Fig. 24.1 Ascending sensory spinal cord pathways. (a) Spinothalamic tract. (b) Dorsal midline visceral nociceptive pathway. The black box indicates the location for cordotomy procedure and the yellow box indicates…
Recurrent abdominal pain or discomfortb at least 3 days/month in the last 3 months associated with two or more of the following: 1. Improvement with defecation 2. Onset associated with a change…
Drug Range of doses Morphine 1.0–20 mg/day Hydromorphone 0.5–25 mg/day Sufentanil 10–100 μg/day Bupivacaine 6–20 mg/day Clonidine 250–2,000 μg/day Thus, compounding by a trained pharmacist will be needed. The goal…
61. Yin J, Chen JD. Mechanisms and potential applications of intestinal electrical stimulation. Dig Dis Sci. 2010;55(5):1208–20.PubMed 62. Chen JD, Lin HC. Electrical pacing accelerates intestinal transit slowed by fat-induced…
Medication Routes SAO vs. LAO Onset of action Duration of action PCA-availability Fentanyl TD, TM, IV, SC, Both 12–24 h TD, 72 h TD, Yes, (Duragesic, Actiq, Fentora) 5–15 min…
Fig. 13.1 Celiac plexus parasagittal anatomy Distal to the splenic flexure of the large intestine, the visceral-nociceptive fibers of the remaining colon (and of pelvic viscera) travel in part through…
Symptoms Diagnosis Umbilical pain Organic problem the further, the pain originates from umbilicus Early satiety, nausea, sour breath, belching Peptic origin Crampy pain and/or bloating and/or intestinal gas related to…
© Springer Science+Business Media New York 2015Leonardo Kapural (ed.)Chronic Abdominal Pain10.1007/978-1-4939-1992-5_10 10. Chronic Abdominal Pain of Gynecologic Causes: Diagnosis and Treatment Miya P. Yamamoto1 , Jorge F. Carillo2 and Fred M. Howard3 (1) Department of Obstetrics & Gynecology, Minimally Invasive Gynecologic…
Causes Common symptoms Diabetes mellitus Nausea, early satiety, epigastric pain Idiopathic Epigastric pain, fullness, nausea, and vomiting Postsurgical Upper abdominal pain, nausea, vomiting Ischemic Post-prandial abdominal pain or discomfort, nausea,…
Fig. 8.1 Proposal for algorithm of therapeutic decision making in the treatment of chronic pain due to postsurgical intra-abdominal adhesions Role of Tests in Defining Visceral Pain Carnett’s Test The…
