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42 Possible Causes for Chronic Abdominal Pain, Periumbilical Pain, Tenderness in the Epigastric Region

  • Acute Pancreatitis

    LMP: 2072/05/29 G/C: Agonized; Lying still on bed Pallor: Present; Icterus: Absent P/A: Guarding present Tenderness Diffuse but more marked on Epigastric region and Left Iliac[epomedicine.com] 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

    Chronic abdominal pain is the major symptom of chronic pancreatitis.[cochrane.org] abdominal pain in children.[ncbi.nlm.nih.gov] […] a debilitating disease that can result in chronic abdominal pain, malnutrition, and other related complications.[ncbi.nlm.nih.gov]

  • Pancreatic Pseudocyst

    Physical examination revealed tenderness in the epigastric and umbilical regions. Intestinal sounds were normal.[ncbi.nlm.nih.gov] The patient's chronic abdominal pain was likely due, at least in part, to the development of a pseudocyst.[casesjournal.biomedcentral.com] A 50 year old male with a history of chronic alcoholic pancreatitis, presented with abdominal pain for 3 months, worsening over the past several days.[ncbi.nlm.nih.gov]

  • Cholelithiasis

    Tension around pubic bone Periumbilical pain Urinary difficulty T: Moist C: White and slippery P: Superficial and wiry Treatment Principle Disperse Clumping Harmonize the[americandragon.com] pain Case 10: Back pain Case 11: Dark stools Case 12: Chest pain Case 13: Chest pain Case 14: Chest pain Case 15: Chronic abdominal pain Case 16: Trouble sleeping Case 17[amboss.com] […] pancreatitis -Abdominal pain not relieved by food/antacids -Weight loss, constipation, jaundice, dark urine Why is medication give PO to pt with chronic pancreatitis given[quizlet.com]

  • Pancreatic Abscess

    On admission, an elastic hard mass with tenderness was palpable in the epigastric region.[ncbi.nlm.nih.gov] The patient, a heavy drinker of alcohol, underwent surgical decompression of a ductal obstruction to relieve persistent abdominal pain due to severely calcifying chronic pancreatitis[ncbi.nlm.nih.gov] The sequence is typical: periumbilical or epigastric reference of pain at onset, followed by a shift to the right lower quadrant after a few hours.[atsu.edu]

  • Acute Cholecystitis

    The physical examination may reveal fever, tachycardia, and tenderness in the RUQ or epigastric region, often with guarding or rebound.[emedicine.com] chronic cholecystitis.[ncbi.nlm.nih.gov] 64 yo female presents to the emergency department with periumbilical pain that was first noted yesterday after a meal. The pain subsequently moved to the RLQ.[ultrasoundoftheweek.com]

  • Ventral Hernia

    Hernia repair, use of mesh, and chronic abdominal pain are discussed.[ncbi.nlm.nih.gov] Bisgaard Hernia. 2014; 3 Chronic abdominal pain after ventral hernia due to mesh migration and erosion into the sigmoid colon from a distant site: a case report and review[journalofmas.com] Millas SG, Mesar T, Patel RJ (2015) Chronic abdominal pain after ventral hernia due to mesh migration and erosion into the sigmoid colon from a distant site: a case report[insightsimaging.springeropen.com]

  • Ovarian Cyst

    A large abdominal mass was visible and palpable in the periumbilical and epigastric regions.[ncbi.nlm.nih.gov] Irregular menstrual periods A feeling of lower abdominal or pelvic pressure or fullness Chronic pelvic pain or low back pain throughout the menstrual cycle Pelvic pain following[emedicinehealth.com] This may be intermittent, or can be severe, sudden, and sharp Irregular menstrual periods A feeling of lower abdominal or pelvic pressure or fullness Chronic pelvic pain or[emedicinehealth.com]

  • Gallbladder Carcinoma

    […] mass in the right upper quadrant (Courvoisier sign, if this is due to a palpable gallbladder) Periumbilical lymphadenopathy (Sister Mary Joseph nodes) Left supraclavicular[clinicaladvisor.com] Moreover, of the 4 cases with preoperative suspicion of cancer, only 2 patients presented abdominal pain, and the other cases had no associated symptoms.[elsevier.es] Symptoms Abdominal pain more diffuse and persistent than the classic right upper quadrant pain of gallstone disease Jaundice Anorexia Weight loss Signs Jaundice Ascites Palpable[clinicaladvisor.com]

  • Abdominal Muscle Strain

    Furthermore, abdominal wall pain is often chronic, nagging and nonprogressive.[aafp.org] Abdominal wall tenderness: a useful sign in chronic abdominal pain. Br J Surg. 1991;78:223–5. 5. Greenbaum DS, Greenbaum RB, Joseph JG, Natale JE.[aafp.org] Without treatment, this injury can result in chronic, disabling pain that prevents you from resuming sports activities.[orthoinfo.aaos.org]