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Visceral Pain

  • Leonardo Kapural
  • Jeremy Naber
Chapter

Abstract

Abdominal pain is present in over two million people across the USA and is the most common presenting symptom in gastrointestinal clinics. Before being referred to chronic pain specialist, patients frequently undergo numerous imaging studies and surgical procedures. Despite extensive diagnostics, some of the causes of chronic abdominal pain remain unknown. Chronic abdominal pain is characterized by referral to cutaneous regions, difficulty in localizing the pain, and augmented autonomic and/or motor reflexes and can be accompanied by a significant hyperalgesia with referral to cutaneous and deep tissues. A comprehensive multidisciplinary approach is critical to optimizing outcomes. Interventional procedures used to treat abdominal pain include sympathetic blocks and spinal cord stimulation.

Keywords

Chronic abdominal pain Abdominal wall pain Visceral pain Inflammatory bowel disease Ulcerative colitis Crohn’s Pancreatitis Irritable bowel syndrome ACNES 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Leonardo Kapural
    • 1
  • Jeremy Naber
    • 1
  1. 1.Carolinas Pain Institute & Center for Clinical ResearchWinston-SalemUSA

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