Colicky pain

Cancer of the large bowel can present with symptoms of bowel obstruction, such as nausea, vomiting, colicky pain, constipation and abdominal... 

Diverticulitis refers to the extension of mucosal pouches outv/ards from the external muscle v/all into the gastrointestinal tract. Diverticulitis is accompanied by colicky pain lasting for a fev/ days. The condition may be accompanied by constipation or diarrhoea and blood in stools. 

Ascaris. Roundworm (maw-worm eel-worm) found in the small intestine, causing colicky pains and diarrhea, especially in children. 

These drugs exert their laxative action by increasing motility of colon. They mainly alter absorptive and secretory activity by inhibiting Na+ ATPase in mucosal cells, leading to water and electrolyte accumulation in lumen. Colicky pain may occur and on the... 

Abdominal cramps or discomfort, colicky pain, nausea and belching, diarrhea, borbor ygmi, salivation... 

Abdominal pain and discomfort This is frequently non-specific and may present as a vague, dull pain. Persistent and colicky pain is most likely to represent obstructive symptoms and be caused by a lesion in the descending colon. 

Gut motor activity is increased and may cause colicky pain. Exocrine secretion is also increased. Tone in sphincters falls which may cause defaecation (anal sphincter) or acid reflux/regurgitation (oesophageal sphincter). 

Fig. 25.8 Sonographic visualization of an Ascaris lumbricoides in the common bile duct (longitudinal/transverse imaging). Clinical findings colicky pain, cholestasis and slight jaundice...

When asked, the woman explains that she used to go to the toilet every day ( regular as clockwork ) until about three weeks ago and now she hardly ever seems to go. She tells you she has had a colicky pain with this constipation and she feels tired all the time. She looks very pale and thin. When asked about her weight she tells you that her friends say she has lost a lot of weight. She takes some water tablets for her heart trouble but apart from old age she is fit and well. 

Nature of pain Crampy, colicky pain in the lower abdomen may radiate to the back of the legs or the lower back Dull, continuous, diffuse abdominal pain... 

Ingestion of nerve agent may occur from contaminated food or water. Colicky pain occurs,... 

Higher than therapeutic doses of bethanechol may cause abdominal discomfort, colicky pain, belching, diarrhea, salivation, borborygmi, and a fall in blood pressure. 

Arsenic poisoning is commonly an acute clinical syndrome, and death usually occurs rapidly. Clinical signs of acute arsenic toxicity include colicky pain, vomiting, diarrhea, marked depression, and der-... 

The pattern of complications is common for all types of hernia. The complications are irreducibility, obstruction and strangulation. Irreducible (incarcerated) hernia may be due to a narrow neck or adhesion of contents to the sac wall. In obstruction, the intestine in the hernia gets obstructed due to a narrow neck, adhesion or volvulus, but it is viable. Strangulation results when there is compromise to venous drainage and later arterial supply of the contents. In obstructed hernia there is colicky pain, abdominal distension and vomiting. Incarcerated hernia is present at rest it is irreducible and usually contains some fluid in the sac that can be seen on sonography (Fig. 5.2b Rettenbacher et al. 2001). In obstructed hernia the patient has symptoms of intestinal obstruction. There are dilated bowel loops... 

Case 1 A 50-year-old female with a history of Basedow s disease since she was 36 years old. She had no history of hematuria nor colicky pain. She had no special family history, except her sister, who had chronic thyroiditis. When she was 49, hypouricemia was discovered by chance. Her serum uric acid level was 0.3 mg/dl. 

The most common symptoms of urolithiasis are abdominal pain, sometimes clearly identifiable as colicky pain, urinary tract infection, gross or microscopic nonglomerular hematuria and, more rarely, flank tenderness or urinary retention. Diagnosis is easily missed if stones are not specifically looked for. Small stones may not be detectable even when their presence is strongly suggested. Recurrent urinary tract infections or unexplained sterile pyuria, secondary to noninfectious stones, may provide a clue. 

Colicky abdominal pain radiating from flank to groin (postrenal ARF)... 

Nausea, vomiting, colicky abdominal pain, and diarrhea are common with tetrachloroethylene (2). 

Arsenic can cause acute and chronic poisoning. Acute arsenic poisoning may cause vomiting, dryness of the mouth and throat, muscle cramps, colicky abdominal pain, tingling of the hands and feet, circulatory disorders, and nervous weakness. Cold and clammy skin, hallucinations, delirium, and diarrhea appear. If death does not occur within 24 h, irreversible organ disorders oecur. 

You discover that the medication is for her husband not herself. He is aged 35 years. They have recently returned home from a holiday in India. He has no other illness and takes no medication. His wife has given him Dioralyte sachets for the past four days. He has frequent diarrhoea with colicky griping pains... 

One woman experienced repeated attacks of sweating, nausea, colicky abdominal pain, diarrhea, vomiting, weakness, and collapse after taking a milk thistle product (Adverse Drug Reactions Advisory Committee 1999). Other cases of adverse events, reported without details, include a case of abdominal pain, nausea, listlessness, and insomnia and one case of thrombocytopenia (Adverse Drug Reactions Advisory Committee 1999). The symptoms in these reports are similar to those associated with liver disease, for which the patients may have been taking milk thistle. 

The three autosomal dominant diseases, acute intermittent porphyria (31.2) [1, 4], variegate porphyria (31.6) and hereditary coproporphyria (31.5) share a common symptomatology (Tables 31.3.1/31.3.2). Affected individuals suffer from acute attacks of severe, colicky, abdominal pain, mostly of several days duration and combined with nausea, vomiting, obstipation and subileus. Tachycardia and hypertension is often present too. Within a few days these symptoms may spontaneously subside or they may progress as well to a predominant motor neuropathy, disturbance of electrolyte balance (hyponatremia, hypomagnesemia), seizures, confusion and coma. 

The porphyrias are characterized by two leading symptoms, severe, colicky abdominal pain (acute porphyrias) and/or photosensitivity mostly as skin blisters (cutaneous porphyrias). Diagnosis in symptomatic periods is... 

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