Call or see your healthcare provider if the patient has any of the following:

• Abdominal pain that lasts more than six hours or is getting worse
• Pain that stops the patient from eating
• Pain accompanied by vomiting more than three or four times
• Pain that worsens when the patient tries to move around
• Pain that starts all over, but settles into one area especially the right lower abdomen
• Pain that wakes the patient up at night
• Pain with vaginal bleeding or pregnancy , even if the patient only thinks she might be pregnant
• Pain accompanied by fever over 101°F
• Pain along with inability to urinate, move the bowels, or pass gas
• Any other pain that feels different from a simple stomach ache
• Any other pain that alarms the patient, or concerns the them in any way

If the patient has any of the following, or cannot reach their healthcare provider, go to a hospital emergency department:

• The "worst pain of your life" or very severe pain
• Pain so bad the patient passes out or almost passes out
• Pain so bad the patient cannot move
• Pain and vomiting blood, or any vomiting that lasts more than six hours
• Pain and no bowel movement for more than three days
• Pain that reminds you of pain you had before, when you ended up needing surgery
• Pain the patient thinks might be in their chest, but they aren't sure
• Pain that seems to come from the patient's testicles

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Abdominal pain without fever, vomiting, vaginal bleeding, passing out, chest pain, or other serious symptoms often gets better without special treatment.

• If the pain persists or if the patient believes the pain may represent a serious problem, they should see their healthcare provider.
• A heating pad or soaking in a tub of warm water may ease the patient's pain.
• Over-the-counter antacids, such as Tums, Maalox, or Pepto-Bismol, also can reduce some types of abdominal pain. Activated charcoal capsules also may help.
• Acetaminophen may help. Try to avoid aspirin or ibuprofen. These drugs can make some types of stomach ache worse.

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