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Pain Medications and the Risk of GI Complications
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The Impact of Pain on Sleep
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Pain is the most common symptom of injury and disease, and descriptions can range in intensity from a mere ache to unbearable agony. Nociceptors have the ability to convey information to the brain that indicates the location, nature, and intensity of the pain. For example, stepping on a nail sends an information-packed message to the brain: the foot has experienced a puncture wound that hurts a lot.
Pain perception also varies depending on the location of the pain. The kinds of stimuli that cause a pain response on the skin include pricking, cutting, crushing, burning, and freezing. These same stimuli would not generate much of a response in the intestine. Intestinal pain arises from stimuli such as swelling, inflammation, and distension.
Pain is considered in conjunction with other symptoms and individual experiences. An observable injury, such as a broken bone, may be a clear indicator of the type of pain a person is suffering. Determining the specific cause of internal pain is more difficult. Other symptoms, such as fever or nausea, help narrow down the possibilities. In some cases, such as lower back pain, a specific cause may not be identifiable. Diagnosis of the disease causing a specific pain is further complicated by the fact that pain can be referred to (felt at) a skin site that does not seem to be connected to the site of the pain's origin. For example, pain arising from fluid accumulating at the base of the lung may be referred to the shoulder.
Since pain is a subjective experience, it may be very difficult to communicate its exact quality and intensity to other people. There are no diagnostic tests that can determine the quality or intensity of an individual's pain. Therefore, a medical examination will include a lot of questions about where the pain is located, its intensity, and its nature. Questions are also directed at what kinds of things increase or relieve the pain, how long it has lasted, and whether there are any variations in it. An individual may be asked to use a pain scale to describe the pain. One such scale assigns a number to the pain intensity. For example, 0 may indicate no pain, and 10 may indicate the worst pain the person could imagine. Scales are modified for infants and children to accommodate their level of comprehension.
Both physical and psychological aspects of pain can be dealt with through alternative treatment. Some of the most popular treatment options include herbal therapies, nutritional therapies, homeopathy, acupressure and acupuncture, massage, chiropractic, guided imagery, and relaxation techniques, such as yoga, hypnosis, and meditation. Hydrotherapy can also be very beneficial for pain relief.
Mild natural painkillers are used as herbal remedies for pain. They should only be used for mild to moderate chronic pain. However, unlike prescription drugs, they are not addictive and do not dull the senses. In addition, they can help heal the nervous system as well as relieving pain. The following herbal remedies have been known to provide pain relief:
Diet and nutrition can play important roles in controlling chronic pain. Patients with chronic pain sometimes
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Author Info: Mai Tran, Teresa G. Odle, The Gale Group Inc., Gale, Detroit, Gale Encyclopedia of Alternative Medicine, 2005 |