What is this test?
The Upright X-ray of the Abdomen and Spine is a diagnostic imaging procedure that captures a standing (upright) view of both the abdominal cavity and the vertebral column. This allows for evaluation of the digestive tract, gas patterns, fluid levels, and spinal alignment under the influence of gravity, which may reveal conditions not seen in a lying-down position. It’s often part of a comprehensive gastrointestinal or musculoskeletal assessment.
What is it used for?
This test is especially useful in identifying:

• Spinal abnormalities such as scoliosis, kyphosis, or degenerative disc disease
• Abdominal obstructions, gas accumulation, or abnormal air-fluid levels
• Calcifications, including kidney stones or gallstones
• Post-surgical complications like perforation or air under the diaphragm
• Assessment of posture and structural alignment of the lumbar and thoracic spine

Who should get this test?
This X-ray may be recommended for:

• Individuals with chronic or recurrent back pain
• Patients experiencing abdominal discomfort, bloating, or suspected obstruction
• Those with known or suspected spinal deformities
• Patients being evaluated for surgical planning or post-operative follow-up
• Individuals who need assessment of upright spinal alignment or core stability issues

Preparation Required:

• No fasting or special preparation is needed
• Wear comfortable, loose-fitting clothing
• Remove metallic items near the abdominal or spine area

How is the procedure performed?
You will be asked to stand in front of the X-ray plate while the radiologic technologist positions you appropriately. Multiple views may be taken to visualize different angles. The procedure typically takes 5 to 10 minutes and is painless.
Risks & Safety:

• Involves a small amount of ionizing radiation
• Generally safe; radiation exposure is minimized
• Not recommended during pregnancy unless absolutely necessary

Results:
A radiologist will review the images to assess:

• Abdominal gas patterns or signs of intestinal blockage
• Presence of air under the diaphragm (a sign of possible perforation)
• Abnormal calcifications (e.g., kidney or bladder stones)
• Spinal curvature or vertebral degeneration
• Structural integrity of abdominal and spinal regions

Results are usually available within 24 to 48 hours and sent to your referring physician.
Short Statement:
A standing abdominal X-ray that reveals spinal alignment, gas patterns, or signs of gastrointestinal obstruction — ideal for assessing both posture and abdominal complaints.
Call to Action:
Experiencing digestive pain, bloating, or chronic back issues? Schedule an Upright Abdomen-Spine X-ray to uncover what’s happening inside — with clear, gravity-sensitive imaging.