When should I be concerned about epigastric pain?

Seek immediate medical care (call 911) if you, or someone you are with, experience epigastric pain along with life-threatening symptoms such as severe breathing problems; chest pain, pressure or tightness; or vomiting blood or black material.

What can epigastric pain indicate?

Epigastric pain is a common symptom of acid reflux and indigestion. Epigastric pain may also occur with conditions that cause inflammation of the digestive organs, such as gastritis and pancreatitis.

What is the most common cause of epigastric pain?

Gastritis is a common cause of epigastric pain. It is often worse after eating and will generally improve with proton pump inhibitors. Test for the presence of Helicobacter pylori. Peptic ulcer tends to cause acute or chronic gnawing or burning pain.

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.

Can epigastric pain be cardiac?

Cardiovascular causes as an etiology for epigastric pain are likely to be found in people with co-morbid conditions placing the patient at risk for cardiovascular disease such as Diabetes Mellitus (DM), Hypertension, known coronary artery disease (CAD), dyslipidemia, sedentary lifestyle, and smoking history, but also …

What organs are in the epigastric region?

The epigastric region contains the duodenum, a portion of the liver, the pancreas and a portion of the stomach, while the umbilical quadrant contains the transverse colon and the duodenum. In the hypogastric quadrant lie the small intestine, bladder and the uterus.

What is the differential diagnosis of epigastric pain?

Selected Differential Diagnosis of Abdominal Pain
Pain locationPossible diagnoses
Right upper quadrantRenal: nephrolithiasis, pyelonephritis
EpigastricBiliary: cholecystitis, cholelithiasis, cholangitis
Cardiac: myocardial infarction, pericarditis
Gastric: esophagitis, gastritis, peptic ulcer
Apr 1, 2008

When a patient complains of epigastric pain Where is the pain located?

Ten causes of epigastric pain. Epigastric pain is felt in the middle of the upper abdomen, just below the ribcage. Occasional epigastric pain is not usually a cause for concern and may be as simple as a stomach ache from eating bad food.

What should I eat if I have epigastric pain?

Healthy foods include fruits, vegetables, whole-grain breads, low-fat dairy products, beans, lean meats, and fish. Ask if you need to be on a special diet. Certain foods may cause your pain, such as alcohol or foods that are high in fat. You may need to eat smaller meals and to eat more often than usual.

What causes epigastric pain radiating to the back?

Acute pancreatitis (AP) is inflammation of the pancreas. It occurs suddenly and causes pain in the upper abdominal (or epigastric) region. The pain often radiates to your back. AP can also involve other organs.

What is appendagitis?

Small sacks of fat sit above your colon and large intestine. Appendagitis happens when the blood flow to these sacks is cut off or restricted. This may happen if there is inflammation of the tissue around the sacks. It can also happen if the sacks get twisted around themselves.

What is Periumbilical area?

The periumbilical region is an anatomical region of the body around the navel.

What are the signs of a bad pancreas?

Chronic pancreatitis signs and symptoms include: Upper abdominal pain. Abdominal pain that feels worse after eating. Losing weight without trying.

Symptoms
  • Upper abdominal pain.
  • Abdominal pain that radiates to your back.
  • Tenderness when touching the abdomen.
  • Fever.
  • Rapid pulse.
  • Nausea.
  • Vomiting.

What does upper gastric pain feel like?

The signs and symptoms of gastritis include: Gnawing or burning ache or pain (indigestion) in your upper abdomen that may become either worse or better with eating. Nausea. Vomiting.

What does the pain of pancreatitis feel like?

The most common symptom of both acute and chronic pancreatitis is pain in the upper abdominal area, usually under the ribs. This pain: May be mild at first and get worse after eating or drinking. May become constant, severe, and last for several days.

How do you check your pancreas?

A procedure called endoscopic retrograde cholangiopancreatography (ERCP) uses a long tube with a camera on the end to examine your pancreas and bile ducts. The tube is passed down your throat, and the camera sends pictures of your digestive system to a monitor.

What can mimic pancreatitis?

A couple of acute abdominal conditions that can mimic pancreatitis include:
  • impacted gallstones (biliary colic)
  • gastric perforation or duodenal ulcer.

How do you check for pancreatitis?

What tests do health care professionals use to diagnose pancreatitis?
  1. Blood tests. …
  2. Stool tests. …
  3. Ultrasound. …
  4. Computed tomography (CT) scan. …
  5. Magnetic resonance cholangiopancreatography (MRCP). …
  6. Endoscopic ultrasound (EUS link). …
  7. Pancreatic Function Test (PFT).

What part of your stomach hurts with pancreatitis?

The main symptom of pancreatitis is pain felt in the upper left side or middle of the abdomen. The pain: May be worse within minutes after eating or drinking at first, more commonly if foods have a high fat content. Becomes constant and more severe, lasting for several days.

Which side is the pancreas on?

The head of the pancreas is on the right side of the abdomen and is connected to the duodenum (the first section of the small intestine) through a small tube called the pancreatic duct. The narrow end of the pancreas, called the tail, extends to the left side of the body.

Can pancreatitis go away on its own?

A:If acute pancreatitis is mild, it may go away on its own without treatment. But in more serious cases, treatments for both acute and chronic pancreatitis can include IV fluids, medications, and possibly surgery depending on the cause of the pancreatic inflammation.

What does your poop look like if you have pancreatitis?

Certain persistent changes in stool color are characteristic for specific conditions such as: Pale yellow, greasy, foul-smelling stool: malabsorption of fat due to pancreatic insufficiency, as seen with pancreatitis, pancreatic cancer, cystic fibrosis, celiac disease.

What color is stool with pancreatitis?

Chronic pancreatitis, pancreatic cancer, a blockage in the pancreatic duct, or cystic fibrosis can also turn your stool yellow. These conditions prevent your pancreas from providing enough of the enzymes your intestines need to digest food.

What is the life expectancy of someone with pancreatitis?

The overall survival rate is 70% at 10 years and 45% at 20 years. In an international study, 559 deaths occurred among patients with chronic pancreatitis, compared with an expected number of 157, which creates a standard mortality ratio of 3.6.