Upper abdominal pain

Abstract

Abdominal pain is a frequent presentation to general practice; it comprises a wide range of different abdominal and extra-abdominal causes. Upper abdominal pain can be located in the epigastrium, the right and left upper quadrants, and renal angles. It may be associated with back or shoulder tip pain. Causes of abdominal pain can be benign or malignant, and may be life-threatening. Patients with upper abdominal pain may need urgent hospital admission, but many patients can be managed in the community. This article gives an overview of the important causes of upper abdominal pain, their assessment and management.