Episodic Pain: Causes & Reasons

Possible Causes for Episodic Pain

Delta Aminolevulinate Dehydrase Deficiency

[…] of abdominal pain and neuropathy. [medical-dictionary.thefreedictionary.com]

2 If the diagnosis is established, how should she be managed for the present episode of pain? [cghjournal.org]

She had been hospitalized previously with episodes of abdominal pain and generalized seizures. [karger.com]

Familial Episodic Pain Syndrome Type 1

Entry H01391 Disease Name Familial episodic pain syndrome Description Familial episodic pain syndrome (FEPS) is an autosomal dominant neurological disorder characterized by [genome.jp]

Orpha Number: 391384 Disease definition Familial episodic pain syndrome is a rare, genetic, peripheral neuropathy disorder characterized by recurrent, stereotyped, episodic [rarediseases.info.nih.gov]

We describe an autosomal-dominant familial episodic pain syndrome characterized by episodes of debilitating upper body pain, triggered by fasting and physical stress. [ncbi.nlm.nih.gov]

Neuralgia

A pre and postoperative questionnaire was used to compare the severity of pain and number of pain episodes/month. [ncbi.nlm.nih.gov]

Patients report a sudden stabbing pain that lasts for seconds to a few minutes with no pain between episodes. [aapmr.org]

The emotional strain of living with repeated episodes of pain can lead to psychological problems, such as depression. [nhs.uk]

Abdominal Epilepsy

Abdominal epilepsy should be suspected in adolescents or adults with paroxysmal episodes of abdominal pain associated with migraine-like symptoms. [ncbi.nlm.nih.gov]

A 15-year-old boy presented with recurrent episodes of abdominal pain and vomiting for the past 12 years. [doi.org]

We report a patient with recurrent episodes of severe periumbilical pain accompanied by headache, pallor, dizziness, and visual hallucinations who was subsequently diagnosed [ncbi.nlm.nih.gov]

Trigeminal Neuralgia

Trigeminal neuralgia is a rare cause of episodic unilateral facial pain and often in the initial presentation dental causes need to be eliminated, as it frequently presents [ncbi.nlm.nih.gov]

[…] facial pain that is unilateral, electric shock-like, and provoked by light touch. [doi.org]

Abstract Trigeminal neuralgia is characterized by severe, episodic pain in the trigeminal nerve distribution. Medical therapy is the first line treatment. [ncbi.nlm.nih.gov]

Abdominal Migraine

Abstract There is evidence to suggest that, in children, episodic abdominal pain occurring in the absence of headache may be a migrainous phenomenon. [ncbi.nlm.nih.gov]

There is evidence to suggest that, in children, episodic abdominal pain occurring in the absence of headache may be a migrainous phenomenon. [ncbi.nlm.nih.gov]

If we accept attacks of cyclic vomiting and episodic vertigo as migraine precursors, why not recurrent abdominal pain? [headaches.org]

Variant Angina Pectoris

The episodes of chest pain usually awakened him early in the morning and lasted a few minutes. [nejm.org]

The day of the test, she had several episodes of chest pain and 2 episodes of lightheadedness. However, she drove to the hospital. [circ.ahajournals.org]

[…] of chest pain, shortness of breath, and diaphoresis while at rest. [nejm.org]

Sickle Cell Crisis

The main symptoms are: painful episodes getting infections often anaemia Painful episodes Episodes of pain known as sickle cell crises are one of the most common and distressing [nhs.uk]

A disease characterized by chronic hemolytic anemia, episodic painful crises, and pathologic involvement of many organs. [icd10data.com]

It's not always clear what triggers bad pain, but sometimes painful episodes can be caused by the weather (such as wind, rain or cold), dehydration, stress or strenuous exercise [nhs.uk]

Sickle Cell Anemia

It is most common in people of west and central african descent Disease characterized by chronic hemolytic anemia, episodic painful crises, and pathologic involvement of many [icd9data.com]

The majority of acute pain episodes are managed at home without the need to access health care. [ncbi.nlm.nih.gov]

In addition to episodic acute pain, patients with SCD also report chronic pain. [ncbi.nlm.nih.gov]

Trigeminal Neuropathy

It is characterized by episodes of excruciating stabbing or electrical shock-like pains which are confined to one side of the face. [umanitoba.ca]

The baseline pain is usually a dull ache, and episodes of sharp, electric shocks of pain are frequently experienced. Triggers of your pain. [neurosurgeonsofnewjersey.com]

Typical pain medications usually aren't helpful for trigeminal neuralgia because the episodes of pain are related to nerve pain. [medbroadcast.com]

Sickle Cell - Hemoglobin C

It is most common in people of west and central african descent Disease characterized by chronic hemolytic anemia, episodic painful crises, and pathologic involvement of many [icd9data.com]

One possible explanation is that the higher hematocrit in these syndromes may contribute to an increase in blood viscosity, leading to vaso-occlusive pain episodes as well [ncbi.nlm.nih.gov]

episode frequency in sickle-cell disease American journal of haematology 1997;183-188 Ballas, S et al Hospital readmission for adult acute sickle cell painful episodes: frequency [bestbets.org]

Erythromelalgia

Pain episodes can prevent an affected person from going to school or work regularly. [ghr.nlm.nih.gov]

The frequency of pain episodes eventually increased to 19 or 20 episodes in a 24-hour period, with an increased need to soak the feet in ice water to obtain pain relief. [pediatrics.aappublications.org]

Inherited erythromelalgia (IEM), a severe pain syndrome characterized by episodes of intense burning pain triggered by warmth, is caused by mutations in sodium channel Nav1.7 [ncbi.nlm.nih.gov]

Recurrent Corneal Erosion

It is a chronic, relapsing disorder which results in periodic episodes of exquisitely painful epithelial erosions. [nseye.com]

Many people who suffer from recurrent corneal erosions have episodes first thing in the morning when they first open their eyes. [sightmd.com]

Ten patients with RCES suffered from an acute episode of pain and 15 patients complained of typical chronic symptoms of RCES. [ncbi.nlm.nih.gov]

Tolosa-Hunt Syndrome

METHODS: Fifteen patients with twenty episodes of painful ophthalmoplegia prospectively selected according to International Headache Society (IHS) standards underwent MR examinations [zora.uzh.ch]

Three of the 10 patients reported periods of periocular pain without ophthalmoplegia between the Tolosa-Hunt episodes, the pain located ipsilateral to the ophthalmoplegic [ncbi.nlm.nih.gov]

Initial examinations in 20 and follow-up MR images in 17 episodes were retrospectively reviewed by 3 independent observers. [zora.uzh.ch]

Glossopharyngeal Neuralgia

If the pain episodes are caused by glossopharyngeal neuralgia, touching the back of the anesthetized throat with a cotton swab will not trigger an episode of pain. [encyclopedia.com]

The most common cause of episodic pain is compression of the nerve by a nearby blood vessel. [medic8.com]

The patient is increasingly disturbed by pain, rapidly followed by syncopal episodes. [scielo.br]

Cannabinoid Hyperemesis Syndrome

pain. [analesdepediatria.org]

Most episodes last 24-48 hours, but they recur by definition and the length of time between episodes of nausea, vomiting, and abdominal pain can range from days to months. [uwhealth.org]

The patient reported having recurrent similar episodes of pain, nausea and vomiting for the last 4 years, usually every 3 - 4 months. [sites.kowsarpub.com]

Primary Erythromelalgia

At the time of presentation, the patient's episodes of pain had increased to 15 to 20 per day, and there was evidence of chronic immersion injury to the skin of his feet. [ncbi.nlm.nih.gov]

Pain episodes can prevent an affected person from going to school or work regularly. [checkorphan.org]

Sickle Cell - Hemoglobin D

A disease characterized by chronic hemolytic anemia, episodic painful crises, and pathologic involvement of many organs. [icd10data.com]

When these mutations occur together, they can cause anemia, repeated infections, and periodic episodes of pain and organ damage. [newbornscreeningcodes.nlm.nih.gov]

Pallor and acute painful episodes (>90%) were the most common presenting symptoms, followed by jaundice. Pain mainly occurred in the extremities and back. [jahjournal.org]

Sickle Cell - Hemoglobin E

Definition (MSH) A disease characterized by chronic hemolytic anemia, episodic painful crises, and pathologic involvement of many organs. [fpnotebook.com]

Adulthood: Painful episodes and leg ulcerations become less frequent for the adult. [innvista.com]

There may be very occasional episodes of joint and abdominal pain which are attributed to Hb CC disease. Splenomegaly is common. [sctpn.net]

Palindromic Rheumatism

A 44-year-old man began to experience episodes of joint pain with erythema in his knees, elbows, shoulders, and hands in April 1996. [ncbi.nlm.nih.gov]

Joints appear normal on an X-ray when you are not experiencing pain. An episode of pain and swelling can be as short as a few hours. [heal-good.blogspot.com]

It causes episodes of joint pain and swelling. The painful swelling caused by these episodes disappears between flare-ups. [healthline.com]

Familial Mediterranean Fever

The patient experienced periodic episodes of systemic pain originating from prostate cancer bone metastases. [ncbi.nlm.nih.gov]

Familial Mediterranean Fever (FMF) is characterized by recurrent episodes of fever accompanied by painful inflammatory events. [viennalab.com]

Familial Mediterranean fever (FMF) is an autosomal recessive disease characterized by recurrent episodes of painful inflammation in the abdomen, chest, or joints. [ncbi.nlm.nih.gov]

Biliary Colic

episodes. [ncbi.nlm.nih.gov]

Sometimes the pain is confused for a heart attack. There can be repeated episodes of pain but not usually daily episodes. [gastro-info.co.nz]

There is a chance that you will have another episode of pain from your gallstones at some point. Removal of the gallbladder is an option to prevent this. [mountnittany.org]

Gardner-Diamond Syndrome

A 37-yr-old female presented with recurrent episodes of painful ecchymotic bruising over the anterior aspect of both thighs. [ncbi.nlm.nih.gov]

Recurrent episodes of painful, ecchymotic bruising over trunk and extremities were associated with psychiatric problems. [apallergy.org]

People develop episodes of painful bruising. Bruises may develop spontaneously or after injury or surgery. [merckmanuals.com]

Muckle-Wells Syndrome

[…] of fever and arthralgia, in addition to episodes of abdominal pain and skin rash. [reumatologiaclinica.org]

Abstract The Muckle-Wells syndrome (MWS) is a hereditary inflammatory disorder characterized by acute febrile inflammatory episodes comprising abdominal pain, arthritis, and [ncbi.nlm.nih.gov]

Abstract SummaryThe Muckle-Wells syndrome (MWS) is a hereditary inflammatory disorder characterized by acute febrile inflammatory episodes comprising abdominal pain, arthritis [core.ac.uk]

Thalassaemia-Haemoglobin C Disease

A disease characterized by chronic hemolytic anemia, episodic painful crises, and pathologic involvement of many organs. [icd10data.com]

There may be very occasional episodes of joint and abdominal pain which are attributed to Hb CC disease. Splenomegaly is common. [sctpn.net]

episodes (arms, legs, chest and abdomen), tissue damages (spleen, lung, liver, kidney, …), stroke and priapism (painful prolonged erection), … Damage to the spleen makes [enerca.org]

Calcium Pyrophosphate Arthropathy

He has had mild episodes of knee pain in the past and is two years status post a left partial medial meniscectomy. [orthobullets.com]

The most widely known subtype, termed pseudogout for its close resemblance to gouty arthritis, is characterized by acute episodes of painful, swollen joints, typically involving [link.springer.com]

Case 2 An otherwise fit 55 year old woman gave a 20 year history of recurrent episodic pain and swelling in her right knee and left shoulder occurring once or twice a year [ard.bmj.com]

Intussusception

He presented with a history of reducible rectal prolapse, rectal bleeding, and episodic abdominal pain and was initially treated for constipation. [ncbi.nlm.nih.gov]

The episodes of severe pain often alternate with long periods of sleepiness and lethargy, a symptom that is typical of intussusception. [lifespan.org]

Painful episodes may last 10 to 15 minutes or longer, followed by periods of 20 to 30 minutes of no pain, after which the pain returns. [my.clevelandclinic.org]

Spasm of Sphincter of Oddi

Pain episodes can be brief or last several hours. Pain levels may vary from episode to episode and range from relatively mild to incapacitating. [verywell.com]

Likewise, similar condition of the pancreatic segment can give rise to pancreatitis or episodic pain suggesting a pancreatic origin”. 3 The main consequence of SO dysfunction [gut.bmj.com]

If the DL is negative, SOD should be included in the differential diagnosis of severe, episodic upper abdominal pain in this patient population. [sages.org]

Recurrent Acute Pancreatitis

AIM: To assess the outcomes of drug therapy (DT) followed by pancreatic endotherapy for continuing painful episodes in recurrent acute pancreatitis. [ncbi.nlm.nih.gov]

She had prior history of three similar episodes with epigastric pain, and diagnosed as having acute pancreatitis 2 mo ago. [ncbi.nlm.nih.gov]

Six episodes of abdominal pain and hyperamylasemia occurred and were complicated by development of a pancreatic pseudocyst. [ncbi.nlm.nih.gov]

Hyper-IgD Syndrome

Abdominal pain as by Acute abdomen Splenomegaly (large spleen at 50%) Polyartralgi (joint pain) (80%) during fever episodes Eczema: macular with transition to papules, urticaria [bindevevssykdommer.no]

[…] of fever associated with additional symptoms including joint pain, skin rash and abdominal pain. [checkorphan.org]

Increased acute phase reactants in blood samples Increased IgA and IgD in blood Quickly onset fever of more than 38,5 degrees C Lymphadenopathy (90%) at the neck at fever episodes [bindevevssykdommer.no]