Tuesday, May 24, 2022

What Causes Pain In Middle Of Stomach

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When In Doubt About Your Abdominal Symptoms Physicians Say Its Best To Call Your Doctor Or Head To The Er

The egg salad didn’t taste quite right, but you were hungry. Or maybe your craving for cheesecake overrode the punishment you knew your lactose intolerance would inflict. You expect stomach distress in situations like these, but other times, abdominal pain can come out of nowhere. Sometimes it’s severe enough or lasts for so long that you know it’s not simply a matter of eating something that didn’t agree with you.

Digestive system issues account for 51 million visits to doctors’ offices and emergency departments yearly, according to the Centers for Disease Control and Prevention . The severity of the pain, its location within your abdominal area, and accompanying symptoms may provide clues to the origin of the pain — and whether or not you should seek help immediately. Here are some of the most common signs your tummy troubles need more than an over-the-counter remedy.

Upper Middle Stomach Pain After Eating: 5 Causes Gastroenterologist Explains

Our content is not intended nor recommended as a substitute for medical advice by your doctor. Use for informational purposes only.

Often, upper stomach pain after eating arises from your stomach. Chronic gastritis, peptic ulcer disease, and functional dyspepsia are the most common causes of such pain. 

Summary of the causes of upper-middle stomach pain after eating:

  • Gastritis and peptic ulcer disease.
  • Functional dyspepsia.
  • Pancreatic diseases, especially chronic pancreatitis.
  • GERD and hiatal hernia.
  • Other less frequent causes such as gastric cancer, liver diseases, and others.

What Is Abdominal Pain Symptoms Causes Diagnosis Treatment And Prevention

Most people experience abdominal discomfort or pain at some point in their lives. Abdominal pain is usually felt in the part of the trunk below the ribs, above the pelvis and the groin. It can range in intensity from a mild ache to severe, disabling pain.

While abdominal pain isn’t normal, it isn’t necessarily serious, and it often resolves itself.

What Is The Medical Treatment For Causes Of Abdominal Pain In Adults

    The patient’s treatment will depend on what the doctor thinks is causing the abdominal pain.

    The patient may be given IV fluids. The doctor may ask the patient not to eat or drink anything until the cause of the pain is known. This is done to avoid worsening certain medical conditions or to prepare the patient in case they need to have surgery.

    The patient may be given pain medication.

    • For pain caused by bowel spasm, they may be given a shot in the hip, arm, or leg.
    • If the patient is not throwing up, they may receive a drink that has antacid in it or pain medication.
    • Although the patient’s pain may not go away completely, they have the right to be comfortable and should ask for pain medicine until they are made comfortable.

    Pain In The Middle Of The Chest: What It Can Be And What To Do

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    The pain in the middle of the chest is often suspected of infarction, however, that is one of the rarest causes and when it happens is accompanied by other symptoms other than just pain, such as difficulty breathing, tingling in one of the arms, paleness or seasickness, for example. See the .

    Normally, this pain is a sign of other less severe problems, such as gastritis, costocondrite or even excess gases and so it does not have to be cause for anxiety or worry, especially if there are no risk factors such as a history of heart disease, high blood pressure, excess weight or high cholesterol.

    Still, if there is suspected infarction it is very important to go quickly to the hospital to take exams, such as the electrocardiogram and the dosing of tumor necrosis markers in the blood, popularly known as dosing of cardiac enzymes, to assess whether it can be a heart failure and initiate proper treatment.

    Vague Upper Abdominal Pain Associated With Nausea And Belching

    Sometimes stomach pain is hard to identify or comes with multiple symptoms. Vague pain in the upper and mid-abdominal area that is linked to nausea, burping, or belching could be signs of a heart attack, particularly in older patients. Physicians say tests like an ECG or cardiac markers can be lifesaving. They also warn that vomiting with back or jaw pain and shortness of breath can also be a sign of a life-threatening emergency.

    Belly Pain In The Lower Left Side That’s Worse When You Move

    Abdominal pain in the left lower area of the abdomen may signify diverticulitis, small pockets in the colon that can become obstructed and tear. Traditional treatment includes antibiotics and stool softeners to reduce the risk of abscess formation. Physicians say according to recent research, antibiotics may no longer be needed in this scenario, recommending acetaminophen instead.

    Right Side Abdominal Pain: Common Causes And Other Symptoms

    For example, pain on the right of your abdomen caused by gas or indigestion can cause, sharp nagging aches. However, sometimes, dull aches that become more intense, or sharp cramping pains in the right side of your belly that don’t go away could be a sign of a more serious condition.

    Reproductive organs like the right ovary and part of the uterus are located in the lower right abdomen of women. Cramping pain connected with the menstrual cycle can be felt on just the right side of the lower abdomen if the right ovary is ovulating or if there are cysts.

    Even though aches and pains in the right abdomen are usually harmless, there are times when you shouldn’t ignore the constant discomfort. Cramping pain along with other symptoms can be a cause for worry.

    Symptoms accompanying right side pains in your abdomen that need medical attention are:

    • Abdominal pain that causes nausea and vomiting
    • Dull aching pain that starts near your belly button and spreads to the lower right belly
    • Any kind of severe pain in the right abdomen that doesn’t go away
    • Passing bloody stools

    In this article, I am going to examine the different reasons why pain can occur in the upper right abdominal area or in the lower right abdomen. You will also find out about causes of right-sided abdominal pain that only affect men or women.

    Internal organs in the abdomen

    When Should I Take My Child To The Doctor For Stomach Pain

    Stomach pain in children is usually nothing to worry about. But, if your child experiences any of the following symptoms, schedule an appointment with your child’s pediatrician to determine the cause of your child’s pain:

    • Constipation that is becoming frequent
    • Recurrent stomach pain with no clear cause
    • Blood in stool
    • Unexplained weight loss
    • Looks or acts sick
    • Pain that is waking your child up from sleep or is starting to affect their daily lives
    • Jaundice

    What Questions Will The Doctor Ask About My Abdominal Pain

    Diagnosing the cause of abdominal pain is one of the hardest tasks for a doctor. Sometimes all that the professional can do is be sure that the pain does not require surgery or admission to the hospital.

    The healthcare professional may ask these or similar questions to try to determine what is causing the patient’s pain. Some may seem unrelated to the patient’s current condition, but it is important to try to answer them as completely as possible. The answers to these questions can help the healthcare professional find the cause of the patient’s pain more quickly and easily.

    • How long have you had the pain?
    • What were you doing when it started?
    • How did you feel before the pain started?
    • Have you felt OK over the last few days?
    • What have you tried to make the pain better? Did it work?
    • What makes the pain worse?
    • Where is the pain located?
    • Right side?
  • Does the pain make you want to stay in one place or move around?
  • How was the ride to the hospital? Did riding in the car hurt you?
  • Is the pain worse when you cough?
  • Have you thrown up?
  • Did throwing up make the pain better or worse?
  • Have your bowel movements been normal?
  • When was your last bowel movement?
  • Are you passing gas?
  • Do you feel you might have a fever?
  • Have you had a pain like this before? When? What did you do for it?
  • Have you ever had surgery? What surgery? When?
  • Are you pregnant? Are you sexually active? Are you using birth control?
  • Have you been around anyone with symptoms like this?
  • Does it hurt to breathe?
  • When Should An Adult Seek Medical Care For Abdominal Pain

    • Abdominal pain that lasts more than six hours or continues to worsen
    • Severe abdominal pain
    • Pain that worsens when a person tries to move around
    • Pain that starts all over, but settles into one area, especially the right lower abdomen
    • Pain that awakens a person up at night
    • Pain with vaginal bleeding or pregnancy, even if a female only thinks she might be pregnant
    • Pain accompanied by a fever over 101 F
    • Pain along with an inability to urinate, move the bowels, or pass gas
    • Any other pain that feels different from a simple stomach ache
    • Any other pain that alarms a person, or concerns them in any way

    If the person has any of the following, or cannot reach their doctor, go to a hospital emergency department:

    • Very severe pain
    • Pain so bad the affected person passes out or almost passes out
    • Pain so bad the affected person cannot move
    • Pain and vomiting blood, or any vomiting that lasts more than six hours
    • Pain and no bowel movement for more than three days
    • Pain the person thinks might be in their chest, but they aren’t sure
    • Pain that seems to come from the person’s testicles

    Home Remedies To Ease Mild Pain In Middle Of The Stomach

    There are home remedies that you can try to help ease middle stomach pain. However, if you are in severe pain in the mid-abdominal area, it is best to see a doctor, as severe abdominal pain is a sign of a condition that needs medical attention as soon as possible.

    For mild upper-middle abdominal pain and connecting areas, the following tips may be able to help you out.

    Severe Acute Pain In The Lower Right Side Of The Abdomen

    Know Your Abdominal Pain (Chart)

    A sudden pain in the lower part of the abdomen may be a sign of appendicitis. It may also be accompanied by a fever. Pain often begins around the belly button area and becomes worse with time. Vomiting or constipation or diarrhea along with the pain also indicate it’s time to go to the emergency room. Physicians recommend seeing a doctor right away if the pain comes on suddenly over several hours or is persistent. Appendicitis often requires surgery. If left untreated, a ruptured appendix can be deadly.

    Pain In The Middle Of The Stomach Should Be A Concern

    While mild pain in the middle of the stomach may be treated easily, it should be observed. From inflammatory bowel disease to pancreatic disorders, there are plenty of possibilities for the mid-abdominal pain to be a warning sign of a serious issue.  Knowing the anatomy of the abdomen and related organs may help you identify the cause.  If the pain goes away and does not return, it may have been nothing serious. But if it’s a pain that reoccurs or worsens, it’s best to seek medical attention as soon as possible.

    Also Read:

    The Link Between Your Gut Microbiome And Your Health

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    In addition, many of the underlying conditions that cause abdominal pain can lead to serious complications, including the possibility of structural damage to the digestive system from infection, cancer and its treatments, and inflammatory bowel disease .

    To reduce the risk of complications, it’s important to seek medical attention for your abdominal pain if it’s sudden and severe, or if it includes symptoms like fever, bloody stool, weight loss, nausea and vomiting, or visible swelling.

    Support For People Living With Chronic Pancreatitis

    Any long-term health condition, particularly one that causes recurring episodes of pain or constant pain, can affect your emotional and psychological health.

    See a GP if you’re experiencing psychological and emotional difficulties. There are medicines available that can help with stress, anxiety and depression.

    Talking to other people with the same condition can often reduce feelings of isolation and stress.

    The charity Guts UK, may be able to put you in touch with a local support group.

    Page last reviewed: 31 October 2018 Next review due: 31 October 2021

    Lower Abdominal Pain: Lifestyle And Prevention Tips

    While some forms of lower abdominal pain are out of our control, we do have the ability to take good care of our tummies and to prevent discomfort. For example, a healthy lifestyle that includes a nutritious diet and drinking plenty of water can help us avoid channel infections. It can also control constipation, which may lead to lower abdominal pain.

    Here are some other tips to keep in mind:

    • Wear cotton undergarments
    • Avoid perfumed merchandise around the vagina, such as body washes
    • Try drinking lemon juice and ginger juice to control and prevent PMS and menstrual pain.
    • Take pain medications as prescribed
    • Don’t self-diagnose

    While most people who experience lower abdominal pain have nothing to be concerned about, when symptoms don’t go away or are severe, it could be a sign of something serious. If you find yourself in one of these situations, don’t hesitate to seek medical attention. In many cases, the sooner proper treatment begins, the less chance there is of sustaining long-term damage or needing surgery.

    Stomach Pain In The Lower Right Part Of The Abdomen

    Appendicitis is a serious medical emergency that can cause sudden, severe pain in the lower right part of your child’s stomach. If your child complains of stomach pain that moves to the lower right side of the belly, watch for other symptoms of appendicitis including:

    • Fever
    • Constipation
    • Diarrhea

    You should contact your child’s pediatrician immediately if you suspect your child has appendicitis. Early diagnosis decreases risk of a ruptured appendix or serious complications.

    Chronic Abdominal Pain And Recurring Abdominal Pain

    , MD, Lewis Katz School of Medicine at Temple University

    Physical Causes and Features of Chronic Abdominal Pain

    Chronic abdominal pain is pain that is present for more than 3 months. It may be present all the time or come and go . Chronic abdominal pain usually occurs in children beginning after age 5 years. About 10 to 15% of children aged 5 to 16 years, particularly those aged 8 to 12 years, have chronic or recurring abdominal pain. It is somewhat more common among girls. Chronic abdominal pain is also common among adults, affecting women more often than men.

    People with chronic abdominal pain may also have other symptoms, depending on the cause.

    What Kind Of Doctor Treats Abdominal Pain In Adults

    Abdominal pain can be treated by a variety of doctors depending on the cause of the pain. It is usually best to start off with a primary care physician who can start the process of diagnosing the origin of the pain. Depending on the final diagnosis you will be treated by a primary care doctor or referred to a surgeon , gastroenterologist, or gynecologist. If the pain is severe you might end up in the emergency department where an emergency medicine physician will be the first one to take care of you.

    What Are The Less Serious Causes Of Abdominal Pain

    Causes of abdominal pain by area

    The key to determining less serious causes of abdominal pain is the definition of “less serious.” There is little or no agreement among patients about what constitutes “less serious”abdominal pains; however, doctors have a general consensus of what constitutes “less serious” abdominal pain.

    If the cause of the pain is likely short-lived possibly treatable, and the patient does not have an emergent condition, does not need to be hospitalized, or should be worked up or further diagnosed by outpatient tests, then the cause of the pain are considered “less serious” by many doctors. A large number of causes of abdominal pain may fit the doctor’s definition of “less serious” abdominal pain. However, even though a cause may generally fit these subjective requirements, there can be instances where they will not. The reader is urged to examine the following section to see what constitutes “serious” causes of abdominal pain. Consequently, the following is a list of potential less serious causes of abdominal pain :

    What Are The More Serious Causes Of Abdominal Pain

    Unfortunately, the more serious causes can be almost any cause, including most of the ones listed above as “less serious” causes. Consequently, the subjective requirements that most doctors consider as serious causes of abdominal pain are any causes that may generate at least one or more of the following signs or symptoms:

    • Penetration of an object into the abdomen or back
    • Blunt object injury to the abdomen or back

    Lower Abdominal Pain In Women: Symptoms And Causes

    Lower abdominal pain in women can be a sign of many different medical issues. In some cases, the pain disappears quickly, while others require simple treatment. There are, of course, situations where the cause of the abdominal pain is a little more complicated and may take more time to treat. Below is a list of symptoms and causes of lower abdominal pain.

    What Home Remedies Soothe Abdominal Pain In Adults

      Abdominal pain without fever, vomiting, vaginal bleeding, passing out, chest pain, or other serious symptoms often get better without special treatment.

      • If the pain persists or if a person believes the pain may represent a serious problem, they should see a doctor.
      • A heating pad or soaking in a tub of warm water may ease the pain.
      • Over-the-counter antacids, such as Tums, Maalox, or Pepto-Bismol, also can reduce some types of abdominal pain. Activated charcoal capsules also may help.
      • Acetaminophen may help. This product should be avoided if liver disease is suspected. Patients should try to avoid aspirin or ibuprofen stomach or intestinal ulcer disease is suspected; these drugs can make the pain worse.

      Causes Of Abdominal Pain And Diarrhea In Children

      As in adults, abdominal pain and diarrhea in children are commonly caused by the stomach flu, infections, food allergies, lactose intolerance, and stress. But eating too much can also cause these symptoms. Some children may have trouble telling the difference between when they’re hungry and when they’re full. This can cause them to overeat. Overeating places stress on the digestive system, which can cause abdominal pain and diarrhea.

      • swelling of the genitals
      • external bleeding

      Diarrhea can be more dangerous for infants, older adults, and people with weakened immune systems. In these cases, discuss symptoms with a medical professional.

      If you don’t already have a primary care doctor, you can browse doctors in your area through the Healthline FindCare tool.

      How Is The Cause Of The Abdominal Pain Diagnosed

        Physical Examination

        Physical examination will include a careful examination of the patient’s abdomen, heart, and lungs in order to pinpoint the source of the pain.

        • The doctor will touch different parts of the abdomen to check for tenderness or other signs that indicate the source of the pain.
        • The doctor may do a rectal exam to check for small amounts of blood in the stool or other problems, such as a mass or internal hemorrhoids.
        • If the patient is a man, the doctor may check the penis and testicles.
        • If the patient is a woman, the doctor may do a pelvic exam to check for problems in the uterus, Fallopian tubes, and ovaries.
        • The doctor also may look at the patient’s eyes for yellow discoloration and in the mouth to be sure the patient is not dehydrated.

        Laboratory Tests

        Laboratory tests may or may not help to determine the cause of the abdominal pain. Combined with the information gained from the questions the patient was asked and the physical examination performed by the doctor, certain blood or urine tests may be ordered and could assist in determining the diagnosis.

        Radiology Tests

        Radiology studies of the patient’s abdomen can be useful, but are not always necessary or helpful.

        • Occasionally, an X-ray will show air outside of the bowel, meaning that something has ruptured or perforated.
        • An X-ray also can help diagnose bowel obstruction.
        • Sometimes X-rays can show a kidney stone.

        Ultrasound is a painless procedure useful in finding some causes of abdominal pain.

        Be Honest: How Dangerous Is Stomach Inflammation

        Dr. Lee says only a small percentage progress into serious complications from chronic gastritis. These include different types of gastric cancers, peptic ulcer diseases that cause intestinal perforation, which can then lead to sepsis and possibly death.

        In the majority of gastritis cases, with the right combination of treatments and lifestyle modifications, resolve themselves without any severe consequences.

        “My best advice is to pay attention to your body. If you’ve been living with on-again, off-again pain for more than couple of weeks, or you’re experiencing unexplained weight loss, bleeding, or any new symptoms that fail to improve or resolve completely, it’s probably time to see a doctor,” says Dr. Lee. 

        Talk to your doctor about your symptoms so you get the right type of evaluation. This will make sure you receive an accurate diagnosis and treatment.

        Upper Middle Abdominal Pain Causes And Symptoms

        Abdominal pain can be one of the most difficult symptoms to diagnose due to the host of different organs in the abdominal cavity. Identifying the cause of the pain depends on the nature of the pain, exact region within the abdomen, other symptoms that are present alongside the pain, and factors that worsen and ease the pain. If this is insufficient to diagnose the pain then diagnostic investigations like an x-ray or ultrasound may be necessary.

        What Are The Characteristics Of Abdominal Pain

        9 Causes of Stomach Pain

        Abdominal pain may include any of the following, or a combination of these characteristics:

        • cramping
        • bowel obstruction
        • causes of heart pain

        If you are experiencing abdominal pain, the exact location of the pain and any other symptoms you might have may suggest the cause.

        If you feel pain right across your stomach area or low down, it’s probably coming from your bowel. You may also have bloating and wind. If your stomach cramps have started recently and you also have diarrhoea, the cause is probably gastroenteritis. If you are very ill — for example, with chills or a fever — you may have a more serious infection such as food poisoning.

        If the pain is coming from higher up in your stomach, it could be caused by acid reflux or an ulcer. You might also have heartburn and belching, and the pain might be made worse, or relieved, by food.

        If the pain is in the middle of your stomach and extends to your back, it could be a sign of gallstones. Pain in the lower right part of the stomach, along with fever, nausea and vomiting, could be appendicitis.

        If the pain is made worse by exercise it could be heart pain. Read more in the chest pain section. If you are experiencing this type of pain, call triple and ask for an ambulance.

        Some medicines, such as aspirin and anti-inflammatory and anti-dementia drugs, can cause stomach pain as a side effect.

        You can find more information about the underlying causes of abdominal pain here.

        When To Make An Appointment To See Your Doctor

        Schedule an appointment to see your doctor if:

        • Your stomach pain doesn’t go away within a couple of days.
        • The pain comes back after going away.
        • Symptoms like diarrhea don’t go away within a couple of days.
        • You’re urinating more or less often, and/or it’s painful.
        • You have unintended weight loss.

        “Know your body,” Dr. Kingsley says. “If you start having pain that you have not had before and does not go away, you should contact your doctor to be evaluated further.”

        Bottom line: Trust your gut! Contact your doctor if you’re concerned about lingering or unusual stomach pain.

        National Health Service, Stomach Ache

        National Health Service Inform, Stomach Ache and Abdominal Pain

        U.S. National Library of Medicine, Abdominal Pain


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