Pain in the upper stomach is one of the most common digestive complaints people search online every day. For some, it feels like a dull ache right below the ribs. For others, it’s a sharp, burning, or tight sensation that comes and goes—often after eating. Because the upper stomach area houses several important digestive organs, the cause of the pain can vary widely, ranging from simple indigestion to more serious conditions like ulcers or gallbladder disease.

If you’ve found yourself wondering, “Why does my upper stomach hurt?”—this blog breaks down the most common causes, what each type of pain feels like, and when it’s time to see a healthcare professional.

What Does Upper Stomach Pain Feel Like?

Upper stomach pain may present in different ways depending on the underlying issue. People often describe it as:

• A burning sensation beneath the breastbone

• Tightness or cramping right below the ribs

• Sharp, stabbing pain that worsens after eating

• A feeling of pressure or fullness

• Pain that radiates to the chest, back, or shoulders

• A dull ache that doesn’t go away easily

Understanding the location and pattern of the pain can help you narrow down the cause.

Common Causes of Upper Stomach Pain

1. Indigestion (Dyspepsia)

One of the most common causes, indigestion can create discomfort or cramping in the upper stomach. Triggers often include:

• Eating too fast

• Overeating

• Spicy or greasy meals

• Stress or anxiety

Symptoms may include bloating, nausea, and a heavy feeling after meals.

2. Gastritis

Gastritis occurs when the stomach lining becomes inflamed or irritated. This can be due to infection (H. pylori), alcohol, medications like NSAIDs, or chronic stress.

Symptoms include:

• Burning upper stomach pain

• Nausea

• Feeling full quickly

• Vomiting

Pain often worsens when the stomach is empty.

3. Acid Reflux / GERD

When stomach acid moves upward into the esophagus, it can cause:

• Burning in the upper stomach or chest

• Sour taste in the mouth

• Pain after lying down

• Bloating and belching

GERD pain is often mistaken for heart-related discomfort.

4. Peptic Ulcers

Ulcers are open sores in the lining of the stomach or upper small intestine.

Symptoms commonly include:

• Gnawing or burning upper stomach pain

• Pain that improves or worsens after eating

• Nausea

• Bloating

Left untreated, ulcers can lead to serious complications.

5. Gallbladder Problems

Though the gallbladder is located to the right, the pain may be felt in the upper stomach area.

Typical signs:

• Pain after fatty or oily meals

• Nausea and vomiting

• Pain radiating to the right shoulder or back

• Sudden nighttime pain

Gallstones are a frequent cause of upper abdominal discomfort.

6. Pancreatitis

Inflammation of the pancreas causes severe pain in the upper stomach that may spread to the back.

Symptoms:

• Constant, intense upper abdominal pain

• Vomiting

• Fever

• Difficulty standing upright

This is a medical emergency and requires immediate attention.

7. Gas and Bloating

Excess gas can cause pressure and pain in the upper abdomen.

You may feel:

• Sharp pains

• Fullness or tightness

• Temporary relief after passing gas

Certain foods, carbonated drinks, and digestive issues can worsen symptoms.

8. Food Intolerance or Sensitivity

Common offenders include dairy, gluten, high-fat foods, and processed meals. Symptoms can include:

• Cramping

• Bloating

• Nausea

• Gas

• Upper stomach discomfort

When Is Upper Stomach Pain Serious?

Seek immediate medical care if you experience:

• Severe, worsening upper stomach pain

• Blood in stool or black, tarry stools

• Vomiting blood or coffee-ground–colored material

• Shortness of breath or chest pain

• High fever

• Jaundice (yellow skin or eyes)

• Pain spreading to your back or right shoulder

These could indicate gallbladder infection, pancreatitis, internal bleeding, or a blocked bile duct.

Diagnosis & Treatment for Upper Stomach Pain

A healthcare provider may use any of the following to diagnose the cause:

• Physical examination

• Blood tests

• Ultrasound or CT scan

• Endoscopy

• H. pylori testing

• Stool tests

Treatment depends entirely on the cause—ranging from medication for ulcers or gastritis to minimally invasive surgery for gallbladder issues.

Expert Care for Upper Stomach Pain at Surgical Associates of Southern Texas

If your upper stomach pain is persistent, severe, or keeps coming back, Surgical Associates of Southern Texas can help.
Dr. Murtaza Shakir, general surgeon, offers advanced diagnostic testing and minimally invasive treatment options, including gallbladder surgery in Houston, to get to the root of your pain and restore your health safely and effectively.

Final Thoughts

Upper stomach pain can be caused by many different digestive issues—from mild gas to serious conditions like pancreatitis or gallbladder disease. Paying attention to what triggers the pain, where it’s located, and how long it lasts can help you understand when to seek care. Early diagnosis is the key to fast relief and long-term wellness.