Evaluation of the GASTROINTESTINAL Disorders. Abdominal pain
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Gastrointestinal (GI) symptoms and disorders are quite common. History and physical examination are often adequate to make a disposition in patients with minor complaints; in other cases, testing is necessary. Using open-ended, interview-style questions, the physician identifies the location and quality of symptoms and any aggravating and alleviating factors. Abdominal pain is a frequent GI complaint. Determining the location of the pain can help with the diagnosis. For example, pain in the epigastrium may reflect problems in the pancreas, stomach, or small bowel. Pain in the right upper quadrant may reflect problems in the liver, gallbladder, and bile ducts such as cholecystitis or hepatitis. Pain in the right lower quadrant may indicate inflammation of the appendix, terminal ileum, or cecum, suggesting appendicitis, ileitis, or Crohn disease. Pain in the left lower quadrant may indicate diverticulitis or constipation. Pain in either the left or right lower quadrant may indicate colitis, ileitis, or ovarian (in women) etiologies.
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Professor Armen Astvatsatryan, MD, PhD, ScD, FESC. First Dean and Founder of Faculty of Public Health of European Regional Educational Academy (now University). One of 100 of the International Biographical Center`s (Cambridge, England) Top Health Professionals - 2007.
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