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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes a severe upper abdominal cramping that comes and goes?

Answered by
Dr. Ramesh Kumar


Practicing since :1986

Answered : 1938 Questions

Posted on Mon, 24 Sep 2018 in Digestion and Bowels
Question: severe upper abdominal cramping comes and goes
Answered by Dr. Ramesh Kumar 42 minutes later
Brief Answer:
Take antispasmodic like Dicyclomine with Omeprazole.

Detailed Answer:


I carefully read your question and understand your concern.

Upper abdominal cramping pain is caused by a few conditions. A very common one in women over 40 years of age is gallbladder stones.

When we eat, the chemicals produced in the stomach stimulate production of another chemical (hormone) that causes the gallbladder to contract and bring out the fluids.

If a stone is at the neck of the gallbladder can cause blockage and a lot of pain.

Another cause would be if you have stomach ulcer. Due to the food irritating the stomach mucosa directly as it touches it, we get pain.

Another more rare cause but important one is bowel ischemia.

An abdominal ultrasound can easily diagnosis gallbladder stones, along with:

- general health tests if you have not had them in the last year: lipids, sugar tests, creatinine and electrolites

- if all these are normal your doctor might order a tests to examine your stomach with a camera through the throat and esophagus called fibrogastroscopy.

I hope this is helpful and answers to your question but please reply to this message in case more clarification is needed on this.

Dr. Ramesh Kumar, Gastroenterologist

Above answer was peer-reviewed by : Dr. Yogesh D
Follow up: Dr. Ramesh Kumar 42 minutes later
have not eaten since 2PM mountain time (7hr)
Answered by Dr. Ramesh Kumar 19 minutes later
Brief Answer:

Follow up.

Detailed Answer:


Take a Tylenol and Omeprazole (both are OTC) and have some curd and apple.

Hope I have answered your query.

Take care,
Dr. Ramesh Kumar, Gastroenterologist
Above answer was peer-reviewed by : Dr. Yogesh D

The User accepted the expert's answer

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