Spontaneous and evoked coccygeal pain in depression

Diseases of the Colon and Rectum
B Maroy

Abstract

Three hundred thirteen patients with signs of depression or spontaneous or evoked pain of coccygeal area were studied over six months. One hundred eighty (58 percent) had no spontaneous pain, 87 (28 percent) had moderate pain, and 46 (15 percent) a severe coccygodynia leading to consultation. In four of the latter group, no other sign of depression was found. Seventy-nine percent of the patients with spontaneous pain and 66 percent without spontaneous pain had coccygeal pain evoked by rectal digital examination (RDE). Seventy-one percent of the patients with spontaneous pain and 56 percent without spontaneous pain had paracoccygeal pain evoked by RDE. Among severely depressed patients (Group III), 76 percent had an evoked pain and 80 percent a coccygeal pain--either spontaneous or evoked. In 178 (57 percent), all signs disappeared when treated with various antidepressants in seven visits and within six months. Seven (2 percent) were failures; 44 (14 percent) were lost during follow-up; 84 (27 percent) did not return after the first consultation. After treatment in five patients was stopped, all signs recurred together and disappeared when adapted treatment was administered again. In 120 consecutive patients who had colonic roen...Continue Reading

References

Dec 1, 1975·The American Journal of Psychiatry·D RaftB F Lewis
Jun 1, 1978·Archives of General Psychiatry·R L SpitzerE Robins
Nov 1, 1985·Journal of Affective Disorders·J DavidsonS Pelton
Jan 1, 1985·The International Journal of Social Psychiatry·R Littlewood
Oct 1, 1985·The American Journal of Psychiatry·W KatonD Miller
Jul 7, 1970·Biochimica Et Biophysica Acta·V S Vaidhyanathan, M S Seshadri
Jul 1, 1967·American Journal of Psychotherapy·S Lesse
May 1, 1983·Headache·S Diamond
Jan 1, 1982·The American Journal of Medicine·W KatonG Rosen
Oct 1, 1981·The British Journal of Psychiatry : the Journal of Mental Science·R J MathewM Mirabi
Sep 1, 1980·Archives of General Psychiatry·A C Nielsen, T A Williams
Sep 1, 1963·American Journal of Obstetrics and Gynecology·P J MAGUIRE
Nov 1, 1963·Diseases of the Colon and Rectum·G H THIELE
Feb 1, 1960·Journal of Neurology, Neurosurgery, and Psychiatry·M HAMILTON
Jan 17, 1952·The New England Journal of Medicine·B H ROBERTS, N M NORTON

Citations

Feb 1, 1993·Diseases of the Colon and Rectum·G C GerD G Jagelman
May 2, 2000·Diseases of the Colon and Rectum·C Renzi, M Pescatori
Jun 8, 1991·Lancet
Nov 19, 2003·The Journal of Pain : Official Journal of the American Pain Society·J De Andrés, Santiago Chaves
Mar 7, 2007·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Horst MlitzGermany Society of Dermatology
Feb 20, 1998·Pain·Ursula WesselmannLeslie J Heinberg

Related Concepts

Thymoleptics
Depressive Symptoms
Pain, Splitting
Physical Examinations and Diagnoses
Sacrococcygeal Region

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

Pediculosis pubis

Pediculosis pubis is a disease caused by a parasitic insect known as Pthirus pubis, which infests human pubic hair, as well as other areas with hair including eye lashes. Here is the latest research.

Rh Isoimmunization

Rh isoimmunization is a potentially preventable condition that occasionally is associated with significant perinatal morbidity or mortality. Discover the latest research on Rh Isoimmunization here.

Genetic Screens in iPSC-derived Brain Cells

Genetic screening is a critical tool that can be employed to define and understand gene function and interaction. This feed focuses on genetic screens conducted using induced pluripotent stem cell (iPSC)-derived brain cells. It also follows CRISPR-Cas9 approaches to generating genetic mutants as a means of understanding the effect of genetics on phenotype.

Enzyme Evolution

This feed focuses on molecular models of enzyme evolution and new approaches (such as adaptive laboratory evolution) to metabolic engineering of microorganisms. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Pharmacology of Proteinopathies

This feed focuses on the pharmacology of proteinopathies - diseases in which proteins abnormally aggregate (i.e. Alzheimer’s, Parkinson’s, etc.). Discover the latest research in this field with this feed.

Alignment-free Sequence Analysis Tools

Alignment-free sequence analyses have been applied to problems ranging from whole-genome phylogeny to the classification of protein families, identification of horizontally transferred genes, and detection of recombined sequences. Here is the latest research.