Medical history (history of illness) represents an important component in the diagnosis of abdominal pain (abdominal pain). Family history
- Are there any conditions in your family that are common?
- What is the general health of your family members?
Social history
- What is your profession?
- Are you exposed to harmful working substances in your profession?
- Is there any evidence of psychosocial stress or strain due to your family situation?
Current medical history/systemic history (somatic and psychological complaints).
- How long has the abdominal pain been present? Has the pain changed? Become more severe?
- Did the pain come on suddenly? *
- Where did the pain start?
- Where exactly is the pain localized now? Does the pain radiate out?
- What is the character of the pain? Stabbing, dull, burning, tearing, colicky, etc.?
- When does the pain occur? Are you dependent on external factors such as diet, stress, weather?
- Is the pain dependent on breathing? *
- Does the pain intensify or get better with exertion/movement?
- Does the pain get better with:
- Exercise?
- Standing?
- Eating?
- Bowel movement?
- Heat?
- Does the pain get worse from:
- Family problems?
- Excitement?
- Effort?
- Other?
- Are there any other symptoms (e.g., nausea, vomiting, diarrhea, constipation, flatulence, difficulty swallowing, heartburn, etc.) in addition to abdominal pain?
- Have you had any recent injuries?
- Do you have a fever?
- Do you have any gynecological abnormalities (e.g., period pain; missed period)?
- Do you have night pain that wakes you up?
Vegetative anamnesis including nutritional anamnesis.
- Have you lost body weight?
- Has your appetite changed?
- Do you consume dairy products, fruits or fruit juices excessively? Do you consume or drink sweetener (sorbitol)-containing foods or beverages?
- Do you suffer from sleep disorders?
- Do you have abnormalities in urination?
- Have there been any changes in bowel movements and/or urination? In quantity, consistency, admixtures? Does it come to pain in the process?
- Do you smoke? If so, how many cigarettes, cigars or pipes per day?
- Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
- Do you use drugs? If yes, what drugs and how often per day or per week?
Self history incl. medication history.
- Pre-existing conditions (gastrointestinal diseases).
- Operations
- Allergies
- Environmental history (arsenic, lead, intoxication by spider, snake, insect venoms).
Drug history
- Anthelmintics (albendazole, mebendazole, niclosamide, praziquantel).
- Antibiotics
- Cotrimoxazole
- Daptomycin
- Macrolides (erythromycin-AT, spiramycin)
- Antiepileptic drugs (carbamazepine, gabapentin, pregabalin).
- Antiarrhythmics (cardiac glycosides/digoxin).
- Antimalarials (atovaquone + proguanil; quinine intoxication).
- Beta-blockers (acebutolol, atenolol, esmolol, metoprolol, oxprenolol, propranolol).
- Calcium-free phosphate binders (lanthanum, sevelamer).
- Cholesterol resorption inhibitors (ezetimibe).
- Coxibs (celecoxib, parecoxib)
- HCV protease inhibitors (boceprevir).
- Cardiac glycosides (digoxin, ß-acetyldigoxin, ß-methyldigoxin, digitoxin).
- Hormones
- ADH analogues (desmopressin)
- Bradykinin B2 receptor antagonist (Icatibant).
- Cholecystokinin analogues (ceruletide).
- Dopamine agonists (bromocriptine, cabergoline).
- Somatostatin analogues (octreotide, lanreotide).
- Somatostatin (derivatives) – somatostatin
- Vasopressin (Terlipressin)
- Laxatives (lactulose)
- Mucolytics (bromhexine)
- Non-nucleoside reverse transcriptase inhibitors (NNRTIs) – efavirenz, nevirapine.
- Non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen).
- Opioid receptor antagonist (naltrexone).
- Phosphodiesterase-4 inhibitor/PDE4 inhibitor (apremilast).
- Phytosterols such as ß-sitosterol
- Prokinetic laxatives (ceruletide)
- Secretolytics (ambroxol)
- Antivirals
- Non-nucleoside reverse transcriptase inhibitors (NNRTIs) – efavirenz, nevirapine.
- NMDA antagonist (amantadine).
- Nucleoside analogue (aciclovir, ganciclovir).
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Data without guarantee)