Chronic Pelvic and Abdominal Pain

  • Joslyn Gober
  • Melanie Howell
  • Sovrin M. Shah
  • Kimberly A. Sackheim

Abstract

Patients suffering from chronic abdominal and pelvic pain syndromes can be very complicated and difficult to diagnose and treat. These patients often end up visiting numerous physicians and undergo an abundance of tests and imaging prior to their physician establishing an accurate diagnosis. Unfortunately, some of the patients undergo unnecessary surgical interventions and continue to have their pain syndrome afterwards. It is important to listen to these patients, establish a proper and detailed history, physical examination, and assure they have had all acute and surgical pathologies ruled out prior to proceeding. Chronic abdominal and pelvic pain can be disabling and drastically effect a patient’s quality of life.

Keywords

Cholecystitis Chronic endometriosis Functional gastrointestinal disorder Inguinal neuralgia Interstitial cystitis Irritable bowel syndrome Pancreatitis Pelvic floor abnormalities Pelvic trigger points Pelvic venous congestion Prostatitis Pudendal neuralgia 

Abbreviations

CBC

Complete blood count

CT

Computed tomography

DKA

Diabetic ketoacidosis

IC

Interstitial cystitis

GERD

Gastroesophageal reflux disease

GI

Gastrointestinal

GU

Genitourinary

HTN

Hypertension

LLQ

Left lower quadrant

LUQ

Left upper quadrant

MMT

Manual muscle testing

MRI

Magnetic resonance imaging

NSAIDS

Nonsteroidal anti-inflammatory drugs

PID

Pelvic inflammatory disease

PNA

Pneumonia

PTX

Pneumothorax

RLQ

Right lower quadrant

RUQ

Right upper quadrant

SI

Sacroiliac

UA

Urinanalysis

UCx

Urine culture

UTI

Urinary tract infection

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Joslyn Gober
    • 1
  • Melanie Howell
    • 2
  • Sovrin M. Shah
    • 3
  • Kimberly A. Sackheim
    • 2
  1. 1.Nova Southeastern University College of Osteopathic MedicineFort LauderdaleUSA
  2. 2.Department of Rehabilitation MedicineNew York University Langone Medical CenterNew YorkUSA
  3. 3.Department of Urology Female Pelvic Medicine and Reconstructive SurgeryIcahn School of Medicine at Mount SinaiMount Sinai Beth IsraelNew YorkUSA

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