Overview
Upper abdominal pain refers to discomfort or pain felt in the upper portion of the abdomen, just below the ribs. This area houses several critical organs, including the stomach, liver, gallbladder, pancreas, and part of the small intestine. Pain in this region can vary from mild discomfort to severe, sharp sensations, and may indicate a variety of underlying conditions.
➤ Upper abdominal pain is a common symptom in both acute and chronic conditions.
➤ It may be accompanied by nausea, vomiting, bloating, or digestive disturbances.
➤ Early evaluation is important to rule out serious causes like gallstones, ulcers, or liver disease.
➤ In Korea, advanced diagnostic tools and gastroenterology expertise make it a preferred destination for treatment.
Key Facts
► Location: Pain typically occurs between the lower chest and the navel, primarily on the left, right, or central upper abdomen.
► Duration: Can be acute (hours to days) or chronic (weeks to months).
► Common causes: Gastritis, peptic ulcer, gallstones, pancreatitis, liver disease, reflux, or musculoskeletal strain.
► Associated symptoms: Nausea, vomiting, bloating, indigestion, fever, or jaundice.
► Treatment in Korea: Combines diagnostic imaging, endoscopy, advanced minimally invasive surgery, and lifestyle-based care.
What is Upper Abdominal Pain?
Upper abdominal pain is a symptom indicating irritation, inflammation, or dysfunction of organs located in the upper abdominal region.
➔ The pain can be dull, sharp, crampy, or burning, depending on the cause.
➔ It may be localized or radiate to the chest, back, or shoulder.
➔ The pain may worsen with eating, movement, or pressure, offering clues about the underlying problem.
Commonly affected organs include:
► Stomach and duodenum – inflammation or ulcers.
► Liver – infections, hepatitis, or congestion.
► Gallbladder – gallstones or cholecystitis.
► Pancreas – pancreatitis or tumors.
► Esophagus – acid reflux or gastroesophageal reflux disease (GERD).
What Symptoms Are Related to Upper Abdominal Pain?
Upper abdominal pain may be accompanied by additional symptoms that help identify the cause:
→ Nausea and vomiting, common with gastritis, food poisoning, or pancreatitis.
→ Bloating or fullness, often associated with indigestion or gallbladder disease.
→ Heartburn or acid reflux, indicating GERD.
→ Fever or chills, suggesting infection or inflammation.
→ Jaundice (yellowing of skin or eyes), indicating liver or bile duct issues.
→ Pain radiating to the back or shoulder, commonly seen in gallstones or pancreatitis.
→ Changes in stool or urine color, which may indicate liver or pancreatic problems.
What Causes / Possible Causes of Upper Abdominal Pain
Gastrointestinal Causes
➤ Gastritis or peptic ulcer disease – inflammation of the stomach lining or ulceration.
➤ Acid reflux / GERD – irritation of the esophagus by stomach acid.
➤ Gallstones / Cholecystitis – stones obstructing the bile ducts or gallbladder inflammation.
➤ Pancreatitis – inflammation of the pancreas, often caused by alcohol or gallstones.
➤ Hepatitis or liver disease – infection or inflammation affecting liver function.
Cardiovascular Causes
➔ Myocardial infarction (heart attack) can sometimes present as upper abdominal pain, particularly in the upper central abdomen.
➔ Angina – temporary reduced blood flow to the heart.
Musculoskeletal Causes
→ Muscle strain or rib inflammation (costochondritis).
→ Trauma or overuse injuries affecting the abdominal wall.
Other Causes
► Kidney stones – may radiate pain to the upper abdomen.
► Infections – such as pneumonia affecting the lower lungs can cause referred upper abdominal pain.
► Tumors or malignancies – affecting stomach, pancreas, liver, or nearby organs.
When Should I See My Doctor?
Immediate medical attention is necessary if upper abdominal pain is accompanied by:
➤ Severe or sudden pain, especially if it radiates to the chest, back, or shoulder.
➤ Fever, chills, or vomiting blood.
➤ Jaundice or dark urine.
➤ Difficulty breathing or chest pressure.
➤ Persistent pain lasting more than a few days without relief.
➤ Unexplained weight loss or appetite changes.
Prompt consultation helps prevent complications and ensures early diagnosis of serious conditions like pancreatitis, gallstones, or cardiac events.
Care and Treatment
Self-Care and Home Measures
► Avoid spicy, fatty, or acidic foods that may irritate the stomach.
► Eat smaller, frequent meals to reduce strain on the digestive system.
► Stay hydrated and rest.
► Avoid alcohol and smoking.
Medical Treatments
➔ Medications: Antacids, proton pump inhibitors, H2 blockers for reflux or gastritis.
➔ Antibiotics: For bacterial infections like Helicobacter pylori.
➔ Pain management: Analgesics or anti-inflammatory medications.
➔ Lifestyle counseling: Diet modification and weight management.
Surgical and Advanced Interventions
→ Gallbladder removal (cholecystectomy) for stones or chronic inflammation.
→ Endoscopic procedures for ulcers or digestive tract obstructions.
→ Laparoscopic surgery for certain liver, pancreas, or stomach conditions.
Treatment Options in Korea
South Korea is known for highly specialized gastroenterology and hepatology centers, offering state-of-the-art care for upper abdominal pain.
Diagnosis in Korea
➤ High-resolution ultrasound, CT, or MRI scans.
➤ Endoscopic evaluation (gastroscopy, ERCP) for precise assessment.
➤ Blood tests for liver enzymes, pancreatic function, and infections.
Non-Surgical Care
► Personalized diet and medication plans.
► Comprehensive physiotherapy for musculoskeletal causes.
► Minimally invasive pain management programs.
Surgical & Advanced Treatments
➔ Laparoscopic cholecystectomy or tumor removal.
➔ Robotic-assisted procedures for precision surgery.
➔ Advanced endoscopic interventions for bile duct or pancreatic disorders.
Rehabilitation and Lifestyle Support
→ Nutritional guidance for long-term digestive health.
→ Post-surgical rehabilitation programs.
→ Digital monitoring and follow-up to prevent recurrence.
Korean hospitals integrate diagnostic excellence, minimally invasive treatments, and lifestyle support, making them highly effective for patients suffering from upper abdominal pain.
