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Category Archives: Abdominal pain
New Rx For Chronic Abdominal Pain – Pulse Radiofrequency to Bilateral T10-T11
Patient with abdominal wall pain and no distinct triggers had bilateral pulse radiofrequency to T10 and 11. This brought pain levels down from 6/10 to 1/10 at 10 weeks by procedure and still relief after 10 months. Though their case … Continue reading
Posted in Abdominal pain, Injection, neuropathic
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Some Recurrent Abdominal Pains (RAP) in Kids are Missed Protozoan Infection
Some 6-11% of recurrent abdominal pains in children are protozoan infections. Those cases “did not show a characteristic presentation when compared with patients with other causes of abdominal pain” – so you can’t tell by looking at them.
Posted in Abdominal pain
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Indigestion Without Cause? – Stomach Germ Eradication Helps
Helicobacter pylori driven irritation is a prime cause of peptic/duodenal ulcers. Now in “functional dyspepsia” , particularly with stomach pain, it’s eradication shows benefit.
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Anorectal Pain of Unknown Cause Effectively Treated With Sacral Nerve Stimulation
Chinese article claims sacral nerve stimulation cured 19/32 and improved 12/32 cases.
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Persistent Heartburn Despite Meds – A Hypersenstive Esophagus Helped by Antidepressants
Persistent esophageal symptoms (heartburn, chest pain, and regurgitation) despite ulcer meds – could be the results of a spastic oversenstive esophagus that may respond to serotonergic agents – like antidepressant citalopram or Duoxetine
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Celiac – Hard to Diagnose
Recent talk at CAOM meeting clarified how difficult diagnosis celiac disease is – with an average diagnostic delay of 11.7 years – and some approaches that could help
Posted in Abdominal pain, celiac
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Women With Severe Irritable Bowel and/or Ovarian Cyst Pain May Have Something Else – and a Test For It
I have seen 2 cases of severe intermittent lower abdominal pain (both more left sided) with a background of lesser pains seen by various doctors with out relief and pain relieved in 1 minute – by pushing their inguinal hernia … Continue reading
Posted in Abdominal pain
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Unexplained Abdominal Pains & Problems – Could Be Hypermobility
In patients with unexplained abdominal problems referred to a tertiary centre, half had evidence of joint hypermobility syndrome (JHS). Though Hypermobility is noted for its relation to Fibromyalgia, it appears abdominal problems are even more likely – something that would … Continue reading
Progress in Mastocytosis Diagnosis in Saskatchewan
After a talk with our provincial lab, serum tryptase levels will be allowed for select patients
Perineural “Tarlov” Spinal Nerve Outlet Cyst Pains – Overlooked and Treatable
I have a patient with multiple level cysts where the nerves exit the spine in the neck. He also has some mild foraminal stenosis. He is symptomatic with arm and referred upper back pain. Getting his problem taken seriously has … Continue reading
Posted in Abdominal pain, Back Pain, Neck, pelvic
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Prior Crohn’s or Ulcerative Colitis and Now Told You have an Irritable Bowel – That’s a Bum Rap- Signs of Inflammation Persist
After remission of Inflammatory Bowel Disease, persistent symptoms often continue and are denigrated as Irritable Bowel Syndrome implying that these cases have somehow now gone psychological. Now fecal calprotectin levels – reflecting pus inflammation in the bowel – have been … Continue reading
Posted in Abdominal pain
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Is Fibromyalgia a Mast Cell Disease – like some “somatization diseases” such as migraine, TMJ, irritable bowel, and interstitial cystitis
Sorry – trying to change fonts has duplicated some areas… It is become increasingly clear that so-called “somatization” “psychosomatic” diseases are associated with abnormal concentrations of mast cells – guardians of peripheral sensitization and also carriers of allergy reactions such as hives. … Continue reading
Do Probiotics Work In Diverticular Disease Pains ?
Answer appears to be yes according to one study
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Kids With Chronic Abdominal Pain Have Very High Rates Of Gut Bacterial Overgrowth
Using lactulose breath hydrogen test (LBT) to diagnose Small Intestinal Bacterial Ovewrgrowth (SIBO), 91% of children with chronic abdominal pain had evidence of bacterial overgrowth versus 35% of controls.
Posted in Abdominal pain
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Do Gut Germs Affect Your Mood and What Hath We Wrought With Newer Ulcer PPI Pills That Cause Bacterial Overgrowth?
Study from McMaster University Ontario found oral antibiotic treatment in mice resulted in changes in bacterial flora that increased anxiety-like behaviour. Gut Bacterial Overgrowth found in 50% of people on Proton Pump Inhibitor Ulcer Pills. Are these pills driving us … Continue reading
Posted in Abdominal pain, Fibromyalgia
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Smoking Doubles Chances of Chronic Pancreatitis Problems
Even when adjustments made for age, alcohol consumption, prior acute pancreatitis and other factors, smoking comes out as doubling changes of chronic pancreatitis disease
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Cancer Intermittent Bowel Obstruction – Octreotide Injections May Work Well
Intermittent bowel obstruction during end of life is terrible with pain and vomiting. Regular self administered Octreotide injections given at first hint of trouble, controlled this problem.
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Hypnotherapy and Biofeedback For Irritable Bowel Syndrome (IBS) – and for Functional Abdominal Pains in Kids
Both Hypnosis and heart rate variability biofeedback are useful in irritable bowel and, in children and adolescents, functional bowel disease
Posted in Abdominal pain, psychology
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Renal Colic? – Try Desmopressin Nasal Spray Plus NSAID Suppository
Combination Desmopressin Nasal Spray (DDAVP nasal) and diclofenac Suppository brought prompt relief renal colic in 62.7% cases vs 30.7% in the group with suppository alone
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New Measures For Treatment of Chronic Pancreatitis – Anti-oxidant Micronutrient Therapy and Spinal Cord Stimulation
Combination of Selenium 300 – 600 mcg, Vitamin C 540 – 600 mg, Beta Carotene 12 – 54 mg, Vitamin E 100 – 188 mg, and perhaps methionine 1.6 – 2 gm can lead to considerable reduction in chronic pancreatitis … Continue reading
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New Hope For Uncontrolled Visceral Abdominal Pain
One out of eight people with abdominal pain are uncontrolled with medication. This can be debilitating and affect quality of life. 66 out of 70 people had substantial symptom relief with spinal cord stimulation.
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Patients with Irritable Bowel (IBS) Should Avoid Shift Work
Irregular hours are hard on people with IBS according to one nursing study
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Indigestion – when ulcers Pills don’t work – Think Nocturnal Bile Reflex – Helped by Domperidone
Chronic indigestion “dyspepsia” is a frequent medical problem and gets bad when ulcer pills fail to work. Now nighttime – bile reflux (regurgitation bile into stomach) may account for some. This is helped by agents that help bowel motility like … Continue reading
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Multiple Allergies, Hives and Abdominal Pain – Think Mastocytosis
I have seen cases of severe Irritable Bowel, combined with allergies and hives, that require multiple medications to control and are disabled from symptoms. These cases are discarded by gastroenterologists yet might represent a systemic disease called Mastocytosis.
Posted in Abdominal pain, mast cell disease, skin
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Got Crohn’s? – May Have Spine Arthritis Too
Recent MRI study of crohn’s colitis patients found 17/44 cases had evidence to sacroiliitis and 11 of these had back pain. HLA B27 is seen in 10% of the population. If present in any of the crohn’s patients (were in … Continue reading
Posted in Abdominal pain, Back Pain, Rheumatic
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