A diagnosis of dysautonomia sheds new light on Sarah ’s pain

Sarah Fishman exudes vivaciousness and warmth. When describing her favorite activities, mainly swimming and rugby, her energy is infectious. It is hard to imagine that someone as lively as Sarah has been suffering from chronic pain her whole life. Since she was little, Sarah has struggled with Irritable Bowel Syndrome (IBS), a common intestinal disorder that causes stomach pain and colon issues. However, it wasn’t until her junior year of college that she started experiencing symptoms that were no longer recognizable. “My local gastroenterologist kept giving me treatments that weren’t doing anything,” Sarah remembers. “So it kind of occurred to me and my parents after a while that maybe this is more of a brain-thing than a stomach-thing.” Sarah started experiencing extreme fatigue, nausea, and vertigo. She tried to write off her symptoms as normal bodily functions, but when the migraines started, she knew something was indisputably wrong. A second opinion from Boston Children’s Hospital Searching for the cause of her new symptoms, Sarah made an appointment with Dr. Alyssa Lebel in the Headache Program at Boston Children’s Hospital. Sarah’s migraines, in addition to her other symptoms, were a key sign to Lebel that something was awry in her autonomic nervous system (ANS). The ANS controls the body’s vital signs, including internal temperature, breathing patterns, blood pressure, heart rate, digestion, and pupil dilati...
Source: Thrive, Children's Hospital Boston - Category: Pediatrics Authors: Tags: Our Patients’ Stories Alyssa Lebel dysautonomia headaches irritable bowel syndrome Source Type: news

Related Links:

Publication date: Available online 20 July 2018Source: The LancetAuthor(s): Fatima Marinho, Valéria Maria de Azeredo Passos, Deborah Carvalho Malta, Elizabeth Barboza França, Daisy M X Abreu, Valdelaine E M Araújo, Maria Teresa Bustamante-Teixeira, Paulo A M Camargos, Carolina Cândida da Cunha, Bruce Bartholow Duncan, Mariana Santos Felisbino-Mendes, Maximiliano Ribeiro Guerra, Mark D C Guimaraes, Paulo A Lotufo, Wagner Marcenes, Patricia Pereira Vasconcelos Oliveira, Marcel de Moares Pedroso, Antonio L Ribeiro, Maria Inês Schmidt, Renato Azeredo TeixeiraSummaryBackgroundPolitical, economic...
Source: The Lancet - Category: General Medicine Source Type: research
ConclusionThis endoscopy-based study revealed the most common histology of benign SB tumors were hamartoma and adenoma, and malignant ones were lymphomas, GISTs, adenocarcinomas and metastatic cancers. Most of them were male gender, except for GISTs, and with proximal location, except for lymphomas. Further large-scale investigation efforts are warranted to elucidate the epidemiology of SB tumors.
Source: Journal of the Formosan Medical Association - Category: General Medicine Source Type: research
A literature analysis shows ketamine is as effective as morphine for short-term pain relief in emergency departments but had more nonsevere side effects.Medscape Medical News
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Emergency Medicine News Source Type: news
Authors: Ismail FW, Abid S, Awan S, Lubna F Abstract BACKGROUND AND STUDY AIMS: Food hypersensitivity (FH), irritable bowel syndrome (IBS) and functional dyspepsia (FD) have many overlapping symptoms, including abdominal discomfort, bloating, and altered bowel habits. We aimed to determine the frequency of FH in patients with IBS and functional FD. PATIENTS AND METHODS: Adult patients of either gender diagnosed with IBS and/or FD as per the Rome III criteria were recruited. Patients underwent serological testing against 6 food allergens: beef, shrimp, egg white, milk, peanut, and soy-bean. Those testing positiv...
Source: Acta Gastro-Enterologica Belgica - Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research
Bayer announced Friday that it will no longer sell a controversial, permanent form of birth control that thousands of women say led to serious complications. Essure, a non-surgical sterilization device that is inserted into the fallopian tubes and prevents pregnancy by producing scar tissue that blocks sperm from fertilizing eggs, will no longer be available in the U.S. after December 31, 2018, Bayer announced in a statement. “This decision is based on a decline in U.S. sales of Essure in recent years and the conclusion that the Essure business is no longer sustainable,” the statement reads. While Bayer mainta...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized healthytime medicine onetime Source Type: news
CONCLUSION: This small study showed that visual distraction should be considered as a simple and cost-effective alternative to local anaesthetic for flexible laryngoscopy. PMID: 30022747 [PubMed - as supplied by publisher]
Source: Journal of Laryngology and Otology - Category: ENT & OMF Tags: J Laryngol Otol Source Type: research
This study evaluated the magnetic resonance imaging scans of the brain from a cohort of patients with visual vertigo, and compared the outcomes to an age- and gender-matched group of healthy volunteers.Results and conclusionWhite matter lesions were observed in 17.9 per cent of the patient group and in 16.3 per cent of the control group. The prevalence of white matter lesions in the patient group was not too different to that expected based on age. PMID: 30019667 [PubMed - in process]
Source: Journal of Laryngology and Otology - Category: ENT & OMF Tags: J Laryngol Otol Source Type: research
Authors: Mukawa K, Higuchi D, Furuyama C, Baba K Abstract PURPOSE: To investigate whether pretreatment patient-related factors are associated with the outcomes of dental implant treatment through multidimensional evaluations of oral health-related quality of life and health-related quality of life using the Oral Health Impact Profile (OHIP) and the 36-Item Short Form Health Survey (SF-36) developed from the Medical Outcomes Study, respectively. MATERIALS AND METHODS: Oral health-related quality of life was evaluated using the Japanese version of the OHIP, and health-related quality of life was evaluated using s...
Source: International Journal of Oral and Maxillofacial Implants - Category: ENT & OMF Tags: Int J Oral Maxillofac Implants Source Type: research
The FDA said today that Bayer will no longer sell or distribute its Essure permanent birth control device in the US, effective December 31. FDA Commissioner Scott Gottlieb said the action follows a “series of earlier actions that the FDA took to address the reports of serious adverse events associated with its use,” according to an FDA release. “For women who have received an Essure implant, the postmarket safety of Essure will continue to be a top priority for the FDA. We expect Bayer to meet its postmarket obligations concerning this device,” Gottlieb said in a prepared statement. In April, the fe...
Source: Mass Device - Category: Medical Devices Authors: Tags: Regulatory/Compliance Women's Health Bayer Source Type: news
Low-dose intravenous ketamine ( ≤0.5 mg/kg) is as effective as opioids at reducing acute pain in adults who present to an emergency department (ED), suggests ameta-analysis published in the journalAcademic Emergency Medicine.“For patients with opioid use disorders or substance use disorders that require a potent analgesic in the ED such as a narcotic, ketamine may be a favorable option compared to an opioid,” wrote Nicholas Karlow, M.P.H.S., of the Washington University School of Medicine and colleagues.According to the authors, acute pain is one of the most common causes of ED presentations, with up to 78% ...
Source: Psychiatr News - Category: Psychiatry Tags: Academic Emergency Medicine acute pain emergency department ketamine Nicholas Karlow opioids Source Type: research
More News: Acupuncture | Blogging | Brain | Cardiology | Children | Chronic Pain | Gastroenterology | Graduation | Headache | Heart | Hospitals | Irritable Bowel Syndrome | Learning | Migraine | National Institute for Health and Clinical Excelle | Neurology | Pain | Pain Management | Sports Medicine | Study | Universities & Medical Training | Vertigo