Lower abdominal pain in women after binge drinking

Abstract

Consider alcohol related pathology in women who present with lower abdominal pain

Disability Associated With Alcohol Abuse and Dependence

“…even though AUDs are typically associated with a number of comorbidities causing pain and discomfort, most of the reviewed articles were considered alcohol for its analgesic properties with the exception of a few studies that described mild to moderate pain and physical discomfort in alcohol abusers and addicts (Dooldeniya et al, 2007; Fink and Beck, 2005; Sheu et al, 2008). Pain and discomfort were closely related to another core disability attribute, physical functioning, in terms of results of our search – mild to moderate decrease of physical functioning were described (Burger et al, 2003; Johnson et al, 1995; Wells et al, 1990).…”

Acute Abdominal Pain Accompanied by High Creatinine in a Female Patient With Schizophrenia

“…3,4 Although it has been thought that woman, because of the shorter length of the urethra and the less distinct sphincter mechanism, would exhibit a tendency to leak rather than rupture, several cases of spontaneous bladder perforation in women after binge drinking have been reported. 5 In terms of pathophysiology, the combination of overdistention from increased urine volume and decreased perception of the need to void causing ischemia and possible vesical (micro) infarction has been suggested. Generally speaking, urinary retention should be considered as the underlying etiologic factor in SBRs without pre-existing bladder wall damage.…”

Pseudo-renal failure: bladder rupture with urinary ascites

“…Bladder rupture can occur following blunt trauma,7 irradiation to the pelvis,5 or surgical procedures,8 9 or may be spontaneous 10. Bladder rupture following binge alcohol drinking is multifactorial including increased urine volume causing bladder distention, decreased perception of desire to void and blunt trauma 11. Therapeutic procedures also cause bladder rupture.…”