Gastro-Intestinal System

A thorough history is essential for diagnosing gastrointestinal (GI) disorders. This section focuses on key elements in patient history that help localize and identify GI conditions:

  1. Abdominal Pain: Investigate the onset, location, character, radiation, duration, and severity. Understanding pain patterns can help differentiate between upper and lower GI issues.
  2. Aggravating Factors: Identify triggers such as certain foods, body position, stress, or medications, which can provide clues to underlying pathology.
  3. Diet/Appetite/Weight: Changes in diet or appetite, and unintentional weight loss, can signal mal-absorption, malignancy, or systemic illness.
  4. Early Satiation and Postprandial Fullness: These symptoms suggest impaired gastric emptying or functional dyspepsia and warrant further evaluation of upper GI function.
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