Pain perceived anywhere between the chest and groin.
Common causes
• Functional (IBS, functional dyspepsia)
• Inflammatory (appendicitis, IBD)
• Obstructive (gallstones, bowel obstruction)
• Ulcer disease (PUD)
• Vascular (mesenteric ischemia)
Evaluation
• Thorough history (onset, location, character)
• Physical exam and baseline blood tests
• Imaging (US, CT) or endoscopy as needed
Management
• Symptom relief: antispasmodics, analgesics
• Diet modification
• Interventions for specific diagnoses (surgery, endoscopy)
Follow-up
• Monitor symptom progression
• Repeat diagnostics if red-flag signs appear (fever, weight loss, bleeding)
