What is the differential diagnosis of epigastric pain?
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 |
What causes epigastric abdominal pain?
Epigastric pain, or upper abdominal pain, has many possible causes. Epigastric pain is often the result of overeating, drinking alcohol while eating, or consuming greasy or spicy foods. Epigastric pain can be the result of digestive conditions, such as acid reflux, peptic ulcer disease, or lactose intolerance.
What is the difference between epigastric and abdominal pain?
If your stomach ache is in a particular area of the stomach, or abdomen, you can eliminate other causes and narrow down to the cause. One such type of stomach ache dictated by the area of the abdomen is called epigastric pain.
What is Mittelschmerz syndrome?
Mittelschmerz is one-sided, lower abdominal pain associated with ovulation. German for “middle pain,” mittelschmerz occurs midway through a menstrual cycle — about 14 days before your next menstrual period.
Can gallbladder cause epigastric pain?
Typical symptoms of gallstones are of three types: Pain between the breast bone and the belly button (epigastric) pain or discomfort. Pain beneath the breastbone (substernal), which may seem like a heart attack. Pain in the right upper quadrant, which may shoot to the right side of the back or up to the right shoulder.
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.
What can be mistaken for epigastric hernia?
Epigastric hernias can be congenital (present at birth) or acquired. They are similar to an umbilical hernia, except the umbilical hernia forms around the belly button and the epigastric hernia is usually between the belly button and the chest.
What causes Middleschmertz?
Mittelschmerz occurs during ovulation, when the follicle ruptures and releases its egg. Some women have mittelschmerz every month; others have it only occasionally.
What is Mesoappendix?
The mesoappendix is a key site of appendiceal tumour spread, directly & indirectly. • Routine mesoappendix resection may reduce the need for reoperation. • Conservative management of appendicitis may delay diagnosis of appendiceal tumours.
What are 5 common abdominal complaints?
Here are the five most common abdominal pain causes and some info on whether or not you should seek emergency treatment.
- Irritable Bowel Syndrome. Irritable Bowel Syndrome (IBS) is one of the most common abdominal pain causes that doctors treat.
- Constipation.
- Appendicitis.
- Lactose Intolerance.
- Ulcerative Colitis.
Where is the pain of pancreatitis felt?
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.
What is the treatment for 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.
Other etiology include vertebral causes, and psychiatric causes. The easy approach to creating differential diagnosis for epigastric abdominal pain is to start at the epigastrium and then follow large spiral inward, thereby considering organs that are anatomically near the epigastrium, then remembering psychiatric causes as well.
What are causes of epigastric pain?
Indigestion. Epigastric pain is felt just under the ribcage and is generally not a cause for concern.
How to treat epigastric pain at home?
Avert chronic constipation to prevent epigastric hernia.
What is differential diagnosis for abdominal pain?
Crohn disease
