Lybrate.com has a number of highly qualified Gastroenterologists in India. You will find Gastroenterologists with more than 30 years of experience on Lybrate.com. Find the best Gastroenterologists online in Noida. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Everyone can suffer from pain in the stomach, at one time or the other and we usually ignore it. But when the pain is sudden and severe abdominal pain then it is termed as acute pain and this should not be ignored.
Often the following can be expected with acute pain:
- Acute abdomen pain is usually synonymous with rapid onset of the symptoms which might indicate life threatening intra-abdominal pathology.
- Pain is just a feature and not necessary that it is present at all times. An acute abdomen which is pain free usually occurs in children and women who are in their third trimester of pregnancy.
- The differential diagnosis is difficult and wide especially in primary care. This is because the different organs within their peritoneal cavity might have different areas of referred pains.
- Abdominal pain usually happens to be in the top three symptoms when patients present their state in the emergency and accident departments. But only few of these have acute abdominal pain.
- Management of the abdominal pain should be the primary focus and an assessment should be done to reach the differential diagnosis so that care can be given accordingly.
- The clinical evaluation regarding abdomen pain can change quickly. Any diagnosis which had been made can change and both doctor and patient should not be hesitant and seek other treatment.
Conditions which might cause acute abdomen pain are:
- Meckel's diverticulitis or Acute appendicitis
- Acute cholecystitis
- Ectopic pregnancy
- Acute pancreatitis.
- Peptic ulcer disease
- Intestinal obstruction, including paralytic ileus (adynamic obstruction)
- Pelvic inflammatory disease.
- Gastrointestinal (GI) haemorrhage
- Acute intestinal ischaemia/infarction or vasculitis.
- Acute urinary retention
- Renal colic or renal tract pain
- Testicular torsion
- Abdominal aortic aneurysm
- Non surgical diseases like pericarditis, sickle cell crisis, acute intermittent porphyria, HIV-associated lymphadenopathy, bowel disease, typhoid, opiate withdrawal, enteritis, pneumonia, myocardial infarction and hepatitis.
- Rare causes might include thromboemboli, phytobezoar, and phytobezoar
Diagnosis of abdominal pains:
- Patients can be ordered to get their blood tests done. Also if need be then imaging can also be referred to them.
- Following tests can be done to rule out the condition causing the abdominal pain:
- Blood Tests: these include FBC, LFTs, glucose, amylase, clotting, calcium and arterial blood gas for pancreatitis
- Crossmatch or group and save
- Pregnancy test in women of childbearing age
- Blood cultures
- Peritoneal lavage in case of an abdominal trauma
- Urine analysis
- X ray of the abdomen, ultrasound, CT scan
- ECG and cardiac enzymes
- Laparoscopy should be a routine procedure
I am having a problem with sleep I am feeling very tired and lazy all day and I do not have a fix routine nd having acidity related problems too my point is how can I cure these problem.
I am 21 years old. I don't have good digestive track and I burp many times. What should I do to improve my digestive track? What should I avoid eating and what should I eat to improve my digestive tract?
Hello doctors am 30 years old man and have digestion problem. Mucus comes imy stool. This is problem for long time. I want to get ayurvedic median. please provide some ayurvedic medicine name.
Hi I am suffering from ulcerative colities since 11 year, relapse after 3-4 year, is there any Ayurveda medicine treatment?
Sometimes, when it comes to problems in the abdominal area, an ultrasound is not clear enough for a diagnosis. In such cases, an Endoscopic Retrograde Cholangiopancreatography (ERCP) may be performed. This procedure gives the doctor a clear view of the duodenum, bile duct, pancreatic ducts, gallbladder and papilla of Vater.
This procedure is usually performed under intravenous sedation without general anesthesia. This procedure involves the use of a duodenoscope, which can be described as a thin, long, flexible tube with a camera at one end. It also has a fiber optic bundle that transmits lights to the camera and a chip to transmit video images to a TV screen.
This is inserted through the patient’s mouth and sent down the throat through the food pipe to the stomach and duodenum while the patient is lying on his or her back. The air pipe is left undisturbed so as to not interfere with the patient’s breathing. Since the patient is not under general anesthesia, he or she can move and turn according to the doctor’s needs. The papilla of Vater is a small nipple like structure with an opening to the bile duct and pancreatic duct. Once this has been identified, a small plastic catheter is passed through the duodenoscope into the bile duct or pancreatic duct through the papilla. Dye is then injected into the area and X-rays are taken of the bile ducts and pancreatic duct. In cases where a biopsy is needed, other instruments can also be passed through the endoscope. Plastic or metal stents can also be passed through this to relieve obstructions in the bile ducts and pancreatic ducts.
ERCP can be used to diagnose and treat a number of conditions in the liver, bile ducts, gall bladder, pancreas and papilla of Vater. These include:
• Blockage of the bile duct by gallstones, cancer, scars, tumors or compression from adjacent organs.
• Jaundice due to an obstructed bile duct. This can also cause light stools and dark urine.
• Persistent upper abdominal pain
• Unexplained weight loss and loss of appetite
• Diagnosing a Dysfunctioning Sphincter of Oddi within the Papilla of Vater
ERCP can also be used to confirm pancreatic cancer and cancer of the bile duct. Once the diagnosis is confirmed, the doctors can customize treatment according to the patient’s needs.