Epigastric pain refers to pain in the middle of the upper abdomen immediately below the ribs. This pain may simply be arising from mild reasons like overeating, eating heavy or spicy food. This may not be a reason of concern and having mild to moderate epigastric pain once in a while is also usually not a concern. But when it is recurrent at short intervals, persistent or is severe then it may be indicative of some medical reason that needs diagnosis and treatment. The medical causes can range from mild to serious ones. Homeopathic medicines for epigastric pain bring relief in intensity and frequency of pain gradually by targeting the root cause behind it.
First reason behind it is overeating that causes the stomach to expand more extensively than its normal capacity. It leads to pressure on the organs present around the stomach and causes pain in the epigastric region. Its second reason is indigestion. It is a general term for describing discomfort in the upper abdomen that can arise from overeating, eating spicy or fatty food or eating food items that don’t agree with the system. Its symptoms include pain in the upper abdomen, fullness feeling even from slight eating and after meals, burning and bloating in the upper abdomen, burping, nausea. Next reason is acid reflux (means back up of the stomach acid in the food pipe). As time progresses GERD (gastro esophageal reflux disease) can develop after acid reflux. Persons having these conditions can experience epigastric pain along with its other symptoms including heartburn, indigestion, acidic taste in mouth, lump feeling in throat, soreness in throat and cough. Lactose intolerance is yet another reason behind it. It is a digestive disorder in which the sufferer has reduced ability to digest lactose, a sugar found in milk and other dairy products. Its symptoms occur after the sufferer consumes some dairy product. The symptoms include epigastric pain, gas, stomach bloating, nausea, vomiting, loose stool.
The next cause is inflammation of the stomach lining (Gastritis). Its main symptoms are pain or burning in upper abdomen, nausea, vomiting,
In some cases it may also occur from inflammation of the food pipe/ esophagus (Esophagitis) and hiatus hernia (it occurs when the upper part of the stomach bulges through the diaphragm (a muscle that separates abdomen and chest). Barret’s esophagus is also a reason for it. In this condition there is change in the mucosal cells lining the lower part of the esophagus from stratified squamous epithelium to simple columnar epithelium with goblet cells. It can lead to cancer of the esophagus.
Peptic ulcer disease is another cause behind it. In this case there occurs damage to stomach lining or small intestine lining. Apart from above this may arise in case of inflammation of pancreas, gallbladder or liver, in case of gallstones and from drinking too much alcohol.
Lastly, mild pain in epigastrium may also occur in pregnancy from pressure put on by growing womb and hormonal changes. But severe epigastric pain during pregnancy can sometimes indicate a serious condition preeclampsia (disorder of pregnancy in which there occurs high blood pressure and excessive amount of protein in the urine) that can be life – threatening and needs urgent treatment.
Some other symptoms may attend it depending on the cause behind it. These include nausea, vomiting, gas, bloating, belching, heartburn, loose stool, constipation, loss of appetite and burning in the abdomen.
Homeopathic Medicines for Epigastric Pain
Epigastric pain can be managed effectively with homeopathic medicines. Along with relieving pain these also manage its attending symptoms. One should take any of the homeopathic medicines for the pain under guidance of a homeopathic doctor after complete case analysis. Use of these medicines is recommended when the pain is mild to moderate and is not associated with any serious cause behind it. But in cases of severe pain and where it is caused by some serious cause like gallstones, barrett’s esophagus, ruptured peptic ulcer, pre pre-eclampsia then it is advised to take help from conventional mode of treatment as homeopathy can’t help these cases. Also in case the epigastric pain is attended with vomiting of blood or black particles, blood in stool, black tarry stool, chest pain / tightness, difficulty breathing, high fever also then it is strictly advised to take urgent help from conventional mode of treatment
Nux Vomica – Top Grade Medicine
It is a very effective medicine for managing pain in the epigastric region. The pain tends to worsen after a meal where it is required. Persons needing it also feel pressure in this region. They also feel full and bloating. Fullness worsens after eating. Burping tends to relieve the fullness. Another complaint that is present is heartburn. Nausea and vomiting may also be present. It is also one of the best medicines for cases of indigestion that follow from eating spicy food or taking alcohol, strong coffee.
Colocynth – For Pain with Sensation of Marked Fullness
It is prepared from pulp of fruit Citrullus colocynthis also named bitter apple. This plant belongs to the family Cucurbitaceae. It is a well-indicated medicine for cases having pain and marked fullness in epigastrium. It is one of the most beneficial medicines for cramping pain in the stomach. Next, the pain can be griping, compressive or sharp pinching colicky type. The gripping sensation is worse after a meal where it is required. This may be followed by loose stool sometimes. The epigastric may be sensitive to touch. Other than above there may be nausea, vomiting and frequent belchings.
Arsenic Album – When it is Attended with Burning
This medicine offers great help when the pain is accompanied with burning in the epigastric region. The burning is excessive with a sensation as if red hot coals are present there. In some cases needing it there may be stitching or stinging pain in this region. There may be constricted sensation also. Sometimes it is sensitive to slightest touch. It may also appear distended and hard. Heartburn is another attending symptom. It is a leading medicine for managing cases of gastritis.
Bryonia – When Epigastrium is Painful to Pressure
It is a natural medicine prepared from the root of the plant Bryonia Alba commonly known as wild hops. This plant belongs to the family cucurbitaceae. It is used when the epigastrium is painful to pressure. The pain present is mostly cutting type where it is required. Stitching pain in the stomach may also be felt sometimes. A sensation of stone in the stomach may be there with the above symptoms. Next pressure in epigastrium may be present. This worsens after eating and when walking. Persons needing it may also have constipation with very hard, dry stool.
Carbo Veg – For Pain with Excessive Gas and Bloating
It is a very beneficial medicine for managing this pain with excessive gas and bloating of abdomen. For using it the type of pain can be aching, griping, burning or lancinating type. There is marked distension of the upper abdomen and gas with this. The distension may get better by passing gas. The epigastric region may be sensitive to touch. Other symptoms that may be present are sour belchings, heartburn and loose stool.
Pulsatilla – For Pain that Worsens after Eating
It is a natural medicine prepared from plant Pulsatilla Nigricans commonly known as wind flower. This plant belongs to family ranunculaceae. Use of this medicine is considered when the pain in epigastrium worsens after eating. This pain tends to extend to the back and abdomen. This is followed by water brash. In some cases after stool pressing in epigastrium is felt. It is one of the leading medicines for managing indigestion occurring from eating fatty food.
Dioscorea – When Pain is Sharp, Cutting Type
It is prepared from fresh roots of the plant Dioscorea Villosa having the common name wild yam. This plant belongs to the family Dioscoreaceae. This medicine works well in cases of sharp, cutting epigastric pain. In cases needing it this gets worse from stooping. It may get better from standing erect. In some cases this pain may radiate to the left side of the upper abdomen.
Lycopodium – For Excessive Bloating, Distension
It is prepared from plant Lycopodium Clavatum commonly known as club moss. This plant belongs to family lycopodiaceae. This medicine works well in cases having excessive bloating and distension in epigastrium. This is felt after a meal where it is required. With this there are griping, gnawing, clutching, twisting, griping, constrictive pains. The epigastric region may be sensitive to touch. In some cases burning in epigastrium is there that extends up into the throat.
Chamomilla – For Loose Stool Preceded by Epigastric Pain
It is prepared from fresh plant Matricaria chamomilla belonging to family compositae. This medicine is recommended when there is loose stool preceded by pain in the epigastric region. The pain is a cutting, constricting type. The stool is watery, frequent, and greenish. It may have slimy, mucus in it. Sometimes there are undigested food particles in it.The stool smells sour.
Cocculus Indicus – For Pain with Belchings
This medicine is prepared from powdered seeds of a plant named as Indian Cockle. This plant belongs to the family menispermaceae. It is valuable for cases having sore pain in epigastrium with belchings. The belchings may be empty, bitter, fetid or putrid. It is also indicated for pain in epigastric and umbilical regions from gas.