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

  • Liver Abscess

    On systemic examination there was mild tenderness of the right upper quadrant of the abdomen.[hepatitis.imedpub.com] 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] 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]

  • Amebiasis

    bowel sound, vomiting, and change in stool texture.[hindawi.com] Other symptoms include bloody stools, nausea, vomiting, fever and tenderness in the upper right quadrant of the torso. It can even lead to anemia due to blood loss.[top10homeremedies.com] Abdominal tenderness and weight loss are common with amebic colitis. Amebic liver abscess presents with right upper quadrant pain.[us.bestpractice.bmj.com]

  • 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]

  • 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]

  • Diverticular Abscess

    Patient was tachycardic and febrile, the abdomen was soft, distended with rebound tenderness in the right upper quadrant.[sages.org] bowel sounds Absent bowel sounds (perforation) Generalized abdominal pain with rebound and guarding (perforation) Urinary tract findings (colovesicular/colovaginal fistula[emedicine.medscape.com] If right upper quadrant pain or elevated transaminase levels occur, evidence of a pyogenic liver abscess should be sought.[aafp.org]

  • Abdominal Disorder

    Auscultation Hyperactive bowel sounds are present initially in the mechanical intestinal obstruction. Abdominal aortic and renal bruit may also be heard.[lecturio.com] The only other significant finding was the tenderness in the right upper quadrant of her abdomen.[nytimes.com] Palpation of the abdomen usually reveals tenderness in the right upper quadrant of the abdomen. Murphy’s sign is typically present ( 2 ).[docsopinion.com]

  • Meckel Diverticulum

    The abdomen was soft with hyperactive bowel sounds and non-specific right lower abdominal quadrant tenderness.[intjem.springeropen.com] His abdomen was not distended but tender and guarding in the right upper and lower quadrants. Right flank tenderness was also elicited.[academic.oup.com]

  • Cecal Volvulus

    As regards clinical examination, it demonstrated a distended tender abdomen with hyperactive bowel sounds. Laboratory works were within normal limits.[saudisurgj.org] There was tenderness to deep palpation over the epigastrium and right upper quadrant without rebound tenderness.[nature.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]

  • 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] Her physical exam reveals hyperactive bowel sounds, diffuse abdominal tenderness and distention. An abdominal x-ray is shown below.[medbullets.com]

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