Can an infection trigger severe stomach pain?

Stomach pain is a common symptom of various health conditions. Infections are one of the leading causes of stomach pain. When an infection affects the gastrointestinal tract, it can lead to discomfort and pain in the stomach.

An infection can be caused by various microorganisms, such as bacteria, viruses, or parasites. These microorganisms can enter the body through contaminated food or water, poor hygiene, or close contact with an infected individual.

The presence of an infection in the stomach can cause inflammation and irritation of the stomach lining, leading to pain. Infections can also disrupt the natural balance of bacteria in the gut, further contributing to stomach pain.

Common symptoms of stomach pain due to infection include abdominal cramps, bloating, nausea, vomiting, diarrhea, and loss of appetite. These symptoms can vary in severity depending on the type and extent of the infection.

Bacterial Infections and Stomach Pain

Bacterial infections in the stomach can cause significant pain and discomfort. The stomach is a vital organ responsible for the digestion of food, and any infection in this area can disrupt its normal functioning, leading to various symptoms, including abdominal pain.

Bacterial infections such as Helicobacter pylori (H. pylori) are one of the main causes of stomach pain. H. pylori is a common bacterium that can infect the lining of the stomach and cause inflammation. This infection is usually acquired through contaminated food or water and can lead to conditions such as gastritis or stomach ulcers.

Symptoms of Bacterial Infections

When a person experiences a bacterial infection in their stomach, they may experience a range of symptoms, including:

  • Abdominal pain
  • Cramping
  • Nausea
  • Vomiting
  • Bloating
  • Loss of appetite

The severity of the symptoms can vary depending on the specific bacterial infection and its impact on the stomach. In some cases, the pain may be mild and intermittent, while in others, it can be severe and persistent.

Treatment and Prevention

Treating bacterial infections in the stomach typically involves a combination of antibiotics and acid reducers to kill the bacteria and reduce stomach acid levels. It is crucial to complete the entire course of antibiotics prescribed by a healthcare professional to ensure the infection is fully eradicated.

Preventing bacterial infections in the stomach can be achieved by practicing good hygiene, such as washing hands before meals and ensuring food is thoroughly cooked. Avoiding the consumption of contaminated food and water sources can also reduce the risk of acquiring a bacterial infection.

If you experience persistent stomach pain or suspect a bacterial infection, it is important to seek medical attention for an accurate diagnosis and appropriate treatment.

Viral Infections and Stomach Pain

Stomach pain can be caused by various factors, and one of them is viral infections. Viruses are microscopic organisms that can invade and infect the body’s cells, including those in the stomach.

When a person contracts a viral infection, such as the norovirus or rotavirus, it can lead to stomach pain as one of the symptoms. These viruses can be transmitted through contaminated food or water, or by close contact with an infected person. Once inside the body, they can cause inflammation and irritation in the stomach, leading to pain.

Viral infections can also affect the functioning of the digestive system, disrupting the normal processes in the stomach. This can result in symptoms like nausea, vomiting, diarrhea, and abdominal cramps, all of which can contribute to the overall stomach pain experienced by the infected individual.

It is important to note that not all viral infections cause stomach pain, and the severity of symptoms can vary depending on the specific virus and the individual’s immune response. In some cases, the stomach pain may be mild and resolve on its own, while in others it can be severe and require medical treatment.

If you experience stomach pain along with other symptoms of a viral infection, it is recommended to seek medical advice. A healthcare professional can provide a proper diagnosis and recommend appropriate treatment options to alleviate the symptoms and promote a faster recovery.

Parasitic Infections and Stomach Pain

A parasitic infection can cause stomach pain in individuals. Parasites are organisms that live and feed off another organism, known as the host, and can infect humans through various means. When these parasites invade the digestive system, they can lead to a range of symptoms, including stomach pain.

There are several types of parasites that can cause stomach pain. One common example is the presence of intestinal worms, such as roundworms, hookworms, or tapeworms. These parasites can latch onto the lining of the intestines and cause inflammation, resulting in abdominal pain.

In addition to intestinal worms, protozoa parasites can also cause stomach pain. Protozoa are single-celled organisms that can be found in contaminated food or water. When ingested, they can multiply in the intestines and cause digestive symptoms, including stomach pain.

The symptoms of a parasitic infection can vary depending on the type of parasite involved. Alongside stomach pain, individuals may experience symptoms such as diarrhea, nausea, vomiting, bloating, and weight loss. In severe cases, parasites can lead to complications such as intestinal obstruction or malabsorption of nutrients.

It is essential to seek medical attention if you suspect a parasitic infection as the cause of your stomach pain. A healthcare professional can diagnose the infection through a stool sample or blood test and prescribe appropriate treatment, such as medication to kill the parasites.

Common Parasitic Infections Symptoms
Intestinal Worms Stomach pain, diarrhea, bloating
Giardiasis Stomach pain, diarrhea, nausea
Amoebiasis Stomach pain, bloody diarrhea

Foodborne Illnesses and Stomach Pain

Foodborne illnesses can cause an infection in the stomach, leading to stomach pain. These illnesses are typically caused by consuming contaminated food or water.

An infection in the stomach can result from the ingestion of bacteria, viruses, parasites, or toxins present in contaminated food. Common foodborne illnesses include salmonella, E. coli, listeria, and norovirus.

Symptoms of Foodborne Illness

When someone contracts a foodborne illness, they may experience various symptoms, including:

  • Stomach pain and cramps
  • Nausea and vomiting
  • Diarrhea
  • Fever
  • Headache

The severity and duration of these symptoms can vary depending on the specific foodborne illness and the individual’s immune system.

Preventing Foodborne Illness

To reduce the risk of contracting a foodborne illness and experiencing stomach pain, it is essential to take proper precautions when handling, preparing, and storing food.

Some key steps to prevent foodborne illnesses include:

Step Description
1 Washing hands thoroughly before and after handling food
2 Cooking food at the appropriate temperature to kill bacteria
3 Storing food at the correct temperature to prevent bacterial growth
4 Avoiding cross-contamination by keeping raw and cooked foods separate
5 Using clean utensils, cutting boards, and surfaces when preparing food

By following these guidelines, individuals can significantly reduce the risk of developing an infection that could cause stomach pain.

Gastroenteritis and Stomach Pain

Gastroenteritis is an infection that can cause stomach pain. It is commonly known as the stomach flu and can be caused by a variety of viruses, bacteria, or parasites. The infection typically affects the stomach and intestines, leading to symptoms such as diarrhea, vomiting, and abdominal cramps.

The main cause of gastroenteritis is the ingestion of contaminated food or water. This can happen when consuming raw or undercooked meat, seafood, or eggs, as well as fruits and vegetables that have been contaminated with fecal matter. Poor hygiene practices, such as not washing hands properly, can also contribute to the spread of the infection.

The stomach pain associated with gastroenteritis can range in severity and may be accompanied by other symptoms such as nausea and loss of appetite. The pain is often described as crampy or sharp and can be felt in the lower abdomen. It may come and go or be constant, depending on the individual.

If you are experiencing stomach pain and suspect that it may be due to gastroenteritis, it is important to stay hydrated and rest. Over-the-counter medications, such as anti-diarrheals and pain relievers, may provide temporary relief. However, it is recommended to seek medical attention if the symptoms persist or worsen.

Gastroenteritis can be a highly contagious infection, so it is important to take precautions to prevent its spread. This includes practicing good hand hygiene, properly cooking and storing food, and avoiding close contact with individuals who are sick. By taking these measures, you can reduce your risk of developing gastroenteritis and experiencing stomach pain.

Gastric Ulcers and Stomach Pain

Infection can be a common cause of stomach pain. One specific type of infection that can lead to stomach pain is a gastric ulcer. A gastric ulcer is an open sore that forms on the lining of the stomach.

These ulcers can occur due to an infection with a bacteria called Helicobacter pylori (H. pylori) or from the use of certain medications such as nonsteroidal anti-inflammatory drugs (NSAIDs).

The presence of a gastric ulcer can cause an intense, burning pain in the stomach area. This pain may worsen after eating or when the stomach is empty. It can also be accompanied by other symptoms such as bloating, nausea, vomiting, and weight loss.

If left untreated, gastric ulcers can lead to complications such as internal bleeding, perforation of the stomach wall, and an increased risk of developing stomach cancer.

If you experience persistent stomach pain or suspect you may have a gastric ulcer, it is important to seek medical attention. A healthcare professional will be able to diagnose the underlying cause of your stomach pain and recommend appropriate treatment options.

Appendicitis and Stomach Pain

Appendicitis is a condition that can cause severe stomach pain. It occurs when the appendix, a small organ located in the lower right side of the abdomen, becomes infected.

The exact cause of appendicitis is not always clear, but it is believed to be due to a blockage in the appendix, usually caused by a buildup of mucus, stool, or parasites. This blockage can lead to inflammation and infection, resulting in stomach pain.

Symptoms of Appendicitis

The most common symptom of appendicitis is abdominal pain. The pain usually starts around the belly button and then moves to the lower right side of the abdomen. It may also be accompanied by other symptoms such as:

  • Nausea
  • Vomiting
  • Fever
  • Loss of appetite
  • Constipation or diarrhea
  • Inability to pass gas

Seeking Medical Attention

If you experience severe stomach pain, especially if it is localized to the lower right side of your abdomen, it is important to seek medical attention immediately. Appendicitis is a serious condition that requires prompt medical treatment. Left untreated, a burst appendix can lead to life-threatening complications such as peritonitis.

Gallstones and Stomach Pain

Gallstones can be a cause of stomach pain. Gallstones are hardened deposits that form in the gallbladder, which is a small organ located in the upper right side of the abdomen. Gallstones can vary in size and shape and can block the normal flow of bile, leading to pain.

When gallstones block the bile ducts, it can cause intense pain in the upper abdomen, known as biliary colic. This pain can come and go and may last for several hours. It can be accompanied by other symptoms such as nausea, vomiting, and fever.

In some cases, gallstones can cause inflammation of the gallbladder, known as cholecystitis. This can result in severe pain, tenderness in the abdomen, and fever. If left untreated, cholecystitis can lead to more serious complications.

If a gallstone gets stuck in the common bile duct, it can cause a blockage, leading to a condition called choledocholithiasis. This can cause abdominal pain, yellowing of the skin and eyes (jaundice), and fever.

If you experience severe or persistent stomach pain, it is important to seek medical attention. A healthcare professional can diagnose and treat the underlying cause of the pain, including gallstones, to alleviate your symptoms and prevent further complications.

Kidney Stones and Stomach Pain

Kidney stones are a common cause of stomach pain. These hard deposits form in the kidneys and can cause severe discomfort when they travel through the urinary tract. Although kidney stones primarily affect the urinary system, they can also lead to stomach pain.

The pain usually occurs as the kidney stone passes through the ureter, which is the tube that connects the kidney to the bladder. The stone may get stuck in the ureter, causing a blockage and resulting in pain. This pain can be sharp and intense, often radiating from the back or side towards the lower abdomen.

In addition to the pain caused by kidney stones, other symptoms may include blood in the urine, frequent urination, and a persistent urge to urinate. These symptoms can further contribute to the discomfort and distress associated with this condition.

It is important to note that not all kidney stones cause stomach pain. Some stones may be small enough to pass through the urinary tract without causing any symptoms. However, larger stones or stones that cause blockages can lead to significant pain.

If you suspect you have kidney stones, it is crucial to seek medical attention. A healthcare professional can diagnose the condition through imaging tests and provide appropriate treatment options. Depending on the size and location of the stone, treatment may involve medications, changes in diet, or even surgical intervention.

In conclusion, kidney stones can be a cause of stomach pain. This pain is typically felt as the stone travels through the ureter and may be accompanied by other urinary symptoms. Seeking prompt medical attention is essential to manage kidney stones effectively.

Irritable Bowel Syndrome and Stomach Pain

Irritable Bowel Syndrome (IBS) is a common disorder that affects the large intestine. It is characterized by symptoms such as abdominal pain, bloating, gas, and changes in bowel movements. While the exact cause of IBS is unknown, it is thought to be a combination of factors, including genetics, stress, and abnormal muscle contractions in the intestines.

Stomach pain is one of the key symptoms of IBS. Individuals with IBS often experience cramping and discomfort in the abdomen. This pain can vary in intensity and may come and go. It is often relieved by bowel movements and can be accompanied by changes in bowel habits, such as diarrhea or constipation.

It is important to note that while IBS can cause stomach pain, it is not related to an infection. Unlike an infection, IBS is a chronic condition that does not have a cure. However, there are treatments available that can help manage the symptoms and improve quality of life for individuals with IBS.

If you are experiencing stomach pain and suspect it may be related to IBS, it is important to see a healthcare professional for a proper diagnosis. They can help determine the cause of your symptoms and develop a treatment plan tailored to your needs.

Inflammatory Bowel Disease and Stomach Pain

Inflammatory bowel disease (IBD) is a chronic condition that causes inflammation in the digestive tract. It can affect different parts of the digestive system, including the stomach. The inflammation in the stomach can lead to stomach pain and discomfort.

One of the main causes of inflammatory bowel disease is an autoimmune response, where the immune system mistakenly attacks the healthy cells in the digestive tract. This can lead to chronic inflammation and damage to the stomach lining, resulting in stomach pain.

The symptoms of inflammatory bowel disease can vary from person to person, but stomach pain is a common symptom. It can range from mild to severe and may be accompanied by other symptoms such as diarrhea, bloating, and nausea.

Types of Inflammatory Bowel Disease

There are two main types of inflammatory bowel disease: Crohn’s disease and ulcerative colitis. Both can cause stomach pain.

Crohn’s disease can affect any part of the digestive tract, from the mouth to the anus. The inflammation can be deep and can involve multiple layers of the digestive tract. This can cause intense stomach pain and cramping.

Ulcerative colitis, on the other hand, primarily affects the colon and rectum. The inflammation is usually limited to the inner lining of the colon, but it can still cause stomach pain and discomfort.

Managing Stomach Pain Due to Inflammatory Bowel Disease

Managing stomach pain due to inflammatory bowel disease can involve a combination of medication, lifestyle changes, and dietary modifications. Medications such as anti-inflammatory drugs and immunosuppressants may be prescribed to reduce inflammation and alleviate stomach pain.

Lifestyle changes, such as stress management and regular exercise, can also help manage stomach pain. Additionally, certain dietary modifications, such as avoiding trigger foods and incorporating a well-balanced diet, can help reduce inflammation and improve digestive health.

If you are experiencing stomach pain due to inflammatory bowel disease, it is important to consult with a healthcare professional for proper diagnosis and treatment. They can help develop a personalized treatment plan tailored to your specific needs.

Pancreatitis and Stomach Pain

Pancreatitis, an inflammation of the pancreas, can cause stomach pain. The pancreas is an organ located behind the stomach that produces enzymes and hormones important for digestion and blood sugar regulation. When the pancreas becomes inflamed, it can lead to various symptoms, including stomach pain.

Infection is one of the potential causes of pancreatitis. Bacterial or viral infections can affect the pancreas, causing inflammation and triggering stomach pain. In some cases, the infection may spread to the pancreas from other organs, such as the gallbladder or intestines.

Symptoms of Pancreatitis

Along with stomach pain, individuals with pancreatitis may experience other symptoms. These can include:

  • Abdominal tenderness
  • Nausea and vomiting
  • Fever
  • Rapid heartbeat
  • Loss of appetite
  • Weight loss

The severity of the symptoms can vary depending on the underlying cause of pancreatitis. In some cases, the pain can be mild and intermittent, while in others it may be severe and constant.

Treatment Options

Proper diagnosis and treatment are important in managing pancreatitis and alleviating stomach pain. Treatment options may include:

  • Medications to reduce inflammation
  • Antibiotics to treat underlying infections
  • Pain relievers
  • Dietary changes to reduce stress on the pancreas
  • Surgical intervention in severe cases

If you are experiencing stomach pain, it is essential to consult a healthcare professional for a proper evaluation and diagnosis. They can determine the underlying cause of your symptoms and recommend appropriate treatment.

Pelvic Inflammatory Disease and Stomach Pain

Pelvic inflammatory disease (PID) is an infection of the female reproductive organs, including the uterus, ovaries, and fallopian tubes. It is usually caused by sexually transmitted infections, such as chlamydia or gonorrhea.

PID can cause stomach pain in women. The infection can spread from the reproductive organs to the abdomen, leading to inflammation and pain. The pain may be dull or sharp and may be accompanied by other symptoms, such as fever, abnormal vaginal discharge, or pain during sexual intercourse.

Causes of PID

As mentioned earlier, PID is usually caused by sexually transmitted infections. When these infections are left untreated, the bacteria can travel from the vagina and cervix to the uterus and other reproductive organs, causing an infection. Other factors that can increase the risk of developing PID include having multiple sexual partners, a history of PID or other sexually transmitted infections, and using an intrauterine device for birth control.

Symptoms of PID

In addition to stomach pain, other common symptoms of PID include abnormal vaginal discharge, painful urination, painful sexual intercourse, fever, and fatigue. Some women may also experience irregular menstrual bleeding, nausea or vomiting, and pain in the lower back or thighs. It is important to note that not all women with PID experience symptoms, and the severity of symptoms can vary from mild to severe.

Ovarian Cysts and Stomach Pain

Ovarian cysts are fluid-filled sacs that can form on the ovaries. While most ovarian cysts are harmless and do not cause any symptoms, some can lead to stomach pain and discomfort.

One possible cause of stomach pain associated with ovarian cysts is when the cyst becomes large and starts to press on the surrounding organs. This pressure can lead to aching or sharp pain in the lower abdomen.

In some cases, ovarian cysts can become infected, leading to a condition known as an ovarian abscess. This infection can cause severe abdominal pain, along with other symptoms such as fever, nausea, and vomiting.

Another way ovarian cysts can contribute to stomach pain is through torsion, which occurs when the cyst twists and cuts off its blood supply. This can cause sudden and intense pain in the lower abdomen, often requiring immediate medical attention.

If you are experiencing stomach pain and suspect that ovarian cysts may be the cause, it is important to see a healthcare provider for a proper diagnosis and treatment. They may recommend imaging tests such as ultrasound to confirm the presence of cysts and determine the appropriate course of action.

In some cases, treatment for ovarian cysts may involve watchful waiting, as many cysts will resolve on their own without intervention. However, if the cysts are causing significant pain or other complications, surgery may be necessary to remove them.

Overall, while ovarian cysts can potentially cause stomach pain, it is important to remember that not all stomach pain is necessarily related to ovarian cysts. It is always best to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan.

Endometriosis and Stomach Pain

Endometriosis is a condition that affects many women and can cause stomach pain. This condition occurs when the tissue that normally lines the uterus grows outside of the uterus. The tissue can attach to organs in the abdomen, such as the ovaries, fallopian tubes, and intestines, causing pain.

Stomach pain related to endometriosis is often cyclical, meaning it occurs in a pattern that is linked to the menstrual cycle. The pain may be dull and cramp-like or sharp and stabbing. It can also vary in intensity, lasting hours or even days.

In addition to stomach pain, endometriosis can cause other symptoms such as heavy or irregular periods, pain during intercourse, and infertility. These symptoms can greatly impact a woman’s quality of life and may require medical attention.

Common Symptoms of Endometriosis
Stomach pain
Heavy or irregular periods
Pain during intercourse
Infertility

If you are experiencing stomach pain and suspect endometriosis, it is important to consult with a healthcare professional. They can evaluate your symptoms, perform necessary tests, and develop a treatment plan tailored to your needs.

Treatment options for endometriosis may include pain medication, hormone therapy, or surgery. The goal of treatment is to alleviate symptoms and improve quality of life. Your healthcare provider can help determine the best course of action based on your individual situation.

In conclusion, endometriosis is a condition that can cause stomach pain. It is characterized by the growth of uterine tissue outside the uterus, leading to symptoms such as stomach pain, heavy periods, pain during intercourse, and infertility. If you suspect you may have endometriosis, seek medical attention for an accurate diagnosis and appropriate treatment.

Abdominal Hernias and Stomach Pain

Abdominal hernias can cause stomach pain in some cases. An abdominal hernia occurs when an organ or tissue pushes through a weak spot in the abdominal wall. This can lead to discomfort, pain, and other symptoms.

Types of Abdominal Hernias

There are different types of abdominal hernias that can lead to stomach pain. Some common types include:

Type of Hernia Description
Inguinal Hernia Occurs when a part of the intestine or bladder protrudes through the inguinal canal in the groin area.
Incisional Hernia Develops at the site of a previous surgical incision, when the tissues or organs push through the weakened scar tissue.
Umbilical Hernia Occurs when part of the small intestine or other abdominal tissues push through the abdominal wall near the belly button.
Hiatal Hernia Develops when the upper part of the stomach bulges through the diaphragm into the chest cavity.

Symptoms of Abdominal Hernias

Along with stomach pain, abdominal hernias may cause other symptoms, which can include:

  • Visible bulge or swelling in the abdomen or groin area.
  • Pain or discomfort when lifting, bending, or coughing.
  • Nausea or vomiting.
  • Heartburn or acid reflux.
  • Difficulty swallowing.

If you experience stomach pain and suspect you may have an abdominal hernia, it is important to seek medical attention for proper diagnosis and treatment. Treatment options may include lifestyle changes, medications, or surgery, depending on the severity of the hernia.

Stress and Stomach Pain

Stress is known to be a common cause of stomach pain. When someone experiences high levels of stress, it can lead to changes in the body that can affect the stomach. Stress can cause an increase in stomach acid production, which can lead to irritation and inflammation. This can result in stomach pain.

Furthermore, stress can also affect the digestive system, leading to changes in gut motility and increased sensitivity of the intestines. These changes can cause discomfort and pain in the stomach area.

Stress-Induced Infection

In some cases, stress can weaken the immune system, making the body more susceptible to infections. This can include infections in the stomach, such as Helicobacter pylori, which is a common cause of stomach ulcers. If the infection is present, it can cause inflammation and pain in the stomach.

Moreover, stress can also worsen the symptoms of an existing stomach infection. The combination of stress and infection can lead to increased stomach pain and discomfort.

Managing Stress and Stomach Pain

It is important to find ways to manage stress in order to reduce the risk of experiencing stomach pain. This can include practicing relaxation techniques, such as deep breathing exercises, meditation, or yoga. Engaging in regular physical activity and getting enough sleep can also help reduce stress levels.

In addition, maintaining a healthy diet and avoiding foods that can irritate the stomach, such as spicy or fatty foods, can also contribute to managing stress-related stomach pain.

It is recommended to seek medical advice if stomach pain persists or worsens, as it could be a sign of a more serious underlying condition.

Question and answer:

What are the common causes of stomach pain due to infection?

The common causes of stomach pain due to infection include gastroenteritis, bacterial infection like salmonella or E. coli, viral infection like norovirus or rotavirus, and parasitic infection like giardiasis or cryptosporidiosis.

What are the symptoms of stomach pain caused by infection?

The symptoms of stomach pain caused by infection may include abdominal cramps, diarrhea, vomiting, nausea, loss of appetite, fever, and fatigue.

How can gastroenteritis cause stomach pain?

Gastroenteritis, which is inflammation of the stomach and intestines, can cause stomach pain by irritating the lining of the gastrointestinal tract, triggering spasms in the muscles, and causing inflammation and swelling of the organs.

How can bacterial infections like salmonella or E. coli lead to stomach pain?

Bacterial infections like salmonella or E. coli can lead to stomach pain by releasing toxins that irritate the lining of the intestines and trigger inflammation, as well as by invading the tissues and causing damage to the digestive system.

What are the symptoms of giardiasis, a parasitic infection that can cause stomach pain?

The symptoms of giardiasis, a parasitic infection that can cause stomach pain, may include diarrhea, gas, bloating, greasy stools, abdominal cramps, and weight loss. Some people may also experience fatigue and vomiting.

Can stomach pain be caused by an infection?

Yes, stomach pain can be caused by an infection. Infection in the stomach can lead to an inflammation of the stomach lining, which can result in pain and discomfort.

What are the common causes of stomach infections?

The common causes of stomach infections include bacteria like H.pylori, viruses like norovirus and rotavirus, and parasites like giardia and cryptosporidium. These pathogens can enter the body through contaminated food or water.

What are the symptoms of a stomach infection?

The symptoms of a stomach infection can vary, but common symptoms include stomach pain, nausea, vomiting, diarrhea, fever, and abdominal cramps. Some infections may also cause dehydration.

How are stomach infections diagnosed?

Stomach infections can be diagnosed through various methods, including stool tests to identify the presence of pathogens, blood tests to check for signs of infection, and endoscopy to examine the stomach and take tissue samples for analysis.

How can stomach infections be treated?

Treatment for stomach infections depends on the cause. Bacterial infections can be treated with antibiotics, while viral infections usually resolve on their own with rest and hydration. Parasitic infections may require specific medications. It is important to consult a medical professional for proper diagnosis and treatment.