Abdominal Pain

Abdominal Pain

1. Subjective and Objective Findings Requiring Further Investigation

The patient has several symptoms of subjective complaints and objective findings that warrant further evaluation and, most probably, a biopsy. Her history of SL, VL, and VL and appetite have several characteristics that are incompatible with normal gastrointestinal functioning, including episodic severe abdominal pain after meals with accompanying nausea, vomiting, and only mild RUQ guarding. These C/S Show that the onset of her pain is after the evening meal, and there is relief after some hours or several hours. Well, the recent history of diarrhea suggests some underlying gastrointestinal disorder. The mild guarding observed, especially in the RUQ, may point towards the involvement of the gallbladder or the liver because of its relation with digestion. APA.

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Abdominal Pain

2. Additional Questions and Assessments

For a broader perspective, other questions that should be posed include more detailed questions referring to her pain, bowel movements, diet, and activity calendar.• First of all, when did this pain start?

• If you had to, on a scale of 1 to 10, what number would you give the pain?
• Have you encountered any foods that cause or worsen your pain?
• Are your parents or grandparents or siblings/children suffering from some disease related to the stomach or intestine?
• At any other time, have you ever experienced different forms of discomfort, including heartburn, bloated abdomen, and bitter-tasting food?
• Is there food that gives relief?

Abdominal Pain

Further, other tests, such as laboratory and diagnostic procedures, must also be required. Blood may also show signs of inflammation or infection; liver function and gallbladder tests could be carried out, too. An abdominal ultrasound may reveal some structural or functional change, especially on the gallbladder and bile duct. Also, an upper endoscopy would interpret possible troubles in the esophagus or stomach, such as ulcers or GERD.

3. Comparison of Findings with Common Gastrointestinal Conditions

To narrow down potential diagnoses, Esperanza’s symptoms should be compared to the following gastrointestinal conditions:

• Intestinal Obstruction: An obstruction mainly manifests with colicky abdomen pain, vomiting, constipation, nausea, and fullness in the abdomen (Feldman et al., 2020). Succinctly, despite having queasy vomiting and experiencing some pain, the constipation and the absence of an enlarged abdomen also give differential intestinal obstruction.
• GERD (Gastroesophageal Reflux Disease): Lapland GERD describes burning or pain in the region of the upper abdomen and chest after consuming food, nausea or feeling of regurgitation, or bitter taste (Feldman et al., 2020). However, since she has no element of heartburn or regurgitation, GERD can be eased out as the primary reason for her pain associated with meals.

Abdominal Pain

• Cholecystitis: Cholecystitis, or gallbladder inflammation, often causes RUQ pain that occurs after meals containing fats, Coupled with nausea, vomiting, and occasionally fever (Feldman et al., 2020). Esperanza complains of developing stomach aches after eating and having RUQ guard-like movement. Touching the area indicates that cholecystitis should be considered the diagnosis. An ultrasound can confirm this because it shows gallstones or an infected gallbladder.
• Pancreatitis: Pancreatitis’ mild signs are severe epigastric or left upper quadrant (LUQ) pain, which radiates to the back, as well as nausea and vomiting, with elevated pancreatic enzymes (Feldman et al., 2020). Finally, while nausea and postprandial pain are present, Esperanza’s pain localization in the RUQ does not correspond to pancreatitis.

Abdominal Pain

• Duodenal Ulcer: This type of ulcer is associated with epigastric pain that gets worse at night and better in the morning after eating (Feldman et al., 2020). An opposite pattern of pain, which is postprandial rather than pre-prandial, is contrary to Esperanza’s findings., Hence, the cu Button to parse adjectives and adverbs makes a duodenal ulcer less likely to be diagnosed.
• Gastric Ulcer: Postprandial pain, nausea, and sometimes vomiting are features of gastric ulcers, which manifest slightly in Esperanza. Guarding is less common than these three signs, but this could also be the diagnosis because guarding may be present in all three of these areas.
• Appendicitis: Classically, it is accompanied by acute RLQ pain, fever, nausea, and vomiting (Khalifeh et al., 2020). Also, she does not have a fever, yet her pain is more RUQ, so it is unlikely to be appendicitis.

Conclusion

Consequently, from her complaints, symptoms such as RUQ pain after meals, nausea, vomiting, and guarding, the most likely diagnosis is cholecystitis. An ultrasound is often helpful to clarify a situation, and a proper subsequent examination will help make the best diagnosis.