0
December 9, 1988, Vol 260, No. 22 >
ARTICLE | December 9, 1988

Rectal Pain

Franklin J. Day, MD; Dahlis M. Day, MD
JAMA. 1988;260(22):3276-3277. doi:10.1001/jama.1988.03410220060019.
Text Size: A A A
Published online
Article
References

To the Editor. —  In the June 17 issue of THE Journal1,2 there was a question regarding persistent undiagnosed rectal pain. Several possible diagnoses were excluded from the answers of the various specialists.Rarely, central pain mechanisms or strictly psychological mechanisms can cause persistent undiagnosed pain. In our practice, however, previously undiagnosed pain is more commonly found to be a sympathetic mediated pain syndrome or to result from degenerative disk disease or both.

Report of Cases.—  Case 1.—A 60-year-old woman had a sudden onset of right lower quadrant pain one year before our evaluation. Extensive evaluations, including two exploratory laparotomies without improvement, resulted in referral to us.Abdominal examination revealed tenderness near her appendectomy scar, with no guarding but with moderate rebound discomfort.A diagnostic epidural block was performed and the patient had complete relief of her symptoms following a sympathetic nerve block. After a series of five sympathetic

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Letters

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs

More Listings at
JAMACareerCenter.com >

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems