Category Archives: Abdominal pain

Irritable Bowel (IBS) Treatment -Amitriptyline Maybe

Drug treatment for IBS has been fraught with problems of efficacy and wrought with issues of excessive expense. Amitriptyline, an old serotonin simulator, is cheap, helps one sleep, and recently found sort of efficacious.

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Gut Hazard – Commercial Dishwasher Soap

Alcohol ethoxylates, which stick to dishes and prevent water adhering after drying, are shown to damage gut cells or render them permeable.  This is considered toxic to gastrointestinal tract and could flare gut symptoms at levels used by such cleaners. … Continue reading

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Chronic Diarrhea – Stool Testing For Ova and Parasite Gone Bad and “Plan B”

People who come in with recently developed chronic diarrhea are a challenge. Reliance on stool tests might be suspect if just relying on Ova and Parasite micro exam. Given excretion is episodic, O&P testing by microscopy  would miss 39% of amebiasis … Continue reading

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Malassezia Fungus Makes News Again With Peptic Ulcers

Malassezia seen in brains of Alzheimer’s: Front Aging Neurosci. 2018 May 24;10:159. doi: 10.3389/fnagi.2018.00159 Infection of Fungi and Bacteria in Brain Tissue From Elderly Persons and Patients With Alzheimer’s Disease. Alonso R et al. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5976758/ “the fungal genera more prevalent … Continue reading

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Colitis Flare-ups Might be Temporary Sensitivity to Gluten Foods

Growing evidence that some gluten sensitivity is actually sensitivity to the carbohydrates in Gluten Foods rather than to gluten. None the less, avoiding gluten foods during colitis flareups, helps suggesting a temporary sensitivity.

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Chronic Abdominal Pain in Children – Are They Suffering Unnecessarily?

I recently wrote about how they are only now finding certain abdominal wall injections work for chronic abdominal pain in adults – confirming source is the abdominal wall – what already??? I suspect it is even worse with children in … Continue reading

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Indication For Gallbladder Removal

Article starts by mentioning how up to 33% of cholecystectomy patients can have persistent abdominal pain so taking out Gallbladder (GB) is a serious decision. Indications however include frequent attacks, large stones, older age, inflamed GB attack(cholecystitis), and pancreatitis from … Continue reading

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Chronic Severer Abdominal Pain – Why Has It taken So Long To Realize it’s Partly the Abdominal Wall and Treatable?

Early last year I wrote about my experience chronic severe abdominal pain as it being from the abdominal wall: Chronic Severe Abdominal Pain is a Skin Nerve Pain http://painmuse.org/?p=4840 Now, someone has taken it a step further by doing a … Continue reading

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Pain News – Short Snaps June 2017

June 2017 Pain News: I put them up as short snaps because not going to blog note them – hope you like. You will probably not find many in news elsewhere.

Posted in Abdominal pain, celiac, chronic fatigue, Fibromyalgia, Headaches, Injection, Interstial Cystitis/Gynecologic, Knee, psychology, shoulder | Leave a comment

Recurrent Abdominal Pain (RAP) in Children – More Than it Seems

European study found in RAP syndrome without any alarm features, 57% were found to have organic disease – and treatment of such lead to resolution of symptoms. Things found included: 19 (22.6%)  lactose intolerance. 17 patients (20.2%)  celiac disease. Two … Continue reading

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SSRI Antidepressants Work Better Than older TCA Antidepressants in Irritable Bowel

Traditionally, an old antidepressant, amitriptyline, has been used for irritable bowel at doses far lower than its antidepressant level, as an aid to stimulating endophin system etc. Now it appears that more up to date SSRI’s work better. This was … Continue reading

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Confirmed – Resistant Ulcerative Colitis – Fecal Transplant Works 1/2 Time

70%  showed clinical response, and “13 of the 30 (43.3%) patients achieved clinical and endoscopic remission.”

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Advanced Gallbladder Testing Can Miss Disease

Two approaches to gallbladder advanced testing – use of fatty meal (FM) as a substitute for cholecystokinin (CCK) in pain reproduction during hepato-imino-diacetic acid (HIDA) scan in functional gallbladder disorder. – will miss 1/2 of cases

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Protocol for Treating Polycystic Kidney Disease Pain

Autosomal dominant polycystic kidney disease (ADPKD) can end up with such severe pain that they wish nephrectomy. I’m hoping this protocol reaches kidney societies that can lobby for aggressive pain treatment to keep things under control.

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Kidney Stone – Renal Colic – Ketoralac and Nifedipine Superior to Ketoralac and Tamsulosin

Spanish journal which I do not get but results seem clear enough – ketoralac 60 mg ?IM and Nifedipine XL 30 mg by mouth give best results.

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Bacterial Overgrowth and Irritable Bowel Syndrome (IBS) – What is the Hypothyroid/Levothyroxine Connection?

Hypothyroid victims on Levothyroxime have a 3 times relative risk to having bacterial overgrowth and the IBS connection that goes with it.

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New Effective Treatment for Intractable Sore Mouth Mucositis

0.05% Methylene Blue oral rinse therapy was cheap and effective treatment for mucositis from chemotherapy or radiotherapy. Amazing result could be big help.

Posted in Abdominal pain, Drugs, ENT, Injection, neuropathic, skin | 2 Comments

Can Pharyngeal GERD Be Cured?

Reflux into throat has a something in throat “globus “feel, throat clearing and annoying  cough. When ulcer “PPI”pills fail one author suggests injecting T5-6, 1 cm from spine, to influence sympathetic nerve trunks and gradually reset the nervous system – … Continue reading

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Chronic Severe Abdominal Pain is a Skin Nerve Pain

Lidocaine freezing, administered rectally, can eliminate bowel pains temporarily. Having done that in a case of severe chronic abdominal pains, I found very tender nerve tracts from back to lower abdomen and pelvis on right side, explaining most of the … Continue reading

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Celiac is More Painful Than Thought – and What Does That Mean?

In seeing new pain patients, I became painfully aware that Celiac or at least gluten sensitivity has a definite presence- so much so that I always looked for it. Now, it looks like “anybody is fair game” now that even … Continue reading

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When Irritable Bowel is not Irritable Bowel Syndrome (IBS)

Had patient in today with dark blood stools previously diagnosed with Irritable bowel but more much likely now colitis. Had another case recently worked up by a gastroenterologist with nothing organic found – yet fact subject eats  a lot of … Continue reading

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Hives with Nonspecific Gut symptoms – Consider Blastocystis

Blastocystis is a protozoan thought commensal (normal flora) but actually shown to cause disease in humans. Now a particular subtype is linked to urticaria/hives.

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Irritable Bowel – Hypnosis helps

Hypnosis is a useful adjunct to IBS treatment.

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C-section Birth – Is Painful Uterine Scar Bad – a Bit

1/10th of painful uterine scars will rupture; none in the non painful group. However all rupturing cases had other features – abnormal fetal monitor (4), peritoneal signs (2), high fetal station (2) or vomiting(1).

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Chronic Diarrhea? -Think Bile Malabsorption(BAM)

“The estimated prevalence of BAM is >90% in patients with resected Crohn disease (CD) and 11% to 52% of unresected CD patients (type 1); 33% in diarrhea-predominant irritable bowel syndrome (type 2); and is a frequent finding postcholecystectomy or postvagotomy … Continue reading

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