Sharp Pain in Upper Abdomen When Pressing Lower Belly: What to Do? - Gastroenterology and Hepatology

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Pressing on the central depression of the lower abdomen causes sharp pain?


Hello doctor, I would like to add some questions.
I previously visited a gastroenterologist and after taking medication, my stomach pain has subsided.
However, now when I lie in bed at night and press down three fingerbreadths below my navel, I suddenly feel a sharp pain in the upper abdomen where it feels sunken.
Whenever I press on the lower abdomen, the upper abdomen also experiences sharp pain.
Is this normal? Do I need to go back to see a gastroenterologist? Thank you, doctor.

A, 20~29 year old female. Ask Date: 2022/06/19

Dr. Chen Shidian reply Gastroenterology and Hepatology


It is not recommended to apply pressure intentionally; instead, observe.

Reply Date: 2022/06/19

More Info


Experiencing sharp pain in the upper abdomen when pressing on the lower belly can be concerning, especially after having previously sought treatment for gastrointestinal issues. It is important to understand that abdominal pain can arise from various sources, and the relationship between different areas of the abdomen can sometimes lead to referred pain, where discomfort in one area is felt in another.

Given your description, the sharp pain you feel in the upper abdomen when pressing on the lower abdomen could be indicative of several potential issues. One possibility is that there may still be some underlying gastrointestinal condition that has not fully resolved, such as gastritis, peptic ulcers, or even issues related to the gallbladder or pancreas. Another consideration is that the pain could be related to muscle tension or strain, especially if you have been experiencing stress or have altered your physical activity levels.

It is also important to consider the anatomy of the abdomen. The abdominal cavity houses various organs, including the stomach, intestines, liver, and pancreas. Pain in one area can sometimes be linked to issues in another area due to the interconnected nature of these organs and their nerve supply. For instance, irritation of the diaphragm or issues with the lower gastrointestinal tract can sometimes manifest as pain in the upper abdomen.

In terms of what you should do next, it is advisable to consult with a healthcare professional, particularly a gastroenterologist, if the pain persists or worsens. They may recommend further diagnostic tests, such as an abdominal ultrasound or CT scan, to rule out any serious conditions. Additionally, they may want to evaluate your medical history and any other symptoms you may be experiencing, such as changes in bowel habits, nausea, or weight loss.

In the meantime, there are some self-care measures you can take to help manage your symptoms. These include:
1. Dietary Adjustments: Avoiding spicy, fatty, or acidic foods that may irritate the stomach. Eating smaller, more frequent meals can also help reduce discomfort.

2. Hydration: Staying well-hydrated can aid digestion and help alleviate some abdominal discomfort.

3. Stress Management: Since stress can exacerbate gastrointestinal symptoms, incorporating relaxation techniques such as deep breathing, meditation, or gentle yoga may be beneficial.

4. Pain Relief: Over-the-counter medications like antacids or acid reducers may provide temporary relief, but it's essential to consult with your doctor before starting any new medication, especially if you are already on other treatments.

5. Monitoring Symptoms: Keep a diary of your symptoms, noting when they occur, their intensity, and any associated activities or foods. This information can be valuable for your healthcare provider in diagnosing the issue.

In conclusion, while it may not be uncommon to experience some discomfort after previous gastrointestinal issues, the specific sharp pain you are describing warrants further evaluation. It is always better to err on the side of caution when it comes to abdominal pain, especially if it is sharp and localized. Consulting with your gastroenterologist will provide you with the best course of action tailored to your specific situation.

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