Differential Diagnoses For Epigastric Pain Essay

1212 Words May 1st, 2016 5 Pages
List three differential diagnoses for epigastric pain in adults. Include rationale, diagnostic testing, and treatment.
Epigastric is the pain that comes on the upper middle portion of the abdomen. It this can occur due to several conditions i.e. irritable bowel syndrome, peptic ulcer, and pancreatitis, and as a referred pain of myocardial infarction among other minors ones. Diagnosis and treatment
Peptic ulcer disease
Peptic ulcer disease (PUD) is erosion of the gastrointestinal mucosa, usually in the stomach (gastric ulcer) or duodenum (duodenal ulcer). It is caused by excess secretion of hydrochloric acid or decreased mucosal resistance, PUD affects both men and women. Typically the symptoms include epigastric pain, which may be described by the patient as sharp, dull or penetrating, and may radiate into the back. Additionally, some patients may experience a feeling of hunger, and acute burning pain which can improve by food intake when duodenal ulcer or worsen after food. At times the pain may also present in the chest when stooping. Furthermore, up to 40% of patients with a peptic ulcer may complain of bloating and belching. Epigastric pain may occur 2-3 hours after meals and may wake the patient during the night. This pain may be worse when the stomach is empty and may be relieved for a short time by food, milk or antacids. Most duodenal ulcers and gastric ulcers are associated with the bacterium…

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