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Archives of Gynecology and Obstetrics

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01-08-2012 | General Gynecology

Pain levels associated with renal colic and primary dysmenorrhea: a prospective controlled study with objective and subjective outcomes

Authors: Murat Ayan, Erkan Sogut, Ufuk Tas, Fikret Erdemir, Mehmet Sahin, Mustafa Suren, Ziya Kaya, Fazlı Demirturk

Published in: Archives of Gynecology and Obstetrics | Issue 2/2012

Abstract

Objectives

To evaluate the degree of pain associated with renal colic and primary dysmenorrhea using objective and subjective measurements.

Methods

In total, 60 subjects participated in this study. There were 20 subjects in the renal colic group (average age 24.45 ± 2.35 years), 20 subjects in the primary dysmenorrhea group (average age 23.75 ± 1.86 years), and 20 subjects in the control group (average age 24.20 ± 2.57 years). The serum chromogranin A (CgA) values were determined by an enzyme-linked immunosorbent assay and the mean pain score was assessed by means of a Visual Analog Scale (VAS) for each individual.

Results

The serum CgA level was 19.83 ± 19.61 ng/ml for the renal colic group, 13.45 ± 8.52 ng/ml for the primary dysmenorrhea group and 12.45 ± 7.76 ng/ml for the control group. The mean VAS score for pain was 7.95 ± 1.54 for the renal colic group and 7.05 ± 1.50 for the primary dysmenorrhea group.

Conclusions

Primary dysmenorrheic pain is as intense as renal colic pain. Emergency room physicians should display the same degree of care and attention for the treatment of patients with primary dysmenorrhea as they do for patients with renal colic, and rapidly initiate an effective treatment for these patients.

Jones AE (2004) Managing the pain of primary and secondary dysmenorrhoea. Nurs Times 100:40–43PubMed

Ma YX, Ma LX, Liu XL, Ma YX, Lv K, Wang D et al (2010) A comparative study on the immediate effects of electroacupuncture at Sanyinjiao (SP6), Xuanzhong (GB39) and a non-meridian point, on menstrual pain and uterine arterial blood flow, in primary dysmenorrhea patients. Pain Med 11:1564–1575PubMedCrossRef

Coco AS (1999) Primary dysmenorrhea. Am Fam Physician 60:489–496PubMed

Holdgate A, Pollock T (2005) Nonsteroidal anti-inflammatory drugs (NSAIDs) versus opioids for acute renal colic. Cochrane Database Syst Rev (2):CD004137

Davenport K, Timoney AG, Keeley FX (2005) Conventional and alternative methods for providing analgesia in renal colic. BJU Int 95:297–300PubMedCrossRef

Bektas F, Eken C, Karadeniz O, Goksu E, Cubuk M, Cete Y (2009) Intravenous paracetamol or morphine for the treatment of renal colic: a randomized, placebo-controlled trial. Ann Emerg Med 54:568–574PubMedCrossRef

d’Herbomez M, Do Cao C, Vezzosi D, Borzon-Chasot F, Baudin E, Groupe des tumeurs endocrines (GTE France) (2010) Chromogranin A assay in clinical practice. Ann Endocrinol (Paris) 71:274–280CrossRef

Hamaguchi T, Fukudo S, Kanazawa M, Tomiie T, Shimizu K, Oyama M et al (2008) Changes in salivary physiological stress markers induced by muscle stretching in patients with irritable bowel syndrome. Biopsychosoc Med 4(2):20CrossRef

Kanegane K, Penha SS, Munhoz CD, Rocha RG (2009) Dental anxiety and salivary cortisol levels before urgent dental care. J Oral Sci 51:515–520PubMedCrossRef

10.

Toda M, Den R, Nagasawa S, Kitamura K, Morimoto K (2005) Relationship between lifestyle scores and salivary stress markers cortisol and chromogranin A. Arch Environ Occup Health 60:266–269PubMedCrossRef

11.

Jones KR, Vojir CP, Hutt E, Fink R (2007) Determining mild, moderate, and severe pain equivalency across pain-intensity tools in nursing home residents. J Rehabil Res Dev 44:305–314PubMedCrossRef

12.

Erdine S (2004) Pain relief as a human right, global day against pain: IASP and EFIC initiative cosponsored by WHO, 11th October. Geneva. 16:5–8

13.

Heavner JE (2001) Anesthesia update: agents, definitions, and strategies. Comp Med 51:500–503PubMed

14.

Unsal A, Ayranci U, Tozun M, Arslan G, Calik E (2010) Prevalence of dysmenorrhea and its effect on quality of life among a group of female university students. Ups J Med Sci 115:138–145PubMedCrossRef

15.

Rapkin AJ (1996) Pelvic pain and dysmenorrhea. In: Berek JS, Adashi EY, Hillard PA (eds) Novak’s gynecology. Williams & Wilkins, Baltimore, pp 403–404

16.

Kelly AM (2000) Nurse-managed analgesia for renal colic pain in the emergency department. Aust Health Rev 23:185–189PubMedCrossRef

17.

Muslumanoglu AY, Binbay M, Yuruk E, Akman T, Tepeler A, Esen T et al (2011) Updated epidemiologic study of urolithiasis in Turkey. I: Changing characteristics of urolithiasis. Urol Res 39:309–314PubMedCrossRef

18.

Larroy C (2002) Comparing visual-analog and numeric scales for assessing menstrual pain. Behav Med 27:179–181PubMedCrossRef

19.

Downie WW, Leatham PA, Rhind VM, Wright V, Branco JA, Anderson JA (1978) Studies with pain rating scales. Ann Rheum Dis 37:378–381PubMedCrossRef

20.

Liu CZ, Xie JP, Wang LP, Zheng YY, Ma ZB, Yang H et al (2011) Immediate analgesia effect of single point acupuncture in primary dysmenorrhea: a randomized controlled trial. Pain Med. 12:300–307PubMedCrossRef

21.

Grissa MH, Claessens YE, Bouida W, Boubaker H, Boudhib L, Kerkeni W et al (2011) Paracetamol vs piroxicam to relieve pain in renal colic. Results of a randomized controlled trial. Am J Emerg Med 29:203–206PubMedCrossRef

22.

Mortelmans LJ, Desruelles D, Baert JA, Hente KR, Tailly GG (2006) Use of tramadol drip in controlling renal colic pain. J Endourol 20:1010–1015PubMedCrossRef

23.

Cohen E, Hafner R, Rotenberg Z, Fadilla M, Garty M (1998) Comparison of ketorolac and diclofenac in the treatment of renal colic. Eur J Clin Pharmacol 54:455–458PubMedCrossRef

24.

Kheirollahi AR, Tehrani M, Bashashati M (2010) A comparison of the effect of intranasal desmopressin and intramuscular hyoscine N-butyl bromide combination with intramuscular hyoscine N-butyl bromide alone in acute renal colic. J Res Med Sci. 15:214–218PubMed

25.

Kudielka BM, Buske-Kirschbaum A, Hellhammer DH, Kirschbaum C (2004) Differential heart rate reactivity and recovery after psychosocial stress (TSST) in healthy children, younger adults, and elderly adults: the impact of age and gender. Int J Behav Med. 11:116–121PubMedCrossRef

26.

Toda M, Morimoto K (2008) Effect of lavender aroma on salivary endocrinological stress markers. Arch Oral Biol 53:964–968PubMedCrossRef

27.

Akiyoshi H, Aoki M, Shimada T, Noda K, Kumagai D, Saleh N et al (2005) Measurement of plasma chromogranin A concentrations for assessment of stress responses in dogs with insulin-induced hypoglycemia. Am J Vet Res 66:1830–1835PubMedCrossRef

28.

Miyakawa M, Matsui T, Kishikawa H, Murayama R, Uchiyama I, Itoh T et al (2006) Salivary chromogranin A as a measure of stress response to noise. Noise Health. 8:108–113PubMedCrossRef

29.

Den R, Toda M, Ohira M, Morimoto K (2011) Levels of awakening salivary CgA in response to stress in healthy subjects. Environ Health Prev Med 16:155–157PubMedCrossRef

30.

Noto Y, Kudo M, Hirota K (2010) Back massage therapy promotes psychological relaxation and an increase in salivary chromogranin A release. J Anesth. 24:955–958PubMedCrossRef

31.

Filaire E, Dreux B, Massart A, Nourrit B, Rama LM, Teixeira A (2009) Salivary alpha-amylase, cortisol and chromogranin A responses to a lecture: impact of sex. Eur J Appl Physiol 106:71–77PubMedCrossRef

32.

Seki-Nakamura K, Maebayashi K, Nasu-Izumi S, Akimoto T, Mitsuhashi N (2011) Evaluation of anxiety and salivary chromogranin a secretion in women receiving breast conserving surgery followed by radiation therapy. J Radiat Res (Tokyo). 52:351–359PubMedCrossRef

Title: Pain levels associated with renal colic and primary dysmenorrhea: a prospective controlled study with objective and subjective outcomes
Authors: Murat Ayan
Erkan Sogut
Ufuk Tas
Fikret Erdemir
Mehmet Sahin
Mustafa Suren
Ziya Kaya
Fazlı Demirturk
Publication date: 01-08-2012
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 2/2012
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-012-2316-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pain levels associated with renal colic and primary dysmenorrhea: a prospective controlled study with objective and subjective outcomes

Abstract

Objectives

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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