“The old stomach problem was treated in the clinical psychology department

  Among our friends and relatives, including ourselves, many people are often troubled by “old stomach problems”, such as loss of appetite, recurrent bloating and discomfort, or frequent stomach pain, acid reflux, insomnia and weight loss. Why the stomach disease always recurring episodes, and even a lot of digestive drugs do not work, very painful.  Auntie Zhou (pseudonym) is one such patient, suffering from “stomach problems” for more than a decade, every year for several months repeatedly feel distended epigastric pain, belching, acid reflux, no appetite, early satiety, nausea, throat blockage, often accompanied by panic, headache, insomnia, weight loss of more than 10 pounds, people are very thin, the family is very worried. He has been to almost all the local hospitals and had a full body checkup, but only found “chronic superficial gastritis”, but he has taken many gastroenterological drugs, but they do not work, and he is in great pain, sighing all day long, thinking and worrying a lot, always thinking he has “stomach cancer”. She always thinks she has “stomach cancer”, but everyone hides it from herself, she often loses sleep, and sometimes she doesn’t even want to live anymore.  This year, her family took her to Nanjing, the provincial capital, to find the famous gastroenterologist Lin Lin, director of the Jiangsu Provincial People’s Hospital and the famous Chinese medicine expert Wei Muxin, director of the Department of Integrative Medicine for digestive tract diseases. When the clinical psychologist diagnosed her with “functional gastroparesis” and told her the clinical features of “functional gastroparesis”, she and her family were convinced that they were on the right track, and the doctor prescribed her antidepressant, anti-anxiety and sleep improvement medication. Auntie Zhou and her family were surprised, why taking antidepressants can treat “old stomach disease”?  In fact, functional gastroparesis is one of the common diseases of clinical psychology in general hospitals, gastroenterology is also called functional dyspepsia, is a common psychophysiological dysfunctional diseases, the onset of age between 20 to 50 years old, the disease process is slow, often affected by emotions, diet and other factors. Symptoms persist or recur, and its onset is closely related to mental, diet, living and lifestyle.  Forty-two to 61% of patients with functional gastric disease have a combination of psychosomatic disorders such as anxiety, depression, and insomnia. Careful questioning of medical history can often find mental triggers, such as the above-mentioned Aunt Zhou, introverted since childhood, sensitive, dependent, poor feelings of his father and wife over the years, often sulking, especially in the last decade or so, the mother-in-law and daughter-in-law conflict, so the “stomach disease” more and more serious.  Emotional problems how to cause stomach problems? We should have experienced, often people say “I’m so angry that my stomach hurts”, “I’m so angry that I don’t want to eat”, angry is emotion, how can affect the stomach? Scientific research has confirmed that, when depressed, nervous, the emotional center of the brain will be dysfunctional, the plant nerve center next to it will be affected by the functional disorders of the plant nerves, which control the gastrointestinal nerves are most likely to dysfunction, which affects the peristaltic function of the stomach and intestines, the secretion of digestive juices is reduced or increased excessively, prone to stomach pain, acid reflux, and decreased appetite, etc. Digestive symptoms, so some scientists say that the gastrointestinal is the most sensitive organ to emotions.  In addition, with the accelerated pace of life and life structure changes, the workplace, white-collar life is fast-paced, work pressure, irregular diet, work and life stress, tobacco and alcohol stimulation, acid and spicy stimulation and other external stimuli, at the same time, the daytime work pressure people are more likely to appetite, often eat late night snacks, and will disrupt the normal digestive and absorption functions, for the induction of ” Functional gastric disease” provides the conditions, if not timely medication or adhere to poor living and eating habits, may also be transformed into organic lesions, such as acute and chronic superficial gastritis, gastric ulcer, atrophic gastritis …… become “big gastric disease “.  The key to the treatment of functional gastric disease is to see the right department, focusing on comprehensive conditioning, supplemented by medication, and correcting the stimulating factors for the cause. Patients who have led to gastrointestinal inflammation should use antibiotics under the guidance of a gastroenterologist. Misuse of antibiotics can destroy the normal flora of the intestine, leading to disorders of the flora and aggravating the condition or even drug resistance.  When treating patients with functional gastrointestinal disease with psychological triggers, the less severe cases should be based on adjusting the mentality and changing the lifestyle, and if necessary, gastrointestinal regulating drugs can be added, supplemented by cognitive therapy and other psychological adjustment treatment. For severe patients, on the one hand, we need to actively adjust the gastrointestinal motor and sensory functions, and at the same time, we need to choose psychological cognitive and behavioral therapy as well as relaxation, hypnosis, biofeedback therapy, etc., and if necessary, add anti-anxiety and depression drugs. In addition, frequent abdominal massage exercises, exercise and optimism can improve the condition.