Wednesday, September 28, 2022

Increased symptoms of endometriosis as pain is devastating

Dr. Bracero emphasizes the concept which indicates that the patient, due to ignorance of his diagnosis, exaggerates the pain leading to more discomfort.

Dr. Nabal Bracero, Gynecologist and President of Progyn. Photo: Journal of Medicine and Public Health. Fabiola Plaza.

“Any type of pelvic pain that does not go away with medication such as acetaminophen to control it should also be investigated before menstruation, as there are patients who already have endometriosis between the ages of 11 and 12 could,” he said. Dr. A.S. nabal bracero, President of Progin Puerto Rico,

In an exclusive interview with the Journal of Medicine and Public Health, the expert said there is no reason for any patient to consider menstrual pain normal, because if it is pain that affects the patient’s quality of life, So it is the responsibility of the doctor. With an investigation including endometriosis and other possible diagnoses.

“In recent times there is a concept called castration, which is indicated because the patient does not know what is happening to him and it produces an amplification of the sensory perception of pain, i.e. literally an extension of the pain , and it is not. If the patient is exaggerating, it is because we have already documented that when the patient does not understand, the operation of the nerve that causes the pain is going to be maximal. It is important that the patient understands their situation as early as possible,” he explained. ,

In this sense, he specified that one of the challenges among doctors and health professionals is the awareness that they must face these patients who, in studies conducted in Puerto Rico, say they do not receive the medical care they need.

“The first thing that professionals should do is recognize the patient’s pain, make an initial referral to a gynecologist, and educate the patient,” he stresses, adding that in Puerto Rico, statistics show that there is no evidence of the condition. With at least 10,000 patients.

treatment and medical care

For Dr. Bresero, the investigation of genetic phenomena by Dr. Idhalij Florez is fundamental, as it allows experts to study and investigate whether there is a familial genetic link in patients with pain, and for this reason he considers it valuable. that the patients have access to the doctor.

“In our case, at ProGyn, we look for partners across specialties to help the patient. Differential diagnosis includes endometriosis which can range from cystitis, irritable bowel syndrome, depression,” he said.

Regarding treatment, Dr. Bresero explained that the first step is to stop menstruation and reduce inflammation, “the two components that contribute the most to pain.”

Treatment is administered based on the patient’s response, starting with simple medications and progressing to more complex ones, to ensure that the patient is not overloaded with drugs.

In this sense, he explained the three major parts of the treatment and their action on the patient’s body, as it is a mysterious disease, which combines many symptoms together, and compromises the patient’s quality of life, for which A team requires multi-disciplinary.

For this reason, he indicated three stages of treatment according to the degree of involvement:

*If we treat it and the symptoms of chronic pelvic pain improve, we can understand that we have endometriosis, but not to a severe level.

*The most important thing with endometriosis is that it requires laparoscopy, which is an outpatient surgery to diagnose, but in modern times we are moving away from laparoscopy, and we can treat patients with a predictable diagnosis. do management.

*Pelvic homeostasis is the moment in which a patient can say that she is under control of the disease, as she was able to return to normalcy in her daily life, this is when she returns to an acceptable quality of life.

In any case, it is important that the patient maintains communication with her specialist, in order to minimize the risks and seek ways to seek pregnancy if she so desires.

Watch full interview:

Nation World News Desk
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