Journal Article

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

Kapural, Leonardo, Soin, Amol, Sayed, Dawood, Deer, Timothy, Halder, Nimisha, Gupta, Mayank, Patil, Anand, Abd-Elsayed, Alaa, Kalia, Hemant, Diwan, Sudhir, Baranidharan, Ganesan, Chitneni, Ahish, Attaluri, Phani, Staats, Peter, Verrills, Paul, Schatman, Michael, Levin, Danielle

2024

Overview

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.

• Publisher: Dove Medical Press Limited,Taylor & Francis Ltd,Dove Medical Press
• Subject: Abdomen / Abdominal surgery / Brain research / cads / chronic abdominal discomfort / chronic abdominal pain / Diagnosis / Medical colleges / Nausea / neurogenic abdominal pain / Neurophysiology / Nonsteroidal anti-inflammatory drugs / Pain / Pancreatitis / Pathophysiology / Patients / Primary nursing / Quality of life / Spinal cord