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845 Possible Causes for Abdominal Pain, Melena

  • Esophagitis

    Presenting symptoms may vary from feeding refusal, gagging, and/or vomiting in the younger population, dysphagia, chest pain, and abdominal pain in adolescents, as well as[] These include swallowing- and nonswallowing-associated pain in adulthood. In children, EoE symptoms vary with age and include vomiting, abdominal pain, and dysphagia.[] EoE is characterized by eosinophilic inflammation of the esophagus causing gastrointestinal symptoms such as abdominal pain, vomiting, reflux, dysphagia, and food impactions[]

  • Chronic Alcoholism

    Hematemesis and melena: Mallory-Weiss syndrome. Tokai J Exp Clin Med. 1980 Jul;5(3):289-92.[] Pain and Hematochezia Bridging the Gap Challenge Yourself Interactive Medical Cases Image Challenge Videos in Clinical Medicine View all learning/CME Other NEJM Group Learning[] Hematemesis and melena: Mallory-Weiss syndrome. Tokai J Exp Clin Med. 1980;5:289-292.[]

  • Duodenal Ulcer

    A 48-year-old woman was admitted to our hospital due to melena. An upper endoscopy revealed a small ulcer with oozing adjacent minor papilla.[] Peptic ulcers are eroded areas in the lining of stomach and duodenum, which result in abdominal pain, possible bleeding, and other gastrointestinal symptoms.[] After several days, melena and many blisters were noted on her body.[]

  • Acute Gastritis

    The most common symptoms of gastritis are pain or upper abdominal discomfort.[] Signs of mild to massive upper GI bleeding, including melena or 'coffee ground' hematemesis, may also arise.[] In moderate to severe cases, patient presents with epigastric pain, nausea, vomiting, haematemesis and melena.[]

  • Gastric Ulcer

    She presented with epigastric pain and melena after surgery.[] This patient's abdominal pain was initially thought to be attributable to a lower digestive tract process and her anemia was insidious in onset but progressive.[] The patient in this case presented with shoulder pain and melena, caused by a gastropericardial fistula that had occurred as a late complication of postoperative esophagogastrostomy[]

  • Gastrointestinal Neoplasm

    Peutz-Jeghers syndrome is diagnosed on the basis of family history, pigmented spots, and cramping abdominal pain.[] […] malignancies Usually older adults, median age 60 - 65 years; 1% occur in children Male female incidence Symptoms: abdominal pain, gastric outlet obstruction, mass effect, melena[] Massive hematemesis or melena is uncommon, but secondary anemia may follow occult blood loss.[]

  • Erosive Gastritis

    His melena disappeared, and the gastric erosions were markedly decreased.[] Twenty-four patients presented with abdominal pain, for which no cause other than chronic erosive gastritis was found in 20 patients.[] Absence of abdominal pain. Gastroscopy showed an axial hernia and a small ulceration in the antrum ventriculi.[]

  • Alcoholic Gastritis

    The symptoms may include: burning abdominal pain, nausea, vomiting or even vomiting blood. It can be made worse by a poor diet.[] Often, the first sign is hematemesis, melena, or blood in the nasogastric aspirate, usually within 2 to 5 days of the inciting event.[] It can occasionally be severe enough to cause gastrointestinal bleeding with melena or hematemesis (see above).[]

  • Mesenteric Infarction

    Other manifestations such as vomiting not responding to antiemetics, severe abdominal pain, nausea, melena, hematochezia, and diarrhea should raise red flags to suggest AMAE[] Intestinal ischaemia is an important part of the differential diagnosis in patients with ulcerative colitis presenting with abdominal pain.[] In particular they were more likely to have abdominal pain and distention and less likely to be confused.[]

  • Cecal Adenocarcinoma

    Center: Large cecal carcinoma in a 91 year-old woman with weight loss, anemia and an episode of melena; she also had a large villous adenoma in the left colon.[] Patients usually present with small bowel obstruction and abdominal pain in their sixth or seventh decade of life.[] Dark, tarry stools (melena): When bleeding occurs in the cecum and ascending colon, it usually causes black stools that can appear tar-like, rather than the bright red blood[]

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