Symptoms of Chronic Gastritis

Chronic gastritis is often silent; when symptoms appear, recurrent upper-abdominal discomfort dominates: Vague pain, burning or bloating in the epigastrium or left upper quadrant, sometimes worse or better after meals Early satiety: feeling full after only a few bites, preventing completion of a normal meal Post-prandial fullness lasting >1 h, scarcely relieved by belching or position change Frequent belching, often sour or bitter Nausea or occasional retching; vomitus is gastric content without bile or blood Upper epigastric heat: a heartburn-like sensation located higher, easily confused with reflux Loss of appetite, thick tongue coating, halitosis and other ancillary complaints Symptoms may... Learn more

Symptoms of Indigestion

Indigestion centers on recurrent upper-abdominal discomfort. Common features include: Vague pain, burning, or bloating in the epigastrium or left upper quadrant, starting within 1 h after meals or sometimes worsening when the stomach is empty Early satiety: feeling full after only a few bites, preventing completion of a normal meal Post-prandial fullness: bloating persists >1 h after eating and is scarcely relieved by belching or position change Epigastric distension and belching: a subjective sense of abdominal swelling with frequent sour-tasting eructations Nausea or occasional retching; vomitus is usually gastric content without bile or blood Upper epigastric heat: a heartburn-like sensation... Learn more

Symptoms of Pancreatitis

The clinical picture differs between acute and chronic disease, but both revolve around upper-abdominal pain and disturbed digestion. Acute pancreatitis begins with sudden, severe epigastric or left-upper-quadrant pain that bores through to the back; eating worsens it and antispasmodics give little relief. Most patients vomit repeatedly yet still feel bloated. Fever > 38 °C, tachycardia and, in severe cases, hypotension or shock may appear within 48 h. Bluish periumbilical (Cullen) or flank (Grey-Turner) bruising signals haemorrhagic-necrotic pancreatitis. Chronic pancreatitis causes recurring or persistent upper-abdominal pain that is aggravated by meals and by lying supine; sitting forward or hugging the knees... Learn more

What Chronic Diarrhea Is Telling You

Chronic diarrhea means >3 loose or watery stools per day for more than four weeks. It is not a disease itself but a common end-point of many mechanisms. Here is a rapid overview from cause to clinic. 1. Osmotic diarrhea Unabsorbed solutes (lactose, fructose, sorbitol, Mg-antacids) hold water in the lumen; stool output falls markedly when the patient stops eating the offending sugar or salt. 2. Secretory diarrhea The mucosa actively pours water and electrolytes into the gut; fasting does not stop the flood. Think hyperthyroidism, adrenal insufficiency, gastrinoma, VIPoma, bile-acid malabsorption or chronic alcohol abuse. 3. Malabsorption / steatorrhoea... Learn more

What Abdominal Pain Is Telling You

Stomach-ache is not just “tummy hurt”. The same spot can mean opposite diseases depending on how the pain feels and what comes with it. Here is a rapid field-map. 1. Map by quadrant Epigastrium: stomach, duodenum, gall-bladder, liver, pancreas Peri-umbilical: small bowel, early appendix, mesenteric nodes Right lower: appendix, right adnexa, right ureter Left lower: sigmoid colon, left adnexa, left ureter Flank / back: kidneys, retro-peritoneum Diffuse: obstruction, peritonitis, metabolic or functional disorders 2. Listen to the “voice” of pain Colicky (waves): spasm of hollow viscus – gastro-enteritis, stones, early obstruction Burning / dull: mucosal lesion – gastritis, reflux Sudden... Learn more