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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.[ncbi.nlm.nih.gov] CASE: A 29-year-old woman presented to the emergency department with abdominal pain, constipation, nausea, and vomiting.[ncbi.nlm.nih.gov] 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[ncbi.nlm.nih.gov]

  • Intestinal Obstruction

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

  • Ileus

    RESULTS: The levels of the hemo diastase and urinary amylase in both groups were decreased prominently after treatment.[ncbi.nlm.nih.gov] Failure to pass meconium (stool) may lead to bilious vomiting and abdominal distention.[surgery4children.com] Nonselective μ-opioid receptor antagonists reverse constipation and opioid-induced ileus but cross the blood-brain barrier and may reverse analgesia.[ncbi.nlm.nih.gov]

  • Intestinal Pseudo-Obstruction

    Ten neonates presented with abdominal distension and bilious vomiting and an abdominal x ray suggestive of distal bowel obstruction.[doi.org] The diagnosis was intestinal pseudo-obstruction secondary to persistent constipation due to lanthanum carbonate.[revistanefrologia.com] 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).[em-consulte.com]

  • Acute Pancreatitis

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

  • Acute Cholecystitis

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

  • 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[pediatrics.aappublications.org] He declined to eat and reported constipation.[theexpertinstitute.com] However, over the past 2 days the patient had developed constant pain of severe intensity that was also associated with episodes of bilious vomiting.[amhsjournal.org]

  • 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[merckmanuals.com] Side effects are uncommon; they include headache, diarrhea, constipation, nausea and rash.[medicinenet.com] Diverticulae Polyps Juvenile Polyposis Polypectomy Heartburn Hiatus Hernia Ulcers Gastritis Laparoscopy Helicobacter Pylori Cirrhosis of the Liver Esophagus Varices Parasites Constipation[murrasaca.com]

  • Paralytic Ileus

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

  • Tuberculous Peritonitis

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

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