Severe Upper Abdominal Pain

[alepine]

I had a cesarean section with my first child 16 months ago.  Since then, about every 4-6 weeks I wake up in the middle of the night with severe upper abdominal pain.  It's a burning pain and aching pain at the same time.  It lasts somewhere between 2 to 4 hours.  I get chills and have to double over.  I usually seem to have eaten high amounts of sugar and fats combined during the day before this happens.  Could this be pancreatitis?  Or could it be related to the c-section?

[Odinsmommy]

A related discussion, Upper Stomach Pain After C-section was started.

[nikgirl28]

i have upper stomach pain before gas and before a bowel movement...i just had my baby 9 months ago...I wonder if it could be a ulcer

[ChildLikeMe]

I am 16 years old and for about a year now I have been having severe upper abdominal pain. I went through alot of tests and the only thing the doctors said is that I had IBS. I know it is not IBS because the only symptom I have is the abdominal pain. My symptoms inclued abdominal pain, light headed when I stand up, fatigue, nausea, weightloss, loss in apitite, and the pain is not constant. Please I need help, it really hurts and I know I do not have IBS.

[dlhigh]

Most likely it's your gallbladder.  Pregnancy can take it's toll on a body, added to the fact that higher amounts of fats are consumed during that time.  Cut out greasy foods, even many meats and spices can provoke it as well.  In the mean time get into to see a GI doc. I always suggest keeping a diary of food, drink and med intake to take with you.  This will also give  you a place to keep track of exact symptoms you are having with time and dates and if any new ones occur.  It can help to look through and note which foods irritate and avoid them and which may alleviate.  Wishing you good health!

[Forum-M.D.-]

I would consider a specialist referral at this time to evaluate the abdominal pain, as it is impossible to diagnose it over the internet.  

Chills and fever are suggestive of an infection.  An abdominal CT scan as well as blood tests to look at the blood count, pancreatic enzymes and liver function should all be considered.  

Pancreatitis is certainly possible, but this is just one of many reasons.  It may be related to the C-section, but this should be considered if other reasons have been ruled out.  

These tests should be discussed with your personal physician, or via a visit to the emergency room.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_