Chief Compliant: The patient is a 50 year old white male with diabetes who complains of right lower quadrant abdominal pain for 4 hours.
History of the Present Illness: Duration of pain, pattern of progression; exact location at onset and at present; diffuse or localized; location and character at onset and at present (burning, crampy, sharp, dull); constant or intermittent ("colicky"); radiation of pain (to shoulder, back, groin); sudden or gradual onset.
Effect of eating, vomiting, defecation, flatus, urination, inspiration, movement, position on the pain. Timing and characteristics of last bowel movement. Similar episodes in past; relation to last menstrual period.
Associated Symptoms: Fever, chills, nausea, vomiting (bilious, feculent, blood, coffee ground-colored material); vomiting before or after onset of pain; jaundice, constipation, change in bowel habits or stool caliber, obstipation (inability to pass gas); chest pain, diarrhea, hematochezia (rectal bleeding), melena (black, tarry stools); dysuria, hematuria, anorexia, weight loss, dysphagia, odynophagia (painful swallowing); early satiety, trauma.
Past Medical History: History of abdominal surgery (appendectomy, cholecystectomy), hernias, gallstones; coronary disease, kidney stones; alcoholism, cirrhosis, peptic ulcer, dyspepsia. Endoscopies, X-rays, upper GI series.
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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.