Comparison of paracetamol and hyoscine-N-butylbromide in the treatment of abdominal pain and cramps due to acute gastroenteritis
Background and objective: Hyoscine-N-butyl bromide (HBB) and paracetamol (acetaminophen)are widely used in emergency departments for abdominal pain and cramps. However, there is not enough data on the efficacy, safety, and superiority of each other in treating acute gastroenteritis (AGE) related abd...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ibrahim Medical College
2021-12-01
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| Series: | IMC Journal of Medical Science |
| Online Access: | https://www.imcjms.com/registration/journal_full_text/404 |
| _version_ | 1818273587103006720 |
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| author | Hasan Sultanoğlu Yılmaz Safi Mustafa Enes Demirel Mehmet Cihat Demir Hasan Baki Altinsoy Mustafa Boğan Hasan Gümüşboğa |
| author_facet | Hasan Sultanoğlu Yılmaz Safi Mustafa Enes Demirel Mehmet Cihat Demir Hasan Baki Altinsoy Mustafa Boğan Hasan Gümüşboğa |
| author_sort | Hasan Sultanoğlu |
| collection | DOAJ |
| description | Background and objective: Hyoscine-N-butyl bromide (HBB) and paracetamol (acetaminophen)are widely used in emergency departments for abdominal pain and cramps. However, there is not enough data on the efficacy, safety, and superiority of each other in treating acute gastroenteritis (AGE) related abdominal pain and cramps. In this study HBB and paracetamol were compared for the treatment of abdominal pain and cramps related to acute gastroenteritis.
Materials and methods: The study was conducted in a tertiary university hospital emergency department as a prospective, randomized-controlled, and double-blind study. Intravenous (IV) 1000 mg paracetamol and IV 20 mg hyoscine-N-butyl bromide (HBB) were used to treat abdominal pain and cramps related to AGE. Visual analogue scale (VAS) was used to evaluate the degree of abdominal pain before and after treatment.
Results: HBB and paracetamol groups consisted of 123 and 158 cases respectively. In both groups, it was observed that the VAS score gradually decreased from the 0th hour to the 1st and 2nd hours (p<0.001).When comparing each time within itself, it was observed that HBB and paracetamol measurements had similar values (p>0.05). No severe side effects were observed in any of the patients.
Conclusion: HBB and paracetamol were used for symptomatic treatment in AGE patients presenting with abdominal pain and cramps. A significant reduction in pain and cramps was achieved in both patient groups. There was no difference between the two drugs in terms of treatment efficacy and side effects.
IMC J Med Sci 2022; 16(1): 009. DOI: https://doi.org/10.55010/imcjms.16.007
*Correspondence: Hasan Gümüşboğa, Department of Emergency, Şehitkamil State Hospital, Gaziantep, Turkey, Posta code: 27500; Email: profhasan@hotmail.com; ORCID:0000-0003-2097-7102. |
| first_indexed | 2024-12-12T22:00:20Z |
| format | Article |
| id | doaj.art-c035b660543b46eeb4cbe7b09763247c |
| institution | Directory Open Access Journal |
| issn | 2519-1721 2519-1586 |
| language | English |
| last_indexed | 2024-12-12T22:00:20Z |
| publishDate | 2021-12-01 |
| publisher | Ibrahim Medical College |
| record_format | Article |
| series | IMC Journal of Medical Science |
| spelling | doaj.art-c035b660543b46eeb4cbe7b09763247c2022-12-22T00:10:32ZengIbrahim Medical CollegeIMC Journal of Medical Science2519-17212519-15862021-12-0116117https://doi.org/10.55010/imcjms.16.007Comparison of paracetamol and hyoscine-N-butylbromide in the treatment of abdominal pain and cramps due to acute gastroenteritisHasan Sultanoğlu0Yılmaz Safi1Mustafa Enes Demirel2Mehmet Cihat Demir3Hasan Baki Altinsoy4Mustafa Boğan5Hasan Gümüşboğa6Department of Emergency, School of Medicine, Düzce University, Düzce,TurkeyDepartment of Emergency, Necip Fazıl City Hospital, Kahramanmaraş,TurkeyDepartment of Emergency, School of Medicine, Bolu Abant İzzet Baysal University,TurkeyDepartment of Emergency, School of Medicine, Düzce University, Düzce,TurkeyDepartment of Radiology, School of Medicine, Düzce, Düzce University, TurkeyDepartment of Emergency, School of Medicine, Düzce University, Düzce,TurkeyDepartment of Emergency, Şehitkamil State Hospital, Gaziantep, TurkeyBackground and objective: Hyoscine-N-butyl bromide (HBB) and paracetamol (acetaminophen)are widely used in emergency departments for abdominal pain and cramps. However, there is not enough data on the efficacy, safety, and superiority of each other in treating acute gastroenteritis (AGE) related abdominal pain and cramps. In this study HBB and paracetamol were compared for the treatment of abdominal pain and cramps related to acute gastroenteritis. Materials and methods: The study was conducted in a tertiary university hospital emergency department as a prospective, randomized-controlled, and double-blind study. Intravenous (IV) 1000 mg paracetamol and IV 20 mg hyoscine-N-butyl bromide (HBB) were used to treat abdominal pain and cramps related to AGE. Visual analogue scale (VAS) was used to evaluate the degree of abdominal pain before and after treatment. Results: HBB and paracetamol groups consisted of 123 and 158 cases respectively. In both groups, it was observed that the VAS score gradually decreased from the 0th hour to the 1st and 2nd hours (p<0.001).When comparing each time within itself, it was observed that HBB and paracetamol measurements had similar values (p>0.05). No severe side effects were observed in any of the patients. Conclusion: HBB and paracetamol were used for symptomatic treatment in AGE patients presenting with abdominal pain and cramps. A significant reduction in pain and cramps was achieved in both patient groups. There was no difference between the two drugs in terms of treatment efficacy and side effects. IMC J Med Sci 2022; 16(1): 009. DOI: https://doi.org/10.55010/imcjms.16.007 *Correspondence: Hasan Gümüşboğa, Department of Emergency, Şehitkamil State Hospital, Gaziantep, Turkey, Posta code: 27500; Email: profhasan@hotmail.com; ORCID:0000-0003-2097-7102.https://www.imcjms.com/registration/journal_full_text/404 |
| spellingShingle | Hasan Sultanoğlu Yılmaz Safi Mustafa Enes Demirel Mehmet Cihat Demir Hasan Baki Altinsoy Mustafa Boğan Hasan Gümüşboğa Comparison of paracetamol and hyoscine-N-butylbromide in the treatment of abdominal pain and cramps due to acute gastroenteritis IMC Journal of Medical Science |
| title | Comparison of paracetamol and hyoscine-N-butylbromide in the treatment of abdominal pain and cramps due to acute gastroenteritis |
| title_full | Comparison of paracetamol and hyoscine-N-butylbromide in the treatment of abdominal pain and cramps due to acute gastroenteritis |
| title_fullStr | Comparison of paracetamol and hyoscine-N-butylbromide in the treatment of abdominal pain and cramps due to acute gastroenteritis |
| title_full_unstemmed | Comparison of paracetamol and hyoscine-N-butylbromide in the treatment of abdominal pain and cramps due to acute gastroenteritis |
| title_short | Comparison of paracetamol and hyoscine-N-butylbromide in the treatment of abdominal pain and cramps due to acute gastroenteritis |
| title_sort | comparison of paracetamol and hyoscine n butylbromide in the treatment of abdominal pain and cramps due to acute gastroenteritis |
| url | https://www.imcjms.com/registration/journal_full_text/404 |
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