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Stomach pains : ウィキペディア英語版
Abdominal pain

Abdominal pain or stomach pain is a common symptom associated with both temporary, non-serious disorders and more serious conditions.
Common causes include gastroenteritis and irritable bowel syndrome. In a third of cases the exact cause is unclear. About 10% of people have a more serious underlying condition such as appendicitis or diverticulitis.〔 Determining the cause can be difficult, because many diseases can cause this symptom.
==Differential diagnosis==
The most frequent cause of abdominal pain is gastroenteritis (13%), irritable bowel syndrome (8%), urinary tract problems (5%), inflammation of the stomach (5%) and constipation (5%). About 30% of cases the cause is not determined. About 10% of cases have a more serious cause including gallbladder or pancreas problems (4%), diverticulitis (3%), appendicitis (2%) and cancer (1%). More common in those who are older, mesenteric ischemia and abdominal aortic aneurysms are other serious causes.
A more extensive list includes the following:
* Gastrointestinal
*
* GI tract
*
*
* Inflammatory: gastroenteritis, appendicitis, gastritis, esophagitis, diverticulitis, Crohn's disease, ulcerative colitis, microscopic colitis
*
*
* Obstruction: hernia, intussusception, volvulus, post-surgical adhesions, tumours, superior mesenteric artery syndrome, severe constipation, hemorrhoids
*
*
* Vascular: embolism, thrombosis, hemorrhage, sickle cell disease, abdominal angina, blood vessel compression (such as celiac artery compression syndrome), Postural orthostatic tachycardia syndrome
*
*
* digestive: peptic ulcer, lactose intolerance, coeliac disease, food allergies
*
* Glands
*
*
* Bile system
*
*
*
* Inflammatory: cholecystitis, cholangitis
*
*
*
* Obstruction: cholelithiasis, tumours
*
*
* Liver
*
*
*
* Inflammatory: hepatitis, liver abscess
*
*
* Pancreatic
*
*
*
* Inflammatory: pancreatitis
* Renal and urological
*
* Inflammation: pyelonephritis, bladder infection
*
* Obstruction: kidney stones, urolithiasis, Urinary retention, tumours
*
* Vascular: left renal vein entrapment
* Gynaecological or obstetric
*
* Inflammatory: pelvic inflammatory disease
*
* Mechanical: ovarian torsion
*
* Endocrinological: menstruation, Mittelschmerz
*
* Tumors: endometriosis, fibroids, ovarian cyst, ovarian cancer
*
* Pregnancy: ruptured ectopic pregnancy, threatened abortion
* Abdominal wall
*
* muscle strain or trauma
*
* muscular infection
*
* neurogenic pain: herpes zoster, radiculitis in Lyme disease, abdominal cutaneous nerve entrapment syndrome (ACNES), tabes dorsalis
* Referred pain
*
* from the thorax: pneumonia, pulmonary embolism, ischemic heart disease, pericarditis
*
* from the spine: radiculitis
*
* from the genitals: testicular torsion
* Metabolic disturbance
*
* uremia, diabetic ketoacidosis, porphyria, C1-esterase inhibitor deficiency, adrenal insufficiency, lead poisoning, black widow spider bite, narcotic withdrawal
* Blood vessels
*
* aortic dissection, abdominal aortic aneurysm
* Immune system
*
* sarcoidosis
*
* vasculitis
*
* familial Mediterranean fever
* Idiopathic
*
* irritable bowel syndrome (affecting up to 20% of the population, IBS is the most common cause of recurrent, intermittent abdominal pain)

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
ウィキペディアで「Abdominal pain」の詳細全文を読む



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