Right Upper Abdomen Pain While Walking: When to Seek Medical Attention - Gastroenterology and Hepatology

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Experiencing right upper abdomen pain, especially after physical activity like running, can be concerning and warrants careful consideration. Given your description of the pain persisting for three days and being exacerbated by walking, it is advisable to seek medical attention. Here’s why:
1. Potential Causes: Right upper abdominal pain can arise from various underlying issues. Common causes include musculoskeletal strain, especially if you engaged in physical activity that may have overexerted your abdominal muscles. However, it could also indicate more serious conditions such as gallbladder issues (like gallstones or cholecystitis), liver problems (such as hepatitis or liver enlargement), or even referred pain from the spine or diaphragm.
2. Symptoms to Monitor: While mild discomfort might not seem alarming, certain accompanying symptoms can indicate a need for urgent care. These include:
- Severe pain that worsens over time.

- Nausea or vomiting.

- Fever or chills.

- Yellowing of the skin or eyes (jaundice).

- Changes in bowel habits or urine color.

- Pain that radiates to the shoulder or back.

3. When to Seek Medical Attention: If your pain is persistent and does not improve with rest or over-the-counter pain relief, it is essential to consult a healthcare provider. They may recommend diagnostic imaging, such as an ultrasound or CT scan, to evaluate the organs in the upper abdomen and rule out serious conditions.

4. Initial Evaluation: When you visit a healthcare provider, they will likely perform a physical examination, focusing on the abdomen to assess tenderness, rigidity, or any signs of guarding. They may also inquire about your medical history, recent activities, and any other symptoms you may have experienced.

5. Possible Diagnostic Tests: Depending on the initial evaluation, your doctor may order blood tests to check liver function, signs of infection, or other markers. Imaging studies like an abdominal ultrasound can help visualize the gallbladder and liver, while a CT scan can provide a more detailed view of the abdominal organs.

6. Management and Treatment: If the pain is determined to be musculoskeletal, treatment may include rest, ice application, and possibly physical therapy to strengthen the abdominal muscles. If an underlying condition is identified, such as gallstones, treatment options may range from dietary changes to surgical intervention, depending on the severity and nature of the condition.

In conclusion, while it is possible that your right upper abdomen pain is due to a minor issue related to physical activity, the persistence of the pain and its association with walking necessitates a thorough evaluation by a healthcare professional. Early diagnosis and appropriate management are crucial to prevent potential complications and ensure a swift recovery. Please consider scheduling an appointment with your doctor or visiting an urgent care facility if your symptoms worsen or new symptoms develop.