Asked by: Pennie Druivengamedical health digestive disorders
What are causes of epigastric pain?
Last Updated: 15th February, 2020
- Acid reflux and GERD.
- Lactose intolerance.
- Drinking alcohol.
- Esophagitis or gastritis.
- Hiatal hernia.
- Peptic ulcer disease.
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Similarly, it is asked, what is causing the pain in the upper epigastric region?
There are many causes of epigastric pain, with gastric acid being responsible for much of it. A burning or gnawing pain, which may be worse at night, is suggestive of gastritis or peptic ulcer disease. Chronic presentation may suggest lactose intolerance, IBS or GORD.
Also, what causes epigastric pain radiating to the back? The most likely diagnosis is peptic ulcer disease, which can present with hemorrhage. Acute epigastric pain with radiation to the back is also concerning for a posterior penetrating duodenal ulcer, causing pancreatitis.
Likewise, people ask, how do you get rid of epigastric pain?
Your doctor may recommend antacids or even acid-blocking medicines to relieve your pain. If an underlying condition such as GERD, Barrett's esophagus, or peptic ulcer disease is causing your epigastric pain, you may require antibiotics as well as long-term treatment to manage these conditions.
What is the differential diagnosis of epigastric pain?
Selected Differential Diagnosis of Abdominal Pain
|Pain location||Possible diagnoses|
|Right upper quadrant||Renal: nephrolithiasis, pyelonephritis|
|Epigastric||Biliary: cholecystitis, cholelithiasis, cholangitis|
|Cardiac: myocardial infarction, pericarditis|
|Gastric: esophagitis, gastritis, peptic ulcer|