By Christopher Burton
This fresh name addresses the advanced matters confronted via basic well-being care practitioners in treating and coping with sufferers with ‘medically unexplained symptoms'. It goals to enhance instructions and rules to aid determine sufferers with medically unexplained signs, as they're as a rule underdiagnosed, and to control indicators extra successfully with lively sufferer involvement.
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Extra info for ABC of Medically Unexplained Symptoms
Without a constructive explanation, treatment is much less likely to happen. Sometimes the action may be nothing more than a commitment to support the person while they tackle the difﬁculties you have both identiﬁed. 20 ABC of Medically Unexplained Symptoms relates to interpreting change in a positive way. ‘She said that to start with there would be the odd good day, and then with time I would start to see more of them. That’s happening now so it looks as if I’m on the road to recovery’. Telling patients what you expect of treatment is important for this.
2013 John Wiley & Sons, Ltd. Published 2013 by John Wiley & Sons, Ltd. tion in response to changing circumstances, including psychosocial stress. org/). 1 shows estimates of the incidence of some important headache presentations in primary care. GP assessment The aim of management for the practitioner is to exclude a secondary headache, diagnose the appropriate primary headache, reduce any factors modifying the primary headache and treat accordingly. Typical features of functional symptoms Tension-type headache The mechanisms underlying tension-type headache are poorly understood.
A case-cohort study using electronic primary care records. Cephalalgia 2008;28(11):1188–95. uk). Contains UK headache management guidelines. uk. National Institute for Clinical Excellence, CG150, diagnosis and management of headache in young persons and adults, 2012. CHAPTER 9 Gastrointestinal Symptoms: Functional Dyspepsia and Irritable Bowel Syndrome Henri¨ette E. van der Horst General Practice Department, VU Medical Centre, Amsterdam, The Netherlands OVERVIEW • Both functional dyspepsia and irritable bowel syndrome (IBS) are very common in primary care and can generally be managed by the GP • A careful assessment will enable the GP to sort out those patients in whom symptoms may originate from a physical disease, requiring further investigation and/or referral • Addressing patients’ worries and providing information on symptoms and their management is the cornerstone of the GP’s treatment • If psychological factors are an important issue (such as coping with stress or anxiety) cognitive-behavioural therapy (CBT), or some form of relaxation therapy may be helpful Introduction All gastrointestinal symptoms reﬂect either pain or disturbed function, and in most cases this is not associated with organic disease.