Chronic Abdominal Discomfort Syndrome (CADS): Defining and Discussing a Novel Diagnosis

J Pain Res. 2024 Mar 11;17:975-979. doi: 10.2147/JPR.S450008. eCollection 2024.ABSTRACTIn this article, we propose a new diagnostic paradigm known as Chronic Abdominal Discomfort Syndrome (CADS). Patient's presentation centers around chronic abdominal pain not explained by acute pathology with or without accompanying dyspepsia, bloating, nausea and vomiting among other symptoms. The pathophysiology is noted to be neurogenic, possibly stemming from visceral sympathetic nerves or abdominal wall afferent nerves. Diagnosis is supported by signs or symptoms traversing clinical, diagnostic and functional criteria. Included is a tool which can assist clinicians in diagnosing patients with CADS per those domains. We hope to facilitate primary care physicians' and gastroenterologists' utilization of our criteria to provide guidance for selecting which patients may benefit from further interventions or evaluation by a pain physician. The pain physician may then offer interventions to provide the patient with relief.PMID:38496342 | PMC:PMC10943270 | DOI:10.2147/JPR.S450008

Source: Pain Physician - March 18, 2024 Category: Anesthesiology Authors: Mayank Gupta Anand S Patil Ahish Chitneni Michael E Schatman Hemant Kalia Timothy R Deer Dawood Sayed Amol Soin Ganesan Baranidharan Peter Staats Leonardo Kapural Phani Ashok Attaluri Paul Verrills Sudhir Diwan Danielle Levin Nimisha Halder Alaa A Abd-Els Source Type: research