Document Type
Article
Publication Title
Journal of Pain Research
Abstract
In 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.
DOI
10.2147/JPR.S450008
Publication Date
3-11-2024
Keywords
CADS, chronic abdominal pain, neurogenic abdominal pain, chronic abdominal discomfort
ISSN
1178-7090
Recommended Citation
Gupta M, Patil AS, Chitneni A, Schatman ME, Kalia H, Deer TR, Sayed D, Soin A, Baranidharan G, Staats P, Kapural L, Attaluri PA, Verrills P, Diwan S, Levin D, Halder N, Abd-Elsayed AA. Chronic Abdominal Discomfort Syndrome (CADS): Defining and Discussing a Novel Diagnosis. Journal of Pain Research. 2024; 2024(17). doi: 10.2147/JPR.S450008.