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Page "Pain" ¶ 42
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Patients and experiencing
Patients may believe they are constipated when in fact they are experiencing tenesmus, which is a constant feeling of the need to empty the bowel accompanied by involuntary straining efforts, pain, and cramping with little or no fecal output.
Patients experiencing symptoms associated with pheochromocytoma should be aware that it is rare.
Patients experiencing an insufficiency in their intrinsic factor levels cannot benefit from a low dose oral vitamin B < sub > 12 </ sub > supplement, because it will not absorb through the wall of the small intestine.
Patients with cystic fibrosis ( CF ) have an 85 % chance of additionally experiencing the effects of exocrine pancreatic insufficiency.
Patients experiencing chronic digestive problems may lower their dose to the minimum effective range and by taking betahistine with meals.

Patients and pain
Some patients will be prescribed as much as 325 mg of methadone a day ; though a dose as low as 30 mg can prove fatal in an opiate naive individual, or in individuals who lack cross-tolerance to other opioids .. Patients prescribed Methadone for pain control, are likely to be given Methadone tablets, that come in the strength of 5mg in the Uk.
Patients with long-term pain will sometimes have to perform so-called opioid rotation.
Patients may feel these symptoms in areas far from the actual site of damage, a phenomenon called referred pain.
Patients who become ill usually experience fever, generalized weakness, back pain, dizziness, and weight loss at the onset of the illness.
Patients may experience severe chronic pain, abnormal sensations and loss of sensation particularly in the hands.
Patients with TMD often experience pain such as migraines or headaches, and consider this pain TMJ-related.
# Medications: Patients have found variable success using topical creams and gels including estrogen and / or testosterone, often specially made through a compounding pharmacy ; oral medicines including testosterone, antidepressants also used for pain disorders ( e. g., nortriptyline, amitriptyline ), and anti-anxiety drugs ; and injectable medications including anesthetics, estrogens, tricyclic antidepressants compounded into a topical form or systemic, local steroids.
Patients with a late ectopic pregnancy typically experience pain and bleeding.
Patients may also be required to discontinue certain pain medications and sympathetic blockers.
Patients may display anemia ( not requiring transfusions ), moderate abdominal pain, and low grade fever,.
Patients who experience swelling, bleeding or pain at the insertion site, develop fever, feel faint or weak, notice a change in temperature or color in the arm or leg that was used or have shortness of breath or chest pain should immediately seek medical advice.
Patients who have their hernias repaired with mesh often recover in a number of days, though pain can last longer, and often forever.
Patients with algolagnia could lead normal lives, enjoy normal arousal sequences, and indulge in fairly normal sexual intercourse, but when exposed to sexual pain, were unable to control their reaction.
Patients may present at emergency rooms with severe fixed contractures of the muscles and often severe pain.
Patients participated in each condition once, according to a randomized order, and rated their perceived pain immediately after the session.
Patients may feel pain on the skin around the ulcer, and fluid may ooze from the ulcer.
Patients with cholelithiasis typically present with pain in the right-upper quadrant of the abdomen with the associated symptoms of nausea and vomiting, especially after a fatty meal.
Patients usually complain of intense pain that may seem excessive given the external appearance of the skin.
Patients may struggle with bladder pain and discomfort during or after sex.
Patients can ask for a patch from the nurse to numb the area of where the injection will take place to reduce pain.
Patients with chronic tension-type headache have increased muscle and skin pain sensitivity, demonstrated by low mechanical, thermal and electrical pain thresholds.

Patients and may
Patients starting morphine may experience nausea and vomiting ( generally relieved by a short course of antiemetics such as phenergan ).
Patients with catatonia may experience an extreme loss of motor skills or even constant hyperactive motor activity.
Patients may also show stereotyped, repetitive movements.
Patients may suffer from disorders of consciousness, or may need to be anesthetized for a surgical procedure.
Patients who are restless may also try to pull on tubes or dressings so soft cloth wrist restraints may be put on.
Patients may choose between several methods of fertility preservation prior to chemotherapy, including cryopreservation of semen, ovarian tissue, oocytes, or embryos.
Patients may also present with hypothermia.
Patients with classic symptoms of expressive aphasia in general have more acute brain lesions, whereas patients with larger, widespread lesions exhibit a variety of symptoms that may be classified as global aphasia or left unclassified.
Patients with type 2 diabetes are often insulin resistant and, because of such resistance, may suffer from a " relative " insulin deficiency.
Patients already on a ward may be detained under section 5 ( 2 ) for up to 72 hours for the purposes of allowing an assessment to take place for section 2 or 3.
Patients may become unable to perform daily living activities and most require assistive devices within 5 to 10 years of symptom onset.
Patients who metabolize methadone rapidly, on the other hand, may require twice daily dosing to obtain sufficient symptom alleviation while avoiding excessive peaks and troughs in their blood concentrations and associated effects.
Patients may develop muscle weakness, or myopathy, either from the disease, or its treatments.
Patients may employ a nighttime biofeedback instrument such as a biofeedback headband or biofeedback device to help them modify para-functional jaw habits which take place in sleep.
Patients may seek the assistance of a sex therapist to learn specific techniques and ways to maintain a positive image of sexual intimacy and one's body.
Patients with supraventricular tachycardia, atrial fibrillation, and other illnesses may be trained to perform vagal maneuvers ( or find one or more on their own ).
Patients with concussion may have a history of seconds to minutes unconsciousness, then normal arousal.
Patients with these conditions may suffer a range of symptoms including dyspnea ( breathlessness ), hypoxemia ( below-normal oxygen content in the arterial blood ) and eventually a weakening of the respiratory muscles due to exhaustion, which can lead to respiratory failure and require intubation and mechanical ventilation.
Patients are often admitted on a voluntary basis, but involuntary commitment is practiced when an individual may pose a significant danger to themselves or others.
Patients who survive an episode of botulism poisoning may have fatigue and shortness of breath for years and long-term therapy may be needed to aid their recovery.

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