Many patients do not like the term medically unexplained symptoms
What do general practice patients want when they present medically unexplained symptoms
, and why do their doctors feel pressurized.
The clinical vignettes we chose may not be representative of commonly seen cases of medically unexplained symptoms
Psychological stress has been invoked as a potential modifier of the symptomatic responses that are characteristic of medically unexplained symptoms
(MUSs) attributed to low-level chemical exposures, including Gulf War illness, multiple chemical sensitivity, and sick building syndrome (Kipen and Fiedler 1999, 2002a, 2002b).
A proposed classification, medically unexplained symptoms
spectrum disorder, attempts to categorize patients with MUPS based on severity and duration of symptoms, as well as medical and/or psychiatric comorbidities (Table).
They found that acupuncture had a significant and sustained benefit for these patients and consequently acupuncture could be safely added to the therapies used by practitioners when treating frequently attending patients with medically unexplained symptoms
Study leader Dr Terry Quinn said: "We found a significant increase in presentations with medically unexplained symptoms
during the full moon.
There are many people with very stressful jobs who do suffer from medically unexplained symptoms
that can't be ignored.
Possible group reactions include mass panic, acute outbreaks of medically unexplained symptoms
, and chronic cases of medically unexplained physical symptoms.
Other important health concerns discussed include chronic musculoskeletal pain, medically unexplained symptoms
, complications from environmental exposures, heightened suicide risk, sleep disturbances, and impairments in family, occupational and social functioning.
Medically unexplained symptoms
and chronic functional syndromes are common but few health care professionals have had formal training about their connection to psychosocial issues.
Although medically unexplained symptoms
are common in these patients, most who complain of "chronic" Lyme disease have no evidence of ever having had the disease, based on history or serologic tests, he said.