Upper Abdominal Pain: Causes and Remedies - Gastroenterology and Hepatology

Pain above the navel?

I have severe pain above my navel and below my chest.
I also have diarrhea.
I had lunch at school today and I'm not sure if it was because I ate too quickly, as I usually eat very slowly, or if it was the fried yam and fresh milk that caused this.
Tonight, the pain above my navel is very intense.
Please advise.
Thank you.

Xiao Peng You, 10~19 year old female. Ask Date: 2009/04/07

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello, pain above the navel accompanied by diarrhea may indicate gastroenteritis.
It is recommended to avoid irritating foods for the next few days (including: overly acidic, spicy, sugary foods, fried items, tea, coffee, and milk).
Please consume a bland diet and monitor for persistent pain, fever, vomiting, or worsening pain.
Parents are advised to bring the patient to the outpatient clinic for evaluation, as abdominal pain has many differential diagnoses.
Wishing you good health, Dr.
Lin Ming-Hui, Taoyuan Hospital, Department of Health.

Reply Date: 2009/04/07

More Info

Upper abdominal pain can be a distressing symptom, and understanding its potential causes is crucial for effective management. Based on your description, the pain is located above the navel and below the chest, accompanied by diarrhea and possibly related to your recent meal choices. Here, I will explore several possible causes for your symptoms and suggest some remedies.

Possible Causes of Upper Abdominal Pain
1. Gastritis or Gastroenteritis: Inflammation of the stomach lining (gastritis) or the intestines (gastroenteritis) can lead to upper abdominal pain, especially after consuming certain foods. Eating too quickly can exacerbate these conditions, as it may lead to swallowing air, which can cause bloating and discomfort. Additionally, fried foods like fried yam can be harder to digest and may irritate the stomach lining.

2. Peptic Ulcers: Ulcers in the stomach or the upper part of the small intestine can cause pain in the upper abdomen. Symptoms may worsen after eating, particularly with spicy or fatty foods. If you have a history of ulcers or take medications like NSAIDs, this could be a consideration.

3. Gallbladder Issues: Conditions such as gallstones or cholecystitis can cause pain in the upper abdomen, particularly in the right upper quadrant. Symptoms can be triggered by fatty meals, leading to pain after eating.

4. Pancreatitis: Inflammation of the pancreas can cause severe upper abdominal pain, often radiating to the back. This condition can be associated with alcohol consumption or gallstones.

5. Food Intolerance or Allergies: Sometimes, specific foods can trigger abdominal pain due to intolerance or allergic reactions. If you suspect that fried yam or milk may be the culprits, it might be worth eliminating them from your diet temporarily to see if symptoms improve.

6. Irritable Bowel Syndrome (IBS): This functional gastrointestinal disorder can cause abdominal pain, bloating, and changes in bowel habits, including diarrhea. Stress and dietary choices often play a significant role in symptom exacerbation.

Remedies and Management
1. Dietary Adjustments: Consider modifying your diet to include easily digestible foods. Avoid fried, spicy, or heavy meals, especially if you notice a correlation between these foods and your symptoms. Eating smaller, more frequent meals can also help.

2. Hydration: If you are experiencing diarrhea, it is essential to stay hydrated. Drink plenty of fluids, such as water or oral rehydration solutions, to replace lost fluids and electrolytes.

3. Slow Down While Eating: Since you mentioned that you usually eat slowly, try to return to that habit. Eating quickly can lead to swallowing air and overeating, both of which can contribute to discomfort.

4. Over-the-Counter Medications: Antacids or medications like simethicone can help relieve gas and bloating. If you suspect gastritis or ulcers, proton pump inhibitors (PPIs) or H2 blockers may be beneficial, but consult a healthcare provider before starting any medication.

5. Monitor Symptoms: Keep track of your symptoms, including when they occur and any associated factors, such as specific foods or activities. This information can be helpful for your healthcare provider.

6. Consult a Healthcare Provider: If your symptoms persist, worsen, or are accompanied by severe symptoms such as vomiting, fever, or significant changes in bowel habits, seek medical attention promptly. A healthcare provider may recommend diagnostic tests, such as blood tests, ultrasound, or endoscopy, to determine the underlying cause of your pain.

Conclusion
Upper abdominal pain can arise from various causes, and understanding these can help guide appropriate management. Dietary habits, food choices, and the speed of eating can significantly impact gastrointestinal comfort. If your symptoms continue or worsen, it is essential to consult a healthcare professional for a thorough evaluation and tailored treatment plan. Remember, your health is paramount, and addressing these symptoms early can prevent further complications.

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