Persistent Pain Above the Navel: Causes and Concerns Explained

Q: Persistent Pain Above the Navel: Causes and Concerns Explained

Hello： Based on the location of the pain you described, it is possible that there are inflammatory or ulcerative lesions in the area before the duodenum. <br>Additionally, since the pancreas is located in the retroperitoneal space, it is advisable to pay attention to dietary habi

Sharp pain located seven centimeters above the navel for three consecutive days?

Hello Dr.
Lin,
Since the night before last, I have been experiencing persistent diarrhea (whenever I pass gas, it turns into watery stool).
I have also been having a sharp pain located about seven centimeters above my navel, which has continued until now.
However, the diarrhea has improved and stopped today, but the frequency of the sharp pain has increased.
Two days ago, the pain occurred about once an hour, but now it happens more frequently, averaging less than every half hour.
Although I have rarely experienced stomach pain in the past, it was always occasional.
Is this pain also related to my stomach, or could it be due to another reason? This sharp pain has disrupted my daily life; is my condition worse than before? I look forward to your response! Thank you!

Xiao Jing, 20~29 year old female. Ask Date: 2006/09/20

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello: Based on the location of the pain you described, it is possible that there are inflammatory or ulcerative lesions in the area before the duodenum.
Additionally, since the pancreas is located in the retroperitoneal space, it is advisable to pay attention to dietary habits during episodes of gastroenteritis.
Avoid spicy foods and refrain from overeating.
If the sharp pain occurs frequently, it is recommended to seek outpatient consultation for medication treatment.
Sincerely, Dr.
Lin Ming-Hui, Internal Medicine.

Reply Date: 2006/09/20

More Info

Persistent pain above the navel can be concerning, especially when accompanied by gastrointestinal symptoms like diarrhea. Based on your description, it seems that you initially experienced diarrhea, which has since improved, but the stabbing pain above your navel has intensified and become more frequent. This situation warrants careful consideration of potential causes.

Firstly, the area above the navel corresponds to several organs, including parts of the stomach, small intestine, and possibly the pancreas. The stabbing pain you are experiencing could be related to several gastrointestinal issues. Here are some possible causes:
1. Gastritis or Peptic Ulcer Disease: Inflammation of the stomach lining (gastritis) or the presence of ulcers can cause sharp, stabbing pains. These conditions can be exacerbated by stress, certain medications (like NSAIDs), or dietary factors.

2. Irritable Bowel Syndrome (IBS): This functional gastrointestinal disorder can lead to abdominal pain and changes in bowel habits, including diarrhea. The pain associated with IBS can be crampy or sharp and may vary in intensity.

3. Pancreatitis: Inflammation of the pancreas can cause severe abdominal pain, often radiating to the back. This condition is usually accompanied by other symptoms such as nausea, vomiting, and sometimes diarrhea.

4. Intestinal Obstruction: Although less common, an obstruction in the intestines can lead to severe pain and changes in bowel habits. This is a medical emergency and requires immediate attention.

5. Infections: Gastrointestinal infections, whether viral or bacterial, can lead to diarrhea and abdominal pain. Even after the diarrhea resolves, residual inflammation or irritation can cause ongoing pain.

6. Muscle Strain: Sometimes, the pain may not be related to an internal organ but rather to a strain of the abdominal muscles, especially if you've been coughing or straining due to diarrhea.

Given that your pain has increased in frequency and intensity, it is essential to seek medical attention. A healthcare provider may recommend diagnostic tests such as blood tests, abdominal ultrasound, or even a CT scan to determine the underlying cause of your symptoms.
In the meantime, consider keeping a symptom diary, noting when the pain occurs, its intensity, and any associated symptoms (like changes in appetite, nausea, or bowel habits). This information can be invaluable for your healthcare provider in diagnosing your condition.

It's also important to monitor for any red flags that would necessitate immediate medical attention, such as:
- Severe or worsening pain
- Fever
- Vomiting
- Blood in stool
- Unexplained weight loss
In conclusion, while the stabbing pain above your navel could be related to various gastrointestinal issues, the increase in frequency and intensity of your symptoms is concerning. It is advisable to consult a healthcare professional for a thorough evaluation and appropriate management. Early intervention can help prevent complications and improve your quality of life.

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