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⚠️ MedDeck is an educational and reference tool for seafarers. It does not replace professional medical advice, TMAS, a company doctor, or emergency services. In an emergency, seek appropriate medical assistance and follow your vessel's procedures.

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Severe abdominal pain

Sudden or severe abdominal pain may indicate a serious condition — assess and escalate.

What should I do first?

  • Treat sudden or severe abdominal pain as potentially serious
  • Assess overall condition and obtain help
  • Seek appropriate medical assistance
  • Monitor for deterioration
  • Record relevant observations for medical assistance
  • Do not attempt to determine the exact cause onboard

What this may look like

  • Sudden or severe pain in the abdomen
  • Pain that worsens with movement or is associated with vomiting
  • Abdominal rigidity, distress, or feeling seriously unwell
  • Associated dizziness, weakness, or reduced responsiveness in some cases

What should I check?

  • Severity, location, and change over time
  • Vomiting, fever, or other associated symptoms
  • Responsiveness and breathing
  • Known medical history if available

What should I avoid?

  • Giving food or drink when the person may need urgent assessment
  • Suggesting medicines without medical direction
  • Assuming the cause is minor without assessment

When should I get medical assistance?

  • When pain is severe, sudden, persistent, or accompanied by concerning symptoms
  • Contact your vessel's designated medical assistance/TMAS service according to vessel procedures
  • Follow your vessel's emergency procedures

What information should I prepare for TMAS / medical assistance?

  • When pain started and how it has changed
  • Location and associated symptoms
  • Actions taken and current condition
  • Known medical history if available
  • Vessel position and communications details required by procedure

Related symptoms

Important safety note

  • This pathway does not provide disease-specific treatment guidance
  • Seek appropriate professional assessment

⚠️ MedDeck is an educational and reference tool for seafarers. It does not replace professional medical advice, TMAS, a company doctor, or emergency services. In an emergency, seek appropriate medical assistance and follow your vessel's procedures.