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25 year old male with abdominal pain

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 Chief complaint:  25 year old patient resident of Nalgonda who is a painter by occupation is presented to the general medicine ward on (7-6-2022)with chief complaints of pain in the abdomen since 3 days. History of presenting illnesses. Patient was apparently asymptomatic 5 year’s ago , then he started consuming alcohol and gradually increased to 12 to 18 units per day.  He had tremors and sleep disturbances on taking alcohol, cravings for alcohol are present. Along with alcohol he started consuming cigarettes dice 3 years 4 to 5 per day. He complains of difficulty in passing stools if he doesn’t smoke cigarettes. 2 months ago he was admitted in government hospital in Nalgonda due to weakness , decreased appetite and had hallucinating behaviour there he was accordingly treated and recovered with in 2 days . He was diagnosed with alcohol withdrawal syndrome and was admitted in DAC. While he was in DAC he had Severe abdominal pain and was admitted in the general medicine department. Pa