Most people get stomachaches from time to time, but frequent discomfort could indicate that something isn’t quite right.
“It’s important to have a provider weigh in on what the cause of stomach pain may be,” said SSM Health General Surgeon Dr. James Drake. “They can help you figure out what’s going on and recommend the right treatment.”
There are many possible causes of stomach discomfort. Some of the most common include food sensitivities, constipation issues (often due to not getting enough fiber), viruses, stress, and anxiety.
For those who have severe stomach pain, the location of discomfort can help to give providers vital clues about what may be going on.
Upper right abdomen
Pain in the upper right abdomen could indicate gallstones.
“The classic result of gallstones is pain in the upper right abdomen about 30 minutes after eating,” Dr. Drake said, noting that gallstones may also cause pain between the ribs and under the sternum.
During a gallstone attack, a person typically also experiences nausea or vomiting. The pain usually subsides in time but then may return after eating a fatty meal or snack.
Gallstones can also block the gallbladder, pancreas, or liver, which may require hospital treatment.
Lower right abdomen
Pain in the lower right abdomen could be caused by appendicitis.
When the appendix becomes inflamed or infected, pain usually begins around the navel and then shifts to the lower right side. Appendicitis pain is usually constant.
While the pain intensity can vary, it typically does not completely go away. People with appendicitis often experience loss of appetite, nausea, and fever.
“Appendicitis does not go away on its own, so if there is concern, people should see a doctor,” Dr. Drake said. “If caught early, appendicitis is being treated more and more with antibiotics.”
Upper left abdomen
Pain in the upper abdomen or between the ribs may indicate gastric irritation, known as gastritis, or a gastric ulcer. This type of pain often has a burning quality and may be caused by ibuprofen. Smoking, alcohol, and infection by H. Pylori also may contribute.
Lower left abdomen
Pain in the lower left abdomen may indicate diverticulitis, a condition affecting the colon. Diverticula are small pouches that form in the colon wall. While they often cause no issues, they can become infected and lead to pain. Changes in stool quality, fever, and nausea may occur along with the pain.
“Sometimes this condition resolves on its own, but in other cases, it may require antibiotics, admission to the hospital, or even emergency surgery,” Dr. Drake said.
Generalized pain
Hernias occur in natural weaknesses in muscles such as the navel, the groin, or at any surgical site. These weak areas develop into holes with time, allowing tissues to push through. Hernias do not heal on their own. Some patients choose to manage symptoms with the help of their doctor, while others may choose or require surgery.
Not all stomach pain requires immediate action, but some situations should be treated with more care.
- If you have ongoing, mild pain, call your primary care provider for their recommendation or an appointment.
- If you have sudden or worsening issues, visit an SSM Health Urgent Care for guidance.
- If you have sudden, intense pain or believe that your pain could signal a serious condition, visit an SSM Health emergency room or dial 911.
To find a provider or SSM Health location near you, visit www.getcare.ssmhealth.com.
