Hypnotherapy Intervention for Loin Pain Hematuria:A Case Study

Abstract

Loin pain hematuria is characterized by chronic loin pain, hematuria, and dysuria. There are no known effective treatments for loin pain hematuria and longer-term use of analgesics and surgical options are often ineffective or associated with negative side effects. This article reports on a 17-year-old female patient diagnosed with loin pain hematuria who presented with unilateral, uncontrolled loin pain following numerous unsuccessful attempts at controlling her symptoms with traditional medical interventions—including antibiotics, opioids, and renal denervation. The patient received 8 sessions of hypnotherapy. Baseline, end-point, and follow-up measures administered included the General Health Questionnaire, Hospital Anxiety and Depression Scale, McGill Pain Questionnaire, Pain Discomfort Scale, and visual analogue measures of pain, academic interference, and social interference. At follow-up, results indicated clinically significant decreases in pain, anxiety, and depression with nearly complete remission of presenting symptoms.

A Patient With Loin Hematuria Syndrome and Chronic Flank Pain Treated With Pulsed Radiofrequency of the Splanchnic Nerves

“…The exact cause remains elusive but it has been suggested that the hematuria may be attributable to a thin glomerular basement membrane, which creates an occlusion within the renal tubules and thus flank pain because of capsular expansion. 9 The treatment is difficult as evidenced by the various treatments described in the literature including intraureteral capsaicin, 10 hypnotherapy, 11 and intrathecal opioids. 12 Hebert et al 13 described the use of angiotensin-converting enzyme inhibitors in the management of LPHS to decrease glomerular hemorrhage and therefore pain.…”