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19 Possible Causes for Abdominal Pain Worsens after Meals, Leukocytes Increased, Periumbilical Pain

  • Appendicitis

    Snap Shot 24-year-old presents with nausea, vomiting, constipation, and periumbilical pain that settles in the lower right quadrant.[step2.medbullets.com] Doctors try to establish whether a patient may have appendicitis by measuring the number of white blood cells (leukocytes), which often increase from the normal count of between[britannica.com] Symptoms and Signs The classic acute appendicitis symptoms are Epigastric or periumbilical pain followed by brief nausea, vomiting, and anorexia After a few hours, the pain[merck.com]

  • Acute Pancreatitis

    […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[aafp.org] The expression levels of IL-6 and TNF-α mRNAs and proteins were significantly increased in leukocytes from AEP and ANP rats, compared with the levels in the control animals[ncbi.nlm.nih.gov] Gluud, Infection increases mortality in necrotizing pancreatitis: A systematic review and meta-analysis, Pancreatology, 16, 5, (698), (2016).[doi.org]

  • Small Bowel Obstruction

    Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[nurses.com] Pain subsides as motility decreases but guarding, rebound and referred pain signal peritonitis. Fluid balance Assess intake and output and vital signs .[nurses.com]

  • Mesenteric Vein Thrombosis

    A 76-year-old Caucasian man presented with acute onset of intense periumbilical abdominal pain associated with nonbloody diarrhea.[accesssurgery.mhmedical.com] […] and lower abdominal pain for 1 week.[mdedge.com] […] patients with MVT. 1 Peritoneal signs and bloody stools portend poor outcomes, as they often occur with disease progression. 4 Case A 26-year-old man presented to the ED with periumbilical[mdedge.com]

  • Abdominal Visceral Abscess

    Distal duodenum diseases induce pain in the periumbilical region 1.[scielo.br] An elevated blood leukocyte count in excess of 12,000 with a predominance of polymorphonuclear forms is often present.[anaerobicinfections.blogspot.com] In dehydration the specific gravity of the urine may be increased, and the red cell and hemoglobin values increased as a result of hemoconcentration.[research.ece.ncsu.edu]

  • Choledocholithiasis

    A 67-years-old male presented with periumbilical abdominal pain, fever and jaundice. His anaerobic blood culture was positive for clostridium perfringens.[ncbi.nlm.nih.gov] View larger version (157K) Fig. 1 — 82-year-old woman with periumbilical pain and weight loss.[ajronline.org]

  • Acute Mesenteric Ischemia

    We present the case of an 84-year-old woman who presented to our emergency department complaining of an acute worsening of pre-existing abdominal periumbilical pain, nausea[ncbi.nlm.nih.gov] This was higher in older patients, those with increased leukocyte levels, increased elapsed time to laparotomy, and when the colon was involved.[ncbi.nlm.nih.gov] Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com]

  • Acute Cholecystitis

    64 yo female presents to the emergency department with periumbilical pain that was first noted yesterday after a meal. The pain subsequently moved to the RLQ.[ultrasoundoftheweek.com]

  • Abdominal Angina

    pain that worsened after meals.[scielo.br] Location epigastric pain can come from the stomach, duodenum, or pancreas. right upper quadrant pain can come from the biliary tree or liver (cholecystitis) periumbilical[sharinginhealth.ca] Accompanying anxiety symptoms: • Temperature • Leukocytosis – increase of leukocytes in the blood • Nausea and vomiting • Constipation and lack of gas • Peritonizam – hardening[myhealth-guide.org]

  • Ulcerative Colitis

    Condition Presentation Diagnosis Management Appendicitis [14] Abdominal pain, nausea, vomiting, fever Periumbilical pain, migrates to RLQ Clinical (history & physical exam[en.wikipedia.org] There is a strong correlation with histocompatibility human leukocyte antigen, (HLA)-B27 but the risk of having ulcerative colitis is not increased by having HLA-B27.[symptoma.com] . [16] This phenomenon may also contribute to the increased cancer risk.[emedicine.com]

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