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96 Possible Causes for Hyperactive Bowel Sounds, Lower Abdominal Pain

  • Acute Gastroenteritis

    Lower abdominal pain could be appendicitis or sigmoid diverticulitis, or it could have a gynecologic or urologic cause.[] Mid-abdominal pain could be a sign of intestinal obstruction or mesenteric ischemia.[] Upper abdominal pain could be acute cholecystitis, pancreatitis, or a perforated ulcer.[]

  • Small Bowel Obstruction

    A 66-year-old man presented to the emergency department complaining of lower abdominal pain with nausea and vomiting.[] Her physical exam reveals hyperactive bowel sounds, diffuse abdominal tenderness and distention. An abdominal x-ray is shown below.[] On the other hand, if very hyperactive bowel sounds are heard they are indicative of mechanical obstruction.[]

  • Endometriosis

    Examination revealed hyperactive bowel sounds with scant fecal matter on rectal examination.[] Women may have constant pelvic or lower abdominal pain as well.[] This was associated with cyclical lower abdominal pains, abdominal swelling, and weight loss.[]

  • Irritable Bowel Syndrome

    Symptom: You feel discomfort in your belly TORWAISTUDIO/Shutterstock For some, a key tip-off to an IBS diagnosis is lower abdominal pain occurring on and off for a few months—but[] The bowel sounds may vary depending on whether the patient has constipation (bowel sounds may be hypoactive) or diarrhea (bowel sounds may be hyperactive).[] They can include lower abdominal pain, bloating, excess gas, increased mucus in the stools, diarrhea and/or constipation, tiredness (even low-grade depression) and an urgent[]

  • Cytomegalovirus Colitis

    Physical exam revealed a cachectic male with hyperactive bowel sounds without any abdominal tenderness or organomegaly.[] A 49 year-old patient presented with lower abdominal pain and bloody diarrhea. Sigmoidoscopic examination showed multiple shallow ulcerations and severe mucosal edema.[]

  • Peutz-Jeghers Syndrome

    A 46-year-old woman presented to our hospital with lower abdominal pain resulting from PJS involves sex cord tumor with annular tubules (SCTAT), ovarian mucinous tumor, ovarian[] Case presentation A 38-year-Asian Indian male presented to us in the emergency room with colicky abdominal pain in left lower and umbilical area, vomiting and blood in stools[] He had a history of intermittent abdominal pain over the previous 2 months. His family history was not significant.[]

  • Macroamylasemia

    Physical examination was completely normal except for the presence of mild diffuse abdominal tenderness and hyperactive bowel sounds.[] One day earlier, she developed epigastric and right lower quadrant abdominal pain. She was characterized by high level of serum amylase, but normal lipase.[]

  • Ischemic Colitis

    Compared with the young group, the elderly group had a less frequent hyperactive bowel sounds, a higher baseline levels of C-reactive protein(CRP) and a longer average periods[] We describe the case of a 52-year-old female with two episodes of lower abdominal pain after the intake of oral ibandronate.[] The classic presentation includes sudden onset of lower abdominal pain followed by the urge to defecate and bloody diarrhea.[]

  • Obturator Hernia

    An elderly emaciated female patient presented with recurrent lower abdominal pain associated with nausea and vomiting due to obstruction of the small bowel.[] There were hyperactive bowel sounds. No abnormal signs were found on rectal and vaginal examinations. Biochemical parameters were within normal limits.[] The lower abdominal pain also radiated down to the right medial thigh.[]

  • Amebiasis

    A 41-year-old man presenting with lower abdominal pain, constipation, abdominal distention, fever (37.5 degrees C) and fatigue was evaluated, and a mass localized to the left[] bowel sound, vomiting, and change in stool texture.[] Intestinal amebiasis (amebic colitis) generally have 1 to 3 weeks of increasing diarrhea progressing to grossly bloody dysenteric stools with lower abdominal pain and tenesmus[]

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