scholarly journals A cross-sectional study of nausea in functional abdominal pain: relation to mucosal mast cells and psychological functioning

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Craig Friesen ◽  
Meenal Singh ◽  
Vivekanand Singh ◽  
Jennifer V. Schurman
2018 ◽  
Vol 6 (15) ◽  
pp. 944-951 ◽  
Author(s):  
Manori Vijaya Kumari ◽  
Niranga Manjuri Devanarayana ◽  
Lakmali Amarasiri ◽  
Shaman Rajindrajith

2013 ◽  
Vol 53 (1) ◽  
pp. 16
Author(s):  
Fastralina Fastralina ◽  
Sri Sofyani ◽  
M. Joesoef Simbolon ◽  
Iskandar Z. Lubis

Background Anxiety and depression disorders in adolescentsmay affect their academic performances and social functioningat school. Adolescents with these disorders sometimes developrecurrent abdominal pain (RAP).Objective To assess the occurence of recurrent abdominal painamong adolescents with anxiety and depression disordersMethods We conducted a cross-sectional study from Augustto September 2009 in 12-18 year-old adolescents from 3 juniorhigh schools and 3 senior high schools in Secanggang Subdistrict,Langkat District, North Sumatera Province. We screened 960adolescents. Subjects were selected by consecutive samplingand instructed to fill the child behavior checklist (CBCL) andchildren's depression inventory (CDI) forms. Those with suspectedanxiety/depression (CBCL score 2: 12 for boys and 2: 14 for girls)and those with suspected depression (CDI score 2: 13) were thenexamined by a psychiatrist. Adolescents diagnosed with anxiety ordepression disorders were instructed to fill the RAP questionnairebased on Apley and Naish criteria.Results From the CBCL and CDI forms, 250 students weresuspected of having anxiety and/or depression. From these,144 students participated in this study. Of the 84 students withanxiety disorders, 60 (71.4%) students suffered from RAP. Ofthe 60 students with depression disorders, 31 (51 %) sufferedfrom RAP.Conclusion Adolescents with anxiety or depression are morelikely to have recurrent abdominal pain.


2016 ◽  
Vol 44 (6) ◽  
pp. 215
Author(s):  
Elizabeth Yohmi ◽  
Aswitha D Boediarso ◽  
Sri Rezeki S Hadinegoro

Background Recurrent abdominal pain (RAP) is common amongschool-age children. Previous studies found that lactose malab-sorption has an important role in RAP in children. Up to date, dataon the prevalence of lactose malabsorption in children with RAPin Indonesia has not been available.Objective To elicit the prevalence of RAP and lactose malabsorption inchildren with RAP, and to determine associated foods that cause RAPin children with and without lactose malabsorption, the frequency oflactose intolerance during breath hydrogen test (BHT), and also theonset and duration of the symptoms after a lactose load.Methods This was a cross-sectional study conducted on juniorhigh school students who suffered from recurrent abdominal pain.Results Of 1054 students screened, 157 (14.9%) fulfilled the Apley’scriteria for RAP. Of 157, 85 children were enrolled and underwentBHT. Fifty five of them (65%) were girls. Lactose malabsorptionwas found in 68 (80%) subjects. Milk and yogurt were the mostfrequent products that cause symptoms of RAP in our subjectswho mostly (80%) were malabsorber. Lactose intolerance duringBHT was found in 69 (81%) children. Symptoms appeared in 30minutes after lactose ingestion, and the most frequent symptomwas abdominal pain (44%). Lactose intolerance symptoms disap-peared in about 15 hours.Conclusions The prevalence of RAP in children aged 12-14 yearswas 14.9%. The prevalence of lactose malabsorption in childrenwith RAP was 80%. Milk and yogurt were the most frequent productsthat cause symptoms of RAP in our subjects who mostly weremalabsorbers. The frequency of lactose intolerance during BHTwas 81%, and the symptoms lasted within approximately 15 hours


2021 ◽  
Author(s):  
Brit Thorsen ◽  
Kari Hanne Gjeilo ◽  
Jorunn Sandvik ◽  
Turid Follestad ◽  
Hallvard Græslie ◽  
...  

Abstract Background Roux-en-Y gastric bypass (RYGBP) and laparoscopic sleeve gastrectomy (LSG) are efficient methods for weight loss (WL) and WL maintenance in severe obesity. However, the knowledge of gastrointestinal (GI) symptoms after surgery is limited. This study aimed to compare the severity of GI symptoms, pain, and self-rated health 2 to 4 years after RYGBP and LSG surgery. Methods In this cross-sectional study, RYGBP and LSG patients answered a questionnaire including the Gastrointestinal Symptom Rating Scale (GSRS), questions from the Brief Pain Inventory (BPI), and self-rated health (SRH). Results A total of 172/303 (57%) responded, RYGBP (n=73) and LSG (n=99). The mean age was 45.3 (SD 11.1) years (74% females). There was no evidence of a difference in total GSRS scores between the surgical methods (p=0.638). There were higher scores of reflux symptoms in LSG vs. RYGBP (both median 1, 75-percentile 2.5 vs. 1.0, p <0.001) and higher consumption of acid-reducing medication after LSG (32% vs. 12%, p <0.001). Pain scores were low in both groups; however, average abdominal pain was higher for RYGBP, median 2 (IQR 0–4) vs. median 1 (IQR 0–3) for LSG (p = 0.025). There was no significant difference in SRH. Conclusions Patients undergoing RYGBP and LSG surgery reported similar total GSRS scores and low pain scores 2 to 4 years after surgery. However, reflux symptoms and use of acid-reducing medication occurred more frequently after LSG surgery, while abdominal pain was more frequent in RYGBP surgery. These findings are important for surgical decision-making and follow-up. Graphical abstract


Research ◽  
2014 ◽  
Vol 1 ◽  
Author(s):  
FJ Pérez Lara ◽  
J Hernández Carmona ◽  
J Quintero Quesada ◽  
JA Moreno Ramiro ◽  
R Bustamante Toledo ◽  
...  

2014 ◽  
Vol 21 (03) ◽  
pp. 556-558
Author(s):  
Ejaz Hussain Siddiqui ◽  
Saad Siddiqui ◽  
Romana Ayub ◽  
Noreen Shah

Objectives: To assess common presenting features of children with abdominalpain and to determine role of High frequency & Doppler Ultrasound in evaluation of thesepatients. Material and Methods: This is a cross sectional study conducted from August 2012 toDecember 2012. Data from patients presenting for evaluation of abdominal pain was analyzed forpresenting complaints and ultrasound findings according to objectives of the study. Results: Intotal 262 cases were included in the study. The mean age of patients was 6.3 years with a male tofemale ratio of 1.47:1. Dysuria followed by Diarrhoea and vomiting were most commonassociated complaints, Urological pathologies were most common ultrasound findings uponevaluation of patients. Conclusions: Abdominal pain is a frequent presenting feature inpeadiatric population, Urological pathologies were most common examination findings.Ultrasound is a useful and safe modality in evaluation of abdominal pain in children.


2019 ◽  
Vol 6 (2) ◽  
pp. 345 ◽  
Author(s):  
Jiwesh Kumar Thakur ◽  
Rakesh Kumar

Background: Acute abdomen is defined as “a spectrum of surgical, medical and gynecological conditions ranging from trivial to life threatening conditions, which require hospital admission, investigations and treatment. The possible causes of acute abdomen may range from benign and psychogenic pain to life threatening aortic dissection. This study aims to find out the etiological spectrum of surgical acute pain abdomen among patients attending emergency department of a medical college of Eastern India.Methods: An institution based, cross-sectional study was conducted from January- June 2018, among patients admitted with pain abdomen in IQ City Medical College and Narayna Hospital, Durgapur, West Bengal, India. Data were collected on the day of discharge, with the help of pre-tested, semi structured Schedule.Results: Total 8688 patients were admitted through emergency during data collection period. 1236 (14.2%) of them were admitted with complains of pain abdomen. Frequency of surgical and non-surgical pain abdomen was 6.0% and 8.2% respectively. Most consistent symptom and sign were pain abdomen and abdominal tenderness respectively. Most common cause of acute abdomen was acute appendicitis. It was present in 38.9% of cases followed by gall bladder pathology, renal/ ureteric colic, perforation peritonitis, intestinal obstruction, bowel ischemia in 21.0%, 14.2%, 13.7%, 7.8%, and 4.4% of cases respectively.Conclusions: About 15.0% of all emergency hospitalization is due to acute abdominal pain and about 40.0% of all acute abdominal pain was due to surgical causes. Most common cause of surgical acute abdomen was acute appendicitis.


Author(s):  
Yeni Farida ◽  
Kharimah Faizathus Tsalatsatun

Hypertension is one of the high-prevalence diseases in primary care. Failure to achieve the target of blood pressure is affected by non-compliance due to the antihypertensive adverse reactions. This study aims to determine adverse drug reaction (ADR) of antihypertensive drugs in primary care settings. A cross sectional study was conducted in “Sibela” Primary Care in Surakarta on March 2019. Investigators interviewed patients directly and observed supporting data from medical records. Hypertension patients with antihypertensive drugs at least for a month were eligible in this study.  Then, the data were analyzed by the Liverpool algorithm that interpreted in 4 scales: unlikely, possible, probable, and definite.  A total 70 subject were dominated by female (80%). Monotherapy of antihypertensive drugs prescribed to patient in primary care were amlodipine (80%) and captopril (10%). Nine events of ADR were found in hypertension patient. None ADR were doubtful. Possible ADR of amlodipine was drowsiness (5.4%), whereas probable ADR were nausea (3.4%), diuresis (1.8%), and abdominal pain (1.8 %). Definite ADR of captopril was dry mouth (14.3%) and probable ADR was abdominal pain (14.3%). Further investigation regarding the drowsiness, ADR of amlodipine, was needed.


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