My boyfriend is in tears of this stomach ance he says its an inch above his belly botton were it hurts what could it be.?

Many things: Causes range from ulcers to muscle spasms to gallbladder to pancreas and more! if pain is that severe, he should be examined and tested to narrow down the list.

Sebaceous cyst: Likely it is infected and needs to be looked at. Needs antibiotics and possible drainage procedure.

Hard to say: A non-typical presentation of appendicitis could refer pain to the area of the belly button. Since you only have hours to work with if it is, you should load him up & take him in now. They can sort it out at the hospital.