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 Questions | Breast Pain Blog

Questions to ask might include:

If symptoms occur gradually or suddenly appear episode? Am I worried? Doing some activity or resting?

a health family history

If you have a family history of heart disease, stroke, high blood cholesterol or high blood pressure, you may be at risk for certain conditions. Tell your doctor if you have a history of any disease in your family.

If you are prescribed medication to treat this disorder, do not stop taking unless your doctor tells you. Take medications exactly as prescribed. Do not share your medicine with anyone.

If you miss a dose of your medicine, ask your doctor what to do.

Use relaxation techniques to reduce the volume ansiedad.fs If you feel anxious, go to a quiet room and close your eyes. Breathe deeply, slowly and steadily, and try to concentrate on things that have been laid in the past.

If you experience symptoms or side effects, especially if severe, be sure to discuss with your doctor or medical team members atiendiendo this. They can prescribe medications and / or other effective advised to address the problem.

Keep all appointments for treatment.

Medicine doctor may prescribe:

The doctor may prescribe certain medications to help the heart muscle work more effectively, or to control the symptoms. These medications can register your doctor may prescribe certain medications to help the heart muscle work more effectively, or to control the symptoms. These may include:

ACE inhibitors: These drugs work by opening or dilate the arteries. They lower blood pressure and increase blood flow to the kidneys and throughout the body. Your health care provider may also prescribe these medications if you have diabetes or protein in the urine, to protect the kidneys. Some examples of this medication may include: maleate enalapril (Vasotec), lisinopril (Zestril) and sodium fosinopril (Monopril)

Antacids: if you feel stomach pain, which can cause chest pain, the health care provider may prescribe antacids such as Mylanta.

Antianxiety drugs: If the chest pain caused by anxiety, the doctor may prescribe anti-anxiety medication, called an anxiolytic. These drugs help you relax. Among them are: lorazepam (Ativan) and alprazolam (Xanax®). It is important to take these medications only when you feel anxious. While taking this medication, do not operate heavy machinery or drive a car. If you do not control the symptoms, consult your doctor.

Aspirin: ssegún your overall health and the type and severity of your arrhythmia, your healthcare provider may prescribe aspirin as a "blood thinner". Aspirin works by preventing blood platelets from forming clots (antiplatelet effect).

Beta blockers: can be used to lower the heart rate and increases blood flow throughout the body. Can take if you have been diagnosed with an irregular heartbeat or blood pressure. Some examples of this medication may include: metoprolol (Lopressor), propranolol (Inderal) and atenolol (Tenormin).

Blockers, calcium channel blockers: These drugs can be given to treat chest pain, high blood pressure or irregular heartbeats. Some common drugs include verapamil hydrochloride (Calan®) and diltiazem (Dilacor XR).

Nitrates such as nitroglycerin, work to improve Sanguino flow to the heart. They also reduce the workload of the heart dilate (widen) the arteries. It may take nitrates for chest pain episode, if your doctor has determined that it is safe.

Anti-inflammatory agents (NSAIDs) such as naproxen sodium and ibuprofen, may provide relief of musculoskeletal pain. If NSAIDs should be avoided because of their type of cancer or chemotherapy you receive, acetaminophen (Tylenol ®) up to 400 mg per day (two tablets reinforced every 6 hours) may help. It is important not to exceed the recommended daily dose of Tylenol, as it may cause liver damage. Consult with your doctor.

Do not stop any medication abruptly, because it can cause serious side effects

When to call your doctor or health care provider:

Fever of 38 ° C (100.5 ° F), chills, sore throat (possible signs of infection).

If you sweat a lot with chest pain, or if you are taking medication to treat chest pain, seek emergency help if pain is not relieved by nitroglycerin despite taking 3 pills each time, every 5 minutes. Also, tell your doctor if:

Feel very fast heart beat (palpitations) and have not felt this before

Note any skin rash, especially if you have recently changed medications

Seeing no unusual swelling in the legs or feet

Weight gain of more than 1.5 kg to 2.5 kg in a week.

Note: We recommend that you talk with your doctor about your condition and treatment. The information presented here is only for practical and educational purposes, and does not replace the advice of your doctor.

Breast Disease (Benign) | BreastPainBlog.blogspot.com

Mastitis Causes milk stasis of secretions

Mastitis - swelling, nodules, cysts

Breast disease is benign breast changes that occur in fertile age. Chest here shows the various types of changes that can be expressed in swelling, nodules, cysts and painful symptoms. During scanning can kirschkern large chest, determine undefined, the node moves, the chest is often sensitive to touch. In rare cases, fluid can leak from the nipple. These changes are almost always present in both breasts.

The emergence of fibrocystic breast disease

To the emergence of fibrocystic breast disease, a hormone dysregulation, more precisely, the lack of simultaneous excess estrogen progesterone is responsible. Excess estrogen in the network can at times cause this type of inflammatory response.

Due to increased estrogen levels it takes about a week before menstruation painful swelling of the breasts. The pain may spread to the shoulder area. In contrast to fibroadenomas, this is not the original, newly formed growth (tumor). With the onset of menopausal complaints and changes mastopathischen end formed mainly back.

If in mastopathy gland cells grow more, they can also produce an increase in the amount of liquid. As a result, many small cysts often arise in the lobules. Form of the disease is called "cystic mastopathy." Are mainly influenced by an overgrowth of connective tissue called "fibrous mastopathy". The most common is a combination of the two forms, called "fibro-cystic mastopathy." Almost every woman between 35 and 55 years more or less affected by this change. Symptoms appear very different from woman to woman.