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Chronic Abdominal Pain: Gastroenterologist Approach
Snezana Lukic1, Dragana Mijac1, Branka Filipovic2
1Clinic for Gastroenterology and Hepatology, Clinical Center of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia.
Abdominal pain is a common challenge in gastroenterology. Understanding its diverse causes, from gastroesophageal reflux disease to ulcers and irritable bowel syndrome, is crucial for diagnosis and treatment.
Area of Science:
- Gastroenterology
- Internal Medicine
Background:
- Abdominal pain is a frequent presenting symptom in gastroenterology consultations.
- Chronic abdominal pain, defined as pain lasting over three months, presents a diagnostic challenge.
Purpose of the Study:
- To differentiate common causes of abdominal pain encountered in gastroenterology.
- To highlight key symptoms associated with conditions like GERD, peptic ulcers, IBS, and pancreatitis.
Main Methods:
- Review of common gastrointestinal diseases presenting with abdominal pain.
- Differential diagnosis based on pain characteristics, timing, and associated symptoms.
Main Results:
- Gastroesophageal reflux disease (GERD) often presents with heartburn and/or regurgitation, sometimes epigastric pain.
- Epigastric pain syndrome, duodenal ulcers, and gastric ulcers have distinct pain patterns related to meals and fasting.
- Irritable bowel syndrome pain is linked to defecation, while pancreatitis pain may radiate to the back.
Conclusions:
- Abdominal pain is a complex symptom with varied locations, intensities, and associated symptoms.
- Accurate diagnosis requires careful consideration of the pain's characteristics and patient history.
- Effective management of abdominal pain is a significant challenge for gastroenterologists.
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