Tenderness in the Epigastric Region: Causes & Reasons

Warning: Do not use in emergencies, if pregnant, if under 18, or as a substitute for a doctor’s advice or diagnosis. Learn more

Possible Causes for Tenderness in the Epigastric Region

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]

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]

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

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]

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]

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]

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]

Bezoar

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

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]

Pancreatic Injury

Per-abdominal examination revealed minimal tenderness in the epigastric and umbilical region. Skiagrams of chest and abdomen were normal. [ijccm.org]

In view of persistent tenderness, serum amylase estimation done and contrast enhanced computerised tomography (CECT) of abdomen was performed. [ijccm.org]

Duodenal Ulcer Perforation

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

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]

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]

Duodenal Ulcer

Gossypiboma is a term used to describe a mass that forms around a cotton sponge or abdominal compress accidentally left in a patient during surgery. Transmural migration of an intra-abdominal gossypiboma has been reported to occur in the digestive tract, bladder, vagina and diaphragm. Open surgery is the most[…] [ncbi.nlm.nih.gov]

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]

Ventral Hernia

Ventral hernia is uncommon during pregnancy and is extremely rare in postpartum women. It leads to a life-threatening emergency. A 33-year-old woman, gravida 2 para 1, was admitted to our institute with severe abdominal pain and overdistended abdomen immediately after a full-term vaginal delivery. She had a normal[…] [ncbi.nlm.nih.gov]

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]

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]

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]

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]

Stomach Perforation

Stomach perforation is considered to be a medical emergency and may be seen after peptic ulcer, use of non-steroidal anti-inflammatory drugs, complications from surgery or malignant diseases, and foreign body injury. Abdominal pain and an epigastric sensation are notable symptoms, while some individuals have a[…] [symptoma.com]

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]

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]

Mallory-Weiss Syndrome

BACKGROUND: No consensus exists as to the best endoscopic treatment for Mallory-Weiss syndrome. Endoscopic band ligation is a readily available and easily learned technique. This prospective study evaluated the efficacy and safety of endoscopic band ligation therapy for Mallory-Weiss syndrome. METHODS: From[…] [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]

Pericarditis

Pericarditis is the inflammation of the pericardium which can result from a wide range of infectious and non-infectious causes. History The salient symptom of pericarditis (resulting from any etiology) is sharp, retrosternal chest pain that may radiate towards the shoulders and neck. Typically, the pain is relieved by[…] [symptoma.com]

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]

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]

Hereditary Pancreatitis

We investigated the biochemical properties and cellular expression of the c.346C>T (p.R116C) human cationic trypsinogen (PRSS1) mutant, which we identified in a German family with autosomal dominant hereditary pancreatitis. This mutation leads to an unpaired Cys residue with the potential to interfere with protein[…] [ncbi.nlm.nih.gov]

Pancreatic Duct Obstruction

Expanding metal stents were used to treat symptomatic pancreatic duct obstruction in two patients with chronic pancreatitis. Both patients initially underwent percutaneous external pancreatic duct drainage and then had metal stents inserted for internal drainage. Both patients remained asymptomatic, and the[…] [ncbi.nlm.nih.gov]