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Self-management strategies amongst Australian women with endometriosis: a national online survey

CONCLUSIONS: Self-management was very commonly used by women with endometriosis and form an important part of self-management. Women using cannabis reported the highest self-rated effectiveness. Women with endometriosis have unique needs compared to women with primary dysmenorrhea, and therefore any self-management strategies, especially those that are physical in nature, need to be considered in light of the potential for ‘flare ups’.

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Background: Endometriosis has a significant negative impact on the lives of women, and current medical treatments often do not give sufficient pain relief or have intolerable side effects for many women. The majority of women with primary dysmenorrhea use self-management strategies (including self-care techniques or lifestyle choices) to help manage period related symptoms, but little is known about self-management in women with endometriosis. The aim of this survey was to determine the prevalence of use, safety, and self-rated effectiveness of common forms of self-management.

Methods: A cross-sectional online survey was distributed via social media using endometriosis support and advocacy groups in Australia between October and December 2017. Women were eligible to answer the survey if they were 18-45, lived in Australia, and had a confirmed diagnosis of endometriosis. Survey questions covered the types of self-management used, improvements in symptoms or reduction in medication, and safety.

Results: Four hundred and eighty-four valid responses were received. Self-management strategies, consisting of self-care or lifestyle choices, were very common (76%) amongst women with endometriosis. The most common forms used were heat (70%), rest (68%), and meditation or breathing exercises (47%). Cannabis, heat, hemp/CBD oil, and dietary changes were the most highly rated in terms of self-reported effectiveness in pain reduction (with mean effectiveness of 7.6, 6.52, 6.33, and 6.39, respectively, on a 10-point scale). Physical interventions such as yoga/Pilates, stretching, and exercise were rated as being less effective. Adverse events were common, especially with using alcohol (53.8%) and exercise (34.2%).

Conclusions: Self-management was very commonly used by women with endometriosis and form an important part of self-management. Women using cannabis reported the highest self-rated effectiveness. Women with endometriosis have unique needs compared to women with primary dysmenorrhea, and therefore any self-management strategies, especially those that are physical in nature, need to be considered in light of the potential for ‘flare ups’.

Keywords: Cannabis; Endometriosis; Exercise; Heat; Self-care; Self-management.

Source: https://pubmed.ncbi.nlm.nih.gov/30646891/?utm_source=no_user_agent&utm_medium=rss&utm_campaign=pubmed-2&utm_content=1TUbR4JfRTv1rbahLd1HaiF0w5ryO5ocWB3_xk3Prq78L0AEhI&fc=20200804222312&ff=20200815171241&v=2.11.5

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Ascariasis in common bile duct resulting in a subhepatic abscess

CONCLUSIONS: Ascariasis should be considered in endemic areas and early endoscopic intervention and medical therapy can be effective for extrahepatic involvement.

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Case Reports

. Jul-Sep 2020;83(3):488-490.

Affiliations

  • PMID: 33094600

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Case Reports

B C Anzali et al. Acta Gastroenterol Belg. .

Abstract

Background: Biliary system ascariasis can be a rare cause of acute abdomen.

Patient report: A 70-year-old woman presented with abdominal pain for two weeks. She complained of a right upper quadrant (RUQ) pain, intermittent vomiting and weight loss. Physical examination showed RUQ and epigastric tenderness without rebound tenderness or guarding. Laboratory finding exhibited leukocytosis and mildly elevated liver enzymes.

Results: Abdominal sonography showed distended gallbladder and a tubular lesion inside the common bile duct (CBD) in favor of a parasitic lesion. A large ascaris roundworm and blood clots were extracted from the CBD by endoscopic retrograde cholangiopancreatography and sphincterotomy. After 7 days, the disease process was complicated with a subhepatic abscess formation which was managed conservatively. Finally, the patient was discharged home in fair condition after 12 days of hospitalization.

Conclusions: Ascariasis should be considered in endemic areas and early endoscopic intervention and medical therapy can be effective for extrahepatic involvement.

Keywords: Abdominal abscess; abdominal pain; ascariasis; common bile duct; endoscopic retrograde cholangiopancreatography.

Conflict of interest statement

The authors declare that they have no conflict of interest

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Source: https://pubmed.ncbi.nlm.nih.gov/33094600/?utm_source=no_user_agent&utm_medium=rss&utm_campaign=pubmed-2&utm_content=14S2P3JOHoFcMo3M7TFdHK-QVNqlBZlxBx1Kmm5Bxn5762lgWa&fc=20200804222140&ff=20201023141346&v=2.12.6

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Any good CBD cartridges with no THC?

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Not sure if this is the place to ask, I’m just getting started with vaping so I’m sorry if I sound dumb! I’m currently using a THC cart but I’m back in a state where that’s not legal and I don’t always like how it makes me feel so I was wondering if there’s cartridges that are just CBD that you can order online? If so, what are some good companies? I don’t want to just order from anywhere. Thank you for any information!

Source: https://www.reddit.com/r/CBD/comments/jgrvvb/any_good_cbd_cartridges_with_no_thc/

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For Fibromyalgia

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Visit our community site for vetted suppliers at http://theCBD.place. It’s time that this subject was given more internet exposure. We are here to discuss topics related to medical marijuana and our experiences using CBD. Please do not assume that anyone here is a medical professional.

Source: https://www.reddit.com/r/CBD/comments/jgqr2o/for_fibromyalgia/

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