Recurrent-acute-abdominal-pain: Causes & Reasons

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Possible Causes for recurrent acute abdominal pain

Acute Intermittent Porphyria

A 45-year-old man with end-stage renal disease due to polycystic kidney disease was admitted to the hospital because of recurrent abdominal pain, progressive peripheral motor [ncbi.nlm.nih.gov]

[…] hepatica, affected persons have recurrent attacks of abdominal pain and vomiting, weakness or paralysis of the limbs, and psychic changes resembling hysteria. [britannica.com]

We report a case of 33-year-old male patient who presented with recurrent episodes of severe abdominal pain, nausea, vomiting, constipation and numbness of bilateral lower [ncbi.nlm.nih.gov]

Ovarian Torsion

Acute ovarian torsion is an uncommon yet important diagnostic consideration in any female pediatric patient presenting with acute abdominal pain. A 2-month-old infant presented to the emergency department with a several-day history of constipation. Evaluation with plain radiographs demonstrated a subtle yet[…] [ncbi.nlm.nih.gov]

Acute Gastroenteritis

Abdominal Pain 38- Recurrent Abdominal Pain 39- Chronic d & Constipation 40- Perianal Disorders 41- Inflammatory Bowel Diseases 42- Crohn’s Disease 43- Ulcerative Colitis [play.google.com]

Stenosis 30- Gastrointestinal Endoscopy 31- Gastrointestinal Bleeding 32- Polyposis 33- Diarrhoea 34- Chronic Diarrhoea 35- Coeliac Disease 36- Bacterial Overgrowth 37- Acute [play.google.com]

Cholelithiasis

Some cases may give rise to recurrent abdominal pain or vomiting. [ttsh.com.sg]

The gallbladder may become acutely or chronically inflammed or infected and this may require surgery for treatment. [ttsh.com.sg]

Umbilical Hernia

In this report, a 72-year old female was referred to our hospital, suffering from acute abdominal pain, several episodes of nausea and vomiting. [ncbi.nlm.nih.gov]

Clinical abdominal examination revealed an irreducible recurrent umbilical hernia. The patient had both muscular defense and abdominal tenderness. [ncbi.nlm.nih.gov]

They are usually diagnosed as an incidental laparotomy finding in adults but in childhood, they may present with acute abdomen. [ncbi.nlm.nih.gov]

Chronic Alcoholism

Characterised by recurrent or persistent abdominal pain and progressive injury to the pancreas and surrounding structures, resulting in scarring and loss of function. [bestpractice.bmj.com]

Unlike recurrent acute pancreatitis, chronic pancreatitis is characterised by reduced pancreatic exocrine function, malabsorption, diabetes, and pancreatic calcifications. [bestpractice.bmj.com]

Pelvic Inflammatory Disease

A 13-year-old noncoital Caucasian female presented to a tertiary children's hospital with fever and acute abdominal/pelvic pain. [ncbi.nlm.nih.gov]

Postoperatively, she experienced intermittent episodes of recurrent abdominal pain. [ncbi.nlm.nih.gov]

Ileus

Gallstone ileus can acutely present as colicky abdominal pain and abdominal distension in the course of small bowel obstruction. [radiopaedia.org]

In this paper we present a patient with recurrent febrile states, abdominal pain and distension, who finally was diagnosed as having ileus secondary to post-ischemic bowel [journals.viamedica.pl]

However, on postoperative Day 6, she developed acute abdominal pain for which a CT scan of the abdomen was performed. [nursingcenter.com]

Ichthyosis Vulgaris

Acute intermittent porphyria: A missed diagnosis in pre-pubertal children with recurrent abdominal pain. Trop Gastroenterol 2015;36:263-6. [ PUBMED ] 9. Barclay N. [jfmpc.com]

Acute intermittent porphyria in childhood. A neglected diagnosis? Arch Dis Child 1974;49:404-6. [ PUBMED ] [Figure 1] [jfmpc.com]

Recurrent Acute Pancreatitis

The patient had suffered from long-term severe hypertriglyceridemia and recurrent abdominal pain for over 30 years, since age 26, and 3 bouts of acute pancreatitis. [ncbi.nlm.nih.gov]

In the same study, it was found that the most frequent symptom in acute and recurrent pancreatitis was abdominal pain followed by vomiting and ileus. [7] This is comparable [atmph.org]

We report a case of recurrent acute pancreatitis in a 57-year-old man with reactivation of Wegener's granulomatosis. [ncbi.nlm.nih.gov]

Acute Gastritis

(Acute gastritis) Introduction Presentation Symptoms recurrent upper abdominal pain hematemesis ( coffee ground emesis ) Evaluation Endoscopy with biopsy gold standard H. [step1.medbullets.com]

The most common acute gastritis symptoms are: Abdominal pain Abdominal bloating Indigestion Nausea Vomiting Recurrent upset stomach Hiccups Gnawing or burning feeling in your [marijuanadoctors.com]

[…] pylori detection stool antigen test urease breath test Treatment Acute gastritis lifestyle avoidance of gastric irritants (coffee, EtOH, NSAID, etc.) pharmacologic proton [step1.medbullets.com]

Acute Otitis Externa

Severity assessment The diagnosis of acute pancreatitis requires the presence of two out of three characteristic features of the disease.333435 These are abdominal pain consistent [bmj.com]

[…] importantly, sets the stage for an important discussion of avoidance of environmental factors (alcohol misuse, smoking, drugs, hypertriglyceridemia) that can provoke the risk of recurrent [bmj.com]

Retrocecal Appendicitis

Other causes of acute recurrent abdominal pain with the clinical picture of an acute abdomen include: hereditary angioedema, porphyria, familial Mediterranean fever, urinary [meddean.luc.edu]

Approximately 25% of patients with surgically proven appendicitis report a history of prior episodes of abdominal pain that are similar to the one which prompted appendectomy [meddean.luc.edu]

Endometriosis

Usually, non-specific symptoms, such as recurrent pain and abdominal bloating, can accompany this type of endometriosis. [doi.org]

However, acute small bowel obstruction due to fibrotic adhesions secondary to endometriosis has been described[ 50 ]. [doi.org]

Familial Hypercholesterolemia Type 1

Clinical features include failure to thrive, eruptive xanthomas over extensor surfaces and buttocks, lipemia retinalis, hepatosplenomegaly, recurrent abdominal pain, nausea [mdpi.com]

[…] and vomiting, and risk of acute pancreatitis [ 10, 11 ]. [mdpi.com]

Intestinal Obstruction

[…] mesenteric ischemia acute mesenteric ischemia Clinical features Some patients may be asymptomatic (see “Pathophysiology”) So-called 'abdominal/intestinal angina' Recurrent [amboss.com]

[…] left lower quadrant abdominal pain over several years (suggestive of diverticulitis, a diverticular stricture, or similar problems) Assessment of symptoms should attempt [emedicine.medscape.com]

dull, postprandial epigastric pain usually within the first hour after eating Can lead to a fear of eating weight loss and malabsorption Bloating, nausea, occasional diarrhea [amboss.com]

Urolithiasis

/sub-acute or infrequent recurrent abdominal pain and family history of urolithiasis in first or second degree relatives or being at higher risk of developing stones although [ncbi.nlm.nih.gov]

[…] imaging studies in the following groups: 1) in children with non-glomerular hematuria or/and dysuria not presenting inflammation of external genitalia; 2) in children with acute [ncbi.nlm.nih.gov]

Irritable Bowel Syndrome

Clinical manifestations of Giardia intestinalis infection also vary from asymptomatic carriage to acute and chronic diarrhoea with abdominal pain. [ncbi.nlm.nih.gov]

These IBS-like symptoms can be continuous, intermittent, sporadic or recurrent, sometimes lasting years without correct diagnosis. [ncbi.nlm.nih.gov]

Gastrointestinal Neoplasm

with intermittent obstruction and abdominal pain being the most common clinical presentation. [cancernetwork.com]

A fibroblastic reaction can be stimulated in the mesentery and retroperitoneum, leading to complications (recurrent, intermittent partial or acute complete intestinal obstruction [cancernetwork.com]

Diverticulosis

Such changes may account for the common development of recurrent abdominal pain and disturbed bowel habits following acute diverticulitis [47] and the finding of visceral [karger.com]

Associated symptoms include abdominal pain, bloating, constipation, and diarrhea. Importantly, this condition does not include a history of acute diverticulitis. [mayoclinicproceedings.org]

Lahat A, Necula D, Yavzori M, Picard O, Halperin S, Eliakim R, Ben-Horin S: Prolonged recurrent abdominal pain is associated with ongoing underlying mucosal inflammation in [karger.com]

Recurrent Appendicitis

[…] or recurrent lower quadrant abdominal pain. [ncbi.nlm.nih.gov]

All had acute suppurative appendicitis pathologically. Three patients had only one episode of abdominal pain, but had pathologic evidence of subacute inflammation. [ncbi.nlm.nih.gov]

We conclude that acute appendicitis can resolve spontaneously and recur repeatedly in the same individual; in the evaluation of a patient with abdominal pain, a history of [ncbi.nlm.nih.gov]

Appendicitis

Recurrent acute appendicitis may also occur if a long appendiceal stump is left after initial appendectomy. [web.archive.org]

ongoing abdominal pain, and parental choice. [doi.org]

pain decreases the likelihood of appendicitis but does not rule it out (chronic recurrent appendicitis is a well known entity) DRE has limited role in diagnosis of acute, [emergencymedicinecases.com]

Colonic Diverticulosis

pain, diverticulitis, peritonitis, obstruction, fistulization, or abscess formation. 4,5 In addition to these recurrent acute complications and chronic abdominal pain, model [journals.lww.com]

In some patients, however, recurrence manifests as chronic, ongoing abdominal pain; this may develop after one or more acute episodes. 1. [msdmanuals.com]

Patients with mild abdominal pain/tenderness and no systemic symptoms: Acute low-residue diet. [worldgastroenterology.org]

Recurrent Small Bowel Obstruction

Typically patients develop progressive symptoms of recurrent colicky abdominal pain, bloating, nausea and anorexia, and signs of partial or complete small bowel obstruction [cfmedicine.com]

Clinical presentation Patients may have intermittent acute exacerbations or chronic symptoms (Zentler-Munro, 1987). [cfmedicine.com]

Indirect Inguinal Hernia

A high index of suspicion, based mainly on the clinical history of recurrent colicky abdominal pain, is the only means to reduce the number of acute complications leading [ncbi.nlm.nih.gov]

They present as Acute intestinal obstruction, with or without intestinal ischaemia, perforation and peritonitis, or Chronic recurrent abdominal pain and vomiting due to incomplete [surgwiki.com]

Recurrent colicky abdominal pain was the leading symptom in the others. Reoperation confirmed the diagnosis of internal hernia in all but 1 patient. [ncbi.nlm.nih.gov]

Pyelonephritis

[4][5] Consequence of recurrent or persistent acute pyelonephritis Predisposing factors Vesicoureteric reflux Urinary tract obstruction (e.g., nephrolithiasis, neurogenic [amboss.com]

[…] bladder) Clinical features Nonspecific (mild fever, anorexia, malaise) Abdominal or flank pain Diagnostics Urinalysis: pyuria, proteinuria, WBC casts Imaging (ultrasound, [amboss.com]

frequency, urgency) Weakness, nausea, vomiting (diarrhea may also be present) Possible abdominal or pelvic pain References:[3] Subtypes and variants Chronic pyelonephritis [amboss.com]

Small Bowel Obstruction

In some patients, however, recurrence manifests as chronic, ongoing abdominal pain; this may develop after one or more acute episodes. 1. [merckmanuals.com]

Chronic Tonsillitis

Chronic Tonsilitis are simply recurrent attacks of acute tonsilitis. [youtube.com]

[…] otitis media Abdominal pain due to mesenteric lymphadenitis Redness of tonsils, soft palate, pillars and uvula Halitosis - bad breath Jugular digastric lymph node enlargement [youtube.com]

SYMPTOMS of Tonsilitis Sore Throat Odonophagia - painful swallowing Fever - chills/rigors Constitutional symptoms - malaise, lethargy Earache which is either referred or acute [youtube.com]

Jejunal Diverticulosis

pain. [najms.org]

Case Report: We report a 44-year-old man with end-stage renal disease post failed kidney transplant on low-dose mycophenolate mofetil who presented with acute onset of abdominal [najms.org]

He unfortunately developed a recurrent jejunal perforation a month later and again had the second segmental jejunal resection operation. [najms.org]

Acute Pyelonephritis

Severity assessment The diagnosis of acute pancreatitis requires the presence of two out of three characteristic features of the disease.333435 These are abdominal pain consistent [bmj.com]