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Epigastric Pain

At GastroDoxs in Cypress, our dedicated gastroenterology team specializes in diagnosing and treating epigastric pain, delivering personalized, evidence-based care with trusted state-of-the-art technology and genuine compassion, ensuring residents receive prompt relief and comprehensive support right here in our local community.

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Bharat Pothuri
Symptoms

What Is Epigastric Pain?

Epigastric pain is discomfort felt in the upper middle part of your abdomen, just below the ribs. It can affect adults and children and may feel like burning, gnawing or sharp pain. Clinically, it's often coded under ICD-10 R10.13. Identifying the exact cause-whether reflux, inflammation or another issue-is key to finding relief.

Common Symptoms

Symptoms of epigastric pain can vary in intensity and triggers. You may experience:

  • A burning or gnawing sensation in the upper belly
  • Feeling full quickly or early satiety
  • Mild nausea or occasional vomiting
  • Bloating, gas or frequent burping
  • Pain that radiates toward your back
  • Discomfort that worsens when lying down or bending forward

Causes

Because the epigastric area overlies several organs, a range of conditions can provoke pain there:

  • Gastroesophageal reflux disease (GERD) or heartburn
  • Stomach (gastric) or duodenal ulcers
  • Functional dyspepsia (indigestion without an ulcer)
  • Pancreatitis (inflammation of the pancreas)
  • Gallstones or gallbladder inflammation
  • Pressure and hormone changes in pregnancy
  • Occasionally, cardiac issues that refer pain to the upper abdomen
Treatment

Treatment Options for Epigastric Pain in Cypress

Treatment includes lifestyle changes and medical care:

  • Diet & Lifestyle Adjustments: Eat smaller, more frequent meals; avoid spicy, greasy, and acidic foods; reduce alcohol and caffeine; elevate the head of your bed to minimize nighttime reflux.
  • Medications: Over-the-counter antacids for quick relief, H2-blockers (e.g., famotidine) to reduce acid production, and proton pump inhibitors (e.g., omeprazole) for more prolonged acid control.
  • Pancreatic Enzyme Therapy: Supplemental enzymes if pancreatitis or enzyme insufficiency contributes to pain and indigestion.
  • Advanced Procedures: Upper endoscopy (EGD) to visualize and treat ulcers or erosions; ERCP or ultrasound to evaluate gallbladder and biliary tract issues; surgery for gallstones when indicated.
  • Follow-Up & Monitoring: Regular office visits to adjust medications and diet, track symptom improvement, and perform blood tests (liver enzymes, pancreatic markers) as needed.
  • Stress Management: Techniques such as mindfulness, yoga, or cognitive-behavioral therapy to reduce acid-triggering stress and muscle tension.

Why Choose GastroDoxs?

With a focus on patient-centered care and comprehensive digestive health solutions, GastroDoxs provides expert diagnostics and effective treatment for epigastric pain and related upper GI conditions. Our approach is rooted in compassionate, personalized care to help you achieve long-term relief and an improved quality of life. Book Your Epigastric Pain Consultation Today

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 the ICD-10 code for epigastric pain?

The most commonly used code for pain in the upper central abdomen is R10.13. This code helps document your diagnosis for insurance and treatment records.

How can I tell if my pain is epigastric?

Epigastric pain is felt just below your ribcage in the middle of your abdomen. If your discomfort is higher, lower, or off to one side, it may be coming from a different area.

What causes pain in the upper belly and back?

Conditions like peptic ulcers or pancreatitis often radiate pain from the upper abdomen into the back. Proper evaluation with imaging or endoscopy will clarify the source.

Can this type of pain be serious?

Yes. If you experience significant weight loss, persistent vomiting, blood in your stool or vomit, or severe unrelenting pain, seek medical attention immediately.

What is the differential diagnosis for epigastric pain?

Common causes include GERD (acid reflux), stomach or duodenal ulcers, gallstones, functional dyspepsia (indigestion), pancreatitis, and occasionally cardiac issues.

How is epigastric pain in pregnancy treated?

Treatment focuses on safe antacids, dietary modifications, and gentle exercise. Always consult both your obstetrician and gastroenterologist before starting any new therapy.

When should I see a specialist near Jersey Village?

If your epigastric pain persists for more than two weeks, worsens over time, or is accompanied by alarming symptoms (fever, bleeding, weight loss), schedule an evaluation promptly.

Can stress make epigastric pain worse?

Yes. Stress can increase stomach acid production and muscle tension, exacerbating symptoms like burning, bloating, and discomfort in the upper abdomen.

Why does it hurt after I eat?

Eating stimulates acid release and digestive activity. If you have an ulcer or inflamed digestive organ, the increased acid and movement can trigger pain or a burning sensation.

How fast can I feel better?

Many patients experience symptom relief within a few days of starting treatment (diet changes, medications). Complete healing time varies depending on the underlying cause and your adherence to therapy.

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