Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

188 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes constant dull pain in the epigastric quadrant?

Answered by
Dr. Ramesh Kumar


Practicing since :1986

Answered : 1942 Questions

Posted on Wed, 25 Apr 2018 in Digestion and Bowels
Question: I am having midline epigastrc pain with rebound tenderness. I am wondering if this could be from an ulcer or something to do with my liver. It does not seem to change with what I eat. It is a dull, achy pain all day and bothers me when sleeping.
Answered by Dr. Ramesh Kumar 42 minutes later
Brief Answer:
Can be acid peptic disorder.

Detailed Answer:
Thanks for choosing HealthcareMagic for your query,
Dull achy constant pain in epigastric quadrant can be due to acid peptic disorder termed as gastritis or reflux problem.Excessive acid irritates the mucosal lining of gut causing constant pain.Peptic ulcers usually develop overtime if symptoms are not controlled properly.
Characterstic feature of this pain is that it responds to antacids.
Zantac (ranitidine) 150 mg twice a day. Zantac is an acid reducer that decreases acid production by 70%, allowing the tissues to heal. You may need to take this for a month or longer.
If these changes don't help enough, ho for an endoscopy (visualizes the esophagus, stomach, with a fiberoptic tube), or manometry (pressure testing of the esophagus).

I hope this information helps. Please let me know if I can provide further information.
Above answer was peer-reviewed by : Dr. Yogesh D

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,  
Medical Topics ,  

Recent questions on  Rebound tenderness

doctor1 MD

I have a nagging pain in my abdomen on right and center, lower part. I have no fever , no nausea and get some relief with Aleve . It feels like when you are bent a certain way and sneeze and get a pain in your side. It is in that area and that...

doctor1 MD

Hello. I have severe lower abdominal pain that is worstened with movement, laughing, coughing, etc. I also have diarrhea and the pain gets very sharp when I urinate or have a bowel movement. Can you please give me an idea of what this can be? I...

doctor1 MD

i am having severe right side abdominal pain. i have rebound tenderness and when i walk or cough it hurts worse. i also have had neausa and constippation and now severe gas. the pain is shooting doown my right leg and arund to my back i have gone to two er and they cant seem to find anything but my pcp said it is appendicitis

doctor1 MD

I had an IUI on 02/11/2010, starting on this thursday I started having right groin pain, no rebound tenderness or noticable swelling. I do not have a fever, I went to see my reporductive endo and had an ultrasound done and it only showed a 2cm cyst on my right ovary, everything else was negative. Dr. Grossman did not have a diagnosis for me. Now it is Saturday and my pain is constant and getting worse. Still no fever, swelling or rebound tenderness.