Are Functional Bowel Disorders Often Mistaken for Chronic Pancreatitis?
The MRI looks like chronic pancreatitis. The symptoms the patient describes sound like chronic pancreatitis. But a Dr. says it might not be chronic pancreatitis.
“Chronic abdominal pain syndrome has a myriad of potential causes,” he says. “A lot of practitioners rely heavily on imaging studies and endoscopy to make a diagnosis of chronic pancreatitis. But the reality is that we’re looking at just one aspect of a disease that’s actually a syndrome.”
The Dr., says there’s a lot more to abdominal pain than an inflamed pancreas. Since there is no universally accepted criteria to diagnose chronic pancreatitis, he says that the condition is over-diagnosed.
Changes in the pancreas’ function and appearance are common as we age, says the Dr. On scans, those changes can look abnormal, often leading to misdiagnosis.
“And as a result, we subject patients to a lot of interventions,” he says. “More often than not, these patients are dealing with functional bowel disorders.” A recent large survey study found that nearly 10 percent of respondents met the criteria for a functional bowel disorder.
The Dr. says that ERCP, endoscopic ultrasound and surgical procedures are great tools; but if the diagnosis is flawed, they’ll produce less-than-optimal results. “That’s what we’re seeing more and more,” he says.
The complex, often mysterious, nature of chronic abdominal pain often leads to opioid analgesics.
“As we know, those can be dangerous for chronic conditions,” says the Dr., who is working with his colleagues in other specialties on chronic abdominal pain treatments that don’t avoid the use of opioid analgesics.
Functional bowel disorders, he says, often affect the gut and the central nervous system. As a result, stress and psychiatric diseases can lead to abdominal pain — and the other way around, he says. Thinking about abdominal pain in a new way is leading him to different approaches to managing patients with functional bowel disorders.
“Patients with back or knee problems can receive injections and other procedures to help alleviate discomfort,” he says. “But it’s much more complicated with abdominal pain because of the way it connects into the body and brain’s ‘central circuitry.’”
He compares prescribing opioids for chronic abdominal pain to swatting a fly with a skyscraper instead of a fly-swatter.
“More and more, we’re looking to neuro-modulators because they tackle pain at its source,” he says.
Drugs often used to treat depression or anxiety, he says , can be useful alternatives to the “blunt instrument” of opioids. By managing the neural network that carries pain signals to the brain, Singh says patients can find relief without the dangers of opioid dependence and abuse.
Finding exactly where a patient’s pain is can also present a challenge – is it in the gut or does it now also involve the central nervous system? He and his colleagues are researching tests to determine whether pain from the abdomen is present in the central nervous system.
“Because if your pain is already in the central nervous system, then no matter what we do in the belly, it’s not going to fix it,” Singh says.
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“Chronic abdominal pain syndrome has a myriad of potential causes,” he says. “A lot of practitioners rely heavily on imaging studies and endoscopy to make a diagnosis of chronic pancreatitis. But the reality is that we’re looking at just one aspect of a disease that’s actually a syndrome.”
The Dr., says there’s a lot more to abdominal pain than an inflamed pancreas. Since there is no universally accepted criteria to diagnose chronic pancreatitis, he says that the condition is over-diagnosed.
Changes in the pancreas’ function and appearance are common as we age, says the Dr. On scans, those changes can look abnormal, often leading to misdiagnosis.
“And as a result, we subject patients to a lot of interventions,” he says. “More often than not, these patients are dealing with functional bowel disorders.” A recent large survey study found that nearly 10 percent of respondents met the criteria for a functional bowel disorder.
The Dr. says that ERCP, endoscopic ultrasound and surgical procedures are great tools; but if the diagnosis is flawed, they’ll produce less-than-optimal results. “That’s what we’re seeing more and more,” he says.
The complex, often mysterious, nature of chronic abdominal pain often leads to opioid analgesics.
“As we know, those can be dangerous for chronic conditions,” says the Dr., who is working with his colleagues in other specialties on chronic abdominal pain treatments that don’t avoid the use of opioid analgesics.
Functional bowel disorders, he says, often affect the gut and the central nervous system. As a result, stress and psychiatric diseases can lead to abdominal pain — and the other way around, he says. Thinking about abdominal pain in a new way is leading him to different approaches to managing patients with functional bowel disorders.
“Patients with back or knee problems can receive injections and other procedures to help alleviate discomfort,” he says. “But it’s much more complicated with abdominal pain because of the way it connects into the body and brain’s ‘central circuitry.’”
He compares prescribing opioids for chronic abdominal pain to swatting a fly with a skyscraper instead of a fly-swatter.
“More and more, we’re looking to neuro-modulators because they tackle pain at its source,” he says.
Drugs often used to treat depression or anxiety, he says , can be useful alternatives to the “blunt instrument” of opioids. By managing the neural network that carries pain signals to the brain, Singh says patients can find relief without the dangers of opioid dependence and abuse.
Finding exactly where a patient’s pain is can also present a challenge – is it in the gut or does it now also involve the central nervous system? He and his colleagues are researching tests to determine whether pain from the abdomen is present in the central nervous system.
“Because if your pain is already in the central nervous system, then no matter what we do in the belly, it’s not going to fix it,” Singh says.
THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOU PHYSICIAN BEFORE HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES. PS- THOSE INTERESTED IN RECIPES ARE FREE TO VIEW MY BLOG- https://gseasyrecipes.blogspot.com/
FOR INFO ABOUT KNEE REPLACEMENT, YOU CAN VIEW MY BLOG- https:// kneereplacement-stickclub.blogspot.com/
FOR CROCHET DESIGNS https://gscrochetdesigns.blogspot.com
Labels: abdominal pain, bowel disorders, chronic, Endoscopy, functional, pancreatitis
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