Body aches, years of constipation? Psychiatric diagnosis: Anxiety has a connection!

alopah Date:2021-08-06 11:04:33
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1.Pain for more than 10 years:


Annie has had pain in the muscles of her head, back and thighs for more than a decade and there is no cure. At the age of 18, when she was in high school, she suffered from physical pain. At that time, she was under great pressure to study and fell in love with her family. She gradually appeared on the head tingling, the location is uncertain, had to internal medicine examination did not check the problem, also had taken medicine but no effect. For more than a decade the symptoms grew and went uncured, leaving her in agony.


In fact, this is a persistent physical pain disorder, emotional conflict or psychosocial problems directly lead to the occurrence of pain, often after the examination did not find the corresponding physical lesions.


2.The reason for many years of constipation is anxiety:


Anna, 48, has been feeling bloated and constipated for the past two years. In order to treat this disease, she sought doctors everywhere, almost went to the digestive department of every major hospital in the city, and did gastroscopy and colonoscopy without finding anything wrong. Ms. Yang told of her early years in the business, starting from scratch, when she suffered from poor digestion and frequent stomach distensions due to financial stress and chronic anxiety. She was finally diagnosed with somatization disorder at the psychiatric department.


Both cases are related to somatoform disorder. Somatoform disorder is a neurosis characterized by persistent worry or belief in dominant beliefs about various somatic symptoms. There are four main types:




Somatization disorder:


This is a kind of neurosis with various, recurrent, often changing physical symptoms, clinical more accompanied by anxiety or depression. Symptoms can involve any system or organ of the body, most commonly gastrointestinal discomfort (such as pain, burping, acid reflux, vomiting, nausea, etc.), abnormal skin sensations (such as itching, burning, tingling, numbness, soreness, etc.), skin spots, and sexual and menstrual complaints are also common.


Patients often seek medical consultations or ask for multiple tests without results, even if the doctor’s reasonable explanation, can not dispel doubts, often feel pain. Moreover, the course of the disease is chronic and volatile, often accompanied by social, interpersonal and family problems.


Autonomic nerve dysfunction:


This type of patients is the most common clinically. Patients often have palpitations, sweating, trembling, blushing and other symptoms, and often have fluctuating pain, burning, heaviness, tightness and swelling.


Somatoform pain disorders:


The main characteristic of pain disorders is that everything is centered on pain and nothing that is most important in life can distract the patient from the disease.


Any part of the pain may occur, the head (15.3%), back (15.1%) common, followed by the waist (11.85%), chest (10.33%); Pain nature is different, the head with sting pain, waist back with ache, limbs with distend pain more.


Pain affects the physical and emotional state of millions of people around the world. Sufferers often suffer from depression, anxiety, lack of sleep and even self-abandonment. About half of people are helpless and even consider suicide.


This inexplicable pain causes patients to seek medical attention, take a variety of drugs, and some even become dependent on sedative painkillers.




Constantly worrying about some serious physical illness is disproportionate to the actual state of your health.


There are also misgivings or preconceptions about body deformities (though ill-founded or even unfounded) (also known as body deformities, such as a feeling that you are ugly and need to be “fixed” here and there, leading to excessive plastic surgery).


The symptoms of different patients are not consistent: some of the main manifestations of hypochondriasis discomfort, often obvious anxiety and depression; Some hypochondria concept is prominent, and body discomfort or mood change is not significant; Some of the suspected diseases are more vague or extensive, while others are more specific or specific.


In any case, the patient’s idea of hypochondria never reaches the level of absurdity or delusion. Most patients know that the evidence of disease is insufficient, so they want to be diagnosed by repeated tests and ask for treatment.

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