Narcotic Bowel Syndrome, an Under-recognized Cause of Chronic Abdominal Pain in Adults (original) (raw)

Narcotic bowel syndrome (NBS) is a condition linked to the misuse of opioid analgesics and is characterized by complex, chronic abdominal pain that may worsen with opioid use. This paper discusses three case studies illustrating the management of NBS, emphasizing the importance of recognizing the condition among healthcare practitioners, particularly gastroenterologists. Effective treatment strategies highlighted include a gradual tapering of opioids, incorporating adjunctive therapies such as benzodiazepines and tricyclic antidepressants, and the necessity for psychological support to prevent relapse.