Upper Middle Abdominal Pain – Causes

Upper Middle Abdominal Pain – Causes

The upper middle abdominal area is home to several body parts and organs like the lower rib cage, stomach, gall bladder, pancreas, bile ducts, small intestine, liver, abdominal aorta, and transverse part of colon. Thus, upper middle abdominal pain can be a symptom of disorders of any of these body organs.

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A few common causes of upper middle abdominal pain along with associated symptoms and treatment options are discussed below.

Causes of upper middle abdominal pain

Upper middle abdominal pain may be caused due to below listed underlying conditions:

  • Gullet/esophageal problems
    • Upper middle abdominal pain when swallowing may be caused due to presence of gullet ulcers or varices; the former is caused by prolonged case of acid reflux disease while latter occurs in alcohol abusers.
    • Painful and strong cramps may affect the esophageal upper middle abdominal area due to intake of dry food; damaged nerves that prevent proper relaxation of muscles surrounding entry to stomach; and painful and discomforting food passage due to dehydration-induced dry gullet mucus, systemic sclerosis, or prolonged GERD-induced fibrous tissue overgrowth.
    • Mild esophageal disorders like dry throat, etc. can be treated with home remedies, while severe cases are treated as per diagnosis.
  • Gastritis
    • Gastritis is a condition marked by stomach wall inflammation.
    • In addition to upper middle abdominal pain, patients may experience symptoms like nausea, vomiting, easy satiety, fever, burping or increased belching, black or dark stools, abdominal cramping, burning sensation in throat and/or at the back of breastbone, heartburn, and sharp pain under breastbone which exacerbates during or post meals.
    • Recurrent, prolonged, or chronic gastritis is caused due to infection by H. pylori bacteria, chronic food poisoning, and anemia or B12 vitamin deficiency associated autoimmune stomach lining inflammation.
    • Sudden or acute gastritis is caused due to food poisoning, stomach flu, excessive intake of spicy or acidic foods, abuse of aspirin or other painkillers, and increased gastric acid production. Acute gastritis is more prevalent in children.
    • Bacterial infections can be treated with antibiotics. Other causative factors of gastritis are treated as per standard medical therapies.
  • Gastro-esophageal reflux disease/GERD
    • GERD is a condition marked by abnormal upward flow of stomach acids and juices back into the esophagus.
    • Patients may experience heartburn, acidic taste in mouth, foul breath, and upper middle abdominal pain, etc.
    • The condition is caused due to insuficent shutting of the entrance of stomach, which in turn can occur due to reasons like hernia in upper stomach area, etc.
    • GERD is treated with medications and lifestyle and diet changes.
  • Gastroparesis
    • Gastroparesis is a condition characterized by slowdown in emptying of stomach which occurs due to insufficient relaxation of muscles that surround the pylorus or the stomach exit.
    • Patients may suffer from upper middle abdominal pain and other symptoms like abdominal cramps during or after meals, heartburn, easy satiety, upper stomach bloating, and increased burps.
    • Gastroparesis may occur due to hormonal problems, diabetes or prolonged atherosclerosis induced damaged nerves, side effect of gastric surgery, development of fibrous tissue after recovery from prolonged case of stomach ulcers, and/or psychological factors like stress, etc.
    • Treatment is carried out as per the underlying causative conditions. It may include drug therapy, diet changes, or surgery in severe cases.
  • Stomach cancer
    • Stomach cancer or gastric carcinoma usually occurs in people over the age of 50 years, but can affect any age group.
    • Patients may experience symptoms like nausea, weight loss, upper middle abdominal pain, black or dark stools, and lack or loss of appetite.
    • Stomach cancer is treated with radiation therapy, chemotherapy, and surgery.

  • Peptic ulcers
    • Peptic ulcers can be duodenal ulcers or stomach ulcers. They are open sores that affect the inner lining of the duodenum or the stomach.
    • Duodenal ulcers develop in the initial section of the small intestine. Patients may experience sharp or dull pain during period between meals and often at night. Bleeding may result in black or dark stools.
    • People with stomach ulcers may experience sharp or dull upper middle abdominal pain during or just after meals, poor appetite, nausea or vomiting, and weight loss.
    • Treatment of peptic ulcers involves use of medications like acid blockers, painkillers, antibiotics if H. pylori present, and other medications as well as diet and lifestyle changes.
  • Pancreatic disorders
    • The pancreas can be affected by different kinds of disorders. Pancreatitis refers to inflammation of the organ. Acute pancreatitis may occur due to gallstones, or prolonged alcoholism, etc. Patients may experience nausea and upper middle abdominal pain. Recurrent bouts of acute pancreatitis may eventually result in chronic pancreatitis.
    • Prolonged or chronic pancreatitis may trigger malignancy in the organ. However, pancreatic cancer may also develop if the organ is healthy. Patients may suffer from symptoms like weight loss, poor appetite, floating feces, pain in upper middle abdomen, and whitish diarrhea.
    • Pancreatitis treatment involves hospitalization and rehydration via administration of IV fluids, painkillers for pain relief, and other medications. Surgery may be needed in severe cases. Pancreatic cancer is treated with surgery, radiation therapy, and chemotherapy.
  • Other causes
    • Upper middle abdominal pain may also be caused due to conditions like intestinal hernia, abdominal muscle tear, broken or fractured breastbone, dissection or aneurysm of abdominal aorta, herniated disc or other spinal problems, lymphoma, and cardiac arrest.

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