Common causes and life-threatening symptoms of epigastric pain


Epigastric Pain

Epigastric Pain, a common pain that occurs in the upper abdominal area just below the ribs. The pain happens after taking a meal or when lying down after eating. It is one of the gastro esophageal reflux disease.

The pain links up with acid reflux from the stomach those results in pain and inflammation. Epigastric Pain is also associated with medical conditions like gastritis, pancreatitis, peptic ulcer disease, hiatal hernia or gallstones.

In some people this pain may be not severe and moderate within a few minutes, in some people this pain may stay for long and interferes with the sleep of the individual.

Symptoms and causes

There are several disease states that can cause Epigastric pain.

  • Pain in the abdomen
  • Abdominal distension
  • Frequent belching
  • Heartburn
  • Constipation alternating with diarrhea
  • Gastric problem
  • Nausea

If a person experiencing Epigastric Pain along with chest tightness and palpitations along with shortness of breath and radiating pain to the left arm then takes immediate medical care, because it cause cardiac disease.


There several reasons for causing epigastric pain. Here, we mentioned some of the causes of Epigastric Pain.

Gastroesophageal Reflux Disease (GERD): The medical condition in which the patient experiences burning feeling behind the sternal region. The cause of this condition is backflow of the food from the stomach to the esophagus. If Epigastric Pain is caused due to GERD then the pain will worsen with bending, stooping or lying.

Heartburn: It causes burning sensation in the chest due to high amount of acid discharges from the stomach which regurgitates back into the esophagus causing this sensation.

Gastritis: This is a medical condition can cause due to an inflammation of the lining of the stomach. It causes severe pain in the Epigastric region.

Duodenal ulcers:  This type of ulcers formed due to Helicobacter Pylori. If Epigastric Pain caused due to duodenal ulcer then the individual will experience pain after a couple of hours of eating a meal.

Pancreatitis: one of the common causes of Epigastric Pain. The disease can be acute or chronic. In cases of acute pancreatitis there will be severe pain radiating towards the back and in chronic pancreatitis the pain will be rather mild in nature.

Gallstones: Stones in the gallbladder also the cause of Epigastric Pain.

Is it cured?

The Epigastric Pain treatment depends on the cause of it. If patients experienced with other symptoms along with Epigastric Pain then treatment requires. Some of the treatment options for Epigastric Pain are

  • NSAIDs (Non-steroidal anti-inflammatory drugs) can treat Epigastric Pain. These medications are quite effective in relieving pain also calming down if any inflammation.
  • H2 receptor blocking agents usually prescribed for treating peptic ulcers. They prevent the formation of excessive acid in the stomach and support in causing heartburn symptoms also.
  • Antacids are used to cut down excessive production of stomach acid and thus help with the pain.