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285 Possible Causes for Abdominal Tenderness, Gastric Pain, Hematochezia

  • Duodenal Ulcer

    Both types of ulcer cause pain, particularly gastric pain, climbing up to the esophagus. However, with a gastric ulcer, pain cannot be relieved by eating foods.[] The patient was admitted through the emergency department due to severe hematochezia and ongoing anemia; he presented with neither abdominal pain nor abdominal distension.[] His blood pressure was 154/65 mmHg and he had no abdominal tenderness.[]

  • Inflammatory Bowel Disease Type 1

    Intestinal abscesses (localized pockets of pus caused by a bacteria) can cause abdominal pain, tenderness, and fever.[] The patient experienced a history of diarrhea and hematochezia for 4 months, with abdominal pain for 1 month and additional nail and toenail loss for half a month.[] Other symptoms include: abdominal tenderness or swelling blood in the stool fatigue fever loss of appetite rectal bleeding stomach cramps weight loss Some symptoms do not[]

  • Gastric Ulcer

    Epigastric pain which occurs after meals is the most common symptom of gastric ulcers. Abdominal pain is the most common symptom of gastric ulcer.[] […] ulcer patients 1 most common cause of upper gastrointestinal tract hemorrhage variable presentation incidental: fecal occult blood positive test acute presentation: melena / hematochezia[] RESULTS: Of the 183 patients, 57 who were treated conservatively had less abdominal tenderness, lower levels of serum C-reactive protein, and shorter time to presentation[]

  • Gastritis

    When symptoms do occur, they may include anorexia nervosa, gastric pain, nausea, and vomiting.[] […] octreotide Stable patient: observation Unstable patient: consultation ( general surgery, gastroenterology, interventional radiology ) Lower GI Bleed [14] Abdominal pain, hematochezia[] The condition often causes abdominal pain and tenderness, nausea, and vomiting.[]

  • Peptic Ulcer

    Conclusions: The presence of co-morbidities, use of multiple drugs, albumin levels, and initial presentations with hematemesis/hematochezia can be indicators of rebleeding[] Gastric and Duodenal Ulcers 9. Duodenal Ulcers Pain occurs 2-4 hours after meals Pain wakes up patient Pain relieved by food Very little risk for malignancy 10.[] Generalized abdominal tenderness, rebound tenderness, board-like abdominal wall rigidity, and hypoactive bowel sounds (clinical signs of peritonitis) may be masked in older[]

  • Volvulus

    Patients typically show features of bowel obstruction (abdominal pain, distension, bilious vomiting) or of bowel ischemia and gangrene ( tachycardia, hypotension, hematochezia[] Figure 6a Perforated gastric volvulus in a 73-year-old man with abdominal pain.[] Physical examination revealed central abdominal tenderness but no clinical features of peritonism.[]

  • Cecal Adenocarcinoma

    (gastric pain, dyspepsia).[] Case report: An 18-year-old female Egyptian patient was admitted with hematochezia and remarkable anemia.[] Abdominal examination revealed tenderness in the right upper abdomen and rigidity of the abdominal wall with positive Murphy’s sign.[]

  • Acute Cholecystitis

    […] upper abdominal pain that improves with eating.[1] With a gastric ulcer, the pain may worsen with eating.[8] The pain is often described as a burning or dull ache.[1] Other[] Patient made NPO (nothing by mouth) IV fluids as needed Nasogastric tube placement General surgery consultation Pain control Upper GI bleed[14] Abdominal pain (epigastric), hematochezia[] On examination she had right mid-abdominal tenderness. Laboratory studies demonstrated leukocytosis with normal liver function tests.[]

  • Adenocarcinoma of the Colon

    An upper endoscopy showed a gastric ulcer with clean base, with no stigmata of recent bleeding.[] If there are symptoms, the following may indicate colon cancer: Abdominal pain and tenderness in the lower abdomen Blood in the stool Diarrhea, constipation, or other change[] Physical findings may include the following: Early disease: Nonspecific findings (fatigue, weight loss) or none at all More advanced disease: Abdominal tenderness, macroscopic[]

  • Ulcerative Colitis

    The patient achieved clinical remission again; however, gastric discomfort and muscle pain remained.[] Within two months, she was re-admitted to our hospital, presenting with hematochezia and lower abdominal pain. She was diagnosed with ulcerative colitis.[] Abdominal examination may reveal tenderness, distension or palpable masses.[]

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