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Acute abdomen is an urgent pathological condition developing within a few hours or minutes and threatening patient’s life. Numerous reserches in the world about analgetic influence in patients with acute abdominal pain on diagnosis and treatment justify their application. By making survey, we want to ascertain if physicians in Serbia apply analgetics in patients with acute abdominal pain, and which factors influence that decision. The anonymous poll was conducted among physicians working in Emergency Medicine Service and Emergency Centers on the territory of central Serbia and Vojvodina. Our results show that 51,5% physicians apply analgetics in patients with acute abdominal pain, and 48,5 % do not. The most prescribed analgetic is diclofenac, and masking of symptoms is the main factor influencing the decision not to apply analgesic.