50‑year‑old man with long‑standing heavy alcohol use (½ L rum daily for 15 years, stopped 1 year ago), intermittent post‑prandial upper abdominal pain with nausea/vomiting lasting hours‑days, recent unintentional weight loss despite increased intake, polyuria, polydipsia, bulky foul‑smelling stools, hypertension, BMI 20 kg/m², and mild left upper quadrant tenderness—what is the most likely diagnosis: celiac disease, acute cholecystitis, cirrhosis, chronic pancreatitis, or ulcerative colitis?

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Last updated: February 25, 2026 • View editorial policy

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