Epigastric Pain: Causes & Reasons

Possible Causes for Epigastric Pain

Superficial palpation produced epigastric pain and no organomegaly. [revistagastroenterologiamexico.org]

On follow-up, 17 of 19 patients had chronic, recurrent symptoms of epigastric pain, dyspepsia, nausea, anorexia, reflux, and bloating that lasted 3 months to more than 12 [archivesofpathology.org]

Reported as presenting with sudden onset of epigastric pain, nausea, and vomiting, limited mucosal histologic studies demonstrate a marked infiltrate of neutrophils with edema [tv.doccheck.com]

Duodenal Ulcer

Abstract Typical symptoms of duodenal ulcers include epigastric pain, nausea, vomiting, chest pain and shortness of breath. [ncbi.nlm.nih.gov]

Molmenti, M.D. 1 Citing Article Letters Figure 1 A 48-year-old man who was receiving medical treatment for peptic ulcer disease experienced intense epigastric pain, sudden [nejm.org]

[…] develops 1-3h after meal hunger pain and central back pain pain is relieved by eating or anatacids nausea and epigastric pain (gnawing burning sensation) periods of pain [quizlet.com]

Cannabinoid Hyperemesis Syndrome

For the previous 20 years, he had experienced daily sharp epigastric pain with generalization to the entire abdomen. [cjgim.ca]

Criteria essential for diagnosis include chronic marijuana use and then major features include cyclic N/V, epigastric pain, weekly use of marijuana, resolution of symptoms [acep.org]

The patient presented to the Gastroenterology Clinic due to cyclical epigastric pain associated with postprandial stomach heaviness, nausea and vomiting. [reed.es]

Gastric Ulcer

An 81-year-old man presented with epigastric pain and weight loss for one month. He had a past history of pulmonary tuberculosis, 10 years ago. [ncbi.nlm.nih.gov]

She presented with epigastric pain and melena after surgery. [ncbi.nlm.nih.gov]

A 78-year-old Korean woman presented with epigastric pain for 3 months. [ncbi.nlm.nih.gov]

Gastritis

Depends on the etiology (see below). asymptomatic epigastric pain/tenderness nausea and vomiting loss of appetite Etiology infection: H. pylori (most common) systemic illness [radiopaedia.org]

As the patient developed severe asthaenia, adynamia and epigastric pain, he was administered gancyclovir 5 mg/kg intravenously twice daily for 7 days, with resolution of symptoms [ncbi.nlm.nih.gov]

Choledocholithiasis

A 10-year-old girl visited our hospital because of right epigastric pain and fever. Cholelithiasis and choledocholithiasis were diagnosed by ultrasound examination. [ncbi.nlm.nih.gov]

In this case, a 75-year-old female was admitted to our hospital presented with epigastric pain and vomiting for one day. [ncbi.nlm.nih.gov]

CONCLUSIONS: In our study, choledocholithiasis had a characteristic pattern of constant epigastric pain radiating to the back that was associated with nausea. [ncbi.nlm.nih.gov]

Duodenal Ulcer with Obstruction

Burning epigastric pain or epigastric cramps between meals, that wake the patient at night. [medicalguidelines.msf.org]

[…] develops 1-3h after meal hunger pain and central back pain pain is relieved by eating or anatacids nausea and epigastric pain (gnawing burning sensation) periods of pain [quizlet.com]

He was in usual state of health 5 days back when he started having epigastric pain. Pain aggravated at night after taking large meal. [medcraveonline.com]

Biliary Colic

We describe a case showing rapid fluctuations in common bile duct diameter during 72 hours in a patient presenting with epigastric pain and vomiting. [ncbi.nlm.nih.gov]

Misdiagnosis is frequent with potential disastrous implications, especially with other causes of epigastric pain (atypical myocardial ischemia, perforated ulcer, etc.). [ncbi.nlm.nih.gov]

The most common cause is cystic duct obstruction by gallstone(s), and the initial symptom may be epigastric pain. [aafp.org]

Phlegmonous Gastritis

pain None reported CT Antibiotics, drainage Nil Discharge Munroe CA, 2010 M 58 Chronic hepatitis B Epigastric pain, nausea, fever Alpha-hemolytic Streptococcus CT, EGD, EUS [hindawi.com]

Phlegmonous gastritis is an acute inflammatory process of the stomach clinically characterized by acute localized noncolicky epigastric pain, purulent vomiting, fever, and [ncbi.nlm.nih.gov]

The most important symptom is the intensive epigastric pain associated with vomits and most cases were diagnosed by CT and/or fibrogastroscopy. [ncbi.nlm.nih.gov]

Acute Pancreatitis

BACKGROUND Acute pancreatitis is an inflammatory condition of the pancreas characterized clinically by epigastric abdominal pain and elevated levels of pancreatic enzymes [ncbi.nlm.nih.gov]

I report a case of a 33-year-old woman, admitted with severe epigastric pain and vomiting 2 hours after an elective OGD for evaluation of chronic gastrointestinal symptoms [ncbi.nlm.nih.gov]

Here, we present a case of a 61-year-old woman with a history of alcohol misuse who presented with epigastric pain, nausea and vomiting after binge drinking. [ncbi.nlm.nih.gov]

Cholelithiasis

A 10-year-old girl visited our hospital because of right epigastric pain and fever. Cholelithiasis and choledocholithiasis were diagnosed by ultrasound examination. [ncbi.nlm.nih.gov]

pain. [researchgate.net]

Clinical Manifestations Steady, severe pain in the right upper quadrant or Epigastric pain Nausea Vomiting Jaundice Fever Treatment Principle Herb Formulas Points GB-34, LI [americandragon.com]

Gastric Lymphoma

Features of MyAccess include: Remote Access Favorites Save figures into PowerPoint Download tables as PDFs Go to My Dashboard Close • Epigastric pain and weight loss • Contrast [accesssurgery.mhmedical.com]

Symptoms mimicking gastritis-epigastric pain, hypochromic anemia, anorexia, and weight loss had been present for a few months before diagnosis. [ncbi.nlm.nih.gov]

Gastric lymphoma is an uncommon condition, usually presenting with epigastric pain and/or dyspepsia. [ncbi.nlm.nih.gov]

Prepyloric Ulcer

Abstract A 77 years old man had a sudden onset of an epigastric pain and melena in the course of acute respiratory failure. [jlc.jst.go.jp]

The player requires Flash Player plugin Case description This 42 year-old female, who presented severe epigastric pain. [medtube.net]

Efferent loop syndrome is associated with epigastric pain, distension, and bilious vomiting; operation is the treatment of choice. [gastrotraining.com]

HELLP Syndrome

We recommend that severely ill patients with HELLP syndrome having epigastric pain should undergo CT imaging of the liver. [ncbi.nlm.nih.gov]

Results: Average age of 27 years, the majority between 26 and 35 (40%). 56.8% presented epigastric pain, 63.5% exalted tendon reflexes, 75% headache, phosphenes in 45.9%, [clinmedjournals.org]

She complained of epigastric pain and nausea. The levels of AST, ALT, and LDH were 539, 560, and 1051 IU/L, respectively; the platelet count was 101 x 109/L. [ncbi.nlm.nih.gov]

Pancreatic Abscess

Abstract A 35-year-old man sought treatment for acute epigastric pain, mild jaundice, and high fever. [ncbi.nlm.nih.gov]

A 50-year-old female was referred to our hospital because of postprandial epigastric pain and pancreatic head mass. [ncbi.nlm.nih.gov]

The patient meanwhile showed signs of recovery with complete remission of fever and subsidence of the epigastric pain. [ijpmonline.org]

Bezoar

A 50-year-old woman was admitted in 1980 with a threeweek history of vomiting, epigastric pain and weight loss. In 1971 she had undergone surgery for hiatus hernia. [birpublications.org]

Associated symptoms included epigastric swelling pain, nausea and vomiting. The pain was relieved after vomiting. [biomedres.info]

She presented with epigastric pain, nausea, and vomiting. [ncbi.nlm.nih.gov]

Corrosive Gastritis

Luke's Hospital on Feb 9, 1968, because of epigastric pain. [jamanetwork.com]

Presentation Severe epigastric pain with vomiting, and hematemesis after a suicide attempt with caustic ingestion. [radiopaedia.org]

Ten days later, he was admitted due to epigastric pain and hematemesis. [jstage.jst.go.jp]

Esophagitis

An eleven-year girl presented with uncontrolled type I diabetes mellitus and recurrent epigastric pain with vomiting. Her oral intake was satisfactory. [ncbi.nlm.nih.gov]

Postprandial distress syndrome (PDS) and epigastric pain syndrome (EPS) were defined according to the Rome III criteria. [ncbi.nlm.nih.gov]

‘Patients with predominant epigastric pain without peptic ulcer disease or oesophagitis have functional dyspepsia.’ [en.oxforddictionaries.com]

Duodenal Ulcer Perforation

Molmenti, M.D. 1 Citing Article Letters Figure 1 A 48-year-old man who was receiving medical treatment for peptic ulcer disease experienced intense epigastric pain, sudden [nejm.org]

Links: haematemesis right upper quadrant pain right iliac fossa pain (RIF) epigastric pain [gpnotebook.co.uk]

Snapshot A 65-year-old male presents with complaints of epigastric pain and belching which improves when he eats food but gets worse a few hours after his meal. [medbullets.com]

Pancreatic Pseudocyst

The palpation revealed epigastric pain and palpable pulsatile mass above the umbilicus. Laboratory tests showed increased serum and urine amylases. [ncbi.nlm.nih.gov]

A 56 years old man presented with epigastric pain and abdominal distension. [ncbi.nlm.nih.gov]

We reported a 54 year-old female treated for epigastric pain. [ncbi.nlm.nih.gov]

Gastric Volvulus

Gastric volvulus (GV) is a rare condition that presents with epigastric pain, retching and at times, vomiting. There are two types of GV: organoaxial and mesenteroaxial. [ncbi.nlm.nih.gov]

An 85-year-old man presented with nausea, vomiting, and epigastric pain. Admission abdominal radiograph demonstrated a grossly distended stomach with air-fluid levels. [ncbi.nlm.nih.gov]

A 38-year-old woman presented with epigastric pain and EGD showed pangastritis. [ncbi.nlm.nih.gov]

Duodenal Disease

[…] develops 1-3h after meal hunger pain and central back pain pain is relieved by eating or anatacids nausea and epigastric pain (gnawing burning sensation) periods of pain [quizlet.com]

Epigastric pain is a typical symptom of PUD, however, some patients may remain asymptomatic. [amboss.com]

Dyspepsia can include pain in the upper abdominal region ("epigastric" pain), an early feeling of fullness, nausea, and even vomiting. [courses.washington.edu]

Pancreatitis

Short-lived episodes of epigastric pain may be due to duodenal ulceration, or biliary colic. [pulsetoday.co.uk]

A 44-year-old gentleman presented with a 3-day history of constant severe epigastric pain and associated vomiting. [ncbi.nlm.nih.gov]

Folks with pancreatitis often experience epigastric pain, fever, malaise, nausea, and vomiting. [motherearthliving.com]

Menetrier Disease

Symptoms include epigastric pain, nausea, vomiting, weight loss, and abdominal distension. [medical-dictionary.thefreedictionary.com]

Characteristically, patients with Ménétrièr's disease are older than 60 years of age and have epigastric pain, weight loss, nausea, diarrhea, and dyspepsia, with or without [annals.org]

pain, weight loss and diarrhoea ± melaena. [ 5 ] The severe hypoproteinaemia can result in ascites and gross oedema. [patient.info]

Chronic Pancreatitis

This case report presents a case of a middle aged female, a known case of chronic pancreatitis who presented with severe epigastric pain and progressive shortness of breath [ncbi.nlm.nih.gov]

A 60-year-old man with an unruptured cerebral aneurysm and family history of moyamoya disease was admitted to our hospital with epigastric pain since the previous day. [ncbi.nlm.nih.gov]

We aimed at evaluating the frequency and risk factors of changes of CP in patients presenting with epigastric pain syndrome (EPS)-like symptoms. [ncbi.nlm.nih.gov]

Peptic Ulcer

Older adults (>80 years old) with PUD often do not present with abdominal pain; instead, epigastric pain, nausea and vomiting are among their most common presenting symptoms [ncbi.nlm.nih.gov]

In gastric ulcer, epigastric pain is the most common symptom, but the pattern is less characteristic than with duodenal ulcer. [veterans.gc.ca]

Dyspepsia can include pain in the upper abdominal region ("epigastric" pain), an early feeling of fullness, nausea, and even vomiting. [courses.washington.edu]

Gastroduodenal Perforation

It was noted that patients who presented with epigastric pain were less likely to perforate than those without epigastric pain. [ihi.eprints.org]

The authors suggest that patients receiving 5-FU infusion and cisplatin with dexamethasone for antiemesis who complain of epigastric pain should be mentioned for a gastroduodenal [ncbi.nlm.nih.gov]

Abdominal spasm is the main sign, particularly if it occurs after violent, stabbing epigastric pain that comes on suddenly. [em-consulte.com]

Duodenal Carcinoid Syndrome

SYMPTOMS & SIGNS OF GASTROINTESTINAL DISEASE ESSENTIALS OF DIAGNOSIS Predominant epigastric pain. May be associated epigastric fullness, nausea, heartburn, or vomiting. [accessmedicine.mhmedical.com]

He was admitted to our hospital because of epigastric pain. [koreamed.org]

RESULTS: The most common symptoms were dyspepsia (50%) and epigastric pain (45%) followed by weight loss (10%) and vomiting (5%). [ncbi.nlm.nih.gov]

Chronic Duodenitis

Patients with chronic duodenitis complain of pain of various kinds in the epigastric region. Pain may be aching, stabbing, cramping. [eurodoctor.ucoz.com]

The following symptoms are typical for chronic duodenitis: Pain in the epigastric region of varying intensity (from relatively mild to very pronounced). [iliveok.com]

In moderate to severe cases, patients may have upper abdominal (epigastric) pain, nausea, and might even vomit blood. [plushcare.com]

Perforated Peptic Ulcer

PPU presents typically with sudden onset of severe epigastric pain which soon progresses to generalized abdominal pain. [symptoma.com]

The majority of patients give a history of indigestion or epigastric pain typical of a duodenal or gastric ulcer. [gpnotebook.co.uk]

ABC Look for S/S of hypovolemia Start on O2 What might epigastric pain mimic? [quizlet.com]