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Epigastric pain: This pain is experienced by 22.7% of patients, [2] in the upper middle of the abdomen, just below the ribs. [3] Periumbilical pain: This type of pain, reported in 4.8% of cases, [2] is centered around the navel or belly button. [3] Back pain: Also reported in 4.8% of cases, [2] this pain can range from a dull ache to a sharp ...
Periumbilical or right lower abdominal pain, vomiting, nausea, decreased appetite [2] Complications: Abdominal inflammation, sepsis [3] Diagnostic method: Based on symptoms, medical imaging, blood tests [4] Differential diagnosis: Mesenteric adenitis, cholecystitis, psoas abscess, abdominal aortic aneurysm [5] Treatment
There is no medical treatment to cure a hernia. It requires surgery which involves closing the hole. If the hole is very small this can sometimes be accomplished by simply reapproximating the connective tissue. However for best long term success most hernias require a permanent barrier to cover the defect much like repairing a hole in a tire.
After addressing pain, there may be a role for antimicrobial treatment in some cases of abdominal pain. [22] Butylscopolamine (Buscopan) is used to treat cramping abdominal pain with some success. [23] Surgical management for causes of abdominal pain includes but is not limited to cholecystectomy, appendectomy, and exploratory laparotomy.
An appendix trapped in an inguinal hernia can become inflamed, infected, or perforated. Although incarcerated, an appendix may appear to be completely healthy. [1]Common complaints include epigastric or periumbilical pain with regional tenderness in the right lower quadrant, as well as an inguinal or inguino-scrotal tender irreducible mass.
Omental infarction is a rare cause of acute abdomen pain with reported incidence being less than 4 per 1000 cases of appendicitis. Omental infarction usually presents as right-sided abdominal pain although seldom causing left-sided abdominal pain and even epigastric pain.
Navels with the umbilical tip protruding past the umbilical skin ("outies") are often mistaken for umbilical hernias, which are a completely different shape. Treatment for cosmetic purposes is not necessary, unless there are health concerns such as pain, discomfort or incarceration of the hernia content.
Abdominal guarding is the tensing of the abdominal wall muscles to guard inflamed organs within the abdomen from the pain of pressure upon them. The tensing is detected when the abdominal wall is pressed. [1] Abdominal guarding is also known as ' défense musculaire '.