Dr Wallace Crandall and colleagues evaluated pain and anxiety scores between children with inflammatory bowel disease (IBD) undergoing colonoscopy.
The team of doctors compared these patients to those with functional gastrointestinal disorders undergoing colonoscopy.
The doctors examined the role of anxiety and procedure length in predicting reports of pain.
Children ages 10 to 18 years undergoing colonoscopy for the first time completed pain and anxiety questionnaires.
|Higher levels of anxiety were associated with higher pain scores|
|Journal of Pediatric Gastroenterology & Nutrition|
The questionnaires were completed immediately before the procedure and a pain questionnaire 48 hours after colonoscopy.
The doctors determined diagnosis by chart review and physician interview.
Children with functional gastrointestinal disorders had a longer duration of pain than those with IBD.
The team found that children with functional gastrointestinal disorders endorsed a greater total number of the pain descriptors.
The functional gastrointestinal disorders group reported higher usual pain severity and greater postprocedural pain.
The doctors observed no differences in anxiety.
However, the team reported that higher levels of anxiety were associated with higher pain scores at the time of colonoscopy in children with IBD.
The team noted that it required significantly more time to perform colonoscopy in the IBD group than in the functional gastrointestinal disorders group.
Longer procedure duration was positively correlated with pain in children with functional gastrointestinal disorders but not in children with IBD.
Dr Crandall's team commented, “Children with functional gastrointestinal disorders report more usual pain symptoms and may describe more pain after a colonoscopy when compared with children with IBD.”
“Anxiety appears to play a role in pain severity after colonoscopy in children presenting with IBD, but not in children with functional gastrointestinal disorders.”