Thank you for the query.
In the mentioned area pain is usually caused by stomach issues, gallbladder issues, pancreas issues and heart problems.
1.Stomach due to peptic ulcer
, stomach inflammation
usually give pain after a meal. Nausea, chest burning, starving can be also present. Stomach pain does not radiate to the back.
2. Gallbladder issues (gallstones) or pancreas inflammation
usually give upper middle and right abdominal pain
which radiates to the back. Nausea and vomiting are very often present. Stool can get whitish and urine darker (due to bile ducts obstruction).
3. Heart problems can give lower middle abdominal pain. Chest burning like pain which radiates to the left arm or jaw, shortness of breath
, dizziness can also appear.
Depending of the most possible reason abdominal ultrasound, blood work, liver tests, urine analysis should be done at first. If peptic ulcer is most possible gastroscopy is necessary. Heart should be checked with ECG.
Hope this will help. Feel free to ask further questions.