Symptom >> Other departments >> Other comprehensive

Fulminant pain

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Burst pain is a common and specific type of cancer pain that negatively affects the quality of life of both patients and caregivers. Fulminant pain is usually associated with basal pain and is typically characterized by a rapid onset, high intensity and usually self-limiting, with an average duration of 30 minutes.

Cause

Cause

The causes of cancer pain can be divided into three categories: 1 the direct pain caused by the tumor, accounting for about 88%. 2 The pain caused by cancer treatment accounts for about 11%. 3 Indirect pain caused by tumors, accounting for about 1%. There are also a small number of cancer patients with clinically unrelated pain. For example, lung cancer patients suffer from low back pain caused by disc herniation, which is non-cancer pain rather than cancer pain.

Examine

an examination

Related inspection

Blood routine chest B-ultrasound

Before the treatment, there must be a complete medical record, according to the patient's complaint and comprehensive physical examination.

Sudden and unbearable pain in the patient, accompanied by other symptoms, such as liver cancer rupture, gastrointestinal perforation and organ torsion. The degree of pain allows the patient to express mild, moderate, and severe pain in her own language.

1. Factors affecting the degree of pain, such as when the pleura is invaded, coughing will increase the pain. Patients with bone metastases have increased pain during activity and compression. When the digestive system is invaded, it can affect the patient's pain when eating or eating.

2, to understand the impact of patient pain on daily life, such as diet, sleep, daily activities interfered with, and pain relief after receiving analgesic treatment.

3, to understand the patient's past history, especially for patients admitted to the general hospital, doctors often ignore the patient's tumor history, so as to avoid the use of contraindications for cancer patients, such as physical therapy, acupuncture and closure of the tumor site, thus increasing pain, It also promotes tumor metastasis.

4, to understand the time relationship between pain and tumor onset, this can rule out the cause of the tumor, which is conducive to differential diagnosis, such as rheumatism, rheumatoid, gout and so on.

5, understand the time relationship with anti-tumor treatment, which will help to understand whether the pain is caused by tumor or anti-tumor treatment side effects. Through the patient's complaint to obtain first-hand information, the disease development will be discovered as early as possible to understand the cause of the pain. In addition, this is also a kind of spiritual comfort for the patient, which can play a psychotherapeutic role. Physical examination is important to detect certain causes of pain, such as tumors, acne, and skin necrosis. After understanding the medical history and physical examination, modern instruments should be used to diagnose the cause of cancer pain. It should be noted that a negative test result does not mean that the patient has no tumor recurrence or metastasis, and therefore cannot deny that the patient has pain. In short, the onset of pain in cancer patients first considers the cause of the tumor.

Laboratory tests: blood tests, blood biochemistry, etc. can be performed. When bone metastasis, blood biochemical examination found high blood calcium.

Other auxiliary examinations: CT, B-ultrasound, radionuclide, MRI, X-ray, etc. help to determine the location and nature of the tumor. Nuclide examination provides a clear diagnosis of bone metastasis earlier.

Diagnosis

Differential diagnosis

It should be differentiated from non-neoplastic primary pain and needs to be determined based on medical history and imaging examination.