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Medicine Jan 2022Coronavirus disease 2019 (COVID-19) is an acute respiratory infectious disease that makes breathing difficult and is often accompanied by abdominal pain and distension....
BACKGROUND
Coronavirus disease 2019 (COVID-19) is an acute respiratory infectious disease that makes breathing difficult and is often accompanied by abdominal pain and distension. Moxibustion, a special external treatment of traditional Chinese medicine, has shown beneficial effects in the treatment of abdominal pain. Currently, there is a lack of systematic reviews on moxibustion for the treatment of abdominal pain. We conduct this study to evaluate the efficacy and safety of moxibustion in the treatment of abdominal pain. This study is designed to evaluate the effectiveness and safety of moxibustion for abdominal pain in COVID-19.
METHODS
Randomized controlled trials from December 2019 to December 2021 will be included, without restrictions on language or publication date. PubMed, EMBASE, Cochrane Library, Web of Science, Chinese Biomedical Databases, China National Knowledge Infrastructure, Wanfang Database, and VIP Database were searched. Two researchers will independently select studies, extract data, and evaluate study quality. The Cochrane risk of bias tool for randomized trials will be used to assess the risk of bias in the included studies. Statistical analyses will be conducted using the RevMan 5.3 software.
RESULTS
This study aimed to prove the efficacy and safety of moxibustion for abdominal pain in patients with COVID-19. Our study provides a more accurate treatment method for abdominal pain during COVID-19. We will publish our results in a peer-reviewed journal.
CONCLUSION
This study will provide more convincing evidence for clinicians to treat these conditions and help them make appropriate decisions.
ETHICS AND DISSEMINATION
This study did not include personal information. Ethical approval was not required for this study.
INPLASY REGISTRATION NUMBER
INPLASY2021120104.
Topics: Abdominal Pain; COVID-19; Humans; Meta-Analysis as Topic; Moxibustion; SARS-CoV-2; Systematic Reviews as Topic
PubMed: 35060526
DOI: 10.1097/MD.0000000000028596 -
The British Journal of Radiology Aug 2022Abdominal pain in pregnancy is a diagnostic challenge with many potential aetiologies. Diagnostic imaging is a valuable tool in the assessment of these patients, with... (Review)
Review
Abdominal pain in pregnancy is a diagnostic challenge with many potential aetiologies. Diagnostic imaging is a valuable tool in the assessment of these patients, with ultrasound commonly employed first line. MRI is an excellent problem-solving adjunct to ultrasound and has many advantages in terms of improved spatial resolution and soft tissue characterisation. This pictorial review aims to outline the role of MRI in the work up of acute abdominal pain in pregnancy and provide imaging examples of pathologies which may be encountered.
Topics: Abdomen, Acute; Abdominal Pain; Female; Humans; Magnetic Resonance Imaging; Pregnancy; Pregnancy Complications; Ultrasonography
PubMed: 35604640
DOI: 10.1259/bjr.20211114 -
Current Problems in Pediatric and... Aug 2020Chronic abdominal pain is a common problem seen by pediatricians and pediatric gastroenterologist alike. There should not be evidence of underlying organic pathology,... (Review)
Review
Chronic abdominal pain is a common problem seen by pediatricians and pediatric gastroenterologist alike. There should not be evidence of underlying organic pathology, with diagnosis based upon the Rome IV criteria. Although it frequently occurs, routine diagnostic testing is not always necessary. Providing assurance and helpful coping strategies is key in the management of chronic abdominal pain. Sometimes other expertise is needed when developing these strategies.
Topics: Abdominal Pain; Age Factors; Cognitive Behavioral Therapy; Diet; Humans; Patient Education as Topic; Pediatrics; Physical Examination; Referral and Consultation; Severity of Illness Index
PubMed: 32859509
DOI: 10.1016/j.cppeds.2020.100840 -
Journal of Paediatrics and Child Health Nov 2020Abdominal pain-predominant functional gastrointestinal disorders encompass a group of chronic conditions featuring abdominal pain where no serious gastrointestinal or... (Review)
Review
Abdominal pain-predominant functional gastrointestinal disorders encompass a group of chronic conditions featuring abdominal pain where no serious gastrointestinal or intra-abdominal pathology is present. The Rome IV classification system defines and categorises this group based on symptomatology as: functional dyspepsia, irritable bowel syndrome, functional abdominal pain - not otherwise specified and abdominal migraine. These conditions can impact the functioning of the child and family significantly and are challenging to manage. Although the causes of these conditions are not clear, recent years have seen an improved understanding of underlying pathophysiology and identification of effective management options for these conditions.
Topics: Abdominal Pain; Child; Dyspepsia; Gastrointestinal Diseases; Humans; Irritable Bowel Syndrome; Migraine Disorders
PubMed: 32468619
DOI: 10.1111/jpc.14857 -
Alimentary Pharmacology & Therapeutics Aug 2022Persistent abdominal pain (PAP) poses substantial challenges to patients, physicians and healthcare systems. The possible aetiologies of PAP vary widely across organ... (Review)
Review
BACKGROUND
Persistent abdominal pain (PAP) poses substantial challenges to patients, physicians and healthcare systems. The possible aetiologies of PAP vary widely across organ systems, which leads to extensive and repetitive diagnostic testing that often fails to provide satisfactory answers. As a result, widely recognised functional disorders of the gut-brain interaction, such as irritable bowel syndrome and functional dyspepsia, are often diagnosed in patients with PAP. However, there are a number of less well-known differential diagnoses that deserve consideration.
AIM
To provide a comprehensive update on causes of PAP that are relatively rare in occurrence.
METHODS
A literature review on the diagnosis and management of some less well-known causes of PAP.
RESULTS
Specific algorithms for the diagnostic work-up of PAP do not exist. Instead, appropriate investigations tailored to patient medical history and physical examination findings should be made on a case-by-case basis. After a definitive diagnosis has been reached, some causes of PAP can be effectively treated using established approaches. Other causes are more complex and may benefit from a multidisciplinary approach involving gastroenterologists, pain specialists, psychologists and physiotherapists. This list is inclusive but not exhaustive of all the rare or less well-known diseases potentially associated with PAP.
CONCLUSIONS
Persistent abdominal pain (PAP) is a challenging condition to diagnose and treat. Many patients undergo repeated diagnostic testing and treatment, including surgery, without achieving symptom relief. Increasing physician awareness of the various causes of PAP, especially of rare diseases that are less well known, may improve patient outcomes.
Topics: Abdominal Pain; Diagnosis, Differential; Dyspepsia; Humans; Irritable Bowel Syndrome
PubMed: 35656644
DOI: 10.1111/apt.17064 -
Cleveland Clinic Journal of Medicine May 2024Functional dyspepsia is defined as persistent symptoms of postprandial bloating, early satiety, or pain in the center of the upper abdomen, without findings on upper... (Review)
Review
Functional dyspepsia is defined as persistent symptoms of postprandial bloating, early satiety, or pain in the center of the upper abdomen, without findings on upper endoscopy such as peptic ulcer disease to explain these symptoms. It is common, affecting up to 30% of the global population, but it often goes undiagnosed for years. There are 2 subtypes: epigastric pain syndrome (burning and pain) and postprandial distress syndrome (bloating and satiety). The authors discuss how to diagnose and treat both subtypes.
Topics: Humans; Dyspepsia; Abdominal Pain; Postprandial Period
PubMed: 38692696
DOI: 10.3949/ccjm.91a.23062 -
South African Family Practice :... Mar 2021Abdominal pain is a common presenting problem with multiple aetiologies that often pose diagnostic and therapeutic dilemmas for primary care practitioners. The vague... (Review)
Review
Abdominal pain is a common presenting problem with multiple aetiologies that often pose diagnostic and therapeutic dilemmas for primary care practitioners. The vague symptomatology and difficult correlation to specific organ pathology obscures clinical findings leading to incorrect diagnoses. Although most presentations of abdominal pain are benign, a significant number of patients have life-threatening conditions that require a meticulous approach to management in order to prevent morbidity and mortality.The skill in assessing patients presenting with abdominal pain is fundamental for all primary care doctors. This review will discuss an approach to the assessment and diagnosis of abdominal pain in the primary care setting.
Topics: Abdominal Pain; Adult; Humans; Primary Health Care
PubMed: 33764143
DOI: 10.4102/safp.v63i1.5280 -
Annals of Emergency Medicine Dec 2022
Topics: Humans; Female; Abdominal Pain
PubMed: 36403999
DOI: 10.1016/j.annemergmed.2022.06.008 -
Clinical Gastroenterology and... Feb 2020Functional gastrointestinal disorders are highly prevalent, cause significant suffering, and are costly to society. Pain is a central feature of 2 of the most common...
BACKGROUND & AIMS
Functional gastrointestinal disorders are highly prevalent, cause significant suffering, and are costly to society. Pain is a central feature of 2 of the most common functional gastrointestinal disorders: irritable bowel syndrome and functional dyspepsia. Although these disorders have been well studied in adults, their etiology is poorly understood. We sought to identify early life factors associated with the development of abdominal pain in children (age, 2-12 y).
METHODS
We collected data from the All Babies in Southeast Sweden study of 1781 children, born from October 1, 1997, through October 31, 1999, whose families answered questions about abdominal pain and risk factors at birth, 1 year, 2.5 years, 5 years, 8 years, and 10 to 12 years. We used latent growth curve models to evaluate risk factors for development of abdominal pain. The primary outcomes were prevalence of abdominal pain and associated factors.
RESULTS
The prevalence of abdominal pain increased linearly with age in the study cohort, increasing by approximately 6% per year. Psychosocial variables associated with slope of the growth curve included lower emotional control at age 2 years (P = .005), parental concern for the child at age 2 years (P = .02), and measures of parental stress (P = .004). Nonvaginal birth was associated with a reduced slope of the growth curve (P = .03).
CONCLUSIONS
In a study of children in Sweden, we found early psychosocial environment and mode of delivery at birth was associated with development of childhood abdominal pain. Factors associated with development of the early immune system, identified in previous recall-based research, were not supported by data from this study. These findings have important implications for the prevention of abdominal pain in children and later in life.
Topics: Abdominal Pain; Child; Child, Preschool; Cohort Studies; Dyspepsia; Gastrointestinal Diseases; Humans; Infant, Newborn; Irritable Bowel Syndrome
PubMed: 31009796
DOI: 10.1016/j.cgh.2019.04.036 -
Journal of the College of Physicians... Oct 2022To determine the effect of point-of-care ultrasound (POCUS) performed during the initial evaluation phase of patients with acute abdominal pain. (Randomized Controlled Trial)
Randomized Controlled Trial
OBJECTIVE
To determine the effect of point-of-care ultrasound (POCUS) performed during the initial evaluation phase of patients with acute abdominal pain.
STUDY DESIGN
Randomised controlled, parallel-group trial.
PLACE AND DURATION OF STUDY
Sakarya University Training and Research Hospital, Sakarya, Turkey, from October 2019 to March 2020.
METHODOLOGY
Patients who presented to the Emergency Department (ED) with acute abdominal pain were included in the study. Exclusion criteria were permanent mental disability, age <18 years, abdominal trauma within the last 24 hours, pregnancy, morbid obesity, repeated admissions, referral from an external centre to the ED, and missing patient information. Patients were divided randomly into two groups: The control group where standard diagnostic strategies were applied and the POCUS group where POCUS was performed together with standard diagnostic strategies. The length of stay (LOS), differential diagnoses, cost and hospitalisation or discharge from ED were compared.
RESULTS
The application of POCUS reduced the average number of preliminary differential diagnoses from four to two (p <0.001). Regarding patient outcomes, POCUS reduced LOS in ED in both the discharged and hospitalised patients (p = 0.003, and p = 0.049, respectively). In all patients, POCUS reduced LOS in ED but led to no significant changes in cost (p <0.001, p = and 0.403, respectively).
CONCLUSION
POCUS in patients with acute abdominal pain is very useful in reducing the number of differential diagnoses and LOS in ED.
KEY WORDS
Abdominal pain, Cost, Emergency department, Length of stay, Point-of-care ultrasound.
Topics: Abdominal Pain; Adolescent; Emergency Service, Hospital; Female; Humans; Pain Management; Point-of-Care Systems; Pregnancy; Prospective Studies; Ultrasonography
PubMed: 36205268
DOI: 10.29271/jcpsp.2022.10.1260