Chronic Abdominal Pain

Constant

Recurrent abdominal pain? Consider tumour

Upper quadrant/epigastric? Consider cardiac causes

Lower quadrant? Consider genitourinary causes

• Biliary colic/cholelithiasis

• Gastroesophageal reflux disease (1,2)

• Peptic ulcer disease/dyspepsia

• Gastric cancer

• Chronic pancreatitis

• Obstructing colon cancer

Post-prandial

Cramping/fleeting

Upper quadrant Lower quadrant Any location/diffuse

• Obstructing colon cancer

• Lactose Intolerance

• Bowel obstruction (e.g., adhesions,

Crohn’s, volvulus, neoplasm, hernia)

• Mesenteric angina