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Managing Visceral Pain: Clinical Tips and Pearls

Explore effective approaches in assessing and treating visceral pain. Understand the impact, comorbidities, and management strategies for chronic and acute cases. Utilize a multidimensional approach with pharmacological and non-pharmacological interventions. Consider psychological assessments and red flags when addressing visceral pain.

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Managing Visceral Pain: Clinical Tips and Pearls

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  1. Clinical tips and pearls

  2. Clinical Tips and Pearls • The most common type of chest pain is from myocardial infarction. • The most common type of abdominal pain is urinary colic. • Visceral pain emanates from internal organs. • Visceral pain is poorly localized and can be referred somatically. • Visceral pain can be caused by stretching, hypoxia, or inflammation. • Visceral pain is usually nociceptive only, but can be mixed pain with neuropathic components. • Pain hypersensitivity is the dominant feature of visceral pain. • Use a multimodal approach to clinical assessment and with attention to red flags and consideration of psychological and physical symptoms. • Focus should be placed on determining the possible cause of the underlying pain.

  3. Clinical Tips and Pearls • Psychological assessment is important in the investigation of visceral pain. • Visceral pain may be accompanied by autonomic features. Always look for autonomic symptoms. • Visceral pain is associated with a number of comorbidities. • Visceral pain has a negative impact on a patient’s quality of life. • Acute abdominal pain could be due to zona with radiating pain. • Treatment of visceral pain should be pain and disease specific. • Chronic visceral pain should always be treated using a multidimensional approach. • There are no standard approaches for the management of visceral pain. • Effective management may include a combination of pharmacological and non-pharmacological treatments.

  4. Clinical Tips and Pearls • Use tricyclic antidepressants and opioids with caution in patients with irritable bowel syndrome (IBS). • Acute visceral pain occurs with surgery. • Treat the pain, and don’t hesitate to refer the patient to a pain specialist.

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