How long have you been experiencing upper abdominal pain?
How would you rate the intensity of your upper abdominal pain?
Is the pain constant or does it come and go?
Do you have any other symptoms along with the upper abdominal pain? (Check all that apply)
Have you had recent upper abdominal surgery or trauma?
Have you noticed any blood in your vomit or dark, tarry stools?
Do you have a history of gastrointestinal conditions, such as ulcers, gastritis, or GERD (gastroesophageal reflux disease)?
Are you pregnant or could you be pregnant?
Have you recently started or changed any medications, especially non-prescription pain relievers like aspirin or ibuprofen?
Have you had unprotected sexual intercourse and are concerned about the possibility of a sexually transmitted infection (STI)?
Common Causes of Upper Abdominal Pain: