What should you know about internal abdominal oblique pain?

Pain near the side or front of the abdomen may follow lifting, twisting, coughing or exercise and can worsen when the abdominal muscles tighten. Digestive causes may bring cramping, bloating, nausea, diarrhoea or changes in bowel movements. Acid reflux or gastritis can cause upper abdominal discomfort, while gallstones may cause pain under the right ribs, sometimes after a fatty meal. Food poisoning and gastroenteritis often include vomiting or loose stools. Coeliac disease, Crohn's disease and diverticular disease can produce recurring abdominal symptoms, but pain alone cannot identify a cause.

Note the exact side, depth and timing of the pain, along with meals, movement, bowel changes, urine symptoms and any fever. Rest from strenuous twisting or lifting if movement clearly triggers the discomfort. Take fluids in small amounts if nausea is present and choose light foods until your symptoms settle. Avoid medicines that have previously upset your stomach. Arrange a clinical review for persistent, recurrent or unexplained pain so the abdomen can be examined and further tests considered.

Get urgent help for sudden severe pain, a rigid or very tender abdomen, repeated vomiting, blood in vomit or stool, black stools, fainting, breathing difficulty, or inability to pass stool or gas. Seek prompt assessment if pain is worsening, follows an injury, occurs with fever or yellowing of the skin, or comes with pregnancy concerns. These features need examination rather than home observation.

Does the location suggest muscle, stomach, bowel or gallbladder pain? What symptoms should I monitor? Do I need an examination, blood test or scan? Which pain medicines are suitable for me?