Chronic Abdominal Pain
Constant
Recurrent abdominal pain? Consider tumour
Upper quadrant/epigastric? Consider cardiac causes
Lower quadrant? Consider genitourinary causes
• Peptic ulcer disease
• Gastroesophageal reflux disease (1,2)
• Chronic pancreatitis
• Pancreatic tumor
• Gastric cancer
• Liver distention (e.g., hepatomegaly, tumour)
• Splenic (e.g., rare - splenomegaly, abscess)
Post-prandial
Cramping/fleeting
Upper quadrant Lower quadrant Any location/diffuse
• Crohn’s disease
• Gynecologic (e.g., endometriosis, tumor)
• Ascites (1,2)
• Neuropathic pain
• Muscle wall
• Somatization
