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Abdominal Pain

Chronic abdominal pain refers to persistent or recurrent abdominal discomfort that can vary in intensity and significantly impact the quality of life.

Common Causes of Chronic Abdominal Pain:

  • Irritable Bowel Syndrome
  • Inflammatory Bowel Disease
  • Gastritis
  • Chronic Pancreatitis: inflammation of the pancreas
  • Chronic Pelvic Inflammatory Disease
  • Chronic post-surgical pain
  • Abdominal Nerve Entrapment Syndrome
  • Functional Abdominal Pain Syndrome

    • Assessment and Diagnosis:

    To understand and treat chronic abdominal pain effectively, a thorough evaluation is necessary to determine the underlying cause.

  • Comprehensive history and assessment
  • Investigations: ultrasound, X-ray, MRI, CT scan
  • Follow-up for a personalised multimodal management plan
  • Review of the agreed-tailored pathway outcomes
  • Referrals to specialists (e.g. Gastroenterologist, Gynaecologist)  

    • Multimodal Treatment:

    Treatment varies based on the underlying cause and may include:

  •  Oral analgesics
  • Pain interventions: Nerve blocks, Pulsed radiofrequency of the nerves
  • Physical therapy: Abdominal muscle relaxation exercises
  • Lifestyle and dietary changes
  • Psychological support: stress management and cognitive behavioural therapy (CBT)
  • Surgery for specific conditions such as endometriosis, gallstones, or structural abnormalities
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