Duodenal ulcer is the diagnosis for a patient who experiences chronic intermittent pain in the epigastric area when the stomach is empty and in the middle of the night.
A duodenal ulcer is a peptic ulcer that develops in the first part of the small intestine. It occurs in the lower part of the esophagus. Few symptoms of duodenal ulcer are a dull or burning pain in the belly. The main cause of this ulcer is bacterial infection. The bacteria causes the lining of the stomach to become inflamed and an ulcer can form. Few medications such as ibuprofen may also cause ulcer.
The wound generally heals on its own but if the ulcer is deep it can cause serious pain or bleeding.
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Bx
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Physicians would label it as Bx because in this field Bx is the abbreviation for biopsy (biopsy is a medical test where sample of tissue is removed for examination under typically a microscope to look for abnormalities like cancer, inflammation etc.)
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After circumcision, nighttime and morning erections often cause pain because they pull on the skin stitches and cause the man to wake up. The pain usually causes the erection to subside; this relaxes the tension on skin stitches, and the pain goes away.
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