Abstract
The distribution and referral of abdominal pain in 21 patients with functional abdominal pain were investigated by performing balloon distension of the ileum, proximal jejunum, second part of the duodenum, and distal oesophagus. Pain was perceived not just in classically described sites but throughout the abdomen and was referred to several unusual extra-abdominal sites. The presenting pain was reproduced by this technique in 14 patients, in three of whom it was also reproduced by colonoscopic distension. This study emphasises the protean presentation of functional abdominal pain and demonstrates the existence of potentially tender "trigger" areas for the production of abdominal pain in the proximal as well as the distal gut.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- BOCKUS H. L., KALSER M. H., ZION D. E. Functional diarrhea: an analysis of the clinical and roentgen manifestations. Gastroenterology. 1956 Dec;31(6):629-46; discussion, 646-8. [PubMed] [Google Scholar]
- CONNELL A. M., JONES F. A., ROWLANDS E. N. MOTILITY OF THE PELVIC COLON. IV. ABDOMINAL PAIN ASSOCIATED WITH COLONIC HYPERMOTILITY AFTER MEALS. Gut. 1965 Apr;6:105–112. doi: 10.1136/gut.6.2.105. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chapman W. P., Jones C. M. VARIATIONS IN CUTANEOUS AND VISCERAL PAIN SENSITIVITY IN NORMAL SUBJECTS. J Clin Invest. 1944 Jan;23(1):81–91. doi: 10.1172/JCI101475. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Connell A. M., Hilton C., Irvine G., Lennard-Jones J. E., Misiewicz J. J. Variation of bowel habit in two population samples. Br Med J. 1965 Nov 6;2(5470):1095–1099. doi: 10.1136/bmj.2.5470.1095. [DOI] [PMC free article] [PubMed] [Google Scholar]
- DWORKEN H. J., BIEL F. J., MACHELLA T. E. Supradiaphragmatic reference of pain from the colon. Gastroenterology. 1952 Oct;22(2):222–243. [PubMed] [Google Scholar]
- HOROWITZ L., FARRAR J. T. Intraluminal small intestinal pressures in normal patients and in patients with functional gastrointestinal disorders. Gastroenterology. 1962 Apr;42:455–464. [PubMed] [Google Scholar]
- Holdstock D. J., Misiewicz J. J., Waller S. L. Observations on the mechanism of abdominal pain. Gut. 1969 Jan;10(1):19–31. doi: 10.1136/gut.10.1.19. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Manning A. P., Thompson W. G., Heaton K. W., Morris A. F. Towards positive diagnosis of the irritable bowel. Br Med J. 1978 Sep 2;2(6138):653–654. doi: 10.1136/bmj.2.6138.653. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Payne W. W., Poulton E. P. Experiments on visceral sensation: Part I. The relation of pain to activity in the oesophagus. J Physiol. 1927 Aug 8;63(3):217–241. doi: 10.1113/jphysiol.1927.sp002399. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ray B. S., Neill C. L. Abdominal Visceral Sensation in Man. Ann Surg. 1947 Nov;126(5):709–723. [PMC free article] [PubMed] [Google Scholar]
- Swarbrick E. T., Hegarty J. E., Bat L., Williams C. B., Dawson A. M. Site of pain from the irritable bowel. Lancet. 1980 Aug 30;2(8192):443–446. doi: 10.1016/s0140-6736(80)91885-1. [DOI] [PubMed] [Google Scholar]
- Thompson D. G., Laidlow J. M., Wingate D. L. Abnormal small-bowel motility demonstrated by radiotelemetry in a patient with irritable colon. Lancet. 1979 Dec 22;2(8156-8157):1321–1323. doi: 10.1016/s0140-6736(79)92811-3. [DOI] [PubMed] [Google Scholar]
- Thompson W. G., Heaton K. W. Functional bowel disorders in apparently healthy people. Gastroenterology. 1980 Aug;79(2):283–288. [PubMed] [Google Scholar]