Abstract：
Chronic abdominal pain is a challenging problem in clinical practice, with several pathophysiological mechanisms underlying its aetiologies. This case report presents a geriatric patient with multiple comorbidities who had experienced intermittent abdominal pain for over 10 years. Alarming symptoms were ruled out, and a functional gastrointestinal disorder was determined as the most likely cause. The patient\'s medical history and previous treatments were thoroughly reviewed, revealing that long-term use of metformin and an oral iron supplement was the iatrogenic symptom triggers. The abdominal pain resolved upon discontinuation of these two medications. This case report highlights the significance of reviewing iatrogenic causes and periodically assessing chronic medical conditions to identify potential contributing factors of chronic abdominal pain.
摘要：
慢性腹痛在临床实践中是一个具有挑战性的问题，其病因有几种病理生理机制。该病例报告介绍了一名患有多种合并症的老年患者，该患者经历了10年以上的间歇性腹痛。警报症状被排除,功能性胃肠病被确定为最可能的原因。对患者的病史和以前的治疗进行了彻底审查，揭示长期使用二甲双胍和口服铁补充剂是医源性症状的触发因素.停用这两种药物后，腹痛缓解。此病例报告强调了回顾医源性原因并定期评估慢性医疗状况以确定慢性腹痛的潜在影响因素的重要性。
