{"id":16321,"date":"2019-11-13T14:20:10","date_gmt":"2019-11-13T14:20:10","guid":{"rendered":"http:\/\/opa.org.uk\/?p=16321"},"modified":"2021-01-25T14:24:12","modified_gmt":"2021-01-25T14:24:12","slug":"ten-causes-of-epigastric-pain","status":"publish","type":"post","link":"https:\/\/opa-old.voidappsdev.uk\/?p=16321","title":{"rendered":"Ten causes of epigastric pain"},"content":{"rendered":"<div>\n<p>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.<\/p>\n<p>There are many common digestive problems associated with epigastric pain, as well as a range of other underlying conditions that can cause pain in that area.<\/p>\n<p>Serious cases may be life-threatening, and it is important to work with a doctor to understand the difference between a simple cause of epigastric pain and a more serious underlying condition.<\/p>\n<\/div>\n<div id=\"onequarter-of-article\"><\/div>\n<div>\n<div><a contenteditable=\"false\" name=\"ten-causes-of-epigastric-pain\"><\/a>Ten causes of epigastric pain<\/div>\n<p>Epigastric pain is a common symptom of an\u00a0<a title=\"What to know about indigestion or dyspepsia\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/163484.php\">upset stomach<\/a>, which can be due to long-term gastrointestinal problems or just the occasional bout of\u00a0<a title=\"What to know about indigestion or dyspepsia\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/163484.php\">indigestion<\/a>.<\/p>\n<h3>1. Indigestion<\/h3>\n<p>Indigestion usually occurs after eating. When a person eats something, the stomach produces acid to digest the food. Sometimes, this acid can irritate the lining of the digestive system.<\/p>\n<p>Indigestion can cause symptoms such as:<\/p>\n<ul>\n<li>burping<\/li>\n<li>bloating in the abdomen<\/li>\n<li>feeling full or bloated, even if the portion size was not big<\/li>\n<li>nausea<\/li>\n<\/ul>\n<p>These symptoms are often felt alongside epigastric pain. While indigestion happens to everyone from time to time, it may be a sign that a person is intolerant of something they have recently eaten.<\/p>\n<h3>2. Acid reflux and GERD<\/h3>\n<p><a title=\"What is acid reflux?\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/146619.php\">Acid reflux<\/a>\u00a0occurs when the stomach acid used in digestion gets backed up in the food pipe (esophagus). Acid reflux usually causes pain in the chest and throat, which is commonly known as\u00a0<a title=\"Heartburn: Why it happens and what to do\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/9151.php\">heartburn<\/a>. This feeling may accompany epigastric pain or be felt on its own.<\/p>\n<p>Other common symptoms of acid reflux include:<\/p>\n<ul>\n<li>indigestion<\/li>\n<li>burning or aching chest pain<\/li>\n<li>feeling like there is a lump in the throat or chest<\/li>\n<li>an acidic or a vomit-like taste in the mouth<\/li>\n<li>a persistent\u00a0<a title=\"Strep throat: Causes, diagnosis, and treatments\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/155412.php\">sore throat<\/a>\u00a0or hoarse voice<\/li>\n<li>a persistent cough<\/li>\n<\/ul>\n<p>Ongoing acid reflux can damage the food pipe and may cause gastroesophageal reflux disease, or\u00a0<a title=\"Everything you need to know about GERD\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/14085.php\">GERD<\/a>. People with GERD experience epigastric pain and symptoms of indigestion frequently and may require treatment and dietary changes to manage the condition.<\/p>\n<p>Some cases of GERD can lead to a condition called Barrett&#8217;s esophagus, where the tissue of the food pipe starts to look like the tissue in the intestines.<\/p>\n<h3>3. Overeating<\/h3>\n<p>The stomach is very flexible. However, eating more than necessary causes the stomach to expand beyond its normal capacity.<\/p>\n<p>If the stomach expands considerably, it can put pressure on the organs around the stomach and cause epigastric pain. Overeating can also cause indigestion, acid reflux, and heartburn.<\/p>\n<h3>4. Lactose intolerance<\/h3>\n<p><a title=\"Lactose intolerance: What you need to know\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/180120.php\">Lactose intolerance<\/a>\u00a0can be another cause of epigastric pain. People who are lactose intolerant have trouble breaking down lactose, a sugar found in milk and other dairy products.<\/p>\n<p>For people with lactose intolerance, eating dairy can cause epigastric pain and other symptoms, including:<\/p>\n<ul>\n<li>stomach pains<\/li>\n<li>cramps and bloating<\/li>\n<li>gas<\/li>\n<li>nausea or vomiting<\/li>\n<li><a title=\"What you should know about diarrhea\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/158634.php\">diarrhea<\/a><\/li>\n<\/ul>\n<h3>5. Drinking alcohol<\/h3>\n<p>Moderate drinking is usually not enough to upset the stomach or intestines. However, drinking too much alcohol at once or excess alcohol over long periods of time can cause\u00a0<a title=\"Everything you need to know about inflammation\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/248423.php\">inflammation<\/a>\u00a0in the lining of the stomach. This inflammation can lead to epigastric pain and other digestive issues.<\/p>\n<h3>6. Esophagitis or gastritis<\/h3>\n<p><a title=\"Everything you need to know about esophagitis\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/9274.php\">Esophagitis<\/a>\u00a0is inflammation of the lining of the food pipe. Gastritis is inflammation of the lining of the stomach. Esophagitis and gastritis can be caused by acid reflux, infections, and irritation from certain medications. Some immune system disorders may also cause inflammation.<\/p>\n<p>If this inflammation is left untreated, it can create scar tissue or bleeding. Other common symptoms include:<\/p>\n<ul>\n<li>acidic or vomit-like taste in the mouth<\/li>\n<li>persistent cough<\/li>\n<li>burning in the chest and throat<\/li>\n<li>trouble swallowing<\/li>\n<li>nausea<\/li>\n<li>vomiting or spitting up blood<\/li>\n<li>poor\u00a0<a title=\"Nutrition: What is it and why is it important?\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/160774.php\">nutrition<\/a><\/li>\n<\/ul>\n<h3>7. Hiatal hernia<\/h3>\n<p>A hiatal\u00a0<a title=\"Types and treatments for hernia\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/142334.php\">hernia<\/a>\u00a0occurs when part of the stomach pushes up through the diaphragm and into the chest. This may be due to an accident or weakened diaphragm muscles.<\/p>\n<p>In addition to epigastric pain, other common symptoms of hiatal hernias include:<\/p>\n<ul>\n<li>sore throat<\/li>\n<li>irritation or scratchiness in the throat<\/li>\n<li>trouble swallowing<\/li>\n<li>gas or especially loud burps<\/li>\n<li>chest discomfort<\/li>\n<\/ul>\n<p>Hiatal hernias typically affect older people and may not cause epigastric pain in every case.<\/p>\n<h3>8. Peptic ulcer disease<\/h3>\n<p><a title=\"What's to know about peptic ulcers?\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/9273.php\">Peptic ulcer<\/a>\u00a0disease is when the lining of the stomach or small intestine has been damaged by a bacterial infection or by taking too much of certain medications, such as nonsteroidal anti-inflammatory drugs (<a title=\"Everything you need to know about NSAIDs\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/179211.php\">NSAIDs<\/a>).<\/p>\n<p>Symptoms of peptic ulcer disease can include epigastric pain and signs of internal bleeding, such as stomach pain,\u00a0<a title=\"Fatigue: Why am I so tired and what can I do about it?\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/248002.php\">fatigue<\/a>, and shortness of breath.<\/p>\n<h3>9. Gallbladder disorder<\/h3>\n<p>Issues with the gallbladder may also cause epigastric pain.\u00a0<a title=\"Everything you need to know about gallstones\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/153981.php\">Gallstones<\/a>\u00a0may be blocking the opening of the gallbladder, or the gallbladder may be inflamed. Specific gallbladder symptoms can include:<\/p>\n<ul>\n<li>intense pain near the upper right side of the stomach after eating<\/li>\n<li>clay-colored stool<\/li>\n<li><a title=\"Everything you need to know about jaundice\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/165749.php\">jaundice<\/a>\u00a0or yellowing skin<\/li>\n<li>loss of appetite<\/li>\n<li>gas and bloating<\/li>\n<\/ul>\n<h3>10. Pregnancy<\/h3>\n<p>It is very common to feel mild epigastric pain during pregnancy. This is commonly caused by acid reflux or pressure on the abdomen from the expanding womb. Changes in hormone levels throughout pregnancy can also aggravate acid reflux and epigastric pain.<\/p>\n<p>Severe or persistent epigastric pain during pregnancy can be a sign of a more serious condition, so a woman should visit her doctor if experiencing any unusual symptoms.<\/p>\n<h3>Diagnosis<\/h3>\n<div>\n<p>Diagnosing the cause of epigastric pain is essential to ensure proper treatment. A healthcare professional will likely ask a series of questions about the pain and any additional symptoms.<\/p>\n<p>If the cause is unclear, they may order tests, including:<\/p>\n<ul>\n<li>imaging tests, such as X-rays,\u00a0<a title=\"How do ultrasound scans work?\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/245491.php\">ultrasound<\/a>, or an\u00a0<a title=\"Endoscopy: What to know\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/153737.php\">endoscopy<\/a><\/li>\n<li>urine tests to check for infections or bladder disorders<\/li>\n<li>blood tests<\/li>\n<li>cardiac tests<\/li>\n<\/ul>\n<\/div>\n<div>\n<h3>Treatment<\/h3>\n<p>Treating epigastric pain will vary according to the cause. For instance, if overeating frequently causes epigastric pain, a person may wish to eat smaller portions and ensure they are eating filling foods, such as lean proteins. They may also want to avoid foods that cause gas.<\/p>\n<p>Conditions such as GERD, peptic ulcers, and Barrett&#8217;s esophagus may require long-term treatment to manage symptoms. A person should work with their doctor to find a treatment plan that works for them.<\/p>\n<p>If a doctor thinks that taking certain medications is causing the condition, they may recommend switching to a new drug or reducing the dosage.<\/p>\n<p>Over-the-counter or prescription antacids to help reduce frequent acid reflux and epigastric pain caused by stomach acid may be helpful.<\/p>\n<div>When to see a doctor<\/div>\n<p>Occasional epigastric pain is not usually a cause for concern, but anyone with severe or persistent epigastric pain should see their doctor.<\/p>\n<p>Symptoms that last more than a few days or that occur more than twice a week on a regular basis would be considered persistent.<\/p>\n<p>A visit to the emergency room may be necessary in some cases. Signs of severe complications that require prompt treatment include:<\/p>\n<ul>\n<li>difficulty breathing or swallowing<\/li>\n<li>intense pressure or squeezing pain in the chest<\/li>\n<li>coughing up blood<\/li>\n<li>blood in the stool<\/li>\n<li>nausea, vomiting, or diarrhea lasting more than 24 hours in adults<\/li>\n<li>high\u00a0<a title=\"Fever: What you need to know\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/168266.php\">fever<\/a><\/li>\n<li>extreme fatigue or loss of consciousness<\/li>\n<\/ul>\n<p>Many cases of epigastric pain can be treated and prevented by making small changes in the diet or lifestyle. Even chronic symptoms can be managed well with medications and dietary changes.<\/p>\n<p><em>This article is from Medical News Today &#8211;\u00a0<a href=\"https:\/\/www.medicalnewstoday.com\/articles\/320317.php#when-to-see-a-doctor-\">https:\/\/www.medicalnewstoday.com\/articles\/320317.php#when-to-see-a-doctor-<\/a><\/em><a class=\"icon-hl-pinterest css-1fquaub\" style=\"-webkit-font-smoothing: antialiased; box-sizing: inherit; background-color: transparent;\" title=\"Share on Pinterest\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" data-pin-custom=\"true\" data-share-url=\"https:\/\/cdn-prod.medicalnewstoday.com\/content\/images\/articles\/320\/320317\/man-with-hand-on-chest.jpg\" data-pin-log=\"button_pinit\" data-pin-href=\"https:\/\/uk.pinterest.com\/pin\/create\/button?guid=81BmRYqcbiVT-1&amp;url=https%3A%2F%2Fwww.medicalnewstoday.com%2Farticles%2F320317.php&amp;media=https%3A%2F%2Fcdn-prod.medicalnewstoday.com%2Fcontent%2Fimages%2Farticles%2F320%2F320317%2Fman-with-hand-on-chest.jpg&amp;description=Epigastric%20pain%3A%20Causes%2C%20treatment%2C%20and%20diagnosis\"><span class=\"css-8yl26h\" style=\"-webkit-font-smoothing: antialiased; box-sizing: inherit; display: inline-block; overflow: hidden; color: transparent; width: 1px; height: 1px; margin-left: -1px;\">\u00a0Pinterest<\/span><\/a><\/p>\n<\/div>\n<p><span class=\"css-8yl26h\" style=\"-webkit-font-smoothing: antialiased; box-sizing: inherit; display: inline-block; overflow: hidden; color: transparent; width: 1px; height: 1px; margin-left: -1px;\">\u00a0<\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>There are many common digestive problems associated with epigastric pain&#8230;<\/p>\n","protected":false},"author":4,"featured_media":15836,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-16321","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorised"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.9 - 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