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This article provides summary information pertaining to the disease / condition of Abdominal Cramps. This information was extracted from selected U.S. Government resources. Links to related conditions are also provided.

VDACS - Consumer Services - Food Safety - About Food Poisoning
Symptoms (after eating): Onset: 3-4 days; severe Abdominal Cramps followed by diarrhea (often bloody), nausea, vomiting, fever lasting to 10 days. May require hospitalization. Possible complication-Hemolytic Uremic Syndrome (HUS), a urinary tract infection capable of causing kidney failure in children.

MedlinePlus Medical Encyclopedia: Gas - flatulence
MedlinePlus Medical Encyclopedia: Gas - flatulence

FloridaHealthFinder.gov | Health Encyclopedia | Abdominal pain
Stomach pain; Pain - abdomen; Belly ache; Abdominal Cramps

Notifiable Condition: Foodborne Illness, Lower Gastrointestinal Tract Symptoms
Nausea, vomiting (children), Abdominal Cramps, diarrhea (adults), low grade fever, chills, malaise, body aches

Appendix B: Guidelines for Confirmation of Foodborne-Disease Outbreaks
Diarrhea and Abdominal Cramps for 24 hrs followed by hepatic and renal failure

US FDA/CFSAN - Bad Bug Book: Onset, duration, and symptoms of foodborne illness
Abdominal Cramps, diarrhea, vomiting, fever, chills, malaise, nausea, headache, possible. Sometimes bloody or mucoid diarrhea, cutaneous lesions associated with V. vulnificus. Yersinia enterocolitica mimics flu and acute appendicitis.

The Unwelcome Dinner Guest: Preventing Food-Borne Illness(FDA Consumer Reprint)
The Unwelcome Dinner Guest: Preventing Food-Borne Illness(FDA Consumer Reprint)

FCIC: The Unwelcome Dinner Guest- Preventing Food-Borne Illness
Onset: A few days after eating. Bloody diarrhea, severe Abdominal Cramps, dehydration, colitis, neurological symptoms, stroke, and hemolytic uremic syndrome (HUS), which can cause permanent kidney damage or failure and death. Lasts 4-15 days.

MedlinePlus Medical Encyclopedia: Abdominal pain
Stomach pain; Pain - abdomen; Belly ache; Abdominal Cramps

Diagnosis and management of foodborne illnesses: a primer for physicians and other health care professionals.
The presentation of a patient with a foodborne illness is often only slightly different from that of a patient who presents with a viral syndrome. In addition, viral syndromes are so common that it is reasonable to assume that a percentage of those diagnosed with a viral syndrome have actually contracted a foodborne illness. Therefore, the viral syndrome must be excluded in order to suspect the foodborne illness and take appropriate public health action. Fever, diarrhea, and Abdominal Cramps can be present or absent in both cases so they are not very helpful. The absence of myalgias or arthralgias would make a viral syndrome less likely and a foodborne illness (that does not target the neurologic system) more likely. Foodborne illnesses that do target the neurologic system tend to cause paraesthesias, weakness and paralysis that are distinguishable from myalgias or arthralgias (see below). The presence of dysentery (bloody diarrhea) is also more indicative of a foodborne illness, particularly if it is early in the course.

City of Houston -- City Departments -- Health and Human Services
Salmonellosis, a bacterial infection, is contracted by consuming foods contaminated with salmonella. Symptoms include diarrhea, fever and Abdominal Cramps which usually begin 12 to 72 hours after infection. The illness typically lasts 4 to 7 days and most people recover without treatment. It is estimated that approximately 40,000 cases of salmonellosis are reported in the U.S. every year. In Houston 260 cases of salmonellosis were reported during 2002. The frequency of salmonellosis cases usually decreases in the winter months.

DOH: Bureau of Food, Drug, and Radiation Protection - Food-Borne Infections and Intoxications Report
Diarrhea or bloody diarrhea, Abdominal Cramps, nausea, and malaise; can begin two to five days after food is eaten, lasting about eight days. Some, especially the very young, have developed Hemolytic Uremic Syndrome (HUS) that causes acute kidney failure. A similar illness, thrombotic thrombocytopenic purpura (TTP), may occur in older adults.

MMWR 44(27):1995 July 14; Outbreak of Acute Gastroenteritis Attributable to Escherichia coli Serotype O104:H21--Helena, Montana, 1994
O104:H21 during February 20-May 25,1994--based on stool culture or serologic evidence--in a resident of or a visitor to the Helena area. A suspected case was defined onset of bloody diarrhea or Abdominal Cramps during the same period in a resident of or visitor to the Helena area. MDHES and county health departments contacted clinicians, laboratories, and the public through news media reports and requested that suspected cases be reported . Eleven confirmed and seven suspected case-patients were identified (Figure 1). Manifestations included Abdominal Cramps (18 [100%]), diarrhea (17 [94%1), bloody stools (16 [89%]), vomiting (10 [56%]), and fever (six of 15 [40%] for whom information was available). The median age was 36 years (range: 8-63 years), and 12 (67%) were female. Four (22%) persons were hospitalized.

Energy Citations Database (ECD) - - Document #5428363
Severe diarrhea and marked lower Abdominal Cramps are unusual manifestations of appendicitis.^The authors performed a barium-enema examination (BE) on 9 pediatric patients who were utlimately shown to have a perforated appendix and pelvic abscesses.^In 8 cases, the atypical symptoms initially led to an incorrect clinical diagnosis.^In all 9, the BE demonstrated extensive inflammatory changes of the rectosigmoid colon, caused by the surrounding pelvic infection.^Recognizing this clinical and radiographic association could lead to earlier diagnosis and treatment.

Abdominal Pain
Abdominal Pain

ATSDR - ToxFAQs™: Nerve Agents (GA, GB, GD, VX)
Regardless of the route of exposure, the manifestation of nerve agent exposure includes runny nose, chest tightness, pinpoint pupils, shortness of breath, excessive salivation and sweating, nausea, vomiting, Abdominal Cramps, involuntary defecation and urination, muscle twitching, confusion, seizures, paralysis, coma, respiratory paralysis, and death. Incapacitating effects occur within 1 to 10 minutes and fatal effects can occur within 1 to 10 minutes for GA, GB, and GD, and within 4 to 18 hours for VX.

NJDEP-News Release 05/85 - Portions of Delaware Bay Closed for Shellfish Harvest
NJDEP-News Release 05/ 85 - Portions of Delaware Bay Closed for Shellfish Harvest

NTP: Executive Summary Pyridostigmine
Several studies have examined the adverse effects of PB use during the Persian Gulf War. In one such study, Keeler and coworkers (1991) reported that about half the study population of 41,650 soldiers instructed to take the drug at the onset of hostilities noted gastrointestinal changes that included increased flatus, Abdominal Cramps, soft stools, and nausea. While under the threat of nerve-agent attack, the drug was self-administered by the troops (30 mg orally every 8 hours for 1 to 7 days). Other reported effects were urinary urgency, headaches, rhinorrhea, diaphoresis, and tingling of the extremities. Fewer than 0.1% of the soldiers had effects sufficient to discontinue the drug. Seventy-five percent of 213 Israeli soldiers surveyed by Sharabi and coworkers (1991) reported at least one symptom following PB use. The most frequent complaints were nonspecific and included dry mouth, general malaise, fatigue, and weakness. Typical effects, such as nausea, Abdominal pain, frequent urination and rhinorrhea, were infrequent. The severity of symptoms was generally mild and no correlation was found between levels of cholinesterase and type or severity of complaints. Both of these studies found that the pyridostigmine regimen followed by soldiers under wartime conditions caused a higher incidence of adverse physiologic events than had been reported in earlier peacetime evaluations. It was felt that the combined stresses of anticipated combat, sleep deprivation, and life in the field may have affected or modified many of these responses.

FDA Consumer -- The Unwelcome Dinner Guest: Preventing Food-Borne Illness(FDA Consumer Reprint)
Onset: A few days after eating. Bloody diarrhea, severe Abdominal Cramps, dehydration, colitis, neurological symptoms, stroke, and hemolytic uremic syndrome (HUS), which can cause permanent kidney damage or failure and death. Lasts 4-15 days.

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