Abdominal Tenderness: Causes & Reasons

Possible Causes for Abdominal Tenderness

They include: Abdominal tenderness and/or pain Fever Nausea or vomiting Constipation Diarrhea (less common) Symptoms of a urinary tract infection Increased urge to urinate [uihc.org]

Abdominal tenderness, fever, nausea, and constipation or diarrhea may also be present. How is colonic diverticulosis diagnosed? [giforkids.com]

Bloating, diarrhea, constipation, and abdominal cramping are some of the most common signs of diverticulosis. [giforkids.com]

Female Pelvic Inflammatory Disease

Symptoms and physical findings vary widely and may include lower abdominal tenderness, adnexal tenderness, and cervical motion tenderness. [bestpractice.bmj.com]

PID can cause pelvic pain, abdominal tenderness, vaginal discharge, fever, chills, and pain during urination and sex. [hopkinsmedicine.org]

Pain and tenderness spread throughout the lower abdomen Pelvic pain Increased foul-smelling vaginal discharge Fever and chills Vomiting and nausea Pain during urination Abdominal [hopkinsmedicine.org]

Diverticulitis

The usual symptoms of diverticulitis include: fever, lower abdominal pain, and lower abdominal tenderness. [uphs.upenn.edu]

More severe inflammation causes: diarrhoea blood in the stools abdominal tenderness – the doctor may be able to feel the inflamed segment of bowel by pressing on your tummy [netdoctor.co.uk]

Diverticulosis

They include: Abdominal tenderness and/or pain Fever Nausea or vomiting Constipation Diarrhea (less common) Symptoms of a urinary tract infection Increased urge to urinate [uihc.org]

The most common signs and symptoms of diverticulitis include: Abdominal pain (left lower abdomen) Abdominal tenderness (left lower abdomen) Fever Constipation or, sometimes [iddc.net]

The doctor may also perform a physical exam to check for abdominal tenderness, which is common in diverticulitis. [nyulangone.org]

Peritonitis

She had no abdominal tenderness, and exit site looked normal. Fluid was negative for Mycobacterium tuberculosis. [ncbi.nlm.nih.gov]

On physical exam, there is abdominal distension, diffuse abdominal tenderness to palpation, flank dullness, and a positive fluid wave. [medbullets.com]

It pertains to a symptom complex characterized by vomiting, pain or abdominal tenderness, and shock. The pain may be localized or generalized. [biology-online.org]

Diverticulitis of the Colon

Physical examination: This will elicit localized abdominal tenderness, abdominal distension, reduced bowel sounds and possibly an abdominal mass in cases of abscess formation [symptoma.com]

Her physical examination was significant for right-sided abdominal tenderness to palpation with voluntary guarding but without evidence of peritonitis. [sages.org]

They include: Abdominal tenderness and/or pain Fever Nausea or vomiting Constipation Diarrhea (less common) Symptoms of a urinary tract infection Increased urge to urinate [uihc.org]

Intraperitoneal Abscess in the Right Lower Quadrant

[…] rebound abdominal tenderness R10826Epigastric rebound abdominal tenderness R10827Generalized rebound abdominal tenderness R10829Rebound abdominal tenderness, unspecified [cms.gov]

So it is manifested by localized abdominal pain and tenderness. [geocities.ws]

Because abdominal pain, abdominal tenderness, or hepatomegaly is present in only half of cases, many of these patients present with fever of undetermined origin. [what-when-how.com]

Acute Peritonitis

Abdominal tenderness Abdominal distension Fever Low urine output Point tenderness Thirst Fluid in the abdomen Constipation Inability to pass faeces gas Signs of shock in extreme [cahabavalleysurgical.com]

People usually have abdominal discomfort and one or more of the following: Abdominal tenderness or pain Abdominal tenderness or pain that increases when the abdomen is touched [medicinenet.com]

Other signs and symptoms related to peritonitis may include: Abdominal tenderness or distention Chills Fever Fluid in the abdomen Not passing any urine, or passing significantly [m.webmd.com]

Spontaneous Bacterial Peritonitis

The patient complained of fever, abdominal tenderness, and loose stools and showed all of the signs of peritonitis on physical examination. [ncbi.nlm.nih.gov]

Peritoneal signs (eg, abdominal tenderness and rebound) are present but may be somewhat diminished by the presence of ascitic fluid. [merckmanuals.com]

On physical exam, there is abdominal distension, diffuse abdominal tenderness to palpation, flank dullness, and a positive fluid wave. [medbullets.com]

Intestinal Obstruction

Physical examination revealed bloating, absence of bowel sounds, abdominal tenderness, and a palpable mass in right hemi-abdomen. [ncbi.nlm.nih.gov]

Vomiting (161, 74.2%), abdominal pain (152, 70%), abdominal tenderness (113, 52.1%), constipation (111, 51.2%), and abdominal distension (104, 47.9%) were the predominant [ncbi.nlm.nih.gov]

[…] fullness, gaseous Abdominal tenderness Crampy abdominal pain that comes and goes (intermittent) Failure to pass gas or stool ( constipation ) A feeling of intense dislike [healthcommunities.com]

Volvulus

The physical examination revealed hypoactive bowel sounds and diffuse abdominal tenderness with rebound; there was no fever, abdominal rigidity, or guarding. [nejm.org]

Physical examination revealed central abdominal tenderness but no clinical features of peritonism. [ncbi.nlm.nih.gov]

Abdominal exam is notable for diffuse abdominal tenderness to palpation, without rebound or guarding. [step2.medbullets.com]

Fitz-Hugh-Curtis Syndrome

Physical examination was significant for abdominal tenderness localized to the right upper quadrant with a negative Murphy sign. [amjmed.com]

A 14-year-old girl developed intermittent lower abdominal pain accompanied by constipation. She presented with subsequent right upper quadrant abdominal tenderness. [gynecology-obstetrics.imedpub.com]

There was abdominal tenderness on the right hypochondrium, epigastrium, and right Iliac fossa. The liver and spleen were not palpably enlarged. [njcponline.com]

Abdominal Visceral Abscess

Because abdominal pain, abdominal tenderness, or hepatomegaly is present in only half of cases, many of these patients present with fever of undetermined origin. [what-when-how.com]

Physical examination may reveal lower abdominal tenderness. On pelvic exam, the patient may have adnexal tenderness or an adnexal mass. [cdemcurriculum.com]

On palpation there is generalized tenderness and rigidity of the abdominal walls. [research.ece.ncsu.edu]

Toxic Megacolon

Abdominal pain Abdominal bloating Abdominal tenderness Fever Tachycardia (rapid heart rate) DehydrationThere may be signs of septic shock. [en.wikipedia.org]

Signs and symptoms Abdominal pain Abdominal bloating Abdominal tenderness Fever Tachycardia (rapid heart rate) Dehydration There may be signs of septic shock. [ipfs.io]

However, a former history and physical exam will also be conducted which will include assessing abdominal tenderness and listening for bowel sounds. [belmarrahealth.com]

Sigmoid Volvulus

The physical examination revealed hypoactive bowel sounds and diffuse abdominal tenderness with rebound; there was no fever, abdominal rigidity, or guarding. [nejm.org]

The initial symptoms were abdominal pain (13/13), abdominal distension (11/13), and vomiting (7/13), which were associated with abdominal tenderness in all patients. [ncbi.nlm.nih.gov]

Sign In An 87-year-old man with Parkinson's disease presented with a 7-day history of progressive abdominal distention and constipation. [nejm.org]

Abdominal Muscle Strain

[…] process (see Table 1 ) Abdominal tenderness unchanged or increased when abdominal wall is tensed (positive Carnett's sign) Discrete, tender pain trigger point no more than [aafp.org]

[…] area Pain with attempts at stretching the abdominal muscles Tenderness in the abdominal area along with muscle spasms In severe cases of Abdominal Muscle Tear there may be [epainassist.com]

Abdominal wall tenderness: a useful sign in chronic abdominal pain. Br J Surg. 1991;78:223–5. 5. Greenbaum DS, Greenbaum RB, Joseph JG, Natale JE. [aafp.org]

Appendicitis

Physical examination revealed an abdominal tenderness in the right lower quadrant without rebound tenderness or muscular tension. [ncbi.nlm.nih.gov]

Presentation typically mirrors that of non-traumatic appendicitis with nausea, anorexia, fever, and right lower quadrant abdominal tenderness and/or peritonitis. [ncbi.nlm.nih.gov]

Appendicitis is acute inflammation of the vermiform appendix, typically resulting in abdominal pain, anorexia, and abdominal tenderness. [merck.com]

Meckel Diverticulitis

On physical examination there was abdominal tenderness, a palpable mass in the lower abdomen, rebound tenderness and increased bowel sounds. [sonoworld.com]

Abdominal tenderness and pain is localized and felt around the navel. It is often similar to that of appendicitis except for site of tenderness or pain. [news-medical.net]

Presentation A 28 year-old woman presented with acute abdominal pain in the umbilical area radiating to the right lower quadrant. [sonoworld.com]

Intestinal Perforation

tenderness and guarding. [ncbi.nlm.nih.gov]

Physical examination revealed diffuse abdominal tenderness and bilious drainage from the nasogastric tube. [ncbi.nlm.nih.gov]

The rapid emergence of symptoms: severe abdominal pain, nausea and vomiting, increased body temperature, abdominal tenderness, rebound tenderness, abdominal rigidity, bowel [acuherbxia.com]

Amebiasis

Instead, they may note fever, upper abdominal pain, and an enlarged, tender liver. Sweating, chills, weight loss, and fatigue may also be present. [thirdworldtraveler.com]

Abdominal findings range from mild tenderness to frank abdominal pain, with high fevers and toxic systemic symptoms. [msdmanuals.com]

In advanced cases, the patient may complain of fever, abdominal tenderness and passage of bloody, mucoid stools (frank dysentery). Dehydration is imminent. [symptoma.com]

Gastric Rupture

The majority of patients with gastric rupture will present with signs of shock or abdominal tenderness. [freethesaurus.com]

[…] distension, rigidity and tenderness. [ncbi.nlm.nih.gov]

tenderness. [appliedradiology.com]

Small Bowel Obstruction

CONCLUSION: Surgeons currently rely on imprecise clinical parameters, including degree of pain, abdominal tenderness, leukocytosis etc to decide when operative intervention [ncbi.nlm.nih.gov]

tenderness, peritonitis, hyperactive and high pitched bowel sounds, presence of hernias Common risk factors in adults: Previous abdominal or pelvic surgery (with the formation [aci.health.nsw.gov.au]

Severe direct tenderness, involuntary guarding, abdominal rigidity, and rebound tenderness suggest advanced SBO, as do marked leukocytosis, neutrophilia, bandemia, and lactic [ncbi.nlm.nih.gov]

Stomach Perforation

There is usually an accompanying generalised abdominal tenderness, worse on movement (known as the rigid abdomen). [teachmesurgery.com]

Specialty Gastroenterology, emergency medicine Symptoms Abdominal pain, tenderness [2] Complications Sepsis, abscess [2] Usual onset Sudden or more gradual [2] Causes Trauma [en.wikipedia.org]

[…] pain, tenderness, and peritoneal signs. [merckmanuals.com]

Cholecystitis

Residual abdominal tenderness may occur. Pain in the area of the gall bladder lasting more than three hours is characteristic of acute cholecystitis. [aafp.org]

The test may also elicit local abdominal tenderness over the gallbladder (ultrasonographic Murphy sign). [msdmanuals.com]

Biliary colic is characterized by the sudden onset of intense right upper abdominal pain that may radiate to the shoulder. Sweating and vomiting are common. [aafp.org]

Perforated Viscus

abdominal rigidity and rebound tenderness may exhibit "peritoneal signs" - extreme pain with any touch or movement Evaluation Upright abdominal radiograph free sub diaphragmatic [medbullets.com]

On physical examination, diffuse abdominal pain with rebounding tenderness was noted. [ncbi.nlm.nih.gov]

[…] pain, tenderness, and peritoneal signs. [merckmanuals.com]

Biliary Colic

[…] aching for 1-2 days after attack C) Associated symptoms 1) Nausea and Vomiting 2) No Fever or chills Signs - Right Upper Quadrant abdominal tenderness - No signs of peritoneal [slideshare.net]

Abdominal pain was the presenting complaint in 21% of cases while abdominal tenderness was noted in 18% of patients. [dovepress.com]

Large meal after a fast - Fatty meal 2) Increasing frequency and intensity of attacks 3) Pain lasts for 1-6 hours 4) Intermittent "colicky" exacerbations of pain 5) Mild abdominal [slideshare.net]

Ischemic Bowel Disease

Examination may show vague abdominal tenderness disproportionate to the severity of the pain, an abdominal bruit and signs of generalised cardiovascular disease. [patient.info]

Later, as necrosis develops, signs of peritonitis appear, with marked abdominal tenderness, guarding, rigidity, and no bowel sounds. [merckmanuals.com]

[…] findings minimal early in course but become pronounced later Mild abdominal pain with tenderness and guarding usual Rectal bleeding and diarrhea uncommon Moderate rectal [aci.health.nsw.gov.au]

Colonic Lymphoma

They include: Abdominal tenderness and/or pain Fever Nausea or vomiting Constipation Diarrhea (less common) Symptoms of a urinary tract infection Increased urge to urinate [uihc.org]

Abdominal tenderness. Constipation or, less commonly, diarrhea. [mayoclinic.org]

Often, a person with diverticulitis has symptoms and signs that include: Abdominal pain Abdominal tenderness An obstruction in the colon (colonic obstruction) An elevated [medicinenet.com]

Subphrenic Abscess

A comprehensive list of symptoms includes the following: Pain in the chest and/or upper abdomen on the affected side, and/or shoulder Abdominal tenderness Abdominal swelling [diagnose-me.com]

Our patient was febrile (38.5°C) with abdominal tenderness and hypoactive bowel sounds. On the abdominal plain X-ray films, a right subphrenic abscess could be seen. [jmedicalcasereports.biomedcentral.com]

In addition, antibiotic administration may mask abdominal tenderness, fever, and leukocytosis. [emedicine.medscape.com]

Hemoperitoneum

Heterotopic pregnancy should be kept in the differential diagnosis of any patient with an intrauterine pregnancy presenting with abdominal pain, abdominal tenderness, or [ncbi.nlm.nih.gov]

tenderness since 1 day prior to admission. [actamedindones.org]

Examination revealed initial hypotension epigastric abdominal tenderness, no palpable masses. [journals.ub.bw]