Causes of epigastric abdominal pain

Jump to: navigation, search
Siren.gif

Resident
Survival
Guide
88px

Abdominal pain Microchapters

Home

Patient Information

Overview

Classification

Pathophysiology

Causes

Diffuse Abdominal Pain
Left Upper Quadrant
Left Flank
Left Lower Quadrant
Epigastric Quadrant
Umbilical Region
Pelvic Region
Right Upper Quadrant
Right Flank
Right Lower Quadrant
Intraperitoneal
Extraperitoneal

Differentiating Abdominal pain from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Abdominal pain On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Google Images

American Roentgen Ray Society Images of Abdominal pain

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Abdominal pain

CDC on Abdominal pain

Abdominal pain in the news

Blogs on Abdominal pain

Directions to Hospitals Treating Abdominal pain

Risk calculators and risk factors for Abdominal pain

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hilda Mahmoudi M.D., M.P.H.[2]

Overview

Epigastric pain is pain localized in the upper central region of the abdomen. Sudden onset of epigastric pain is suggestive of pancreatitis, especially when it radiates to the back and is associated with anorexia, nausea and vomiting. Subacute or chronic epigastric pain is challenging to assess. In many situations, physicians are unable to accurately diagnose such pain solely based on history and physical examination.[1][2][3] A common cause of epigastric pain is dyspepsia which may be associated with abdominal fullness, bloating or nausea.

Causes

Life Threatening Causes

Life-threatening causes include conditions which result in death or permanent disability within 24 hours if left untreated.

Causes of epigastric abdominal pain developed by WikiDoc.org

Common Causes

Causes of epigastric abdominal pain developed by WikiDoc.org

Causes by Organ System

Cardiovascular Myocardial ischemia, ruptured aortic aneurysm
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic No underlying causes
Drug Side Effect No underlying causes
Ear Nose Throat No underlying causes
Endocrine Acute pancreatitis, pancreatitis
Environmental No underlying causes
Gastroenterologic Bile duct tumor, cholecystitis, cholecystolithiasis, delayed gastric emptying, dyspepsia, esophageal perforation, gallbladder cancer, gastric tumors, gastritis, gastroesophageal reflux disease (GERD), colon cancer, hepatic tumors, hepatomegaly, irritable bowel syndrome, pancreatic tumors, pancreatitis, peptic ulcer disease, perforated duodenal ulcer, postcholecystectomy syndrome, ruptured spleen, splenic infarction, ulcerative colitis
Genetic No underlying causes
Hematologic No underlying causes
Iatrogenic No underlying causes
Infectious Disease

Chronic infection, giardiasis, intestinal parasite, tuberculosis

Musculoskeletal/Orthopedic No underlying causes
Neurologic No underlying causes
Nutritional/Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic Hepatic tumors, lymphomas, pancreatic tumors, renal cell carcinoma
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary Basal pneumonia, pleuritis, pulmonary embolism
Renal/Electrolyte pyelonephritis, renal cell carcinoma
Rheumatology/Immunology/Allergy No underlying causes
Sexual No underlying causes
Trauma Ruptured spleen
Urologic No underlying causes
Miscellaneous Referred pain

Causes by Organ System developed by WikiDoc.org, Copyleft 2013

Causes in Alphabetical Order

Causes of epigastric abdominal pain developed by WikiDoc.org

References

  1. Heikkinen, M.; Pikkarainen, P.; Eskelinen, M.; Julkunen, R. (2000). "GPs' ability to diagnose dyspepsia based only on physical examination and patient history". Scand J Prim Health Care. 18 (2): 99–104. PMID 10944064. Unknown parameter |month= ignored (help)
  2. Thomson, AB.; Barkun, AN.; Armstrong, D.; Chiba, N.; White, RJ.; Daniels, S.; Escobedo, S.; Chakraborty, B.; Sinclair, P. (2003). "The prevalence of clinically significant endoscopic findings in primary care patients with uninvestigated dyspepsia: the Canadian Adult Dyspepsia Empiric Treatment - Prompt Endoscopy (CADET-PE) study". Aliment Pharmacol Ther. 17 (12): 1481–91. PMID 12823150. Unknown parameter |month= ignored (help)
  3. Bytzer, P.; Hansen, JM.; Havelund, T.; Malchow-Møller, A.; Schaffalitzky de Muckadell, OB. (1996). "Predicting endoscopic diagnosis in the dyspeptic patient: the value of clinical judgement". Eur J Gastroenterol Hepatol. 8 (4): 359–63. PMID 8781906. Unknown parameter |month= ignored (help)



Linked-in.jpg