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14 Possible Causes for Hyperactive Bowel Sounds, Tenderness in the Right Upper Quadrant

  • Irritable Bowel Syndrome

    The bowel sounds may vary depending on whether the patient has constipation (bowel sounds may be hypoactive) or diarrhea (bowel sounds may be hyperactive).[clinicaladvisor.com]

  • Partial Small Bowel Obstruction

    Patients showed symptoms between 1 and 20 days postoperatively and had findings ranging from hypoactive (45%), to normal (30%), to hyperactive (25%) bowel sounds.[ncbi.nlm.nih.gov] Abdominal examination revealed distension with paraumbilical and right upper quadrant tenderness but no associated peritonism, bowel sound were initially active but soon diminished[pmj.bmj.com] Signs Vital Sign s: Dehydration vs SIRS Criteria ( Sepsis ) Sinus Tachycardia Hypotension Bowel sounds Initial: High pitched, hyperactive bowel sounds Later: Hypoactive or[fpnotebook.com]

  • Liver Abscess

    Abdominal examination revealed hyperactive bowel sounds and tenderness in the epigastrium & RUQ. Liver span was 14 cm. The rest of the examination was unremarkable.[bjmp.org] On systemic examination there was mild tenderness of the right upper quadrant of the abdomen.[hepatitis.imedpub.com] There was no rebound tenderness. A lesion with heterogeneous radiodensity was noted in the right upper abdomen on chest radiography (Panel A, arrowheads).[nejm.org]

  • Gallstone Ileus

    Common abdominal signs include abdominal distension and hyperactive bowel sounds [ 4 ].[karger.com] There was mild tenderness in the midepigastrium and right upper and lower quadrants, but no rebound tenderness or guarding.[accessemergencymedicine.mhmedical.com] Physical examination showed distended, mild tender abdomen and hyperactive bowel sound.[scielo.isciii.es]

  • Diverticular Abscess

    Patient was tachycardic and febrile, the abdomen was soft, distended with rebound tenderness in the right upper quadrant.[sages.org]

  • Amebiasis

    bowel sound, vomiting, and change in stool texture.[hindawi.com] Abdominal tenderness and weight loss are common with amebic colitis. Amebic liver abscess presents with right upper quadrant pain.[us.bestpractice.bmj.com] Abdominal tenderness and weight loss are common with amoebic colitis. Amoebic liver abscess presents with right upper quadrant pain.[bestpractice.bmj.com]

  • Partial Intestinal Obstruction

    Signs Vital Sign s: Dehydration vs SIRS Criteria ( Sepsis ) Sinus Tachycardia Hypotension Bowel sounds Initial: High pitched, hyperactive bowel sounds Later: Hypoactive or[fpnotebook.com] Abdominal examination revealed distension with paraumbilical and right upper quadrant tenderness but no associated peritonism, bowel sound were initially active but soon diminished[pmj.bmj.com] Her abdomen was non-tender and without palpable masses, organomegaly or distention. Right upper quadrant laparoscopy and suprapubic surgical scars were noted.[karger.com]

  • Colonic Pseudo-Obstruction

    sounds can be normal or hyperactive in about 40% Imaging Findings Plain films of the abdomen are the study of choice Colon is dilated May have multiple, long fluid levels[learningradiology.com] There was tenderness to palpation in the right upper quadrant and midepigastric area. Trace lower extremity edema was noted.[karger.com] Bowel sounds may be hyperactive, hypoactive, or absent.[journals.lww.com]

  • Pneumoperitoneum

    Physical examination revealed all patients with relaxed abdominal wall except 1 patient with abdominal distension had slight muscle stiffness and hyperactive bowel sounds.[ncbi.nlm.nih.gov] The tenderness was diffuse, but was most prominent in the right upper abdominal quadrant; moreover, rebound tenderness was noted.[ncbi.nlm.nih.gov]

  • Omental Volvulus

    On examination, he was afebrile; the abdomen was moderately obese, non-distended and tender in the right upper quadrant with mild right lower abdominal tenderness.[ispub.com] bowel sounds High rate of mortality, particularly in older patients ( Eur Rev Med Pharmacol Sci 2013;17:127 ) Radiology description Dilated loops of intestine Volvulus may[pathologyoutlines.com] upper quadrant pain associated with nausea, anorexia and fever.[mja.com.au]

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