What Causes Upper Abdominal Pain?

Posted on Thu, 3 Nov 2016

Question: I am starting to feel uncomfortable in my upper abdominal, this happened 2 years ago and it felt really uncomfortable, i went to the hospital to get blood test but the doctor said i was alright. The pain went away afterwards, but today i start feeling the same pain, the pain feels likes my stomach is upper abdominal is being pulled. I am not sure what the cause of it and i am starting to get worried.

Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello and welcome

I appreciate your concern

Based on your description it's most likely related to gatritis / GERD (Gastroesophageal Reflux Disease). PPI like esomeprazole along with prokinetic like metoclopramide can be advised. Antispasmodics like hyosine butylbromide can also be advised. Most likely the pain will subside. If the pain persists despite this then an EKG can be advised primarily to rile out a cardiac cause.

let me know if you have any queries

wishing you best of health

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (4 minutes later)

Thanks for the reply Dr. XXXXXXX May i know what can be the cause of it ? And how do you determine it to be Gastroesophageal Reflux Disease instead of something else?

Answered by Dr. Dr. Muhammad Sareer Khalil (6 hours later)

Brief Answer:
explained

Detailed Answer:
Hello again.

The age and symptoms fit with GERD rather than a cardiac or pancreatic or musculoskeletal cause. GERD and dyspepsia are the most commonly encountered problem with such a presentation.

An ultrasound of the abdomen can nevertheless be advised to rule out the possibility of cholecystitis and pancreatitis. Serum amylase should also be done.

GERD can be caused by a number of triggers including diet e.g excessive chocolates, caffeine , spice consumption, hiatal hernia, NSAIDs, Alcohol, smoking, H. Pylori infection.

wishing you best of health

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (5 hours later)

My stomach is starting growl now, i am starting to hear sounds from my stomach just like the past, a day before i forced my hand into my throat to puke right after eating because i felt uncomfortable, could that be one of the reason for this to happen? I do not eat chocolate much, nor caffeine, i do not drink alcohol, i used to smoke but not anymore.

Answered by Dr. Dr. Muhammad Sareer Khalil (14 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again

The gurgling sounds again indicate GERD. Its usually ascertained clinically and treated empirically. However, 24 hour ph monitoring can be used to confirm the diagnosis.

Yes, this involves significant manipulation of the throat lining and forceful vomiting can cause esophageal erosions leading to such symptoms.

Thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar