Point tenderness - abdomen
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 health care provider can easily examine by touch. The 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 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 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 of 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 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:
Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Abdomen. In: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Seidel's Guide to Physical Examination. 9th ed. St Louis, MO: Elsevier; 2019:chap 18.
McQuaid KR. Approach to the patient with gastrointestinal disease. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 132.
Squires R, Carter SN, Postier RG. Acute abdomen. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 20th ed. Philadelphia, PA: Elsevier; 2017:chap 45.
Reviewed By: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.