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Chronic abdominal pain in inflammatory bowel disease: a practical guide
Samantha Baillie1, Christine Norton2, Sonia Saxena3
1Department of Gastroenterology, St George's University Hospitals NHS Foundation Trust, London, UK.
Managing chronic pain in inflammatory bowel disease (IBD) requires a holistic approach. Effective strategies combine medication, psychological support, and lifestyle adjustments for better patient outcomes.
Area of Science:
- Gastroenterology
- Pain Management
- Psychology
Background:
- Pain is a prevalent and often inadequately addressed symptom in inflammatory bowel disease (IBD).
- Chronic pain in IBD is complex and frequently resistant to conventional pain medications, including opioids.
Purpose of the Study:
- To provide a practical review for clinicians on managing chronic abdominal pain in IBD patients.
- To highlight the importance of a patient-centered approach in addressing pain concerns.
Main Methods:
- Review of current pharmacological therapies, including low-dose tricyclic antidepressants.
- Exploration of psychological interventions such as cognitive-behavioural therapy.
- Discussion of lifestyle modifications, including dietary changes like the low-FODMAP diet for overlapping IBS.
Main Results:
- Pharmacological treatments are often insufficient for chronic IBD pain.
- Psychological therapies and dietary interventions show promise in pain management.
- A trusting, long-term patient-provider relationship is essential for holistic care.
Conclusions:
- Effective chronic pain management in IBD necessitates a multimodal strategy.
- Integrating pharmacological, psychological, lifestyle, and dietary approaches offers the best outcomes.
- Addressing the impact of pain on daily life is crucial for patient well-being.
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