Upper abdominal pain is pain that is experienced in the esophagus or stomach. There are many reasons for upper abdominal pain varying in severity. For some, upper abdominal pain is temporary and a rare occasion. For others, it is a chronic experience that can disrupt their daily life. Narrowing down on your upper abdominal pain can help you get a proper diagnosis and receive the proper treatment for reducing your discomfort.
Stomach pain in general is one of the most common reasons for a person to visit their doctor. Upper abdominal pain may be a direct result of a stomach condition, or it can be a symptom of a problem in another organ in the body. It’s important to pay close attention to your upper abdominal pain to understand the underlying cause. For example, you should take note of when upper abdominal pain occurs (after a meal, when you are hungry), its frequency, intensity, and any other symptoms that may accompany your upper abdominal pain.
Causes of Upper Abdomen Pain
Common causes of upper abdomen pain may stem from problems in the gallbladder or liver. This includes gallstones, hepatitis, or liver abscess. Generalized upper abdomen pain may be a result of inflammation or infection.
If the pain originates from the stomach or esophagus, it may be due to heartburn, gastroesophageal reflux disease (GERD), or a hiatal hernia.
Gastritis, a condition that causes stomach lining inflammation often due to virus or bacteria, can lead to upper abdomen pain, too. Lastly, ulcers and food allergies or intolerances can contribute to upper abdomen pain as well.
To determine the exact cause of upper abdomen pain, it’s important to take note of alternative symptoms you may experience.
Causes of Upper Middle Abdominal Pain
- Gastroparesis – a condition in which the stomach empties slowly as a result of inadequate muscle relaxation due to damaged nerves, hormonal disorders, psychological reasons, etc.
- Peptic ulcer – an open sore along the stomach lining or the duodenum
- Stomach cancer
- Pancreatic disorders – inflamed pancreas, chronic pancreatitis, pancreatic cancer
- Muscle tear
- Intestinal hernia
- Spinal disorders – herniated disc, broken vertebra
- Aneurysm or dissention of the abdominal aorta – the aorta wall becomes weaker with age, and may bulge as a result. If burst, it can lead to an aneurysm or splitting (dissention)
- Heart attack
- Lymphoma
Symptoms That Might Come with Upper Abdominal Pain
Symptoms that may accompany your upper abdominal pain due to a digestive issue include:
- Abdominal cramping or swelling
- Bloating
- Belching
- Bloody stool
- Changes in bowel movements
- Constipation
- Diarrhea
- Gas
- Indigestion
- Nausea without vomiting
If your upper abdominal pain is due to another condition, corresponding symptoms may include:
- Body aches
- Cough
- Enlarged liver and glands
- Fever
- General feeling of malaise
- Muscle spasms
- Pain, numbness, or tingling
- Rash
- Unexpected weight loss
Symptoms associated with a life-threatening condition are:
- Change in consciousness or alertness
- Chest pain, tightness in chest
- High fever
- Heart palpitations
- Inability to have a bowel movement
- Rapid heart rate
- Breathing problems – shortness of breath, rapid breathing
- Rigidity of the abdomen
- Severe and sharp abdomen pain
- Trauma to the abdomen
- Vomiting blood, rectal bleeding, or blood stool
Home Remedies to Relieve Upper Abdominal Pain
Upper abdominal pain may be relieved through home remedies including:
Water Intake
Water can help flush out toxins which may relieve upper abdominal pain resulting from kidney infection or pneumonia. Furthermore, being well-hydrated aids in digestion and poor digestion can trigger upper abdominal pain. You can add some lemon or other fruits to your water for added benefits and additional flavoring.
Hot Compress
Warmth given off of a hot compress helps relax muscles of the abdominals, which can help reduce pain. Apply a warm compress on your upper abdominal region for 15 to 20 minutes twice a day or as needed.
Apple Cider Vinegar
Apple cider vinegar aids in digestion and helps the body maintain proper pH levels, which is important for proper organ function. You can mix a tablespoon of unfiltered apple cider vinegar with one cup of warm water. For sweetness, feel free to stir in a teaspoon of honey. Drink this solution twice a day.
Castor Oil
Castor can aid in digestion by helping things move along through the intestines. It may also help relieve appendix issues. Fold a large flannel cloth into layers and pour two tablespoons of castor oil on it – wrap it in plastic. Lay down and place the cloth on your abdomen and apply a heat pack on top. Remain like this for 30 to 60 minutes. Once done, rinse off any residual oil from your abdomen. You can perform this two to three times a week.
Treatment and Prevention of Upper Abdominal Pain
Pinpointing exact prevention tips for upper abdomen pain is difficult as there are so many different causes of the pain. General preventative recommendations listed below may help lower your risk of experiencing upper abdomen pain.
- Eating a healthy diet
- Drinking water regularly
- Exercising regularly
- Eating smaller meals
If your upper abdomen pain results from inflammatory bowel disease or irritable bowel syndrome, ensure you are following your treatment plan and recommended diet to minimize flare-ups.
You will also want to avoid lying down immediately after a meal to reduce heartburn and indigestion.
When to See the Doctor for Abdominal Pain
If upper abdomen pain is mild and infrequent, you may not need to see a doctor. But if pain becomes chronic, severe, or sharp, you should definitely seek out medical advice.
You should also seek medical assistance if you notice the following:
- Blood stool
- High fever
- Vomiting blood
- Persistent nausea or vomiting
- Yellowing of the skin or eyes
- Swelling or severe tenderness of the abdomen
- Difficulty breathing
- Pain that lasts over 24 hours
- Prolonged constipation
- Burning sensation while urinating
- Loss of appetite
- Unexplained weight loss
These symptoms could indicate a more serious condition, so you should see your doctor immediately.
Related: Lower abdominal pain in women: Causes and treatments