ENDO Messages for December, 2001: Re: Question to endo sufferers...type of pain?

Re: Question to endo sufferers...type of pain?

From: B.Browne (anonymous@obgyn.net)
Tue Dec 18 19:46:19 2001

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In reply to: Cheri: "Re: Question to endo sufferers...type of pain?"

Hi Cherie,

I thought you might like to have my pain scale that I created when trying to describe my pain... you can also scale your pain for your doctor in a pain diary and just write what your pain is...0 to 10 0 being - no pain and 10 being - the worst pain..I hope its some help other wise you could go to http://www.endometriosis.org and look on the pain page and you will see a list of descriptions of what the pain can be like...from dull to heavy aching to pulling, twisting, burning and stabbing etc. Heres the pain scale..

P@@@@@@@@@@@@i@@@@@@@@@N " Belle Browne's "PainScale"" P@@@@@@@@@i@@@@@@N

~~ Created by Belle Browne R.N, for The Female Chronic Pain Forum.~~

0) No Pain

1) Slight annoyance or irritation or both or even a slight ache.The pain comes and goes very mildly and slightly. Still able to perform all tasks normally and pain is easily forgotten while attending to something else.No Pain meds required.

2) Slight pain which lasts a bit longer, still able to perform usual tasks and again, if concentration is shifted away from the pain, the pain is forgotten about. No pain meds required.

3) Pain is more noticeable, twinges come and go. Still able to perform usual tasks but it takes abit of effort..Panadol or Tylenol usually will help with this type of pain.

4) The pain lasts for longer periods, it is much more noticeable and it is starting to bother and interfere with concentration and tasks requiring more effort and concentration.Panadol or tylenol taken, should alleviate this type of pain, at a 4th to 6th hourly regime may be required. A hot pack or Ice pack may also help alleviate the pain.

5) The Pain is now very noticable, it is interfering with everyday tasks and a pain reliever is now required at 4 to 6 hourly intervals.Depending on the patient,someone with acute pain, may still respond well to panadol or Tyleno 4th hourly, maybe with added codeine and even heat or ice may help... with some relief... of this level of pain.of.For the Chronic pain sufferer..this maybe the start of break through pain and break through pain meds may start to be thought about, especially if the pain continues to get worse .

6) The Pain level is medium.... heading towards strong now and it is becoming more constant and it is not easily forgotten about.Pain relief is now required and it may need to be stronger than just tylenol or panadol, maybe added codeine may help with level of pain relief,this all depends on whether the pain is acute or chronic and on the patients actual level of pain tolerance .A chronic pain patient... maybe still at this level with strong pain relief.Heat or ice may still help lessen te pain.

7) The pain level is now medium to strong and the pain is continuous.It is not relieved by Panadol/tylenol with codeine,stronger narcotics are required for pain relief. Chronic pain patients maybe at this level even with strong narcotic pain relief. Heat may also aid with relief. Its becoming harder to concentrate due to the strength of the pain and its getting harder to relieve the pain.

8) The pain is becoming unbearable,strong narcotic pain relief is required. The chronic and acute pain patient will be irritable,hot and maybe flushed, perspiration maybe noticable or may not.Blood pressure may also be elevated. Patient may start to shake abit..if the pain has been going on for too long, then nausea may start to set in and the patient appears to be in alot of pain and suffering,

9) The Pain now is unbearable, only strong narcotic pain relief for the acute patient will help with the pain. The Chronic pain patient will be irritable,the patient maybe flushed and their palms are usually sweaty,blood pressure usally raised, pain relief needs to be increased and reaccessed.Nausea or vomitting may be present.The patient may be trembling or shaking due to the amount of pain, moaning and groaning maybe present.Whether the pain is acute or chronic, the patient is usually unable to sleep or concentrate on the smallest task.

10) The pain level is totally unbearable,the patient maybe vomitting or even lose consciousness.The patient may also become delirious, even moaning and groaning without making any sense.The blood pressure may still be elevated or by now may have dropped and the patient may go into shock. The patient must be treated symptomatically..if cold, then the patient should be kept warm and if hot they should be cooled down.Pain relief is needed urgently.The patient may even become incontinent.

*** This Pain Scale has be created by Belle Browne.... through my own personal experience,aswell as from being a Registered Nurse .*** ** This Pain Scale is Copy Right....Please leave this intact when sharing this Pain Scale with other sufferers ...Thankyou**

-- *-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-* Belle Browne R.N http://www.endometriosis.org Producer of Endometriosis The Inside Story http://www.endometriosis.org/html/video.html Australian Endometriosis Representative email support@endometriosis.org Owner Female Chronic Pain Sufferers Forum to subscribe send an email to FemaleChronicPainSufferers-subscribe@yahoogroups.com *-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-

At Tue, 18 Dec 2001, Cheri wrote: > >At Tue, 18 Dec 2001, Missy wrote: >> >>Hi ladies. I was just curious about the type of pain you all have >>experience as a result of endo.I mean how would you describe it? Sharp, >>dull, sporadic etc? I was just wondering. Lately, I feel as if my >>insides are going to cramp and bust out of my stomach, literally (and >>I'm NOT on my period). I've been told by many that it may be >>endometriosis. I'm sick and tired of dealing with this. Nobody seems >>to understand what I'm talking about! Thanks girls...the support you >>show one another on this board is wonderful. >i have noticed that endo shares soemthing with lupus and that is many >people suffer in different ways and unfortunately a WIDE range of >ways... >i ahve heard the only way to have it diagnosed for sure is a >laparoscopy, wich for the information it may provide is worth it. >Education is the best way to fight anything, after you know for sure you >can then make an educated decision on how to proceed. whatever you >decide, good luck and by this board the natural way seems to be the >highest rate of success, just a note! >pain free wishes >cheri

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