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Causes of pain in the upper abdomen. What to do with these pains? Pain in the upper abdomen. Possible causes, treatment

Pain in the middle of the abdomen provokes various pathological conditions. If the middle of the abdomen hurts, is it necessary to worry? And what could this mean?

Pain in the middle of the abdomen, which manifests itself at night and intensifies after hunger is clear sign, stomach ulcers or duodenal ulcers.

If the pain appeared in the middle of the abdomen and after a few minutes began to spread further - along chest and began to irradiate left hand, then this is pain, indicating a violation of the cardiovascular system.

Pain in the middle of the abdomen occurs in people from overeating, as well as after experienced emotional shock or stress.

But, in most cases, pain in the middle of the abdomen occurs as a result of gastritis. So how do you figure out what discomfort concentrated in the middle of the abdomen - these are violations of the work gastrointestinal tract.

The cause of pain in the middle of the abdomen is gastritis

The cause of pain in the middle of the abdomen in 80% of cases is gastritis.

So gastritis is inflammatory process focused on the inner mucosa. It is this pathological process that leads to disruption of the full functioning of the gastrointestinal tract.

Causes of pain in the middle of the abdomen

Pain in the middle of the abdomen occurs for the following reasons:

  • stress;
  • Increased emotionality;
  • depression;
  • Voltage;
  • Violation of the daily routine;
  • Violation of the food culture - the use of fast food, as well as harmful low-quality food;
  • Smoking;
  • Alcohol;
  • Penetration into the body of bacteria Helicobacter pylori;
  • Human autoimmune diseases can provoke inflammation of the mucous membrane;
  • Irregular meals;

Symptoms of abdominal pain

External signs of the disease are:

  • Vomit;
  • Nausea;
  • Heaviness in the abdomen;
  • Pain in the middle of the abdomen.

If you do not pay attention to the symptoms and ignore the pain in the abdomen, this can lead to the formation of a stomach ulcer or an inflammatory process in the duodenum. These diseases will then be much more difficult to eliminate.

Treatment of pain in the middle of the abdomen

Pain in the middle of the abdomen, but below the navel:

  • Cystitis;
  • endometriosis;
  • Inflammatory process in the pelvic cavity;
  • Fibroma of the uterus;
  • benign or malignant formations genital organs;
  • ovarian cancer;
  • Irritable bowel;
  • Aneurysm of the abdominal aorta.

Women are at risk for abdominal pain. Their discomfort can be directly related to gynecological diseases.

Doctors also provide another list of suspected causes of pain in the middle of the abdomen.

  • chronic hepatitis;
  • Hernia;
  • Dysbacteriosis;
  • colitis;
  • pancreatitis;
  • pleurisy;
  • diarrhea;
  • erysipelas;
  • cervical erosion.

The pain in the upper abdomen in the middle is very dangerous symptom, which is a harbinger of the development of various pathologies and dangerous diseases.

Negative manifestations can form suddenly or increase gradually. Some pass in a short period of time, others annoy the patient for a long period. With increasing intensity and intensification of symptoms, it is necessary to contact professional specialist. The patient must undergo a diagnosis of the body and find out why certain symptoms appeared. After passing the diagnostic methods, appropriate treatment should be prescribed.

Pain in upper abdomen different reasons. They are indicators of all kinds of conditions. Diseases can manifest themselves differently in each patient. Some patients experience more pain, others less so.

Since pain itself is considered a subjective feeling, it is not recommended to rely on only one symptom. Put correct diagnosis only by manifestations of pain - it is impossible. Therefore, it is necessary to take into account individual characteristics organism. It is also worth considering that diseases have a specific nature of pain.

Pain in the center (in the middle) of the upper abdomen is divided into types of pain. They have corresponding symptoms. In patients with certain actions or changes in body position, the stomach hurts at the top in the middle. Not everyone knows what to do and what actions to take.

  1. First of all, it is necessary to determine the localization of pain. To do this, lie on your back, feel the abdominal cavity. The most vulnerable painful place is found by palpation.
  2. It is necessary to understand what preceded the onset of pain. It should be established why they began to develop Negative consequences. May be due to excessive exercise nervous breakdowns, improperly selected diet, intake of alcoholic products.
  3. Next, the type of discomfort is determined. Depending on the symptoms that appear, pain is divided into several categories. Consider the most common.

It's a dull pain

Aching pain is not expressed by bright intensity. Therefore, most patients call such manifestations the most harmless. They can occur intermittently or appear constantly.

It is worth considering that this type of pain indicates initial development diseases and negative changes in the body.

  • Aching pain from above can be triggered by circulatory disorders.
  • It also manifests itself due to mechanical damage to internal organs. They can be obtained as a result of a fall from a height, hard hit V abdominal cavity.
  • Aching pains are manifested due to stretching of the muscles, tendons of the internal organs. The manifestation of discomfort is affected by strong inflammatory processes.
  • The cause of the occurrence may be a malfunction of the gastrointestinal tract. Such diseases include gastritis, duodenal ulcer, infectious processes.
  • The pain is manifested due to inflammation of the pancreas.
  • Development can be affected by diseases of the pelvic organs.
  • Pinching may occur nerve endings in the spine, which causes pain in the upper abdomen.
  • The cause may be pathology of the central nervous system.
  • Cardiac pain radiating upward into the abdominal cavity.
  • Unpleasant sensations in solar plexus radiating into the abdominal cavity.
  • Aching pain occurs due to infection of the abdominal cavity;

acute pain

This type of discomfort is called " sharp belly". Acute sharp pain requires immediate treatment medical care. Such patients require surgical treatment.

Acute pain includes a complex of clinical signs that must be confirmed by instrumental or laboratory data. Acute pain can be life threatening. They appear due to dangerous diseases injuries or damage to the organs of the abdomen or pelvis.

Consider the most common causes of discomfort:

Sharp sudden pain can manifest itself with movements, changes in body position. It permeates the ligaments, the muscles of the organs. Therefore, in the common people it is called "dagger". The intensity of this manifestation is different, since each patient perceives the threshold of pain perception in his own way.

Such a negative manifestation may indicate the development of severe pathologies and diseases, life threatening person.

Such diseases include:

  1. Damage to the spleen;
  2. Epigastric hernia of the white line of the abdomen;
  3. Osteochondrosis thoracic spine;
  4. Signs of appendicitis;
  5. Intestinal obstruction;
  6. Chronic stage of enteritis;
  7. Chronic stage of colitis;
  8. Acute diverticulitis;
  9. intestinal infections;
  10. intoxication;
  11. Renal colic;

Blunt pain

On initial stage this type of discomfort is subtle. But as pathologies and diseases form, the intensity of pain begins to increase. It has a continuous character. It disappears only after the use of painkillers. Able to increase with sudden movements, lifting weights, overconsumption liquids. Also, dull pain can be the result of sharp, sharp or cutting pain.

In this case, subsiding unpleasant manifestations can last for 12-18 hours.

Diseases associated with dull pain include:

  1. Cholecystitis of the chronic stage;
  2. Urolithiasis;
  3. Pyelonephritis;
  4. Chronic stage of peptic ulcer;
  5. Stomach cancer;
  6. Pyloric stenosis;
  7. Gastritis, which is accompanied by a reduction in pancreatic secretion;
  8. Increasing pressure in portal vein, which can lead to the deposition of blood flow in the spleen. In this case, a congestive increase in the organ may occur. The condition is characteristic of cirrhosis of the liver:
  • latent stage;
  • Subcompensation stage;
  • Decompensation stage;

Girdle pain

Such a manifestation is a painful condition that has varying degrees intensity. Pain can be short-term or last for a long period. The pain can be paroxysmal, encircling the entire upper area belly. Unpleasant sensations appear after taking fatty, overcooked or spicy food. Can occur after taking alcoholic beverages.

At the same time, patients feel bad taste and dry mouth, weakness, increased blood pressure. There is repeated vomiting, after which the pain subsides. Separate girdle skin pain, as well as pain emanating from the internal organs. In this case, damage to nerve endings or the development of diseases dangerous to human health occurs.

Pain can radiate to the lower back, spine, lower abdomen.

Unpleasant sensations may be the result of the following negative manifestations:

  • Dysfunction of the gallbladder, manifested in the form of cholecystitis;
  • Violations of the functioning of the pancreas in the form of acute pancreatitis;
  • Ulcerative lesions of the duodenum;
  • Diseases of the cardiovascular system;
  • Development of shingles;

Stitching and cutting pain

Such a negative manifestation is considered a signal for the development of pathological processes in the human body. They have different localization. It can prick both at the top of the abdomen and at the bottom. The left and right side may hurt. They radiate to the back sacral, spine, chest area and hypochondrium. Pain is aggravated by movements, improperly selected physical activity, shaking in transport, the presence of stress. But most important reason the occurrence of pain is improperly selected food. Cutting syndrome occurs due to the consumption of overcooked, spicy, salted, burnt food, carbonated drinks, and fast food.

Pain may appear intermittently. Therefore, if it hurts in the upper abdomen, then it is necessary to find out the causes by undergoing a complete diagnosis of the body.

All pathological changes are accompanied by diarrhea and nausea. A person's body temperature rises. Attacks abrupt and stabbing pain can cause worms, problems with the genital area, various inflammations of the digestive tract. Stitching syndrome appears due to the formation of the following diseases:

  • Pancreatitis in the acute phase;
  • attack of appendicitis;
  • Inflammation of the pancreas;
  • Acute or chronic form gastritis;
  • Perforation of gastric and duodenal ulcers;
  • Development of intestinal infections;

Nagging pain

Such discomfort disturbs patients for a long period. They do not have a pronounced intensity. But they cause great discomfort. Pain indicates the presence of the development of pathologies of the initial stage. Can occur due to stretching of the capsule of the liver or spleen. May be the result of stretching of the ligaments that secure the organs in the pelvis. Unpleasant manifestations can radiate to the left or right side, lower part belly, back. The stomach, right or left side may get sick. At the same time, the patient feels heaviness, increased negative manifestations during physical activity and weight lifting.

Pulling the upper abdomen can be due to the development of pathologies, an increase in the size of organs.

The main causes of manifestation pulling pains:

  1. Enlargement of the uterus during pregnancy;
  2. Development of an ovarian cyst;
  3. Inflammation of the appendix;
  4. Inflammatory processes in the intestines, including:
  • Crohn's disease;
  • diverticulitis;
  • Duodenitis;
  • Enteritis;
  • Colitis;
  1. Inflammatory diseases of the pelvic organs;
  2. Prolonged tonic tension of organs;
  3. Chronic prostatitis;
  4. The formation of malignant tumors;
  5. Chronic stage of sigmoiditis;

Features in men

Pain in men is formed with inflammation of the prostate. They can lead to the development acute stage prostatitis, urethritis, ascending infections, sexual disorders, physical inactivity. The reasons may be:

  • interrupted sexual intercourse;
  • Rare or violent sex life;
  • Sedentary "office" lifestyle;
  • The presence of chronic constipation;
  • Drinking alcoholic products;

Pain may occur behind or above the pubis.

They radiate to groin, sacrum, perineum, lower back and rectum. They may be associated with pain frequent urination. In this case, a person may have an increase in body temperature, weakness, and a decrease in working capacity.

Features in women

If it hurts in the upper abdomen, then this may be the result of inflammatory processes in the internal reproductive organs- uterus, tubes, ovaries. Unpleasant manifestations are felt at the top or bottom of the abdomen in the iliac regions. May be accompanied by intoxication syndrome in the form of:

  • chills;
  • Weaknesses;
  • loss of appetite;
  • dizziness;
  • fever;

Localization of pain is above the womb, upper and lower abdomen.

Formed purulent discharge with blood clots bad smell. Discomfort can radiate to the perineum, sacrum and lower back. Pathologies include:

  • Intra-abdominal bleeding;
  • Rupture of the ovary;
  • Ectopic or ectopic pregnancy;

Stomach hurts when critical days, after blows, falls, complications after a tubal abortion.

In what cases is it urgent to see a doctor?

The patient should contact a professional specialist in the following cases:

  • With increased intensity of pain defect;
  • If there is a weak effect after taking medications;
  • If there are symptoms of intoxication in the form of diarrhea, vomiting;
  • With severe sharp or cutting pain during urination;
  • In the presence of blood clots in feces or urine;
  • If the stomach hurts when moving, changing the position of the body;
  • If the patient's age is less than 10 and more than 65 years;
  • If received severe injuries abdomen upon impact, injury, falling from a height, squeezing;
  • With a sudden onset of acute pain, provoking awakening during sleep, insomnia;
  • In the presence of pain syndrome accompanied by fever;
  • With a strong tension of the abdominal muscles, in which the middle of the abdominal cavity is hard, painful. There is a limitation respiratory movement abdomen
  • If it hurts in the upper abdomen, the pain syndrome is accompanied by a rapid heartbeat;

The patient can get advice from a therapist, then turn to a gastroenterologist, surgeon, allergist, neurologist, oncologist. The choice of specialist depends on developing disease.

Diagnostics

Pain in the center of the abdomen gives patients discomfort and discomfort, which disappear only after treatment. But before assigning necessary procedures, you need to pass the diagnosis of the body. Diagnosis will help to identify the causes of pain. It is very difficult to make a correct diagnosis, since at the moment it is known various diseases causing the same pain syndrome.

  1. First of all, an initial examination should be carried out, on which the simplest manipulations are applied. The specialist can:
  • Palpation, which reveals pain, the consistency of the liver and spleen. You can determine whether the pain syndrome increases when pressed.
  • Visual inspection, due to which increased gas formation, a change in shade are determined skin, rashes and manifestation of allergic reactions.
  • Auscultation, thanks to which noises are heard with the help of a stethophonendoscope.
  • Percussion, which reveals the density of tissues and pain in the upper abdomen.
  1. After the initial examination, the patient can be redirected to x-rays. The study lasts no more than ten minutes. This method research consists in the passage of X-ray microbeams through the tissues of the body. The method is able to detect:
  • Malignant tumors of the abdominal cavity;
  • Formed stones in gallbladder or kidneys;
  • Pathology of changes in the spine;
  • stomach ulcer;
  • The presence of abscesses located in the abdominal cavity and liver;
  • Diaphragmatic hernia;
  • Developing pathologies in the spine;

Depending on the results of the examination, the patient may be prescribed:

  1. Computed tomography;
  2. Magnetic resonance imaging;
  3. Ultrasonography;
  4. Fibroesophagogastroduodenoscopy;
  5. Microbiological research methods, including:
  • Microscopy;
  • Cultural examination;
  • Detection of antigens and antibodies;
  • polymerase chain reaction;
  1. Clinical and biochemical analysis blood;
  2. Clinical and biochemical analysis of urine;

What drugs can be prescribed?

Traditional therapy can be medical or surgical. Tablets or surgical intervention prescribed depending on the developing disease. If it hurts in the upper abdomen, then the operation is prescribed in the following cases:

  • With peritonitis;
  • Acute pancreatitis;
  • Ulcer or cholecystitis, which are accompanied by internal bleeding;
  • When an oncological pathology is detected.

In other cases, drug therapy is prescribed.

Analgesics for pain relief. They are available in the form of injections, tablets or syrups.


Antipyretics that reduce high fever.

Bifido drugs and enzyme drugs that normalize digestion.

Antiemetics.

Anti-inflammatory drugs.

Means that normalize the stool.

Folk methods
Name of the diseaseThe name of the folk remedyCooking SuggestionsHow to take
Gastritis or inflammation of the stomachAgave juice with natural honey0.5 cups of freshly squeezed juice mixed with 100 grams natural honey. Stir until lumps disappear.Take one teaspoon three times a day. Reception should be carried out fifteen minutes before a meal. The course of treatment is one month.
Ulcer in the stomach or duodenumPotato decoctionJacket potatoes are boiled until tender. The resulting unsalted water is filtered and cooled.Take on an empty stomach 0.5 cup three times a day.
CholelithiasisRowan tincture50 grams of berries are poured with boiling water. Insist for four hours.Take 7 minutes before meals for this glass three times a day.
Pancreatitissprouted oatsOatmeal is poured with boiling water and simmered over low heat for two minutes. Cool, strain before use.Take 20-30 milliliters throughout the day.
Crohn's diseaseSea buckthorn oilMake your own or purchase at a pharmacy.Take on an empty stomach two hours before meals daily, 50 milliliters.

Condition prevention

In order to avoid the manifestation of pain, you need to monitor your health and follow simple recommendations:

  • More to be on fresh air. oxygen nourishes blood vessels by improving blood circulation;
  • Monitor your diet. Excessive intake of spicy, overcooked, oversalted, smoked food should be excluded. You should not consume chips, sweet carbonated drinks, fast food;
  • Monitor the quality of received products. You should not consume stale food, eat from dirty dishes;
  • Do not overeat, do not swallow air while eating;
  • Quit smoking, drinking alcohol;
  • Do not be near chemical compounds. Do not inhale poisons, steam, exhaust;
  • When carrying out medical manipulations, observe the rules of antisepsis and asepsis;
  • Spend more time healthy sleep, eliminate insomnia;

If it hurts in the upper abdomen, then this indicates the presence of pathological changes in organism.

Be sure to watch the following video

With the manifestation of pain and increased intensity, you should contact qualified specialist for a consultation. In the presence of acute unbearable pain, you need to call an ambulance.

The stomach hurts in the middle - a harbinger of danger or the norm? Abdominal pain is a symptomatic manifestation of many diseases of the gastrointestinal tract and intestines. The appearance of pain is often associated with pathology or dysfunction of the organs that are located in the projection of the navel. However, patients do not always clearly determine the localization of the source of pain. Discomfort in the central part of the abdomen can be reflected downward or above the umbilical line with varying intensity.

Complex anatomy of the intestine

Given the complexity of the anatomical regions, intestines and stomach, pain can be radiating or radiating. So, the true source of pain can be the genitals, upper digestive departments, vascular components of any localization, and find their reflection in the umbilical zone.

For a reliable assessment of the clinical situation, a multilevel differential diagnosis to exclude any diseases with similar symptoms.

Target organs for abdominal pain

Extensive localization of pain

The central region of the abdomen is a vast anatomical zone that is involved in almost all symptomatic manifestations in diseases of the peritoneum and retroperitoneal space, all parts of the intestine, pelvic organs.

The intensity of the pain syndrome depends entirely on the individual sensitivity of the patient, his clinical history, as well as the age and severity of the underlying pathology. The following anatomical sections are exposed to inflammation in the projection of the paraumbilical space:

  • front wall tissues;
  • stuffing box;
  • pancreas;
  • large vessels;
  • abdominal section.

May cause pain infectious diseases, injuries, intestinal obstruction, thrombosis, hereditary factors, acute and chronic intoxications and much more. An important aspect with any inflammation, there is a lack of parenchymal tissues in the abdominal cavity, therefore, the membranes of the internal organs are first affected.

Note! Also, a small number of sensitive nerve endings are located in the abdominal cavity, so pain due to vascular pathologies may be associated with a complication in other organs that make up the transport of blood through neighboring arteries, capillaries.

Features of pain and localization

The central region of the abdomen is conditionally classified into the upper and lower lines. So, it is important to determine the localization of pain and the place of the presence of the pain syndrome.

Pain above the midline

If the pain in the middle of the abdomen is above the navel, these are typical manifestations of gastric ulcer and inflammation of the duodenum. At chronic course ulcers of the stomach cavity pain can appear with an exacerbation of the disease. Initial departments small intestine can cause pain not only with ulceration, but also with polyps, erosions, perforation of the walls, internal bleeding. peptic ulcer accompanied by other symptoms:

  • hungry night pains;
  • soreness immediately after eating;
  • sour belching;
  • blackening of the stool or the appearance of blood in the stool.

Can be caused by dietary changes, alcohol abuse and tobacco products. Soreness often radiates to the abdomen with heart disease, respiratory system(diaphragm, lungs).

Another disease with pain just above the navel is considered stomach cancer or upper divisions intestines, but oncology rarely extends to the duodenum. Tumor-like growths, polyposis foci, cells of the affected mucosa are prone to malignancy, especially when hereditary predisposition to cancer of any localization.

The appearance of pain above the navel in the middle of the abdomen is a serious condition, sometimes requiring emergency hospitalization. It is important to pay attention to the addition of the following symptoms:

  • vomiting with bloody patches;
  • darkening of the stool (black feces, blood);
  • fecal masses with an admixture of pus, abundant mucus;
  • increased tone abdominal wall(signs of peritonitis);
  • violation of swallowing function (appearance of dysphagia);
  • sharp cutting pain in the epigastric region;
  • paleness and sweating of the skin;
  • sudden loss of body weight.

Important! Cholecystitis, tumors, pancreatitis and dyskinesia - all this can provoke pain in the abdomen, along the upper border of the navel. Some clinical cases require immediate surgical treatment.

Pain along the lower line of the umbilicus

If the middle of the abdomen hurts just below the umbilical line, then the spectrum possible diseases much higher here. Symptomatic picture often associated with disease urinary tract, pathologies of the intestinal sections, reproductive organs. There are the following main causes of pain:

  • umbilical or inguinal hernia. Infringement of the hernial sac has vivid symptoms, manifested by acute pain with a tendency to irradiate throughout the abdominal space. Often, the localization of the infringement is not amenable to visual diagnosis and palpation (in the case of inguinal-scrotal hernias).
  • Perforation. In case of violation of the integrity of the walls sigmoid colon acute pain occurs, resembling an exacerbation. Unlike true appendicitis, with perforation of the walls of the sigmoid colon, pain is localized at the bottom of the umbilical line.
  • Acute salpiginitis. The condition is characterized by inflammation pelvic organs. The inflammatory process in the pelvic area is called adnexitis. The pain spreads along the lower abdomen, accompanied by fever.
  • Painful menstruation in women. The pain is associated with the rupture of the follicular cells at the exit of the eggs. Usually localized closer to the side, but may radiate directly to the navel. Discomfort is short-lived, usually no more than 2-3 days after the onset of menstruation.
  • Diseases of the genital organs. Various pathologies reproductive organs in women and men contribute to the development unpleasant symptoms including pain in the midline of the peritoneum. So, bacterial prostatitis, venereal diseases and inflammation genitourinary system men are often accompanied by abdominal pain. Women's diseases are uterine fibroids, polyps cervical canal, inflammation of the endocervix, endometriosis, cystic components.
  • Diseases of the kidneys and urinary tract. The most common phenomenon in nephrology is pyelonephritis, which affects both women and men of any age. Inflammation is accompanied by pain, pain in the back (in the projection of the kidneys), extending to the sacrum, abdomen. Another inflammatory disease with irradiation of pain in the abdomen is cystitis - inflammation of the bladder. Pain intensifies, mainly at the time of urination.
  • Intestinal obstruction. Symptoms intestinal obstruction in the thin and thick sections are often combined with soreness in the navel or just below. At the beginning, the pain is sharp, but gradually subsides. As the pathological obstruction increases, the pain acquires an obsessive permanent character. Intestinal obstruction is a clinical situation requiring medical intervention.
  • Urinary retention and kidney pathology. Any nephrological disease, including kidney failure, can provoke pain in the abdomen in the middle due to the peculiarities of the anatomy. With urinary retention, the bladder is stretched, the ureters overlap, which contributes to abdominal pain.

Pain can be provoked by the consequences of trauma (including remote ones), wounds, pronounced bruises and bruises. An injury is considered to be an overstrain of the muscular structures of the abdomen during intense physical exertion.

How does your stomach hurt? He whines, pulls and burns. Sometimes something cuts and pricks in it. And it happens that in the stomach growls, pulls and twists. Abdominal pain is one of the most common complaints, because it contains more than a dozen various bodies, each of which manifests itself differently. According to the location of the epicenter of pain, its nature and intensity, one can assume the cause of the ailment.

In most cases, abdominal pain occurs for a short time and goes away on its own, without requiring special treatment. This happens, for example, when overeating, the inability to have lunch on time, or after stress. But sometimes stomach pains are alarm signal body and require immediate medical attention.

To make it easier to deal with the symptoms, we divided the abdomen into three floors: upper, middle and lower, in each of which we marked the most typical areas of pain localization (see figure). Using this diagram and explanations in the text, you can understand why the stomach hurts, and what to do about it.

Pain in upper abdomen

Most often, pain occurs in the upper abdomen: in the epigastrium (1), right (2) and left (3) hypochondrium. Usually, these pains are somehow associated with eating, often accompanied by nausea and vomiting. The intensity and nature of the pain can vary greatly.

Epigastric pain (1)

The epigastrium or epigastric region is called the upper central zone of the abdomen, immediately below the sternum. Pain in the epigastrium, as a rule, is associated with diseases of the stomach or esophagus. by the most common causes they can be:

  • Gastritis or dyspepsia is a disease of the stomach associated with a violation
    digestion, which is accompanied by heartburn, belching, nausea and decreased
    appetite. Pain can be aching, pulling in nature,
    sometimes become burning or sharp, associated with eating.
    If the cause of dyspepsia is short-term
    (infection, error in diet, stress, etc.),
    the pain goes away within a few days.
    If the disease is caused by more serious factors,
    you will need to consult a doctor.
  • Peptic ulcer of the stomach and duodenum - education
    on the mucous membrane of the stomach or the initial sections of the intestine
    ulcer defects, which leads to increased pain in the epigastrium.
    The pain takes on the character of a burning, gnawing,
    give to the navel, neck and occur even at night, on an empty stomach.

Pain in the hypochondrium on the right (2)

Pain under the ribs right side usually associated with diseases of the liver and gallbladder:

  • Biliary dyskinesia (BBD) is a disease associated with a violation of the contractility of the gallbladder and bile ducts. Bile is secreted from the gallbladder irregularly, which, on the one hand, leads to its overflow and pain, and on the other hand, to indigestion in the intestines, since bile is needed to activate digestive enzymes.

    Depending on the form of dyskinesia, dull long-term pain in the hypochondrium on the right may prevail or, conversely, short-term acute cramping pains in the same area. Pain with dyskinesia occurs when taking fatty foods or in violation of the diet, are not accompanied by deterioration general well-being, but associated with frequent disorder stool, bitter taste in the mouth. For the treatment of dyskinesia, drugs that stimulate the gallbladder or antispasmodics are used, depending on the form of the disease. Find a gastroenterologist for diagnosis and treatment.

  • Cholecystitis is inflammation of the gallbladder. Accompanied by acute cutting pain in the hypochondrium on the right, often, nausea, vomiting, fever.
  • Stones in the gallbladder - formation in the gallbladder hard stones different sizes, which can clog the lumen of the bile duct. As a result, there is a sharp, acute pain in the right hypochondrium of high intensity, increased heart rate and respiration, and sometimes vomiting. Requires urgent medical attention.
  • Hepatitis - inflammatory disease liver, in which the appearance of pulling pains in the hypochondrium on the right, of low intensity, aggravated by deep breathing, tilting the body forward and backward is possible. In the first place, as a rule, there is a feeling of general malaise, weakness, loss of appetite, and sometimes yellowing of the skin.

Pain in the hypochondrium on the left (3)

  • Pain in the left hypochondrium that appears during intensive physical activity without prior warm-up, especially after eating, occurs as a result of irrational redistribution of blood in the internal organs, including the spleen. It is worth slowing down, and the pain goes away. special treatment not required.
  • Abscess of the spleen is a rare disease associated with the formation of an abscess in the spleen - an abscess. This condition is characterized by increasing pain in the hypochondrium on the left (pain in the side), deterioration in general well-being, weakness, temperature rise from 37 to 39 ° C and above. Requires surgical treatment.

It is impossible to find a person who has never encountered pain in the abdomen, which may differ in the type of manifestation, intensity or localization. Pain in the center in the upper abdomen, as a rule, acts as one of the symptoms of some serious illness. Often it is a precursor of pathological processes that are difficult to determine. Learn more about the possible causes and diagnosis of pain and will be discussed in this article.

Pain can be caused by various pathological processes, but the most common of them doctors include:

  • frequent overeating, especially in the evening, can cause pain, which is often accompanied by a feeling of heaviness. As a rule, such symptoms disappear on their own after about 4-5 hours, but if they continue to torment you, then you need to call a doctor;
  • unhealthy or unbalanced diet. Overuse junk food can also lead to the appearance of such pain. IN rare cases When a person constantly eats junk food, he runs the risk of "earning" abdominal pain that is chronic. In turn, this will lead to disruption of the digestive tract;
  • psychosomatic pain;

    Diseases of the stomach - psychosomatics

  • mechanical damage to the abdominal cavity. Banal injuries can also cause pain. For example, with a rupture of internal organs or a fracture of the ribs, acute or It's a dull pain may disturb the patient long time, especially with the formation of a hematoma;
  • body food poisoning. For example, intoxication may result from the use of certain medical preparations V in large numbers, expired products, etc.;
  • pathology of the gastrointestinal tract chronic nature eg Crohn's disease;

  • peritonitis or hepatitis(inflammation of the liver);
  • development oncological diseases . If cancer has affected the liver, bladder, esophagus or stomach of the patient, then pain accompanying this process may extend to other areas, for example, in upper part abdomen
  • inflammation of the appendix(appendicitis);
  • circulatory disorder and other deviations in the work of the cardiovascular system;
  • cardiac ischemia may also cause sharp pains. There are times when the pain caused by coronary disease, is almost imperceptible, but most often it is unbearable, and the patient also has bouts of vomiting;

  • spinal diseases. Often, pain in the spine caused by osteochondrosis or mechanical damage, can also pass to other parts of the body, including the stomach;
  • dysfunction of the spleen. According to statistics, this organ rarely undergoes inflammatory processes, and if inflammation does occur, the patient may feel acute pain caused by an enlarged spleen;
  • inflammation of the pancreas. As a rule, the inflammatory process occurs with alcohol abuse, but one cannot also exclude hereditary factor. With a disease of the pancreas in a patient, in addition to pain, there are attacks of nausea and vomiting;

  • gastritis. You can recognize its development by the pain in the abdomen that occurs after eating;
  • stomach ulcer. When an ulcer forms, the entire contents of the stomach can go into the patient's abdominal cavity, which causes severe pain.

On a note! We must not forget about the subjective nature of pain. Their appearance is not always explained by pathologies of internal organs.

General signs

Often, abdominal pain appears along with other symptoms that are not pleasant and should not be ignored. Let's consider the main ones:


This is not the whole list of symptoms, as they can vary depending on the severity of the disease, starting with loss of consciousness, and ending with internal bleeding.

When is the help of a doctor required?

Not everyone is in a hurry to go to the hospital if their stomach hurts, hoping that it will eventually go away on its own. But in some cases only timely help a doctor can help you avoid serious consequences Therefore, all the symptoms that arise should be paid attention to. First of all, it concerns tingling in the chest, yellowing of the skin, jumps blood pressure and hemorrhage. If your stomach becomes hard in addition to pain, then the help of a qualified specialist is also needed.

The appearance of pain in any part of the abdomen deserves the attention of a doctor and requires an immediate examination. This will help to determine the causes of pain and start treatment in time. In this case, not knowing true reason pathological condition, self-medication is highly discouraged. This may not only not help you cope with the pain, but also significantly worsen the situation as a whole. Only a doctor can determine causal factor and prescribe the appropriate course of therapy.

Features of diagnostics

Only high quality diagnostic examination will enable the attending physician to accurate diagnosis. For this purpose, it is necessary to carry out many various analyzes. With only a visual examination, it is impossible to establish the cause of the pain, so the doctor should not be guided only by the subjective description of the symptoms by the patient.

To determine the exact cause of abdominal pain, the doctor may prescribe the following diagnostic measures:

  • palpation of the abdominal cavity;
  • measurement of blood pressure and temperature;
  • laboratory blood test for the presence of pathogenic microorganisms;
  • general urine analysis;
  • sounding of internal organs;
  • conducting an MRI;
  • ultrasonography. With it, you can not only check the size of the internal organs, but also identify possible bleeding;
  • radiography.

On a note! Some of the above diagnostic procedures not recommended during pregnancy. Only the attending physician has the right to decide this after examining and assessing the health status of the expectant mother.

How is the treatment

After the doctor makes a diagnosis, he will prescribe the appropriate treatment, which is divided into 2 groups - surgery and reception medications. Surgery is usually resorted to if the patient has damaged internal organs, at acute peritonitis, pancreatitis, perforated ulcer or inflammation of the appendix.

In all other cases, you can do without surgery, only with the help of medicines. All drugs must be prescribed by a physician individually. This takes into account various factors (the presence of comorbidities, general state patient, his gender, age, etc.).

Depending on the course of the disease, the doctor may prescribe one or another drug, but most often prescribed medicines belonging to the following groups:

  • phytopreparations;
  • antispasmodics;
  • antibiotics;
  • enveloping agents.

In addition to taking medications, your doctor may also prescribe special diet, the diet of which may vary depending on the disease found in the patient. But in any case, such a diet consists in refusing junk food, which can increase pain or provoke the development of additional pathologies of the gastrointestinal tract.

Pain relief before the doctor arrives

You cannot cure abdominal pain on your own, because you do not know exactly what exactly caused these sensations. But you can relieve the symptoms a little before visiting the doctor. Below is step-by-step instruction, compliance with which will help temporarily relieve pain in the abdomen.

Table. How to deal with stomach pain.

Steps, photoDescription of actions


Go to the toilet. Often, people who experience nausea or stomach pain simply need to have a bowel movement. Before you do anything else, try sitting on the toilet for a few minutes, leaning forward or bringing your knees to your chest. This position stimulates bowel movement without undue stress.

Put a warm compress on your stomach. Warming the abdomen can help relax muscles and reduce pain. Use a bottle of hot water heated in a microwave, a compress or an electric blanket and place it on your stomach for a few minutes. If you don't have any of the above, fill a clean sock with rice and heat it up in the microwave, then apply it to the sore spot.

Bend over and try to reach your toes. Mild indigestion can often be cleared up by releasing some of the gas stored in your stomach and intestines. You can help your body get rid of excess gas by touching your toes and doing other things similarly. simple exercises. For example, lie on your back, bend your knees and press them to your chest.


Try to induce vomiting. If you are seriously poisoned, your body may be telling you what to vomit. This unpleasant action may seem like the worst-case scenario, but it's actually your body's way of expelling contaminated bacteria, viruses, or irritating foods. Be sure to visit a doctor if you continue to vomit for several days, as this may indicate a serious illness.

Accept hot bath. Dive into warm water increase blood circulation and relax muscles. It can reduce stomach pain and also help relieve the stress you are experiencing. Stay in a warm bath for at least 15 minutes. You can also add one or two cups of Epsom salts to help relieve inflammation.

Belly massage. Pain in the stomach can be caused muscle spasms. You can alleviate the condition by giving yourself a massage. Apply light pressure to different areas abdomen and back. Focus on the parts that hurt the most, but don't push too hard to make it worse. During the massage, focus on breathing. Deep breathing can help relax your muscles and take your mind off the pain.

Refuse to take medications before a diagnostic examination by a doctor, even if they are available without a prescription and a good friend recommended them to you. If the drug has helped someone, this does not mean that it will also cope with pain in your case.

Prevention measures

Severe pain in the abdomen is serious symptom which cannot be ignored. Its danger lies in the fact that it is impossible to say for sure which disease caused the pain, therefore, at the first symptoms, you should immediately seek help from a doctor for immediate medical intervention. At timely treatment increases the likelihood of a successful recovery surgical intervention. It will also help avoid serious complications.

To prevent the appearance of pain in the abdomen, it is necessary, first of all, to reorganize the process of nutrition. Eliminate or at least limit the amount of junk food in the diet, give up bad habits that negatively affect work digestive system. It is also not recommended to take potent drugs without a doctor's prescription (anti-inflammatory, antibacterial and hormonal agents).

Video - Possible causes of abdominal pain