Abdominal angina (a.k.a. Bowelgina) is postprandial abdominal pain that occurs in individuals with insufficient blood flow to meet visceral demands. The term angina is used in reference to angina pectoris, a similar symptom due to obstruction of the coronary artery. The term symptom (from the Greek syn = con/plus and pipto = fall, together meaning co-exist) has two similar meanings in the context of physical and mental health: Strictly, a symptom is a sensation or change in health function experienced by a patient. ... In medicine, a sign is a feature of disease as detected by the doctor during physical examination of a patient. ... The following codes are used with International Statistical Classification of Diseases and Related Health Problems. ... The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ... Abdominal pain can be one of the symptoms associated with transient disorders or serious disease. ... The coronary circulation consists of the blood vessels that supply blood to, and remove blood from, the heart. ...
The pathophysiology is similar to that seen in angina pectoris and intermittent claudication. The most common cause of bowelgina is atherosclerotic vascular disease, where the occlusive process commonly involves the ostia and the proximal few centimeters of the mesenteric vessels. Intermittent claudication is a cramping sensation in the legs that is present during exercise or walking and occurs as a result of decreased oxygen supply. ...
Frequency
Internationally: Extremely rare. True incidence is unknown
Race: No data available
Sex: Females outnumber males by approximately 3 to 1
Age: Mean age of affected individuals is slightly older than 60 years
Clinical
Hallmark of condition: Disabling midepigastric or central abdominal pain within 10-15 minutes after eating.
Physical examination: The abdomen typically is scaphoid and soft, even during an episode of pain. Patients present with stigmata of weight loss and signs of peripheral vascular disease, particularly aortoiliac occlusive disease, may be present.
Causes: Smoking is an associated risk factor. In most series, approximately 75-80% of patients smoke.