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Medical History and Physical Examination for Digestive Disorders

By

Jonathan Gotfried

, MD, Lewis Katz School of Medicine at Temple University

Last full review/revision Apr 2021| Content last modified Apr 2021
CLICK HERE FOR THE PROFESSONAL VERSION

Usually, a doctor can determine whether a person has a digestive disorder based on the medical history and a physical examination. The doctor can then select appropriate procedures that help confirm the diagnosis, determine the extent and severity of the disorder, and aid in planning treatment.

Medical History

A doctor identifies symptoms by interviewing a person to obtain their medical history and asking specific questions to gain additional information. For example, in speaking with a person who has abdominal pain, the doctor might first ask, “What is the pain like?” This question might be followed by questions such as, “Does the pain get better after you eat?” or “Does the pain get worse with movement?”

Physical Examination

First, the doctor observes the abdomen from different angles, looking for swelling (distention) of the abdominal wall that might accompany abnormal growth or enlargement of an organ. A stethoscope is placed on the abdomen, through which the doctor listens for sounds that normally accompany the movement of material through the intestines and for any abnormal sounds. The doctor feels for tenderness and any abnormal masses or enlarged organs. Pain that is caused by gentle pressure on the abdomen and that is increased when the pressure is released (rebound tenderness) may indicate inflammation and sometimes infection of the lining of the abdominal cavity (peritonitis Peritonitis Abdominal pain is common and often minor. Severe abdominal pain that comes on quickly, however, almost always indicates a significant problem. The pain may be the only sign of the need for surgery... read more ).

Psychologic Evaluation

Because the digestive system and the brain are highly interactive (see Mind-Body Interactions Mind-Body Interactions The mind and body interact in powerful ways that affect a person's health. The digestive system is profoundly controlled by the mind (brain), and anxiety, depression, and fear dramatically affect... read more ), a psychologic evaluation is sometimes needed in the assessment of digestive problems. In such cases, doctors are not implying that the digestive problems are made up or imagined. Rather, the digestive problems may be the result of anxiety, depression, or other treatable psychologic disorders. Such disorders can affect how active digestive tract contractions are and/or how sensitive people are to these sensations.

NOTE: This is the Consumer Version. DOCTORS: CLICK HERE FOR THE PROFESSONAL VERSION
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Peptic Ulcer Disease
A peptic ulcer is a sore that forms where the lining of the stomach or duodenum (the first part of the small intestine) has been eaten away by stomach acids or digestive juices. In addition to Helicobacter pylori infection of the stomach, what is the most common cause of peptic ulcer?
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