An Approach to Chronic Abdominal Pain

A discussion of the causes and evaluation of chronic abdominal pain (i.e. constant or recurrent pain lasting at least 2 months)

Additional videos on a few select causes of chronic abdominal pain...

#ClinicalReasoning #MedEd #medicalschool

[dianneoliveira]

From stomach lining damage, to being told I have Crohn’s disease to then saying it’s stomaching not working to digest to then hearing it’s my colon that damaged my stomach to now hearing “you have chronic inflammatory disease. Meaning the flare ups which are the scariest experiences of my life happen when they happen I end up in the ER because the pain causes my heart to reach 180 without moving and becoming dehydrated within less then a hr. No one NO ONE deserves to like this. I’ve been this was since 2019 but serious condition since last may almost a yr ago when it was at its worst it nearly ki**ed me. The trauma I have from that will never leave my mind. My stomach stopped working all together and my body was shutting down. 💔 I’ve done gut health research and have ate so clean the entire year even doctors say it’s impossible how I did it all so fast but unfortunately I still have serious flare ups and put on meds for the rest of my life. 😢😢

[leilla]

I'm feeling so depressed because of staying sick all they time :(

[JeffersonHarper-ki]

EXCELLENT!! Very amenable to the lay person and primary provider. THANK YOU!

[BRAVE_NEW_]

Thank you so much for putting these videos out! I've been in chronic and acute reoccurring pains for 18 months now, but have yet to find the cause of it...

[leighsirvent]

Thank you for addressing the Mals (Mesenteric Artery Ligament Syndrome. I had open surgery for this rare syndrome after many years of tons of tests and no diagnosis. I found through Mayo’s site led me to a group on Facebook-Mals Awareness, which led me to a surgeon. So, so many doctors don’t think this is real but it is. Symptoms are extreme pain in the epigastric area, gi distress, gastroparesis, nausea, vomiting, pain when eating and depending on if you have other vascular compressions, other issues like POTS, SMAS, MAY-Thurner, Ncs, and others. I love that you categorize and explain each area.

[snowboardhikebikeutah]

I’ve had severe abdominal pain N/V x 6 weeks despite max dose of PPI. Every test is normal. Getting MRI and repeat EGD next week. GI doc sent me to the Emergency Dept today for another CT scan. I’ve lost 15 pounds and am existing on drinking Boost. No meds relieve the pain or nausea. I’m still in my 50s but ready for hospice.

[hamadkhan]

sir we want more approaches and you teach so excelllent ....amazing framework by you sir...

[thedalj]

What about stool tests for H. Pylori antigen? Faecal elastase test? Or faecal calprotectin for IBD? Urea breath test? Useful tests prior to imaging.

[therevddrruwanpalapathwala]

Thank you, Dr Strong for this post. I have learned a lot.

[mhblade]

Dr. Thank you for your awesome videos, as a fresh IM intern they are pure gold! is there any chance you can make endocrine series?

[Clarence_x]

At the end of each episode, I feel like I’m just getting out of the ocean, after an unexpectedly long swim.

[smoker]

5 months of pain all over my intestines, burning, stinging, stabbing and aching pain that wont go away.

[yvonnehebert]

I have been having severe, painful N/V/D episodes for as long as I can remember. I'm 52 now. Several a year, sometimes within days of each other. Its been my whole life.

[kcbluebutterfly]

I have celiac disease been gluten free for 6 years, I have had my gall bladder removed, my appendix removed and I am still in horrible ongoing sharp pain in my upper stomach were the liver and spleen are. I'm so tired of this.

[dianneoliveira]

Thank you dr. This video is extremely helpful to so many individuals including myself. I just sit and listen to you explaining, also the speech you’re well spoken. Thank you.

[sunving]

Thank you, Dr Strong, wonderful lecture as always.

[yunnaali]

Wow i was watching Acute abdominal pain on your channel B4 20minutes ago

[Markediti]

I have a constant abdominal pain ( doesn't go any second ) for about 5-6 years, it feels like my stomach in knots ( but no other symptoms )

[pbasumani]

Good one.

A close DD for AIP is lead poisoning - using antique tea cups and taking alternative medicines need exploring!

[vanillawaterfae]

I have woken up with a terrible stomach ache every morning for a month and a half. It started when I tapered off of seroquel. Dr has done blood tests and ct scan and nada. ☹️