Managing patients with medically unexplained symptoms. Part 2: Beyond investigations

In the second of our two-part CPD series, GP partner and educator Dr Ed Pooley discusses how to provide ongoing support for people with medically unexplained symptoms
 

Medically unexplained symptoms (MUS) is the term given to symptoms and symptom clusters where we have incomplete information about the aetiology and pathology of those symptoms, or where the symptoms may be psychological in origin (in that they do not fit with a current or expected biological explanation).

In this, the second of a two-part series on managing patients with MUS, we explore the nuances of communicating the diagnostic label of MUS, issues that can arise with patient expectations and fears of pathology, uncertainty and media representations of MUS. The challenges that arise with MUS are myriad and relate to both clinician and patient factors – these are outlined in the sections below, together with strategies for mitigating their impact.

Learning objectives

This module will guide you through how to:

• Consider approaches to communicating a diagnosis of MUS and manage patients’ expectations and fears
• Avoid repeat cycles of investigations and referral while maintaining support and ‘keeping the door open’
• Advise patients on how best to navigate online information and support groups for MUS
• Manage the involvement of private specialists in the patient’s diagnosis and treatment
• Employ practical strategies to keep patients engaged and avoid frustration

Author: Dr Edward Pooley is a GP in Nottingham

Date published: 07.03.2025