Clinical features of polymyalgia rheumatica

• pain and stiffness in proximal muscles of shoulder and pelvic girdle, cervical spine (Fig 28.7)

o symmetrical distribution o typical ages 60-70 years (rare < 50)

o both sexes: more common in women o early morning stiffness o may be systemic symptoms: weight loss, malaise, anorexia o painful restriction of movement of shoulders and hips o signs may be absent later in day

Fig. 28.7 Polymyalgia rheumatica: typical sites of areas of pain and stiffness

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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