About a week ago I started having pain in my upper abdominal area. It is a fairly small spot that the pain is concentrated on. Almost feels like a knot like you would get in your back, except I get  a sharp almost tearing feeling when I laugh, or cough. Should I be worried?
Hi. Yes, you should be worried. This can be a small hernia as per history you have provided. Get this checked by a Surgeon. You may need ultrasonography to confirm. If this is a hernia, get operated. As this may cause complications if not treated.