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Many patients, on the other hand, reject the implication that their problems are "all in their head", and feel their symptoms have a physical cause. Diagnosis of MUPS is seldom a satisfactory situation for the patient, and can lead to an adversarial doctor-patient relationship. [17] The situation may lead a patient to question the doctor's ...
Gastritis is the inflammation of the lining of the stomach. [1] It may occur as a short episode or may be of a long duration. [1] There may be no symptoms but, when symptoms are present, the most common is upper abdominal pain (see dyspepsia). [1]
The most common symptoms of a duodenal ulcer are waking at night with upper abdominal pain, and upper abdominal pain that improves with eating. [1] With a gastric ulcer, the pain may worsen with eating. [7] The pain is often described as a burning or dull ache. [1] Other symptoms include belching, vomiting, weight loss, or poor appetite. [1]
Nausea is a diffuse sensation of unease and discomfort, sometimes perceived as an urge to vomit. [1] It can be a debilitating symptom if prolonged and has been described as placing discomfort on the chest, abdomen, or back of the throat. [2] Over 30 definitions of nausea were proposed in a 2011 book on the topic. [3]
Idiopathic gastroparesis patients may experience more abdominal pain than diabetic gastroparesis patients. [13] Physicians believe that postprandial epigastric pain is the most common symptom of gastroparesis. [14] Abdominal pain has a wide range of symptoms. Around 40% of patients have localized epigastric pain, but it can be diffuse in some ...
Anterior cutaneous nerve entrapment syndrome (ACNES) is a nerve entrapment condition that causes chronic pain of the abdominal wall. [1] It occurs when nerve endings of the lower thoracic intercostal nerves (7–12) are 'entrapped' in abdominal muscles, causing a severe localized nerve (neuropathic) pain that is usually experienced at the front of the abdomen.
Murphy's sign has a high sensitivity and negative predictive value, although the specificity is not high. [2] However, in the elderly the sensitivity is markedly lower; a negative Murphy's sign in an elderly person is not useful for ruling out cholecystitis if other tests and the clinical history suggest the diagnosis.
To find the cause of symptoms, the doctor asks about the patient's medical history, does a physical examination, and may order laboratory studies. [53] The patient may also have one or all of these exams: Gastroscopic exam is the diagnostic method of choice. This involves insertion of a fibre optic camera into the stomach to visualise it. [37]