Upper Abdominal Pain: Is It Related to the Pancreas?

There is a dull pain located 3 centimeters above the left side of the navel?

Hello doctor, last night I felt a dull pain in my lower back and couldn't sleep well.
This morning, I woke up with a slight dull pain about 3 centimeters from my navel.
I have a history of gastroesophageal reflux and previously had diabetes during a company health check.
For breakfast, I had oatmeal and hot milk, and for lunch, I had a greasy meal from the company cafeteria.
After eating, I experienced a dull pain around the same area near my navel, which worsens when I lie down or rest on a chair, typically about half an hour after eating.
Could this be related to my pancreas? I'm particularly worried about cancer.

Pangzi, 20~29 year old female. Ask Date: 2019/11/18

Dr. Chen Shidian reply Gastroenterology and Hepatology

Further observation of the conditions before and after the episodes (including the timing, location, duration, and dietary correlations) is recommended.
If episodes recur, a visit to the gastroenterology clinic for evaluation and treatment is advised.

Reply Date: 2019/11/18

More Info

Upper abdominal pain can indeed be related to the pancreas, among other organs in the abdominal cavity. The pancreas is a vital organ that plays a crucial role in digestion and blood sugar regulation. It is located behind the stomach and can be affected by various conditions, including pancreatitis, pancreatic cancer, and other gastrointestinal disorders.

In your case, the pain you are experiencing around the area near your belly button, especially after consuming a meal, could suggest a few possibilities. Given your history of gastroesophageal reflux disease (GERD) and diabetes, it is essential to consider how these conditions might interplay with your current symptoms.

1. Pancreatitis: This condition, which is inflammation of the pancreas, can cause upper abdominal pain that may radiate to the back. It is often associated with gallstones, chronic and excessive alcohol consumption, and certain medications. If you have had episodes of pancreatitis in the past, this could be a potential cause of your current discomfort.

2. Pancreatic Cancer: While it is understandable to be concerned about cancer, it is important to note that pancreatic cancer typically presents with more severe symptoms, including significant weight loss, jaundice (yellowing of the skin and eyes), and persistent abdominal pain. However, if you have risk factors such as a family history of pancreatic cancer, smoking, or chronic pancreatitis, it may warrant further investigation.

3. Gastrointestinal Issues: Your symptoms could also be related to other gastrointestinal issues such as gastritis, peptic ulcers, or even issues related to the gallbladder, especially since you mentioned consuming a relatively oily meal. These conditions can cause pain that may mimic pancreatic pain.

4. Diabetes and Diet: Your diabetes may also play a role in your symptoms. High blood sugar levels can lead to gastroparesis, a condition where the stomach takes longer to empty its contents, which can cause discomfort after eating. Additionally, dietary choices can significantly impact your symptoms, particularly if you consume high-fat meals.

Given your symptoms and medical history, it is advisable to consult with a healthcare professional, preferably a gastroenterologist. They may recommend further diagnostic tests such as blood tests (to check for elevated pancreatic enzymes), imaging studies (like an abdominal ultrasound or CT scan), or an endoscopy to evaluate the gastrointestinal tract more thoroughly.

In summary, while your upper abdominal pain could potentially be related to the pancreas, it is essential to consider a broader differential diagnosis that includes other gastrointestinal conditions. Early evaluation and appropriate management are crucial to addressing your symptoms and alleviating any concerns regarding serious conditions like pancreatic cancer. Always keep an open line of communication with your healthcare provider about your symptoms, and do not hesitate to seek further evaluation if your pain persists or worsens.

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