<human>: I am 27 years old, 154lbs, 5.5 ft and 17wks pregnant. No history of health problems. For the past few days I had a sharp tearing pain in the upper middle abdomen area just lower center of the rib cage. It intensifies at times and it is especially painful and tearing when ever i sit up right or stand and when i try to move around in bed. I should mention that also have a large pedunculated fibroid 11X7.4 cm hanging around on the left size of my lower abdomen.
<bot>: Hi friendWelcome to Chat Doctor It is unlikely to be related to your pregnancy or the fibroid. It is not easy to point out a cause - all pains in abdomen start in the middle and later on shift.  The epigastric pain can be from gall bladder or stomach - but they relate to food. Worse on to sitting, standing or moving suggests muscle.  In older people heart comes under consideration - you are less than 30.  The best option is to see your GP or Internist.  An ultrasound may be necessary To Take tarnishing speedy recovery God bless Good luck