Persistent Somatoform Pain Disorder 2 in Case | Breast Pain Blog

Somatoform Disorder

A technical executive with 52 years of making an application for disability retirement because of chronic pain. Freiburger list and the short version of Giessen Complaint arc he reached a high degree of severity of pain in almost all areas covered. Various specialists can find the cause of his discomfort organic require somatoform pain disorder is assumed. He is always sick, why he has so often in the past two years on sick leave, he immediately had to take into account termination and subsequent unemployment if he can not get a pension. He suffered for at least three years, primarily from back pain, neck pain, joint pain and abdominal pain. In addition to pain killers antidepressants him from her neurologist. He was really depressed for a long time because he wished that he had would belong to the next worker because of his age who wants to reduce his company. Although he had previously been very tense, which he visited masseuse confirmed, but for several years it was very bad. Of history proved that the wife had been diagnosed with breast cancer four years ago and had relapsed six months ago. These can be symptoms of somatoform pain also strengthened as demotivation in the workplace, where he had lost a previous job with the company's restructuring. A decline in cognitive performance and Mnemic where patients have complained to the neurological examination done before, is the psychological examination is not visible, but sensorimotor retardation and poor sustained attention capacity.

A woman 35 years complained for three years on chronic pelvic pain. You have visited a total of five gynecologists in the course of time, but no one could help her. They continue to draw a pain in the abdomen and lower waist without organic cause, which has once again, sometimes less obvious. In addition, they suffer in varying degrees from headaches, back pain, circulatory problems, loss of libido and pain during sexual intercourse. A female doctor who persuaded him to psychotherapy, although he could not imagine what it would be changed by it. It turns out her husband for several years now have alcohol addiction treatment without insight. He wanted to sleep more often drunk with it. He could not escape him, because when they have tried this once, he had beaten her. They endure all just because kids. You can also financial reasons, but also separate.

Pain Disorder - Chronic Pain | Breast Pain Blog

Fibromyalgia

As part of my work in the field of psychosomatic medicine State Psychiatric Hospital Wagner-Jauregg in Linz, Austria, since 2002 I have specialized in addition to the treatment of eating disorders, especially in the treatment (SFD) pain disorders. In contrast to patients with anxiety disorders, fatigue and depression almost people come up with what is called "persistent somatoform pain disorder" in my practice. This may be related to the fact that people with chronic pain - even if it does not find a specialist or not there is significant reason for this - can not imagine that the psychological and social factors that cause pain at the tumor boundary, maintain, reinforce and exacerbate.

The following report is intended to give of my book "Somatoform Disorders" better understanding (SFD) pain disorders.

Persistent somatoform pain disorder

A 39-year experience with car repairs in a traffic accident. He got up in the fog on the already squeezed together car and pinned in her car. Because he was wearing a seat belt, worse can be prevented. As it turned out, he did not sprain his right leg and injured. He is always awake. The biggest problem is the uncertainty on the one hand how hard it got him on the other hand, the total narrowing with the feeling that there is no air. He had to wait half an hour to be carved out of the car was a fireman. At the hospital bothering especially foot sprains and abrasions illness but rather unbearable in the chest area. He believes that there are no broken ribs, it hardly. The next day he tells visitors at the hospital accident. He got cramps in the chest area with radiating pain in the left arm. He thought he had a heart attack and developed a fear of death. Organic causes for this attack could not be found. Then he repeatedly complained of severe pain in the chest, which does not have an organic cause also in subsequent studies in other hospitals. Due to the ongoing chest pain, he two months sick leave until he went to work for fear of losing their jobs again. She began taking painkillers increased so far. At night he needed even sleeping pills, because if not, it will not hurt thin and could sleep. After half a year, chest pain is still there, often in conjunction with neck pain. A drug does not bring improvement, and treatment by specialist doctors and masseurs do not cause lasting pain.

What are some symptoms to look for? | Breast Pain Blog

Chest pain may start in the chest and spreads to the throat, jaw, shoulder or arm (left or right).

Chest pain may be sharp or burning. You may experience a feeling of heaviness or tightness in the chest. You may experience nausea, sweating, dizziness or associated with chest pain. It also can cause the sensation of breathlessness.

Palpitations

Chest pain may spread to the stomach and feel like indigestion.

You may feel palpitations instead of pain.

Some people may feel chest pain was excruciating and others may experience mild discomfort. The severity of pain does not indicate how severe the damage to the heart muscle.

What you can do:

The goal is to reduce chest pain caused.

If the chest pain due to musculoskeletal problems such as muscle tension, it is possible that you can find the area where the pain is more intense. Taking anti-inflammatory drugs (such as ibuprofen) together with the local application of heat for about 20 minutes at a time, 3 or 4 times a day can help.

If you experience chest pain due to lung problems such as pneumonia or pleurisy, the doctor may prescribe antibiotics to treat the infection. Also, you have to be hospitalized, according to the severity of the problem.

If you experience chest pain due to anemia, your doctor may order a blood transfusion, according to the symptoms.

If the chest pain due to coronary artery spasm, you may be prescribed medication to control the discomfort. These include nitrates, such as nitroglycerin, which works by increasing blood flow to the heart. Nitrates also reduces the workload of the heart by dilating (opening) of the artery.

If you smoke, quit. Smoking can increase the likelihood of developing chest pain and heart disease.

Make exercise under the supervision of a physician. Walking, swimming or moderate aerobic activity can help you lose weight and increase the flow of oxygen in the lungs and blood.

Tell a member of a team of doctors and health care you have atiendiendo him ,, any medicine that you are taking (including over-the-counter medicines, vitamins or herbal remedies).

Tell your oya physician members of the medical team that atiendiendo this, if you have a history of diabetes, liver disease, kidney or heart. Check your heart disease, hypertension and diabetes to reduce the likelihood of chest pain. Talk with your doctor.

If often happens, make a note of your chest pain. Write down the food eaten, exercise or activity you do when it appears chest pain and how you feel before symptoms appear. This diary may be valuable in determining the cause of chest pain.