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Rodger Purphree Survey  Form

Rodger Purphree Survey Form

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Instructions and help about Rodger Purphree Survey

fibromyalgia 70 of those in fibromyalgia have irritable bowel syndrome and the connection is this central sensitization pain syndrome where pain is more magnified and the connection there is really has to do I think with serotonin so the brain chemical serotonin this neurotransmitter what we know is in fibromyalgia they're really low in the spring chemical serotonin uh and well actually you have more serotonin receptors in your intestinal tract than you do in your brain so you know when you get nervous you get butterflies in your stomach uh but what we see is that when you're low in serotonin you have an elevation of a thing called substance P another hormone and as substance p is elevated your pain threshold goes down so pain becomes magnified so one of the big steps whether it's irritable bowel fibromyalgia is to make sure that we get that serotonin level built back up and one of the best ways to do that is deeper storage of sleep well for my patients that's where I start and it real

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