title: Tongue piercing and chronic abdominal pain with nausea and vomiting--two cases.
abstract: Chronic upper gastrointestinal (GI) symptoms of unclear etiology are frustrating to patients and physicians alike. The integrative medicine procedures of acupuncture and neural therapy may provide treatment options. Tongue piercing, which is prevalent in 5.6% of the adolescent population, may be a contributing factor in upper gastrointestinal symptoms. The objectives of the study were as follows: (1) To demonstrate the usefulness of an integrative medicine treatment approach in two cases of patients with chronic abdominal pain, nausea, and vomiting of unclear etiology who had failed standard medical management. (2) To identify scars from tongue piercings as a possible contributing factor in chronic upper GI symptoms of unclear etiology. Two retrospective case studies are presented of young adult females who were seen in a private multi-physician integrative medicine practice in the US. The patients were treated with neural therapy and acupuncture. The desired outcome was the cessation or reduction of the frequency of abdominal pain, nausea, and vomiting. Both patients had resolution of their symptoms. From this study, we have concluded the following: (1) Tongue scars from tongue rings may be causes of chronic upper gastrointestinal symptoms. (2) Neural therapy and acupuncture may be helpful in the treatment of chronic upper GI symptoms related to tongue scars.
authors.affiliation: Cooper Medical School of Rowan University, Camden, New Jersey.
authors.forename: Myung Kyu
authors.initials: MK
authors.lastname: Chung
authors.affiliation: Albert Einstein College of Medicine, New York, New York.
authors.forename: Danielle
authors.initials: D
authors.lastname: Chung
authors.affiliation: Adjunct Scholar Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: lariccip@mail.med.upenn.edu.
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: LaRiccia
mesh_terms: D015746:Abdominal Pain / Q000209:etiology* / Q000628:therapy; D015670:Acupuncture Therapy; D000328:Adult; D000772:Anesthesia, Local; D046288:Body Piercing / Q000009:adverse effects*; D002921:Cicatrix / Q000150:complications*; D005260:Female; D006801:Humans; D055048:Integrative Medicine; D009325:Nausea / Q000209:etiology* / Q000628:therapy; D011343:Procaine / Q000627:therapeutic use; D012189:Retrospective Studies; D014059:Tongue / Q000473:pathology*; D014481:United States; D014839:Vomiting / Q000209:etiology* / Q000628:therapy; D055815:Young Adult
chemical_list: D011343:Procaine
keywords: acupuncture; body piercing; chronic abdominal pain; neural therapy; scar therapy; tongue piercing