Where does the pain on intestinal loops occur?
Pain in an intestinal loop, which is localized in the right half of the abdomen, can give an indication of various possible diseases. In case of an incarceration in the context of a hernia, a loop of intestine located on the right side may be involved. For example, in a right-sided inguinal hernia (inguinal hernia) or a right-sided scar hernia (scar hernia).
In a scar hernia, a hernia occurs in the area of a scar, for example after previous operations in the abdominal cavity. Even if the intestine is undersupplied with oxygenated blood, parts of the intestine on the right side may be involved and right-sided abdominal pain may occur. Chronic inflammatory bowel diseases such as Crohn’s disease or ulcerative colitis can also cause right-sided abdominal pain.
Irritable bowel syndrome can cause pain in all parts of the intestine.The most typical cause of left lower abdominal pain is sigmoid diverticulitis, i.e. the inflammation of colon protuberances in the area of the so-called sigmoid. However, incarcerations in fractures such as a left-sided inguinal hernia or scar hernias can also cause pain in the area of an intestinal loop located on the left side. An intestinal obstruction can be localized in any area of the intestine and thus cause right-sided, left-sided or centrally located abdominal pain. An intestinal obstruction is usually caused by obstacles to passage. These include tumors or adhesions after previous operations.
Diagnosis for pain in intestinal loops
If there is pain in the area of the intestine, the triggering cause must be sought. First of all, the patient’s medical history is taken, i.e. the exact date of onset, frequency and duration of pain, the nature of the pain, where it is located and whether there are accompanying symptoms. The presence of concomitant diseases will also be inquired about.
On the basis of a clinical examination of the abdomen, the next indications of the possible cause can be collected. This is usually followed by an ultrasound examination of the abdomen and blood tests. In many cases, further imaging diagnostics such as a CT or MRI examination may also be necessary.
