Recent comments in /f/science

AutoModerator t1_jde1sa5 wrote

Welcome to r/science! This is a heavily moderated subreddit in order to keep the discussion on science. However, we recognize that many people want to discuss how they feel the research relates to their own personal lives, so to give people a space to do that, personal anecdotes are allowed as responses to this comment. Any anecdotal comments elsewhere in the discussion will be removed and our normal comment rules apply to all other comments.

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

1

terpin t1_jde1kh7 wrote

Neuropathic pain is insane, I had such an insane level of it I didn't even know I was experiencing headaches. I recently found out I have an atypical migraine disorder that was disrupting my whole body, literally crippling me, to the point they thought I had a brain tumor, intercranial hypertension, MS or some esoteric autoimmune disease this last year.

A neurologist gave me topiramate to see if it could get rid of the visual snow I got after I caught covid (which kicked off all this), and instead it turned off a lot of my pain. It's been like a godsend. My dominant hand was rated disabled by my OT and was completely recovered within a month a starting treatment. My vision is recovering, it's so crazy.

I even had this weird issue where I'd been peeing fire for a year, and it was gone. No one thought it might be a brain problem, they just told me it was because my diet was bad. So nuts. Glad you found something that worked for you, no one should live with that pain.

28

roodeeMental t1_jddxvtr wrote

I suffer with a rare form of neuralgia- a type of neuropathic pain

It started one day age 24, and left me unable to talk though the pain, or function - unimaginable pain. Neurologists started with sedatives, then gabapentin, yet nothing helped really. I started smoking weed, and as long as I kept up frequent use, it turned down the pains by 95%. Now I live a normal life again, sorta

Edit: I wrote a post about my neuralgia if anyone's interested

75

AutoModerator t1_jddr50h wrote

Welcome to r/science! This is a heavily moderated subreddit in order to keep the discussion on science. However, we recognize that many people want to discuss how they feel the research relates to their own personal lives, so to give people a space to do that, personal anecdotes are allowed as responses to this comment. Any anecdotal comments elsewhere in the discussion will be removed and our normal comment rules apply to all other comments.

I am a bot, and this action was performed automatically. Please contact the moderators of this subreddit if you have any questions or concerns.

1

SaltZookeepergame691 t1_jddc88t wrote

That’s not what this study is suggesting. And we already know IBS is a syndrome related to disordered gut-brain interaction - that’s why the umbrella terminology for these conditions is literally “disorders of gut-brain interaction”.

This study shines a closer light on the specific cellular mechanisms that might be involved in IBS discomfort/pain, which provides targets for specific therapies at the level of the gut - they are specifically looking at hyperactivation of enterochromaffin cells, which are neuronal cells embedded in the gut wall, that then signal to gut neurons and ultimately produce visceral pain reactions.

Edit: the serotonin signalling modulator they use as proof-of-principle in the model is alosetron, which is only used in very severe IBS in women (it was withdrawn from all other indications due to side effects). Trust me - they are not suggesting that everyone take systemic alosetron, they are not stupid:

>Data presented here also support a role for local, rather than systemic serotonergic signalling at the interface between EC cells and mucosal afferents, consistent with recent suggestions that primary afferent nerve fibres form synapse-like associations with enteroendocrine cells. Alosetron, which is approved for the treatment of severe IBS with diarrhoea in women39, has been proposed to exert its analgesic effect centrally or through inhibition of high-threshold nociceptors in the gut wall. We propose an alternative or further mechanism to account for this sex-biased analgesic effect, namely one involving modulation of serotonergic signalling at EC cell–mucosal afferent circuits.

31

DeathRebirth t1_jdd3t82 wrote

Directly linking the nerve pathway to a syndrome like IBS is risky in my mind. IBS diagnosises are given out like candy as well as a buffet of different treatments, and then saying "you likely have IBS, try repressing your main channel between gut and brain" seems like a recipe for longer term health issues.

Not saying the study is bad or the conclusions about the importance of this pathway, but the immediate treatment links that a title like this suggests are not so great.

I say this as someone that suffers from IBD, likely recurrent SIBO, and possibly some IBS mechanism separate to the former 2 issues. No matter what treatment I receive, I still have constant recurrent pain, but I would still be hesitant to inhibit this pathway directly...

−11