What is the recurrent upper abdominal pain?
Patient: I am a male who has diabetes and then a heart attack a few years ago.  Today I am having upper abdominal pain and I had to miss work.  I am now 64.  The outside temp. is 101.   I am still working as a police officer, now for 38 years.  Sometimes the upper abdominal pain is severe, then it lessens.  I know it could be a lot of things, but what is the most likely cause?    Thanks muchly for your help! Doctor: welcome to Health care magic.1.The possibilities are acid peptic disease / cholelithiasis / cholecystitis / bowel pathology.2.The acid peptic disease gives periodic pre, post meal.3.Colelithiais when ever there is any obstruction in the biliary passage.4.Bowel pathology may give colicky pain with features of infections, fever.5.Get an ultrasound abdomen done, which will give near diagnosis and rule out many causes which will narrow down the diagnosis.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you.