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Epigastric Pain

At GastroDoxs in Houston, our expert team specializes in diagnosing and treating epigastric pain, providing personalized endoscopic evaluations, dietary guidance, and advanced therapies to help local residents find fast, relief and improve digestive health with care tailored to our community.

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Harris County Medical Society
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Bharat Pothuri
Symptoms

What is Epigastric Pain?

Epigastric pain is discomfort or pain felt in the upper middle part of your abdomen, just below the breastbone and between the lower ribs. It often presents as burning, pressure or a sharp ache that may interfere with eating and daily activities. Clinicians classify this condition under the ICD-10 code R10.13 (epigastric abdominal pain).

Common Symptoms

Symptoms of epigastric pain can vary in intensity and pattern, but often include:

  • Burning or sharp pain just under the ribs
  • A feeling of fullness, tightness, or pressure in the upper belly
  • Nausea, bloating, or excess gas
  • Pain that radiates or moves toward the back

Causes

Several underlying conditions and lifestyle factors can trigger epigastric pain:

  • Acid reflux or gastroesophageal reflux disease (GERD)
  • Stomach (peptic) ulcers
  • Gallbladder issues, such as gallstones or inflammation
  • Pancreatitis (inflammation of the pancreas)
  • Hiatal hernia
  • Stress, anxiety, or excessive caffeine or alcohol intake
Treatment

Treatment Options for Epigastric Pain in Houston

Treatment includes dietary adjustments, medications, procedures, and supportive care:

  • Diet changes: Eat smaller, more frequent meals and avoid trigger foods such as spicy, greasy, or highly acidic items.
  • Medications: Antacids, H2-blockers, and proton pump inhibitors (PPIs) to neutralize or reduce stomach acid production.
  • Endoscopy: High-definition endoscopic evaluation to diagnose ulcers, inflammation, or structural issues and to perform therapeutic interventions if needed.
  • Stress management: Relaxation techniques, mindfulness, and cognitive-behavioral strategies to reduce anxiety-related pain flares.
  • Pain relief: Short-term use of approved analgesics or referral to a pain specialist for chronic discomfort.
  • Follow-up testing: Lab work (e.g., H. pylori testing) and imaging studies to monitor treatment response and adjust your care plan.
  • Specialist support: Ongoing guidance from our board-certified gastroenterologists and nutritionists to tailor your plan and optimize outcomes.

Why Choose GastroDoxs?

At GastroDoxs, our board-certified Houston gastroenterologists pair state-of-the-art diagnostics with individualized treatment plans to tackle your epigastric pain at its source. With same-day or next-day appointments, compassionate care, and proven therapies, we're dedicated to helping you find lasting relief and get back to the life you love. Book your appointment today and take the first step toward better digestive health.

8.8k

Patients Treated

We've successfully treated more than 8.8k patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is epigastric pain?

Epigastric pain refers to discomfort or pain felt in the upper middle region of the abdomen, just below the ribcage, often associated with digestive issues.

What's the ICD-10 code for epigastric pain?

The ICD-10 code used to classify epigastric abdominal pain is R10.13.

How is epigastric pain diagnosed?

Diagnosis typically involves a physical exam, review of medical history, lab tests, imaging studies, and sometimes an endoscopy to identify the underlying cause.

What are the danger signs of epigastric pain?

Seek immediate medical attention if you experience sudden, severe pain, vomiting blood, black or tarry stools, chest pain, or difficulty breathing.

Can epigastric pain spread to your back?

Yes. Conditions like pancreatitis or certain peptic ulcers can cause pain that radiates from the upper abdomen to the back.

When should I see a doctor for epigastric pain?

Consult a physician if the pain persists beyond a few days, worsens, or is accompanied by alarming symptoms like weight loss, fever, or gastrointestinal bleeding.

Why do doctors use ICD-10 codes?

ICD-10 codes provide a standardized way to document, track, and bill for medical conditions, ensuring accurate diagnosis records and insurance processing.

What treatments are available at GastroDoxs for epigastric pain?

GastroDoxs offers personalized care plans including dietary guidance, medications (antacids, H2 blockers, PPIs), endoscopic procedures, and specialist referrals.

Can food make epigastric pain worse?

Yes. Fatty, spicy, acidic, or greasy foods can trigger or exacerbate epigastric discomfort by increasing stomach acid or slowing digestion.

How long does epigastric pain last?

Duration varies by cause-some episodes resolve within hours, while others may require weeks of treatment to fully heal underlying conditions.

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