facial pain/trötthet

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The management of treatment-resistant depression in disorders on the interface of psychiatry and medicine. Fibromyalgia, chronic fatigue syndrome, migraine, irritable bowel syndrome, atypical facial pain, and premenstrual dysphoric disorder.

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We have reviewed studies examining the efficacy of various psychotropic medications, primarily antidepressant agents, in the treatment of a group of disorders that appear to exhibit some phenomenologic and genetic relationship to major depression. These disorders all appear to benefit (albeit to

Persistent Idiopathic Facial Pain Associated with Somatoform Disorder in an 11-Year-Old Boy.

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Persistent idiopathic facial pain (PIFP) is a poorly understood chronic disorder that rarely occurs in children. An 11-year-old boy initially presented with right cheek pain and a streptococcal infection 6 weeks previously. Facial cellulitis was suspected, which was resolved by antibiotic treatment.

The prevalence of facial pain and purulent sinusitis.

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OBJECTIVE Misconceptions about the causation of facial pain have led to wrong conclusions about the prevalence of chronic rhinosinusitis. RESULTS Recent work challenges the belief that most facial pain is caused by sinusitis and that chronic purulent sinusitis causes pain; this review qualifies

Risk factors for onset of chronic oro-facial pain--results of the North Cheshire oro-facial pain prospective population study.

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Due to the cross-sectional nature of previous studies, whether mechanical factors predict the onset of Chronic oro-facial pain remains unclear. Aims of the current study were to test the hypotheses that self-reported mechanical factors would predict onset of Chronic oro-facial pain and that any

Distinguishing Mars from Venus: emergence of gender biology differences in oral health and systemic disease.

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We are learning to appreciate and understand that men and women have different genes and gene products (proteins), biochemistry and physiology, body weights and distribution of fats, and a few different tissues and organs. In such comparisons, we discover that women have a different prevalence for

How may stressful experiences contribute to the development of temporomandibular disorders?

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Temporomandibular disorders (TMD) comprise the most common cause of chronic facial pain conditions, and they are often associated with somatic and psychological complaints including fatigue, sleep disturbances, anxiety, and depression. For many health professionals, the subjectivity of pain

Antidepressants and cognitive-behavioral therapy for symptom syndromes.

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Somatic symptoms are common in primary care and clinicians often prescribe antidepressants as adjunctive therapy. There are many possible reasons why this may work, including treating comorbid depression or anxiety, inhibition of ascending pain pathways, inhibition of prefrontal cortical areas that

[High-dose Crataegus extract WS 1442 in the treatment of NYHA stage II heart failure].

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The efficacy and tolerance of the standardized hawthorn (crataegus) extract WS 1442 were tested in a multicenter utilization observational study. We monitored 1,011 patients with cardiac insufficiency stage NYHA II, treated with this extract (Crataegutt novo 450, 1 tablet b.i.d.) over a period of 24

[Functional somatic syndrome in dental practice].

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Functional somatic syndromes (FSSs) are common in dental as well as medical practice. Many patients with unexplained symptoms in oro-maxillo-facial areas visit dentists, but they are not diagnosed and treated properly. Temporomandibular disorder, atypical facial pain, and glossodynia (burning mouth

[A case of Ramsey Hunt syndrome with multiple cranial nerve paralysis and acute respiratory failure].

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The authors report a 56-year-old woman with Ramsey Hunt syndrome with multiple cranial nerve paralysis and acute respiratory failure. Five days before admission, she experienced right otalgia and right facial pain and consulted an otolaryngologist of our hospital, who diagnosed the illness as acute

The impact of pain on health-related quality of life 3 months after stroke.

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Pain is common in stroke; however, its impacts on health-related quality of life (HRQoL) are unclear due to the limitations of previous studies. The current study aims to examine and compare the demographic and clinical characteristics of Chinese stroke patients with and without pain and explore the

Prevalence of temporomandibular disorders in fibromyalgia and failed back syndrome patients: a blinded prospective comparison study.

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OBJECTIVE The objective of this study was to determine the prevalence of temporomandibular disorders (TMD) and evaluate psychosocial domains in patients with fibromyalgia (FM) compared with patients with failed back syndrome (FBS). METHODS The study included 51 (32 FM and 19 FBS) adult patients who

The clenching-grinding spectrum and fear circuitry disorders: clinical insights from the neuroscience/paleoanthropology interface.

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This review discusses the clenching-grinding spectrum from the neuropsychiatric/neuroevolutionary perspective. In neuropsychiatry, signs of jaw clenching may be a useful objective marker for detecting or substantiating a self-report of current subjective emotional distress. Similarly, accelerated

Chronic sinusitis: an update.

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An accurate history is essential to the diagnosis of chronic sinusitis. Patients classically present with several weeks of daily facial pain or pressure between the eyes, headache, nasal congestion, postnasal drip, ear pain or blockage, and fatigue. The headache in chronic sinusitis is usually worse

Painful temporomandibular disorders and headaches in 359 dental and medical students.

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OBJECTIVE to assess the prevalence of headaches and painful tempormandibular disorders (TMDs) and examine these via demographic and specific lifestyle parameters, as well as examine the relationship among TMDs, headaches, and depression rates. METHODS a group of 359 medical and dental students

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