Occasionally spilling all over its area, sometimes localized but it is no less annoying. At other times it intensifies in monotonous contractions until it is difficult to withstand the apogee, and then slightly gives way, so that in the next wave it will again be smitten with its strength. Such recurrent pain most often causes fear, anxiety and fear. Maybe it's just indigestion? Or maybe some inflammation, ulcer or cancer? In addition, at the same time, there are various, but always equally disturbing, problems with passing stool.
Something bad is probably happening in our digestive tract.
You have to go to the doctor quickly! Do all the research! You have to save yourself! Half of the pain if after taking the medication the pain subsides and does not reappear for a long time. However, if it appears in regular, short intervals, the feeling of danger becomes stronger. The conviction of a "dangerous disease" intensifies. Fear paralyzes the psyche, disorganizes work, overpowers life.
Almost all of us experienced some dyspeptic symptoms; nausea, vomiting, diarrhea, painful stomach cramps. They usually had a clear association with previous dietary mistakes or some "more pronounced abuse" when we tried "patience of our stomach". Almost all of us experienced contractions in the abdomen or even embarrassing diarrhea in the face of seriously promising stress. This annoying phenomenon, when we should concentrate and focus ... meanwhile, we are driven into ... a secluded place.
However, the pains described at the beginning and the accompanying disruptions in the work of the entire gastrointestinal tract seem to be something else. We usually classify them as a more disturbing, more serious, more dangerous phenomenon. We almost always turn to the doctor for help and "some good medicine" in similar situations. And then, sooner or later, after performing certain diagnostic tests, we learn that we suffer from irritable bowel syndrome.
This is usually the average story of ailments associated with the disease syndrome, which is to be the subject of this monograph, seen through the eyes of the patient and felt "his digestive organs".
Irritable bowel syndrome is one of the most common pathologies of the digestive tract.
It affects as much as 10-20% of adults. It is estimated that approximately 50-70% of patients with digestive problems suffer from irritable bowel syndrome. According to estimates, symptoms associated with irritable bowel syndrome are the reason for nearly half of referrals to gastroenterologists, although only 15% of patients with this syndrome seek medical help. This condition is the second cause of absenteeism at work after colds. Costs related to the diagnosis and treatment of patients with irritable bowel syndrome, both in hospital and outpatient settings, are estimated in the US at 1.7 billion dollars a year. At the end of last century, about 5 million patients were hospitalized in this country every year due to this ailment.
The problem is therefore serious, both in the dimension of the quality of life of a particular patient and in the social scale. Irritable bowel syndrome, although its etiology is still uncertain, is considered to be psychosomatic. Nevertheless, it occupies very little space in psychiatry textbooks. The basic textbook of Kaplan and Sadock (Clinical Psychiatry) deals with this issue on one page, and a new textbook of psychiatry, which has nearly 1,800 pages of Polish, devotes two lines to it. These facts result from the situation that the point of view depends on ...of occupied position and the fact that the textbooks are usually written by clinicians, and in psychiatric clinics there are no patients with irritable bowel syndrome.
In my private practice and offices of privately practicing psychiatrists, patients with symptoms mentioned at the beginning appear quite often. The syndrome is usually associated with the syndrome in patients with depression, anxiety and neuroses. Patients with previously diagnosed irritable bowel syndrome and chronic symptoms come from gastrologists, with whom I have been cooperating for years. Our own many years of experience in the treatment of this disturbing disease and the fact that there is no study devoted to the psychiatrist's point of view prompted me to write the presented monograph.
Author dr n. Med. Janusz Krzyżowski - psychiatrist
References: U of the author
From the Author:
CONTENTS presented on the website are for educational purposes only.
CONTACT:
Private Medical Cabinet: Treatment of Irritable Bowel Syndrome - conditioned by stress and psychogenic background, anxiety, depression, neuroses.
Warsaw Ul. Dolna 4/15 Registration tel. 022 833 18 68
Table of contents of a monograph of the subject by dr n. Med. Janusz Krzyżowski:
- Irritable bowel syndrome - psychogenic aspect
1. Introduction
2. Characteristics of symptoms in the irritable bowel syndrome
3. Other symptoms characteristic of irritable bowel syndrome
4. Factors that may affect the formation of the described team
5. Other factors affecting the diagnosis of irritable bowel syndrome
6. Abdominal pain in the irritable bowel syndrome
7. Differentiation of abdominal pain in the irritable bowel syndrome
8. Diarrheas in the irritable bowel syndrome
9. Constipation in the irritable bowel syndrome
10. Functional disorders of the gastrointestinal tract in children
11. General dietary principles in the irritable bowel syndrome
12. Independent prophylaxis and dietetics in the irritable bowel syndrome
13. Treatment of irritable bowel syndrome
14. Psychotropic drugs in the treatment of irritable bowel syndrome
(link to the whole topic: http://www.lapharma.info/u235/navi/199910)