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71 Possible Causes for Epigastric Pain, Some Patients May Be Clinically Asymptomatic

  • Gastritis

    After completing 2 cycles of chemotherapy, the patient had epigastric pain, nausea, and vomiting.[ncbi.nlm.nih.gov] Chronic gastritis as a primary disease, such as H pylori- associated chronic gastritis, may progress as an asymptomatic disease in some patients, whereas other patients may[emedicine.medscape.com] As the patient developed severe asthaenia, adynamia and epigastric pain, he was administered gancyclovir 5 mg/kg intravenously twice daily for 7 days, with resolution of symptoms[ncbi.nlm.nih.gov]

  • Acute Gastritis

    We report a 30-year-old researcher who became acutely ill with epigastric pain indicative of esophagitis or peptic ulcer disease.[ncbi.nlm.nih.gov] Chronic gastritis as a primary disease, such as H pylori- associated chronic gastritis, may progress as an asymptomatic disease in some patients, whereas other patients may[emedicine.medscape.com] Depends on the etiology (see below). asymptomatic epigastric pain/tenderness nausea and vomiting loss of appetite Etiology infection: H. pylori (most common) systemic illness[radiopaedia.org]

  • Irritable Bowel Syndrome

    In all, 33 of the 69 patients (47.8%) had H. pylori infection, and this was associated with relevant symptoms of epigastric pain (odds ratio [OR] 6.77, 95% confidence interval[ncbi.nlm.nih.gov] Some patients with celiac disease may remain asymptomatic or have only mild gastrointestinal symptoms and thus may qualify for the diagnosis of IBS in the general clinical[ncbi.nlm.nih.gov] […] and abdominal pain, and altered defecation is robust, and supports the targeting of MCs in the management in FGIDs.[doi.org]

  • Viral Hepatitis

    patients with cirrhosis are asymptomatic, others develop life-threatening complications.[emedicine.medscape.com] The clinical illnesses of chronic hepatitis and cirrhosis may take months, years, or decades to evolve.[emedicine.medscape.com] Perz et al estimated that 57% of cirrhosis and 78% of hepatocellular carcinoma worldwide was attributable to chronic infection with either hepatitis B or C. [8] Although some[emedicine.medscape.com]

  • Rheumatic Fever

    A 45-year-old hypertensive Japanese woman presented with epigastric pain on inspiration, fever, complete atrioventricular block and polyarthritis.[ncbi.nlm.nih.gov] Patients with this type of treatment failure may or may not remain symptomatic. Some infected but asymptomatic patients may be carriers.[aafp.org] Patients who remain symptomatic despite treatment are considered “clinical failures” and must be retreated.[aafp.org]

  • Acute Iron Intoxication

    A 24 y/o male, after attempting suicide by ingesting liquid ferric chloride, presented with protracted vomiting and epigastric pain.[ncbi.nlm.nih.gov] Other causes of the gastrointestinal damage include the formation of submucosal thrombi resulting in mucosal ischemia and necrosis.17 Some patients may experience a period[healio.com] He complains of epigastric pain that waxes and wanes, and expressed concern that he has not defecated for the past 5 days.[medbullets.com]

  • Liver Hemangioma

    A 64-year-old woman was admitted to our surgical emergency department suffering from epigastric pain and fever persisting for a period of 5 weeks, and, upon admission, she[ncbi.nlm.nih.gov] Some lesions may present themselves pedunculated (6).[scielo.br] A patient presented at 18 weeks' gestation with the acute onset of vomiting and epigastric pain.[ncbi.nlm.nih.gov]

  • Pancreatic Heterotopia

    Methods A young male patient with worsening epigastric pain, gastroesophageal reflux, and weight loss presented in a university hospital for a comprehensive diagnostic workup[infona.pl] Most of the patients with pancreatic heterotopia are asymptomatic; however, some of them may present with a variety of symptoms, most commonly epigastric pain, abdominal distention[saudijgastro.com] A 43 year old man presented with a 4 month history of intermittent post prandial epigastric pain and nausea. Complete gastric obstruction was not evident.[ncbi.nlm.nih.gov]

  • Erosive Gastritis

    Abstract 37 patients with epigastric pain and chronic erosive gastritis underwent an open controlled therapeutic trial with bismuthsubsalicylate (BS).[ncbi.nlm.nih.gov] Chronic gastritis as a primary disease, such as H pylori- associated chronic gastritis, may progress as an asymptomatic disease in some patients, whereas other patients may[emedicine.medscape.com] A 71 year-old male who had severe epigastric pain for several days, he had been using aspirin. Video Endoscopic Sequence 1 of 3.[gastrointestinalatlas.com]

  • Mesenteric Vein Thrombosis

    One year later, she presented with a 7-day episode of intermittent epigastric pain. Acute intestinal infarction and concomitant 7-week pregnancy were diagnosed.[ncbi.nlm.nih.gov] Patients may be asymptomatic or may present with unspecific abdominal pain.[karger.com] Despite receiving thrombo-embolic prophylaxis on postoperative day 16, he presented with a gradual onset of vague, but severe, umbilical and epigastric pains.[ncbi.nlm.nih.gov]

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