Point tenderness - abdomenAbdominal tenderness
Abdominal point tenderness is the pain you feel when pressure is placed over a certain part of the belly area (abdomen).
The abdomen is an area of the body a doctor can easily examine by touch. The health care provider can feel growths and organs in the belly area and find where you feel pain.
Abdominal tenderness can be mild to severe. Rebound tenderness occurs when the tissue that lines the abdominal cavity (the peritoneum) is irritated, inflamed, or infected. This is called peritonitis.
- Abdominal abscess
- Certain types of hernias
- Meckel's diverticulum
- Ovarian torsion (twisted Fallopian tube)
When to Contact a Medical Professional
Get emergency medical help right away if you have abdominal point tenderness.
What to Expect at Your Office Visit
Your health care provider will examine you and gently push on places on your belly. People with peritonitis will often tense the abdominal muscles when the area is touched. This is called guarding.
The provider will note any point tenderness. The location of the tenderness can indicate the problem that is causing it. For example, if you have appendicitis, you will have tenderness when a certain place is touched. This spot is called McBurney's point.
The provider will also ask questions about your symptoms and medical history. These may include:
- When did the symptoms start?
- Is this the first time you have had such discomfort?
- If not, when does the discomfort tend to occur?
- Are you having other symptoms, such as constipation, diarrhea, fainting, vomiting, or fever?
You may need to have the following tests:
Mcquaid K. Approach to the patient with gastrointestinal disease. In: Goldman L, Schafer AI, eds.Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 134.
Squires RA, Postier RG. Acute abdomen. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 19th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 47.
Review Date: 11/2/2014
Reviewed By: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.