Chronic Abdominal Pain

Constant

Recurrent abdominal pain? Consider tumour

Upper quadrant/epigastric? Consider cardiac causes

Lower quadrant? Consider genitourinary causes

• Biliary colic/cholelithiasis

• Choledocholithiasis

• Sphincter of Oddi dysfunction

• Renal colic

Post-prandial

Cramping/fleeting

Upper quadrant Lower quadrant Any location/diffuse

• Bloating (e.g., Celiac disease [1,2], lactose

intolerance)

• Renal colic

• Irritable bowel syndrome

• Endometriosis

• Bowel obstruction (e.g., adhesions,

Crohn’s, volvulus, neoplasm, hernia)

• Irritable bowel syndrome