Final answer:
Mid-epigastric pain relieved by eating may indicate a duodenal ulcer. Workup includes a thorough medical history, endoscopy, H. pylori testing, and possibly imaging. Treatment involves PPIs, antibiotics for H. pylori, antacids, and lifestyle changes.
Step-by-step explanation:
Mid-epigastric pain that improves with eating may be suggestive of a peptic ulcer, particularly a duodenal ulcer. The initial workup for this condition should involve a thorough history and physical examination, focused on gastrointestinal symptoms. Additional diagnostic tests may include an upper endoscopy, a test for Helicobacter pylori (breath, stool, or blood test), and possibly imaging studies like an upper GI series.
Treatment (txt) typically includes a combination of medications, such as proton pump inhibitors (PPIs) to reduce stomach acid production, antibiotics if Helicobacter pylori infection is present, and antacids to neutralize existing stomach acid and provide symptomatic relief. Lifestyle modifications, such as avoiding certain foods, drinks, and smoking, can also be beneficial in managing symptoms and promoting healing.