Abdominal Swelling: Medical History

The medical history (history of the patient) represents an important component in the diagnosis of abdominal swelling.

Family history

  • What is the general health of your family members?
  • Are there any diseases in your family that are common?
  • Are there any hereditary diseases in your family?

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).

  • What changes have you noticed?
  • How long have these changes existed?
  • Did the swelling/spatial changes occur suddenly?
  • Have other symptoms occurred such as pain, fever, loss of appetite? Nausea, vomiting?
  • Is the swelling variable (possibly increasing and then decreasing) or increasing?

Vegetative history including nutritional history.

  • Have you lost body weight unintentionally in the recent past? If so, how many kilograms in what time?
  • Are you overweight? Please tell us your body weight (in kg) and height (in cm).
  • Do you smoke? If so, how many cigarettes, cigars or pipes per day?
  • Do you drink alcohol more often? If yes, what drink(s) and how many glasses of it per day?
  • Do you use drugs? If yes, which drugs and how often per day or per week?
  • When was your last menstrual period? Is your menstruation regular?
  • Have your bowel movements and/or urination changed in frequency, consistency, color, etc.?

Self history including medication history.

  • Pre-existing conditions (gastrointestinal diseases).
  • Operations (operations on the abdomen)
  • Radiotherapy
  • Vaccination status
  • Allergies
  • Pregnancies
  • Environmental history
  • Medication history