Doctor insights on:
Nursing Diagnosis Pain Related To
Remedy for neck pain and ear pain due to refer pain? Any immediate assistance would be appreciated.
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
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
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
In chronic pain from stone in bile duct.What is the best pain med to take until i see a specialist? I will be asking for suggestion pain med fromp.C.P
Pain: There is no quick fix online. The pcp would be best bet. If urgent, go to er. ...Read more
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
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 moreSee 1 more doctor answer
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.
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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