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21 Possible Causes for Chronic Abdominal Pain, Hypomagnesemia, Periumbilical Pain

  • Acute Pancreatitis

    […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[] Spangler, Acute, Recurrent, and Chronic Abdominal Pain, Problem‐Based Approach to Gastroenterology and Hepatology, (44-63), (2011). Martin J. Salwen, Haseeb A.[] Medical College, Ahmedabad, India, with complaints of severe chest pain, vomiting and abdominal pain. He was referred to the Department of Medicine.[]

  • Acute Hepatic Porphyria

    It arises when the gamut of tests and procedures has failed to identify a reason for the patient's chronic abdominal pain.[] Seizures can be a consequence of hyponatremia or hypomagnesemia, or be secondary to CNS involvement.[] […] cutaneous manifestations, notably extreme mechanical fragility of the skin, particularly areas exposed to the sunlight, and by episodes of abdominal pain and neuropathy.[]

  • Acute Intermittent Porphyria

    The abdominal pain is severe and lasts for several days. Severe abdomen pain of short ( 1 d) duration or chronic abdominal pain is unusual.[] Hyponatremia is the most common electrolyte abnormality during acute attacks, and hypomagnesemia is also common.[] […] often shows no abnormalities. [17] Hyponatremia is the most common electrolyte abnormality during acute attacks, occurring in 40% of patients and presenting as SIADH. [18] Hypomagnesemia[]

  • Ulcerative Colitis

    Signs and symptoms include abdominal pain, diarrhea, fever, weight loss, and intestinal hemorrhage. Chronic inflammation of the colon that produces ulcers in its lining.[] Condition Presentation Diagnosis Management Appendicitis [14] Abdominal pain, nausea, vomiting, fever Periumbilical pain, migrates to RLQ Clinical (history & physical exam[] Hypoalbuminemia (albumin 3.5 g/dL), hypokalemia (postassium 3.5 mEq/L), elevated alkaline phosphatase, and hypomagnesemia (magnesium, 1.5 mg/dL) will be looked for in a comprehensive[]

  • Nephrolithiasis

    A Caucasian man aged 25 years had sudden bilateral inguinal and occasional periumbilical pain.[] Serological evaluation revealed hypomagnesemia and hypocalcemia. Renal ultrasonography performed because of hematuria showed bilateral nephrolithiasis.[] […] nephrolithiasis/nephrocalcinosis, such as: idiopathic hypercalciuria, renal hypophosphatemia, renal tubular acidosis, idiopathic infantile hypercalcemia, Dent disease, familial hypomagnesemia[]

  • Portal Cirrhosis

    Budd-Chiari Syndrome Acute symptoms include hepatomegaly, RUQ abdominal pain, nausea, vomiting, ascites Chronic form present with the sequelae of cirrhosis and portal hypertension[] ) Splenomegaly Ascites Skin changes Generally dry and atrophic Lacquered lips, smooth red tongue Telangiectasia : most commonly spider angiomata Caput medusae : periumbilical[] Drugs known as proton pump inhibitors including pantoprazole can cause hypomagnesemia when used for a prolonged period.[]

  • Pancreatic Phlegmon

    To date, three controlled trials have shown that pancreatic enzymes decrease abdominal pain in 75% of patients with chronic pancreatitis.[] The pain is relieved by sitting forwards. The pain is accompanied by nausea and vomiting.[] Hypocalcemia and hypomagnesemia should be corrected intravenously. Likewise, elevated glucose levels should be managed with insulin.[]

  • Hypokalemia

    Acute appendicitis, characterized as periumbilical pain, migrating to the right iliac fossa, is one of the most common acute surgical conditions.[] chronic, mental and surgical conditions.[] BACKGROUND: Hypophosphatemia, hypomagnesemia, and hypokalemia occur in patients receiving parenteral nutrition (PN), mainly when the body's stores are depleted due to fasting[]

  • Pancreatitis

    Chronic abdominal pain is the primary reason that patients seek medical attention for this problem.[] A picture of severe abdominal pain in epigastrium and the periumbilical region, often irradiating to the back, nausea, and high serum amylase or lipase levels usually confirms[] Hypocalcemia and hypomagnesemia should be corrected intravenously. Likewise, elevated glucose levels should be managed with insulin.[]

  • Uterine Fibroid

    Another patient was pregnant when diagnosed, and was complaining only of periumbilical pain [ 6 ].[] Fibroid symptoms include: heavy, prolonged or erratic menstrual bleeding menstrual pain or cramping passing blood clots bloating abdominal enlargement constipation urinary[] […] by the excretion of large amounts of sodium, potassium, magnesium, and other solutes may cause hypokalemia, hyponatremia, hypernatremia (if free water is not provided), hypomagnesemia[]

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