Tag Archives: Epigastric Pain

Main Clinical Manifestations of Bile-Duct Stones

Choledocholithiasis denotes the presence of calculi within the extra- or intrahepatic bile ducts. Symptoms arise when a stone obstructs flow, triggers inflammation, or provokes infection. The presentation ranges from silent imaging findings to life-threatening sepsis. Biliary colicEpigastric or right-upper-quadrant pain begins 30–60 min post-prandially, peaks for ≥30 min, and radiates to the inter-scapular region or right shoulder. Movement does not relieve the discomfort, and analgesics are often required. Nausea and vomitingGastric stasis and vagal reflexes produce repeated retching that may transiently lessen pain. Fluctuating jaundiceIntermittent elevation of conjugated bilirubin produces scleral icterus, dark urine, and clay-coloured stools that wax and... Learn more

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Main Symptoms of Acute Gastritis

Acute gastritis is a sudden inflammation of the gastric mucosa, most often triggered by medications, alcohol, bile reflux, viral or bacterial toxins, and physical stress. The condition may range from mild erythema to erosive bleeding, with symptoms developing rapidly and usually resolving within days. Rapid recognition supports removal of the offending factor and prompt symptom relief. Core gastric complaintsEpigastric pain: burning, gnawing, or dull soreness centered between the costal margins, often worsened by an empty stomach and partially relieved by food or antacids.Nausea: persistent urge to vomit, sometimes accompanied by hypersalivation.Vomiting: initially gastric contents; bile-stained or coffee-ground material appears when... Learn more

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Main Symptoms of Functional Dyspepsia

Main Symptoms of Functional Dyspepsia Functional dyspepsia is a chronic upper-gut disorder in which epigastric pain or discomfort is not explained by structural disease, medications, or metabolic causes. Symptoms fluctuate over months, often begin in early adulthood, and may coexist with anxiety, migraine, or irritable bowel syndrome. Recognising the typical pattern avoids unnecessary imaging and guides targeted therapy. Core epigastric complaintsPost-prandial fullness: a heavy, bloated sensation that starts soon after the first bites and may last more than two hours.Early satiation: feeling “suddenly full” before finishing a normal-sized meal, leading to reduced food intake and sometimes weight concern.Epigastric pain: burning,... Learn more

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