pain-prone patient

Definition: Symptoms are presented by the patient as if they were due to a physical disorder of a system or organ that is largely or completely under autonomic innervation and control, i.e. the cardiovascular, gastrointestinal, respiratory and urogenital systems. The symptoms are usually of two types, neither of which indicates a physical disorder of the organ or system concerned. First, there are complaints based upon objective signs of autonomic arousal, such as palpitations, sweating, flushing, tremor, and expression of fear and di ...[+++]stress about the possibility of a physical disorder. Second, there are subjective complaints of a nonspecific or changing nature such as fleeting aches and pains, sensations of burning, heaviness, tightness, and feelings of being bloated or distended, which are referred by the patient to a specific organ or system. | Cardiac neurosis Da Costa's syndrome Gastric neurosis Neurocirculatory asthenia Psychogenic forms of:aerophagy | cough | diarrhoea | dyspepsia | dysuria | flatulence | hiccough | hyperventilation | increased frequency of micturition | irritable bowel syndrome | pylorospasm

Definition: Considerable cultural variations occur in the presentation of this disorder, and two main types occur, with substantial overlap. In one type, the main feature is a complaint of increased fatigue after mental effort, often associated with some decrease in occupational performance or coping efficiency in daily tasks. The mental fatiguability is typically described as an unpleasant intrusion of distracting associations or recollections, difficulty in concentrating, and generally inefficient thinking. In the other type, the emphasis is on feelings of bodily or physical weakness and exhaustion after only minimal effort, accompanie ...[+++]d by a feeling of muscular aches and pains and inability to relax. In both types a variety of other unpleasant physical feelings is common, such as dizziness, tension headaches, and feelings of general instability. Worry about decreasing mental and bodily well-being, irritability, anhedonia, and varying minor degrees of both depression and anxiety are all common. Sleep is often disturbed in its initial and middle phases but hypersomnia may also be prominent. | Fatigue syndrome

In my chronic fatigue practice, many of the patients I see are far more disabled than patients I follow with, say, HIV. Patients with chronic fatigue syndrome, myofascial pain syndrome, and fibromyalgia have incredibly poor quality of life.

(Return tabled) Question No. 223 Ms. Kirsty Duncan: With respect to Lyme disease-carrying ticks and Lyme disease in Canada: (a) what percentage of Lyme disease cases are thought to be reported, (i) what percentage of people who receive treatment for Lyme disease develop post-treatment Lyme disease syndrome, (ii) what percentage of people with untreated Lyme disease infections experience intermittent bouts of arthritis, (iii) what percentage of untreated Lyme disease patients are at risk of developing chronic neurological complaints months ...[+++] to years after infection; (b) based on all epidemiological data collected since Lyme disease became a nationally-reportable disease, what is the most recent data available about Lyme disease cases, broken down (i) by province, (ii) by month, (iii) by symptom, (iv) incidence by age and sex; (c) how does the government define a “Lyme-endemic area”, (i) in what specific areas of Canada are ticks endemic and highly endemic, (ii) what areas of Canada have the highest numbers of human infections; (d) what is Lyme disease’s (i) ranking among vector-borne diseases in Canada, (ii) ranking among nationally notifiable diseases; (e) is it possible to have more than one tick-borne infection, and, if so, (i) are possible co-infections being investigated and tracked, (ii) does one’s chance of having multiple tick-borne infections depend on geographic location, and, if so, what areas are particularly at risk, (iii) what is the rate of co-infection by province; (f) broken down by province, over the last 20 years, how has a warming climate impacted Lyme disease, in particular, (i) how has warming impacted tick distribution by province, (ii) how has warming impacted the distribution of Lyme disease by province; (g) what does the government project will be the effect of climate change on (i) the geographical range of ticks in 2020 and 2050, (ii) the distribution of ticks across Canada, (iii) human Lyme disease infections, (iv) the distribution o ...

In psychiatric hospitals, staff may misread pain symptoms, while expressions of pain by elderly patients with mental illness are often not taken seriously in general hospitals.

There is virtually unanimous agreement that pure cannabinoids, including not only THC but also synthetic derivatives and related compounds, will probably prove to be therapeutically useful in the relief of pain, muscle spasticity, nausea and vomiting, and severe weight loss (the wasting syndrome) in cancer and AIDS patients.