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14 Possible Causes for Chronic Abdominal Pain, Periumbilical Pain, Prerenal Azotemia

  • 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] Chronic pancreatitis is complicated by chronic abdominal pain that is difficult to manage, diabetes and its complications, chronic diarrhea from malabsorption, and frequent[clinicaladvisor.com]

  • 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]

  • Small Bowel Obstruction

    The clinical presentations varied, ranging from asymptomatic, chronic abdominal pain, or acute abdominal pain as acute abdomen.[ncbi.nlm.nih.gov] Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[nurses.com] The only RCT on laparoscopic adhesiolysis assessed the incidence of chronic abdominal pain after randomization to laparoscopic adhesiolysis or no treatment during diagnostic[wjes.biomedcentral.com]

  • Intestinal Obstruction

    Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[nurses.com] Clinical manifestations were precedent and chronic abdominal pain, distension and constipation, and later numbness and weakness of lower and upper limbs.[ncbi.nlm.nih.gov] Prerenal azotemia Acidosis (arterial blood gas or serum lactate measurement) may be seen in strangulation Hyperkalemia can be a sign of bowel necrosis Serum pancreatic enzymes[clinicaladvisor.com]

  • Acute Peritonitis

    The classical presentation consists of periumbilical pain (referred) which within a day or later localises to McBurney point with associated fever, nausea and vomiting 2 .[radiopaedia.org] pain and distension, vomiting, and fever.[britannica.com] Midgut structures (small bowel, proximal colon, and appendix) cause periumbilical pain. Hindgut structures (distal colon and GU tract) cause lower abdominal pain.[msdmanuals.com]

  • Campylobacter Enteritis

    The acute illness is characterized by cramping, periumbilical abdominal pain, and diarrhea. Patients frequently report ten or more bowel movements per day [ 4 ].[uptodate.com] These included chronic diarrhea without significant systemic manifestations; asymptomatic bloody stools, particularly in neonates; and fever and abdominal pain without diarrhea[ncbi.nlm.nih.gov] There were the usual clinical presentations (acute onset of diarrhea, fever, abdominal pain, and bloody stools) of Campylobacter enteritis, but other, less common, patterns[ncbi.nlm.nih.gov]

  • Lead Poisoning

    Renal effects Renal injury that appears after acute high-dose lead exposure may include reversible deficits in proximal tubular reabsorption and prerenal azotemia induced[doi.org] Chronic lead poisoning in children may cause intellectual disability, seizure disorders, aggressive behavior disorders, developmental regression, chronic abdominal pain, and[merckmanuals.com] A 66-year-old man was admitted for periumbilical pain and constipation.[ncbi.nlm.nih.gov]

  • Malignant Carcinoid Syndrome

    Because the combination of chronic diarrhea and abdominal pain that aggravates after food ingestion is also typical for irritable bowel syndrome, MCS patients have repeatedly[symptoma.com] He first sought medical care due to sharp periumbilical pain, profound loss of appetite, and nausea.[healio.com] pain and chronic constipation alternating with diarrhea.[healio.com]

  • Volvulus

    Recurrent, intermittent periumbilical or epigastric pain occurring after ingestion of a meal with severity out of proportion to clinical examination is an important clinical[ncbi.nlm.nih.gov] In the presence of an elongated splenic pedicle, torsion of the spleen or neighboring organs may occur, which results in acute or chronic abdominal pain.[ncbi.nlm.nih.gov] Laboratory studies demonstrated leukocytosis, hypokalemia, and prerenal azotemia.[casesjournal.com]