Chronic Abdominal Pain: An Evidence-Based, Comprehensive

Persistent stomach soreness is a accomplished source fascinated with the administration of power belly ache. Chapters commence with an summary of discomfort iteration, adaptive mechanisms and numerous diagnostic methods. an entire diversity of novel, conservative, minimally invasive and surgical healing suggestions and their right choice are then mentioned in addition to evidence-based and useful scientific elements of sufferer care. Authored via a crew of world-renowned physicians and researchers, this definitive consultant offers novel algorithms for modern therapy of power belly soreness, giving discomfort drugs clinicians and practitioners the information had to determine and deal with sufferers with stomach soreness.

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Extra resources for Chronic Abdominal Pain: An Evidence-Based, Comprehensive Guide to Clinical Management

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Radiographic tests identify structural abnormalities of the gastrointestinal system. Radiologic evaluation should be tailored based on presenting symptoms, physical examination, and laboratory findings. An abdominal X-ray is a reasonable “screen” for various causes of chronic abdominal pain. It may still detect excessive stool in constipation, calcifications in chronic pancreatitis, appendicolith, partial bowel obstruction from adhesions, and foreign bodies. Trans-abdominal ultrasound (US) is another safe and noninvasive imaging test, which is fast, portable, and uses no ionizing radiation.

Alarm” symptoms of fever, weight loss, night sweats, appetite, or nocturnal awakening often indicate organic pathology. Rare medical causes of abdominal pain should be considered when structural etiologies are ruled out. Recurrent attacks of fever, joint pain, and abdominal pain suggest familial Mediterranean fever [2]. Recurrent attacks of abdominal pain, tachycardia, constipation, and dark urine suggest acute intermittent porphyria. The presence of hyponatremia, hyperkalemia, and hyperpigmentation should raise suspicion for L.

Nationwide epidemiological survey of chronic pancreatitis in Japan. J Gastroenterol. 2000;35(2):136–41. R. Tolba et al. 33. Spanier BW, Dijkgraaf MG, Bruno MJ. Epidemiology, aetiology and outcome of acute and chronic pancreatitis: an update. Best Pract Res Clin Gastroenterol. 2008;22(1):45–63. 34. Otsuki M. Chronic pancreatitis in Japan: epidemiology, prognosis, diagnostic criteria, and future problems. J Gastroenterol. 2003;38(4):315–26. 35. Cote GA, Yadav D, Slivka A, Hawes RH, Anderson MA, Burton FR, et al.

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