Focus on current and future management possibilities in inflammatory bowel disease-related chronic pain

Int J Colorectal Dis. 2019 Feb;34(2):217-227. doi: 10.1007/s00384-018-3218-0. Epub 2018 Dec 19.

Abstract

Introduction: Visceral pain is a symptom reported by over 70% of inflammatory bowel disease (IBD) sufferers. So far, a single, specific cause of this debilitating state has not been established. Chronic pain is one of the most important factors decreasing the quality of life in IBD course. Concurrently, management of pain is the most challenging issue encountered by clinicians in IBD treatment.

Areas covered: This review focuses on pathophysiology of inflammatory bowel disease-caused visceral pain and explores currently available approaches to its management. We also covered recent pharmacological developments in the field.

Conclusions: Pain-related disability has major effects on quality of life and on functional and social outcomes in IBD patients. Currently, there is no one standardized method of managing chronic visceral pain in IBD. Therefore, future development, focusing primarily on alleviating the pain, but also on reducing inflammation, is essential.

Keywords: Chronic abdominal pain; Inflammatory bowel disease; Nociception; Pain managemant; Pharmacotherapy.

Publication types

  • Review

MeSH terms

  • Abdominal Pain / complications
  • Abdominal Pain / therapy
  • Chronic Pain / complications*
  • Chronic Pain / therapy*
  • Health Planning Guidelines
  • Humans
  • Inflammatory Bowel Diseases / complications*
  • Inflammatory Bowel Diseases / therapy*
  • Pain Management*