Epigastric Pain: 5 Common Causes and Finding Relief

Apr 29, 2025Advanced Food Intolerance Labs
Epigastric Pain: 5 Common Causes and Finding Relief

Experiencing pain or discomfort in your upper abdomen? That burning sensation or gnawing ache might be originating from the epigastric region, the area just below your breastbone and above your navel.

If you're seeking answers to your digestive woes, understanding epigastric pain and its potential causes is crucial for finding relief. This article will explore five common culprits behind this discomfort, delve into the connection between food intolerance and epigastric pain, and guide you toward regaining digestive harmony.

guide you toward regaining digestive harmony

What is Epigastric Pain?

Epigastric pain refers to discomfort or pain originating from the epigastric region, the upper central portion of your abdomen. This area houses several vital organs, including your stomach, pancreas, gallbladder, and liver.

Epigastric Pain: Common Characteristics

  • Burning sensation: Often described as heartburn or indigestion.

  • Gnawing or aching pain: Can be persistent or intermittent.

  • Bloating and fullness: A feeling of pressure or tightness in the upper abdomen.

  • Nausea and vomiting: In some cases, epigastric pain can be accompanied by nausea or vomiting.

5 Common Causes of Epigastric Pain

1. Acid Reflux (GERD):

Acid Reflux

This occurs when stomach acid flows back up into the esophagus, causing a burning sensation in the chest and epigastric region. GERD is often triggered by certain foods, such as fatty or spicy meals, caffeine, and alcohol.

2. Gastritis:

Inflammation of the stomach lining, often caused by bacterial infections, excessive alcohol use, or certain medications, can lead to epigastric pain, nausea, and vomiting.

3. Peptic Ulcers:

These are open sores that develop on the lining of the stomach or duodenum (the first part of the small intestine). Peptic ulcers can cause burning epigastric pain, often worse on an empty stomach.

4. Gallbladder Problems:

Conditions like gallstones or cholecystitis (inflammation of the gallbladder) can cause intense pain in the upper right abdomen, sometimes radiating to the epigastric region. This pain often worsens after eating fatty meals.

5. Pancreatitis:

Pancreatitis

Inflammation of the pancreas can cause epigastric pain, often accompanied by nausea, vomiting, and back pain.

Epigastric Region: A Hub of Digestive Activity

The epigastric region is a central hub for digestion, housing several vital organs involved in breaking down food and absorbing nutrients. When any of these organs are affected by inflammation, infection, or other issues, it can manifest as epigastric pain.

Bloating and Epigastric Pain: A Common Duo

Bloating, a feeling of fullness and tightness in the abdomen, often accompanies epigastric pain. This can be due to:

  • Gas buildup: Caused by the fermentation of undigested food in the intestines.

  • Fluid retention: Can occur due to various factors, including dietary choices and hormonal changes.

Food Intolerance and Epigastric Pain: The Gut Connection

Food intolerances or sensitivities can trigger inflammation in the gut, contributing to various digestive symptoms, including epigastric pain. If you experience frequent digestive discomfort, consider taking a food sensitivity test kit to identify potential trigger foods.

Food Intolerance and Epigastric Pain

Key Takeaways:

  • Epigastric pain refers to discomfort or pain in the upper central abdomen.

  • Common causes include acid reflux, gastritis, peptic ulcers, gallbladder problems, and pancreatitis.

  • Food intolerances can contribute to epigastric pain and other digestive issues.

  • If you experience persistent or severe epigastric pain, consult a healthcare professional for proper diagnosis and treatment.

Disclaimer: This article is intended for informational purposes only and should not be considered a substitute for professional medical advice. If you have any concerns about your health or are experiencing epigastric pain, consult a qualified healthcare professional.

Frequently Asked Questions:

1. What's the difference between epigastric pain and heartburn?

While both can involve a burning sensation, epigastric pain originates in the upper central abdomen, while heartburn is typically felt in the chest and is caused by acid reflux from the stomach into the esophagus. However, epigastric pain can sometimes be caused by acid reflux as well.

2. Can stress or anxiety cause epigastric pain?

Yes, stress and anxiety can trigger or worsen epigastric pain. This is because stress can affect your digestive system, leading to increased stomach acid production, muscle tension, and changes in gut motility.

3. I'm experiencing bloating and epigastric pain after meals. Could it be a food intolerance?

Yes, food intolerances can trigger inflammation and digestive upset, leading to bloating and epigastric pain. If you suspect a food intolerance, consider taking a food sensitivity test to identify potential triggers and make dietary adjustments.

4. When should I see a doctor about my epigastric pain?

If your epigastric pain is severe, persistent, or accompanied by other symptoms like nausea, vomiting, weight loss, or blood in your stool, it's important to consult a doctor for proper evaluation and diagnosis.

5. What are some home remedies for mild epigastric pain?

For mild discomfort, try these remedies:

  • Avoid trigger foods: Identify and avoid foods that worsen your symptoms.
  • Eat smaller meals: Avoid overeating, which can put pressure on your stomach.
  • Stay hydrated: Drink plenty of water to aid digestion.
  • Manage stress: Practice relaxation techniques to reduce stress levels.
  • Over-the-counter remedies: Antacids or acid reducers might provide temporary relief, but consult your doctor if symptoms persist.

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Author: Dr. Sony S. | Panel Expert, Medical Doctor

Dr. Sony is known for her medical articles, written with in-depth detail and accuracy owing to her vast medical knowledge and thorough research of each article. She completed her degree with multiple scholarships from Guangzhou Medical University and is a board-certified Clinical Doctor. She is currently working as a Medical Officer in the emergency department of a renowned hospital and continues to publish numerous medical papers and articles. Dr. Sony continues to lead the way in medical breakthroughs, unparalleled by her high level of detail, knowledge and passion for discovering new sciences and innovative healthcare treatments.



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