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The precise location of pain is one of the main reasons for proper diagnosis of patient’s conditions. The abdominal cavity has several organs; one on top the other in the lower abdomen, on the right or left side, so knowing their location can help to pre-determine what hurts.

Also, the nature of the pain may indicate the cause. Knowing characteristics of various diseases, physician concludes what could be the reason for dull, circular, acute pain, which started suddenly (such as gastric ulcer rapture of abdominal aorta,) or pain which increase gradually and slowly. The pain may have other specific characteristics, for example, it may radiate into the right shoulder suggesting bile stones, pain reaching the flank as spikes in the kidney or circular as chronic pancreatitis.

Other symptoms accompanying stomach pain

Other unpleasant symptoms accompanying stomach pain may include vomiting, diarrhea, constipation, increased body temperature, change in color of urine, blood in the stool or vomit, black tar like stools, discolored and clear, jaundice, or bulge ache. These and other additional symptoms including pain location, their nature and direction also help physician to provide more accurate medical diagnosis.

Pain in upper area of the stomach

Pain which is located in the upper parts of the abdominal cavity, the upper is abdomen, usually caused by disease processes in the lower section of the esophagus, stomach, duodenum, pancreas, bile ducts, or liver.


Pain arising from presence of gall stones or liver diseases is felt in the upper right abdomen – which is the right epigastrium. In a colic biliary episode, circular pain may radiate into the right shoulder with presence of vomiting. Jaundice or yellow eyes and skin are associated with liver disease (e.g. hepatitis), the bile ducts or pancreas condition. Jaundice requires urgent consultation with a physician to determine its causes (such as infectious hepatitis, or blocked bile ducts).


Pain accompanying ulcer of stomach or duodenum and chronic pancreatitis is felt mainly in the central part of the upper or the middle section of the abdomen. In the case of spleen diseases, pain will be experienced on the left side of epigastrium. Pancreatic disease may manifest itself in the same section of abdomen. The pain associated with stomach ulcer is tied to food intake. However pain linked to duodenum ulcer is experienced usually on an empty stomach and at night. In most circumstances consumption of food brings relief. In the case of bleeding stomach (eg gastric ulcer) vomiting may occur.

Stomach Injury

When pain occurs soon after injury, such as an accident or after an impact of the stomach, patient should seek doctor’s advice to rule out abdomen internal damage, internal bleeding, or traumatic rupture of the spleen.

Pain in the epigastrium

Chronic, long-term associated with loss of weight, signs of bleeding from upper gastrointestinal tract (such as tarry, black stools), vomiting or jaundice may indicate other disease, possibly the presence of cancer. Hence, it is important not to ignore symptoms of the disease, but see a physician to determine the cause and administer proper treatment. Diagnostics include, basic blood tests, ultrasound of the abdomen, gastroscopy, etc. It should also be acknowledge that the pain in the upper abdomen may be caused by a heart attack.

Intra abdominal pain

Intra-abdominal pain may arise from pancreatitis (inflammation of the pancreas, cancer). Pain induced around the navel, may suggest an impaired small bowel function or pain associated with chronic colon. Bowel disease, which may induce pain to intestinal infectious diseases: Infectious diarrhea, sometimes accompanied by vomiting and fever. Abdominal pain may advocate the presence of parasites. A serious state of sickness is a blocked intestine. This may be the 'obstruction' by an intestinal barrier (eg. tumor, polyp) or paralysis peristaltic gut. Symptoms above are: detention of wind and stool, vomiting, stomach bloating and tactile peristaltic waves can be increased. The cause of pain could also be an ulcerative inflammation of the colon. It should be remembered that cancer may also be cause of the pain especially if it is constant, dull, long associated with the loss of body weight and the presence of blood in the stool. In addition hepatitis may be another culprit – At this time it is important to see a doctor and perform relevant tests such as abdominal ultrasound, latent blood in stool, a colonoscopy.

Appendix and intestines

Acute pain in the lower right abdomen (right hypogastrium) is usually due to inflammation of the appendix (pain in the right hypogastrium oppression during walking, elevated body temperature, vomiting, loss of appetite).

Lower left section may represent inflammation of the intestines, inflammation of appendages, pelvic inflammatory disease, non-intestinal inflammation, and other

Stomach pain vs. diet

Diet, may be a cause of abdominal pain (wrong foods as well as quantity and quality of foods consumed). Poorly chosen foods can cause gastrointestinal irritation. Unfriendly products usually are too heavily salted, bitter, and difficult to digest (fatty and fried) foods. Foods with high amounts of cholesterol are conducive to the formation of bile stones, resulting in gripping seizures.

In today's world of increasing the problem of sensitivities, intolerance and allergies, many people are observing reactions to various food products causing experiences of various IBS symptoms.

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