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Epigastric Pain
Experiencing burning or sharp pain beneath your breastbone can disrupt life. In Houston, Dr. Scott at GastroDoxs offers comprehensive expert diagnosis and personalized treatment for epigastric pain. With advanced imaging and tailored medications, he delivers effective relief and compassionate care.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Common Causes and Risk Factors
Acid reflux or gastroesophageal reflux disease (GERD)
Peptic ulcers
Gallbladder or bile duct disorders (e.g., gallstones)
Pancreatic inflammation (pancreatitis)
Frequent NSAID or other medication use
Smoking, excessive alcohol intake, or chronic stress
Poor diet or family history of digestive conditions
Signs and Symptoms
Burning, gnawing, or sharp pain below the breastbone
Pain that worsens after eating or when lying down
Nausea, heartburn, or a sour/bitter taste in the mouth
Pain radiating to the back
Feeling full quickly (early satiety)
Red-flag symptoms such as vomiting blood, unexplained weight loss, or fever
How Dr. Scott Diagnoses This Condition?
Dr. Scott uses a step-by-step approach:
Medical History and Exam
He reviews your medical history, eating habits, medications, alcohol use, and lifestyle. A focused physical exam then pinpoints tenderness or swelling in the upper abdomen.
Blood Tests
We check for markers of infection or inflammation (CBC, CRP), liver enzymes, pancreatic enzymes (amylase, lipase), and H. pylori antibodies if ulcer disease is suspected.
Imaging Studies
Abdominal ultrasound to assess the gallbladder, bile ducts, pancreas, and liver for stones, inflammation, or masses.
CT scan to obtain detailed cross-sectional images of the pancreas and surrounding structures when more clarity is needed.
Upper endoscopy to visualize the esophagus, stomach, and duodenum for ulcers, gastritis, or esophagitis and to obtain biopsies if necessary.
Advanced Testing (if needed)
Endoscopic retrograde cholangiopancreatography (ERCP) to diagnose and treat bile or pancreatic duct blockages, or specialized motility studies for functional disorders.
Treatment
Our Team offers a full range of care for epigastric pain.
1. Lifestyle and Diet Modifications
Eat smaller, more frequent meals to ease digestion
Avoid spicy, fatty, or acidic foods that trigger discomfort
Quit smoking and limit alcohol intake
Practice stress-reduction techniques like mindfulness or yoga
2. Medications
Antacids to neutralize excess stomach acid
H2 blockers or proton pump inhibitors for long-term acid control
Antibiotics to eradicate H. pylori infection when detected
Enzyme supplements to support pancreatic function, if needed
3. Minimally Invasive or Advanced Procedures
Endoscopy to visualize and treat ulcers or inflammation
ERCP (Endoscopic Retrograde Cholangiopancreatography) for bile or pancreatic duct issues
Laparoscopic cholecystectomy to remove gallbladder stones when indicated
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What is the ICD-10 code for epigastric pain?
The code is R10.13. It's used for medical records and insurance purposes.
When should I be concerned about this type of pain?
You should seek care if the pain is severe or comes with vomiting blood, fever, or unexplained weight loss.
Can stress cause epigastric pain?
Yes. Stress can increase stomach acid production and worsen upper abdominal discomfort.
How long does it take for treatment to work?
Many patients notice improvement within days to a few weeks after starting the recommended plan.
Is an endoscopy painful?
No. The procedure is performed under sedation, so you remain comfortable throughout.
What does it mean if the pain spreads to the back?
Pain radiating to the back may indicate pancreatitis or an ulcer and should be evaluated promptly.
