Possible mechanisms of causation of belly ache include: Visceral pain o From both stable or hole organs Liver: secondary to capsular distention Intestines, biliary tree: forceful contraction, distention o Location Poorly localized, usually felt near the midline at a stage comparable to the construction involved Proximal to the Treitz ligament: within the epigastric region Between the Treitz ligament and the proximal two thirds of the transverse colon: in the umbilical area Distal to the junction between the middle two thirds and distal third of the transverse colon: suprapubic area o Quality fifty six Physical Diagnosis Gnawing, burning, aching, cramping o Associated symptoms Nausea, vomiting and so on Parietal ache o Originates within the parietal peritoneum o Caused by inflammation o Steady aching o More extreme than visceral pain o Aggravated by motion or coughing Referred ache o Felt in additional distant websites which are innervated at roughly the identical spinal ranges as the disordered construction Pain from intra-stomach organs may be referred to other structures. 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