Visceral Hyperalgesia
Condition
(Visceral Hypersensitivity)
Definition
Visceral hyperalgesia is a higher awareness of organs working normally inside the body. A person may notice normal intestinal activities that most people do not feel. These feelings may be painful. The pain when a person is sick is also stronger.
It may be felt in the pancreas, intestines, and stomach.
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Causes
It is not clear why visceral hyperalgesia happens. It often starts after an infection, illness, or injury.
Risk Factors
Things that may raise the risk of visceral hyperalgesia are:
- Recent infection of intestines
- Certain long term health problems of the belly, such as:
- Irritable bowel syndrome (IBS)
- Crohn disease
- Functional dyspepsia
- Functional abdominal pain syndrome
Symptoms
The main symptom of visceral hyperalgesia is pain. The type of pain can differ from person to person. It may be dull and achy, sharp, or burning pain. The pain may be all the time or it may come and go.
Diagnosis
The doctor will ask about symptoms and health history. A physical exam will be done.
There is no test. It may be suspected when no other cause is found.
Treatment
The goal of treatment is to manage symptoms. Choices are:
- Counseling to learn how to change thought patterns to manage pain, such as through relaxation tools, biofeedback, and cognitive behavioral therapy
- Medicine to lower pain signals that are sent to the brain, such as antidepressants or antiepileptic medicines
Prevention
There are no known guidelines to prevent this problem.
American Chronic Pain Association
American Gastroenterological Association
CANADIAN RESOURCES:
Canadian Digestive Health Foundation
Health Canada
American Chronic Pain Association
American Gastroenterological Association
CANADIAN RESOURCES:
Canadian Digestive Health Foundation
Health Canada
References
- Ford, A.C., Lacy, B.E, et al. Irritable Bowel Syndrome. N Engl J Med, 2017; 376 (26): 2566-2578.
- Irritable bowel syndrome. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/irritable-bowel-syndrome-ibs.
- Irritable bowel syndrome. London Gastroenterology Centre website. Available at: https://www.gastrolondon.co.uk/irritable-bowel-syndrome.
- Visceral hyperalgesia. Cincinnati Children’s hospital website. Available at: https://www.cincinnatichildrens.org/health/v/visceral-hyperalgesia.
Contributors
- James P. Cornell, MD
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