By Ellen GreenlawWebMD Feature

One member of WebMD’s fibromyalgia community wonders if it’s possible that she has been misdiagnosed with fibromyalgia. “My pain is centered in my lower back. I was under the impression that fibromyalgia affects the whole body,” she says. she has back spasms and can’t sit for an extended amount of time. some days her spine is tender to the touch. A set of X-rays showed she had a curvature in her spine and an MRI showed multiple bulging discs. but her doctor says her back pain is due to fibromyalgia, not the discs. “My doctor says the discs are not the problem,” she says. “Per my doctor, I have over 17 pressure points.”

Her other symptoms include extremely dry eyes, mostly in the morning. “Both eyes feel dry and feel as though there is something in them.” in addition, she has difficulty sleeping and often feels fatigued. she is taking pain medication and a medication for anxiety, but she is no longer doing any type of therapy because it caused too much strain on her back. she wonders if any other community members have experienced similar symptoms.

One man responds that he had a similar experience when he was first diagnosed with fibromyalgia. “My intro was just in my chest muscles — I thought I was having a heart attack at the time.” he suggests she see a rheumatologist, if she hasn’t already, for an accurate diagnosis. but he says it’s important to find a rheumatologist who is experienced in treating fibromyalgia. “Call around. your first question should be, ‘Does the doctor treat fibromyalgia?’ Unless you get a definite YES, keep dialing.”

Another community member agrees that the symptoms described sound like fibromyalgia. she says that in her experience, fibromyalgia symptoms can vary a lot from day to day. “I know that in the many years I have dealt with fibromyalgia that there aren’t many days that are the same or many areas of my body that acted or reacted the same time after time,” she says.

One member wonders how to find a doctor in her area who will diagnose fibromyalgia. “I live in the Louisville, Kentucky area and have yet to find any doctor within 100 miles who will diagnose or believe in fibromyalgia,” she says.

Two community members say that diagnosing fibromyalgia can be a long and frustrating process. one of them adds that it took her three years to get diagnosed.

Another woman suggests consulting with her primary care doctor and voicing her concerns about fibromyalgia. “You have to keep at it until someone listens,” she says. she suggests writing down a list of all her symptoms and giving the list to her doctor. “That way you don’t forget anything, and if you are shy or nervous then it is in plain English for the doctor to see. usually it starts the process of questions by the doctor.”

Two other community members also suggest trying to find a rheumatologist to diagnose fibromyalgia. they say that in their experience, rheumatologists generally seem to know the most about fibromyalgia and are more likely to diagnose it correctly. “Don’t give up, ever. keep asking until you have an answer and a diagnosis,” one says.

dear Dr. Gott: my 19-year-old grandson was diagnosed with Crohn’s disease two years ago. he has taken every medication I can imagine, including Humira injections into his stomach. At present, he is taking hyoscyamine and Apriso plus pain medication when it gets too severe. he has been to the hospital at least 15 times in the past two years and has seen at least six different doctors. we hope that you can help us. please.

dear Reader: Crohn’s disease is a type of inflammatory bowel disease (IBD). While there is no cure, today’s treatments can greatly reduce symptoms and may lead to long-term remission.

Common symptoms include diarrhea, abdominal pain and cramping, reduced appetite, weight loss, ulcers and blood in the stool. Those with severe Crohn’s, may also experience inflammation of the liver or bile ducts, arthritis, fever, fatigue, skin disorders and eye inflammation. Complications include bowel obstruction, malnutrition, anal fissures, ulcers, fistulas (an abnormal connection between different parts of the intestine). there is also an increased risk of colon cancer; however, the majority of sufferers never develop it.

Several types of treatment are available. The first type is anti-inflammatory drugs, such as the Apriso (mesalamine) as well as azulfidine and corticosteroids. Immune-system suppressors are also used, and Humira (adalimumab) is one. Antibiotics may be helpful in treating ulcers, abscesses and fistulas. Re-

searchers believe that antibiotics will reduce levels of harmful bacteria within the intestine, as well as suppress its immune system.

Commonly used medications include pain relievers, antidiarrheals, iron supplements, laxatives, vitamin B12 injections, calcium and vitamin D, and/or special diets, such as nutrients introduced directly into the veins, which can bypass the stomach and intestine.

If diet, lifestyle changes, medication and other treatment fail to relieve symptoms, surgery to remove a damaged portion, close fistulas or remove scar tissue may be recommended. At best, surgery can provide years of remission, but it will be temporary. nearly three-quarters of patients who undergo surgery will experience recurrence, with approximately half of them requiring a second procedure or more.

Write to Dr. Gott c/o United Media, 200 Madison Ave., Fourth Floor, New York, NY 10016.

dog food poisoning china – “drug And Drive” also should be Careful Driving during The dangerous Drug

Mr. Li purchased a family car. That day he was driving hit the road as usual, but I do not know how happened, he found signs suddenly disappeared, oncoming Car Flash … … traffic police survey the scene found that Mr. Lee’s car track in question. Mr Lee said he was a son fainted. However, he did not drink, then the problem lies in where? Doctors eventually helped him find the answer: “cough medicine containing codeine can cause patients and visual disturbances and sudden fatigue, feeling some pain medication will lead to dysfunction.” so, Mr. Li cough headache the past few days, he taking cough medicine and painkillers side-effects, so that the perpetrators of his unfortunate accident.

Antihistamines block the effects of a tissue receptor, used to treat flu symptoms such as stuffy nose, runny nose, sneezing, itching of the effect of preventing skin. currently, many studies have been taking the sedative effect of antihistamines disclosure of the driving behavior of the damage. being implemented, “The People’s Republic of China on Road Traffic Safety Law” clearly provides that “taking state control of psychotropic substances or narcotic drugs shall not drive a motor vehicle.” A fatal traffic accident about a survey of drug use: the drug after the driving population, used the incident antidepressant tranquilizers 97%, taking the cannabinoid antiemetic agent accident rate is 90%. another is the antihistamines, the accident rate was 72%. The drink driving accident rate is 87%. Many people do not realize the dangers of driving after drug, and in recent years, drugs and drive the rate of traffic accidents than drivers not taking the normal state of the driver to drive many times higher. after drug driving has become one of the main factors lead to accidents.

“Drug and drive” also should be careful driving during the dangerous drug

Shandong University Qilu Hospital, deputy director of the Institute of Clinical Pharmacology PhD supervisor GUO Rui-Chen told reporters, according to pharmaceutical scientists in the research and clinical practice, are known to have 10 categories, dozens of drivers to be used with caution drugs, including hypnotic , pain spasm, allergy, blood pressure, anti-arrhythmic, anti-angina class, with some de-worming medicine and antibiotics. Some people use them, and some are non-prescription drugs. Hypnotics such as barbiturates of taking could make people sleep, the next day there will be dizziness, fatigue lethargy and unresponsiveness and other adverse reactions; antihistamines such as chlorpheniramine, significantly inhibit the central nervous effect, it is often drowsiness, dizziness, headache, fatigue, tremors, tinnitus and hallucinations and other side effects; antihypertensive drugs may cause heart palpitations, angina pectoris, orthostatic hypotension, headache, dizziness and somnolence; long-term use of aminoglycoside antibiotics, there may be headache, tinnitus, deafness, blurred vision, tremor, and orthostatic hypotension and other adverse events; taking nitroglycerin and other adverse drug reactions pulsating headache, in high speed, bumpy particularly vehicles; A antispasmodic analgesic care category, prone to blurred vision and palpitations, excessive appeared anxious, hallucinations, convulsions and other symptoms of central nervous system stimulation; taking a number of de-worming medicine, if also a lot of greasy food Food Will enable a large number of drug absorption, dizziness, headache, mental disorders, such as excessive Huang Yi-induced changes in color perception, clear red light to identify the driver; a number of anti-arrhythmic drugs often have headaches, vertigo, tinnitus, and hypotension and other side .

Beijing Sixth Hospital Director of Pharmacy ZHANG Zhi-Zhen said, if you need to take medicine to explain sick as the patients themselves had not suitable for driving, we should not look at the top to take some medicine to continue driving. The addition of the side effects of drugs, ill drive is contempt for life of others. if the check does not come out because the police would ignore safety first, even more to take lives as a trifling matter. Visible, the driver of the conscious is the most important.

As drugs on the central nervous system, especially the eye through the ear nerves may have side effects, so drivers should bear in mind the following agents Road: to retail pharmacies pharmacy pharmacist should be consulted to obtain their medication guide ; go to the hospital, the initiative to inform the doctor is to drive, ask him when prescribing on the driver as much as possible to avoid possible adverse drug reactions; serious look carefully the instructions before taking medicines; taking a good rest during the period, not driving, such as the abnormal situation, consult a doctor to the hospital as much as possible, not reluctantly driving to avoid traffic accidents.

Related drugs: Hypnotics: barbiturates, such as, chloral hydrate, etc., make people sleep the night after taking the next day there will be dizziness, fatigue lethargy and unresponsiveness and other adverse reactions.

Antihistamines: if promethazine (phenergan), chlorpheniramine, Geng Ding, and an Qimin such as race, because obviously inhibited on the central nervous system, it often drowsiness, dizziness, headache, fatigue , tremor, tinnitus and hallucinations side effects.

Anti-cold medicine: most cold medicines contain anti-tissue amine drugs produce more side effects after taking. The driver can change clothes without histamine drugs cold medicine.

Anti-anxiety drugs: such as imipramine, doxepin phenyl hydrazine, etc., often accompanied by fatigue lethargy, poor visibility, muscle tremor, unresponsive, and orthostatic hypotension. Where is all the signs, should be suspended from driving, place rest, to ensure safety.

Blood pressure lowering drugs: such as reserpine, clonidine, excellent drop Ning, sodium nitroprusside, prazosin and methyldopa and other side effects as diverse as cardiovascular are palpitations, angina, and low body position blood pressure; nerve somatosensory system headaches, dizziness and somnolence; others are still blurred vision, weakness of finger shaking and fatigue.

Antibiotics: Long-term use of aminoglycoside antibiotics (eg streptomycin, gentamicin, kanamycin and neomycin, etc.), the eighth cranial nerve due to poisoning can be headache, tinnitus, deafness , blurred vision, tremor, and orthostatic hypotension and other adverse reactions.

Anti-angina drugs: such as nitroglycerin, propranolol, isosorbide dinitrate and nifedipine side effects such as a pulsating headache, in the high speed of vehicles on uneven bumpy particularly because vasodilation Erzhi; There intraocular pressure, intracranial pressure is increased visual acuity caused the confusion, dizziness, fatigue, etc..

Spasmolytic analgesics: Atto category alkaloids (atropine and scopolamine and anisodamine, etc.) and Homatropine so common side effects blurred vision and palpitations; excessive noise appeared coke, hallucinations, delirium symptoms of central nervous system stimulation and convulsions. At this point should definitely be avoided out of the bus.

Helminthic drugs: red roundworm Ling, mebendazole (An Yueshi) and albendazole (helminthic clear), etc.

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