The moment the acute abdomen occurs, surgery is required. Abdominal pain is of different types depending on the etiology. General symptoms are visceral pain, pain from the peritoneum-parietal, referred pain.
Immediate procedures:
- Incannulating a vein
- Hydration
- Nose-gastric probe
- Oxygen
Some laboratory tests, such as CBC +F +PLT, ESR, bilirubinemia, transaminases, amylasemia, blood glucose, ionogram; rectal exploration; chest X-ray; direct abdomen; abdominal ultrasonography, should be performed.
If peritonitis or perforation is suspected, contact the surgeon. In the absence of signs of peritonitis or perforation, antipyretics should be taken and possible antibiotic therapy initiated. Do not administer major painkillers or vagolytics because of the danger of covering up the clinical picture before diagnosis.
Source: Mediserve‘s Medical Emergencies in Pediatrics.
