What causes lower abdominal pain accompanied by chills and body tremors, and what should be done about it?

May 23, 2023 Source: Cainiu Health
Dr. Yang Ziqi
Introduction
In general, lower abdominal pain accompanied by chills and body tremors may be caused by gastroenteritis, acute gastroenteritis, mycoplasma pneumonia, peritonitis, or peptic ulcer, which require symptomatic treatment. In addition, it could also result from gallstones or kidney stones. If the exact cause is unclear, it is recommended to seek timely medical evaluation at a hospital for further examination and proper diagnosis before initiating appropriate treatment.

Generally, lower abdominal pain accompanied by chills and shivering may be caused by gastroenteritis-type cold, acute gastroenteritis, mycoplasma pneumonia, peritonitis, or peptic ulcer, among other conditions, requiring symptomatic treatment. Specific analyses are as follows:

1. Gastroenteritis-type cold

Gastroenteritis-type cold refers to gastrointestinal dysfunction caused by a cold. As the cold develops, viruses or bacteria may also invade the stomach, increasing gastric muscle contractions and enhancing intestinal motility, leading to symptoms such as abdominal pain and body chills.

2. Acute gastroenteritis

Acute gastroenteritis can also cause abdominal pain and chills. It typically results from consuming contaminated food, leading to microbial infection of the intestines, which irritates the gastrointestinal mucosa and causes inflammation, resulting in abdominal pain and chills.

3. Mycoplasma pneumonia

In severe cases of mycoplasma pneumonia, symptoms such as fever, chills, shivering, and abdominal pain may sometimes occur. This is due to impaired liver cell function, which affects substances in the bloodstream, causing cellular dysregulation and immune responses that lead to systemic symptoms.

4. Peritonitis

Peritonitis refers to infection or inflammation of the peritoneum. The inflammatory process stimulates the peritoneum, causing severe abdominal pain. This pain is usually persistent, sharp, and intense, and may occur in different areas of the abdomen. Because peritonitis is an infectious or inflammatory condition, the body mounts a systemic inflammatory response, including symptoms such as chills, fever, and shivering. Patients may take medications such as ornidazole dispersible tablets or minocycline hydrochloride capsules under a doctor's guidance.

5. Peptic ulcer

Peptic ulcers occur when the mucosal lining of the stomach or duodenum develops sores. Ulcers typically cause pain in the stomach or duodenum, often described as a burning or dull ache. This pain may worsen when fasting, as stomach acid irritates the ulcer. Pain and discomfort from ulcers may trigger systemic stress responses, including chills, fever, and shivering. Patients may take medications such as esomeprazole magnesium enteric-coated tablets or rabeprazole sodium enteric-coated tablets under medical supervision.

In addition, these symptoms could also be caused by gallstones or kidney stones. If the underlying cause is unclear, it is recommended to seek timely medical evaluation for further diagnosis and appropriate treatment.


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