Typical clinical features

See Figure 30.13 . Typical clinical features are:

• sudden onset severe epigastric pain

• continuous pain but lessens for a few hours

• epigastric pain at first, and then generalised to whole abdomen

• pain may radiate to one or both shoulders (uncommon) or right lower quadrant

• nausea and vomiting (delayed)

• hiccough is a common late symptom sudden severe pain aiuious, sUll, ■"grey"', sweaty deceptive Improvement

Fig. 30.13 Typical features of perforated peptic ulcer

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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