Sunday, November 15, 2015

Pain abd

:-) I am having severe pain ABD for last 9 days. It is crampy and upper abdominal. What at are possibilities
1 ulcer
2. Cancer

3. intestinal obstruction.

It has decreased but still continuing.
Sudden onset, crampy.
Initially pain increased on food intake but no relation with food now
Seem to decrease with antacid.
Pain goes off on its own.
Appears in the evening.
Bloating
Vomiting only once
Two to three loose motion in the middle but now it is okay.
Epigastrium was tender initially but now no tenderness.
LHC tender, decreased
Borborygamy.
Occasionally having acid eructation

PD... SAIO
            ULCER
SAIO... CRAMPY PAIN, BOBRBOYGAMY.
             Against.. No constipation, vomiting, distension, pain last for two to 3 hrs a day.

ULCER..H/O ACIDITY, similar pain before of short duration. On drug like aspirin,initial relation with food. Pain decreasing with antacid.eigastric tenderness.pain comes and goes of its own.
Against... Crampy pain

Cancer...a possibility always
Against... Pain is the last symptom.
USG by Abhijit .....NAD...
USG by Dr. B. N . Mondal..... NAD
So finally I am going to stick with  PD  of PUS
I  going to take PPI for 1 month.
Pain lasted for 8 days.

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