• Title/Summary/Keyword: Abdominal symptoms

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Oriental Medical Treatment of chronic Acalculous Cholecystitis (무결석성(無結石性) 만성담낭염(慢性膽囊炎)(Chronic Acalculous Cholecystitis) 환자 치험례)

  • Park, Jung-Han;Cho, Hyun-Seok;Kim, Jung-Chul;Wi, Jong-Seong;Baik, Tae-Hyun;Lee, Hae-Yeon
    • Journal of Pharmacopuncture
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    • v.7 no.3
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    • pp.131-136
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    • 2004
  • Chronic acalculous cholecystitis gets possession of about 12 to 13 percent of patients with chronic cholecystitis. Pathologically it is characterised by chronic inflammation and thickening of the gallbladder wall but doesn't come across stones. Clinical symptoms are vague and include abdominal discomfort and distension, nausea, flatulence and intolerance of fatty foods. A patient on chronic acalculous cholecystitis diagnosed from his clinical symtoms and abdominal ultrasonogram was treated by Geonbihwan, acupuncture and herbal acupuncture. Satisfactory symptomatic improvement was achieved and findings of abdominal ultrasonogram came also normal.

Postoperative Adhesive Small Bowel Obstruction Treated using Acupuncture and Moxibustion: A Case Report (장기간 호전되지 않던 수술 후 유착성 소장폐색이 침구 치료를 통해 치료된 1례 : 증례보고)

  • Jeon, Cheon-hoo;Cho, Chung-sik
    • The Journal of Internal Korean Medicine
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    • v.41 no.2
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    • pp.233-240
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    • 2020
  • Objectives: This report presents a case using acupuncture and moxibustion to treat postoperative adhesive small bowel obstruction. Case Presentation: A 62-year-old male with two previous intra-abdominal surgeries, complaining of abdominal pain, abdominal distention, and general weakness, visited Korean medicine hospital. He was suffering from small bowel obstruction that had not improve for three weeks. Methods: The patient was diagnosed with postoperative adhesive small bowel obstruction. The patient received acupuncture and moxibustion in addition to intravenous fluid treatment. The patient underwent radiologic testing on a daily basis. Results: The symptoms improved quickly with the treatment, including acupuncture and moxibustion. He was able to start eating three days after he started receiving treatment. The abdomen X-ray also showed rapid improvement. No adverse effect was observed during the nine days of hospitalization. Conclusions: This report demonstrates that acupuncture and moxibustion may be effective in treating adhesive small bowel obstruction. However, further research is needed to confirm these findings.

Clinical Characteristics of Pediatric Constipation in South Jordan

  • Altamimi, Eyad
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.17 no.3
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    • pp.155-161
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    • 2014
  • Purpose: Constipation is a common pediatric problem worldwide. This study aims to describe the clinical characteristics of pediatric constipation in south Jordan according to gender and age group. Methods: All patients with constipation managed at our pediatric gastroenterology service between September 2009 and December 2012 were included. Hospital charts were reviewed. Demographic data, clinical characteristics, and final diagnosis were recorded. Data were analyzed according to gender and the following age groups: infants, pre-school, school age, and adolescents. Results: During the study period, 126 patients were enrolled. The number (percentage) of patients according to age were the following infants: 43 (34.1%), pre-school: 55 (43.7%), school age: 25 (19.8%), and adolescents: 3 (2.4%). Males made up 54.8% of the study population. There were no statistical gender differences in any age group. The most common symptom in all age groups was dry, hard stool. Infrequent defecation was found in almost one-half of the patients. Fecal incontinence was more common in school-aged children compared to pre-school-aged children and adolescents. Abdominal pain was seen in almost 40% of the constipated children. Abdominal pain was more prevalent in girls and older children. Fecal mass in the rectum was the most common physical finding, with constipated boys exhibiting higher rates. Functional constipation was the most common etiology. Conclusion: Clinical characteristics of constipation in children vary according to age group and gender. Older children had less frequent bowel motions, a longer duration of symptoms, and a higher prevalence of long-standing constipation compilations (fecal incontinence and abdominal pain).

Anchitrema sanguineum (Digenea: Anchitrematidae) Accidentally Found during Colonoscopy of a Patient with Chronic Abdominal Pain: A Case Report

  • Kusolsuk, Teera;Paiboon, Nantana;Pubampen, Somchit;Maipanich, Wanna;Dekumyoy, Paron;Waikagul, Jitra
    • Parasites, Hosts and Diseases
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    • v.47 no.2
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    • pp.167-170
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    • 2009
  • In November 2007, a 46-year-old male Thai patient presented with chronic abdominal pain for over 3 years. Colonoscopy revealed a small parasite of about $2{\times}1mm$ in size attached to the cecum mucosa. The worm was removed endoscopically, fixed, and stained for morphological observations. The specimen was identified as Anchitrema sanguineum (Digenea: Anchitrematidae), a trematode first reported in a reptile, Chamaeleo vulgaris, from Egypt, and then sporadically found in the intestines of insectivorous bats and other mammals. The patient was treated with praziquantel but no more worms were found in his stool. His symptoms improved slightly but not cured completely. It remains unclear whether the chronic abdominal pain of the patient was caused by this trematode infection. Whatever is the pathogenicity of this trematode, this is the first human case of A. sanguineum infection in the literature.

Intra-abdominal Kikuchi's Disease Mimicking Malignant Lymphoma on FDG PET-CT (FDG PET-CT에서 악성림프종처럼 보이는 복부 기쿠치병)

  • Han, Hye-Suk;Kim, Gi-Hyun;Cho, Young-Shim;Joo, Hye-Jin;Lee, Ok-Jun;Ryu, Dong-Hee;Lee, Ki-Hyeong;Kim, Seung-Taik
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.4
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    • pp.363-365
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    • 2009
  • Kikuchi's disease is a self-limiting benign disease characterized by cervical lymphadenopathy, but it can be mistaken for malignant disease, and when involved lymph nodes are unusually located, diagnosis can be more difficult. The authors report the case of a 19-year-old man with Kikuchi's disease, who had isolated intra-abdominal lymphadenopathy and increased 18-fluoro-deoxyglucose (FDG) uptake in positron emission tomography-computed tomography (PET-CT). Although its incidence is extremely rare, intra-abdominal Kikuchi's disease with increased FDG uptake in PET-CT image should be considered in the differential diagnosis when constitutional symptoms mimic those of malignant lymphoma.

A Case Report on Parkinson's Disease Soyangin Patient with Abdominal Pain and Constipation (만성복통 및 변비를 호소하는 소양인 파킨슨병 환자의 치험1례)

  • Kwak, Jinyoung;Kim, Yoon-Ha;Park, Jung-Hwan;Hong, Seo-jin;Ahn, Taek-Won
    • Journal of Sasang Constitutional Medicine
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    • v.28 no.3
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    • pp.276-285
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    • 2016
  • Objectives The purpose of this case was to report significant improvement of abdominal pain, constipation and a slight improvement of tremor after treatment by Sasang Constitutional Medicine to the patient with Parkinson's disease.Methods The patient was diagnosed as Soyangin according to the result of Sasang constitutional diagnosis, and treated by Sasang constitutional medications and acupuncture. The progress was evaluated with the Global Assessment Scale (GAS).Results The abdominal pain was reduced from Numeric Rating Scale (NRS)9 to NRS1 and headache was reduced from NRS5 to NRS3. The tremor was reduced to GAS 10. Unified Parkinson Disease Rating Scale (UPDRS) was reduced from 40 to 27. The difference of heat distribution between left and right side was reduced and the abdomen was more warmer on Digital Infrared Thermal Imaging (DITI).Conclusions Sasang constitutional medicine can be a solution for the non motor symptoms caused by Parkinson's disease.

Herniated Lumbar Disc in a Patient Who Is Deteriorated by Coughing: A Case Report (기침으로 악화된 요추 추간판 탈출증 환자 1례)

  • Yoon, Hyun-Seok;Kim, Seok;Bahn, Hyo-Jung;Yom, Sun-Kyu;Cho, Hyun-Chol;Jung, Sung-Yub;Lim, Hyung-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.2
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    • pp.69-76
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    • 2010
  • The deterioration of neurologic symptoms, like disc rupture or cauda equina syndrome within short time caused by abdominal pressure, seems to be an uncommon event. We experienced a man who had a sudden deterioration to cauda equina syndrome for a day. We presume that the reason is the increase of abdominal pressure by coughing. He had also undergone to repetitive minute damage after degenerative condition. Therefore, doctors and patients should be aware about degenerative state, possibility of minute damage, and be careful to its cause like coughing.

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Diagnostic Imaging for Solitary Nodular Form of Alimentary Lymphoma in a Dog (개 고립 결절 형태의 소화기계 림프종에 대한 진단영상 1례)

  • Choi, Ji-Hye;Kim, Hyun-Wook;Jang, Jae-Young;Kim, Hye-Jin;Kim, Jun-Young;Yoon, Jung-Hee
    • Journal of Veterinary Clinics
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    • v.24 no.3
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    • pp.467-472
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    • 2007
  • Alimentary lymphoma accounts for approximately 5% of neoplasm and diffuse lesion is more common than solitary nodular form in dogs. An eleven year-old male Yorkshire terrier was examined because of nonspecific gastrointestinal symptoms such as anorexia and vomiting for 10 days. An abdominal mass was palpated, which was originated from small intestinal wall in abdominal ultrasonography. Small intestine was obstructed by hypoechoic mass and lost normal layering and measured 24.5m. After fine-needle aspiration, septic peritonitis due to intestinal rupture occurred and emergency surgery was performed. Solitary mass was found in small intestine and diagnosed as alimentary lymphoma through histopathologic examination. Conclusively, abdominal ultrasonouaphy could verify the thickened bowel, loss of wall layering and decrease of motility and percutaneous ultrasound-guided fine-needle aspiration is considered as useful diagnostic technique, especially in nodular form of alimentary lymphoma.

A Case Study of a Taeeumin Patient with Chronic Diarrhea treated with Cheongsimyeonja-tanggamibang (삼차신경통 태음인 환자의 만성 설사 치험례)

  • Kwon, Mi Hye;Jang, Halim;Lee, Hyeri;Lee, Eui Ju
    • Journal of Sasang Constitutional Medicine
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    • v.33 no.4
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    • pp.43-56
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    • 2021
  • Objectives This study was aimed to report a significant improvement of chronic diarrhea patient, diagnosed as 'Taeeum type liver heat-lung dryness pattern' based on Sasang medicine. Methods The patient had treatment with Sasang constitutional medicine. The treatment was executed three times everyday from August 27th to September 3rd and two times everyday from September 3rd to September 16th of 2021. Clinical improvement was evaluated with Bristol stool form scale, the degree of abdominal discomfort and nausea compared to the day of hospitalization and the number of defecations and nocturia per day. Results The symptoms of diarrhea, abdominal discomfort and nausea were improved. The number of night urination was decreased from 3-4 times to once a night. Conclusion After the treatment with Sasang constitutional medicine, diarrhea, abdominal discomfort, nausea and the general condition of the patient also improved.

Clinical Study of Korean Medicine with Boheo-tang-gagambang for Recovery after Gynecological Surgery for Myoma of the Uterus: 5 Cases Report (자궁평활근종의 수술적 치료 후유증에 대한 보허탕가감방 한방 치험 5례)

  • Ye-Seul Yun;Seung-Jeong Yang;Seong-Hee Cho
    • The Journal of Korean Obstetrics and Gynecology
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    • v.36 no.2
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    • pp.101-113
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    • 2023
  • Objectives: The purpose of this case study is to report clinical effectiveness of the Boheo-tang-gagambang with acupuncture, moxa and physiotherapy treatments on the after-effects of myomectomy or hysterectomy. Methods: The subjects of this study were five women who were diagnosed with uterine myoma and underwent myomectomy or hysterectomy. They mainly complained of lower abdominal pain, back pain, and pelvic pain. They received combination treatment of Korean medicine and physiotherapy. The Korean medicine included Boheo-tang-gagambang, acupuncture and moxa. The effects were evaluated through Numeric Rating Scale (NRS). Results: In this study, patient's clinical symptoms, including lower abdominal pain, low back pain, and pelvic pain, improved after hospitalization treatment. Conclusions: This case report shows that the combination treatment of Korean medicine with Boheo-tang-gagambang, acupuncture and moxa may be effective for treating after-effects of myomectomy or hysterectomy.