Do you have pain or 
cramping in your belly?
This also includes injuries to the belly.
                    
                   
                  
                    How old are you?
                    
                      
                        11 years or younger
                        11 years or younger
                       
                      
                        12 to 55 years
                        12 to 55 years
                       
                      
                        56 years or older
                        56 years or older
                       
                     
                   
                  
                    Are you male or female?
                    
                    
                      
                      
                        
                        
                          
                            - If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
- If your symptoms aren’t related to those organs, you can choose the gender you identify with.
- If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.
 
                       
                     
                   
                  
                    Have you had surgery on your chest, belly, or pelvic area in the past 2 weeks?
                    
                      
                        Yes
                        Recent abdominal surgery
                       
                      
                        No
                        Recent abdominal surgery
                       
                     
                   
                  
                    Are you pregnant?
                    
                      
                        Yes, you know that you're pregnant.
                        Pregnancy
                       
                      
                        No, you're not pregnant, or you're not sure if you're pregnant.
                        Pregnancy
                       
                     
                   
                  
                    Have you had a baby in the past 3 months?
                    
                      
                        Yes
                        Had baby within past 3 months
                       
                      
                        No
                        Had baby within past 3 months
                       
                     
                   
                  
                  
                  
                  
                    
                    
                      
                        Severe
                        Severe dehydration
                       
                      
                        Moderate
                        Moderate dehydration
                       
                      
                     
                   
                  
                    Are you having trouble drinking enough to replace the fluids you've lost?
                    Little sips of fluid usually are not enough. You need to be able to take in and keep down plenty of fluids.
                    
                      
                        Yes
                        Unable to maintain fluid intake
                       
                      
                        No
                        Able to maintain fluid intake
                       
                     
                   
                  
                    Do you have pain in your belly?
                    
                   
                  
                    
                      How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?
 
                    
                      
                        8 to 10: Severe pain
                        Severe pain
                       
                      
                        5 to 7: Moderate pain
                        Moderate pain
                       
                      
                        1 to 4: Mild pain
                        Mild pain
                       
                     
                   
                  
                    Has the pain:
                    
                      
                        Gotten worse?
                        Pain is getting worse
                       
                      
                        Stayed about the same (not better or worse)?
                        Pain is unchanged
                       
                      
                        Gotten better?
                        Pain is getting better
                       
                     
                   
                  
                    How long have you had pain?
                    
                      
                        Less than 4 hours
                        Pain for less than 4 hours
                       
                      
                        At least 4 hours but less than 1 full day (24 hours)
                        Pain for 4 to 24 hours
                       
                      
                        At least 1 full day but less than 2 days (48 hours)
                        Pain for more than 24 hours
                       
                      
                        At least 2 days but less than 1 week
                        Pain for more than 48 hours
                       
                      
                        1 week or more
                        Pain for more than 1 week
                       
                     
                   
                  
                    Does the belly hurt all over or mostly in one area?
                    Pain that is most intense in just one area is likely to be more serious than a bellyache that hurts all over. 
                    
                      
                        Mostly in one area
                        Localized pain
                       
                      
                        All over
                        Generalized pain
                       
                     
                   
                  
                    
                    
                      
                        Yes
                        Pain in lower right part of belly
                       
                      
                        No
                        Pain in lower right part of belly
                       
                     
                   
                  
                    Do you have pain with a new bulge in your belly button or groin?
                    
                      
                        Yes
                        Pain with bulge at the navel or groin
                       
                      
                        No
                        Pain with bulge at the navel or groin
                       
                     
                   
                  
                    Is there any chance that you could be pregnant?
                    
                      
                        Yes
                        Possibility of pregnancy
                       
                      
                        No
                        Possibility of pregnancy
                       
                     
                   
                  
                  
                    Within the past week, have you had an injury to the abdomen, like a blow to the belly or a hard fall?
                    
                      
                        Yes
                        Abdominal injury within past week
                       
                      
                        No
                        Abdominal injury within past week
                       
                     
                   
                  
                    Since the injury, have you had any new bleeding from the rectum, urethra, or vagina?
                    
                      
                        Yes
                        Bleeding from rectum, vagina, or urethra since injury
                       
                      
                        No
                        Bleeding from rectum, vagina, or urethra since injury
                       
                     
                   
                  
                    Is there a belly wound that is deeper than a scratch?
                    
                   
                  
                    Have you vomited since the injury?
                    
                      
                        Yes
                        Has vomited since the injury
                       
                      
                        No
                        Has vomited since the injury
                       
                     
                   
                  
                    Is there pain just below the ribs?
                    Pain just below the ribs after an injury can be a symptom of serious damage to the liver or spleen.
                    
                   
                  
                    Have you had any new shoulder pain since the injury?
                    A belly injury sometimes can cause pain in the shoulder.
                    
                      
                        Yes
                        Shoulder pain since injury
                       
                      
                        No
                        Shoulder pain since injury
                       
                     
                   
                  
                    Did you hurt your shoulder in the injury?
                    
                   
                  
                    Do you suspect that the injury may have been caused by abuse?
                    This is a standard question that we ask in certain topics. It may not apply to you. But asking it of everyone helps us to get people the help they need.
                    
                      
                        Yes
                        Injury may have been caused by abuse
                       
                      
                        No
                        Injury may have been caused by abuse
                       
                     
                   
                  
                    Are your stools 
black or bloody?
                      
                        Yes
                        Black or bloody stools
                       
                      
                        No
                        Black or bloody stools
                       
                     
                   
                  
                    Have you had:
                    
                      
                        At least 1 stool that is mostly black or bloody?
                        At least 1 stool mostly black or bloody
                       
                      
                        At least 1 stool that is partly black or bloody?
                        At least 1 stool partly black or bloody
                       
                      
                        Streaks of blood in your stool?
                        Streaks of blood in stool
                       
                     
                   
                  
                    Do you think you may have a fever?
                    
                   
                  
                    Did you take your temperature?
                    
                   
                  
                    How high is the fever? The answer may depend on 
how you took the temperature.
                      NOTE: Most people have an average body temperature of about 98.6°F (37°C). But it can vary by a degree or more and still be considered normal. If a low body temperature is your only symptom, it’s usually not something to worry about. But be sure to watch for other symptoms.
                    
                      
                        High: 104°F (40°C) or higher, oral
                        High fever: 104°F (40°C) or higher, oral
                       
                      
                        Moderate: 100.4°F (38°C)  to 103.9°F (39.9°C), oral
                        Moderate fever: 100.4°F (38°C) to 103.9°F (39.9°C), oral
                       
                      
                        Mild: 100.3°F (37.9°C) or lower, oral
                        Mild fever: 100.3°F (37.9°C) or lower, oral
                       
                     
                   
                  
                    
                      How high do you think the fever is?
 
                    
                      
                      
                        Moderate
                        Feels fever is moderate
                       
                      
                        Mild or low
                        Feels fever is mild
                       
                     
                   
                  
                    How long have you had a fever?
                    
                      
                        Less than 2 days (48 hours)
                        Fever for less than 2 days
                       
                      
                        At least 2 days but less than 1 week
                        Fever for at least 2 days but less than 1 week
                       
                      
                        1 week or more
                        Fever for 1 week or more
                       
                     
                   
                  
                    Do you have a health problem or take medicine that 
weakens your immune system?
                      
                        Yes
                        Disease or medicine that causes immune system problems
                       
                      
                        No
                        Disease or medicine that causes immune system problems
                       
                     
                   
                  
                    Do you have shaking chills or very heavy sweating?
                    Shaking chills are a severe, intense form of shivering. Heavy sweating means that sweat is pouring off you or soaking through your clothes.
                    
                      
                        Yes
                        Shaking chills or heavy sweating
                       
                      
                        No
                        Shaking chills or heavy sweating
                       
                     
                   
                  
                    Are you nauseated or vomiting?
                    Nauseated means you feel sick to your stomach, like you are going to vomit.
                    
                   
                  
                  
                    Have you vomited blood or what looks like coffee grounds?
                    If there is only a streak or two of blood that you are sure came from your nose or mouth, you are not vomiting blood.
                    
                      
                        Yes
                        Has vomited blood or what looks like coffee grounds
                       
                      
                        No
                        Has vomited blood or what looks like coffee grounds
                       
                     
                   
                  
                    How much blood have you vomited? 
                    
                      
                        Two or more streaks of blood, or any amount of material that looks like coffee grounds
                        Has vomited material that looks like coffee grounds or at least 2 streaks of blood
                       
                      
                        One streak of blood or less
                        Has vomited 1 streak of blood or less
                       
                     
                   
                  
                    Have you felt nauseated for more than 2 full days (48 hours)?
                    
                      
                        Yes
                        Nausea for more than 2 days
                       
                      
                        No
                        Nausea for no more than 2 days
                       
                     
                   
                  
                  
                    Is your diabetes getting 
out of control because you are sick?
                      
                        Yes
                        Diabetes is affected by illness
                       
                      
                        No
                        Diabetes is affected by illness
                       
                     
                   
                  
                  
                    Is the plan helping get your blood sugar under control?
                    
                      
                        Yes
                        Diabetes illness plan working
                       
                      
                        No
                        Diabetes illness plan not working
                       
                     
                   
                  
                    How fast is it getting out of control?
                    
                      
                        Quickly (over several hours)
                        Blood sugar quickly worsening
                       
                      
                        Slowly (over days)
                        Blood sugar slowly worsening
                       
                     
                   
                  
                    Did the pain start after you took a 
new medicine?
                      
                        Yes
                        Abdominal pain started after taking a medicine
                       
                      
                        No
                        Abdominal pain started after taking a medicine
                       
                     
                   
                  
                    In the past few weeks, have you been losing weight without trying?
                    
                      
                        Yes
                        Has been losing weight without trying
                       
                      
                        No
                        Has been losing weight without trying
                       
                     
                   
                  
                    Have your symptoms lasted longer than 1 week?
                    
                      
                        Yes
                        Symptoms have lasted longer than 1 week
                       
                      
                        No
                        Symptoms have lasted longer than 1 week
                       
                     
                   
                  
                    Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
                    
                      - 
                        Your age. Babies and older adults tend to get sicker quicker.
- 
                        Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
- 
                        Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
- 
                        Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
- 
                        Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.
 
                  
                    Try Home Treatment
                    
                      You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
                     
                    
                      
                        - Try home treatment to relieve the symptoms.
- Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.
 
                    
                   
                  
                    With cramping pain in the belly:
                    
                      - The pain may hurt a little or a lot.
- The amount of pain may change from minute to minute. Cramps often get better when you pass gas or have a bowel movement.
- The pain may feel like a tightness or pinching in your belly.
- The pain may be in one specific area or be over a larger area. It may move around.
 
                  
                    Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.
                    Adults and older children often have several symptoms of shock. These include:
                    
                      - Passing out (losing consciousness).
- Feeling very dizzy or lightheaded, like you may pass out.
- Feeling very weak or having trouble standing.
- Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions.
 
                  
                    If you're not sure if a fever is high, moderate, or mild, think about these issues:
                    With a high fever:
                    
                      - You feel very hot.
- It is likely one of the highest fevers you've ever had. High fevers are not that common, especially in adults.
With a moderate fever:
                    
                      - You feel warm or hot.
- You know you have a fever.
With a mild fever:
                    
                      - You may feel a little warm.
- You think you might have a fever, but you're not sure.
 
                  
                    Temperature varies a little depending on how you measure it. For adults and children age 12 and older, these are the ranges for high, moderate, and mild, according to how you took the temperature.
                    
                      Oral (by mouth) temperature
                    
                      - High: 104°F (40°C) and higher
- Moderate: 100.4°F (38°C) to 103.9°F (39.9°C)
- Mild: 100.3°F (37.9°C) and lower
A forehead (temporal) scanner is usually 0.5°F (0.3°C) to 1°F (0.6°C) lower than an oral temperature.
                    
                      Ear temperature
                    
                      - High: 105°F (40.6°C) and higher
- Moderate: 101.4°F (38.6°C) to 104.9°F (40.5°C)
- Mild: 101.3°F (38.5°C) and lower
                      Armpit (axillary) temperature
                    
                      - High: 103°F (39.5°C) and higher
- Moderate: 99.4°F (37.4°C) to 102.9°F (39.4°C)
- Mild: 99.3°F (37.3°C) and lower
 
                  
                    Certain health conditions and medicines weaken the immune system's ability to fight off infection and illness. Some examples in adults are:
                    
                      - Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
- Long-term alcohol and drug problems.
- Steroid medicines, which may be used to treat a variety of conditions.
- Chemotherapy and radiation therapy for cancer.
- Other medicines used to treat autoimmune disease.
- Medicines taken after organ transplant.
- Not having a spleen.
 
                  
                    Pain in adults and older children
                    
                      - 
                        Severe pain (8 to 10): The pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain.
- 
                        Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it's severe when it's there.
- 
                        Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.
 
                  
                    It is easy for your diabetes to become out of control when you are sick. Because of an illness:
                    
                      - Your blood sugar may be too high or too low.
- You may not be able take your diabetes medicine (if you are vomiting or having trouble keeping food or fluids down).
- You may not know how to adjust the timing or dose of your diabetes medicine.
- You may not be eating enough or drinking enough fluids.
 
                  
                    An illness plan for people with diabetes usually covers things like:
                    
                      - How often to test blood sugar and what the target range is.
- Whether and how to adjust the dose and timing of insulin or other diabetes medicines.
- What to do if you have trouble keeping food or fluids down.
- When to call your doctor.
The plan is designed to help keep your diabetes in control even though you are sick. When you have diabetes, even a minor illness can cause problems.
                   
                  
                    You can get dehydrated when you lose a lot of fluids because of problems like vomiting or fever.
                    Symptoms of dehydration can range from mild to severe. For example:
                    
                      - You may feel tired and edgy (mild dehydration), or you may feel weak, not alert, and not able to think clearly (severe dehydration).
- You may pass less urine than usual (mild dehydration), or you may not be passing urine at all (severe dehydration).
 
                  
                    
                      Severe dehydration means:
                    
                      - Your mouth and eyes may be extremely dry.
- You may pass little or no urine for 12 or more hours.
- You may not feel alert or be able to think clearly.
- You may be too weak or dizzy to stand.
- You may pass out.
                      Moderate dehydration means:
                    
                      - You may be a lot more thirsty than usual.
- Your mouth and eyes may be drier than usual.
- You may pass little or no urine for 8 or more hours.
- You may feel dizzy when you stand or sit up.
                      Mild dehydration means:
                    
                      - You may be more thirsty than usual.
- You may pass less urine than usual.
 
                  
                    
                      Blood in the stool can come from anywhere in the digestive tract, such as the stomach or intestines. Depending on where the blood is coming from and how fast it is moving, it may be bright red, reddish brown, or black like tar.
                    A little bit of bright red blood on the stool or on the toilet paper is often caused by mild irritation of the rectum. For example, this can happen if you have to strain hard to pass a stool or if you have a hemorrhoid. 
                    A large amount of blood in the stool may mean a more serious problem is present. For example, if there is a lot of blood in the stool, not just on the surface, you may need to call your doctor right away. If there are just a few drops on the stool or in the diaper, you may need to let your doctor know today to discuss your symptoms. Black stools may mean you have blood in the digestive tract that may need treatment right away, or may go away on its own.
                    Certain medicines and foods can affect the color of stool. Diarrhea medicines (such as Pepto-Bismol) and iron tablets can make the stool black. Eating lots of beets may turn the stool red. Eating foods with black or dark blue food coloring can turn the stool black.
                    If you take aspirin or some other medicine (called a blood thinner) that prevents blood clots, it can cause some blood in your stools. If you take a blood thinner and have ongoing blood in your stools, call your doctor to discuss your symptoms.
                   
                  
                    
                      Symptoms of a heart attack may include:
                    
                      - Chest pain or pressure, or a strange feeling in the chest.
- Sweating.
- Shortness of breath.
- Nausea or vomiting.
- Pain, pressure, or a strange feeling in the back, neck, jaw, or upper belly, or in one or both shoulders or arms.
- Lightheadedness or sudden weakness.
- A fast or irregular heartbeat.
For men and women, the most common symptom is chest pain or pressure. But women are somewhat more likely than men to have other symptoms like shortness of breath, tiredness, nausea, and back or jaw pain. 
                   
                  
                    Many prescription and nonprescription medicines can cause belly pain or cramping. A few examples are:
                    
                      - Aspirin, ibuprofen (such as Advil or Motrin), and naproxen (such as Aleve).
- Antibiotics.
- Antidiarrheals.
- Laxatives.
- Iron supplements.
 
                  
                    Call 911 Now
                    
                      Based on your answers, you need emergency care.
                     
                    
                      
                        Call 911 or other emergency services now.
                      Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
                     
                   
                  
                    Seek Care Now
                    
                      Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
                     
                    
                      
                        - Call your doctor now to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care in the next hour.
- You do not need to call an ambulance unless: - You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.
 
 
                   
                  
                    Seek Care Today
                    
                      Based on your answers, you may need care soon. The problem probably will not get better without medical care.
                     
                    
                      
                        - Call your doctor or telehealth provider today to discuss the symptoms and arrange for care. 
- If you cannot reach your doctor or telehealth provider or you don't have one, seek care today. 
- If it is evening, watch the symptoms and seek care in the morning. 
- If the symptoms get worse, seek care sooner. 
                        What are your options for medical care?
                      
                      Today your options for where to get your medical care are greater than ever before. You may not even have to leave your home to get the care you want and need. You can choose based on what your health problem is and what works best for you. 
                      
                        - 
                          Telehealth is a video call with a health care provider. It can be a convenient way to get medical advice or treatment. Some insurers provide access to telehealth that may be available 24 hours a day. Telehealth for less serious problems may cost less and be faster than in-person clinic visits. 
- 
                          Urgent care and retail clinics are options if you don't have a doctor, you can't or don't want to wait to see your own doctor, or a telehealth visit can’t treat the problem. 
- 
                          Virtual care from your primary provider or a telehealth service can be delivered through your smartphone, computer, or tablet. 
 
                    
                   
                  
                    Make an Appointment
                    
                      Based on your answers, the problem may not improve without medical care.
                     
                    
                      
                        - Make an appointment to see your doctor in the next 1 to 2 weeks, or contact your telehealth provider. 
- If appropriate, try home treatment while you are waiting for the appointment. 
- If symptoms get worse or you have any concerns, call your doctor or telehealth provider. You may need care sooner. 
                        What are your options for medical care?
                      
                      Today your options for where to get your medical care are greater than ever before. You may not even have to leave your home to get the care you want and need. You can choose based on what your health problem is and what works best for you. 
                      
                        - 
                          Telehealth is a video call with a health care provider. It can be a convenient way to get medical advice or treatment. Some insurers provide access to telehealth that may be available 24 hours a day. Telehealth for less serious problems may cost less and be faster than in-person clinic visits. 
- 
                          Urgent care and retail clinics are options if you don't have a doctor, you can't or don't want to wait to see your own doctor, or a telehealth visit can’t treat the problem. 
- 
                          Virtual care from your primary provider or a telehealth service can be delivered through your smartphone, computer, or tablet. 
 
                    
                   
                  
                    Call 911 Now
                    
                      Based on your answers, you need emergency care.
                     
                    
                      
                        Call 911 or other emergency services now.
                     
                    
                      After you call 911, the operator may tell you to chew 1 adult-strength (325 mg) or 2 to 4 low-dose (81 mg) aspirin. Wait for an ambulance. Do not try to drive yourself.
                      Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
                     
                   
                  Postoperative Problems
                  Pregnancy-Related Problems
                  Abdominal Pain, Age 11 and Younger
                  Problems After Delivery of Your Baby