We present the case of a 72-year-old man with three-month history epigastric pain. A physical examination revealed tender, hard mass around area. Enhanced CT showed no chest or abdominal abnormalities, except for large xiphoid process. The diagnosis was xiphodynia caused by Xyphoidynia should be considered differential

A sixty-seven year old male patient admitted to the emergency department with complaints of epigastric pain and dark colored vomit which occurred while eating. The pain had a colic-like characteristic and spread to the chest. The patient vomited only once and continued to retch. No comorbid disease was present. The patient's blood pressurewas 167/101mmHg, pulsewas 67/min, respiratory rate was 2...

Pain site and radiation and the effect of various foods were studied prospectively in a consecutive series of patients with chronic upper abdominal pain. Patients followed for less than one year were excluded unless peptic ulcer or abdominal malignancy had been diagnosed or laparotomy had been carried out. A total of 632 patients were eligible for the first study and 431 for the second. Gastric...

Helicobacter pylori infection affects human populations of all ages. This gastric bacterium exists in spiral form and the reported viable but nonculturable coccoid form. The present study aims to examine the probable role of the coccoid form in H. pylori infection by comparing the seroprevalences of the spiral and the coccoid forms in children with epigastric pain. Four hundred eighty-nine chil...

Dear Editor, A 23-year-old Malay woman with no past medical illness was admitted for a 4-day history of epigastric pain, vomiting and drowsiness. Investigations showed a high anion-gap metabolic acidosis with elevated serum ketones and hyperglycaemia, consistent with diabetic ketoacidosis (DKA). Anti-glutamic acid decarboxylase autoantibodies were positive, consistent with type 1 diabetes melli...

The Rome criteria were amended as Rome IV. For functional esophageal disorders, the exclusion criteria have been more specifically revised based on further understanding of other esophageal disorders, including eosinophilic esophagitis and spastic and hypercontractile motor disorders. Another revised point is the more restrictive definition of gastroesophageal reflux disease, indicating that se...

Biliary-type abdominal pain is common and often presents a clinical challenge for physicians. True biliary colic consists of episodes of steady pain across the right upper quadrant and epigastric regions, lasting from 30 minutes to 6 hours [1]. Such abdominal pain, when it lasts longer than 6 hours, is likely due to complications of gallstone disease such as acute cholecys‐ titis or acute pancr...