A 43-year-old man with a history of acute and chronic pancreatitis presented with a 1-day history of severe burning and squeezing epigastric pain without nausea, vomiting, or diarrhea. The pain was similar to the patient’s previous episodes of acute pancreatitis, for which he had had multiple hospitalizations. The patient’s other diagnoses were hypertriglyceridemia, chronic kidney disease, and ...

x Is this really dyspepsia? Ask about epigastric pain; heartburn and acid regurgitation; attitudes towards meals; lying flat; and response to antacids. Consider biliary or cardiac pain. Predominant bloating may indicate aerophagia or the irritable bowel syndrome. x Be alert to “alarm symptoms” (weight loss, anaemia, vomiting, jaundice, and epigastric mass); patients aged 55 and over with recent...

Background: Arsenic toxicity as a result of consumption of hair removal agent has been rarely seen in last few years in comparison with the past. Case Presentation: In this case report, we presented a middle age woman referred to medical toxicology department due to epigastric pain and diarrhea following ingestion of hair removal agent. Urinary test for arsenic was positive. ECG changes and ele...

Background. Functional dyspepsia is the prototype functional gastrointestinal disorder. This study was designed to determine its prevalence, subtypes, and risk factors associated with the subtypes. Method. Patients with upper gastrointestinal symptoms who presented for endoscopy were administered a questionnaire containing the functional dyspepsia and irritable bowel syndrome modules of the Rom...

A male aged 38 years was first seen in March 1971 with a year's history of intermittent attacks of epigastric pain. The pain worked round to both loins and was more or less constant for two or three days. He then had a few days freedom before the next attack. The pain was not affected by food or hunger but he had noticed that his bowels were not opened during the attacks, although between attac...