• Title/Summary/Keyword: Abdominal symptoms

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Two Cases of Phytolacca Americana Intoxication with Confusion and Abdominal Cramping (미국 자리공 (Phylolacca americana, pokeweed) 중독으로 의식변화 및 복통 증상을 호소한 2례)

  • Kim, Yang-Weon;Yoon, Yoo-Sang;Kim, Mi-Ran;Park, Sang-Hoon;Choi, Jun-Cheol
    • Journal of The Korean Society of Clinical Toxicology
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    • v.6 no.2
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    • pp.146-148
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    • 2008
  • Phytolacca americana poisoning is a benign plant intoxication that causes gastrointestinal symptoms, including abdominal cramps, vomiting, diarrhea, and gastrointestinal bleeding. Other signs and symptoms include diaphoresis, salivation, visual disturbance, and seizures or mental changes. We report two cases of patients who experienced confusion and abdominal pain, vomiting, and hematemesis after oral ingestion of pokeweed. A 60-year-old female with confusion and a 67-year-old female with abdominal pain, vomiting, and diarrhea were admitted to the emergency department after pokeweed poisoning. After supportive treatment of hydration and gastrointestinal medication, the two patients showed full recovery within 24 h and were discharged from the hospital.

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A Case of Erythropoietic Protoporphyria with Severe Liver Dysfunction and Neurological Symptoms (신경 및 위장관 증세를 동반한 Erythropoietic Protoporphyria 환아 1예)

  • Kim, Bo Hyun;Park, Young Nyun;Chung, Ki Sup
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.8 no.2
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    • pp.263-268
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    • 2005
  • Erythropoietic protoporphyria is a genetic disorder due to a deficiency of ferrochelatase resulting in excessive accumulation and excretion of protoporphyrin. The predominant clinical feature is photosensitivity. Severe hepatic failure occurs in a small percentage of patients, and neurological symptoms are very rare. We report a case of erythropoietic protoporphyria associated with severe hepatic dysfunction and neurological symptoms. A 9-year-old girl presented with severe abdominal pain, nausea, weakness and pain of extremities, and urinary retention. Ultrasonogram and abdominal CT scanning revealed a diffuse infiltrated and enlarged liver. Liver biopsy showed deposition of dense dark brown pigment within the bile, hepatocytes and Kupffer cells. Plus, dense dark brown deposits gave a red birefringent under polarize light. Porphyrin studies demonstrated markedly elevated serum free erythrocyte protoporphyrin. This girl was diagnosed as erythropoietic protoporphyria with severe liver dysfunction and neurological symptoms.

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A Case Study on the Use of Ortho-Cellular Nutrition Therapy (OCNT) in Patients with Intestinal Metaplasia (세포교정영양요법(OCNT)을 이용한 장상피화생 환자 사례 연구)

  • Neung Soo, Cheon
    • CELLMED
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    • v.13 no.3
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    • pp.11.1-11.6
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    • 2023
  • Objective: A case report on intestinal metaplasia improvement using Ortho-Cellular Nutrition Therapy (OCNT) Methods: A 68-year-old Korean female shows symptoms of atrophic gastritis, indigestion, abdominal distention, and gallbladder pain, causing inconvenience in her daily life. Results: Symptoms of intestinal metaplasia improved after nutritional therapy Conclusion: Nutrition therapy can help improve symptoms and alleviate dyspepsia in patients with symptoms of intestinal metaplasia.

Case Study of an Atrophic Gastritis Patient Using Ortho-Cellular Nutrition Therapy (OCNT) (세포교정영양요법(OCNT)을 이용한 장상피화생 환자 사례 연구)

  • Neung-su Cheon
    • CELLMED
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    • v.13 no.7
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    • pp.27.1-27.4
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    • 2023
  • Objective: To report a case of improvement in atrophic gastritis using cell correction nutritional therapy. Methods: A 67-year-old Korean female with impaired digestive function and symptoms of abdominal bloating and hypochlorhydria. Results: Following the application of nutritional therapy, the severity of symptoms was alleviated, ultimately resulting in a complete resolution of atrophic gastritis. Conclusion: Nutritional therapy may be beneficial in alleviating symptoms and aiding in the treatment of patients presenting with atrophic gastritis symptoms.

Clinical Abdominal Examinations in Korean Medicine Based on Expert Opinions (한의 임상 복진법 - 전문가 의견을 바탕으로 -)

  • Kim, Keumji;Jeon, Hye-jin;Ko, Seok-jae;Park, Jae-Woo
    • The Journal of Internal Korean Medicine
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    • v.42 no.6
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    • pp.1211-1222
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    • 2021
  • Objectives: The purpose of this study was to investigate the opinions of experts on abdominal examinations in Korean Medicine included in the curriculum of the College of Korean Medicine. Methods: Among Korean doctors, 14 experts on abdominal examinations were interviewed; the experts included 9 professors of Korean internal medicine, 1 expert in diagnostics of Korean Medicine, 1 primary care Korean medicine doctor, and 3 executives of a (former) Korean association of the abdomen. The interview consisted of questions regarding recognition of the clinical importance of abdominal examinations, how to perform abdominal examinations, the most frequent abdominal examination findings encountered in clinical practice, and the definition of some of the abdominal examination findings. Results: Most interviewees recognized abdominal examinations as important and used them in clinical practice. Opinions on additions and corrections were collected regarding observation items, posture, method, and order during abdominal examinations. Abdominal examination findings that were common clinically were abdominal fullness (腹滿), epigastric stuffness (心下痞鞕), abdominal tenderness, epigastric fullness (心下滿), and rib distention (胸脇苦滿). The answers to the question related to the definitions of abdominal examination findings included consent and supplementary opinions regarding definitions of deficiency-excess, cold-heat, abdominal tenderness, tension of abdominal muscles, succession sounds, and borborygmus; these were mainly selected based on abdominal symptoms that are highly quantifiable. Conclusions: In the future, based on the results of this study, additional research related to the drafting of a standard abdominal examination in Korean medicine should be conducted to provide an opportunity to increase the reliability of Korean medicine diagnosis.

A Case Report of Patient with Alcoholic Derogation Acute Abdominal Pain Using Oriental Medicine Combined with Conventional Treatment (한양방 협진 치료를 통해 호전을 보인 주상(酒傷)으로 인한 급성 복통 환자 1례)

  • Kim, Sang-Bom;Park, Jae-Woo;Cho, Chong-Kwan;Lee, Yeon-Weol;Yoo, Hwa-Seung
    • Journal of Haehwa Medicine
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    • v.21 no.1
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    • pp.79-85
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    • 2012
  • Objective : This study was aimed to report a patient accompanied by alcoholic derogation acute abdominal pain treated with oriental medicine combined with conventional treatment. Methods : A 36 year old female patient complained of acute abdominal pain for one year from Apr. 2009. She had treated at local general hospital. But the symptom was not reduced. Instead, it was aggravated on Jul. 2010. The main symptoms were left flank pain, chest discomfort, nausea and anorexia. The patient was treated by oriental medicine (herbal medicine (Chunggan-plus), acupuncture, moxibustion, etc) combined with conventional medicine from Jul. 10th, 2010 to Jul. 17th, 2010. We observed the patient with evaluation of laboratory test and imaging scan. Results : Most of the symptoms of the patient were improved. Especially, the abdominal pain were disappeared from grade 3 to grade 0. No side effects were noted during treatment. Conclusion : This results suggest that the oriental medicine combined with western medicine may effective to treat alcoholic derogation acute abdominal pain.

Effects of Abdominal Breathing Training Using Biofeedback on Stress, Immune Response and Quality of Life in Patients with a Mastectomy for Breast Cancer (바이오휘드백을 이용한 복식호흡훈련이 유방암절제술 환자의 스트레스, 면역반응 및 삶의 질에 미치는 효과)

  • Kim Keum Soon;Lee So Woo;Choe Myoung Ae;Yi Myung Sun;Choi Smi;Kwon So-Hi
    • Journal of Korean Academy of Nursing
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    • v.35 no.7
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    • pp.1295-1303
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    • 2005
  • Purpose: This study was to determine the effects of abdominal breathing training using biofeedback on stress, immune response, and quality of life. Method: The study design was a nonequivalent control group pretest-posttest, quasi-experimental design. Twenty-five breast cancer patients who had completed adjuvant chemotherapy were enrolled. The experimental group(n=12) was provided with abdominal breathing training using biofeedback once a week for 4 weeks. State anxiety, cancer physical symptoms, serum cortisol, T cell subsets(T3, T4, T8), NK cell and quality of life were measured both before and after the intervention. Result: Though state anxiety, cancer physical symptoms, and serum cortisol were reduced after 4 weeks of abdominal breathing training using biofeedback, there was no statistical significance. It showed, however, improvement in quality of life (p=.02), and T3(p=.04). Conclusion: Abdominal breathing training using biofeedback improves quality of life in breast cancer patients after a mastectomy. However, the mechanism of this beneficial effect and stress response requires further investigation with special consideration in subject selection and frequency of measurement. Nurses should consider this strategy as a standard nursing intervention for people living with cancer.

The Effect of Foot Reflexology on Premenstrual Syndrome and Dysmenorrhea in Female College Students (발 반사요법이 여대생의 월경 불편감에 미치는 효과)

  • Kim, Yeong-Hie;Cho, Soo-Hyun
    • Women's Health Nursing
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    • v.8 no.2
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    • pp.212-221
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    • 2002
  • The purpose of this study was to identify the effect of foot reflexology on premenstrual syndrome and dysmenorrhea in female college students. The research design of this study was a quasi-experimental design. Of the forty female college students, twenty were assigned to the experimental group and, twenty to the control group. The data were obtained over 2 months(November 26, 2001 to January 31, 2002) from a nursing of C college located in S city. The instrument used to assess premenstrual syndrome and dysmenorrhea was Keele's VAS(Visual Analogue Scale) and opening records. Subjects in the experimental group received foot reflexology for 6 times with 1 hours during 60 days, and subjects assigned to the control group did not receive foot reflexology. Data were analysed with percentage, mean, standard deviation, $x^2$-test, unpaired t-test, and repeated measure ANOVA, using SAS Program. The results of the study are as follow, 1.The symptoms which the group of experimental and the group of control discomforts the most are sensitiveness(35%), abdominal pain (30%),lower abdominal pain (30%) and lumbago (20%). The method of relieve premenstrual syndrome and dysmenorrhea by which the subjects employ the most to solve their premenstrual syndrome and dysmenorrhea is the getting along by enduring(67.5%) and bed rest (32.5%). 2.The mean score of the premenstrual syndromes and dysmenorrhea before foot reflexology was 8.35, it was 4.16 at the first menstruation after foot reflexology and 3.25 at the second menstruation for the experimental group. 3.The relieved symptoms after foot reflexology was fatigue(50%), insomnia(40%), abdominal pain(35%), lower abdominal pain (30%) and constipation(30%). Foot reflexology was effective in improve the symptoms of the female college students who have the premenstrual syndrome and dysmenorrhea.

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Effects of Shirhyung-Tang in Two Stroke Patients with Pseudomembranous Colitis (장염을 동반한 뇌졸중환자의 시령탕을 이용한 호전 2례)

  • 노기환;정기현;조기호;김영석
    • The Journal of Korean Medicine
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    • v.22 no.3
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    • pp.179-188
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    • 2001
  • Diarrhea is the frequent passage of loose, watery stool (frequency: ${\geq}4/day$, weight: ${\geq}250g/day$) Most antibiotics can cause inflammatory change of the colon or Pseudomembranous colitis (PMC). Typical presentations of PMC are watery diarrhea, abdominal pain, fever, leukocytosis ($12,000~20,000/\textrm{mm}^3$), hypoalbuminemia, hypovolemia and recent or concurrent use of antibiotics. Diagnostic methods of PMC are stool assay, sigmoid scopy, abdominal CT, abdominal US, etc. The age-related susceptibility noted with PMC is impressive but unexplained. Two stroke patients had diarrhea, abdominal pain, fever hypoalbuminemia and a history of recent or concurrent use of antibiotics. By use of Shirhyung- Tang, we could improve clinical symptoms (diarrhea, abdominal pain, fever hypoalbuminemia, etc.) and so report clinical course of two stroke patients with antibiotics-associated PMC.

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Differential diagnosis of abdominal masses in children (소아 복부 종괴의 감별진단)

  • Sung, Ki Woong
    • Clinical and Experimental Pediatrics
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    • v.51 no.8
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    • pp.787-791
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    • 2008
  • Enlargement of organs or other solid tissues usually presents as an abdominal mass. Often, abdominal masses in children are found by an unsuspected parent or by a physician during a routine examination. Most masses have no specific signs or symptoms. Abdominal masses in children require immediate attention. History and physical examination may provide clues to the diagnosis. Ultrasound examination is the most useful screening test in most cases and may identify the organ involved and clarify whether the mass is solid or cystic. CT may be necessary to make a more precise diagnosis, especially solid masses. MRI is occasionally is helpful for specific abnormalities.