When to refer

• All cases of acute abdominal pain where urgent surgical intervention is required; special urgency and early diagnosis is important with:

o ruptured ectopic pregnancy o ruptured abdominal aortic aneurysm o mesenteric artery occlusion o ruptured viscus o perforated peptic ulcer o strangulated obstructed bowel o intussusception

• All cases where the diagnosis is not apparent

• All cases where surgery is necessary

• Medical causes such as diabetic ketoacidosis and porphyria

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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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