Recurrent Epigastric Pain: Causes & Reasons

Possible Causes for Recurrent Epigastric Pain

Burning epigastric pain or epigastric cramps between meals, that wake the patient at night. [medicalguidelines.msf.org]

Figure 1 A 48-year-old man who was receiving medical treatment for peptic ulcer disease experienced intense epigastric pain, sudden in onset and without emesis, four hours [nejm.org]

One of the early practitioners stated “we are told, with the most dogmatic assurance, that given a clinical history of recurrent pain, located in the epigastric region, occurring [wjgnet.com]

Pancreatic Pseudocyst

The patient was mean while just complaining of recurrent epigastric pain that was well managed by analgesics. [pubs.sciepub.com]

Biliary Colic

[…] of epigastric pain associated with dilated CBD in the absence of gallstones in ketamine abusers has also been reported.7 A study by Ng et al8 investigated the clinical presentations [dovepress.com]

CASE 1 › A 28-year-old woman (G0P0) came to our office with recurrent episodes of postprandial epigastric and right upper quadrant pain. [mdedge.com]

It may be asymptomatic or present with ongoing RUQ or epigastric pain with associated nausea and vomiting. [teachmesurgery.com]

Gastric Ulcer

One of the early practitioners stated “we are told, with the most dogmatic assurance, that given a clinical history of recurrent pain, located in the epigastric region, occurring [wjgnet.com]

Choledocholithiasis

The pain is colicky, located in the right upper quadrant of the abdomen, and moderate in severity. The pain is intermittent and recurrent. [ncbi.nlm.nih.gov]

Often, patients will endorse a history of episodes of epigastric, right upper quadrant pain, or epigastric pain. [ncbi.nlm.nih.gov]

Zollinger Ellison Syndrome

A 51-year-old man visited the emergency department with recurrent epigastric pain. [ncbi.nlm.nih.gov]

However, the patient subsequently deteriorated, with recurrent epigastric pain, vomiting and weight loss, and he died in April 1953 at Rogaland Hospital, 24 months after the [tidsskriftet.no]

[…] peptic ulcer disease diarrhoea More key diagnostic factors Other diagnostic factors epigastric abdominal pain gastro-oesophageal reflux disease steatorrhoea gastrointestinal [bestpractice.bmj.com]

Chronic Pancreatitis

O: obstructive (e.g. choledocholithiasis, pancreatic head tumor ) Exacerbations (episodes of acute pancreatitis ) may present with epigastric pain. [radiopaedia.org]

Hereditary chronic pancreatitis is a rare form which is characterized by an early onset of recurrent attacks of severe epigastric pain usually before ten years of age[ 38 [doi.org]

The true prevalence is therefore unknown. [2] Clinical features The majority of cases present at 35–55 years old with recurrent episodes of acute abdominal pain or pancreatitis [diapedia.org]

Hereditary Pancreatitis

Acute pancreatitis (AP) is characterized by two of the following criteria as per the revised Atlanta 2 international consensus: a sudden onset of epigastric pain, elevated [journals.co.za]

It classically presents with epigastric abdominal pain radiating to the back, steatorrhea secondary to malabsorption and pancreatic diabetes due to islet cell damage [ 11 [panafrican-med-journal.com]

The pain may be postprandial and located in the epigastric region, with radiation to the back. [dovepress.com]

Peptic Ulcer

pain and H pylori infection, and conflicting evidence for a link between epigastric pain and H pylori infection. [medscape.com]

[…] abdominal pain is not associated with H. pylori infection, and there is conflicting evidence regarding the association between epigastric pain and H. pylori infection. 30 [aafp.org]

Medscape Medical News, April 28, 2010 Review Found No Link Between Pediatric Abdominal Pain and H pylori Infection A systematic review showed no link between recurrent abdominal [medscape.com]

Tabes Dorsalis

Visceral crises may result in recurrent attacks of severe epigastric pain due to gastric crises, along with nausea and vomiting. [statpearls.com]

A severe painful crisis may develop associated with stress, or even sometimes without stimulus. [statpearls.com]

Chronic Alcoholism

The concept of "structural plasticity" has emerged as a potential mechanism in neurodegenerative and psychiatric diseases such as drug abuse, depression, and dementia. Chronic alcoholism is a progressive neurodegenerative disease while the person continues to abuse alcohol, though clinical and imaging studies show[…] [ncbi.nlm.nih.gov]

Cholelithiasis

OBJECTIVE: The aim of this study was to examine the etiology of gallstones in children and responses to ursodeoxycholic acid (UDCA) treatment. METHODS: 74 children with cholelithiasis were recruited, and underwent ultrasonography to detect gallstones. All relevant clinical information was recorded in a structured[…] [ncbi.nlm.nih.gov]

Cannabinoid Hyperemesis Syndrome

Cannabinoid hyperemesis syndrome (CHS) People with CHS often find some relief with hot showers[1] Specialty Toxicology Symptoms Nausea, vomiting, stomach pain[2] Complications Kidney failure, electrolyte problems, skin burns from hot water[1] Causes Long term cannabis use[2] Diagnostic method Based on the[…] [en.wikipedia.org]

Irritable Bowel Syndrome

Irritable bowel syndrome (IBS) is a common gastrointestinal (GI) disorder that considerably reduces the quality of life. It further represents an economic burden on society due to the high consumption of healthcare resources and the non-productivity of IBS patients. The diagnosis of IBS is based on symptom[…] [ncbi.nlm.nih.gov]

Peptic Esophagitis

Noriaki Furukawa Ryuichi Iwakiri Takanori Koyama Kazuyo Okamoto Toshifumi Yoshida Yoichiro Kashiwagi Takashi Ohyama Takahiro Noda Hiroyuki Sakata Kazuma Fujimoto Abstract: Compared with findings in Western countries, the prevalence of reflux esophagitis in Oriental countries is estimated to be low. In this[…] [doi.org]

Acute Pancreatitis

Abstract In this study we determined the clinical accuracy of α 2 - macroglobulin, α-amylase, C-reactive protein, lipase, non-esterified fatty acids, pancreatic α-amylase and phospholipase A in the diagnosis and prognosis of acute pancreatitis in a group of patients with acute abdominal pain using receiver operator[…] [doi.org]

Alcoholic Gastritis

ICD-10-CM Codes › K00-K95 Diseases of the digestive system › K20-K31 Diseases of esophagus, stomach and duodenum › K29- Gastritis and duodenitis › Alcoholic gastritis 2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code K29.2 should not be used for reimbursement purposes as there are multiple codes below it[…] [icd10data.com]

Acute Cholecystitis

Cholecystocolonic fistula is an uncommon potential complication of cholecystitis found intraoperatively in 0.06-0.14 % of patients undergoing cholecystectomy and 0.1-0.5 % of autopsy series. Although cholecystocolonic fistula is the second most common cholecystoenteric fistula, second only to cholecystoduodenal fistula,[…] [ncbi.nlm.nih.gov]

Hepatocellular Carcinoma

Hepatocellular carcinoma (HCC) is the most common primary hepatic malignancy. History A concise and complete history-taking should be done by the physician to obtain valuable pieces of information such as occupation, a history of hepatitis, jaundice, intravenous drug use, blood transfusion, multiple unprotected[…] [symptoma.com]

Early-Stage Gastric Cancer

Gut Liver. 2018 Mar 15;12(2):119-124. doi: 10.5009/gnl17095. Author information 1 Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. 2 Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of[…] [ncbi.nlm.nih.gov]

Gastritis Medicamentosa

Enfermedades inducidas por drogas: anemia aplásica adquirida, hepatitis medicamentosa y gastritis hemorrágica en el hospital nacional Guillermo Almenara Irigoyen de agosto 1998 - diciembre 2001. Quispe Inga, Juan Carlos; Valencia Santos, Miguel Ángel. RESULTADOS (continuación) Gráfico 11.2 SIGNOS Y SINTOMAS MAS[…] [sisbib.unmsm.edu.pe]

Pernicious Anemia

Manejo, prevención y control de la anemia perniciosa / Management, prevention and control of pernicious anemia Paz, R de; Hernández-Navarro, F. Afiliação Paz, R de; Hospital Universitario La Paz. Madrid. España Hernández-Navarro, F; Hospital Universitario La Paz. Madrid. España Nutr. hosp ; 20(6): 433-435, nov.-dic.[…] [pesquisa.bvsalud.org]

Ascending Cholangitis

Abstract An intussusception-type antireflux valve was created in the Roux-en-Y loop in 23 infants with biliary atresia (17 new cases, and six others after episodes of ascending cholangitis) and 10 patients with congenital bile duct dilatation, in order to prevent ascending cholangitis after hepatic portojejunostomy.[…] [ncbi.nlm.nih.gov]

Gastric Lymphoma

OBJECTIVE: The stomach is the most common site of origin for extranodal lymphomas. While resection has played a major part in the management of such patients in the past, in recent years there has been a change towards organ-conserving therapies. However, the risk of perforation and bleeding in patients[…] [ncbi.nlm.nih.gov]

Pancreatic Adenocarcinoma

In this case report we detail the treatment of a patient with pancreatic ductal adenocarcinoma and a solitary liver metastasis who received nine cycles of FOLFIRINOX therapy with favourable response. The patient subsequently underwent synchronous distal pancreatectomy and hepatectomy with an R0 resection[…] [ncbi.nlm.nih.gov]

Malignant Neoplasm of the Stomach

History In the United States, about 25% of stomach cancer patients present with localized disease, 31% present with regional disease, and 32% present with distant metastatic disease; the remainder of cases surveyed were listed as unstaged. [3] Early disease has no associated symptoms; however, some patients with[…] [emedicine.medscape.com]

Malignant Neoplasm of the Pancreas

Pancreatic cancer is a type of cancer that starts in the pancreas. (Cancer starts when cells in the body begin to grow out of control. To learn more about how cancers start and spread, see What Is Cancer? ) Pancreatic adenocarcinoma is the most common type of pancreatic cancer. Pancreatic neuroendocrine[…] [cancer.org]

Prepyloric Ulcer

Abstract One hundred and seven patients with long-standing and severe chronic juxtapyloric ulcer disease were classified in accordance with the location of the present ulcer and previous ulcers into 1) pure duodenal (DU), 2) pure prepyloric (PU), and 3) combined duodenal/prepyloric (DU/PU) or prepyloric/duodenal[…] [ncbi.nlm.nih.gov]

Gastric Adenocarcinoma

Adenocarcinoma and lymphoma represent the two most common malignant tumours of the stomach, with both neoplasms being associated with infection by Helicobacter pylori. However, the presence of lymphoma and adenocarcinoma in the same patient is a rare entity with synchronous neoplasms being more common than[…] [ncbi.nlm.nih.gov]

Gallbladder Carcinoma

Gene. 2015 Nov 1;572(1):87-94. doi: 10.1016/j.gene.2015.06.080. Epub 2015 Jul 2. Author information 1 Department of Hepatobiliary Surgery, Affiliated Hospital, Logistics University of the Chinese People's Armed Police Forces, Tianjin 300162, China. Electronic address: zhaj_1023@163.com. 2 Department of Oncology Surgery, The[…] [ncbi.nlm.nih.gov]