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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could neck pain and mania be related to intestinal tract?

My daughter is 25, has had chronic neck pain for years, underwent botox, nerve blocks and had the nerves burned in neck... pain there is back after only three months. THis past Oct. she became manic for about 2 weeks and I had her put in a psch ward or 10 days. She was diagnosed bipolar and given lithum. As we know people deny they have this and decide not to take meds... she has had problems with eating as well, being alergic to SO many different foods... up and down with the weight. She focuses on NOT getting heavy, as well. My question is could all or any of this be related to her GUT, intestinal tract?
Mon, 17 Jun 2019
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Neurologist 's  Response
Hello,

I think your question is a good one in light of the more recent publications and discoveries/understanding of what is referred to as the GUT/BRAIN axis of functioning.

Neurogastroenterology is an actual up and coming discipline with professional societies and journals that have been in existence for years though it is not one of the MAINSTREAM considerations by either NEUROLOGISTS or GASTROENTEROLOGISTS in patients such as your daughter.

Therefore, to answer your question" could all or any of this be related to her GUT, intestinal tract?".

I think the answer is a firm MAYBE and probably the easiest place to start investigating a question like that would be a find a SPECIALIST in that area since there are specific approaches and testing protocols that are in place which neither neurologists nor gastroenterologists are necessarily very familiar with since their interests and expertise lie strictly in one discipline or the other.

I would check out the American Neurogastroenterology and Motility Society and their web page at: https://motilitysociety.org/ and see if there is a specialist in your area or somewhere you can take your daughter if you feel strongly that this could be contributory.

The fact that her weight is not under a good control and she likely goes through periods of binging/starvation (or so it sounds), etc. itself suggests that there is something there which if addressed at least could make brain functioning better.

Certainly absorption of her medications for her mental condition would be enhanced. So I think it's something different to look into which just could offer some ways to improve her situation.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Dariush Saghafi, Neurologist
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