Pain Management in Functional Gastrointestinal DisordersReport as inadecuate




Pain Management in Functional Gastrointestinal Disorders - Download this document for free, or read online. Document in PDF available to download.

Canadian Journal of Gastroenterology - Volume 9 1995, Issue 2, Pages 85-90

Review Palliative Care Program, Edmonton General Hospital, University of Alberta, Edmonton, Alberta, Canada

Received 14 July 1994; Accepted 15 August 1994

Copyright © 1995 Hindawi Publishing Corporation. This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License CC BY-NC http:-creativecommons.org-licenses-by-nc-4.0-, which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes.

Abstract

Pain is a common feature in functional gastrointestinal disorders FGID. An abnormally low visceral sensory threshold, as well as a number of central, spinal and peripheral pain-modulating abnormalities, have been proposed for this syndrome. Clinical aspects of pain associated with irritable esophagus, functional dyspepsia, biliary dysmotility, inflammatory bowel syndrome and proctalgia fugax are reviewed. Because of its unclear pathophysiology, pain expression is the main target for the successful assessment and management of symptomatic FGID. The sensory, cognitive and affective components of pain intensity expression need to be addressed in the context of a good physician-patient rapport. A multidisciplinary team approach is ideal for the smaller subset of patients with severe and disabling symptoms. Although pharmacotherapy may target specific functional disorders, the role of behavioural techniques and psychotherapy appears much more important for pain management in FGID. Functional performance and quality of life improvement, rather than pain intensity, are the main therapeutic goals in these patients.





Author: Antonio Vigano and Eduardo Bruera

Source: https://www.hindawi.com/



DOWNLOAD PDF




Related documents