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Abdominal Pain: A Comparison between Neurogenic Bowel Dysfunction and Chronic Idiopathic Constipation
Pia Møller Faaborg1, Nanna Brix Finnerup, Peter Christensen
1Neurogastroenterology Unit, Department of Hepatology and Gastroenterology, Aarhus University Hospital, Dk-8000 Aarhus, Denmark ; Pelvic Floor Unit, Department of Surgery P, Aarhus University Hospital, Dk-8000 Aarhus, Denmark.
Spinal cord injury (SCI) patients often experience abdominal pain, similar to those with chronic idiopathic constipation (CIC). This suggests constipation is a primary driver of pain in SCI individuals.
Area of Science:
- Gastroenterology
- Neurology
- Pain Medicine
Background:
- Constipation is a common issue for spinal cord injury (SCI) patients.
- A significant portion of SCI patients develop chronic abdominal pain.
- The origins of abdominal pain post-SCI, whether neuropathic or constipation-related, are not well understood.
Purpose of the Study:
- To compare the characteristics of abdominal pain in SCI patients with those in able-bodied individuals suffering from chronic idiopathic constipation (CIC).
Main Methods:
- The study included 21 SCI patients and 15 CIC patients.
- Bowel symptoms were assessed using standardized scoring systems.
- Abdominal pain characteristics were evaluated with the Brief Danish Pain Questionnaire.
- Gastrointestinal transit times (GITT) were measured.
Main Results:
- A high prevalence of abdominal pain was reported in both SCI (81%) and CIC (93%) groups.
- Pain intensity was greater in CIC patients compared to SCI patients.
- Qualitative pain descriptions and pain locations showed minimal differences between the groups.
- Pain was not correlated with GITT in either SCI or CIC patients.
Conclusions:
- The characteristics of abdominal pain in SCI patients largely mirror those found in CIC patients.
- Constipation is indicated as a significant contributor to abdominal pain experienced by individuals with SCI.
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