Last month, the American Pain Society added to its recommendations to health care providers regarding the diagnosis and treatment of low back pain .
In addition, the Society decided to discuss openly procedures that could be risky to sufferers of low back pain, including recommendations on surgery and other invasive therapies.
Unfortunately, there is not a significant body of good evidence to justify unquestioningly embracing these new recommendations. It is difficult to find well-done clinical studies which support the use of a number of the more invasive treatments used for chronic low back pain.
The initial set of guidelines for the management of chronic low back pain were published in "Annals of Internal Medicine" last October. However, these recommendations dealt more with the initial evaluation of a low back pain patient, and included thoughts on what type of x-rays to order in addition to more conservative treatments such as massage/manipulation and exerci...
Definition Stress gastritis is swelling (inflammation) and weakening of the stomach lining that occurs during a serious illness. Alternative Names Stress ulcer Causes, incidence, and risk factors Stress gastritis may occur after: Burns Severe illness Shock Trauma The risk of stress gastritis and ulcers is highest in patients who are using a breathing machine in an intensive care unit.
Acute gastritis is a sudden inflammation of the stomach lining.
Causes, incidence, and risk factors
Acute gastritis may be caused by:
Certain medications, such as aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), or corticosteroids
Eating or drinking corrosive substances
Infections, such as the bacteria Helicobacter pylori , or much less often, cytomegalovirus or herpes simplex virus
Acute gastritis is often associated with a severe, acute illness or trauma. The following increase your risk of acute gastritis:
Aspirin or NSAID use
Recent heavy alcohol use
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