt/ some inpt. In outpt setting i always rule out constipation quickly 😊. Love a hospital w/u for the immediacy of diagnostic findings.
This was so long. But also well made
my professor says that you're one of the only channels worth subscribing to on youtube lmao
They sound like someone who knows what they're talking about! ;)
We appreciate this video! Gut health is so important for overall health! A survey from 2018 of 71,000 Americans found that 61% had at least 1 bothersome gut issue! The most common gut symptom was acid reflux or GERD, then abdominal pain, then bloating.
Excellent Presentation. I happen to have RUQ acute abdominal pain which is very unpleasant so very helpful video
Epiploic appendagitis is another reason for abdominal pain. I’ve had 2. One was surgically removed.
Earned a subscriber for this video alone.
You are of much help Congrats.
excellent as always thanks for the lecture
Very clear description and explanation. Thanks.
Excellent. Thank you. Highly professional and meticulous.
Greetings from india.
Highly informative lecture❤❤❤❤❤
Imaging should not be used for abdominal pain. Historical features you expressed are very informative. PUD EUD relayed gastritis. GREAT VIDEO.
Outstanding video tutorial. Thank you very much. My patients will benefit.
Long time No see...Sir. Please give us More video sir
Highly informative.. thank you so much.. you give peace of mind .
This is so informative for med exams
Thanks for making and sharing this well detailed video.
this was so helpful and the exact thing what I was searching...thank you so much
Thanks!
When you a woman and have acute stomach pain while have mensrruation, a lot of physician take it as nothing.... I AM SORRY BUT I'VE BLEEDING ONCE A MONTH FOR MORE THAN 10 YEARS AND I KNOW THE DIFFERENCE BETWEEN MENSTRUAL PAIN AND SOMETHING WRONG GOING ON MY STOMACH
I'm experiencing right now. And I know this is something else. Not my menstrual pain.
Yes!!
Same here
@Fairy and mermaid Tails how you feeling now? I had similar
Yes queen 👑
I really appreciate your great effort on this presentation
just aim high
I’m having pain under my stomach it’s Either on the right or left side ive been having sharp pains there kinda like gas pain and I be feeling like gas is moving around in my stomach and it makes sounds like I’m hungry and sometimes I pass gas and the pain gets less painful and wen this happens I can’t even walk it’s kinda like having period cramps but it’s not period cramps and I feel like farting but the fart won’t come out and it just bulids up in my stomach and causes pain under my stomach
The same is happening to me. It hurts really bad, but when I pass gas the pain lessens. It comes back after awhile though.
Do you know what did you eat or drank a few hour before the pain begin?
It could be trapped wind since u said you feel relief when passing gas. Try boiling some ginger with water (u could add tea and honey for taste). Drink this, it will help release gas. It really works wonders if the problem is trapped gas. You should also watch the type of food u eat which can cause the production of gas. If problem still occurs, you should see a doctor! There might be an underlying problem
@Ai zee 8604 that's great, but don't ignore it . If the problem continues, go see the doctor. you may have allergy to some food or have some medical condition. Best is to get a doctor to examine you
Banana Cake thank you
To make ur belly out if pain i prefer listening to very powerful beats for stomach, ofcourse only recommended. I listened to few ones for abt 10mins all my very hard pain was almost gone.
Excellent video with great presentation.
That is amazing approach
Great presentation!
well i suggest you also consider ovarian torsion as a reason of suprapubic/umblical abdominal pain , ovarian torsion is easy to miss but very important to find out
I agree. As discussed in the video, pain does not always map neatly to the classic quadrant paradigm.
wow ...this is very informative. so brilliant. im so excited after watching this video
Waaaaw,this is all i needed.
Thank u sooo much
My sharp pain in the upper right quadrant came from a 1 cm benign tumor in my large intestine, right close to my appendix, so they did a resection and removed my appendix.The tumor was found during my first routine colonoscopy at age 52. Should have gone in at age 50, then they could have snipped it out. It grew too big to snip, thus the surgery.
Did you have that pain all time long during those two years or it sudenly apeared
How was it after the surgery? You could eat?
Thank you for your presentation !
Thank you, it's very clear, very useful and realistic.
What about the Meckel's diverticulitis? How could we differentiate it from acute appendicitis?
I'm just curious if you have ever seen a patient with an abdominal depression and how common it is? Not asking for a diagnosis of course but I would like to know more about the possible causes for it. I am waiting to hear from University of Michigan hospital to get scheduled so I can find out what exactly I have going on and what I need to do. Thanks
I'm very sorry, but I am not familiar with the term "abdominal depression". If you are describing a visible, physical abnormality of the abdominal wall, I wouldn't want to speculate on that, and I recommend seeing a physician in person as you have indicated you are trying to arrange.
Very helpful informational, now i understand what happen in my health body.
Fantastic video. Just what i was looking for 🤗
If you enjoyed this video, you may also want to know about some mistakes people may make in trying to fix gut health include: adding a probiotic to help with excessive gas and bloating (that's just one piece of the puzzle), eliminating a food for 4 days and expecting it solve the issue (will take at least 2 weeks), and not thinking about root causes!
You are the absolute best
Very details,i want you to be my doctor, because my doctor here can't locate what really's going.
I've had pain in my stomach for over 60 days now. It started around the belly button, then the line below, it would move around day to day. Then it finally settled in the lower left hip area. It's not a hernia because I have no bulge. Blood test are fine, waiting for an ultrasound.
What happened next please 🥺 reply me I want to know are you cured
Yes I would also like to know
That's so strange, I'm having the same thing. Emergency department said a bladder issue but I know it's digestive. Mine had pain in lower left too, but also no swelling such as hernia. Mine felt like a string was being pulled from the belly button in different directions. I've started myself on antihistamine and antacid while I wait 2 weeks to see GP, and it has helped a lot. If I ever win the lottery I shall have faster access to medical care. :(
I have the same problem too but it's all over my right abdomen and back pains too (probably one of the reasons is probably dehydration coz I drink water 3-5 glasses a day and not eating healthy)
@@kik2940 its the same thing for me!
Are you fine now?
The video was long but the information given was very helpful to me because I was having some stomach cramps.
Currently going through the most horrible stomach cramp right now….. my stomach is burning… hopefully it eases out
Very nice explanation.. thanks sir
My daughter woke up in severe pain this morning. It's in the upper middle part of her stomach and her upper back. She has diarrhea and vomiting. She can't keep anything down. I had her take halve of a muscle relaxer. It did help her rest. She has no fever.
@shinchan noharah I have PAIN on my mid left side of stomach. I'm almost 60 and drink wine more than the norm. It just started yesterday and a heating pad isn't helping. Hurts nauseated too. 1/29/22. What to do? Please
That’s the symptoms of a pepetic ulcer
Update?
great video and very informative
Thanks,
The right lower side of my abdomen just below the belly button bulges out slightly more not sure if this normal and I’ve only just noticed this! I have no pain there and I can’t feel any lump or bump when I press into the skin so not sure what it is 🤔
HELP PLEASE
IT HURTS SO MUCH
IM ONLY 11!!
Hii!! Update I’m 12 now ❤️ and I got my period last week tysm!!
Maybe you're gonna get your period
Awww your gonna get your first period ☺️
Did u get it 😱
SunshineJxssie yess!! I did! And I’m so happy
I like Jungkooks But cheeks wow! Oh no.. that must mean mines is coming in a few days then OH GAWD
Just what I needed before osces. Thankyou so much Doc!
Thank you. Can Polyps cause abdominal pains across the waist but mainly on the left?
@Slim so sorry to hear that. My mum has abdominal pains and paramedics said it sounds like trapped gas. Mum has been taking stomach lining tablets for past month but not improved. I asked about polyps because aunts said they had similar pains and they had polyps removed and now they feel better.
Very knowledgeable, thank you so much for sharing. But you forgot one that is destroying lives due to the undiagnosed pain. It's Acute Cutaneous Nerve Entrapment Syndrome. Please include this one.
Yes this is sooo important
I know what you mean, this was the very subject I was hoping to be in the video as well as it needs more awareness so people don't have to suffer needlessly for a long time while undergoing a lot of unnecessary invasive examinations and scopes.
What is it?
Amazing! Well presented 🔥🔥🔥
I'm 14 I'm having pain in the left flank when I blow air in my stomach it goes away after a night or so and returns after some weeks or months it's annoying 😔
Same here did u ever figure this out?
@@sweeptheleg3097 some weeks ago i was eating a apple sause it was not cold. I was sitting hunch over while eating it (bad posture) after eating it had this pain above my navel that happen right away. Then the pain move from above of my navel to the side of my navel. The next moring i woke up with lower abdomen pain which move from the right to the left which last about 2or 3 days with bloating. After the adbomen pain was over, the pain travelled to my lower side then my rids area on the right side. When lower back pain which would moves to the upper area. Some times i pain went to my chest or so i think. The twist in my story is before i pain above my navel that started all this ago i was having bodyaches dure to axniety physical sysmtoms. So now i dont know if all this is axniety related or now. I did find a little lump in the back of my neck. I think i have cancer which every person with health anxiety think they have i dont know
Now i pain in my belly area has stop but a little will happen every now and then.
I’m 13 and this happened to me
Ok now I’m scared
@@M7_ji Is Your Pain Is Intense?
well explained sir
Wow very useful video thank u so much ♥️♥️♥️🥰🥰🥰👌🏽👌🏽👌🏽
You miss very important differential diagnosis for periumbilical pain which called abdominal cutaneous nerve entrapment syndrom
I agree it's important, but it was not missed. Please see the pinned comment above.
Wow - Awesome presentation. Thank You
Great Video, Doctor,
but the slangs, because it is the second complicated study area from the Heart Sir,
Hi from Ghana.
Is there pain on the surface of the abdomen when put pressure on?
Yes.
Great advice !
My stomach ache when I sit for an hour I don't no why but when I sleep I feel relief..
yo do you have any update on this if so how did it stop
Precise and interested.
Sudden pain in lower abdomen and also pain while urinating which pain is this sir. It have been since 4 years and it's is sudden . It comes in gap 20 days
Hey bro..I want to talk with you about pain below belly button..I also have same problem
Sharp pain..hurts like hell withe urinating n usually comes every 15-20 days
Please reply
mine got this..i try ultrasound then they see cystisis gave me meds..i feel it like 8yrs come n go..it got me when dehaydrated so much pain but when resting and rehaydrated the pain goes away.i thought it was appendicitis..i hope will not comeback..
@@43hrushikeshbendugade26 UTI
You should look up ACNES (anterior cutaneous nerve entrapment syndrome) I’ve been having pain for 6 years and I’ve never been able to find the cause after multiple doctors and upon researching I stooped upon ACNES and many if not all of the symptoms match I haven’t been diagnosed yet but I think that’s it.
I've been experiencing mild pain on my right side of my stomach.. it's very mild.. I had done some ab work outs a few days back and I think it started from that.. I've been panicking because I've been experiencing gassy stomach too.. I don't know if I have kidney stone or not that's what I'm guessing.. can exercise cause such pain.. also I'm male
I have the same thing hurts when i sleep
If its on ur right that maybe appendicitis
@@binnieeeec what about left side?
I don't know but have same pain 😞