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20 Possible Causes for Bicarbonate Decreased, Coffee Ground Emesis, Dysphagia

  • Gastropathy

    Thus, inhibition of COX by NSAIDs reduces prostaglandin synthesis, thereby diminishing mucosal blood flow and decreasing mucus and bicarbonate secretion.[emedicine.medscape.com] The patient referred diffuse abdominal cramps and episode of coffee-ground emesis in the last 3-4 h.[scielo.mec.pt] […] gastritis and gastroenteritis may affect all age groups and present with failure to thrive (in children), abdominal pain, irritability, gastric dysmotility, vomiting, diarrhoea, dysphagia[cmej.org.za]

  • Esophageal Ulcer

    In turn, less prostaglandin E was available to promote bicarbonate and mucus secretion, which are protective of the gastrointestinal mucosa [ 12 ].[bmcpediatr.biomedcentral.com] Esophageal involvement of multiple myeloma should be kept in mind in patients presenting with dysphagia.[ncbi.nlm.nih.gov] Odynophagia, retrosternal chest pain and dysphagia were the usual presenting symptoms. The typical endoscopic finding was that of discrete ulcers in the mid-esophagus.[ncbi.nlm.nih.gov]

  • Diaphragmatic Hernia

    Hypoxia (oxygen saturation Treatment includes increased oxygen delivery (100% oxygen), decreasing the PCO2 and treating acidosis with sodium bicarbonate (0.5-1 mEq/kg) for[clinicalpainadvisor.com] Granderath FA, Schweiger UM, Kamolz T, Pointner R (2005) Dysphagia after laparoscopic antireflux surgery: a problem of hiatal closure more than a problem of the wrap.[link.springer.com]

  • Gastric Ulcer

    Gastrin stimulates parietal cell proliferation and increased parietal cells along with decreased somatostatin leads to acid hypersecretion.[courses.washington.edu] Bleeding may be manifested by emesis of bright red blood or of coffee-ground vomitus, and by tarry feces.[medical-dictionary.thefreedictionary.com] However NICE guidelines now suggest that a referral for urgent OGD should be done for patients presenting with either: New-onset dysphagia Aged 55 years with weight loss and[teachmesurgery.com]

  • Duodenal Ulcer

    […] mucus, bicarbonate secretion and prostaglandins (12).[scielo.br] emesis or melena.[clinicaladvisor.com] 56 year-old woman with dysphagia (difficulty swallowing) and odynophagia (painful swallowing).[endoatlas.com]

  • Acute Gastritis

    bicarbonate buffer, reduced blood flow, disruption of mucous layer Gross images Images hosted on other servers: Various images Microscopic (histologic) description Mild:[pathologyoutlines.com] (Acute gastritis) Introduction Presentation Symptoms recurrent upper abdominal pain hematemesis ( coffee ground emesis ) Evaluation Endoscopy with biopsy gold standard H.[step1.medbullets.com] “Alarm features" that warrant prompt gastroenterology referral [1] include bleeding, anemia, early satiety, unexplained weight loss, progressive dysphagia or odynophagia,[emedicine.com]

  • Peptic Ulcer

    Gastrin stimulates parietal cell proliferation and increased parietal cells along with decreased somatostatin leads to acid hypersecretion.[courses.washington.edu] Bleeding may be manifested by emesis of bright red blood or of coffee-ground vomitus, and by tarry feces.[medical-dictionary.thefreedictionary.com] Difficulty swallowing (dysphagia). Jaundice. Abdominal mass. Other tests that may be done include: Fecal occult blood test (FOBT).[cigna.com]

  • Gastroesophageal Reflux Disease

    Cigarette smoking can reduce the LES pressure[ 117 – 119 ] and decrease salivary bicarbonate secretion, thus reducing the physiological neutralizing effect of saliva on intraesophageal[doi.org] Outcomes selected were recurrent or persistent postoperative dysphagia and an abnormal 24-hour pH test result.[ncbi.nlm.nih.gov] […] secretion of bicarbonate by esophageal submucosal glands and attenuated ability of the cells lining the esophagus to resist acid injury. 1 Diagnosis CLINICAL PRESENTATION[aafp.org]

  • Cushing Ulcer

    Corticosteroids significantly increase the risk of gastric ulceration by decreasing the production of gastric mucus and gastric bicarbonate, both factors that protect against[tp.amegroups.com] Boerhaave syndrome Caustic injury to the esophagus Chagas disease Diffuse esophageal spasm Esophageal atresia and Tracheoesophageal fistula Esophageal cancer Esophageal dysphagia[howlingpixel.com] Support for a pathogenic role for smoking comes from the finding that smoking may accelerate gastric emptying and decrease pancreatic bicarbonate production.[emedicine.medscape.com]

  • Respiratory Muscle Paralysis

    Power was decreased and reflexes were sluggish. The haemoglobin was normal.[jpma.org.pk] emesis.[acgcasereports.gi.org] General Headache 48% 27% 47% 94% 44% Altered mental status 74% 75% 46% 56% 62% Weakness 48% 41% 56% 47% 48% Central Nervous System Dysfunction Facial palsy 17% 11% — — 13% Dysphagia[clevelandclinicmeded.com]

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