Recurrent abdominal pain visits to the emergency department: A case report using the Central Sensitization Inventory

Chronic pain conditions are among the most common complaints seen in the emergency department (ED). Ex-acerbations of these conditions are often approached as one would an acute painful condition, with liberal use of imaging, labs, and analgesics. This patient population is often prescribed short courses of opioids without a def-inite explanation for their painful episodes and often leave the ED dissatisfied with their experience. We describe a patient with a history of chronic abdominal pain who presented to the ED with an exacerbation of his pain. Upon further review of his previous records, we noted that this patient experienced many similar events, result-ing in 46 imaging studies over the past year. At this point, the patient was given the Central Sensitization Inven-tory, and his score demonstrated severe underlying central sensitization. The patient was counseled about his condition and provided with appropriate follow-up care. (c) 2022 Elsevier Inc. All rights reserved.

Automated summary

Chronic pain is a common complaint in the emergency department. Exacerbations of chronic pain are often treated like acute pain, with imaging and analgesics. Patients may be prescribed opioids without clear explanations for their pain, leading to dissatisfaction. This case study describes a patient with chronic abdominal pain who had undergone numerous imaging studies. The patient was found to have severe central sensitization and was provided appropriate counseling and follow-up care.