الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Background: The acute abdomen is with 5-10% one of the most common reasons for a visit to the emergency department. It represents the most common surgical emergency, the most frequent cause for the consultation of a surgeon in the emergency department and the most common cause for non-trauma related hospital admissions. Regarding the use of analgesics in patients with acute abdomen a fear was that analgesics might mask symptoms, obscure findings of the physical exam and delay the diagnosis. Other theories suggest that administration of analgesics in fact does not obscure relevant findings of the physical exam, nor does it increase the risk of diagnosis errors or errors in decision making with respect to the treatment.The aim of the work: The purpose of this study was to determine whether the administration of analgesia to patients with undifferentiated non-traumatic acute abdominal pain will reduce discomfort, improve clinically important diagnostic accuracy or not.Patients: A prospective study was conducted that included 200 patients with undifferentiated non-traumatic acute abdominal pain. The patients were divided into 2 groups: group I (Analgesia group) was exposed to administration of analgesia while group II (Control group) was not exposed to administration of analgesia medications.Methods: All patients subjected to resuscitation, history taking, clinical examination, laboratory and radiological investigations.Results: There was a statistically significant difference when comparing between the two groups regarding pain severity score and patient comfort and satisfaction while the other parameters revealed no statistical significant differences.Conclusion: Every patient should be offered adequate and timely pain therapy when indicated. Our results supported prompt analgesia administration prior to the etiological diagnosis of acute abdominal pain patients. Pain therapy should no longer be withheld from or delayed for these patients, and it should be initiated prior to diagnosis after assessment of relevant pain characteristics, by administering the most appropriate analgesic agents in a timely manner.Recommendations: Focused assessment of the intensity of pain with NR, Intravenous analgesia, early initiation of adjuvant measures to promote patient comfort and repeated NRS pain intensity evaluations every 15–30 min, as well as identification and treatment of analgesic side effects and complications.