abdominal pain presented by: jesse ellis. definition abdominal pain is pain that you feel anywhere...
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Abdominal PainPresented by:Jesse Ellis
DefinitionAbdominal pain is pain that you feel anywhere between your chest and groin.
Alternative names include:Stomach pain Belly ache
CharacteristicsAbdominal pain can be sharp, dull, stabbing, cramp-like, knifelike, twisting, or piercing. Many other types of pain are possible. Abdominal pain can be brief, lasting for a few minutes, or it may persist for several hours and longer. Sometimes abdominal pain comes on strongly for a while and then lessens in intensity for a while. Sometimes abdominal pain can hurt so much that the patient may throw up, with no respite in the pain. Other times, vomiting eases the pain. Abdominal pain can make the patient want to stay in one place and not move a muscle. Or the pain can make them so restless they want to pace around trying to find "just the right position." Source: Abdominal Pain in Adults
CausesExcessive GasLactose IntoleranceIBSIndigestion/HeartburnGastroesophageal Reflux (GERD)CholecystitisAppendicitisBowel ObstructionFood AllergyFood PoisoningHerniaViral GastroenteritisKidney StonesUTIPancreatitisIntussusceptionDissecting Aortic AneurysmParasite Infection (Giardia)Sickle Cell CrisisChrons DiseaseUlcerative ColitisEndometriosisUterine Fibroids & cystsPolycystic Kidney Disease
The Fantastic 4
Right Upper Quadrant PainDiagnosisCholecystitisHepatitis (all forms)Liver CancerChlamydiaCirrhosis
CholecystitisInflammation of the gallbladder wall.Symptoms:Pain Nausea Chronic pain Feels hot to touch
HepatitisHepatitis ASymptoms:Loss of appetite Body ache Pain Headache
Hepatitis BSymptoms:Loss of appetite Pain Abdominal pain Ascites
Hepatitis continuedHepatitis CSymptoms:Vomiting Joint pain Itching Body ache
Hepatitis D aka Delta AgentSymptoms:Loss of appetite Body ache Abdominal pain Pain
Liver CancerHigh mortality rate2 Types:PrimaryMetastaticSymptoms:Back pain Gastrointestinal bleeding Fever Shoulder pain
ChlamydiaMost commonly sexually transmitted; it is a disease caused by the bacteria Chlamydia trachomatis. Symptoms:Loss of appetite Weight loss Discharge from anus Fertility problem
CirrhosisScarring of the liver and poor liver function as a result of chronic liver disease.Symptoms:Blood in stool Swollen feet Problem getting an erection Cannot sustain an erection Source: Healthline.com
Left Upper Quadrant Pain DiagnosisSplenomegalyHiatal HerniaGastritisGastric CarcinomaCascade Stomach (congenital & rare)Gastric Ulcer
Source: Healthline.com & Wrongdiagnosis.com
SplenomegalySymptoms:Inability to eat a large mealPain on the upper left side of the abdomenHiccups
Hiatal Hernia2 Types:Sliding (M/C)Para-esophageal
Leads to GERDAssociated symptoms:heartburn regurgitation nausea
GastritisInflammation of the stomach lining.Symptoms:Nausea or recurrent upset stomach Abdominal bloating Abdominal pain Vomiting Indigestion Burning or gnawing feeling in the stomach between meals or at night Hiccups Loss of appetite Vomiting blood or coffee ground-like material Black, tarry stools
Gastric CarcinomaMore likely w/familial historySymptoms: (Often not due to the cancer)Discomfort or pain in the stomach areaDifficulty swallowingNausea and vomitingWeight lossFeeling full or bloated after a small mealVomiting blood or having blood in the stool
Gastric UlcerSymptoms:Gastric ulcers generally cause a dull aching pain, often right after eating. Making a meal can often cause an increase in pain Eating will not relieve pain as is the case with other types of ulcers Indigestion and heartburn, or acid reflux Nagging pain in the upper abdomen area below your breastbone Episodes of nausea A noticeable loss of appetite Unplanned weight loss Another less common symptom of a gastric ulcer is that about 3 in every 10 people are woken up at night by dull ulcer pains this usually happens 3- 4 hours after eating.
Left Lower Quadrant PainDiagnosisIntussusceptionSigmoid Colon DiverticulitisIschemic Colitis
IntussusceptionMostly occurs in babies.Symptoms:Severe abdominal colic Screaming infant Vomiting Blood in feces Bowel obstruction Source: Wrongdiagnosis.com
Sigmoid Colon DiverticulitisRupture of the colon diverticuliSymptoms:abdominal crampingconstipationdiarrhea
Ischemic ColitisInflammation to part of the colon that can lead to permanent damage.Symptoms:Abdominal pain, tenderness or cramping, usually localized to the lower left side of your abdomen; the onset can be sudden or gradual Low-grade fever Bright red or maroon-colored blood in your stool or, at times, passage of blood without stool A feeling of urgency to move your bowels Diarrhea Nausea Vomiting Source: MayoClinc.com
Right Lower Quadrant PainDiagnosisAppendicitisMeckel DiverticulitisTuberculosis Infection of Terminal IleumWhipple DiseaseCecal Diverticulitis
AppendicitisSymptoms:Initially diffuse, poorly localized painLoss of appetiteNauseaVomiting
Meckel DiverticulitisOccurs mostly in children under 10 years of age.Symptoms:Rectal bleedingPain & vomitingTirednessWeakness
Tuberculosis Infection of Terminal IleumPathologically GI TB is characterized by inflammation and fibrosis of the bowel wall and the regional lymph nodes. Mucosal ulceration results from necrosis of Peyer patches, lymph follicles, and vascular thrombosis. At this stage of the disease, the changes are reversible and healing without scarring is possible. As the disease progresses, the ulceration becomes confluent, and extensive fibrosis leads to bowel wall thickening, fibrosis, and pseudotumoral mass lesions. Strictures and fistulae formation may occur. Source: emedicine.medscape.com
Tuberculosis Infection of Terminal IleumOn gross pathologic examination, intestinal TB can be classified into 3 categories: The ulcerative form of TB is seen in approximately 60% of patients. Multiple superficial ulcers are largely confined to the epithelial surface. This is considered a highly active form of the disease, with the long axis of the ulcers perpendicular to the long axis of the bowel.The hypertrophic form is seen in approximately 10% of patients and consists of thickening of the bowel wall with scarring; fibrosis; and a rigid, masslike appearance that mimics that of a carcinoma.The ulcerohypertrophic form is a subtype seen in 30% of patients. These patients have a combination of features of the ulcerative and hypertrophic forms.Source: emedicine.medscape.com
Chronic ileocaecal tuberculosisSource: emedicine.medscape.com
Whipple DiseaseWhipple's disease is a rare bacterial infection that most often affects your gastrointestinal system. Whipple's disease interferes with normal digestion, impairing the breakdown of foods, such as fats and carbohydrates, and hampering your body's ability to absorb nutrients. In addition to affecting your intestinal tract, Whipple's disease can infect other organs, including your brain, heart, joints and eyes.Source: MayoClinic.com
Whipple DiseaseCommon Symptoms:DiarrheaAbdominal cramping & painWeight loss
Whipple DiseaseLess Common Symptoms:Low-grade fever Cough Enlarged lymph nodes Skin darkening (hyperpigmentation) in areas exposed to the sun and in scars Discomfort while breathing, due to inflammation of the membranes lining your lungs (pleurisy) Heart murmurs Enlarged spleen
Neurologic Symptoms:Difficulty walking Visual impairment, including lack of control of eye movements Seizures Confusion Memory loss
Bilateral Upper ConditionsAcute PancreatitisPolycystic Kidney Disease
Acute PancreatitisInflammation of the pancreas.
Symptoms:Abnormal heart rhythms Epigastric pain Aversion to food or drink Abdominal pain radiating to the back
Polycystic Kidney DiseaseHereditarySymptoms:High blood pressure Back or side pain related to enlarged kidneys Headache Increase in the size of your abdomen Blood in your urine Frequent urination Kidney stones Kidney failure Urinary tract or kidney infections Source: MayoClinic.com
Normal Vs. Polycystic Kidney
Bilateral Lower ConditionsOvarian problemsAbdominal Aortic AneurysmDissecting AASpine & Pelvic problems
Ovarian ProblemsCysts (congenital)TumorsMumpsEndometriosisOophritisSalpingitisEctopic PregnancySource: Wrongdiagnosis.com
AAAOften symptomless.A deep, boring pain may be present.Felt mainly in the middle of the abdomen.Steady pain that can be relieved by changing position.May produce abdominal pulsations.Is often found incidentally w/ Ultrasound or CT.
Dissecting AAOccurs when a longitudinal split appears in the lining of the aorta that separates the middle layer from the intact outer layer.3X more common in men.More common in black men.Less common among Asians. occur in people between 40 & 70 yoa.Often fatal.
Spine & Pelvic ProblemsThoracic Disc BulgeCan be confused w/ cholecystitis and appendicitis.Pelvic Inflammatory DiseaseAbdominal pain may be accompanied by abnormal uternine bleeding, unusual/heavy vaginal discharge, & painful urination & sexual intercourse.Other symptoms include fever, nausea, and vomiting.Sources: vancouverspinedoctor.com & emedicinehealth.com
ConsultWhat type of pain are you experiencing? Is the pain throughout your abdomen or is it confined to a particular area? Where in your abdomen does the pain seem to be located? What type of pain are you experiencing? Is it stabbing and severe? Is it a dull ache? When does the pain occur? Always? More often in the morning or at night? If the pain comes and goes, about how long does it last each time? Does it occur after eating certain types of foods or after drinking alcohol? During menstruation?
ConsultHow long have you had this pain? Does the pain also radiate in your lower back, shoulder, groin or buttocks? Are you currently taking any medications or herbal supplements? Are you pregnant? Does any activity such as eating or lying on one side relieve the pain? Have you been injured recently?