Acute cholecystitis is a gallbladder inflammation that causes severe back and stomach pain. Since the region is home to a number of organs, constipation, ulcers, gallstones, appendicitis, and diverticulitis are just some of the ailments that can cause abdominal pain. At what point should you see a doctor? This may cause acute or chronic pain in the left upper part of your abdomen. According to the University of Maryland Medical Center (UMMC), pain, including stomach pain, sometimes occurs when you swallow. Home Remedies to Ease Mild Pain in Middle of the Stomach, Pain in the Middle of the Stomach Should Be a Concern, Top 10 Causes of Epigastric Pain in the Upper Abdomen, Stomach Pain at Night: 10 Causes and Treatments, Sour Stomach: Causes, Symptoms and Home Remedies, https://patient.info/health/abdominal-pain-leaflet, http://www.mayoclinic.org/diseases-conditions/peptic-ulcer/home/ovc-20231363, https://patient.info/health/stomach-gastric-ulcer, http://www.livestrong.com/article/234717-causes-of-abdominal-and-chest-pain/, https://www.today.com/health/10-tummy-troubles-you-should-never-ignore-t74171, http://www.healthhype.com/causes-of-the-upper-middle-abdominal-stomach-pain.html, http://ddc.musc.edu/public/diseases/small-intestine/ibd.html, http://www.mayoclinic.org/diseases-conditions/diverticulitis/basics/definition/con-20033495, http://www.mayoclinic.org/diseases-conditions/gerd/basics/symptoms/con-20025201, http://www.umm.edu/health/medical/ency/articles/abdominal-pain, The pain is fairly severe and last longer than 24 hours, You’ve had a recent injury to the area that is in pain, Your belly is tender to the touch, or if it’s rigid, The pain brings vomiting and diarrhea (especially if the vomit and or stool is bloody), The pain spreads from the abdomen to other parts of the body, You are pregnant or are potentially pregnant, Suffer from colon, stomach, or pancreatic cancers. Many people will have gallstones without any symptoms, but some stones can migrate and block the biliary tract. This can be an inflamed pancreas or a more serious issue like pancreatic cancer. Additional stomach pain symptoms can vary based on what's causing your child's stomach to hurt, but may include cramping, diarrhea, gas, bloating, nausea or vomiting. The location of the pain and your ability to describe where it is can help doctors determine a possible source of pain. It is most commonly a benign condition that resolves with time. 10 Ways to Control Blood Sugar without Medication, Pain in the Middle of the Stomach: Possible Causes, Types, and Remedies. This lack of bowel movement can often cause cramping pain in the mid-abdomen and lower abdomen. While there are countless words in the English language for pain and discomfort, when describing the pain in your abdomen, it is best to stick to four main descriptions: generalized pain, localized pain, cramp-like pain, and colicky pain. If you are experience pain in upper stomach between your ribs, you should understand that it might be caused by more that 10 reasons. When something interferes with the protective mechanisms of the stomach, a range of problems can occur from mild indigestion to deadly bleeding ulcers. Please note that any information or feedback on this website is not intended to replace a consultation with a health care professional and will not constitute a medical diagnosis. It is inflammation of the gastrointestinal tract that is often caused by viral or bacterial infections. It will often start with little to no warning and suddenly end the same way. In many cases, certain foods or changes in diet are to blame. A stomach ulcer is an open sore appearing in the inner layer (mucosa) of the stomach, which causes dull or burning pain in the upper middle abdomen during or shortly after the meal, avoiding eating and losing weight may follow. Gallstones are stones that form in the gallbladder that are made up of bile components. What causes stomach cramps. Besides upper middle abdominal pain, nausea, poor appetite, losing weight and black stools are common. Constipation: Constipation is a disorder where there is difficulty in emptying bowels. Gastritis (Latin gaster = stomach; -itis denotes inflammation) is inflammation of the inner layer (mucosa) of the stomach with one or more of the following symptoms: The causes of acute (sudden) gastritis include infection with rotavirus (stomach flu) , mainly in children, food poisoning, excessive secretion of gastric acid, painkillers like aspirin or ibuprofen, acidic foods, spices and so on. Familiarize yourself with the regions of the abdomen and the organs that are located within. The liquid that helps you digest food has a lot of acid in it. Persistent pain in the upper middle portion of your abdomen could indicate damage to your lower esophagus, the hollow tube leading from your throat to your stomach. The causes of chronic (prolonged or recurrent) gastritis include infection by bacterium Helicobacter pylori, rare autoimmune gastritis (with vit B12 deficiency and anemia), chronic poisoning and so on. Peptic ulcers Peptic ulcers are sores that develop on the inside lining of your stomach and the upper part of your small intestine (duodenum). Pain in the middle of the stomach, or mid-abdominal pain, can have many possible causes, which range from the easily treated to more serious medical conditions. Stomach cancer (gastric carcinoma) may appear at any age but mostly in people after 50 years of age. “GERD,” Mayo Clinic, http://www.mayoclinic.org/diseases-conditions/gerd/basics/symptoms/con-20025201, last accessed September 18, 2017. A hematoma (blood collection) may develop within the muscle and in the subcutaneous tissue (under the skin. Gastroesophageal reflux disease (GERD) refers to back-flow of gastric acid into esophagus. A diagnosis of chronic pancreatitis is usually made by CT; pancreatic enzymes in the blood are not typically changed. It can be caused by long-term use of ibuprofen or by an infection of Helicobacter pylori bacteria. These will aggravate your stomach less and hopefully quell the mild pain that might be caused by roaring stomach acid. The ache generally affects the middle of the tummy during the day, seemingly without a specific cause. Weakening of a part of the abdominal wall can cause a protrusion knnown as a hernia. These will aggravate your stomach less and hopefully quell the mild pain that might be caused by roaring stomach acid. These symptoms can also overwork the stomach and its systems, causing pain. Stomach and duodenal ulcers can often be found as a cause of mid-abdominal pain. Pancreatic disorders, as the name suggests, involve the pancreas. These types of infections are called diverticulitis. Vomiting can exacerbate pain in the middle of the stomach if it’s frequent and violent, as vomiting engages the muscles in the mid-abdomen area. Pancreatitus can cause severe pain and can be set off by eating solid foods. As mentioned, numerous factors can contribute to pain in the middle of the stomach. Sources Gastroenteritis, simply put, is the stomach flu. Duodenal ulcer appears in the duodenum (the first part of the small intestine) and may cause dull or burning pain between meals and typically at night. The basic answer would be the minute that the mid-abdomen pain becomes greater than mild or when you have become concerned about the pain. While gastritis tends to cause pain in the upper abdominal areas only, gastritis can also cause stomach ulcers, which can result in pain in middle of abdomen. Your discomfort or pain may be caused by something you ate, resulting in digestive nighttime pain, or could even be a symptom of a serious underlying medical condition. Beyond that, you should contact a medical professional about your mid-abdomen pain if: You should also see a doctor if you are experiencing abdominal pain and already have the following conditions: While mild pain in the middle of the stomach may be treated easily, it should be observed. The pain is real; scientists just haven’t figured out why it occurs. Burning pain behind the breastbone (heartburn) and nausea are main symptoms. Diagnosis is made by gastric emptying tests. Stomach cramps with bloating. It’s a general pain rather than pain in a specific spot that you can point to. Localized pain is often a symptom of an issue with an organ like the gallbladder, liver, or kidneys. The main symptom of pancreatitis is pain felt in the upper left side or middle of the abdomen. This pain can last for a number of hours or even a few days depending on the person. It may be worse within minutes after eating or drinking at first, especially if foods have a high fat content. By using this website and the comment service you agree to abide by the comment terms and conditions as outlined on this page, Common Health Problems in Older Adults (Chronic Diseases After 50), Cloth Face Masks for COVID-19 Effectiveness, Best Choice, Layers, Material, Metallic Taste in the Mouth – Causes and Warning Signs, COVID-19 and Diabetes Link and Risks for Diabetics, Loss of Smell and Taste – Causes of Both Sensory Impairments, Copyright © 2020 Healthhype.com | Sitemap, Bones, Joints, Muscles and Connective Tissue Diseases, Upper central abdominal pain during swallowing may appear in. Constipation is the inability to release waste from the bowels and can be caused by issues with your diet, medications, and medical conditions like celiac disease, kidney disease, diabetes, hypothyroidism, and hyperparathyroidism. While most of the pain caused by GERD is upper-middle stomach pain, it’s not uncommon for GERD to cause generalized pain in the mid-abdominal area as well as the upper area. If you have narrowed arteries in the GI tract (maybe because you have vascular disease), you’ll have stomach pain,” Quigley says. These pouches can become infected and even perforate, spilling their contents in the abdominal cavity. Inflammatory bowel disease (IBD) is a group of conditions that cause long-term inflammation of the colon and small intestine. 9. The following are the more common causes of pain in the mid-abdomen. Pain usually changes with moving or body position, aggravates with sitting and is relieved by walking. When trying to diagnose pain in the middle of the stomach, it’s important to understand the anatomy of the abdomen. Pain that comes with a … Constipation may go on for days or even weeks. Avoid Certain Medications. Pain in this region is usually due to problems with organs in this region but can also involve surrounding areas, such as the chest cavity or  other parts of the abdomen. Modric, J., “Causes of Upper Middle Abdominal (Stomach) Pain,” Health Hype, http://www.healthhype.com/causes-of-the-upper-middle-abdominal-stomach-pain.html, last accessed September 18, 2017. Avoid ibuprofen, aspirin, and other anti-inflammatory medications. Diagnosis is made on the basis of symptoms, ECG and elevation of certain enzymes in the blood. Basically, IBS can cause your gut to be more sensitive and change how the muscles in your bowel contract, the NIDDK explains. "In the middle of my stomach hurts and im nausea, ? Vomiting and diarrhea may empty out the stomach and cause a loss of appetite, leaving the stomach empty and the stomach acids churning. The second row of three squares makes up the mid-abdomen region, and is separated into three parts: the right lumbar region, the umbilical region, and the left lumbar region. The results are usually mid-abdominal pain, vomiting, and diarrhea. – Duodenal inflammation is a common problem and arises for many of the same reasons as gastritis. Black stool from bleeding may appear in both gastric and duodenal ulcers. The stomach flu also known as gastroenteritis is caused by a bacterial or viral infection which leads to swelling or inflammation within the intestinal tracts and stomach wall lining. This type of pain is often a sign of a viral infection or indigestion. Essentially, an ulcer is an open sore inside your digestive tract. Diagnosis is made by the ultrasound, CT scan or MRI. – Duodenal ulcers are common and may be another cause of abdominal pain and tenderness. It can be caused by the overproduction of stomach acid by the body. If you have a gas problem that you think is causing your stomach pain, take an over-the-counter anti-gas drug like Mylanta Gas. Diagnosis is made by gastric emptying tests. In most cases it is caused by a presence of gallstones in the gallbladder, obstructing the duct from the gallbladder to the intestine. This video on upper middle abdominal pain was produced by the Health Hype team. Disclaimer: Results are not guaranteed*** and may vary from person to person***. We’ll also discuss various home remedies that may be able to soothe your pain and when you should go to see a doctor. 17, 2016, https://www.today.com/health/10-tummy-troubles-you-should-never-ignore-t74171, last accessed September 18, 2017. “Abdominal pain,” University of Maryland Medical Center, http://www.umm.edu/health/medical/ency/articles/abdominal-pain, last accessed September 18, 2017. 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Many people with acid reflux disease develop erosions, or ulcerations, at the bottom of their esophagus, and these injuries may generate upper abdominal pain. In seniors, the wall of the aorta may be weakened due to atherosclerosis or other disorders leading to aortic wall bulging (abdominal aortic aneurysm) or tearing of its wall (aortic dissection). Diagnosis of a peptic ulcer is made by upper endoscopy (gastroduodenoscopy). Passing out hard stool involves a lot of straining on the abdominal pains. A peptic ulcer is a sore in the lining of your stomach. Knowing the anatomy of the abdomen and related organs may help you identify the cause. Bleeding in the stomach may cause bloody vomiting or stool that is bloody, black or tarry. A stomach ulcer is an open sore appearing in the inner layer (mucosa) of the stomach, which causes dull or burning pain in the upper middle abdomen during or shortly after the meal, avoiding eating and losing weight may follow. That can lead … A person who regularly experiences sharp stomach pain after eating may have a digestive disorder. Below are reasons why your stomach hurts when you cough. Diagnosis is made by physical examination and ultrasound. This can cause cramping pain in the umbilical area. Luckily, this pain can be managed with some medications. This inflammation is the result of an imbalance between the mucous lining that protects your stomach and the acid in your stomach. Duodenal ulcers form inside the upper portion of the small intestine, which is also known as the duodenum. Muscle tear is usually due to injury (blow, penetration with a sharp object or rupture during exercise). However, if you are in severe pain in the mid-abdominal area, it is best to see a doctor, as severe abdominal pain is a sign of a condition that needs medical attention as soon as possible. Picture your entire abdomen divvied up onto a “tic tac toe” board. Constant dull upper abdominal pain that worsens during or after the meal is the main symptom. What Are These Tiny Red Spots on My Skin (Petechiae)? In most cases, diagnosis of gastritis may be made from symptoms. In doubtful cases, X-ray with contrast (barium swallow) and upper endoscopy (gastroscopy) may be performed. White blood cells in the blood may (not necessary) be elevated and stool test for occult blood may be positive. In acute pancreatitis, pancreatic enzymes in the blood are elevated. But if the pain becomes more severe, it may be due to another cause. 5. One of the most important symptoms to note is where your child is feeling pain in their stomach. Indigestion alone can be caused by a few different conditions. Diagnosis is confirmed by gastroscopy and examination of the sample of the gastric mucosa under the microscope. In this case, we are concerned with the mid-abdominal area. What Are the Different Ways to Describe Pain in Your Abdomen? Stomach cramps after eating can be caused by stretching of the stomach after a prolonged fast, a particularly large amount of food, a rapid change in the pH (or acidity) of the stomach or ingestion of any number of toxins. Pain that wraps around the lower stomach area, commonly accompanied by nausea,vomiting, fever and chills, may be a sign of kidney stones. The burning painful feeling is caused when stomach acids escape from your stomach and irritate your esophagus. Symptoms of stomach flu consist of abdominal pains and pain, diarrhea, fever, tiredness, throwing up and swollen lymph glands. In the case of stomach or gastric ulcers, the ulcer forms in the stomach. Abdominal pain caused by pancreatitis, which is inflammation in the pancreas, is a severe and sharp pain occurring in the upper middle of the abdomen that can sometimes radiate to your back or chest. Answered by Dr. Karen Dantin: Check: See your … Colicky pain is best described as pain that comes and it goes in waves. Stomach cramps with bloating are often caused by trapped wind. There are home remedies that you can try to help ease middle stomach pain. For example, if you have a sharp pain in the middle of the stomach, there’s a good chance it involves duodenum, ileum, jejunum, or umbilicus as opposed to any of the organs located in the left lumbar region. These types of medications can actually upset the stomach more and make mid-abdomen pain worse than it currently is. Ultrasound or a CT scan is used to diagnose the stone, and NSAIDs provide some pain relief, says Glatter. Epigastrium is the medical term for the upper middle region which lies high up in the abdomen. Ulcers can be aggravated by a rise in stomach acid and certain types of foods (spicy food, for example, can have a negative effect on ulcers). Many aches and pains feel worse at night, and stomach pain is no exception. It may also result from the improper digestion of food in the stomach, which can create issues like excessive gas. Whether your vagina hurts a little or a lot, you shouldn’t just ignore it. Localized pain refers to pain in one particular spot—a spot that you can specifically point to when asked where it hurts. Diagnosis is based on symptoms, the case history or by diagnostic investigations like an upper endoscopy (esophagoscopy). Certain vascular diseases: Conditions where the intestines don’t get enough blood can cause pain … Physical examination can be determined by touching the abdomen if … Gas occurs naturally in the intestines and digestive tract. Duodenal pain: – The duodenum is located in the upper middle region of the abdomen next to the stomach and pancreas. The upper abdomen is a part of the trunk between the lower ribs and the navel. Both conditions bring with them a host of complications involving diet, intestinal bleeding, bowel sores, and persistent mid-abdominal pain. If this is the case phone your GP as soon as possible, or the 111 service if your GP is closed. Depending on the location and whether other symptoms accompany the pain, you may be able to treat it yourself. A heart attack may present with upper middle or left upper abdominal pain in addition to chest pain and the typical left arm pain. If the pain goes away and does not return, it may have been nothing serious. “Inflammatory Bowel Disease (IBD),” Medical University of South Carolina – Digestive Disease Center, http://ddc.musc.edu/public/diseases/small-intestine/ibd.html, last accessed September 18, 2017. You may also experience other symptoms such as nausea, vomiting and fever. 5. Vomiting and diarrhea can also produce mid-abdominal pain as a side effect. Small, bulging pouches can form in your digestive tract—mainly in the area of the colon. endoscopy and the pH in the esophagus. Unfortunately, many women suffer from cramping at some point during their menstrual cycle. Gastritis is an umbrella term for one of the most common problems, inflammation of the stomach lining. About one in six kids suffers from recurrent abdominal pain (RAP) of childhood, usually after age five. 1. Gastritis. Not only can these cause stomach pain, but they can also cause pain in the upper abdomen. At times this can be very light and feel like a dull ache, therefore, unexplained chest pain, deriving from discomfort in the stomach … Upper middle abdominal pain (epigastric pain) may be related to pain in neighboring quadrants which are broadly discussed under left upper abdominal pain and right upper abdominal pain. Appendicitis is the infection and or inflammation of the appendix. Upper middle adominal pain and a soft bulge of a golf ball size are main symptoms. But if it’s a pain that reoccurs or worsens, it’s best to seek medical attention as soon as possible. The upper abdominal area is a part of the trunk between the lower ribs and the navel. Whether you've got a mild ache or serious cramps, abdominal pain can have many causes. Sometimes pain in the upper middle abdominal region may be one of the few symptoms in an atypical presentation. When this gas accumulates, it can cause feelings of pressure, bloating, or fullness. According to Dr. Melinda Ratini on WebMD, heartburn (or, acid reflux) is a common digestive disorder affecting millions of people. Swallowing-related pain may be felt anywhere from your upper neck to your mid-abdomen. Heartburn can cause burning pain in your upper left quadrant and the middle of your chest. Food can often exacerbate or trigger causes of abdominal pain. “Abdominal Pain,” Patient, https://patient.info/health/abdominal-pain-leaflet, last accessed September 18, 2017. While gallbladder pain is often relegated to the right hypochondriac region (upper-right abdomen), the pain can extend into the right lumbar area. Avoiding solid foods for a few hours once the pain has started may help decrease the pain or allow the body to heal and eliminate it altogether. 10. Diagnosis  is made from symptoms, upper G.I. The cause is the inadequate closure of the stomach entrance from various reasons, like herniation of the upper part of the stomach through a widened opening in the diaphragm (hiatus hernia). “Peptic Ulcer,” Mayo Clinic, http://www.mayoclinic.org/diseases-conditions/peptic-ulcer/home/ovc-20231363, last accessed September 18, 2017. Irritable bowel syndrome (IBS) is a disorder of the stomach and bowels that does not have a known cause. “10 tummy troubles you should never ignore,” Today, May. Gas Cramp-like pain is cramping in its feeling and is usually located in the umbilical region. Other causes of stomach pain. These causes can range from indigestion, which is relatively easy to deal with, to gallstones and pancreatic disorders, which can require much more treatment and possibly even hospital stays. Sign Up for the Latest Health News and Tips, Home » Pain » Pain in the Middle of the Stomach: Possible Causes, Types, and Remedies. IBS has multiple symptoms that can cause mid-abdominal pain, including constipation, diarrhea, bloating, and excessive gas. In pancreatic cancer, pancreatic amylase and CA-19-9 marker (not always) are elevated. A wide range of digestive disorders can cause periodic sharp pain in the stomach. Diverticulitis carries with it symptoms like nausea, fever, and severe abdominal pain. If you need strong pain medications for the mid-abdomen pain, it’s a good sign that you should see a doctor. You may feel as though half of your belly is sore. Other symptoms include nausea and vomiting. In this article, we’ll not only explain the causes of mid-abdominal pain, but we’ll also look at the anatomy of the abdomen, how the location of the pain can be described, and what that means for the cause of the pain. Epigastrium is the medical term for the upper middle region which lies high up in the abdomen. There is a risk of a part of small intestine may protrude through this cleft which is known as a strangulated hernia. For example, severe, sudden pain that wakes us up in the middle of the night can mean the gall bladder is inflamed or a gall stone is passing." A cause of upper stomach pain may be gas. Bulging or herniated disc, spondylitis (spinal arthritis), broken vertebra or other disorder in the chest or lumbar part of the spine may cause upper middle abdominal pain and middle or lower back pain. The pain itself tends to be a pain in the center of the stomach but may shift depending on the person. This can cause a small visible (bluish) and palpable (soft) bulge. I feel a knot in middle of stomach, could be me feeling my intestines since im so skinny?" For mild upper-middle abdominal pain and connecting areas, the following tips may be able to help you out. Often, this is the result of excess gas or an upset stomach. Constipation is associated with hard stool. Keeping hydrated can help keep your muscles loose as well as calm issues of the stomach, thus calming what may be causing mid-abdomen pain. It is often treated with antibiotics, but more serious cases may need surgery. Gastritis is the inflammation of your stomach lining. Symptoms include nausea or vomiting,... Normal variation of constipation Gastroparesis refers to slow stomach emptying due to inadequate relaxation of muscles that embrace the stomach exit (pylorus) because of damaged nerves (mostly in long term atherosclerosis or diabetes), hormonal disorders, psychological reasons or fibrous tissue after healing of chronic gastric ulcer or after stomach surgery . Pain or cramping during or shortly after the meal in the upper middle abdomen, early satiety, heartburn, upper abdominal bloating and excessive belching (burping) are main symptoms. John, A., “Causes of Abdominal and Chest Pain,” Livestrong, August 14, 2017, http://www.livestrong.com/article/234717-causes-of-abdominal-and-chest-pain/, last accessed September 18, 2017. When this blockage occurs, pain is often a result. Diagnosis is made by CT or MRI. Avoid ibuprofen, aspirin, and other anti-inflammatory medications. Changes in the color and smell of your urine. Stomach Flu. If you feel pain in the area around your ribs, read about chest pain for information and advice. We will look at various causes of stomach pain at night and what you c… Peptic Ulcer. More info needed: Discomfort there can be from gastritis, gas entrapment in the stomach or splenic flexure of the colon, or pancreatic pathology. If the pain in the middle of the stomach has been caused by stomach flu, try eating plain foods like toast, applesauce, and rice. “Gastritis,” Patient, https://patient.info/health/gastritis, last accessed September 18, 2017. These open sores tend to bring on colicky pain, which comes and goes depending on various circumstances. Pancreatic cancer’s biggest symptom is pain in the upper-middle abdomen area. Numerous conditions can cause stomach pain when swallowing food. “Stomach Ulcer,” Patient, https://patient.info/health/stomach-gastric-ulcer, last accessed September 18, 2017. GERD, or gastroesophageal reflux disease, involves stomach acid making its way out of the stomach and up the esophagus. This inflammation causes sharp pain in and around the area of the appendix, which is located in the abdominal area—specifically the right iliac region, the right lumbar region, and the umbilical region. “Diverticulitis,” Mayo Clinic, http://www.mayoclinic.org/diseases-conditions/diverticulitis/basics/definition/con-20033495, last accessed September 18, 2017. Irritable bowel syndrome or bowel blockages… The pain often begins or worsens after eating. Strong painful cramps in the esophagus that may be felt behind and below the breastbone may be due to: Improper relaxation of the muscles that embrace the stomach entrance (cardia) due to, Burning pain below the breastbone, worsening during or after the meal, Heartburn, burning feeling behind the breastbone and/or in the throat. If the pain in the middle of the stomach has been caused by stomach flu, try eating plain foods like toast, applesauce, and rice. The two most common forms of IBDs are Crohn’s disease and ulcerative colitis. If the stomach pain has risen to the esophagus, you will most definitely fee the burn behind the central chest bone in the middle of the ribcage. From inflammatory bowel disease to pancreatic disorders, there are plenty of possibilities for the mid-abdominal pain to be a warning sign of a serious issue. However, normal growth and development aren’t affected. The injured spot is tender to the touch. An inflamed pancreas causes pain due to the pressure on the organ, and it will usually cause upper-abdominal pain as well as mid-abdomen pain, both of which are focused on the left side of the body. Diagnosis. Generalized pain refers to a wide-ranging pain in your mid-abdomen area. Colicky pain tends to be sharp and severe. Stomach ulcer or inflammation of the stomach (gastritis). It is approximately where the breastbone ends, although the uppermost part of the abdomen is tucked under the ribcage and behind the breastbone.