Differential diagnosis of epigastric pain are :
-gastric volvulus
-physical abuse
-sexual abuse
-esophageal rupture
-intestinal ischemia
-pregnancy
-abdominal hernia
-pneumonia
-myocardial ischemia
-pericarditis
-cholelithiasis
-cholangitis
-choledocholithiasis
-Giardia
-Ascaris
-Strongyloides
-gastric cancer
-malabsorption
-lactase deficiency
-gastroparesis
-aspirin
-corticosteroids
-theophylline
-metronidazole
-macrolides
-coffee
-high fat food
-pancreatic cancer
-pancreatitis
-gastritis
-gastroesophageal reflux
-peptic ulcer disease
-non ulcer dyspepsia
-functional dyspepsia
-gastric volvulus
-physical abuse
-sexual abuse
-esophageal rupture
-intestinal ischemia
-pregnancy
-abdominal hernia
-pneumonia
-myocardial ischemia
-pericarditis
-cholelithiasis
-cholangitis
-choledocholithiasis
-Giardia
-Ascaris
-Strongyloides
-gastric cancer
-malabsorption
-lactase deficiency
-gastroparesis
-aspirin
-corticosteroids
-theophylline
-metronidazole
-macrolides
-coffee
-high fat food
-pancreatic cancer
-pancreatitis
-gastritis
-gastroesophageal reflux
-peptic ulcer disease
-non ulcer dyspepsia
-functional dyspepsia