Tenderness in the Epigastric Region Causes & Reasons

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Tenderness in the Epigastric Region Symptom Checker: Possible causes include Cholelithiasis. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search.

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Tenderness in the Epigastric Region,

Negated

None

Unsure

None

Possible Causes

Cholelithiasis

Pediatr Emerg Care. 2012 Jan;28(1):68-76; quiz 77-8. doi: 10.1097/PEC.0b013e31823f5b1e. Abstract In recent years, gallbladder disease, primarily in the form of cholelithiasis, has been on the rise among infants and children. Although pediatric gallbladder disease is still less prevalent than adult gallbladder disease,[…] [ncbi.nlm.nih.gov]

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Acute Gastritis

Acute gastritis is an inflammation of the stomach lining, which may develop due to the use of certain drugs or other underlying causes that result in abdominal pain and discomfort. The most common symptoms of gastritis are pain or upper abdominal discomfort. Some patients, especially elderly people, may present no[…] [symptoma.com]

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Acute Alcohol Intoxication

The physical examination may reveal fever, tachycardia, and tenderness in the RUQ or epigastric region, often with guarding or rebound. [emedicine.medscape.com]

[…] in the RUQ or epigastric region, often with guarding or rebound Palpable gallbladder or fullness of the RUQ (30%-40% of patients) Jaundice ( 15% of patients) The absence [emedicine.medscape.com]

[…] prolonged total parenteral nutrition (TPN), hemolytic conditions, or congenital and biliary anomalies The physical examination may reveal the following: Fever, tachycardia, and tenderness [emedicine.medscape.com]

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Pancreatic Abscess

On admission, an elastic hard mass with tenderness was palpable in the epigastric region. [ncbi.nlm.nih.gov]

There was no abdominal distension or any obvious organomegaly but a mild tenderness was noted in the epigastric region. [ijpmonline.org]

A 50-year-old female was referred to our hospital because of postprandial epigastric pain and pancreatic head mass. [ncbi.nlm.nih.gov]

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Duodenal Ulcer

Abstract Typical symptoms of duodenal ulcers include epigastric pain, nausea, vomiting, chest pain and shortness of breath. Here we present the case of a 39-year-old man who had a sudden onset of chest and epigastric pain following the use of recreational amphetamines. There were ST changes in the inferior leads[…] [ncbi.nlm.nih.gov]

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Irritable Bowel Syndrome

Irritable bowel syndrome is defined as abdominal discomfort or pain associated with altered bowel habits for at least three days per month in the previous three months, with the absence of organic disease. In North America, the prevalence of irritable bowel syndrome is 5 to 10 percent with peak prevalence from 20[…] [ncbi.nlm.nih.gov]

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Acute Pancreatitis

LMP: 2072/05/29 G/C: Agonized; Lying still on bed Pallor: Present; Icterus: Absent P/A: Guarding present Tenderness Diffuse but more marked on Epigastric region and Left Iliac [epomedicine.com]

On abdominal exam, he has involuntary guarding and tenderness to palpation in the right upper quadrant and epigastric regions. [medbullets.com]

Acute, constant and intense abdominal pain might last for several days, is mostly experienced in the epigastric region or the right upper quadrant and may radiate to the back [doi.org]

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Duodenal Ulcer with Obstruction

Deep palpation of relaxed abdomen may reveal an epigastric mass, which is hard, irregular, mildly tender and may move with respiration. [jebmh.com]

One may get hard, subcutaneous metastatic nodules in umbilical region (Sister Mary Joseph’s nodules). [jebmh.com]

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Duodenal Hematoma

A physical examination revealed jaundice and mild tenderness over the epigastric region. [ncbi.nlm.nih.gov]

The only positive findings upon physical examination were jaundice and mild tenderness over the epigastric region. [ncbi.nlm.nih.gov]

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Biliary Colic

Abdominal examination showed no evidence of peritonitis but revealed tenderness in the RUQ and epigastric regions. Urine dipstick for blood and pregnancy was negative. [dovepress.com]

Patients typically appear uncomfortable with tenderness to palpation isolated to the epigastric region. [emdocs.net]

Pancreatitis classically presents as severe epigastric pain that radiates to back. [emdocs.net]

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Ovarian Cyst

A large abdominal mass was visible and palpable in the periumbilical and epigastric regions. [ncbi.nlm.nih.gov]

[…] robsonmarcia@netsite.com.br Abstract A 10-year-old premenarchal girl was admitted to our hospital with moderate abdominal pain, although presenting no vomiting or abdominal rebound tenderness [ncbi.nlm.nih.gov]

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Acute Cholecystitis

The physical examination may reveal fever, tachycardia, and tenderness in the RUQ or epigastric region, often with guarding or rebound. [emedicine.com]

[…] in the RUQ or epigastric region, often with guarding or rebound Palpable gallbladder or fullness of the RUQ (30%-40% of patients) Jaundice ( 15% of patients) The absence [emedicine.com]

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Ventral Hernia

Laparoscopic ventral hernia repair is an operation associated with significant postoperative pain, and regional anaesthetic techniques are of potential benefit. The erector spinae plane (ESP) block performed at the level of the T5 transverse process has recently been described for thoracic surgery, and we[…] [ncbi.nlm.nih.gov]

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Bezoar

On physical examination, a palpable non-tender mass can be found in the epigastric region. [scielo.br]

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Alcoholic Gastritis

BACKGROUND/AIMS: Alcohol abuse exerts deleterious effects on the internal organs of the body, and alcohol-related gastritis is a common disease for which prompt treatment is essential to prevent the condition from growing worse. However, the therapeutic methods have some adverse effects. Determining the[…] [ncbi.nlm.nih.gov]

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Gastropathy

Protein-losing gastropathy is a rare entity. Unlike the disease in adults, it usually is benign and self-limited in children. The aetiological contribution of cytomegalovirus has been insufficiently documented and the immunological status of patients was rarely described in most reports. The authors report an 11-year-old[…] [ncbi.nlm.nih.gov]

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Postoperative Pancreatitis

She had tenderness and guarding in the epigastric region. Liver dullness was not obliterated, and there were no signs of generalized peritonitis. [acgcasereports.gi.org]

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Pancreatic Pseudocyst

Physical examination revealed tenderness in the epigastric and umbilical regions. Intestinal sounds were normal. [ncbi.nlm.nih.gov]

Abdomen: Tenderness with palpation in the epigastric region. There was no guarding or rebound tenderness. His abdomen was not rigid. Bowel sounds were quiet. [casesjournal.biomedcentral.com]

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Chronic Pancreatitis

Pancreaticopericardial fistula (PPF) is an extremely rare clinical problem encountered in patients with chronic pancreatitis. The diagnosis should be suspected if a patient presents with pericardial effusion on a background of chronic pancreatitis. Significantly raised amylase in the pericardial fluid offers an[…] [ncbi.nlm.nih.gov]

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Viral Gastroenteritis

BACKGROUND: Viral gastroenteritis is common, especially in young children. In adults, particularly amongst the elderly, it can lead to outbreaks at a time when demands on clinical services are at their peak. AIM: To evaluate seasonal screening of young children and elderly patients with suspected viral gastroenteritis[…] [ncbi.nlm.nih.gov]

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Stomach Perforation

Gastrointestinal foreign bodies are commonly encountered in clinical practice. However, although perforation of the gastrointestinal tract by a foreign body is not unusual, the formation of a hepatic abscess as a result of the migration of a foreign body is extremely rare. Patients usually present with atypical[…] [ncbi.nlm.nih.gov]

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Gastric Rupture

Gastric rupture with resulting tension pneumoperitoneum occurs rarely in infants. It may be associated with resuscitative efforts. This report presents a unique case of gastric rupture and illustrates the factors necessary for prompt recognition and treatment. The patient was a 16-week-old infant with nasal[…] [ncbi.nlm.nih.gov]

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Malignant Neoplasm of the Stomach

Chemotherapy is of crucial importance in advanced gastric cancer patients, in order to obtain palliation of symptoms and improve survival. The most extensively studied drugs as single agents are 5-fluorouracil, cisplatin, doxorubicin, epirubicin, mitomycin C and etoposide. Newer chemotherapeutic agents include the[…] [ncbi.nlm.nih.gov]

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Mallory-Weiss Syndrome

The majority of patients with scleroderma have gastrointestinal involvement, and a few experience gastrointestinal hemorrhage, however, gastrointestinal hemorrhage due to Mallory-Weiss syndrome is very rare. We report upon a 24-year-old pregnant woman with scleroderma who had gastrointestinal hemorrhage due to[…] [ncbi.nlm.nih.gov]

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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]

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Gallbladder Carcinoma

Biochimie. 2018 Mar;146:56-67. doi: 10.1016/j.biochi.2017.10.027. Epub 2017 Nov 17. Author information 1 Department of General Surgery, Affiliated Hospital, Logistics University of People's Armed Police Force, Tianjin 300162, China. 2 Department of Hepatopancreatobiliary and Splenic Medicine, Affiliated Hospital, Logistics[…] [ncbi.nlm.nih.gov]

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Duodenal Ulcer Perforation

On examination all patients had tenderness all over abdomen, which was most marked in epigastric region. [webmedcentral.com]

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Pericarditis

Classic "bread-and-butter" appearance of fibrinous pericarditis had been described in rheumatic disease and other immunologic diseases such as systemic lupus erythematosus, post-myocardial infarct, uremia, tuberculosis, radiation effects, bacterial, and viral etiology. In most of the described cases, pericarditis[…] [ncbi.nlm.nih.gov]

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Chronic Duodenitis

To the authors' knowledge, multiple carcinoid tumors of the duodenum have not been reported previously. However, multiple carcinoids in the stomach, ileum, and rectum, which were accompanied by the proliferation of endocrine cells, have been reported in the published literature. A patient with multiple carcinoids[…] [ncbi.nlm.nih.gov]

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Zieve's Syndrome

Zieve's syndrome Specialty Gastroenterology Zieve's syndrome is an acute metabolic condition that can occur during withdrawal from prolonged alcohol abuse. It is defined by hemolytic anemia (with spur cells and acanthocytes), hyperlipoproteinaemia (excessive blood lipoprotein), jaundice (elevation of unconjugated[…] [en.wikipedia.org]

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