What could cause numbness in the upper right abdomen? Discover the possible causes and get treatment information. Ubie’s AI-powered symptom checker can help you find answers.

Understanding Numbness in the Upper Right Abdomen

Numbness in the upper right abdomen can be a concerning symptom, but it can have a variety of underlying causes. This condition is characterized by a loss of sensation or feeling in the upper right area of the abdomen. Patients may experience numbness, tingling, pain, discomfort, or a pulsating sensation, often accompanied by an upset stomach.

Possible Causes of Numbness in the Upper Right Abdomen

There are several potential causes of numbness in the upper right abdomen. Some of the most common include:

Diabetes Mellitus (DM)

Diabetes is a disease where blood sugar levels are abnormally high, due to problems with insulin production or resistance. Neuropathy, or nerve damage, is a common complication of diabetes and can lead to numbness, tingling, and other sensory changes in the extremities and abdomen.

Neuropathic Pain

Neuropathic pain is a type of pain caused by nerve damage or a problem with the nervous system. It is characterized by burning, tingling, sharp, or stabbing pain, which can be continuous or intermittent. Common causes include viral infections, cancer, vascular malformations, alcoholism, and nerve damage from surgery or trauma.

Chronic Pain

Chronic pain is pain that is ongoing and usually lasts longer than six months. This type of pain can continue even after the initial injury or illness has healed or gone away. It can interfere with daily life and lead to depression and anxiety.

Rheumatoid Arthritis (RA)

Rheumatoid arthritis is an autoimmune disorder that causes inflammation in the joints. In some cases, this inflammation can also affect the nerves, leading to numbness or tingling sensations.

Hypothyroidism

Hypothyroidism, or an underactive thyroid, can cause a variety of neurological symptoms, including numbness and tingling in the extremities and abdomen.

Adjustment Disorder

Adjustment disorder is a mental health condition that can develop in response to a stressful life event. In some cases, it may be accompanied by physical symptoms like numbness or tingling.

Shingles

Shingles is a viral infection that can cause a painful rash and nerve damage, leading to numbness, tingling, or other sensory changes.

Serious Conditions Associated with Numbness in the Upper Right Abdomen

While the above conditions are the most common causes of numbness in the upper right abdomen, there are also some more serious conditions that can be associated with this symptom:

Acute Phase of Spinal Cord Injury

Immediately after a spinal cord injury, the acute phase begins, involving blood vessel damage, ionic imbalance, neurotransmitter accumulation, inflammation, swelling, and cell death. This can lead to numbness, weakness, and other neurological symptoms.

Cervical Cord Injury

Injuries or trauma to the cervical (neck) region of the spinal cord can also cause numbness, tingling, and other sensory changes in the abdomen and extremities.

Hyperkalemia

Hyperkalemia is a condition characterized by high levels of potassium in the blood. This can lead to muscle weakness, numbness, and other neurological symptoms.

When to Seek Medical Attention

If you are experiencing numbness in the upper right abdomen, it is important to seek medical attention, especially if the symptom is persistent or accompanied by other concerning symptoms like fever, headache, weakness, or difficulty breathing. Your healthcare provider can perform a thorough evaluation and order any necessary tests to determine the underlying cause and provide appropriate treatment.

Conclusion

Numbness in the upper right abdomen can have a variety of causes, ranging from common conditions like diabetes and neuropathic pain to more serious conditions like spinal cord injury. By understanding the potential causes and seeking prompt medical attention, you can take steps to address the underlying issue and find relief from this concerning symptom.

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Shohei Harase, MD (Neurology)

Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.

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About the symptom

Numbness describes a loss of sensation or feeling in any part of the body.

When to see a doctor

Seek professional care if you experience any of the following symptoms

Possible causes

• Diabetes mellitus (DM)

  A disease where blood sugar levels are abnormally high, due to problems with insulin production or resistance. There are often no symptoms until the condition has worsened, hence regular screening is important.

• Neuropathic pain

  Neuropathic pain is a type of pain caused by nerve damage or a problem with the nervous system. it’s characterized by burning, tingling, sharp, or stabbing pain (even if touched gently) which can be continuous or intermittent (comes and goes) and worse at rest or night. Common causes of neuropathic pain include viral infections, cancer, vascular malformations, alcoholism, diabetes nerve pressure or nerve damage after surgery or trauma, neurological conditions such as multiple sclerosis.

• Chronic pain

  Pain that is ongoing and usually lasts longer than six months. This type of pain can continue even after the injury or illness that caused it has healed or gone away. It interferes with daily life and can lead to depression and anxiety.

• Rheumatoid arthritis (RA)
• Hypothyroidism
• Adjustment disorder
• Shingles

Related serious diseases

• Acute phase of spinal cord injury

  Acute phase begins immediately after spinal cord injury (due to trauma to the spinal cord), involving blood vessel damage, ionic imbalance, neurotransmitter accumulation (excitotoxicity), inflammation, swelling and cell death.

• Cervical cord injury
• Hyperkalemia

Questions your doctor may ask about this symptom

Your doctor may ask these questions to check for this symptom

• Do you have numbness anywhere on your chest, stomach, or back?

• Do you have a fever?

• Do you have headaches or does your head feel heavy?

• Do you feel any weakness in your arms or legs?

• Are you breathless or having hard time breathing?

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Other Related Symptoms

Symptoms from the same body system / part

• Heartburn

• Breast tenderness

• Wheezing

• Heart palpitation

• Breasts appear different

Symptoms treated by the same specialty

• Strange speech or behaviour

• Slurred speech

• Eye twitching

• Pain in the right half of the body

• Numbness or abnormal sensation

Reviewed By:

Shohei Harase, MD (Neurology)

Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.

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Upper Right Abdominal Pain (Right Upper Quadrant): Causes and Treatment

This leaflet looks at pains which can develop in the upper part of the tummy (abdomen) on your right-hand side. It deals with possible causes, how a diagnosis might be made and what the treatment might be.

Where is my right upper quadrant?

The right upper quadrant (RUQ) is a section of your tummy (abdomen). Look down at your tummy, and mentally divide the area from the bottom of your ribs down to your pubes into four quarters. The quarter on your right side closest to your ribs is your RUQ.

Abdominopelvic Quadrants

Blausen.com staff (2014). “Medical gallery of Blausen Medical 2014”. WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.010. ISSN 2002-4436

By Blausen.com staff (2014). “Medical gallery of Blausen Medical 2014”. WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.010. ISSN 2002-4436

Which organs are in my right upper quadrant?

Quadrant organs

Mariana Ruiz Villarreal, modified by Madhero88 [Public domain], via Wikimedia Commons

By Mariana Ruiz Villarreal, modified by Madhero88 [Public domain], via Wikimedia Commons

The organs within your right upper quadrant are your:

• Liver.
• Gallbladder.
• Part of the pancreas.
• Duodenum and some other parts of your large and small bowel.
• Right kidney (at the back behind the other organs).

There are also the skin and nerves of that section.

What can cause upper right abdominal pain?

Pain can come from any of the organs mentioned above, and these are the source for the most common causes. But the human body is never simple, so pain can also come from other areas of your body. This is called ‘referred’ pain. So this widens the possible options.

In adults, gallstones are one of the most frequent causes of pain in this area. Other common possibilities are kidney infections, shingles and ulcers in the upper part of the guts. Less common causes are discussed later in this leaflet.

What are the most common causes of right upper quadrant pain?

Gallstones and gallbladder problems

Gallstones don’t necessarily cause any symptoms but when they get stuck they can give you pain. This is called biliary colic and is typically a severe crampy pain in the RUQ shortly after eating a fatty meal. An infection may ensue, called cholecystitis, which will give you a more persistent pain in the RUQ, with a high temperature.

See the separate leaflets called Gallstones and Bile and Cholecystitis for more information.

Kidney stones and infections

Problems with the kidney tend to give you pain more around the right-hand side of the right upper quadrant, or in your back (loin), but the pain may spread and involve the front of the tummy (abdominal) area. Kidney stones can cause a severe pain (usually round the back) which occurs in spasms lasting from a few minutes to several hours. There may also be blood in your wee. A kidney infection can cause pain anywhere along your urinary tract. So this could be anywhere from the loin in your back, around to the front, the RUQ, or down to the lower part of your tummy. It may be associated with a fever, pain when you wee, or going to the loo more frequently.

See the separate leaflets called Kidney Infection (Pyelonephritis) and Kidney Stones for more information.

Shingles

In some cases you can get the pain from shingles before the rash appears. You may have pain for a few days before a blistery rash appears. The pain tends to be quite sharp or burning, and you may feel not quite right in yourself. The RUQ is a common place for a shingles rash.

Other people find they continue to get a pain long after the rash of shingles has gone. This is called postherpetic neuralgia.

See the separate leaflet called Shingles (Herpes Zoster) for more information.

Liver problems

The liver takes up a large part of your right upper quadrant but, in fact, it doesn’t very often give you pain. Causes of pain from the liver include:

• Infection causing inflammation of the liver (hepatitis). This will usually result in jaundice and a fever and feeling generally unwell in addition to some pain in that area. Pain is not necessarily a feature. There are a number of types of hepatitis, including hepatitis A, hepatitis B and hepatitis C.
• Abscess. This is a collection of pus around the liver or under the ribs, causing pain, tenderness and fever.
• Alcoholic liver disease. Too much alcohol can damage your liver, which may affect its function, turn your skin yellow and give you RUQ pain.
• Liver cancer – this can start in the liver or have spread from other cancers. Primary cancer in the liver is unusual. The liver may enlarge in certain blood cancers, such as lymphomas or leukaemias, causing discomfort.

Gut problems

Several problems in your gut can give you pain in the right upper quadrant. For example:

• Duodenal ulcer. Pain typically comes on a couple of hours after eating and may be improved by taking antacids. The level of pain can gradually build up over time, eventually becoming severe and may be associated with bringing up (vomiting) blood. This is an emergency and you should call an ambulance to go directly to hospital if this occurs. See the separate leaflet called Duodenal Ulcer for more information.
• Gastroenteritis. Infections in your gut tend to give you pain all over your tummy, or more in the middle; however, occasionally the pain may be in the RUQ area. It is usually associated with diarrhoea and/or being sick (vomiting). You may have a mild fever. See the separate leaflet called Gastroenteritis for more information.
• Indigestion (dyspepsia) can give you a pain in the upper part of your tummy, along with bloating and acid reflux. See the separate leaflet called Indigestion (Dyspepsia) for more information.
• Longer-term conditions such as Crohn’s disease and ulcerative colitis can give rise to pain anywhere in the tummy at times. They usually cause loose stools, sometimes with blood. See the separate leaflets called Crohn’s Disease and Ulcerative Colitis for more information.
• The right upper quadrant is not a common place for pain in irritable bowel syndrome, but in some people it may occur. Pain is usually on and off and accompanied by bloating and diarrhoea and/or constipation. See the separate leaflet called Irritable Bowel Syndrome for more information.

What are the most common causes of right upper quadrant pain in pregnancy?

Any of the above conditions can cause pain in the right upper quadrant whether you are pregnant or not, so you should always be checked out. However, in pregnancy a common cause of discomfort is the pressure of the womb pressing on other organs, and pressing them into the diaphragm. Also, problems with indigestion tend to be common in pregnancy, again at least partly due to the pressure on the stomach. Urinary tract infections are also more common in pregnancy.

What are the most common causes of right upper quadrant pain in children?

In young children it is often quite difficult for them to show exactly where the pain is. If this is the case, the range of options widens to almost any cause of tummy ache. In children common causes include:

• Constipation.
• Anxiety.
• Gastroenteritis.
• Mesenteric adenitis. In children with infections such as colds, glands within the tummy commonly become inflamed giving them tummy ache.
• Appendicitis. Usually this gives pain in the lower right part of the tummy. However, often the pain of appendicitis starts in the middle of the tummy, around the tummy button. And if a child can’t show you exactly where the pain is, or if the appendix has burst (ruptured), appendicitis may be a possible diagnosis to consider.
• Pneumonia. Infections of the lower parts of the lungs may cause pain in the tummy area.

What are the other possible causes?

As well as the more common causes already described, there are many other conditions which occasionally cause right upper quadrant pain.

These include:

• Heart attack (myocardial infarction). Heart attacks normally present with chest pain, radiating to the left arm, or a tightness in the chest. Occasionally they can cause pain in the RUQ. Usually you would feel unwell in yourself if you were having a heart attack – for example, feel sweaty or breathless.
• Pneumonia. This is an infection in the lung and normally gives you cough, and a high temperature (fever), with or without breathlessness and pain in your chest. However, if the infection is in the lower part of your right lung, you may feel the pain in your RUQ. Other types of chest infections such as pleurisy can also sometimes give you a pain so low in your chest that it feels as if it is in your tummy (abdomen).
• Problems with the pancreas. This includes pancreatitis and cancer of the pancreas. Usually problems with the pancreas give you pain more in the middle of your upper tummy, which radiates to your back between your shoulder blades. But occasionally it can cause a pain on the right side.
• A serious complication of type 1 diabetes, called diabetic ketoacidosis. This makes you very unwell generally, but occasionally tummy pain can be one of the symptoms.
• In a condition called Addison’s disease, a complication called an Addisonian crisis occasionally can give you tummy pain. Again you would be unwell in other ways other than the pain.
• Rare complications of pregnancy affecting the liver.
• Pain radiating from problems with the spine. If nerves are being irritated or squashed, pain in any of the areas that nerve supplies can occur. Sometimes spinal problems cause pains in the tummy area.
• Pain which is referred from problems in the pelvis, which is below the tummy. This might include conditions such as infections (pelvic inflammatory disease) or ovarian cysts. Again the pain in the RUQ would usually be accompanied by one or more typical symptoms of these conditions.
• Budd-Chiari syndrome is a rare condition where the veins in the liver become blocked.

These listed causes are not exhaustive, and many other conditions occasionally cause pain in the right upper quadrant.

Should I see a doctor for upper right abdominal pain?

Yes, if you have a pain which doesn’t settle, you will probably need to see a health professional to help work out the cause. See a doctor urgently if:

• Your skin has turned yellow (this is called jaundice).
• Your wee has gone darker and your poo lighter (this suggests a blockage in the tubes around your liver and gallbladder).
• Your pain is very severe.
• You have recently lost weight without trying.
• You are bringing up (vomiting) blood, or have blood in your poo (including a very dark coloured poo which can be caused by old blood from high up in the gut).
• You have a high temperature with shaking (rigors).
• You feel out of breath.

How will they find the cause of the pain?

The doctor will be able to get a reasonable idea of the reason for the pain by asking you some questions and examining you. They may want to test a sample of your urine. You may then have to have further tests, depending on their suspicions at this stage. These may be done urgently or in due course, again depending on their suspicions and how much pain you are in. Possible tests might include blood tests, an ultrasound scan, a look into your stomach and upper bowel with a camera (endoscopy) and other scans and ‘scopes’.

What are the usual tests for right upper quadrant pain?

Your doctor will narrow the (enormous) field of possible diagnoses by talking to you and by examining you. They may be able to find the cause simply from doing so. For example, if they find the typical rash of shingles, you will need no further tests to find the cause. If they find a liver enlargement (unusual) this suggests the problem is in the liver. If examination is normal, that already rules out quite a few possible diagnoses. The doctor will certainly need to feel your tummy (abdomen) in the area you have the pain, but may also need to examine other parts too, such as the rest of your tummy and your chest.

You will probably be asked to provide a sample of urine, to check the colour and to rule out kidney problems.

You may well have to have blood tests. These would check the function of your liver, rule out any inflammation or infection in your system, and check for anaemia.

An ultrasound scan is often a good next test. It is simple to perform and can look for common conditions such as gallstones. It can also give an idea about any liver abnormality or enlargement and can rule out some kidney and pancreas problems.

What other tests might be needed?

This depends on what has been discovered so far through the tests above. More specific tests may be needed depending on where it is thought the pain is coming from. If your pain is thought to be coming from your guts, you are likely to have some type of endoscopy, which is an examination of the inside of your guts with a camera. A more specific type called endoscopic retrograde cholangiopancreatography (ERCP) can examine the tubes around your gallbladder and pancreas. In some cases special radio-isotope scans may be used. These show up certain organs and tissues by using a small dose of a radioactive chemical.

If you might have a kidney problem, you might have a specialised form of computerised tomography (CT) scan, with a dye injected to highlight your urinary tract.

A chest X-ray might be needed to rule out a problem in your lungs, such as infection. If the pain is thought to come from the nerves around your spine, a magnetic resonance imaging (MRI) scan may be helpful. An MRI of the affected area of your tummy may also be useful in some cases.

It is very unlikely that you would need ALL these tests. You are likely to need a few tests only. For example, if gallstones are found on the ultrasound scan, you would need no other tests.

What if no cause is found after tests?

Obviously if any serious cause has been ruled out, this is a relief, but doesn’t settle the pain. There are so many possible causes that multiple tests may be needed for your doctor to be sure that they have ruled out all serious causes.

In some cases when tests are normal, a condition called sphincter of Oddi dysfunction may be diagnosed. The sphincter of Oddi is a tight muscle band which controls the flow of a substance called bile which helps your digestion. It is located in one of the tubes around your liver and gallbladder. Even after having the gallbladder removed (a cholecystectomy), some people continue to get a pain which feels much like gallstone pain. There may not be anything to find on scans, etc, and sometimes this pain is put down to sphincter of Oddi problems.

What is the treatment for right upper quadrant pain?

There is no single answer to this until you know what the cause of your pain is. See the relevant leaflet for the condition you are diagnosed with. Treatments for a few of the common causes of right upper quadrant pain are briefly discussed below.

• Gallstones. In some cases symptoms are not very troublesome and can be managed by sticking to a low-fat diet only. Many people choose to have their gallbladder removed, in an operation called a cholecystectomy. This can usually be done by keyhole (laparoscopic) surgery.
• Cholecystitis is treated initially with antibiotics, usually in hospital via injections or a drip (intravenous antibiotics). Once the infection has been treated, a cholecystectomy is usually advised.
• Shingles. The pain and rash settle on their own in time, but some people may be advised to take an antiviral tablet to help speed this process up.
• Kidney infections are treated with antibiotics. Mild infections can be treated with antibiotics at home. If you are very unwell you may need admission to hospital for intravenous antibiotics and fluids.
• Kidney stones. Small kidney stones pass on their own eventually, in which case you will need to drink plenty of fluids and take strong painkillers. Larger kidney stones may need one of a number of procedures done to break them up or remove them altogether.
• A duodenal ulcer is usually treated with acid-suppressing medication, as is indigestion.

What is the outlook?

Again, outlook (prognosis) depends entirely on the cause of the pain. Some conditions settle very quickly on their own (for example, gastroenteritis) or with the help of antibiotics (for example, a kidney infection). Others, such as gallstones, can be cured with treatment. Some, such as postherpetic neuralgia and sphincter of Oddi problems, rumble on for a long time. Your doctor should be able to give you an idea of the outlook once a diagnosis has become clear.

Pain in the upper abdomen

Pain in the abdomen can be a symptom of many diseases. The abdomen is not a single organ like the heart or liver. The abdomen is filled with many different organs, tissues, structures. And every organ in the stomach can get sick.

First of all, you should pay attention to the sudden onset of sharp pain in the abdomen . This pain may be the first symptom for immediate medical attention. Many abdominal organs are hollow. For example, stomach, intestines, gallbladder. And if one of them fails (clogs, bursts), then your life is in danger. If a sharp sudden pain lasts more than 30 minutes, it is urgent to call a doctor or go to the hospital to rule out an urgent surgical pathology.

Causes of pain in the upper abdomen

Pain in the upper abdomen is often observed in diseases of the gastrointestinal tract:

Massage should not be used for bleeding of the digestive system. Everyone has had a stomachache at least once in their life. Sometimes the pain is accompanied by other symptoms such as:

• nausea;

• vomiting;

• diarrhea.

Abdominal pain can sometimes be caused by the usual overeating. In addition, certain foods, excess fat, gas, and lactose intolerance when eating dairy products can all cause pain, which is usually temporary and resolves in a few hours.

There are also more serious diseases, which are expressed by pain in the abdomen. The abdomen contains many vital organs. It is often difficult to determine what exactly hurts. It hurts a little higher, a little lower, then on the right, then on the left. In addition, it sometimes hurts in the abdomen, and the diseased organ is located outside it. So, for example, pain in the abdomen at pneumonia of the right lung.

Pain around the navel may be associated with bowel disorder or inflammation of the appendix. The appendix may become inflamed with fecal retention. passing through the rectum. Without proper treatment, the appendix may rupture and cause peritonitis. Peritonitis is a serious life-threatening abdominal infection. Pain just above the navel is usually associated with stomach problems. Among the culprits of this pain:

Persistent pain in this area indicates problems with the duodenum, pancreas and gallbladder. Pain in the left upper abdomen indicates problems with the colon, stomach and pancreas.

Pain in the upper right side, especially severe, indicates inflammation of the gallbladder. This pain may extend to the central part of the abdomen and also radiate to the back. Other causes of such pain are pancreatitis and duodenal disorders.

Abdominal pain can also occur in diseases of the lungs and heart. To find out the exact cause of pain, seek help from a gastroenterologist. Also, a surgeon, a cardiologist, an infectious disease specialist will help to cope with the problem.

Pain in the upper abdomen and stomach after eating – causes, symptoms and treatment of pain in the upper abdomen

Co-author, editor and medical expert – Klimovich Elina Valerievna.

Views: 34 677

Last Updated: 12/20/2021

Average Read Time: 3 minutes

with which patients turn to a gastroenterologist. This is a rather complex symptom that can be triggered by a number of factors. It can be temporary or permanent and indicate the occurrence of a problem in the digestive tract that needs to be addressed.

Causes of pain in the upper abdomen after eating

Improper diet

Very often, the cause of pain in the abdomen after eating is dietary errors. Non-compliance with the daily regimen, overeating, late dinner, eating dry food, quick absorption of food, low fluid intake during the day can lead to painful sensations. Fatty meat, dairy products, coarse plant foods, black bread, canned food, vegetable marinades, fructose, sorbitol, lutein and alcoholic beverages can also provoke pain in the upper abdomen.

Food allergy

One type of food intolerance that leads to nausea, vomiting, pain in the stomach and upper abdomen, and various skin manifestations is an allergy. The strongest allergens include cow’s milk, fish proteins, eggs, seafood. Some vegetables, fruits and cereals (wheat and rye) can also provoke the development of an allergic reaction.

Diseases of the digestive system

Sometimes pain in the abdomen or directly in the stomach is one of the symptoms of diseases of the digestive organs. Regularly occurring or acute pain, accompanied by indigestion and fever, is a reason for a mandatory visit to a doctor.

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The nature of pain in the upper abdomen after eating

This sensation in the upper abdomen can be caused by food poisoning, overeating, constipation, indigestion, physical fatigue, muscle tension, trauma, viral or bacterial infection, various psychogenic factors and many other reasons, sometimes not amenable to diagnosis.

• Burning pain

Burning pain in the upper abdomen is often the result of eating spicy, salty, sour or spicy foods that irritate the gastric mucosa and lead to increased secretion of gastric juice.

Most often occurs on the background of overeating, eating dry food or due to the rapid consumption of food on the go without chewing thoroughly. Sometimes a similar condition can develop as a reaction to individual products.

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Help with pain in the abdomen and stomach

Normalization of nutrition

img3_0.png diet. To eliminate this unpleasant symptom, it is recommended to streamline the frequency and time of eating, observing the appropriate rules of eating behavior.