Hypogastric Pain - Differential Diagnoses

How would one approach a patient who complains of pain in the hypogastric region?

I came across one who also suffered from constipation and so immediately (possibly wrongly) put it down to side-effects of their laxatives (lactulose, previously laxido).

I understand an abdominal examination must be performed but are there any other tests that would be useful? Besides asking about weight loss/lethargy to screen for cancerous problems?

Authored By Jonathan Chernick on Tuesday 14th January 2014

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Amy Huxtable
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Medical Student - Peninsula
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Posted over 5 years ago

It is interesting how different minds work - when I started reading your question I immediately thought of urinary problems rather than bowel.

History

I think SOCRATES is a really useful tool for GI complaints in particular as there are

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Jan Modric
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Posted almost 5 years ago

I find the term hypogastric pain a bit vague. It is very convenient if the pain clearly fits in one of the four abdominal quadrants.

One of the often overlooked causes of the middle abdominal pain is aneurysm or dissection of abdominal aorta.

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Jan Modric
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Posted almost 5 years ago

More tests:

  • Stool tests for blood, parasites, fat
  • Breath tests for lactose intolerance, fructose malabsorption and SIBO
  • Tests for celiac disease
  • Liver panel tests
  • Pancreatic enzymes
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