Upper Abdominal Pain: What Could Be Causing It?

Experiencing pain in the upper abdomen can be concerning and may indicate a variety of underlying conditions. The exact cause can often be determined by evaluating the location, nature, and duration of the pain, as well as any associated symptoms or factors that worsen or relieve it. Below are some common explanations for upper abdominal discomfort:

1. Gastrointestinal Issues Like Gastritis or Peptic Ulcer Disease

If the pain is centered in the middle of the upper abdomen or just below the breastbone (sternum), and is accompanied by symptoms such as acid reflux, heartburn, or belching, it could be related to the upper digestive tract. Additionally, if the pain tends to subside after eating, it may point to chronic gastritis or a peptic ulcer. In such cases, diagnostic procedures like an endoscopy or an upper GI series may be recommended to confirm the diagnosis and assess the condition of the stomach and duodenum.

2. Gallbladder or Liver-Related Conditions

Pain located in the upper right quadrant of the abdomen that intensifies after meals might suggest a problem with the liver or gallbladder. If this discomfort is accompanied by symptoms such as jaundice (yellowing of the skin and eyes), dark urine, or intolerance to fatty foods, it could indicate a biliary obstruction or other gallbladder disease. To investigate these possibilities, a simple abdominal ultrasound is often used as a first-line imaging tool to detect abnormalities in the liver and bile ducts.