Pain In Lower Chest Upper Abdomen Causes And Treatment

Pain In Lower Chest Upper Abdomen Causes And Treatment

You have pain in my upper abdomen and lower chest. It happens several times a day and lasts longer in the evening before I go to bed. So what should you do?

Pain In Lower Chest Upper Abdomen Causes And Treatment

Pain in upper abdomen and lower chest which occurs several times a day, especially with no relation with food we would consider the following possibility:

Gastroesophageal reflux disease (GERD)

Studies to date involving patients with this type of pain and normal upper endoscopy results have not excluded those with gastroesophageal reflux disease (GERD) or ulcers. The main gastroesophageal reflux disease symptoms are persistent heartburn and acid regurgitation. Some people have gastroesophageal reflux disease without heartburn. Instead, they experience pain in the chest, hoarseness in the morning, or trouble swallowing. You may feel like you have food stuck in your throat or like you are choking or your throat is tight. gastroesophageal reflux disease can also cause a dry cough and bad breath.gastroesophageal reflux disease is usually diagnosed by upper gastro-intestinal contrast study and 24 hours Ph study. Hiatus Hernia can be easily be picked up by Endoscopy.

If you have been using antacids for more than 2 weeks, it is time to see a doctor. Most doctors can treat gastroesophageal reflux disease. Or you may want to visit an internist - a doctor who specializes in internal medicine - or a gastroenterologist - a doctor who treats diseases of the stomach and intestines. 

Doctors usually recommend lifestyle and dietary changes to relieve heartburn. A gastroesophageal reflux disease diet can help control the condition; however, many people with gastroesophageal reflux disease also need medication or surgery.

Acid Peptic disease

Upper abdominal pain, discomfort is the most common symptom. This discomfort usually is a dull, gnawing ache, it comes and goes for several days or weeks or occurs 2 to 3 hours after a meal. Other symptoms include: weight loss, poor appetite, bloating, burping, nausea, vomiting.


Sufferers may experience a burning sensation in the lower chest immediately after swallowing hot fluids (e.g. tea or soup), alcohol, concentrated fruit juice or hot fatty foods such as bacon and eggs. A similar discomfort may be felt after meals, especially on stooping or lying flat. Food or fluid may come up into the mouth (regurgitation) especially when lying down or in bed at night. If this is severe the person may wake up coughing or with a choking sensation.

Small meals, eaten regularly, will help to reduce the pressure on the upper part of the stomach caused by large meals. Eating late at night should be avoided in order to ensure that the stomach is empty at bedtime. Alcohol should only be taken in moderation with meals and smoking should be avoided. Being overweight can cause upward pressure on the base of the oesophagus, so losing weight may relieve symptoms. At night time, raising the bed head can help to keep stomach contents from rising into the gullet.

Medicines range from antacids, which neutralise any acid in the oesophagus, through to stronger drugs which reduce, or actually stop, the production of acid in the stomach. Surgical treatment, often performed using a laparoscope (keyhole surgery), can tighten the tissue around the lower oesophagus and decrease or prevent reflux.

Narrow Gastro-oesophageal opening

Assessment of tightness of lap band will require Endoscopy Its a clinical dictum/recommendation that any individual who presents with recent onset of Upper gastro-intestinal complaints , its important to subject the individual to Endoscopy. I assume that the CAT scan done in your case , Gall bladder pathology as the cause for symptoms has been ruled out.

Evaluation can often lead to a better narrowing down of the diagnosis and subsequently more focused and effective treatment for the myriad of causes of upper abdominal pain. It is important to remember that any persistent complaint should be checked out by a health care professional right away, since symptoms are not always as they appear, and can possibly be a sign of a serious problem.