A 44-year-old male with primary complaints of repetitive postprandial epigastric pain for three days was presented to an emergency department. On examination of records, it was observed that before the current hospitalization, he was hospitalized twice for the same condition.
Medical history Previous hospitalizations: Chief complaint of postprandial epigastric pain Pain triggered due to fasting for religious reasons Underwent gastroduodenoscopy three months ago Gastroduodenoscopy: Revealed gastric erosions Prescribed omeprazole for treatment of the gastric erosions Physical and laboratory examination Continued usage of omeprazole No history of previous abdominal surgery Vitals: Stable except tachycardia Presence of distended abdomen Digital rectal examination: Rectal ballooning without soiling of examined finger Hematological Examination: Normal Abdominal ultrasound: Normal Abdominal…
