What Are the Most Common Gastrointestinal Symptoms?
Gastrointestinal dysfunction is also known as gastrointestinal neurosis. On the premise of excluding organic lesions, mental factors are the main causes of the disease, such as emotional tension, anxiety, difficulties in life and work, troubles, accidents, etc. Can affect the normal activities of gastrointestinal function, and then cause dysfunction of the gastrointestinal tract.
Basic Information
- nickname
- Gastrointestinal neurosis
- English name
- gastrointestinal dysfunction
- Visiting department
- Gastroenterology
- Common causes
- Mainly mental factors, caused by irregular diet and stress
- Common symptoms
- Acid reflux, belching, anorexia, nausea and vomiting, burning sensation under the xiphoid
Causes of gastrointestinal disorders
- There are the following aspects:
- 1. Irregular diet
- Causes gastric motility dysfunction, promotes the secretion of gastric juice, and leads to gastritis or gastric ulcer over time.
- 2. Pathological causes
- Such as indigestion, gastritis, ulcers, acute gastroenteritis and so on.
- 3. Mental factors
- Bad emotions can cause hypothalamic dysfunction through the cerebral cortex, which can affect gastrointestinal function and cause gastrointestinal dysfunction.
Classification of gastrointestinal disorders
- Gastric neurosis
- Neurogenic vomiting. Nervous belching. Anorexia nervosa.
- 2. enteric neurosis
- Enteric neurosis, also known as irritable bowel syndrome, is the most common functional disease of the gastrointestinal tract. Colonic dyskinesia is the most common type. Colonic secretion dysfunction mainly. The small bowel dysfunction mainly.
Clinical manifestations of gastrointestinal dysfunction
- Gastrointestinal dysfunction starts slowly, and the clinical manifestations are mainly gastrointestinal symptoms. Patients with gastrointestinal neurosis are mostly acid reflux, belching, anorexia, nausea, vomiting, burning sensation under the xiphoid, and fullness after eating , Epigastric discomfort or pain, each time the mood changes, the symptoms worsen. Enteric neurosis, also known as irritable bowel syndrome, is the most common functional disease of the gastrointestinal tract. Intestinal symptoms are the main symptoms. Patients often have abdominal pain, bloating, bowel sounds, diarrhea and constipation, and cord-like masses can be caused by left lower abdominal pain. Abdominal pain is often exacerbated by eating or cold drinks. After defecation, exhaustion, and enema Lighten. Abdominal pain is often accompanied by abdominal distension, poor bowel movements or increased defecation frequency, and the stool can be thinned and dried. In the past it was called colon dysfunction, colon cramps, colon allergies, spastic colitis, mucus colitis, emotional diarrhea and so on.
- Most of the onset is slow, the course of the disease often over a period of years, showing persistent or repeated attacks. The clinical manifestations are mainly gastrointestinal symptoms, which can be limited to the pharynx, esophagus, or stomach, but intestinal symptoms are the most common and can also be accompanied by other common symptoms of neurosis.
Gastrointestinal disorders
- Image diagnosis
- According to different situations, X-rays, endoscopy, gastric juice analysis, and stool tests were used. If necessary, ultrasound, CT and other examinations should be performed to exclude liver, gallbladder, pancreas and other abdominal organ diseases.
- (1) X-ray examination of the gastrointestinal tract shows that the movement of the entire gastrointestinal tract is accelerated, the colonic bag is deepened, the tension is increased, and sometimes due to colon spasm, a linear shadow below the descending colon appears.
- (2) Colonoscopy No obvious abnormalities of colonic mucosa.
- 2. Laboratory diagnosis
- Blood routine, immune factor examination, liver and kidney function, biopsy if necessary.
Diagnosis of gastrointestinal disorders
- The clinical characteristics of gastrointestinal dysfunction, especially the condition often fluctuates with emotional changes, and symptoms can be temporarily subsided due to mental treatment, such as suggestive therapy, suggesting the possibility of this disease. The premise is that organic lesions must be ruled out.
- After the initial diagnosis of this disease, close follow-up is required, and after a period of time, the diagnosis is correct.
Differential diagnosis of gastrointestinal dysfunction
- Organic diseases, especially malignant lesions of the gastrointestinal tract, must be ruled out first. Excludes colon cancer, inflammatory bowel disease, diverticulitis, and dysentery.
- Patients with persistent abdominal pain with weight loss should take a whole digestive tract barium meal to exclude Crohn's disease. Those with persistent upper abdominal pain after a meal should perform gallbladder ultrasound. Abdominal CT and amylase measurements should be performed when pancreatic disease is suspected. Lactase deficiency should be suspected For lactose tolerance test; small intestinal mucosal biopsy except small bowel mucosal disease; colonic mucosal biopsy except colitis. Neurogenic vomiting must be distinguished from chronic gastric disease, pregnancy vomiting, and uremia, and intracranial mass lesions should also be excluded. Anorexia nervosa must be distinguished from gastric cancer, early pregnancy response, and hypophyseal or adrenal insufficiency.
Gastrointestinal dysfunction complications
- Severe malnutrition and anorexia nervosa.
Gastrointestinal Dysfunction Treatment
- General treatment
- Gastrointestinal dysfunction can be fundamentally adjusted only through mental adjustment and behavior change. Traditional treatments are combined with dietary therapy, nutritional support therapy, sedative sleeping, antispasmodic and analgesic comprehensive treatment methods. Doctors can use the gastrointestinal regulating and tranquilizing agent, oryzanol, digestive enzymes, vitamin B1, wedaxi, modolin, etc. according to the symptomatic condition. treatment. For patients with obvious mental symptoms, anti-anxiety or antidepressants are given to relieve psychological disorders. It is important to use psychotherapy, whose methods are generally interpretation, comfort, counseling, analysis, recognition, positive cues, and emotional transfer, so that patients truly understand the condition, actively regulate emotions, eliminate thoughts and concerns, and improve confidence in disease cure.
- 2. Drug treatment
- Regulates nerve function and improves sleep. Depending on the condition, the following drugs and methods can be used.
- (1) Sedatives It can be administered with rimienin, diazepam, chlorpromazine, phenobarbital, melanton or oryzanol.
- (2) Antispasmodic and analgesic Anticholinergic drugs can relax smooth muscles and have antispasmodic and analgesic effects; such as belladonna preparations, atropine, and probencin.
- (3) Neurogenic vomiting Vitamin B 6 is available. Vomiting was severely given to hibernating spirit, promethazine, morpholin, etc. as appropriate.
- (4) Enteric neurosis. Lubricants such as paraffin oil, magnesia, altar and plant mucus can be given to constipation. For diarrhea, you can use compound phenethylpiperidine or 0.25% nufcaine enema, once a day.
Prevention of gastrointestinal disorders
- First of all, we must pay attention to mental health, and then pay attention to dietary hygiene. Try to eat less irritating foods, not to drink or smoke; participate in physical exercise properly, you should have regular lifestyle.