Chronic Abdominal Discomfort Syndrome (CADS): Defining and Discussing a Novel Diagnosis.

Gupta, M.; Patil, AS.; Chitneni, A.; Schatman, ME.; Kalia, H.; Deer, TR.; Sayed, D.; Soin, A.; Baranidharan, G.; Staats, P.; Kapural, L.; Attaluri, PA.; Verrills, P.; Diwan, S.; Levin, D.; Halder, N.; Abd-Elsayed, AA.

Chronic Abdominal Discomfort Syndrome (CADS): Defining and Discussing a Novel Diagnosis.

All Authors

Gupta, M.

Patil, AS.

Chitneni, A.

Schatman, ME.

Kalia, H.

Deer, TR.

Sayed, D.

Soin, A.

Baranidharan, G.

Staats, P.

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LTHT Author

Baranidharan, Ganesan

LTHT Department

Pain Management
Anaesthetics

Publication Date

2024

Item Type

Journal Article

Abstract

In this article, we propose a new diagnostic paradigm known as Chronic Abdominal Discomfort Syndrome (CADS). Patient's presentation centers around chronic abdominal pain not explained by acute pathology with or without accompanying dyspepsia, bloating, nausea and vomiting among other symptoms. The pathophysiology is noted to be neurogenic, possibly stemming from visceral sympathetic nerves or abdominal wall afferent nerves. Diagnosis is supported by signs or symptoms traversing clinical, diagnostic and functional criteria. Included is a tool which can assist clinicians in diagnosing patients with CADS per those domains. We hope to facilitate primary care physicians' and gastroenterologists' utilization of our criteria to provide guidance for selecting which patients may benefit from further interventions or evaluation by a pain physician. The pain physician may then offer interventions to provide the patient with relief.