Angor abdominis, also known as abdominal angina, is a medical condition characterized by severe, recurring pain in the abdomen caused by inadequate blood flow to the intestines. The term "angor" is derived from the Latin word for "strangling," which accurately describes the excruciating pain experienced by individuals with this condition. The pain is typically experienced during or shortly after meals and can last for a few minutes to several hours.
The underlying cause of angor abdominis is usually atherosclerosis, a condition where fatty deposits (plaques) build up in the arteries, narrowing and hardening them. As a result, blood flow to the intestines is restricted, leading to the onset of pain. Other potential causes include blood clots, vasospasms, or vasoconstriction of the arteries in the abdomen.
Symptoms of angor abdominis may include severe, cramping pain in the abdomen, particularly in the upper midsection and around the naval area. The pain may be accompanied by nausea, vomiting, weight loss, bloating, and a fear of eating due to the associated discomfort. Resting or consuming smaller, more frequent meals may relieve the pain temporarily. However, without proper treatment, angor abdominis can lead to serious complications such as tissue damage or intestinal infarction.
Diagnosis of angor abdominis may involve a thorough medical history review, physical examination, and various diagnostic tests, such as angiography, computed tomography (CT) scans, or Doppler ultrasound. Treatment typically includes a combination of lifestyle modifications, such as dietary changes and smoking cessation, along with medication to improve blood flow and manage symptoms. In some cases, surgical intervention may be required to improve blood flow or remove plaque buildup from the affected arteries.
