What is epigastric pain indicative of?

Epigastric pain can indicate several potential issues during pregnancy, but when considering the context of severe preeclampsia, it is especially critical. In cases of severe preeclampsia, epigastric pain often arises due to liver involvement, typically presenting as discomfort or pain in the upper part of the abdomen. This can occur due to hepatic distention or the formation of hepatic hematomas, which are complications associated with the disease.

Recognizing epigastric pain in this framework is vital, as preeclampsia is a serious condition that can threaten both the mother and fetus if not identified and managed promptly. The necessity for clinical intervention becomes heightened when a pregnant individual presents with such symptoms, particularly if they are also experiencing other signs of severe preeclampsia, such as elevated blood pressure or significant proteinuria.

While epigastric pain can indeed manifest in normal pregnancy or as part of third-trimester discomfort, it is less common, and its association with severe preeclampsia warrants immediate evaluation to rule out complications. Therefore, linking epigastric pain to a more serious etiology emphasizes the importance of thorough assessment in pregnant patients, particularly when their symptoms may signal a significant pathological