Refers to pain or discomfort centered in the upper abdomen
Discomfort refers to a subjective sensation that the patient does not interpret as pain which may be characterized by or associated with upper abdominal fullness, early satiety, bloating, belching, nausea and vomiting
Centered refers to pain or discomfort in or around the midline
Considered a symptom complex rather than a specific diagnosis
Signs and Symptoms
Ulcer-like
Chronic or recurrent epigastric pain or discomfort for at least 2-4 weeks
Reflux-like
Acid regurgitation
Heartburn
Dysmotility-like
Bloating in upper abdomen not accompanied by visible distension
Early satiety
Nausea and vomiting
Postprandial fullness
Upper abdominal discomfort often aggravated by food
