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Novel Insights Into the Mechanisms of AbdominalPain in Obstructive Bowel Disorders Obstructive bowel disorders (OBD) are characterized by lumen distention due to mechanical or functional obstruction in the gut. Abdominalpain is one of the main symptoms in OBD. In this article, we aim to critically review the potential mechanisms for acute and chronic pain in bowel obstruction (BO). While clustered contractions and associated increase of intraluminal pressure may account for colickypain (...) in simple obstruction, ischemia may be involved in acute pain in severe conditions such as closed loop obstruction. Recent preclinical studies discovered that visceral sensitivity is increased in BO, and visceral hypersensitivity may underlie the mechanisms of chronic abdominalpain in BO. Mounting evidence suggests that lumen distension, as a circumferential mechanical stretch, alters gene expression (mechano-transcription) in the distended bowel, and mechano-transcription of nociceptive
with largebowel obstruction. Suspect bowel perforation where there is persistent tachycardia, fever, and/or abdominalpain and tenderness. Definition Surgical emergency where a mechanical interruption (either complete or partial) occurs to the flow of intestinal contents, with multiple potential causes (e.g., malignant colorectal disease, colonic volvulus, benign stricture). This monograph covers acquired obstruction in adults. History and exam colickyabdominalpainabdominal distention tympanic (...) abdomen change in bowel habits hard faeces empty rectum soft stools recent weight loss rectal bleeding abnormal bowel sounds palpable rectal mass palpable abdominal mass positive faecal occult blood test fever abdominal tenderness abdominal rigidity tenesmus history of radiotherapy history of gynaecological symptoms nausea and vomiting groin swelling pelvic mass ingestion of foreign body older age female gender institutionalisation mental illness megacolon low or high dietary fibre previous colorectal
Abdominal cocoon with early postoperative small bowel obstruction: A case report and review of literature in China. Abdominal cocoon is a condition in which intestinal obstruction results from the encasement of part or whole of the small bowel by a thick fibrous membrane, giving the appearance of a cocoon. The preoperative diagnosis is difficult to be made and the treatment is still controversial.Here we describe the case of a 62-year-old male presented with a 24-h history of continual colicky (...) abdominalpain, which was accompanied with nausea and vomiting.Accurate diagnosis of abdominal cocoon was made intraoperatively.Membrane excision and adhesiolysis were performed and the patient experienced early postoperative small bowel obstruction. Nasointestinal obstruction tube was then installed and bowel function was gradually recovered by the 20th postoperative day.The patient recovered well and was discharged from the hospital on the 30th postoperative day LESSONS:: Abdominal cocoon can occur
A Case of Fatal Colonic Perforation without Abdominal Exam Findings Spotlight: A Case of Fatal Colonic Perforation without Abdominal Exam Findings – Clinical Correlations Search Spotlight: A Case of Fatal Colonic Perforation without Abdominal Exam Findings June 14, 2018 6 min read By Christopher Sonne, MD Peer reviewed Learning Objectives: 1. Understand the pathophysiology of peritonitis secondary to bowel perforation. 2. Understand how classic findings of peritonitis can be absent in some (...) cases of bowel perforation. 3. Recognize bowel perforation as a complication requiring emergent surgical intervention. Case: An 89 year-old woman with a history of chronic constipation was admitted for several weeks of severe constipation and abdominal bloating. On initial exam, she exhibited abdominal distention but had minimal abdominal tenderness. Initial CT imaging demonstrated a significant stool burden with prominent colonic distension extending from the cecum to the transverse colon. She had
with the diagnosis of a sigmoid cancer in a 47-year-old female.There are only a few cases of Intestinal Obstruction Induced by Peach Stone in Stenosis of Sigmoid Colon by Adenocarcinoma reported in the world literature. Due to late diagnosis It has a high mortality rate. Vomiting and emesis, abdominal distention, dysphagia, colickyabdominalpain, failure to pass flatus and anorexia are clinical findings. The immediate treatment is importance for patient survival.Intestinal obstructions and perforations are rare (...) Intestinal Obstruction Induced by Peach Stone in Stenosis of Sigmoid Colon by adenocarcinoma: A case report and literature review Intestinal obstruction is the second among the most frequent acute abdominal conditions of the non-traumatic surgical pathologies. It is Found in 20% of patients admitted to the emergency care services with acute abdominalpain. It often results in high morbidity and mortality.We report a case of a foreign body resulting in a colon obstruction, concomitant
autonomic nerves in the visceral peritoneum surrounding organs A result of gas, fluid, stretching, edema, blood, cysts, abscesses If the affected organ undergoes peristalsis, then the pain is usually intermittent, crampy and/or colicky in nature Pain follows the embryonic somatic segments: Upper, periumbilical, lower abdominalpain Foregut = upper pain = from stomach, duodenum, liver, pancreas Midgut = periumbilical pain = small bowel, proximal colon, appendix Hindgut = lower abdominalpain = distal (...) , infarctions, Usually have normal vitals until bowel strangulation or dehydration occurs Perforated viscus Incidence increases with advancing age (risks: diverticular dz & PUD) Duodenal ulcer erodes through stomachColonic diverticula Gallbladder and largebowel perforations are rare Symptoms: acute onset epigastric pain, vomiting, then developing into a fever Diffuse board-like abdomen with guarding, tachycardia, fever Upright radiograph shows air under diaphragm in 70-80% of cases Acute pancreatitis
Comparison between swinging and playing of white noise among colicky babies: A paired randomised controlled trial. This study aimed to compare the effects of swinging and playing of white noise on the crying and sleeping durations of colicky babies.Infantile colic (IC) is one of the most common reasons for doctor visits among babies younger than 3 months. One of five babies older than 3 months also experiences IC. IC, unlike gastrointestinal problems, is regarded as an individual (...) differentiation and maturation of the central nervous system. Providing a warm bath, breastfeeding, swinging and playing of white noise are nonpharmacological methods. The efficiency of these methods has been proven by various studies independently of one another.The study is a prospective, multicentre, paired randomised controlled trial.The study was conducted between April-December 2016. The study sample consisted of 40 1-month-old babies with gas pains who passed a hearing screening and their mothers
coagulation.Twenty-five year-old female pregnant patient presents to the emergency department with colickypain and oligohydramnios. After C-section, persistent symptoms and further investigation led to the diagnosis of intestinal intussusception. After surgical management she showed clinical and laboratory signs of disseminated intravascular coagulation (DIVC), which was corrected with transfusional therapy and intraperitoneal clot evacuation. After optimal management, she was discharged home. Sirolimus (...) Postoperative disseminated intravascular coagulation in a pregnant patient with Blue Rubber Bleb Nevus Syndrome presenting with acute intestinal obstruction: Case report and literature review Blue Rubber Bleb Nevus Syndrome (BRBNS) is a rare condition which usually manifests as multiple hemangioma-like skin and gastrointestinal lesions. The latter often present with chronic bleeding. There is no consensus regarding the optimal management of such patients. Although rare, complications
abdominalpain, and change in bowel habit and it is not unusual that patients may present late, with life-threatening complications requiring surgery. Diagnosis has been hindered for many years by limitations in imaging the small bowel and it is usually achieved by means of endoscopy and CT of the abdomen. Magnetic resonance enterography (MRE) is a relatively new technique, which has a high diagnostic rate in patients with Crohn's disease (CD). Although many similarities between CD and intestinal BD (...) have already been described in literature, the role of MRE in the evaluation of intestinal BD has never been defined up to now. We report a case of a 12-year-old female patient with diagnosis of BD who presented at our institution for recurrent colickyabdominalpain and diarrhoea. The patient underwent MRE that demonstrated the gastrointestinal involvement.
were blinded to group allocation. LI4 is an acupuncture point : So basically, in Group A, babies were being needled in their hand, roughly where the thumb and forefinger meet because supposedly it has something to do with the largeintestine. But get a load of the : Aversion to Cold. Fever. Sneeze. Regulates transpiration. Analgesia. Spasms in the channel, stomach, intestines and uterus. Toothache, head, eyes, arm and ear. Trismus. Bi syndrome. Hemiplegia. Contraction of the fingers. Tinnitus (...) , the acupuncturists were able to choose one point, or any combination of Sifeng, LI4 and ST36, depending on the infant's symptoms, as reported in the diary. A maximum of five insertions were allowed per treatment. ST36 is on the lateral aspect of the leg just under the knee and is gastricpain, vomiting, dysphagia, abdominal distention, borborygmus, diarrhea, indigestion, dysentery, constipation, abdominalpain, acute mastitis, emaciation due to general deficiency, palpitation, shortness of breath, poor appetite
Colorectal Surgery Gynecologic procedures s Surgery in presence of peritonitis or (higher risk for strangulation) s via mesenteric defects External s abdominal wall More common in emaciated elderly women Rare compared to colon More common in Africa, Middle East and India Occurs in or adhesions Idiopathic See ) VI. Symptoms: Classic presentation and Cessation of and s VII. Symptoms: General Frequent and recurrent Duration: Seconds to minutes Character: Spasms of crampy (colickypain) Frequency (...) , typically large ) Less Common Causes (each less than 5% of cases) Intraabdominal abscess s in the bowel lumen V. Causes: By Type Obturation Children: Usually idiopathic Adults: 95% have underlying mechanical cause may predispose to s that have entered the bowel lumen More common in those over age 65 years Barium infection Intrinsic bowel lesions Congenital anomalies (Pediatric) Atresia Stenosis duplication Strictures (e.g. ) Extrinsic bowel lesions Adhesion Abdominal or pelvic surgery Appendectomy
intestinal obstruction in early infancy. Vomiting, irritability, poor weight gain, failure to thrive, and abdominal distention may be present. congenital aganglionosis of the colon —that is, an absence of ganglion cells (or types of neurons) in the myenteric plexus of the distal colon Meckel’s Diverticulum Congenital malformation in the intestines: Meckel’s diverticula are remnants of the omphalomesenteric duct and contain bowel wall, with 60% containing heterotopic tissue, usually gastric mucosa (...) ), and inflammatory bowel disease (IBD). The child’s age can also help identify common causes of abdominalpain. Infants, for example, may have disorders such as NEC, hypertrophic pyloric stenosis, or intussusception, whereas older children are more likely to present with appendicitis, pancreatitis, or biliary tract disease. It can be helpful to consider the top most likely and can’t miss diagnoses in a 3mo old, 13mo, 3yo and 13 yo to round out your age appropriate differential. Rosens Chapter 171 breaks it down
through the duodenum and ureters. An acutely ruptured aneurysm vs. An expanding aneurysm may be clinically indistinguishable Presentations: Incidental: ***most AAA are discovered incidentally!!*** Pain – in the abdomen / back / flank / chest / thigh / groin / scrotum / Often vague, dull This can be in the contexts of weeks/days of pain due to a contained, rupture aneurysm retroperitoneal Throbbing, colicky Acute / severe pain suggests impending rupture An awareness of an abdominal mass / fullness Back (...) pain – due to vertebral body erosion Nausea, Vomiting, weight loss, bowel obstruction symptoms: Due to compression of the duodenum Ureteral colic Ureters being obstructed by the mass Syncope Upper or lower GI bleeding Aorto-enteric fistula: when an unrepaired AAA erodes through – usually the duodenum. It may initially cause intra-abdoMinal infection/abscess and then progress to unexplained GI bleeding. High-output congestive heart failure: Aortovenous/aortocaval fistula: the aorta erodes
of a probiotic, Lactobacillus reuteri DSM 17938, could improve the perceived problems. The relationship between infant colic and gastroenterological, allergical and psychological disorders later in childhood was studied in a prospective study on 96 infants divided into two groups, colicky and non-colicky. The children diagnosed with infant colic, showed an increased susceptibility to recurrent abdominalpain, allergic and psychological disorders in childhood when they were 10 years old. The aetiology (...) Effects on Crying Time in Colicky Infants With the Supplementation of Lactobacillus Reuteri DSM 17938 Effects on Crying Time in Colicky Infants With the Supplementation of Lactobacillus Reuteri DSM 17938 - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please
were patient tolerability and doctor tolerability.The simethicone group showed superior cleansing results (6-9 Boston scale scores: 99% vs. 84%, <5% bubble scores: 96% vs. 49%, P < 0.001) and fewer gastrointestinal symptoms (abdominal fullness: 24% vs. 55%, colickypain: 5% vs. 24%, P < 0.001) than the non-simethicone group. Moreover, endoscopist fatigue during colonoscopy was lower in the simethicone group than in the non-simethicone group (1.31 ± 0.75 vs. 2.97 ± 2.14, P < 0.001).PEG-Asc plus (...) Improving of bowel cleansing effect for polyethylene glycol with ascorbic acid using simethicone: A randomized controlled trial. Low-volume polyethylene glycol with ascorbic acid (PEG-Asc) use is reported to be as safe and effective as traditional 4-L polyethylene glycol use. However, PEG-Asc produces bubbles, which cause problems during colonoscopy. Data on the effects of using antifoaming agents such as simethicone with PEG-Asc are lacking. The aim of this CONSORT-prospective, randomized
2016MedicineControlled trial quality: predicted high
Henoch-SchÃ¶nlein purpura from vasculitis to intestinal perforation: A case report and literature review Henoch-Schönlein purpura (HSP) is generally a self-limited vasculitis disease and has a good prognosis. We report a 4-year-old Thai boy who presented with palpable purpura, abdominalcolickypain, seizure, and eventually developed intestinal ischemia and perforation despite adequate treatment, including corticosteroid and intravenous immunoglobulin therapy. Imaging modalities, including (...) to detect bowel ischemia before perforation, particularly in HSP patients who have hematochezia, persistent localized abdominal tenderness and guarding. In highly suspicious cases, exploratory laparotomy may be needed for the definite diagnosis and prevention of further complications.
colickyabdominalpain and burning sensation around the anus one month ago. All other members of his family were having the same acarine in their feces, but were all symptomless. The patient was treated with ivermectin 200 µg/kg body weight once every 10 days for three doses. His cure indicated that he was having asymptomatic blastocystosis. (...) First case of intestinal acariasis from Egypt We are hereby reporting a case where the eggs and adults of the mold mites; Tyrophagus putrescentiae (Shrank) and the trophozoites of Blastocystis sp. were found in stool of three years old child from Minia City, Egypt. Intestinal mite infection was diagnosed after repeated identification of mite' stages from six consecutive stool samples to exclude the possibilities of contamination and spurious infection. The patient was suffering from severe
Gastrointestinal complications (constipation, impaction, bowel obstruction, diarrhea, and radiation enteritis) are common problems for oncology patients. The growth and spread of cancer, as well as its treatment, contribute to these conditions. Constipation is the slow movement of feces through the largeintestine that results in the passage of dry, hard stool. This can result in discomfort or pain.[ ] The longer the transit time of stool in the largeintestine, the greater the fluid absorption and the drier (...) , stomach, and ovary. Extra-abdominal cancers (such as lung and breast cancers and melanoma) can spread to the abdomen, causing bowel obstruction.[ ] Patients who have had abdominal surgery or abdominal radiation are also at higher risk of developing bowel obstruction.[ ] Bowel obstructions are most common during advanced stages of disease. Assessment and Diagnosis of Bowel Obstruction Examination of the patient will determine the presence or absence of abdominalpain, vomiting, and evidence