Upper abdominal pain

Also known as Epigastric pain, Pain in umbilical region, Right upper quadrant (RUQ) pain, and Left upper quadrant (LUQ) pain

Abdominal pain (or stomach ache) is a common symptom associated with transient disorders or serious disease. Diagnosing the cause of abdominal pain can be difficult, because many diseases can cause this symptom. Most frequently the cause is benign and/or self-limiting, but more serious causes may require urgent intervention.

Source: Wikipedia

What causes it?

The most common causes of upper abdominal pain are gallstone, gastritis, and gastroesophageal reflux disease (gerd). Other possible causes, such as gallbladder disease, are more rare.

What symptoms are related?

Within all the people who go to their doctor with upper abdominal pain, 56% report having nausea, 50% report having vomiting, and 34% report having sharp chest pain.


What might my doctor prescribe?

Common Tests and Procedures

Patients with upper abdominal pain often receive hematologic tests, complete blood count, radiographic imaging procedure, urinalysis, glucose measurement, electrolytes panel, kidney function tests and intravenous fluid replacement .

Common Medications

The most commonly prescribed drugs for patients with upper abdominal pain include famotidine, aluminum hydroxide / magnesium hydroxide, atropine / hyoscyamine / phenobarbital / scopolamine, dicyclomine, sucralfate (carafate), diatrizoate, rocuronium, glycopyrrolate, neostigmine, dexlansoprazole (dexilant), bupivacaine / epinephrine, lipase and aluminum hydroxide / magnesium hydroxide / simethicone .

Famotidine
$10
(28 days)
Dicyclomine
$9
(28 days)
Sucralfate (Carafate)
$49
(28 days)
Diatrizoate

Rocuronium

Glycopyrrolate
$74
(28 days)
Neostigmine
$141
(28 days)
Dexlansoprazole (Dexilant)
$112
(28 days)
Lipase

Who is at risk?

Groups of people at highest risk for upper abdominal pain include race/ethnicity = other.

Age

< 1 years
0.1x
1-4 years
0.1x
5-14 years
0.4x
15-29 years
1.3x
30-44 years
1.4x
45-59 years
1.3x
60-74 years
0.9x
75+ years
0.6x

Sex

Male
0.7x
Female
1.2x

Race/Ethnicity

Black
0.8x
Hispanic
1.3x
White
1.0x
Other
1.5x
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