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464 Possible Causes for Epigastric Pain, Melena

  • Acute Gastroenteritis

    Sometimes, myocardial infarction can appear as dyspepsia and epigastric pain. In children, abdominal pain may be the only presenting feature in pneumonia.[] Melena is not characteristic for AG, but may be observed if pathogens either penetrate deep into the intestinal wall or mechanically destroy its inner layers.[] Fatigabilitatea, scaderea in greutate, slabiciunea, hematemeza, melena si perturbarea defectatiei sunt de asemenea frecvente. Ciroza.[]

  • Malignant Neoplasm

    A 50-year-old female was referred to our hospital because of postprandial epigastric pain and pancreatic head mass.[] On admission, an elastic hard mass with tenderness was palpable in the epigastric region.[]

  • Meckel Diverticulum

    A 20-year-old male patient denying previous systemic disease and complaining of epigastric pain for 5 days came to our emergency department for help.[] It can cause melena, right lower quadrant pain, intussusception , volvulus , or obstruction near the terminal ileum.[] Keller, M.D. 1 Citing Article A 10-year-old boy presented to the emergency department with increasing periumbilical and epigastric pain after a 3-week period of intermittent[]

  • Acute Gastritis

    We report a 30-year-old researcher who became acutely ill with epigastric pain indicative of esophagitis or peptic ulcer disease.[] Signs of mild to massive upper GI bleeding, including melena or 'coffee ground' hematemesis, may also arise.[] Reported as presenting with sudden onset of epigastric pain, nausea, and vomiting, limited mucosal histologic studies demonstrate a marked infiltrate of neutrophils with edema[]

  • Duodenal Ulcer

    Typical symptoms of duodenal ulcers include epigastric pain, nausea, vomiting, chest pain and shortness of breath.[] A 48-year-old woman was admitted to our hospital due to melena. An upper endoscopy revealed a small ulcer with oozing adjacent minor papilla.[] After several days, melena and many blisters were noted on her body.[]

  • Gastric Adenocarcinoma

    A 58-year-old man with epigastric pain was referred to our hospital and underwent an esophagogastroduodenoscopy.[] A 60-year-old man who had a pain and distention in his upper abdomen presented melena. Gastroscopy and pathology revealed a gastric cancer.[] A 56-year-old woman presented with epigastric pain and weight loss. Endoscopy showed an irregular depressed hyperemic lesion covered with a whitish plaque on the cardia.[]

  • Gastric Ulcer

    An 81-year-old man presented with epigastric pain and weight loss for one month. He had a past history of pulmonary tuberculosis, 10 years ago.[] She presented with epigastric pain and melena after surgery.[] A 78-year-old Korean woman presented with epigastric pain for 3 months.[]

  • Esophagitis

    An eleven-year girl presented with uncontrolled type I diabetes mellitus and recurrent epigastric pain with vomiting. Her oral intake was satisfactory.[] , distensione addominale, reflusso gastroesofageo, stipsi, secchezza delle fauci, gastrite Stomatite, ulcerazione della bocca, emorragia gastrointestinale#, eruttazione, melena[] Postprandial distress syndrome (PDS) and epigastric pain syndrome (EPS) were defined according to the Rome III criteria.[]

  • Peptic Ulcer

    Signs and Symptoms of Peptic Ulcer Disease The most common symptom of peptic ulcer disease is burning pain in the upper center of the abdomen (called epigastric pain).[] Of all patients admitted for endoscopy, 147/649 (23%) had PUD with the main symptom of melena.[] In some other patients, generalised pain is described while epigastric pain is seen in rare cases.[]

  • Mallory-Weiss Syndrome

    Patients typically present with a history of epigastric pain and hematemesis .[] The Mallory-Weiss syndrome is characterized by repeated bouts of retching and/or vomiting followed by the sudden onset of hematemesis or melena.[] Symptoms and Signs of Mallory Weiss Syndrome Patients usually present with hematemesis with or without melena.[]

Further symptoms

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