Functional gastrointestinal disease, why use antidepressants

Functional gastrointestinal disease that cannot be detected
Functional gastrointestinal disease, also known as gastrointestinal dysfunction, is a syndrome of abnormal intestinal-brain interaction caused by multiple factors, lack of clinical anatomical abnormalities, and chronic or recurrent gastrointestinal symptoms. In layman’s terms: the gastrointestinal tract has various discomforts, but no major problems were found in a clinical examination.

This is the most common gastroenterology disease. Almost half of the patients who come to the gastroenterology department have functional gastrointestinal problems. Some patients always feel nauseous, vomiting, but have nothing to vomit; some have stomach bloating, indigestion, and even a dull abdomen, but it is hard to tell where the pain is; some have diarrhea and bowel movements at any time; some constipation and diarrhea alternately appear Wait. However, after a series of examinations such as gastrointestinal endoscopy, full body examination, color Doppler ultrasound, CT, magnetic resonance, Helicobacter pylori, etc., no problems were found. The effect of taking stomach medicine is not good, or even if it is effective, once the medicine is stopped, it will be quickly and quickly It will relapse, which plagues many patients.

Upset stomach is the main symptom
Common functional gastrointestinal diseases include functional dyspepsia with stomach discomfort, irritable bowel syndrome with intestinal discomfort, and functional constipation.

The main symptoms of functional dyspepsia are: fullness after meals, bloating even if only a little bit of food is eaten (this is a major cause of tension and anxiety in many people), abdominal pain and swelling, burning sensation, belching, loss of appetite Good, nausea, etc. Many patients also have insomnia, anxiety, headaches, and lack of concentration.

The main symptoms of irritable bowel syndrome are: abdominal pain, diarrhea, constipation, bloating, indigestion, insomnia, anxiety, anxiety, depression, dizziness, headache, etc. I have encountered many patients who have only one symptom in clinical practice. For example, some patients have diarrhea as the main cause. They have 3-4 times a day and have unformed stools. Many people are therefore nervous, anxious, and suspect that they have cancer, but they can’t find out the cause. They can only spend time and money in various hospitals and clinics to buy various medicines and even various kinds of remedies and secret recipes, but they still can’t get a cure. For this reason, I became more anxious, nervous, and so on.

The main symptoms of functional constipation are: low frequency of bowel movements, difficulty in defecation, dry stool, feeling of not being exhausted. Some patients may have symptoms such as lower abdominal distension and pain, loss of appetite, and fatigue.

Psychological factors and functional gastrointestinal diseases affect each other
Functional gastrointestinal diseases repeated repeatedly, seriously affecting the quality of life of patients. So what caused it?

In fact, the pathogenesis of functional gastrointestinal diseases is complex and diverse, and its etiology has not yet been clear. It may be related to the following factors:

1. Mental and psychological factors

The onset of a variety of functional gastrointestinal diseases is related to negative mental states such as depression and anxiety. After the illness, the cause cannot be found and the cure is not available. The patient will fall into the negative emotions of random thinking, anxiety, and tension due to worry about the condition. This negative mental state will in turn aggravate the condition, thus forming a vicious circle.

2. Genetic factors

Irritable bowel syndrome has a certain familial tendency.

3. Dietary factors

Some people are naturally too sensitive to certain foods, such as allergies as soon as they eat mango, ranging from itchy mouth to whole body itching and stomach pain; when drinking milk, they have diarrhea, or have bloated stomachs, groaning stomachs, and excessive farts. Data show that about 33% to 66% of patients with irritable bowel syndrome show intolerance to certain things. The low fiber content in the diet is an important pathogenic factor for functional constipation.

People with obvious psychological disorders need antidepressant treatment
The treatment of functional gastrointestinal diseases focuses on relieving symptoms, preventing recurrence, and improving quality of life. Commonly used therapeutic drugs include prokinetic drugs (such as domperidone, mosapride), catharsis drugs (such as lactulose), antidiarrheal drugs (such as loperamide) and so on. Because patients are often accompanied by different degrees of mental and psychological abnormalities during the illness, such as insomnia, depression, anxiety, etc., and mental and psychological factors can often induce the recurrence or aggravation of functional gastrointestinal disease. Therefore, it is necessary to actively treat patients with obvious psychological disorders, and may need to apply antidepressants under the guidance of a doctor. This is the case for Ms. Liu in the case. Commonly used drugs include fluoxetine, amitriptyline, deanxit and so on.

Functional gastrointestinal disease generally does not affect the general condition, but because its symptoms often occur repeatedly or intermittently, it seriously affects the patient’s quality of life. Therefore, in the prevention and treatment of functional gastrointestinal diseases, in addition to the medication prescribed by the doctor, daily care must be done to reduce symptoms and reduce recurrence.

The first is to maintain a good mental state. The doctor should help the patient to make it clear that functional gastrointestinal disease is a functional disease. It is not cancer and will not cause obvious complications, so as to eliminate the patient’s doubts; family members should strengthen the psychological support for the patient, and the patient should not feel that it is young The subject is a big deal; the patient himself must be optimistic in his daily life and work, and he must be open-minded in situations. Although the drug treatment of functional gastrointestinal disease can help relieve symptoms, patients cannot rely on drugs, let alone hope for certain health products, remedies, or secret recipes. The gains outweigh the losses. To prevent and treat functional gastrointestinal diseases, the most important thing is that patients can change their understanding of the disease and change their mentality. It can be said that if you adjust your mentality, functional gastrointestinal disease is half better.

The second is to actively carry out a scientific diet. As mentioned earlier, diet is also one of the factors affecting functional gastrointestinal diseases. Patients should avoid eating foods that they are allergic to. It is best to record the foods that cause discomfort and avoid eating them again. Also avoid foods that are too cold, hot, or irritating, such as raw onions, raw garlic, mustard, and peppers. Excessive eating, heavy drinking, high-fat diet, eating caffeine, etc. are not recommended. Some have Eat less food that has the effect of “gas production”. For patients with functional gastrointestinal disease, it is best to eat some nutritious, light, and easy-to-digest foods and drink plenty of water. It is recommended to drink at least 1.5-2L of water daily. For patients with constipation symptoms, increase the intake of dietary fiber and pay attention to the habit of defecation on time.

The last is to engage in appropriate sports activities. This is especially beneficial for elderly patients who are bedridden for a long time and exercise less. If a person does not move, and the gastrointestinal tract does not move, a series of symptoms of indigestion will naturally appear. But excessive exercise is also bad. Therefore, patients with functional gastrointestinal disease must grasp the degree of exercise, and choose some mild aerobic exercise, such as taking a walk outdoors. Usually, insisting on doing abdominal massage exercises has a certain effect. Cover one hand with the other, place your palm on the belly button, and do a clockwise movement with the belly button as the center. The concentration is moderate.