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58 Possible Causes for Chronic Abdominal Pain, Leukocytes Increased, Periumbilical Pain

  • Acute Pancreatitis

    Spangler, Acute, Recurrent, and Chronic Abdominal Pain, Problem‐Based Approach to Gastroenterology and Hepatology, (44-63), (2011). Martin J. Salwen, Haseeb A.[doi.org] […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[aafp.org] The expression levels of IL-6 and TNF-α mRNAs and proteins were significantly increased in leukocytes from AEP and ANP rats, compared with the levels in the control animals[ncbi.nlm.nih.gov]

  • 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.[ncbi.nlm.nih.gov] […] cutaneous manifestations, notably extreme mechanical fragility of the skin, particularly areas exposed to the sunlight, and by episodes of abdominal pain and neuropathy.[medical-dictionary.thefreedictionary.com] The second most common form, acute intermittent porphyria (AIP), is characterized by life-threatening attacks of severe abdominal pain, constipation, tachycardia, and neuropsychiatric[amboss.com]

  • 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.[medical-institution.com] Epigastric and colicky abdominal pain is severe and often lasts for several days but chronic abdominal pain is unusual.[symptoma.com] […] cutaneous manifestations, notably extreme mechanical fragility of the skin, particularly areas exposed to the sunlight, and by episodes of abdominal pain and neuropathy.[medical-dictionary.thefreedictionary.com]

  • Appendicitis

    Recurrent abdominal pain, chronic constipation and positive family history of appendectomy were more frequent in appendectomized children ( P 0.001).[doi.org] Snap Shot 24-year-old presents with nausea, vomiting, constipation, and periumbilical pain that settles in the lower right quadrant.[step2.medbullets.com] Doctors try to establish whether a patient may have appendicitis by measuring the number of white blood cells (leukocytes), which often increase from the normal count of between[britannica.com]

  • Small Bowel Obstruction

    Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[nurses.com] The clinical presentations varied, ranging from asymptomatic, chronic abdominal pain, or acute abdominal pain as acute abdomen.[ncbi.nlm.nih.gov] Causes for ileus include: abdominal or pelvic surgery infections, such as gastroenteritis or appendicitis some medications, including opioid pain medications electrolyte imbalances[healthline.com]

  • Choledocholithiasis

    A 79-year-old woman was admitted to our hospital with upper abdominal pain radiating through to the back in November 2016.[ncbi.nlm.nih.gov] A 67-years-old male presented with periumbilical abdominal pain, fever and jaundice. His anaerobic blood culture was positive for clostridium perfringens.[ncbi.nlm.nih.gov] View larger version (157K) Fig. 1 — 82-year-old woman with periumbilical pain and weight loss.[ajronline.org]

  • Embolic Mesenteric Infarction

    Chronic ischemia has a milder course: h/o of chronic abdominal pain which usually begins 15-30min after a meal, lasts for hours and it's due to increased O2 need in the GI[forums.studentdoctor.net] Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com] Laboratory findings are nonspecific: These include metabolic acidosis with elevated anion gap, increased lactate levels, and elevated leukocyte counts.[indjvascsurg.org]

  • Abdominal Visceral Abscess

    Patients with chronic abdominal pain are usually undertreated and underdiagnosed.[scielo.br] In dehydration the specific gravity of the urine may be increased, and the red cell and hemoglobin values increased as a result of hemoconcentration.[research.ece.ncsu.edu] . — Pancreatitis – Both acute and chronic pancreatitis are associated with abdominal pain that often radiates to the back.[medical-institution.com]

  • Mesenteric Infarction

    Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com] A 75-year-old woman with chronic atrial fibrillation presented to the hospital with a 2-day history of colicky abdominal pain.[nejm.org] Laboratory tests showed an increased leukocyte count of 12000 /µL with left shift (Neut: 87%).[ispub.com]

  • Acute Mesenteric Ischemia

    abdominal pain right after meal/ u recall angina pain that like pain with exertion) Dx; CBC/leukocytosis, Lactic/or metabolic ACIDOSIS, Amylase UP.[usmleforum.com] We present the case of an 84-year-old woman who presented to our emergency department complaining of an acute worsening of pre-existing abdominal periumbilical pain, nausea[ncbi.nlm.nih.gov] This was higher in older patients, those with increased leukocyte levels, increased elapsed time to laparotomy, and when the colon was involved.[ncbi.nlm.nih.gov]

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