Stomach & Abdominal Pain
Causes, warning signs, and when to see a doctor in India
⚠️ This page is for general information only. Always consult a qualified doctor for medical advice.
Common Causes of Stomach Pain
- •Gastritis or indigestion — irritation of the stomach lining
- •Irritable Bowel Syndrome (IBS) — cramping with altered bowel habits
- •Food poisoning or stomach infection (gastroenteritis)
- •Appendicitis — sharp pain starting near navel, moving to lower right
- •Kidney stones — severe, cramping flank and lower abdominal pain
- •Peptic ulcer, gallstones, or constipation
Where the Pain Is Can Be a Clue
Doctors often begin by asking where exactly it hurts, because different areas of the abdomen sit above different organs. This is a rough guide only — pain frequently spreads, or is felt away from the organ causing it.
| Where it hurts | Often associated with |
|---|---|
| Upper middle, below the ribs | Gastritis, acid reflux, peptic ulcer, indigestion |
| Upper right | Gallbladder or gallstones, liver-related causes |
| Around the navel | Early appendicitis, small intestine causes, gastroenteritis |
| Lower right | Appendicitis; ovarian causes in women |
| Lower left | Constipation, diverticular conditions |
| Flank, radiating to the groin | Kidney stones, urinary tract causes |
| Spread across the whole abdomen | Gastroenteritis, IBS, widespread inflammation |
Pain that starts in one place and moves — classically from around the navel to the lower right — is a pattern doctors take seriously. Mention it if it happens to you.
How Long It Lasts Matters
- •Minutes to a few hours, then settles: often related to a meal, trapped gas, or indigestion. Usually less concerning if it fully resolves and does not return.
- •Comes in waves (colicky): cramping that builds then eases is typical of the intestine, or of a stone moving. Severe waves need assessment.
- •Constant and worsening over hours: a pattern that warrants prompt medical attention, particularly alongside fever or vomiting.
- •On and off for weeks or months: suggests an ongoing condition such as IBS, gastritis, or a food-related trigger. Worth investigating properly rather than repeatedly self-treating.
What a Doctor May Ask You
Having these answers ready makes a short consultation far more useful:
- •When did it start, and was the onset sudden or gradual?
- •Does it relate to meals — better or worse after eating?
- •Any change in bowel habits, stool colour, or blood?
- •Fever, vomiting, or urinary symptoms alongside the pain?
- •Any unintentional weight loss, or loss of appetite?
- •Medicines you take regularly, especially painkillers such as NSAIDs
- •For women: your menstrual cycle, and whether pregnancy is possible
Tests a Doctor Might Consider
Which tests are appropriate depends entirely on your examination. This is background so the conversation makes sense — not a list to arrange for yourself.
- •Blood counts and inflammatory markers — can point towards infection or inflammation
- •Liver and pancreas blood tests — when upper abdominal causes are suspected
- •Urine tests — for urinary infection or stones
- •Abdominal ultrasound — widely available in India, and often the first imaging step
- •Endoscopy — considered for persistent upper abdominal symptoms
Already have a report? Our free lab report analyser explains each parameter in plain language.
Self-Care That Is Usually Reasonable
For mild, short-lived stomach pain with none of the warning signs below, these general measures are commonly suggested:
- •Sip fluids steadily — plain water, or ORS if there has been vomiting or loose motions
- •Eat small, plain meals rather than heavy, oily or very spicy food
- •Avoid alcohol, and avoid NSAID painkillers, which can irritate the stomach lining further
- •Rest, and track when the pain comes and what you ate beforehand
Do not take strong painkillers to push through severe abdominal pain. Masking it can delay diagnosis of conditions such as appendicitis, where timing matters. If the pain is severe enough that you are reaching for strong medication, that is itself a reason to be seen.
⚠️ Seek Immediate Medical Attention If
- •Sudden, severe abdominal pain that does not ease
- •Abdomen is rigid, hard, or extremely tender to touch
- •Stomach pain with high fever and vomiting
- •Blood in stool, vomit, or urine
- •Pain after abdominal injury or trauma
- •Jaundice (yellowing of skin or eyes) with abdominal pain
Which Specialist Should You See?
Gastroenterologist
For IBS, gastritis, ulcers, or persistent abdominal pain
General Surgeon
For appendicitis, gallstones, or hernia
Nephrologist / Urologist
For kidney stone-related flank or lower abdominal pain
General Physician
For initial evaluation of stomach pain
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About this page: This is AI-generated health education content. It has not been reviewed by a medical professional and is not medical advice, diagnosis or treatment. Always consult a qualified doctor about your own health. In an emergency, call 108 or 112 immediately.