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DiffDx Alopecia areata, tinea capitis, traction alopecia, loose anagen syndrome
Complications Patchy alopecia, suppurative dermatitis, permanent loss of hair, repetitive stress injury, carpal tunnel syndrome, gastrointestinal obstruction due to trichophagia, which begets trichobezoars
Management Hypnosis, behaviour modification, psychotherapy, IMAOs, amitriptyline, etc. have been tried with varying degrees of success; tricyclic antidepressants—e.g., clomipramine—may be effective short-term
Patient discussion about Pulling
Q. Pulling pain in anus. Dear friends, I am 32. I feel a Pulling pain in anus sometimes while i finish passing stool and some times when i sit for long time. No bleeding so far. Is it a symptoms of piles? If so what can be done to cure it without going to doctor or operation. Please help me. This pain makes me to feel that i am very old.
but i wouldn't get my hopes high.
Q. What would you do if a friend showed up to your house and pulled out a quarter pound of cocaine? True story: What would you do if a friend showed up to your house and pulled out a quarter pound of cocaine, and a bunch of other narcotics all bagged up individually, and then asked if you wanted the first go at them?