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I am 23. How do I manage upper abdominal pain postpartum?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 23 years old and weigh 216 pounds. I am currently six weeks postpartum after an emergency caesarean section. I started experiencing pain about four fingers below my rib cage, in the centre of my abdomen. It first started around two to three weeks postpartum. It has occurred three or four times now. Today, it happened when I placed my baby in a wearable wrap and carried him on my chest. I also vomited. What could be the cause of this?

Kindly advise.

Answered by Dr. Ashraf Ghani

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

The pain you are describing, central, just below the rib cage, occurring several times since two to three weeks postpartum, and associated with vomiting, is concerning and should be evaluated promptly. Postpartum abdominal pain can occur due to several reasons.

Since the discomfort is in the central upper abdomen and worsens with activities such as lifting your baby, one possible cause is a gallbladder problem, such as gallstones or inflammation (cholecystitis). These conditions often present with upper central or right-sided abdominal pain along with nausea or vomiting.

Another possibility includes gastrointestinal issues such as acid reflux, gastritis, or a peptic ulcer, which may flare up after meals or with physical strain. Less commonly, complications related to the cesarean section, such as infection, adhesions, or a hernia, may cause abdominal pain. However, these usually appear closer to the incision site or in the lower abdomen. As the pain is strong enough to cause vomiting and has been recurring, it is important to have a physical examination soon. Your healthcare provider may recommend imaging, such as an abdominal ultrasound, to check for gallbladder or other abdominal issues.

Until you are evaluated, avoid heavy lifting and monitor for warning signs such as fever, worsening pain, yellowing of the skin or eyes (jaundice), or any new symptoms. Seek urgent care immediately if any of these appear.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Medically reviewed by iCliniq medical review team
Published At February 21, 2026
Reviewed At February 23, 2026

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

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Symptom Awareness Builder
Upper Abdominal Pain Postpartum Awareness Builder

Postpartum abdominal pain?

Five quick questions help you understand the potential causes and severity of your upper abdominal pain after childbirth. This tool guides you on what is typically manageable, what to mention to your doctor, and what warrants a call today.

This tool provides educational information only and does not diagnose, treat, or replace professional medical advice. Consult a qualified healthcare professional for personalized medical guidance.

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

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