Chronic abdominal pain in inflammatory bowel disease: a practical guide

IF 2.4 Q3 GASTROENTEROLOGY & HEPATOLOGY
Samantha Baillie, Christine Norton, Sonia Saxena, Richard Pollok
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引用次数: 0

Abstract

Pain is common in inflammatory bowel disease (IBD), yet many patients feel their pain is not addressed by healthcare professionals. Listening to a patient’s concerns about pain, assessing symptoms and acknowledging the impact these have on daily life remain crucial steps in addressing pain in IBD. While acute pain may be effectively controlled by pain medication, chronic pain is more complex and often pharmacological therapies, particularly opioids, are ineffective. Low-dose tricyclic antidepressants and psychological approaches, including cognitive–behavioural therapy, have shown some promise in offering effective pain management while lifestyle changes such as a trial of low-fermentable oligosaccharides, disaccharides, monosaccharides and polyols diet in those with overlapping irritable bowel syndrome may also reduce pain. Patients benefit from a long-term, trusting relationship with their healthcare professional to allow a holistic approach combining pharmacological, psychological, lifestyle and dietary approaches to chronic pain. We present a practical review to facilitate management of chronic abdominal pain in IBD.
炎性肠病慢性腹痛:实用指南
疼痛在炎症性肠病(IBD)中很常见,但许多患者觉得他们的疼痛没有得到医疗保健专业人员的解决。倾听患者对疼痛的担忧,评估症状并承认这些对日常生活的影响仍然是解决IBD疼痛的关键步骤。虽然急性疼痛可以通过止痛药有效控制,但慢性疼痛更为复杂,通常药物治疗,特别是阿片类药物无效。低剂量的三环抗抑郁药和心理疗法,包括认知行为疗法,在提供有效的疼痛管理方面显示出一些希望,而生活方式的改变,如对患有重叠性肠易激综合征的人进行低发酵低聚糖、双糖、单糖和多元醇饮食的试验,也可能减轻疼痛。患者受益于与他们的医疗保健专业人员长期信任的关系,允许综合药理学,心理学,生活方式和饮食方法的整体方法来治疗慢性疼痛。我们提出一个实用的回顾,以促进管理慢性腹痛的IBD。
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来源期刊
Frontline Gastroenterology
Frontline Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
4.70
自引率
11.50%
发文量
93
期刊介绍: Frontline Gastroenterology publishes articles that accelerate adoption of innovative and best practice in the fields of gastroenterology and hepatology. Frontline Gastroenterology is especially interested in articles on multidisciplinary research and care, focusing on both retrospective assessments of novel models of care as well as putative future directions of best practice. Specifically Frontline Gastroenterology publishes articles in the domains of clinical quality, patient experience, service provision and medical education.
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