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Name:  deenaharper
Status: N/A
Age: N/A
Location: N/A
Country: N/A
Date: Around 1993


Question:
The body produces a chemical when it is in pain. Can we detect that chemical through a blood test and quantitatively determine how much pain a person is experiencing?



Replies:
Endorphines are hormones the body produces when in pain. They function to "deaden" nerves, so that the pain will not seem as intense. They are called the body's "opiates" because opium binds to the same receptor cites as do endorphins. Your suggestion to qualitatively correlate pain with endorphin production is intriguing. I can think of a few snags, though. Endorphins are released in response to a variety of stimuli, not just pain. For example, any stress, lack of sleep, excitement, depression, even intense joy and laughter release endorphins. So, it is not solely a "pain chemical." You would have to control all the other stimuli in order for your quantification to have meaning. But there is some research into correlating endorphin levels with certain human behavior. For instance, those prone to developing substance (drug, alcohol, tobacco, etc.) addictions may have lower than average endorphin producing capacities. If a correlation is found, a potential method of treating these people may be found. Good thinking, though! Who knows, maybe pain releases a special endorphin which can be quantified!

wizkid


We know of a few neurochemicals involved in pain transmission. Some of the specifics of exactly how they act are currently being investigated. Most of this cannot be detected by a blood test for two reasons:

1) Since these are probably intrasynaptic neurotransmitters (they are in between neural cells) they are present in very low concentrations and those neurons do some reuptake of the neurotransmitter which further lowers their concentration. Low concentration means difficulty in detecting them.

2) Most of these neurochemicals are located in the central nervous system (CNS - includes brain and spinal chord). The CNS is tightly wrapped by a biochemical barrier called the Blood-Brain Barrier. So not much of the neurochemicals get into the bloodstream. One could get around this to some degree by doing a spinal tap (putting a needle into the fluid that bathes the CNS) but alas this is somewhat dangerous and is still indirect.

psych



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