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Viscero‐somatic reflexes in referred pain areas evoked by capsaicin stimulation of the human gut
Author(s) -
ArendtNielsen Lars,
Schipper KlausPeter,
Dimcevski Georg,
Sumikura Hiroyuki,
Krarup Anne Lund,
Giamberardino Maria Adele,
Drewes Asbjørn Mohr
Publication year - 2008
Publication title -
european journal of pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.305
H-Index - 109
eISSN - 1532-2149
pISSN - 1090-3801
DOI - 10.1016/j.ejpain.2007.08.010
Subject(s) - reflex , visceral pain , capsaicin , medicine , nociception , stimulation , anesthesia , blood flow , laser doppler velocimetry , saline , receptor
The interaction between visceral pain and the sympathetic nervous system is only sparsely investigated in quantitative human studies. Referred visceral pain can be evoked experimentally by application of substances such as capsaicin (the pungent substance of chilli pepper) to the gut. The aim of the present study was to induce referred visceral pain from the small and large intestine in 32 volunteers via the stomal opening in patients with ileo‐ or colostomy and quantify the viscero‐somatic reflex responses in these referred pain areas by thermography and laser doppler flowmetry. Capsaicin evoked pain and referred pain areas in all subjects. In the referred pain area, the temperature increased by approximately 0.6°C ( P <0.001) and the blood flow by approximately 35AU ( P <0.001). Saline was used in a control experiment, and no temperature and blood flow changes were found. The present quantitative human study of viscero‐somatic reflexes showed dramatic sympathetic responses in the referred pain areas after experimentally induced gut pain.