a 45-year-old woman, who works as a day laborer, presents with epigastric abdominal pain that began one hour prior to arrival. she has been having abdominal discomfort after meals for the past several weeks. today, she developed sudden onset, severe abdominal pain far worse than what she has been experiencing. she denies back pain, nausea, and vomiting. on exam, she is tachycardic but has otherwise normal vital signs. her abdomen is significantly tender in the epigastric region with rebound and guarding. chest x-ray is as above. what is the most likely diagnosis?

The higher part of your abdomen, which sits under your rib cage, is referred to as the epigastrium. Your pancreas sits within the epigastrium, as well as parts of your small gut, belly, and liver. pain or discomfort beneath your ribs in this place of the upper stomach is referred to as epigastric pain.

Epigastric ache, or top abdominal pain, has many possible causes. Epigastric pain is regularly the result of overeating, drinking alcohol at the same time as consuming, or ingesting greasy or highly spiced ingredients. Epigastric pain may be the end result of digestive conditions, together with acid reflux, peptic ulcer disorder, or lactose intolerance.

Epigastric pain is a name for pain or pain right underneath your ribs inside the vicinity of your top abdomen. It often takes place alongside different not unusual signs of your digestive system. these signs can consist of heartburn, bloating, and gas. Epigastric pain is not a purpose for difficulty.

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