The patient is a 40-year-old woman
with a long history of Crohn’s disease of the small and large intestine for
more than 20 years. She has had multiple abdominal operations with removal
of much of the small and large intestine, with an ileorectal anastomosis.
She has severe chronic abdominal pain, requiring daily use of narcotics
(methadone and oxycodone). She has chronic diarrhea, frequent episodes of
nausea and vomiting, and severe anxiety and insomnia. Her nausea and
vomiting often requires treatment with very expensive antinausea medicine (Marinol
orally and Zofran by injection). The nausea and vomiting have been helped in
the past with the use of a TENS unit, ReliefBand, stimulating the
acupuncture point pericardial meridian 6 on the distal forearm on the palmar
surface over the median nerve. She also had temporary decrease in her nausea
and abdominal pain with acupuncture treatments.
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