Upper Abdominal Pain: When to Seek Medical Attention

Q: Upper Abdominal Pain: When to Seek Medical Attention

Hello： That location may correspond to the gastroesophageal junction. <br>Please pay attention to any symptoms of gastroesophageal reflux. <br>It is recommended to follow a light diet and avoid caffeinated beverages. <br>Fatty liver or mild liver inflammation typically does not p

Upper abdominal discomfort?

About three days ago, I started experiencing pain when pressing on a specific point in the upper right part of my abdomen (it doesn't hurt when not pressed).
Initially, the tenderness would subside after a few minutes of pressure, and pressing the same spot again wouldn't cause pain.
However, now that point has been consistently painful, and I also feel a pulling sensation.
I had a health check-up on February 8, but the report will take 14 business days, so I might not receive it until March.
This symptom appeared after the health check-up, and I have been experiencing bloating, which led me to do sit-ups to relieve it.
On the day of the check-up, the family medicine doctor mentioned that the abdominal ultrasound showed small kidney stones, fatty liver, and a 0.52 cm gallbladder polyp.
I also have a history of high uric acid and elevated liver enzymes (last time it was GPT 88).
I am currently taking Uricare and Siliphos.
I would like to know if this condition is serious enough to see a doctor immediately, or if it can wait until March when I receive the report.
Thank you, doctor.

Li Zimin, 20~29 year old female. Ask Date: 2022/02/15

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: That location may correspond to the gastroesophageal junction.
Please pay attention to any symptoms of gastroesophageal reflux.
It is recommended to follow a light diet and avoid caffeinated beverages.
Fatty liver or mild liver inflammation typically does not present with symptoms.
If you continue to experience discomfort, it is advisable to consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2022/02/15

More Info

Upper abdominal pain can be concerning, especially when it is localized and persistent. Based on your description, it seems that you are experiencing pain in the upper right quadrant of your abdomen, which has progressed from intermittent tenderness to a more constant discomfort. Additionally, you mentioned experiencing bloating and having a history of kidney stones, fatty liver, and elevated liver enzymes.
Given these factors, it is crucial to understand the potential causes of your symptoms and when to seek medical attention. The right upper quadrant of the abdomen houses several important organs, including the liver, gallbladder, and parts of the digestive system. Pain in this area can arise from various conditions, some of which may require immediate medical intervention.

1. Gallbladder Issues: Given your mention of a gallbladder polyp (0.52 cm), it is essential to monitor this closely. While many gallbladder polyps are benign, they can sometimes lead to complications such as cholecystitis (inflammation of the gallbladder) or gallstones, which can cause significant pain and require surgical intervention.

2. Liver Conditions: Your history of fatty liver and elevated liver enzymes is also noteworthy. Fatty liver disease can progress to more severe liver conditions, including steatohepatitis, which can cause abdominal pain. If your liver function is compromised, it may lead to further complications.

3. Kidney Stones: You mentioned having small kidney stones. While they may not always cause pain, they can lead to renal colic if they obstruct the urinary tract. This can manifest as severe pain that may radiate to the lower abdomen or back.

4. Gastrointestinal Issues: Conditions such as gastritis, peptic ulcers, or even pancreatitis can cause upper abdominal pain. Given your symptoms of bloating and discomfort after physical activity (like sit-ups), it may be worth considering gastrointestinal causes.

5. Other Considerations: Elevated uric acid levels can lead to gout, which may cause joint pain but is less likely to be related to your abdominal symptoms. However, it’s essential to manage this condition to prevent complications.

When to Seek Medical Attention
Given the progression of your symptoms and the presence of multiple risk factors (gallbladder polyp, kidney stones, fatty liver), it is advisable to seek medical attention sooner rather than later. Here are some signs that warrant immediate evaluation:
- Severe or worsening pain: If the pain becomes unbearable or significantly increases in intensity.

- Fever or chills: These could indicate an infection, such as cholecystitis or pancreatitis.

- Nausea or vomiting: If you are unable to keep food or fluids down.

- Changes in bowel habits: Such as persistent diarrhea or constipation, especially if accompanied by pain.

- Jaundice: Yellowing of the skin or eyes, which may indicate liver issues.

Conclusion
While it may be tempting to wait for your upcoming test results in March, the combination of your symptoms and medical history suggests that it would be prudent to consult a healthcare provider sooner. They may recommend imaging studies, such as an ultrasound or CT scan, to evaluate your abdominal organs more thoroughly. Early intervention can help prevent complications and ensure appropriate management of any underlying conditions. Please prioritize your health and seek medical advice promptly.

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