Epigastric Pain

Epigastric pain is a type of pain that occurs in the upper middle region of the abdomen, just below the breastbone. It is a common symptom that can be caused by a wide range of conditions, from benign to serious. Here is a detailed overview of epigastric pain:

Epigastric Pain


  • Gastroesophageal reflux disease (GERD)
  • Gastritis (inflammation of the stomach lining)
  • Peptic ulcer disease (ulcers in the stomach or duodenum)
  • Pancreatitis (inflammation of the pancreas)
  • Gallbladder disease (such as gallstones)
  • Liver disease (such as hepatitis)
  • Heart attack
  • Hiatal hernia
  • Pneumonia
  • Gastrointestinal obstruction
  • Bowel ischemia
  • Esophageal spasm
  • Celiac disease
  • Functional dyspepsia
  • Anxiety and stress


  • Pain or discomfort in the upper middle region of the abdomen, below the breastbone
  • Burning sensation in the chest
  • Nausea and vomiting
  • Loss of appetite
  • Bloating and belching
  • Heartburn
  • Acid regurgitation
  • Difficulty swallowing
  • Fever and chills (if caused by an infection)

Diagnosis: The diagnosis of epigastric pain typically involves a thorough medical history and physical examination, as well as tests to identify the underlying cause. These may include:

  • Blood tests to check for infections, liver function, and other abnormalities
  • Imaging tests such as X-rays, ultrasound, CT scans, and MRI to visualize the organs and structures in the abdomen
  • Endoscopy, which involves inserting a thin, flexible tube with a camera on the end into the mouth and down the esophagus to examine the stomach and duodenum

Treatment: The treatment for epigastric pain depends on the underlying cause. Some possible treatments include:

  • Medications to reduce acid production or treat infections
  • Lifestyle modifications such as avoiding trigger foods, losing weight, and reducing stress
  • Surgery to remove gallstones or repair hernias
  • Treatment for underlying conditions such as pancreatitis, hepatitis, or heart disease

In summary, epigastric pain is a common symptom that can be caused by a variety of conditions. If you experience this type of pain, it is important to seek medical attention to determine the underlying cause and receive appropriate treatment.

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