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Topic: Pain Management

  1. Fact Sheet: Nocebo Effects: They can Impair Health Care

    215

    By: W. Grant Thompson, MD, FRCPC

    The placebo effect can enhance therapy, and promote a successful relationship between healer and patient. However, a treatment administered by a healer may also have a bad effect. Any treatment may have a predictable risk, but a nocebo effect denotes worsening beyond the known risk – the adverse effect of a failed therapeutic relationship. This can result in sub-optimal health care. An examination of its causes and ways to avoid it are discussed.

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  2. Fact Sheet: Sex Differences in Abdominal Pain

    223

    By: Elie D. Al-Chaer, MS, PhD, JD

    Experimental and clinical studies highlight the existence of sex-related differences in the perception of and responsiveness to painful stimuli. Sex-related differences in pain processing and responsiveness in general have been documented in experimental studies using animal models, and pain is experienced differently by men and women.  Sex-related differences have also emerged in the search for new IBS-specific medications.

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  3. Fact Sheet: Report from IFFGD Research Award Winner: Role of the Central Immune System in Functional Disorders

    225

    By: Sylvie Bradesi, PhD

    A new concept of activation of immune cells within the central nervous system (CNS), including the brain and the spinal cord, has been proposed as a major factor contributing to the generation and maintenance of chronic pain.

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  4. Fact Sheet: Irritable Bowel Syndrome (IBS), Heartburn, Dyspepsia: What’s the Difference?

    226

    By: W. Grant Thompson, MD, FRCPC

    The anatomical diseases Crohn’s, peptic ulcer, and esophagitis have functional counterparts with some similar symptoms; irritable bowel syndrome (IBS), dyspepsia, and functional heartburn, but these cannot be identified by x-ray or gastroscopy. Thus, for the diagnosis of these functional disorders doctors must rely entirely upon the patient’s description of his or her symptoms.

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  5. Fact Sheet: Is Constipation and Bloating Related to Menstrual Periods?

    239

    By: Peter J. Whorwell, MD

    This Clinical Corner article discusses how constipation and bloating are affected by menstruation, especially in women with IBS, and offers some tips for controlling the bowel symptoms and the pain.

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  6. Fact Sheet: Report from IFFGD Research Award Winner: Chronic Pelvic Pain and the Overlap of Chronic Pelvic Pain Disorders

    315

    By: Michael Pezzone, MD, PhD

    Report from IFFGD Research Award Winner – Chronic pelvic pain (CPP) is the key element comprising several disorders that are all characterized by intermittent or continuous pain of at least 6 months duration localized to the pelvic area, the lower part of the abdominal cavity. Bowel, lower urinary tract, sexual, and/or gynecologic function are often affected. Chronic pelvic pain disorders affect 15% of both men and women, and include disorders such as irritable bowel syndrome (IBS); interstitial cystitis (IC); chronic inflammation of the prostate gland; rectal pain that lasts for hours or even days; and vulvodynia. A discussion of "cross-sensitization," whereby acute or chronic irritation of one pelvic organ can lead to abnormal activity, sensitivity, or even inflammation in another, non-irritated organ or structure.

     

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  7. Fact Sheet: Unexplained Chest Pain: It May Be In The Esophagus

    517

    By: Philip O. Katz, MD, FACP, FACG

    Unexplained chest pain (UCP) located in the mid-chest area behind the breastbone (substernal) is a common problem seen in clinical practice. UCP causes anxiety for both patient and physician because of the uncertainty regarding possible underlying coronary artery disease. This phenomenon is frequently called "non-cardiac" pain; however, the term "UCP" is preferred because even patients with normal coronary arteries will occasionally have evidence of reduced blood supply to the heart (myocardial ischemia).

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  8. Fact Sheet: Gallstones: What to do?

    521

    By: W. Grant Thompson, MD, FRCPC

    Gallstones are present in 20% of women and 8% of men over the age of 40 in the United States. Most are unaware of their presence, and the consensus is that if they are not causing trouble, they should be left in place. Nevertheless, gallbladder removal (which surgeons awkwardly call cholecystectomy) is one of the most common surgical procedures. A discussion of symptoms, complications, and treatment. 

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  9. DHM: Digestive Health Matters Vol 21 Issue 4 - ELECTRONIC PDF

    661

    By: International Foundation for Functional Gastrointestinal Disorders IFFGD

    In this issue:

    • IBS Awareness Month
    • What are Functional GI and Motility Disorders
    • An 8-step Approach to Chronic Pain Management
    • Sphincter of Oddi Dysfunction
    • Short Bowel Syndrome
    • Selecting a CAM Practitioner
    • Community News
    • Treatment News

    Remember, Digestive Health Matters is FREE to Members.

    Non-Member Price: $3.95 Add Item to Cart
  10. DHM: Digestive Health Matters Vol 20 Issue 4 - ELECTRONIC PDF

    665

    By: International Foundation for Functional Gastrointestinal Disorders IFFGD

    In this issue:

    • Searching for Cures for Children with Functional GI & Motility Disorders
    • What an Awesome Machine: the Digestive System
    • Research News
      • Abdominal Pain-related GI Disorders in Children
      • Opioids Increasingly Prescribed for Chronic Abdominal Pain in Adults
      • Study Looks at Diagnostic Practices for Chronic Nausea and Vomiting
      • Gastroparesis May Occur Less Often Than Thought in People with Diabetes
      • Simple Breathing Exercises May Help GERD
      • Focusing Attention on Rare Diseases
    • You can Help Reduce Heartburn by Burning Calories
    • Books of Interest
    • Treatment News
    • Buying Health Products and Services Online
    • Professional Announcements
      • ANMS Postgraduate Course
      • Joint International Neurogastroenterology and Motility Meeting
      • IFFGD Seeking Applications for 2013 Research Awards
      • Save the Date - IFFGD Professional Symposium
    • IFFGD in Action
      • Make the Functional GI & Motility Disorders Research Enhancement Act the Law
      • Capitol Hill Briefing: Chronic Disease and Veterans Deployment Overseas
      • Fiscal Year 2012 Federal Budget Provisions and Digestive Health
      • Take Part in IFFGD Digestive Health Advocacy Day 2012

    Remember, Digestive Health Matters is FREE to Members.

    Non-Member Price: $3.95 Add Item to Cart
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