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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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What Causes Bad Pain In Upper Abdomen During Pregnancy?

i am 25 weeks pregnant with preeclampsia and now have really bad pain in my upper abdomen right in the middle between rib cage as its my esophagus. it is making my peer back hurt along with my shoulders. how can i ease this pain? Its awful. i can't even sleep.
Mon, 14 Apr 2014
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OBGYN,  's  Response
Hello and welcome,

There are a few causes of this severe pain:
1. preeclampsia and swelling or bleeding over the liver. Causes severe pain more on right side but may be all over the abdomen later. Needs prompt treatment.
2. severe gastritis and gastroesophageal reflux disease: Causes severe pain more on left and shoulder. Increases with food, there may be vomiting too.
3. Gall stones: Common in pregnancy and cause severe right sided pain more after food.
4. pain due to heart conditions. Severe, there may be short breath or increased awareness of heart beat associated with it.

I suggest that the best action now is to go to the ER and get an examination as the management depends upon the cause. After examination it will be able to have a more precise diagnosis and then proper treatment will be possible.

Hope this satisfies your query.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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What Causes Bad Pain In Upper Abdomen During Pregnancy?

Hello and welcome, There are a few causes of this severe pain: 1. preeclampsia and swelling or bleeding over the liver. Causes severe pain more on right side but may be all over the abdomen later. Needs prompt treatment. 2. severe gastritis and gastroesophageal reflux disease: Causes severe pain more on left and shoulder. Increases with food, there may be vomiting too. 3. Gall stones: Common in pregnancy and cause severe right sided pain more after food. 4. pain due to heart conditions. Severe, there may be short breath or increased awareness of heart beat associated with it. I suggest that the best action now is to go to the ER and get an examination as the management depends upon the cause. After examination it will be able to have a more precise diagnosis and then proper treatment will be possible. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist