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Doctor insights on: Proctalgia Fugax Lupus

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How are proctalgia fugax and levator ani syndrome different?

How are proctalgia fugax and levator ani syndrome different?

Time: Both are spasms of the levator ani muscles. The difference is largely semantic related to timing and duration of the pain. ...Read more

Proctalgia Fugax (Definition)

A condition characterized by ...Read more


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What's the difference between proctalgia fugax and levator ani syndrome?

None: They are generally the same thing, just different terminology. ...Read more

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What is worse: chrons / ulcerative colitis?

Depends: Really depends on the severity, but the benefit with uc in severe cases there is a cure (ie total colectomy) where as with severe crohn's that is not the case. ...Read more

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What underlying conditions cause amaurosis fugax?

What underlying conditions cause amaurosis fugax?

Vascular problems: This is indicative of vascular blockage or insufficiency usually carotid artery disease.This needs urgent eval to prevent brain stroke. ...Read more

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What kind of doctor should I see for levator ani syndrome / proctalgia fugax?

What kind of doctor should I see for levator ani syndrome / proctalgia fugax?

See a: colorectal surgeon , first speak to your family doctor , may know some one who handles this type of problem ...Read more

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Is endometriosis related to irritable bowel sindrome?

Is endometriosis related to irritable bowel sindrome?

No: Irritable Bowel Syndrome is a disease of the intestines. It causes pain, cramping, diarrhea and/or constipation. Endometriosis is related to endometrial tissue implanted outside of the uterus. It can cause pain in the intestines if implanted in or on them. ...Read more

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Can somebody's colon cancer mimic irritable bowel syndrome symptoms?

Can somebody's colon cancer mimic irritable bowel syndrome symptoms?

Sometimes yes: Consult your doctor about your risks of cancer. Only way to know for sure is to get colonoscopy. ...Read more

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What is amaurosis fugax?

What is amaurosis fugax?

Momentary blindness: ... In one eye. Usually it is caused by constriction or temporary occlusion of the central retinal artery. ...Read more

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Positif ANA IF, Anti-B2 glicoprotein igM, anti-CMV igG, Lupus Anticoagulants, history of DVT. Dr suspect Antiphospholipid Syndrome (APS). Possible?

Positif ANA IF, Anti-B2 glicoprotein igM, anti-CMV igG, Lupus Anticoagulants, history of DVT. Dr suspect Antiphospholipid Syndrome (APS). Possible?

POSSIBLE: Your lab outcomes plus the prior DVT, seem consistent, but other labs may further assist such as changes in PTT. Might get additional opinion to confirm your diagnosis, and exclude other problems, but certainly antiphospholipid antibody syndrome seems high on list. ...Read more

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+ ANA 1280 homogenous/speckled, negative ena. Thinning hair, sun rash, joint pain, fatigue, paresthesias. Have blau syndrome/eos-can this cause ^ana?

+ ANA 1280 homogenous/speckled, negative ena. Thinning hair, sun rash, joint pain, fatigue, paresthesias. Have blau syndrome/eos-can this cause ^ana?

See details: As you well know, this is an extremely rare condition. I could find no specific mention of its association with a positive ANA but i suspect any chronic inflammatory disease, especially one with an inflammatory arthritis can have the ability to generate a positive ana. The best advice is to discuss this with your rheumatologist if you are seeing one. ...Read more

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Autoimmune symptoms (fatigue, joint/muscle pain, headaches, gastro issues, etc.)Tested for lupus. RNP was 2.5. No lupus. Rheum said restest. Thoughts?

Autoimmune symptoms (fatigue, joint/muscle pain, headaches, gastro issues, etc.)Tested for lupus. RNP was 2.5. No lupus. Rheum said restest. Thoughts?

These are not: specific to autoimmune disease. Lupus would have specific and fairly severe and quite noticeable symptoms. http://www.lupus.org/answers/entry/what-is-lupus ...Read more

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What are/is ulcerative colitis?

What are/is ulcerative colitis?

Inflammatory : Condition of unknown cause that causes cramps, diarrhea sometimes bloody, and GI absorption problems. Treatment requires anti-inflammatory drugs and sometimes even surgery. Complicated issue that is impossible to discuss in limited space here. ...Read more

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What is functional rectal pain syndrome?

What is functional rectal pain syndrome?

Levator syndrome: Functional rectal pain syndrome is pain in the pelvic floor without any obvious abnormality. There are a couple of different types, but levator syndrome is the most common. Patients complain of severe pain, often on one side. It usually comes and goes, rather than being there all the time. Workup usually doesn't show anything obviously wrong. Some patients have tenderness or muscle spasm. ...Read more

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Mild Psoriasis sufferer, chronic pain right forarm & elbow. Blood tests 80 titre ana, positive anticentromere. Psoriatic arthritis or scleroderma?

Mild Psoriasis sufferer, chronic pain right forarm & elbow. Blood tests 80 titre ana, positive anticentromere. Psoriatic arthritis or scleroderma?

Occam's Razor: Usually Systemic Sclerosis and/or limited Scleroderma is not characterized by arthritis like you describe. The typical biomarker the anti Scl-70 (anti-topoisermorase). Symptoms have to be put into context and better described than elbow and forearm pain. This one you should see a rheumatologist about. Dermatology would be useful as well. Best of luck! ...Read more

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Ana positive, 1:320 centromere pattern. Some joint pain, some swelling, fatigue. Could I have lupus or scleroderma?

Ana positive, 1:320 centromere pattern.  Some joint pain, some swelling, fatigue.  Could I have lupus or scleroderma?

See below: Lab results need to be interpreted in the clinical context and the doctor who ordered the test is usually in the best position to do that. The information you provided suggests scleroderma/crest. See this site for more info and discuss with your doctor. http://www.mayoclinic.com/health/scleroderma/ds00362. ...Read more

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Pudenal neuralgia, ddd, fibroids , l4-l6 damage, chronic pelvic pain, cervical stenosis, cyst on ovary, cervical radidiculitis to name a few. Opioids?

Pudenal neuralgia, ddd, fibroids , l4-l6 damage, chronic pelvic pain, cervical stenosis, cyst on ovary, cervical radidiculitis to name a few. Opioids?

At part of a pain: Control program, perhaps. Opioids should virtually never be the sole response to chronic pain. Neuropathic pain may respond to other treatments like gabapentin, Gabitril (tiagabine) and tricyclic antidepressants in low doses. Hormonal treatment may improve pelvic pain, myomectomy stop fibroid related problems. Opioids produce physical dependency, may cause rebound pain (hyperalgesia) and addiction in some. ...Read more

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Is there a vascular disorder that causes severe raynauds w/ digital ischemic, partial adrenal insuff, and multi-wk episodes of ovarian failure, carb intol, bradycardia, & sev. Constip (sibo etc.)?

Is there a vascular disorder that causes severe raynauds w/ digital ischemic, partial adrenal insuff, and multi-wk episodes of ovarian failure, carb intol, bradycardia, & sev. Constip (sibo etc.)?

Check out endocrine : These systemic issues would seem to hint of more than a vascular disorder. Would look into your endocrine system (hormones), as features of adrenal insufficiency, and thyroid insufficiency (bradycardia and constipation) seem to be at play (pituitary might be the common denominator). Raynauds canoccurfora for primary or secondary reasons. In absence of a known ctd, shd rule out hormone issues. ...Read more

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