Emergency Room Care for Stomach Pain: What to Expect

Stomach pain can range from mild to severe, sometimes leaving you wondering if a trip to the emergency room is necessary. Knowing what to expect during a visit can help you feel prepared and confident. Below is an overview of scenarios that may require emergency care, what happens during your visit, and steps you can take before going.

When Should You Go to the Emergency Room for Stomach Pain?

Deciding when to visit the emergency room for stomach pain depends on the symptoms. Certain signs and situations may indicate you need urgent medical attention. Here are some instances where a visit may be appropriate:

  • Persistent or Severe Pain: If the pain is intense or doesn't go away after a few hours, it could indicate an underlying issue.
  • Pain Accompanied by Fever or Vomiting: Stomach pain with a high fever, persistent vomiting, or both warrants further investigation.
  • Sudden or Sharp Pain: A sudden onset of severe pain or stabbing sensations could require immediate evaluation.
  • Blood in Vomit or Stool: If you notice blood, whether bright red or dark in color, it is worth visiting an emergency department.
  • Difficulty Breathing or Feeling Faint: These symptoms, combined with stomach pain, may be an emergency.

If you're unsure about your symptoms, err on the side of caution and seek professional care. 

What Questions Will You Be Asked About Your Symptoms?

Doctors and nurses in the emergency room often begin by gathering a detailed history of your symptoms. This process helps identify potential causes and determine the next steps. Be ready to answer the following questions:

  • When Did the Pain Start?: Provide a clear timeline of when the discomfort began and whether it has changed in intensity.
  • What Does the Pain Feel Like?: Describe the sensation, such as cramping, stabbing, or aching, to provide better context.
  • Where Is the Pain Located?: Pinpointing the exact location of the pain can assist in narrowing down possible causes.
  • Have You Experienced Other Symptoms?: Mention any accompanying signs like nausea, vomiting, diarrhea, or fever to provide a comprehensive picture.
  • Have You Eaten Anything Unusual Recently?: Sharing information about your recent meals or travel history may help link the pain to specific triggers.

The answers to these questions help guide the approach to your care. Providing accurate and detailed responses can speed up the process.

What Tests and Imaging Might Be Performed?

When addressing your symptoms, medical staff may perform physical exams and recommend diagnostic tests to identify the cause of your pain and rule out specific conditions. Common tests include bloodwork, which helps detect signs of infection, inflammation, or other health issues, and urinalysis, a non-invasive test that can reveal infections or kidney-related problems. Imaging scans, such as X-rays, ultrasounds, or CT scans, are often used to examine internal structures for blockages, injuries, or other complications. For individuals of childbearing age, a pregnancy test may be conducted to rule out pregnancy-related conditions.

Not every case will require all tests, as the goal is to focus on those most likely to provide valuable insights. The results guide your healthcare team in making informed treatment decisions and planning the next steps in your care. This personalized process certifies that your evaluation is as efficient and effective as possible.

Know Before You Go

Emergency rooms are designed to address immediate health concerns, including stomach pain. Knowing what to expect can make the experience less stressful. Bring any relevant medical records and a list of current medications to assist the medical team during your visit. If you’ve been experiencing unexplained stomach pain, it’s worth having it checked by professionals. Consult your primary carephysician or visit the emergency room if symptoms worsen or don't resolve.  

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