Causes Of Abdominal Pain

Presented By:MH Emami

PSRC conference10.10.1390

Sources Of Pain

• Foregut• Midgut• Hindgut• Referral pain• Radicular pains & neuropathies• Skin & musculoskeletal pain• Psychological

TYPES OF PAIN

• Abdominal pain may be classified into three categories:

• Visceral pain• Somatoparietal pain• Referred pain.

PQRST

• Provocative factors• Quality• Radiation• Severity• Time and duration

Provocative and Relieving factors

• Eating• Fasting• Defecation• Position• Palpation• Movement• Psychological stress

Quality

• Sharp• Colicky• Achy • Discomfort

Radiation

• To other organs• From other organs

Severity

• Very Severe• Moderately Severe• Mild severity

Chronicity

• Sudden onset (Hyper acute)• Acute • Sub acute• Chronic

Time & Duration

• Sudden onset or relieve• Gradual rising or relieve• Duration• Day or night• Awakening from sleep• Related to season• Related to a specific period of life (period,

menarche, menopause, intercourse, etc.)

Concomitant Sign and Symptoms

• Perspiration• Tachycardia• Nausea or vomiting• Stress, Phobia or anxiety• Shock• Alarming signs

History

ENDOSCOPY

What is this?

ENDOSCOPY

• ESOPHAGUS• Esophagitis,schatzki ring, candidiasis, hiatal hernia

ENDOSCOPY

• DUODENUM,BULBErosions, ulcer and inflammation

COLONOSCOPY

RECTOSIGMOID,rectumU.Cgrade 4:loss of vascular pattern, friable mucosa, spontaneous

bleeding

COLONOSCOPY

• LEFT COLON, desending colon• Fisuring ulcer, U.Cgrade 4:loss of vascular pattern, friable

mucosa, spontaneous bleeding

COLONOSCOPYTerminal Ileum

psyche

RAP PMS CPP

CAWP

Surgery

Free Perforation

Normal Acute Appendicitis

Small Bowel Obstruction

volvulus

Large incisional hernia as the cause of the small bowel obstruction

The extrinsic primary afferent neurons that supply the digestive system. These can be divided into three broad categories: vagal primary afferent neurons (black), thoracolumbar spinal primary afferent neurons (green), and pelvic spinal primary afferent neurons (red).