Jordan is a 35-year-old woman who presents with intermittent diarrhea with cramping that is relieved by defecation. The diarrhea is not bloody or accompanied by nausea and vomiting. Review of past medical history includes some childhood “stomach issues”, HTN, and a recent cholecystectomy. She works in the environmental department of a large hotel. . She denies alcohol and cigarette.
Diagnosis: Irritable Bowel Syndrome (IBS)
I. Discuss the epidemiology of IBS?
II. What is your treatment goals for this patient?
III. Discuss First line and second line drug therapy for IBS. Please include pharmacotherapeutic information.
APA Format. . Work must be supported by peer-reviewed article published within 5 years.
Richard is a 40-year-old man with a history of 4 weeks of cluster headache once each year. These began when he was 35 years old. His cluster periods occur in the fall. The cluster period begins slowly, increasing over 1 week, reaching a peak where Richard has two or three severe cluster attacks each day. They occur from 10 p.m. to 3 a.m. Each cluster headache lasts from 40 to 90 minutes, and the headaches are severe. The pain is always on the right side, with eye tearing and nasal congestion.
Richard comes into our office 1 week into this fall’s cluster series. The headaches are increasing in intensity, and he is miserable with the pain.
Please complete the following questions:
- Describe Cluster Headache and its epidemiology.
- What would be your goals for therapy for Richard? Give rationale with evidence from articles.
APA format. 2 references