Diabetic Patients An Ignored Cause Of Abdominal Pain

Truncal neuralgia in diabetic patients: An ignored cause of abdominal pain Mohamed Lotfy, Hazem N. Ashri, Mostafa M. Khairy ABSTRACT Aims: We aim to study diabetic patients, with abdominal pain and neuralgia somewhere else in their bodies, and search for the relation between their abdominal pain and the lower intercostal neuralgia (T7–11 and subcostal). Methods: Between July 2016 and February 2017 this study was carried out in emergency department, Zagazig University Hospital. 23 patients were subjected to this study and divided into (group A = 15 patients had right upper abdominal pain) and (group B = 8 patients had right lower abdominal pain). This grouping was not created for comparative reasons, it was done because we were studying the†¦show more content†¦Truncal neuralgia should be put in the surgeon’s mind when managing any diabetic patient with abdominal pain of unrevealed aetiology by the usually used investigations. Keywords: Abdominal pain, Diabetic, Truncal neuralgia How to cite this article Lotfy M, Ashri HN, Khairy MM. Truncal neuralgia in diabetic patients: An ignored cause of abdominal pain. Edorium J Surg 2017;6():****. Article ID: ********* ********* doi:********** INTRODUCTION Intercostal neuralgia is defined as a neuropathic state affecting the intercostal nerves, presenting as strong pain. It may be shooting, sharp, or of burning quality. The pain is steady and May involve any of the intercostal nerves and the subcostal nerve [1, 2]. Intercostal Neuralgia is caused by a diversity of reasons such as diabetes mellitus, nerve entrapment, ORIGINAL ARTICLE PEER REVIEWED | PROVISIONAL PDF Edorium Journal of Surgery, Vol. 6; 2017. Edorium J Surg 2017;6():****. www.edoriumjournalofsurgery.com Lotfy et al. 2 iatrogenic neuroma, traumatic, persistent nerve irritation and herpes zoster [1]. Intercostal neuralgia is common in diabetes mellitus (DM) patients. It is one of the types of peripheral neuropathies linked to DM. It is present as a localized abdominal or chest pain, which may mimic a referred pain from the intra-abdominal or intrathoracic organs. When it is ignored as a cause of pain in such regions it may lead to do extensive and unneeded clinical investigations and surgical proceduresShow MoreRelatedSymptoms And Adverse Effects Of Adverse Drug Effects1486 Words   |  6 Pagesare common among patients receiving treatments in outpatient department due to lack of proper follow up of treatment. It causes decease compliance to the treatment leading to treatment failure. Aim: The present study was aimed to analyze the pattern, causality and severity of the adverse drug effects complained by the patients at internal medicine outpatient. Materials and Method: It was a cross-sectional study done at outpatient department during four months period. Patients presenting with signRead MoreEvaluation Of The Clinical Reasoning Cycle1721 Words   |  7 Pagesis also a crucial aspect of clinical reasoning. The clinical reasoning process includes collecting cues, processing the information, coming to an understanding of a patient, problem or situation, planning and implementing interventions, evaluating outcomes and reflecting on and learning from the process. Jessica is an epileptic patient, wanting to fall pregnant which is causing her to cease her medication which is prescribed in an attempt to control her seizures. This is care priority as it is dangerous