Epigastric pain

Gastrointestinal tract—nausea, vomiting, diarrhea, constipation, epigastric pain, indigestion, abdominal distress or discomfort, intestinal ulceration, stomatitis, jaundice, bloating, anorexia, and dry mouth... 

The adverse reactions seen with penicillamine include pruritus, rash, anorexia, nausea, vomiting, epigastric pain, bone marrow depression, proteinuria, hematuria, increased skin friability, and tinnitus. Penicillamine is capable of causing severe toxic reactions. 

Gastrointestinal—nausea, vomiting, constipation, diarrhea, epigastric pain... 

Gemfibrozil Dizziness or blurred vision may occur. Observe caution when driving or performing hazardous tasks. Notify die primary health care provider if epigastric pain, diarrhea, nausea, or vomiting occurs. 

The nurse immediately reports any of the following symptoms of hyperglycemia elevated blood glucose levels (>200 mg/mi) headache increased thirst epigastric pain nausea vomiting hot, dry, flushed skin restlessness and diaphoresis (sweating). 

Anorexia, nausea, vomiting, 500-3000 mg/d PO epigastric pain, heartburn, XR (extended release) ... 

Mild epigastric pain that may be described as burning, gnawing, or aching in character. 

Assess the patient s subjective complaints and objective information for adverse effects. For NSAID therapy, be alert for new-onset epigastric pain, dark or tarry stools, blood in vomitus, dizziness or light-headedness, development of edema, decreased urine output by more than 50% over a 24-hour period, or shortness of breath. For colchicine, monitor for nausea or vomiting, diarrhea, easy bruising, cold or flulike symptoms, light-headedness, muscle weakness, or pain. Counsel the patient to inform you of any new medications started or stopped while taking colchicine. 

A 2 2-year-old female with a two-year history of AIDS treated with one of these agents develops epigastric pain that radiates to the chest. Endoscopic examination reveals an esophageal ulceration. 

Gastrointestinal Effects. Nausea, abdominal cramps, and diarrhea occurred in a man who had washed his hair with an unknown amount of diesel fuel (Barrientos et al. 1977). Clinical examination revealed a normal abdomen. Another man had epigastric pain after washing his hands with diesel fuel over several weeks (Crisp et al. 1979). Effects resulting from inhalation versus dermal exposure could not be distinguished in these cases. 

Adverse effects. The frequent gastrointestinal complaints (epigastric pain, diarrhea, constipation) necessitate intake of iron preparations with or after meals, although absorption is higher from the empty stomach. 

Workers exposed to 10-2 00 ppm complained of lacrimation, dizziness, insomnia, vomiting, constipation, and anorexia liver tenderness on palpation, epigastric pain, and elevated urobilinogen were observed. Impairment of the central nervous system and increased morbidity, especially diseases of the liver and bile ducts, were found in workers chronically exposed to ethylene dichloride at concentrations below 40 ppm and averaging 10-15 ppm. ... 

Iron pentacarbonyl is approximately one-third as potent as nickel carbonyl when inhaled by rats for 30 minutes. Effects from inhalation of high concentrations of the chemical are expected to be similar to those of nickel carbonyl, which include frontal headache, vertigo, nausea, vomiting, and sometimes substernal and epigastric pain. Generally these early effects disappear when the subject is removed to fresh air. 

Gl Gastric/epigastric pain flatulence gastritis constipation nausea diarrhea dry mouth vomiting heartburn appetite disorder anorexia bloating abdominal discomfort/pain dyspepsia taste distortion. 

Adverse reactions that may occur in 3% or more of patients include anorexia epigastric pain nausea vomiting diarrhea blunting/diminution/total loss of taste taste perversion thrombocytopenia generalized pruritus early and late rashes proteinuria. 

Gl Nausea vomiting epigastric pain hematemesis diarrhea rectal irritation or bleeding (aminophylline suppositories). Therapeutic doses of theophylline may induce gastroesophageal reflux during sleep or while recumbent, increasing the potential for aspiration, which can aggravate bronchospasm. 

Other- Gastritis (etodolac) pyrosis (meclofenamate) heartburn (naproxen, meclofenamate, ibuprofen, mefenamic acid, piroxicam) Gl distress (tolmetin) epigastric pain (ibuprofen) indigestion (ibuprofen) Gl tract fullness (ibuprofen) Gl pain (sulindac) gross bleeding (mefenamic acid). 

Abdominal distension, abdominal pain, constipation, diarrhea, dyspepsia, epigastric pain (not food-related), nausea, pyrosis, vomiting (5% or more) flatulence, gastritis, hemorrhoids (2% to less than 5%). 

Adverse effects consist mainly of gastrointestinal intolerance such as nausea, epigastric pain and diarrhea and, especially in the elderly constipation with continued therapy. All ferrous salts may cause a black coloration of the faeces. Children are particularly susceptible to potentially lethal iron intoxications. Oral iron preparations should not be administered concurrently with tetracyclines as mutual interference with absorption will occur. 

Adverse effects include skin rashes, pruritus, nausea, epigastric pain and glossitis. Megaloblastic anemia, leukopenia, granulocytopenia can occur due to the inhibition of the human dihydrofolate reductase. Folinic acid, the reduced form of tetrahydrofolate is sometimes used to prevent these effects. 

PO Flatulence, dizziness, epigastric pain Ophthalmic Ocular itching or tearing Rare (less than 1 %)... 

Assess the patient for pain, especially in the right upper quadrant of the abdomen, because epigastric pain may indicate cholecystitis or cholelithiasis... 

Dyspepsia, including heartburn, indigestion, flatulence, abdominal cramping, constipation, nausea, diarrhea, epigastric pain, vomiting, headache, nervousness, dizziness, bleeding, elevated liver function tests, tinnitus... 

Vomiting, diarrhea, ataxia, nervousness, heartburn, indigestion, epigastric pain, constipation... 

Nausea, vomiting, epigastric pain, diarrhea, headache, mild diuresis, insomnia Rare... 

Rash (pruritic, erythematous, maculopapular, morbilliform), reduced/altered sense of taste (hypogeusia), G1 disturbances (anorexia, epigastric pain, nausea, vomiting, diarrhea), oral ulcers, glossitis Occasional... 

Dizziness nausea altered taste dyspepsia, marked by heartburn, epigastric pain, and... 

Nausea, dyspepsia (including heartburn, indigestion, and epigastric pain)... 

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