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Chronic Pelvic and Abdominal Pain

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Pain Management and Palliative Care

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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.

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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

References

  1. Howard F. Causes of chronic pelvic pain in women. In: Barbieri RL, editor. UpToDate. UpToDate, Inc. Accessed 4Jan 2014.

    Google Scholar 

  2. Vincent K, Moore J. Pelvic pain in females. In: Fishman SM, Ballantyne JC, Rathmell JP, editors. Bonica’s management of pain. 4th ed. New York: Lippincott, Williams & Wilkins; 2009. p. 925–38.

    Google Scholar 

  3. Singh, Manish K. Chronic Pelvic Pain in Women Clinical Presentation. 2012. http://emedicine.medscape.com/article/258334-clinical.

  4. Howard F. Treatment of chronic pelvic pain in women. In: Barbieri R, editor. UpToDate. UpToDate, Inc. Accessed 4 Jan 2014.

    Google Scholar 

  5. Bonder J, Rizzo JR, Chowdhury N, Sayegh S. Musculoskeletal pelvic pain and pelvic floor dysfunction. In: Sackheim K, editor. Rehab clinical pocket guide: rehabilitation medicine. New York: Springer; 2013. p. 467–85.

    Chapter  Google Scholar 

  6. Hanno P, Dmochowski R. Status of international consensus on interstitial cystitis/bladder pain syndrome/painful bladder syndrome: 2008 snapshot. Neurourol Urodyn. 2009;28(4):274–86.

    Article  PubMed  Google Scholar 

  7. Hanno PM, Landis JR, Mathews-Cook Y, Kusek Jr NL. The diagnosis of interstitial cystitis revisited: lessons learned from the National Institutes of Health Interstitial Cystitis Database study. J Urol. 1999;161(2):553–7.

    Article  CAS  PubMed  Google Scholar 

  8. Driscoll A, Teichman JM. How do patients with interstitial cystitis present? J Urol. 2001;166(6):2118–20.

    Article  CAS  PubMed  Google Scholar 

  9. Anderson RU, Wise D, Sawyer T, Chan C. Integration of myofascial trigger point release and paradoxical relaxation training treatment of chronic pelvic pain in men. J Urol. 2005;174(1):155–60.

    Article  PubMed  Google Scholar 

  10. FitzGerald MP, Anderson RU, Potts J, Payne CK, Peters KM, Clemens JQ, Kotarinos R, Fraser L, Cosby A, Fortman C, Neville C, Badillo S, Odabachian L, Sanfield A, O’Dougherty R, Halle-Podell R, Cen L, Chuai S, Landis JR, Mickelberg K, Barrell T, Kusek JW, Nyberg LM. Urological Pelvic Pain Collaborative Research Network. Randomized multicenter feasibility trial of myofascial physical therapy for the treatment of urological pelvic pain syndromes J Urol. 2009;182(2):570–80.

    PubMed  Google Scholar 

  11. Foster Jr HE, Hanno PM, Nickel JC, Payne CK, Mayer RD, Burks DA, Yang CC, Chai TC, Kreder KJ, Peters KM, Lukacz ES, FitzGerald MP, Cen L, Landis JR, Propert KJ, Yang W, Kusek JW, Nyberg LM. Interstitial Cystitis Collaborative Research Network. Effect of amitriptyline on symptoms in treatment naïve patients with interstitial cystitis/painful bladder syndrome J Urol. 2009;183(5):1853–8.

    Google Scholar 

  12. Holm-Bentzen M, Jacobsen F, Nerstrom B, Lose G, Kristensen JK, Pedersen RH, Krarup T, Feggetter J, Bates P. Barnard. A prospective double-blind clinically controlled multicenter trial of sodium pentosanpolysulfate in the treatment of interstitial cystitis J Urol. 1987;138(3):503–7.

    CAS  PubMed  Google Scholar 

  13. Rovner E, Propert KJ, Brensinger C, Wein AJ, Foy M, Kirkemo A, Landis JR, Kusek JW, Nyberg LM. Treatments used in women with interstitial cystitis data base (ICDB) study experience. The Interstitial Cystitis Data Base Study Group Urology. 2000;56(6):940–5.

    CAS  Google Scholar 

  14. Chong M, Hester J. Pharmacotherapy for neuropathic pain with special reference to urogenital pain. In: Baranowski A, Abrams P, Fall M, editors. Urogenital pain in clinical practice. New York: Informa Healthcare; 2008.

    Google Scholar 

  15. Welk BK, Teichman JM. Dyspareunia response in patients with interstitial cystitis treated with intravesical lidocaine, bicarbonate, and heparin. Urology. 2008;71(1):67–70.

    Article  PubMed  Google Scholar 

  16. Ottem DP, Teichman JM. What is the value of cystoscopy with hydrodistention for interstitial cystitis? Urology. 2005;66(3):494–9.

    Article  PubMed  Google Scholar 

  17. Peters KM, Konstandt D. Sacral neuromodulation decreases narcotic requirements in refractory interstitial cystitis. BJU Int. 2004;93(6):777–9.

    Article  CAS  PubMed  Google Scholar 

  18. Giannantoni A, Porena M, Costantini E, Zucchi A, Mearini A, Mearinin E. Botulinum A toxin intravesical injection in patients with painful bladder syndrome: 1-year followup. J Urol. 2008;179(3):1031–4.4.

    Article  CAS  PubMed  Google Scholar 

  19. Hughes OD, Kynaston HG, Jenkins BJ, Stephenson TP, Vaughton KC. Substitution cystoplasty for intractable interstitial cystitis. Br J Urol. 1995;76(2):172–4.

    Article  CAS  PubMed  Google Scholar 

  20. Mears Jr EM. Prostatitis. Med Clinic North Am. 1991;75(2):405–24.

    Google Scholar 

  21. Nickel JC. Practical approach to the management of prostatitis. Tech Urol. 1995;1(3):162–7.

    CAS  PubMed  Google Scholar 

  22. Pewitt EB, Schaeffer AJ. Urinary tract infection in urology, including acute and chronic prostatitis. Infect Dis Clin North Am. 1997;11(3):623–46.

    Article  CAS  PubMed  Google Scholar 

  23. Nickel JC. Effective office management of chronic prostatitis. Urol Clin North Am. 1998;25(4):677–84.

    Article  CAS  PubMed  Google Scholar 

  24. Nickel JC, Sorensen R. Transurethral microwave thermotherapy of nonbacterial prostatitis and prostatodynia: initial experience. Urology. 1994;44(3):458–60.

    Article  CAS  PubMed  Google Scholar 

  25. Ignacio EA, Intervent S. Radiol. Dec. 2008;25(4):361–8.

    Google Scholar 

  26. Moynihan, Leah K. Treatment of myofascial pelvic pain syndrome in women. In: Brubaker L, editor. UpToDate. UpToDate, Inc. Accessed 4 Jan 2014.

    Google Scholar 

  27. Fishman, M., Aronson, M., Chacko, M. Chronic abdominal pain in children and adults: Approach to evaluation. In: Middleman A, Ferry G, Drutz J, editors. UpToDate. UpToDate, Inc. Accessed 21 Feb 2014.

    Google Scholar 

  28. Fishman, M., Aronson, M. Differential Diagnosis of abdominal pain in adults. In: Fletcher, R., editor. UpToDate. UpToDate, Inc. Accessed 21 Feb 2014.

    Google Scholar 

  29. Fishman, M., Aronson, M. History and physical examination in adults with abdominal pain. In: Fletcher R, editor. UpToDate. UpToDate, Inc. Accessed 21 Feb 2014.

    Google Scholar 

  30. Zakko S, Afdhal N. Acute cholecystitis: pathogenesis, clinical features, and diagnosis. In: Chopra S, editor. UpToDate. UpToDate, Inc. Accessed 21Feb 2014.

    Google Scholar 

  31. Freedman S. Clinical manifestations and diagnosis of chronic pancreatitis in adults. In: Whitcomb D, editors. UpToDate. UpToDate, Inc. Accessed 21 Feb 2014.

    Google Scholar 

  32. Wald A. Clinical manifestations and diagnosis of irritable bowel syndrome in adults. In: Talley N, editor. UpToDate. UpToDate, Inc. Accessed 21 Feb 2014

    Google Scholar 

  33. Drossman D. The functional gastrointestinal disorders and the Rome III process. Gastroenterology. 2006;130(5):1377–90; Review.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Nova Southeastern University College of Osteopathic Medicine, Fort Lauderdale, FL, USA

    Joslyn Gober D.O.

  2. Department of Rehabilitation Medicine, New York University Langone Medical Center, New York, NY, USA

    Melanie Howell D.O. & Kimberly A. Sackheim

  3. Department of Urology Female Pelvic Medicine and Reconstructive Surgery, Icahn School of Medicine at Mount SinaiMount Sinai Beth Israel, New York, NY, USA

    Sovrin M. Shah M.D.

Authors
  1. Joslyn Gober D.O.
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  2. Melanie Howell D.O.
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  3. Sovrin M. Shah M.D.
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  4. Kimberly A. Sackheim
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Corresponding author

Correspondence to Joslyn Gober D.O. .

Editor information

Editors and Affiliations

  1. Department of Rehabilitation Medicine, Interventional Pain Management, New York University , Langone Medical Center, New York, New York, USA

    Kimberly A. Sackheim

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Gober, J., Howell, M., Shah, S.M., Sackheim, K.A. (2015). Chronic Pelvic and Abdominal Pain. In: Sackheim, K. (eds) Pain Management and Palliative Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2462-2_22

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  • DOI: https://doi.org/10.1007/978-1-4939-2462-2_22

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2461-5

  • Online ISBN: 978-1-4939-2462-2

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