A 49-year-old presents with vague, cramping abdominal discom…
A 49-year-old presents with vague, cramping abdominal discomfort and nausea. He cannot point to a specific spot, describing the pain as “deep” and “all over,” with intermittent waves. On exam, there is minimal focal tenderness. You explain that the type of pain arising from internal organs is often hard to localize due to the way those afferent fibers enter the spinal cord and converge with somatic pathways. Which pain is most diffuse and poorly localized?