Oesophageal carcinoma [top]

  • Progressive dysphagia to liquids then solids which stick in throat
  • Epigastric pain
  • Weight loss
  • Vomiting, haematemesis, melaena

Hiatus hernia [top]

  • Vomiting after heavy meal
  • Epigastric pain
  • Worse on lying flat
  • Reflux, occasional haematemesis

Gastric ulcer or erosion [top]

  • Burning epigastric pain
  • Worsened by food
  • Vomiting after eating, Weight loss
  • Consumption of NSAIDs or excessive alchohol
  • Haematemesis or melaena if bleeding

Pancreatitis [top]

  • Epigastric pain or Chest pain
  • Radiation to back
  • Nausea and vomiting
  • Excessive alcohol consumption
  • Hypertriglyceridemia
  • Gallstones

Gastritis [top]

  • Epigastric pain, nausea, bloating
  • Relieved by food

Gallstones [top]

  • Colicky right upper quadrant abdominal pain / epigastric pain
  • Obstructive jaundice
  • Murphy's sign positive

Bleeding duodenal ulcer [top]

  • Haematemesis or melaena
  • Epigastric pain; preceding history of recurrent epigastric pain

Acute coronary syndrome [top]

  • Central chest pain / epigastric pain
  • Crushing
  • Radiation to jaw, left arm or neck
  • Intermittent
  • Duration usually less than 30 minutes

Cholecystitis [top]

  • Colicky Abdominal pain, Right upper quadrant pain, epigastric pain
  • Vomiting after eating
  • Murphy's sign positive
  • Worse with fatty food

Oesophagitis [top]

  • Retrosternal / epigastric pain
  • Vomiting
  • Waterbrash

Gastro-oesophageal reflux [top]

  • Central chest pain or Epigastric pain
  • Burning
  • Recurrent episodes
  • Worse on lying down
  • Acid reflux, occasional haematemesis
  • Relieved by antacids
  • Belching
  • Persistent cough

Carcinoma of cardia of the stomach [top]

  • Progressive dysphagia to liquids then solids
  • Epigastric pain
  • Weight loss

Duodenal ulcer [top]

  • Burning epigastric pain
  • Relieved by food
  • Vomiting after eating, weight loss
  • Haematemesis or melaena if bleeding

Gastric carcinoma [top]

  • Epigastric pain
  • Persistent vomiting, haematemesis, melaena
  • Weight loss
  • Early saiety
  • Troisier's sign - palpable supraclavicular lymph node