Epigastric Pain

Epigastric pain describes discomfort that occurs in the upper portion of the abdomen, just under the ribs. It is usually accompanied by other digestive symptoms, such as bloating. There are numerous potential causes of epigastric pain, and not all of them are serious. Sometimes the cause is something as simple as overeating, whereas other times, epigastric pain can be due to an underlying health condition, like GERD.

When epigastric pain is due to indigestion, a person may also experience burping or bloating, which happens to everyone from time to time but can also indicate a food intolerance. Repeat indigestion accompanied by epigastric pain and an acidic taste in the mouth can suggest GERD.

In more serious cases, epigastric pain may be caused by a health condition like peptic ulcer disease or a gallbladder disorder. In this case, epigastric pain is accompanied by additional symptoms, like fatigue, shortness of breath, or in the case of a gallbladder disorder, clay-colored stools and yellowing of the skin.

Occasional epigastric pain is typically not a cause for serious concern, but if you have ongoing or severe epigastric pain, alongside other troubling symptoms, it is important to consult a doctor to determine the cause and whether you need additional tests or treatments.

Applicable Procedures


What causes epigastric pain?

Epigastric pain has numerous causes. Sometimes it is as simple as a stomach ache from a big meal. Other conditions, like pregnancy and GERD, can also cause epigastric pain. In some cases, epigastric pain can signify an underlying health condition like esophagitis, gallbladder disorders, peptic ulcer disease, Barrett’s esophagus, or gallstones.

When should I see a doctor for epigastric pain?

Occasional epigastric pain that follows overeating or that is accompanied by bloating and goes away on its own is typically not a cause for concern. On the other hand, if you have severe or ongoing epigastric pain that doesn’t seem to get better, you should see a doctor to determine the cause and explore treatment options. If you have serious symptoms, like chest tightness, difficulty breathing, or coughing up blood, emergency medical treatment is necessary.

How is epigastric pain treated?

Treatment for epigastric pain depends upon its cause. For mild cases that are caused by overeating or indigestion, it can be helpful to simply eat smaller meals and avoid foods that upset your stomach. Antacid medications may also be helpful in some cases. If you have an underlying condition that is causing epigastric pain, your doctor will work with you to determine the best course of treatment. A doctor may conduct testing, such as x-rays or blood work, to identify the cause of epigastric pain.

Common Symptoms

  • “After a night of overeating, I woke up with discomfort in the upper part of my stomach, and I felt gassy and bloated.”
  • “I was experiencing frequent bouts of upper abdominal pain, along with a burning sensation in my chest and an acidic taste in my mouth. It turned out I had GERD.”
  • “Aside from pain in the upper right portion of my stomach, I was suffering from nausea, vomiting, and high fever. It was due to gallbladder inflammation.”

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What Our Patients Are Saying

I’ve been a patient of Dr. Weber for almost a decade. My husband for more than & it was he who recommended Dr. Weber. He’s knowledgeable & well experienced in his field. Plus he’s an all around kind & nice guy. And you’d like how the office & tech staff are trained to run the operation of this practice. Efficient, patient and helpful! I’d feel very comfortable recommending this practice.

Vicki M.

I had a great time. Everyone was very friendly and professional. One nurse said I had nice eyes, which really helped my self esteem. Dr. Willie was fantastic. His concern about having magenta ink for the printer really shows what a caring man he is. The pictures turned out great. I framed them and hung them up on my wall at home. But, seriously the experience was pleasant. Thank you to everyone involved.

Terry M.

Lord knows having a colonoscopy is zero fun. The prep nearly did me in. But after arriving at suite 270 every single person was pleasant and efficient. The attention to cleanliness in the office is very apparent and appreciated. Every employee introduced themselves by name, apologized for an IV that took two tries and made sure I was as comfortable as can be before I was ready to leave. However, I’m going to enjoy every minute of the five years before I need to return!

Marie C.

I have been here several times and have always been treated great. The receptionist are so kind and the nurses are wonderful so is the anesthesia person are so kind and answers any concerns you might have. My Dr Bologna is awesome. This is the place to go if you need endoscopy or colonoscopy. Thank all the staff for being so kind

Debbie A.

Our Doctors

We’re proud of our team here at Digestive Health Institute. Our health care providers include some of the very best colorectal surgeons, gastroenterologists and physician assistants. To learn more about our qualified team of specialists, please visit our providers page.

Anezi E. Bakken MD, MS

Sante D. Bologna MD, FACP

M. Emin Donat MD, FRCPC

Freeha Khan MD

Partha S. Nandi

Leonard G. Quallich III MD

Jack Tocco DO

John R. Weber MD

Richard T. Wille MD

Tusar Desai MD

Aalia Saeed, MD


What happens during my first visit?
If you are a new patient, you can expect to have a complete physical exam. You will also be asked detailed questions about your current problems and your past medical history, your current medications, allergies, your family history and other pertinent medical information. If you are taking medications, please bring a completed medical history form with you to your appointment. Once the physician has reviewed your medical information and completed the physical examination, a plan of care will be developed. You may need to be seen again in the office, be referred back to your family physician for follow-up care, or require additional testing. If additional tests are needed, we will assist you in scheduling these tests.
What if I need to schedule an endoscopic procedure?

An endoscopic procedure allows the physician to visualize a part of your gastrointestinal tract with a special instrument called an endoscope. If your family physician has ordered testing, you will be contacted by telephone by one of our staff members. If a physician orders testing and you are in the office, the procedure can generally be scheduled during the course of your visit. You will be given a date, time, and location for the test, as well as written instructions telling you how to prepare for the test. If you have any questions about the procedure, please feel free to ask one of our staff members or the physician.

How do I get test results?

We ask that you wait 10 to 14 days before contacting us for results. Often results come from several different sources. This information needs to be compiled and reviewed by your physician before you can be appropriately advised. 

What insurances do you accept?

We accept payment from most insurance companies including Medicare, Blue Cross/Blue Shield, Blue Care Network, Physicians Health Plan, Cofinity, Sparrow Professional Health Network, Medicaid, McLaren, Health Plus, and several others. Accepted insurances are subject to change at any time without notice.

If your insurance requires an authorization from your primary care physician, you may be asked to assist us in obtaining this authorization.

All patients are responsible for all copays and deductibles at the time of service.

If you have any questions regarding your benefits or insurance coverage, please contact our Billing Department at 248-844-9710.

What if I need to contact the doctor?

To contact your doctor during business hours please call our main number 248-844-9710. If you have an urgent need to speak with the doctor after hours, you will be rerouted to our after hours answering service, and your doctor will be paged. In the case of a medical emergency please proceed directly to the nearest hospital emergency room.

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