Doctor insights on:
Visceral Vs Parietal Pain
Multiple pathologies: Inflammation of the pleura, pleurisy, may be due to infections in the pleural cavity or overlying lung. There is generally inflammation of the pleura overlying lung infarcts. Auto-immune diseases, e.g., lupus can also cause inflammation of pleura. Pleurisy of apparent unknown cause should be treated as tuberculosis unless proven otherwise. ...Read more
how can pleura thickening cause pain if it originates on the visceral layer which isn't sensitive to pain?
Pleural innervation: It's true that the visceral layer of pleura has no sensory innervation. But the other layer of pleura -- the parietal pleura -- is continuous with the visceral one and lines the inside of the chest. This parietal pleura is richly innervated via intercostal and phrenic nerves, and is very painful when injured or inflamed. Ask anyone who's been awake while receiving a chest tube. ...Read moreSee 1 more doctor answer
Sharp, localised pain on top of head, about 10 degrees from the centre, in a slight indentation of my parietal bone. Recurrent for a few days. Cause?
Unknown: Have you had any trauma? Have you hit your head or hit the area around it. There is no specifc reason from the history thus given. Is there any redness of the scalp to make one think of infection. See your doctor. ...Read more
What is visceral hypersensitivity and its cause. Can it be the same as chronic continuous IBS pain? What are the latest treatment options available?
Close, but...: Visceral hypersensitivity is believed to be one mechanism thru which ibs manifests--but there are many, each representing a target for possible treatments. Effective therapeutic options include: receptor-mediators, various antidepressants, motility-acting agents, non-pharmacologic approaches, more. Distinction of ibs from organic pathology is critical. As to your "continous pain", don't you sleep? ...Read more
? TMJ: This sounds like a muscle tension problem, and one of the features of temporomandibular joint syndrome is pain associated with swallowing. The jaw hinge joint, or TMJ, is very susceptible to stress and effects from muscle tension. I suspect the muscle overlying the scalp area you describe is being affected. Practice relaxation techniques and see dentist for help with TMJ syndrome. Good wishes:) ...Read more
Dear doctor, why doesn't pleural plaques cause chest pain if they originate in the parietal layer?
Pleural plaques: Are fibrous tissues once seen and not inflammatory processes that can cause stickiness of the pleural surfaces. Like most scars that we have, the nerves in that area is either destroyed or not exposed, (try to touch your scar). And hence there is no pain. There are those who do feel persistent pain. ...Read more
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