A person with right upper abdominal tenderness has pain discomfort in the right upper part of the abdomen when pressure is applied with the hand. The pain may be described as being “under the ribcage,” but may also occur with pain in the middle part of the upper abdomen. The location of the tenderness can be an important clue in determining the underlying cause. Severe abdominal tenderness that has spread all over the abdomen is a surgical emergency.
Important features of right upper abdominal tenderness include pain severity, character, timing, location, and the presence of additional symptoms. Symptoms that may occur with right upper abdominal tenderness include nausea, vomiting, abdominal swelling, right upper abdominal pain, fever, diarrhea, excessive gas, loss of appetite, and constipation. Additional symptoms that may occur with right upper abdominal tenderness include back pain, chest pain, or difficulty breathing.
Upper abdominal tenderness can be from something as simple as an abdominal muscle strain which has stretched or torn one of the abdominal muscles, usually due to an injury. Muscle strains occur when the muscle is stretched too far: the muscle fibers tear. A complete tear through the muscle is called a muscle rupture.
All abdominal pain, abdominal and stomach pressure, stomach discomfort and abdominal tenderness should be reviewed by a doctor.