Stabbing pain like pins and needles in the upper abdomen is associated with diseases such as gastric perforation, cholecystitis, and pancreatitis. Gastric perforation often occurs in patients with gastric ulcers, mainly due to the worsening of the degree of ulcers, caused by corrosion of the stomach wall. The main symptom of gastric ulcer attack is severe pinching pain in the stomach, accompanied by nausea and vomiting. In some cases, the acid in the stomach can enter the abdominal cavity and cause an infection, as well as a fever. The gallbladder is located just below the stomach and its main function is to store bile and aid in the digestion of food. Some people suffer from cholecystitis or gallbladder stones, which can cause the gallbladder to become irritated during an attack, resulting in severe pain, mainly in the form of pins and needles, accompanied by nausea and vomiting. Pancreatitis is also characterized by severe pain in the upper abdomen. The pancreas is a retroperitoneal organ, so the pain radiates to the back and shoulders, accompanied by fever, vomiting and indigestion.