PAIN MEDICINE

Gastroesophageal Reflux Disease

Jan 3, 2021 by in PAIN MEDICINE Comments Off on Gastroesophageal Reflux Disease

Introduction Gastroesophageal reflux disease (GERD) is defined as a “condition which develops when the reflux of gastric contents causes troublesome symptoms or complications.” The estimated prevalence of GERD in North America is…

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Esophagitis

Jan 3, 2021 by in PAIN MEDICINE Comments Off on Esophagitis

Introduction Abdominal pain and chest pain represent the two most prevalent pain complaints to the US emergency departments each year at 8.6% and 5.2%, respectively. Of those presenting with chest…

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Atypical Chest Wall Pain

Jan 3, 2021 by in PAIN MEDICINE Comments Off on Atypical Chest Wall Pain

Introduction The initial evaluation for chest pain must rule out potentially life-threatening cardiac and pulmonary causes. However, the majority of chest pain cases are actually noncardiac in origin and typically…

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Postherpetic Neuralgia

Jan 3, 2021 by in PAIN MEDICINE Comments Off on Postherpetic Neuralgia

Introduction Postherpetic neuralgia (PHN) is a neuropathic pain syndrome that occurs following an acute episode of herpes zoster, commonly known as shingles . As with other manifestations of neuropathic pain,…

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Irritable Bowel Syndrome

Jan 3, 2021 by in PAIN MEDICINE Comments Off on Irritable Bowel Syndrome

Introduction IBS has a worldwide prevalence rate of 5%–20% , and makes up ~25% of “functional gastrointestinal disorders” diagnoses. Functional abdominal pain is difficult to define, diffuse (not localized), and…

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Inflammatory Bowel Disease

Jan 3, 2021 by in PAIN MEDICINE Comments Off on Inflammatory Bowel Disease

Introduction Inflammatory bowel disease (IBD) is a chronic inflammatory condition that comprises two different clinical diseases of the gastrointestinal tract: Crohn’s disease (CD) and ulcerative colitis (UC). The Centers for…

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Chronic Mesenteric Ischemia

Jan 3, 2021 by in PAIN MEDICINE Comments Off on Chronic Mesenteric Ischemia

Introduction Chronic mesenteric ischemia develops due to insufficient blood flow within the splanchnic vasculature, most typically in the presence of a gradually occlusive disease state like atherosclerosis. An estimated one-fifth…

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Chronic Abdominal Wall Pain

Jan 3, 2021 by in PAIN MEDICINE Comments Off on Chronic Abdominal Wall Pain

Introduction Between 10% and 30% of patients presenting to gastroenterologists with chronic abdominal pain have chronic abdominal wall pain (CAWP). These patients often undergo unnecessary procedures and tests while their…

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Colorectal Cancer

Jan 3, 2021 by in PAIN MEDICINE Comments Off on Colorectal Cancer

Introduction Colorectal cancer (CRC) is the third most commonly diagnosed cancer globally and in the United States. Although the incidence and mortality rates have been steadily declining over the last…

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Chronic Postsurgical Pain

Jan 3, 2021 by in PAIN MEDICINE Comments Off on Chronic Postsurgical Pain

Introduction The development of chronic pain after surgery is an important and often overlooked problem. Chronic postsurgical pain (CPSP) can dramatically impair quality of life, limit postoperative rehabilitation, and strain…

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