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Doctor insights on: Nursing Diagnosis Pain Related To

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Remedy for neck pain and ear pain due to refer pain? Any immediate assistance would be appreciated.

Remedy for neck pain and ear pain due to refer pain? Any immediate assistance would be appreciated.

Ibuprofen: To begin with I would try Ibuprofen. As long as there are no neurological symptoms this would be the first step. Warm compresses help too. If symptoms persist, you need to go in and have it assessed. ...Read more

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Is unrelenting trauma pain possibly connected to ms?

Is unrelenting trauma pain possibly connected to ms?

My opinion: Trauma does not cause ms, but pain occurs in 90% plus patients, and if unrelenting pain, need to have a pain specialist get involved. I have never had an ms patient who developed a chronic pain syndrome from their ms, but have seen numerous chronic pain pts who developed complex regional pain syndrome or fibromyalgia. ...Read more

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Is stress a go to diagnosis? Why wouldn't a doctor invesigate severe back/chest pain and sob beyond cardiac issues? 30 and in severe pain daily

Is stress a go to diagnosis? Why wouldn't a doctor invesigate severe back/chest pain and sob beyond cardiac issues? 30 and in severe pain daily

Yes: Stress can worse or mimic many organic disease diagnosis. But diagnosis of chronic pain, like, fibromyalgia, can worse with sever unrecognized stress. We, physicians, tend to ruled out organic conditions first, them look into psychosomatic relationship to symptoms. ...Read more

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What is the best type (genre/specialty) of doctor to see for help in resolving non-cardiac chest pain due to musculoskeletal or tension issues?

General doctor: See your general doctor. You don't need a specialist for that. The pain will go away soon. If it recurs and it's again due to tension, you may need to discuss this with a psychiatrist - to manage stress in your life. ...Read more

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A lot of mysterious musculoskeletal pains. Suspects to be chronic pain syndrome. Should I see neurologist, psychiatrist, pain management, rheumatolog?

A lot of mysterious musculoskeletal pains.  Suspects to be chronic pain syndrome. Should I see neurologist, psychiatrist, pain management, rheumatolog?

Holistic/Integrative: I advise you see a holistic/integrative MD to determine the underlying causes. I would suspect chronic Lyme disease, which is common in NY but often not properly diagnosed. Even if not Lyme a holistic MD will do a thorough evaluation and refer you to appropriate specialists. See http://www.lymedisease.org/lyme101/lyme_disease/lyme_disease.html and http://www.abihm.org/search-doctors ...Read more

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Chronic muscle pain unk etiol. I need help to find a cause and pain relief protocol needed as it is severe, what can be done?

M any possibilities: Chronic muscle pain can come from many sources, the most famous of which is fibromyalgia. Unfortunately, there is no test to prove this diagnosis but instead you doctor needs to rule out the other suspects first. If this does end up to be fibromyalgia, avoid narcotic-based pain medications in your protocol. They do little for this type of pain. ...Read more

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Is back pain related to costochondrtitis ?

Generally no: When people are referring to costochondritis, they are generally talking about the cartilage in front attacked to the ribs and sternum. Usually it presents as chest pain. I am unaware of it presented as isolated back. It is possible mechanical changes indirectly effect the back. Also an inflammatory process like a rheumatologic process could effect both independently. ...Read more

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Having exploratory lap for chronic right pelvic pain. Will lap cause scar tissue problems later on? What to figure things out, not add to the prob.

Having exploratory lap for chronic right pelvic pain. Will lap cause scar tissue problems later on? What to figure things out, not add to the prob.

Scar tissue: Scar tissue can occur post incision after any operation in the process of healing. Minimally invasive surgical techniques can mitigate that problem such as Laparoscopy for assessment of the chronic pelvic pain. ...Read more

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Is it possible for back pain to be related to dental pain?

Is it possible for back pain to be related to dental pain?

No: No. I've never seen back pain related to dental disease in over 30 years of practice. However if you suspect a relationship, see your dentist to make sure you have no dental disease. ...Read more

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Can cervical nerve irritation cause throat/facial/neck/shoulder pain. Booked for esi and scared. Want to be sure it's right treatment. Unknown cause?

Can cervical nerve irritation cause throat/facial/neck/shoulder pain. Booked for esi and scared. Want to be sure it's right treatment. Unknown cause?

Neck Injection: Esi can be excellent, efficient, safe treatment solutions. A small dose of steroid can be directed specifically where it is needed, safely under visual guidance. At the neck, the structures are fairly superficial so you should barely notice what goes on during the injection. Regarding the diagnosis-i need more space to address that. Still scared, ask questions. ...Read more

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Can someone describe shoulder pain related to liver/gallbladder problems?

Can someone describe shoulder pain related to liver/gallbladder problems?

Referred pain: Right-shoulder pain due to the liver has been described as: achy, constant, changes with breathing, sharp. In one study, patients that underwent liver biopsy had more pain referred to the r-shoulder than localized right upper abdominal quadrant pain. They concluded that r-shoulder pain is likely to be a viscerosomatic referred pain, rather than a reflection of complication such as bleeding. ...Read more

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Chronic dyspnea not related to the activity!. And sort of dysphagia. Upper abdominal discomfort. Any suggestion or advice? Investigations?

Chronic dyspnea not related to the activity!. And sort of dysphagia. Upper abdominal discomfort. Any suggestion or advice? Investigations?

Chronic dysphagia: Chronic dyspepsia (abdominal discomfort) and dysphagia (swallowing difficulty) may be caused by acid reflux among other things. You may need an x-ray of or a scope passed into the stomach to further evaluate this. Check with your doctor on how best to proceed. ...Read more

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Is it normal to not be able to find a cause of chronic neuropathic pain? Had mri's, ct, ultrasound, x-ray, blood tests & seen pain consultant

Is it normal to not be able to find a cause of chronic neuropathic pain?  Had mri's, ct, ultrasound, x-ray, blood tests & seen pain consultant

Not abnormal: It is not abnormal, as even with all the technology we have in the field of medicine, we can not always find a definitive cause for a persons pain, in your case neuropathy. I assume diabetes, a post herpetic neuralgia case, nerve impingement syndromes, lymes disease, ricketsial infections, etc were all ruled out. See a neurologist if you have not already. Best wishes. ...Read more

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Can't sleep due to suspected endometriosis pain. Close to tears. 525mg of doctor prescribed Naproxen not working. Please help!

Can't sleep due to suspected endometriosis pain. Close to tears. 525mg of doctor prescribed Naproxen not working. Please help!

Perhaps Pot: Inveterate "endometriosis" pain is anecdotally ameliorated by medicinal cannabis. Sufferer might see a medicinal cannabis consultant physician, and to research indica strains highly concentrated with cannabinidiol, CBD's. If preparations taken which have not been heated greater than about 200 degrees Fahrenheit then the "high" is tempered. Edible canna-butters provide quasi-time release effects. ...Read more

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Is surgery the answer to most ongoing back or neck pain problems ?

Is surgery the answer to most ongoing back or neck pain problems ?

No: There are many far less invasive options. Surgery is far from always effective when it is performed. ...Read more

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How is unrelenting trauma pain possibly connected to mood?

How is unrelenting trauma pain possibly connected to mood?

Variable: Any form of chronic pain can effect mood and vice versa. It's become clear that chronic pain can lead to depression, anxiety etc. And treatments for depression can decrease pain. Ex. Cymbalta, (duloxetine) an "anti-depressant" medication has been shown to improve diabetic nerve pain. Optimal treatment of chronic pain often involves pain medications (of various types) and treatment of associated depression. ...Read more

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