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35 Possible Causes for Amylase Increased, Bilious Vomiting, Constipation

  • Small Bowel Obstruction

    They presented with abdominal pain and bilious vomiting, with no medical or surgical history.[] CASE: A 29-year-old woman presented to the emergency department with abdominal pain, constipation, nausea, and vomiting.[] A 45-year-old woman presented to emergency services with severe pain in abdomen and bilious vomiting in the past 2 days, having a history of abdominal hysterectomy 10 years[]

  • Intestinal Obstruction

    Bilious vomiting is often a presenting feature of upper intestinal obstruction in newborn.[] She developed persistent non-bilious vomiting that was associated with constipation soon after birth.[] Increased serum amylase indicates bowel infarction, secondary pancreatitis, and leakage of pancreatic amylase into the peritoneum and bloodstream.[]

  • Ileus

    RESULTS: The levels of the hemo diastase and urinary amylase in both groups were decreased prominently after treatment.[] Failure to pass meconium (stool) may lead to bilious vomiting and abdominal distention.[] Nonselective μ-opioid receptor antagonists reverse constipation and opioid-induced ileus but cross the blood-brain barrier and may reverse analgesia.[]

  • Intestinal Pseudo-Obstruction

    Ten neonates presented with abdominal distension and bilious vomiting and an abdominal x ray suggestive of distal bowel obstruction.[] The diagnosis was intestinal pseudo-obstruction secondary to persistent constipation due to lanthanum carbonate.[] Patient III.7, a man born in 1976, had suffered from recurrent pancreatitis since the age 13 (abdominal pain, increases in amylase and lipase serum levels).[]

  • Acute Pancreatitis

    This 2-year-old boy was first hospitalized for bilious vomiting and moderate back pain.[] Other symptoms include vomiting, constipation and pyrexia. Two main causes - alcohol abuse and gall stone disease – account for the majority ( 80 %) of cases.[] Lab Increased amylase, increased lipase. Management Supportive bowel rest with parenteral nutrition.[]

  • Acute Cholecystitis

    Patient has had intermittent vomiting since the pain started. Non bilious, non-bloody.[] […] intestinal interposition between the liver and diaphragm, whereas Chilaiditi syndrome describes the presence of accompanying clinical symptoms including abdominal pain, constipation[] More marked increases, especially if lipase (amylase is less specific) is elevated 2-fold, suggest bile duct obstruction.[]

  • Ischemic Bowel Disease

    Case Presentation A full term previously healthy 5 month old male infant presented with sudden onset non-bloody, non-bilious vomiting associated with feeds, fever, and lethargy[] He declined to eat and reported constipation.[] However, over the past 2 days the patient had developed constant pain of severe intensity that was also associated with episodes of bilious vomiting.[]

  • Penetrating Duodenal or Gastric Ulcer

    After resective surgery, up to 30% of patients have significant symptoms, including weight loss, maldigestion, anemia, dumping syndrome, reactive hypoglycemia, bilious vomiting[] Side effects are uncommon; they include headache, diarrhea, constipation, nausea and rash.[] Diverticulae Polyps Juvenile Polyposis Polypectomy Heartburn Hiatus Hernia Ulcers Gastritis Laparoscopy Helicobacter Pylori Cirrhosis of the Liver Esophagus Varices Parasites Constipation[]

  • Paralytic Ileus

    Serum amylase may increase and hypoproteinemia can also be present ( Ruis-Tovar et al., 2010 ).[] Q.A women of 35-years, comes to emergency department with symptoms of pain in abdomen and bilious vomiting but no distension of bowel.[] Constipation was very troublesome and he often needed enema to prevent intestinal obstruction.[]

  • Tuberculous Peritonitis

    Most patients present with bilious vomiting in the first month of life because of duodenal obstruction or a volvulus.[] Commonly reported symptoms and signs are fever, ascites, abdominal pain, constipation, and diarrhea.[] […] organisms; increased amylase ; increased mononuclear cells and decreased glucose occur in tuberculous peritonitis Leukocytosis – up to 50,000/ul with 80-90% neutrophils ;[]

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