Epigastric pain is a type of abdominal pain that is located in the upper middle part of the abdomen, just below the ribcage. This area is known as the epigastric region, and it is bounded by the nipples, the umbilicus, and the lower ribs. Epigastric pain can radiate to other areas of the abdomen, such as the hypochondriac region (below the ribs) or the back. This type of pain may be accompanied by other symptoms, such as indigestion, bloating, nausea, vomiting, acid reflux, and dark or sticky stools.
In Chinese medicine, the epigastric region is influenced by several organ systems, including the stomach, spleen, liver, and the conception and penetrating vessels. Most epigastric pain is believed to be caused by disorders of the stomach and/or liver. It is important to differentiate epigastric pain from other types of abdominal pain, such as abdominal pain (pain in the lower part of the abdomen) and hypochondriac pain (pain in the lower ribs).