What is the Apley rule?
A trio of criteria John Apley, a British pediatrician, defined RAP 40 years ago in The ChildWith Abdominal Pains. 2. Apley’s criteria for RAP come in threes:children over 3 years of age, who complain of at least three episodes ofpain, that persist for at least three months and interfere with normal activity.
How do you check for abdominal tenderness?
Ultrasonography is the initial imaging test of choice for patients presenting with right upper quadrant pain. Computed tomography (CT) is recommended for evaluating right or left lower quadrant pain. Conventional radiography has limited diagnostic value in the assessment of most patients with abdominal pain.
How do you treat chronic stomach pain?
Treatment Options for Chronic Abdominal Pain
- Lessening stress and anxiety with medications, relaxation techniques, biofeedback, hypnosis, or other methods.
- Relieving pain with medications.
- High-fiber diet or fiber supplements.
- Reducing muscle spasms in the digestive tract with medications or peppermint oil.
What does positive Apley test mean?
If there is pain or restriction with compression and internal or external rotation, this is a positive test. If the patient experiences pain over the medial aspect of the knee, this is indicative of a medial meniscus injury.
Why is my stomach sore when I press on it?
Abdominal tenderness is generally a sign of inflammation or other acute processes in one or more organs. The organs are located around the tender area. Acute processes mean sudden pressure caused by something. For example, twisted or blocked organs can cause point tenderness.
Which test is best for stomach pain?
Blood, urine, or stool tests.
Can epigastric pain be cardiac?
Cardiovascular causes as an etiology for epigastric pain are likely to be found in people with co-morbid conditions placing the patient at risk for cardiovascular disease such as Diabetes Mellitus (DM), Hypertension, known coronary artery disease (CAD), dyslipidemia, sedentary lifestyle, and smoking history, but also …
What is the most common cause of epigastric pain?
Gastritis is a common cause of epigastric pain. It is often worse after eating and will generally improve with proton pump inhibitors. Test for the presence of Helicobacter pylori. Peptic ulcer tends to cause acute or chronic gnawing or burning pain.
Which tablet is best for abdominal pain?
For cramping from diarrhea, medicines that have loperamide (Imodium) or bismuth subsalicylate (Kaopectate or Pepto-Bismol) might make you feel better. For other types of pain, acetaminophen (Aspirin Free Anacin, Liquiprin, Panadol, Tylenol) might be helpful.
What is the reason for continuous stomach pain?
Less serious causes of abdominal pain include constipation, irritable bowel syndrome, food allergies, lactose intolerance, food poisoning, and a stomach virus. Other, more serious, causes include appendicitis, an abdominal aortic aneurysm, a bowel blockage, cancer, and gastroesophageal reflux.