What Is The Pain Management In Polycystic Kidney Disease

2014-12-14 08:53

What is the pain management in polycystic kidney disease (PKD)? Pain is a common complaint in patients with PKD, afflicting about 60% of patients with an established. Although there is no entire cure for PKD, an approach must include techniques that allow the patient to adapt to chronic pain so as to limit interference with their life style.

1. Pain in PKD

Pain usually presents as lower back pain and abdominal pain. The pain can be caused by cyst enlargement, cyst rupture and cyst infection. Pain in patients with PKD can be both acute and chronic, often being difficult to manage in patients with more sever symptoms. However, with the utilization of a variety of traditional and recently available pain management techniques, pain can be managed effectively in most of these patients. Besides, patients can learn how to live with their pain since permanent cure of chronic pain is a little not realistic.

2. Pain management in PKD

Acetaminophen

Acetaminophen is effective in the treatment of mild to moderate pain and is lack of any significant gastrointestinal side effects such as those associated with aspirin and other NSAIDs. However, acetaminophen should be avoided in patients with chronic alcohol abuse because hepatic toxicity has been reported in this scenario.

NSAIDs

Non-steroidal anti-inflammatories (NSAIDs) are used frequently to control pain, but therapy should be limited to several days in patients with renal insufficiency because of the noted toxicity profile.

Clonidine

Clonidine has been used as a sole or adjunctive agent for pain control. Analgesia is produced by the action of clonidine on stimulating the α2--adrenoceptors. Stimulation of the α2-adrenoceptors reduces sympathetic outflow from the central nervous system, a factor in pain control.

Chinese herbs

As we mentioned above, kidney cyst enlargement, infection and cyst rupture are common causes of pain in PKD. Thus, the fundamental therapy for pain management is Chinese herbs which have functions of dilating blood vessels, improving blood circulation, inhibiting the abnormal secretion of cystic fluid, increasing permeability of cystic wall, preventing inflammation and repair damaged kidney tissues. After a period of treatment, cysts will be shrunk naturally and pain will also be alleviated.

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