Symptoms: abdominal pain



Coding system
SNOMED CT
Coding system release
35.2.0
Organisation
OpenSAFELY
Codelist ID
opensafely/symptoms-abdominal-pain
Version ID
344e73f1

Versions
  • 344e73f1

Description

Code list aiming to identify individuals consulting complaining of abdominal pain.

Methodology

Identified from initial search terms outside of OpenCodelists: "abdom" "colic" "git pain" "epigast" "hypogast" hypochondri" "iliac" "irritable bowel syndrome" "ibs" umbilical" "subcostal" "abd. pain"

Candidate codelist reviewed outside OpenCodelists by two clinicians. As we reviewed our candidate codelist outside openCodelists, we did not benefit from the tree structures that might have identified additional codes. However, we assume that these are likely to be codes that are not used frequently, e.g., eponymous syndromes.

Retained terms relating to abdominal bloating or distension as represent abdominal discomfort. Retained terms relating to irritable bowel syndrome as likely to include abdominal discomfort. Retained abdominal rigidity, guarding, and acute abdomen, as while they may suggest a surgical abdomen, they all still imply presence of pain.

Signed off by

  • Kate Mansfield, (Feb. 6, 2023)

Codelists are developed by a broad community of users for individual study purposes, which may or may not meet the needs of other studies. They should not be thought of as universal definitions of a particular condition.

We don't offer any guarantees about what they do or don't identify. Users should carefully check that any codelist meets their needs, and seek clinical input where appropriate.

code term
102613000 Localized abdominal pain
102614006 Generalized abdominal pain
10743008 Irritable bowel syndrome
1082731000000107 Irritable Bowel Syndrome - Symptom Severity Scale
1083661000000101 Assessment using Irritable Bowel Syndrome - Symptom Severity Scale
1083671000000108 Irritable Bowel Syndrome - Symptom Severity Scale score
11072008 Nonspecific abdominal symptom
1119211005 Tenderness of left abdominal lumbar region
1119212003 Tenderness of right abdominal lumbar region
1119217009 Pain in right abdominal lumbar region
1119218004 Pain in left abdominal lumbar region
111985007 Chronic abdominal pain
116289008 Abdominal bloating
116290004 Acute abdominal pain
11708003 Hypogastric region structure
118948005 Disorder of abdomen
119416008 Epigastric discomfort
136051000119105 Abdominal colic in child less than or equal to 12 months
136571000119109 Adult colic
137891000119105 Abdominal colic in adult or child greater than 12 months
139304008 Type of GIT pain
139306005 Abdominal colic
139307001 Non-colicky abdominal pain
139310008 Infantile colic
139311007 Abdominal migraine - symptom
139312000 Abdominal discomfort
139313005 Abdominal pain
139315003 Type of GIT pain NOS
139316002 Pain: [site of GIT] or [abdominal site symptom] or [flank] or [subcostal] or [iliac fossa]
139317006 Central abdominal pain
139318001 Epigastric pain
139319009 Left subcostal pain
139320003 Right subcostal pain
139323001 Right iliac fossa pain (& C/O)
139324007 Left iliac fossa pain (& C/O)
139326009 Generalised abdominal pain
139327000 Upper abdominal pain
139328005 Lower abdominal pain
139329002 Site of GIT pain NOS
139343007 Abdominal distension symptom
139345000 Abdomen feels bloated
139346004 Abdomen feels distended
139347008 Abdomen feels swollen
140422000 O/E pain: [abdominal (& on palpation)] or [epigastric] or [iliac] or [lumbar] or [umbilical]
140424004 O/E - abd.pain-R.hypochondrium
140425003 O/E - abd. pain - epigastrium
140426002 O/E - abd.pain-L.hypochondrium
140427006 O/E - abd. pain - R.lumbar
140428001 O/E - abd. pain - umbilical
140429009 O/E - abd. pain - L.lumbar
140430004 O/E - right iliac: [abdominal pain] or [tender]
140431000 O/E - abd. pain - hypogastrium
140432007 O/E - left iliac: [abdominal pain] or [tender]
140436005 O/E - guarding-R.hypochondrium
140437001 O/E - guarding - epigastrium
140438006 O/E - guarding-L.hypochondrium
140440001 O/E - guarding - umbilical
140442009 O/E - guarding - R.iliac
140443004 O/E - guarding - hypogastrium
140444005 O/E - guarding - L.iliac
140448008 O/E - rebound-R.hypochondrium
140449000 O/E - rebound - epigastrium
140450000 O/E - rebound-L.hypochondrium
140452008 O/E - rebound - umbilical
140454009 O/E - rebound - R.iliac
140455005 O/E - rebound - hypogastrium
140456006 O/E - rebound - L.iliac
140458007 O/E - abdominal rigidity
140460009 Abdomen: [O/E - board like rigidity] or [acute]
140461008 O/E - abdominal rigidity NOS
155783000 (Irritable bowel syndrome) or (pseudomembranous colitis)
158435003 [D]Abdominal distension, gaseous
158498003 [D]Abdominal pain
158499006 [D]Acute abdomen
158500002 [D]Abdominal tenderness
158501003 [D]Abdominal colic
158502005 Colic [D]
158503000 [D]Infantile colic
158504006 [D]Abdominal cramps
158505007 [D]Epigastric pain
158506008 [D]Umbilical pain
158507004 [D]Hypochondrial pain
158509001 [D]Pain in right iliac fossa
158510006 [D]Pain in left iliac fossa
158512003 [D]Abdominal pain NOS
158529000 [D]Abdominal rigidity
162036004 Type of GIT pain (& [abdominal pain] or [symptom])
162038003 Non-colicky abdominal pain
162040008 Abdominal migraine - symptom
162041007 Abdominal discomfort
162042000 Abdominal wall pain
162044004 Type of gastrointestinal tract pain NOS
162045003 Pain: [GIT site] or [abdominal] or [flank] or [subcostal] or [iliac fossa]
162046002 Central abdominal pain
162047006 Left subcostal pain
162048001 Right subcostal pain
162051008 Right iliac fossa pain
162052001 Left iliac fossa pain
162053006 Suprapubic pain
162054000 Site of gastrointestinal tract pain NOS
162068007 Abdominal distension symptom
162070003 Abdomen feels bloated
162071004 Abdomen feels distended
162072006 Abdomen feels swollen
162073001 Abdominal distension symptom NOS
162424004 (Symptom: chest wall) or (C/O symptom: [chest wall] or [abdominal wall])
163212000 O/E: pain on palpation (& [abdominal] or [epigastric] or [iliac] or [lumbar] or [umbilical])
163213005 On examination - no abdominal pain on palpation
163214004 On examination - abdominal pain - right hypochondrium
163215003 On examination - abdominal pain - epigastrium
163216002 On examination - abdominal pain - left hypochondrium
163217006 On examination - abdominal pain - right lumbar
163218001 On examination - abdominal pain - umbilical
163219009 On examination - abdominal pain - left lumbar
163220003 On examination - abdominal pain - right iliac
163221004 On examination - abdominal pain - hypogastrium
163222006 On examination - abdominal pain - left iliac
163223001 On examination - abdominal pain on palpation NOS
163224007 On examination - guarding on palpation
163226009 On examination - guarding - right hypochondrium
163227000 On examination - guarding - epigastrium
163228005 On examination - guarding - left hypochondrium
163230007 On examination - guarding - umbilical
163232004 On examination - guarding - right iliac
163233009 On examination - guarding - hypogastrium
163234003 On examination - guarding - left iliac
163238000 On examination - rebound - right hypochondrium
163239008 On examination - rebound - epigastrium
163240005 On examination - rebound-left hypochondrium
163242002 On examination - rebound - umbilical
163244001 On examination - rebound - right iliac
163245000 On examination - rebound - hypogastrium
163246004 On examination - rebound - left iliac
163248003 On examination - abdominal rigidity
163250006 O/E abdomen: [board like rigidity] or [acute]
163251005 On examination - abdominal rigidity NOS
164629003 Tenderness of epigastrium
18156008 Abdominal hyperesthesia
192434000 [X] Somatoform autonomic dysfunction (& named variants)
197124009 (Irritable bowel syndrome) or (pseudomembranous colitis) or (spastic colon)
197125005 Irritable bowel syndrome with diarrhea
207127000 [D]Gas pain (abdominal)
207128005 [D]Abdominal distension, gaseous
207205003 [D]Abdominal pain
207206002 [D]Abdominal tenderness
207207006 [D]Abdominal colic
207208001 [D]Colic NOS
207209009 [D]Infantile colic
207210004 [D]Abdominal cramps
207211000 [D]Epigastric pain
207212007 [D]Umbilical pain
207213002 [D]Hypochondrial pain
207215009 [D]Pain in right iliac fossa
207216005 [D]Pain in left iliac fossa
207219003 [D]Abdominal migraine
207220009 [D]Recurrent acute abdominal pain
207221008 [D]Acute abdomen
207223006 [D] Upper abdominal pain
207228002 [D]Nonspecific abdominal pain
207229005 [D]Other specified abdominal pain
207230000 [D]Abdominal pain NOS
207251002 [D]Abdominal rigidity
207255006 [D]Acute abdomen
207588000 [X]Pain localized to other parts of lower abdomen
207589008 [X]Other and unspecified abdominal pain
21522001 Abdominal pain
2174009 Abdominal rebound pain
231510006 Hypochondriacal pain
231515001 Hypochondriacal pain
235838003 Irritable bowel syndrome variant of childhood
235839006 Irritable bowel syndrome variant of childhood with diarrhea
235840008 Irritable bowel syndrome variant of childhood with constipation
235841007 Chronic nonspecific abdominal pain
239271000000108 Pain radiating to lower abdomen
239291000000107 Pain radiating to middle abdomen
239381000000101 Pain radiating to upper abdomen
241236003 Pubic region
243354008 Entire right upper quadrant of abdomen
243388002 Entire right lower quadrant of abdomen
243963000 Structure of right iliac fossa
247351001 Generalised abdominal pain
247352008 Subcostal pain
247353003 Site of abdominal pain
247354009 Iliac fossa pain
247356006 Type of gastrointestinal tract pain - symptom
247358007 Type of abdominal pain
247360009 Infantile colic
247361008 Evening colic
247362001 Pain on abdominal wall movement
248490000 Bloating symptom
249545003 Abdominal guarding
25451005 Board-like abdominal rigidity
266525002 (Irritable bowel syndrome) or (pseudomembranous colitis)
267050002 Site of gastrointestinal tract pain
267165003 Pain: [site of GIT] or [abdominal site symptom] or [flank] or [subcostal] or [iliac fossa]
268941000 On examination - abdominal pain on palpation
268942007 On examination - board-like abdominal rigidity
269018004 O/E pain: [abdominal (& on palpation)] or [epigastric] or [iliac] or [lumbar] or [umbilical]
269019007 O/E - right iliac: [abdominal pain] or [tender]
269020001 O/E - left iliac: [abdominal pain] or [tender]
269021002 Abdomen: [O/E - board like rigidity] or [acute]
270477000 Type of gastrointestinal tract pain
270956009 Right iliac fossa pain (& C/O)
270957000 Left iliac fossa pain (& C/O)
271835004 Abdominal distension, gaseous
271853005 Hypochondrial pain
271854004 Right iliac fossa pain
271855003 Left iliac fossa pain
271858001 Recurrent acute abdominal pain
271859009 Other specified abdominal pain
272042000 Infantile colic
274256007 [D]Colic
274277005 Complaining of right iliac fossa pain
274278000 Complaining of left iliac fossa pain
274287009 On examination - abdominal pain
274288004 On examination - epigastric pain
274289007 On examination - iliac pain - abdominal
274290003 On examination - lumbar pain abdominal
274291004 On examination - umbilical pain - abdominal
274292006 On examination - left iliac fossa tender
274670001 Pain localized to other parts of lower abdomen
275315004 On examination - iliac pain on palpation
28221000119103 Abdominal muscle pain
285348005 Strain of abdominal muscle
285387005 Left sided abdominal pain
285388000 Right sided abdominal pain
300410004 Finding of abdominal guarding
300411000 Guarding of right hypochondrium
300412007 Guarding of epigastrium
300413002 Guarding of left hypochondrium
300416005 Guarding of umbilical region
300417001 Guarding of right iliac fossa
300418006 Guarding of left iliac fossa
300419003 Guarding of hypogastrium
300421008 Finding of abdominal rigidity
301367001 Right hypochondrial pain
301368006 Left hypochondrial pain
301403003 Tenderness of epigastrium
301404009 Tenderness of right hypochondrium
301405005 Tenderness of left hypochondrium
301409004 Tenderness of hypogastrium
301410009 Tenderness of right iliac fossa
301411008 Tenderness of left iliac fossa
301412001 Rebound tenderness of epigastrium
301413006 Rebound tenderness of right hypochondrium
301414000 Rebound tenderness of left hypochondrium
301418002 Rebound tenderness of hypogastrium
301419005 Rebound tenderness of right iliac fossa
301420004 Rebound tenderness of left iliac fossa
304542004 Nonspecific abdominal pain
307199009 Psychosomatic abdominal pain
307725002 [D] Upper abdominal pain
308903002 On examination - epigastric pain on palpation
311813008 [D]Nonspecific abdominal pain
314212008 Abdominal pain - cause unknown
35363006 Infantile colic
35611005 Rebound tenderness
364630006 Abdominal pain characteristic
364761006 Finding of site of gastrointestinal tract pain
364762004 Finding of type of gastrointestinal tract pain
371094000 Colicky hypogastric pain
371102005 Generalized colicky abdominal pain
390251000000109 [D]Abdominal pain NOS
397851000000109 [D]Colic NOS
410716004 Colicky sensation quality
415183006 Protective cup, device
416390003 Somatic dysfunction of abdomen
417735002 Somatic dysfunction of ilium
41931001 Abdominal distension
425860006 Pain radiating to lower abdomen
427075000 Pain radiating to upper abdomen
427668002 Pain radiating to middle abdomen
43364001 Abdominal discomfort
43478001 Abdominal tenderness
438509009 Abdominal rigidity of right lower quadrant
438512007 Abdominal rigidity of periumbilical region
438774001 Abdominal rigidity of epigastrium
439469002 Recurrent abdominal pain
439582007 Abdominal rigidity of left upper quadrant
439593009 Abdominal rigidity of left lower quadrant
439774009 Tenderness of left lower quadrant of abdomen
440122009 Generalized abdominal rigidity
440220007 Generalized abdominal tenderness
440544005 Irritable bowel syndrome characterized by alternating bowel habit
440630006 Irritable bowel syndrome characterized by constipation
443503005 Periumbilical pain
444651000000101 [D]Abdominal pain NOS
444746004 Acute exacerbation of chronic abdominal pain
445386003 Tenderness of periumbilical region
448265002 Tenderness of right upper quadrant of abdomen
448660000 Tenderness of left upper quadrant of abdomen
448661001 Tenderness of right lower quadrant of abdomen
449092006 Abdominal rigidity of right upper quadrant
449890002 Functional abdominal pain syndrome
45979003 Abdominal wind pain
462571000000108 [X]Other and unspecified abdominal pain
462851000000101 [X]Pain localised to other parts of lower abdomen
48544008 Structure of right lower quadrant of abdomen
498521000000105 [D]Gas pain (abdominal)
498531000000107 [D]Abdominal distension, gaseous
499111000000101 [D]Abdominal pain
499121000000107 [D]Abdominal tenderness
499131000000109 [D]Abdominal colic
499141000000100 [D]Infantile colic
499151000000102 [D]Abdominal cramps
499161000000104 [D]Epigastric pain
499171000000106 [D]Umbilical pain
499181000000108 [D]Hypochondrial pain
499201000000107 [D]Pain in right iliac fossa
499211000000109 [D]Pain in left iliac fossa
499241000000105 [D]Abdominal migraine
499251000000108 [D]Recurrent acute abdominal pain
499261000000106 [D]Acute abdomen
499281000000102 [D]Other specified abdominal pain
499451000000107 [D]Abdominal rigidity
502391000000105 [D]Colic
502591000000100 [D]Upper abdominal pain
502841000000108 [D]Nonspecific abdominal pain
50519007 Structure of right upper quadrant of abdomen
51197009 Stomach cramps
540501000000100 On examination - abdominal pain on palpation NOS
54586004 Lower abdominal pain
564321000000100 On examination - abdominal rigidity NOS
582731000000109 Site of gastrointestinal tract pain NOS
583831000000109 Abdominal distension symptom NOS
585781000000100 Type of gastrointestinal tract pain NOS
60043000 Midabdominal crampy pain
60728008 Swollen abdomen
667301000000109 Pain localized to other parts of lower abdomen
695831000000102 Other specified abdominal pain
707597009 Continuous abdominal pain of left lower quadrant
71850005 Abdominal pain worse on motion
718922009 Somatic dysfunction of abdominal region
72300008 Abdominal rigidity
724890000 Strain of tendon of abdomen
73063007 Colicky pain
74704000 Abdominal pain through to back
75879005 Abdominal migraine
78409004 Abdominal polyradiculopathy
791011000000108 Functional abdominal pain syndrome
79922009 Epigastric pain
808731000000106 Functional abdominal pain syndrome
82648006 Abdominal involuntary guarding
82708005 Abdominal voluntary guarding
83132003 Upper abdominal pain
833290005 Rebound tenderness of umbilical region
838410008 Pain in epigastric region on palpation
838411007 Pain in abdominal region on palpation
8644006 Epigastric fullness
871692005 Strain of rectus abdominus muscle
88522004 Umbilical pain
9209005 Acute abdomen
928191000000105 Irritable bowel syndrome characterised by alternating bowel habit
928201000000107 Irritable bowel syndrome characterised by constipation
938221000000100 Irritable bowel syndrome characterised by alternating bowel habit
938291000000102 Irritable bowel syndrome characterised by constipation
9991008 Abdominal colic

Codes not in the full codelist are in faint grey.