Pain is not a very
good feeling. In fact, we hate pain. But just like other feelings pain is also
product of our Mr.Brain’s magnificent electro-chemical expertise. Why the hell
brain creates such an intense unpleasant feeling which we hate so freaking much.
But pain may not be good but it is necessary.
You are feeling pain means brain is informing you
that your body is taking some damage. If we touch a hot
thing or press our hand against a tip of needle unconsciously, our hand moves
away from it by itself. These automatic involuntary reflexes are for protection
of our body from harm.
Now, when you get a
cut, brain creates feeling of pain to draw your attention to that damaged part.
Its brain’s way to tell, ‘Your body suffered some damage and do something about
it!’
And pain is very
compelling; if there were no pain, we wouldn’t even bother treat a cut or even
worse. Few people has reduced sensation of pain because of mutation in SCN9A gen
and they can walk
around with broken ankle or deep wound without feeling much
pain but that injury becomes more serious over time. Luckily that condition is
found very rarely; so almost all us have our brain warn us through pain about
damages in our body.
Pain is for informing
you of damage or something wrong about in your body that is why in most of the diseases
we feel pain as our brain responds to unpleasant changes inside our body.
Now, how pain is generated?
Our nerve receptors
are constantly picking up signals from outside world. There is a specialized
receptor called nociceptors for feeling of pain.
If you touch blunt edge
of a thing, you don’t feel pain as it is not doing any damage like penetrating
your skin to make nociception fire a signal. But if you touch pointy needle and
it penetrates your skin, that stimulation hits the nociceptive threshold and
then ‘ouch’. The nociceptor’s work is like sending SOS in distress and it makes
brain aware that “body is taking damage”.
Then some of your
tissues are damaged brain sends some tuning chemical at that place to lower the
nociceptve threshold of that area. That’s why a simple touch on a bruise hurts
like hell.
There are different types of nociceptors :
Thermal nociceptors
are activated by too much heat or cold
Mechanical nociceptors
reacts when too much pressure or mechanical force doing damage like when
someone use you as punching bag.
Chemical nocicpetor
responses to unpleasant chemical changes
like you being poisoned or some bacteria is doing chemical party inside
you.
And sleeping
nociceptor which only activates when you are really injured and when this
silent daddy shouts shout in pain too.
Inflammation:
Generally damage cell
releases arachidonic acid.
It interacts with two
cyclo-oxygenase enzymes, COX1 and COX2.
And we get
prostaglandin which is culprit for inflammation, increased heartbeat.
Actually, in this
case, inflammation is our immune system’s response to presence of
prostaglandin.
How pain killer works?
We get prostaglandin
when arachidonic acid reacts with COX enzymes.
So, common painkillers
have chemicals which neutralize either arachidonic acid or COX enzyme.
Like aspirine has
salacin which produce salicylic acid and blocks cox 1.
Ibuprofen derived from
propionic acid blocks arachidonic acid.Paracetamol takes
charge after arachidonic acid merges with cox enzymes and it blocks effect of
created compound.
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