The belly pain in the upper abdomen lies between the ribs and the navel, and can be caused by diseases that affect different organs.
Many people suffer from belly pain during their lifetime. Research shows that 30% of adults suffer from tummy ache and colicfrom time to time.

The important thing to remember is that pain is an important sign that something is wrong.

There are many treatments available that are very effective for treating stomach pain .

However, some more serious symptoms indicate the need for medical intervention and you need to see your doctor in these circumstances.

Self-treatment should not be considered if the pain is:

  • Very strong and worse,
  • Associated with weight loss ,
  • Associated with bleeding in the gut,
  • Associated with the difficulty of swallowing,
  • Associated with  persistent vomiting .


Stomach pain in the upper area

Gastroesophageal reflux disease
Ingested food passes from the esophagus to the stomach through the lower esophageal sphincter, a muscular ring that separates the esophagus from the stomach. The malfunction of the lower esophageal sphincter causes it to open spontaneously or it can not close completely, allowing gastric acid and stomach contents to rise to the esophagus.
The disease GERD causes a burning sensation and pain in the upper stomach.

The burning sensation in the upper part of the stomach is often caused by gastritis .
The gastritis is an inflammation of the stomach wall. Alcohol, caffeine, medications and the habit of skipping meals can help cause gastritis.

Hiatal Hernia
This disorder occurs when a part of the stomach goes up the diaphragm. A large hiatal herniacan cause heartburn , as food and acid are pushed toward the esophagus.
Stomach pain in the upper region and heartburn are some of the symptoms associated with hiatal hernia.

the angina is chest pain  and discomfort caused by the heart not receiving enough oxygen.
Angina is not a disease but a symptom of an underlying heart disease, such as coronary disease.
Angina pain is similar to  indigestion according to the National Heart Lung and Blood Institute and causes pain and pressure in the upper abdominal region.

Abdominal aortic aneurysm
In this case, there is a sudden and severe onset of upper and central abdominal pain radiating to the back .
This is due to the expansion and rupture of the aorta, the great artery that carries blood from the heart to the entire body.
The aneurysm causes pain in the spine along with central upper abdominal pain.
It is most common in people with high blood pressure , in people who have smoked in the past, or in people who have had an aortic aneurysm .
It is associated with dizziness and may cause a feeling of faint or collapse in case of aortic rupture.
An ultrasound or computed tomography scan should be done immediately at the emergency room for diagnosis  .
Treatment may be open surgery or endoscopic repair if the artery is bleeding but is not yet ruptured.

The pancreas is located behind the stomach, near the top of the small intestine.
The pancreas secretes digestive enzymes in the small intestine to help digest food.
The pancreatitis occurs when the pancreas becomes inflamed and enzymes remain within it, causing tissue damage. If you start suddenly, acute pancreatitis is said to cause severe pain. Both acute and chronic pancreatitis cause pain in the upper abdomen, which can radiate to the back.

abscess Splenic abscess occurs when a person has an abnormal amount of pus in the spleen.
This is caused by a bacterial infection of the bloodstream. This disease occurs mainly in people with a weakened immune system.
Symptoms include upper abdominal pain on the left side , fever , nausea , vomiting , etc.

Cancer of the liver  and other abdominal organs
Tumors of the upper abdominal region are very common and liver cancer is one of them. This type of cancer can occur in case of hepatitis or by the multiplication of abnormal cells in the liver.
Pain in the upper right region of the abdomen can be caused by liver cancer.
The symptoms are: abdominal pain that can radiate to the right shoulder and back, ascites(accumulation of fluid in the abdomen), loss of weight and appetite , vomiting, nausea, fatigue ,jaundice (yellow skin and eyes) and fever.

The liver cirrhosis can also give these same symptoms, plus itching and confusion .
The pain in the upper right region of the abdomen can be caused by cancer of the liver, pancreasor stomach .
If the person feels the pain in the central area of ​​the belly, it is possible that he suffers from colon cancer .


Belly pain in the central area

Among the causes of abdominal pain in the umbilical or central region are:


Pain in the lower abdomen

Urinary System Diseases Urinary
infections are common diseases that can cause burning when you urinate and need to urinate often.
The infection can spread to the kidneys ( pyelonephritis ) and can cause discomfort with high fever and back pain .
Tumors of the urinary system are uncommon.

Reproductive system diseases
The pain that the woman feels near the left or right side can originate in the ovaries.
Pain that originates in the womb worsens during the menstrual cycle and is called dysmenorrhea.

Among the diseases of the reproductive system are:

Abdominal muscle pain
There are very large muscles on the front of the belly, especially the rectus abdominis and transverse abdominis.
After exposure to cold or after doing exercises to strengthen the abs , especially if the individual is not accustomed, it is possible to feel pain during contraction.
For example when coughing , laughing or getting up from bed, it is possible to have a tummy ache due to muscle contraction .



Causes of pain along with other symptoms

Belly pain can be felt in various parts of the abdomen. Sometimes it can be more up, under the rib cage, while other times it is more below, in the area of ​​the navel.

If the pain comes from the upper abdomen, ie under the rib cage:

  • If it is associated with  heartburn and belching and is aggravated or relieved when the person eats, it can be caused by the stomach acids and therefore may be linked to refluxor an ulcer . It is acid-related pain with antacids or drugs that reduce acidity. Talk to your doctor about the most appropriate medications and home remedies for gastroesophageal reflux disease.
  • If you feel a sharp pain  in the  upper-central area  of the abdomenradiating to the spine , you may have gallstones and need to check with your doctor.
    In this case, the pain can occur after a large meal high in fat.
  • If pain in the upper abdomen is aggravated by exercise , the cause may be a heart attack or angina; in this case it is necessary to perform some tests, for example, the electrocardiogram .
  • If the abdominal pain is lower  and if there is a bleeding or a change in bowel function, it is possible that the person suffers from a serious intestinal disease and should check with his doctor.


Belly pain and diarrhea

In the case of abdominal cramps and diarrhea , the cause may be an intestinal infection ( gastroenteritis ).
This disease also causes fever, vomiting and fatigue.
What foods to eat in this case?
Of course, in the acute phase, fasting is recommended because the body is trying to get rid of something and should not be stopped.
When the fever passes and the patient feels better, a light diet is advised with foods that are easy to digest.

In case of pain throughout the belly and frequent diarrhea, it is possible that the person has a chronic illness called irritable bowel syndrome .
It can be psychosomatic, that is, caused by a stressful situation (eg, an examination, an interview, etc.) and may also occur after drinking milk or cold water and when the person stays in an air-conditioned room.

Other causes of stomach pain and diarrhea are:

  • Lactose intolerance ;
  • Diverticulitis . The diverticulum is a dilatation of the wall of the intestine that causes the formation of an external pouch. Diverticulitis is the inflammation of the diverticulum;
  • Crohn’s disease . It is an inflammatory bowel disease that causes inflammation and ulcers in the digestive system and can even trigger intestinal blockage.


Treatment for belly pain in the upper abdomen

There are several medications and therapies that can cure the pain in the upper abdomen, depending on the cause.
Some other health problems, such as hiatal hernia and abdominal aortic aneurysm, require surgery to resolve the cause of the pain.
Some symptoms may go untreated, while others may be controlled with dietary changes and physical exercise .
However, if a person has a persistent belly pain in the upper abdomen, should always consult a doctor immediately because inside the abdominal cavity there are many vital organs.

Medicines for stomach
The antispasmodics  (such as Buscopan – butylscopolamine) may be particularly useful in the treatment of stomach pain and cramps.
Instead of simply masking the pain, the medicine can relax the stomach muscles that cause pain, cramps and discomfort.

Some medications can cause stomach pain as a side effect.
Anyone suffering from recurring stomach pain may need to consult their doctor or pharmacist to review any medications they take.

Some medicines that can cause abdominal pain include:

Aspirin and non-steroidal anti-inflammatory drugs (NSAIDs) are safe as a treatment for abdominal pain, except for the period during which they can cause or aggravate a stomach or intestinal ulcer.

Some of these products are available in pharmacies (for example, ibuprofen) and it is always necessary to check the warnings on the labels.
If they cause side effects such as stomach ulcers and tummy ache, you need to avoid taking them.


Five Natural Remedies for Belly Pain

Have a Healthy and Regular Eating
It is easy to spend our working lives eating a snack between meetings and then sit in front of the TV at night with chips, popcorn or other foods that are bad.
If we eat this way, we can cause problems to the digestive system.

Quitting Smoking 
Smoking can weaken the muscle that controls the sphincter between the esophagus and the stomach, thereby causing heartburn and acid reflux.

Losing excess weight and performing regular exercises
Overweight people have belly fat that causes a strain on the abdomen and can cause heartburn.

Do not drink alcohol
Alcohol increases the production of acid in the stomach and can cause heartburn, in addition to worsening other digestive disorders.

Overcoming Stress 
Anxiety and worries can disrupt the delicate balance of digestion and worsen digestive conditions such as irritable bowel syndrome .

Ginger is probably the best food for those who suffer from stomach pain, but it is not enough to solve the diseases that cause tummy ache.
It is important to follow a healthy diet and lifestyle.


Belly pain in children

Stomach pains are very common in children and there are many causes. Most abdominal pains are not caused by a serious illness and children usually improve spontaneously.

What are the causes of abdominal pain in children?
The pain can arise from any abdominal organ, including the stomach, intestine, gallbladder, pancreas and other organs.
Belly pain, even if it is severe, does not always  mean  that the child is suffering from a serious illness.
Very severe stomach pain may be associated with mild illnesses such as gas in the stomach because the child:

  • He drank many carbonated drinks,
  • He ate too much,
  • You have colic caused by constipation ,
  • You have a viral infection .

However, some serious illnesses can begin with a relatively mild belly ache.
Some children have abdominal pain due to stress.

Contact your doctor immediately if:

  • The pain is severe and persist for an extended period (eg several hours) or the child wakes up at night.
  • The pain comes back frequently and regularly.
  • The child has a high fever (temperature above 38.5 ° C).
  • The child has a rash or is very pale.
  • The child has  persistent vomiting , vomiting is green or contains blood.
  • The stool of the child becomes red or black (possibility of blood in the stool ).
  • The child become very tired or sleepy.
  • You also have strong pain in other parts of the body.
  • The child has a swollen belly at the groin level.
  • You have pain when you go to the bathroom to urinate or the urine contains blood .
  • The pain is caused by an injury or abdominal trauma (for example, a sports injury).
  • The child does not seem to get better.

Belly pain during the menstrual cycle

In the period between ovulation and the first days of menstruation the woman may have painful cramps.
Colic usually begins one to two years after menarche (first menstruation).
The pain is usually felt in the lower abdomen or the back. For some women it is mild, but for others it is serious.
In general, the intensity of menstrual pain is  reduced after the first birth or with the change of feeding.
The natural remedies for this disease are:

  • Avoid fried foods, foods that contain caffeine, salt, sugar, gluten, dairy products and meat.
  • Female athletes and women who exercise regularly suffer less from menstrual cramps.


Abdominal pain during pregnancy

Is it normal to have mild abdominal pain during pregnancy? 
Abdominal disorders from time to time are a common fact in pregnancy. In some cases, they may be harmless, but they can also be the sign of a serious problem. (Severe or persistent abdominal pain should never be ignored.)
Do not try to diagnose yourself.
If you experience abdominal pain or cramping with spotting (small blood loss ), bleeding , fever , chills , vaginal discharge , pain during urination, nausea or vomiting, or if the pain does not go after a few minutes of rest, see your doctor .

Ectopic Pregnancy
In a normal pregnancy, the fertilized egg is implanted in the uterus. In an ectopic pregnancy, the fertilized egg does not reach the uterus, but implants elsewhere.
An ectopic pregnancy often occurs in the tube, causing a “tubal pregnancy.”
It can also occur in the ovary, cervix or abdomen.
It is important to discontinue ectopic pregnancy in its early stages. An ectopic pregnancy can cause a perforation or damage to the pelvic organs in which the egg is implanted.
This can be very dangerous for the mother.

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