Nerves and irritable bowel syndrome


A significant role in the hypersensitivity of the colon is played by the central nervous system: mood changes, irritability, painful perception, depression, violation of spinal afferent influences, increase in the threshold of pain sensitivity, leading to hyperreflexion. The change in the tone of both the central and peripheral nervous system can lead to hypersensitivity of the intestine and play a direct role in the development of IBS. Spinal and cerebral changes lead to hypersensitivity of the intestinal nervous system for account of the plaque afferent influences in patients with IBS, which was shown by rectal administration lidocaine.

IBS is considered a multifactorial and heterogeneous disease, in the development of which the state of higher nervous activity and the type of personality of the patient are of great importance. This psychosomatic disease, according to the nature and severity of neuropsychic reactions occupies a borderline between the norm and psychopathology. More than half of the patie

nts have somatoform disorders with psychopathological symptoms: feelings of anxiety, fear, depression, obsessive states, hysterical reactions. Among patients with IBS, a group is distinguished with situationally conditioned psychopathological manifestations and apparent endogenous disorders.

The cause of IBS can also be hypochondria, psychasthenia, paranoia, psychopathological reactions, schizophrenia, egocentrism.

Increased mechanical pressure in the colon causes rectal hyperalgesia. The intensity of central and spinal stimulation affects the intestinal motility and plays an important role in the formation of IBS.

For the development of IBS, regulatory disorders on the axis of the brain-intestine are important. In pathological interactions, the imbalance between neurotransmitters and regulatory peptides plays a role, which controls the main intestinal functions (cholecystokinin, motilin, neurotensin), opioid peptides (enkephalins, endorphins, vasoactive intestinal peptide, serotonin and other).

With the lability of the central nervous system, the intestine is the target organ that realizes the disruption of the relationship between the brain and the visceral organs. The threshold of pain sensitivity changes and the receptivity of the receptor apparatus of the intestine to irritants is disturbed.

It contributes to the emergence of IBS and psychosocial disadaptation: poor adaptability of patients to the environment, inadequate response to stress and adverse household situations.

The main links in the development of IBS are a violation of the function of cholinergic and adrenergic nerves, increased secretion of gastrointestinal peptide hormones, an increase in the number enterochromaffin cells in the rectal mucosa and the synthesis of prostaglandins in the mucosa of the colon, increased sensitivity of the musculature of the colon to the intestinal regulators.

Psychogenic and other etiological factors have a pathogenic effect on bowel function with the help of cholinergic, adrenergic and peptidergic nerves.

Irritable Bowel Syndrome (IBS): the cause is nerves

Published on 22.08. | | Rating: 324

Modern man is subjected to a variety of stresses daily. And given that life in Russia in the last 30 years has been much more unpredictable and stressful than in the same Europe, we can safely assume that the nervous overexertion experienced a much larger number of people. And it is necessary to emphasize, normal people, too long, for years living in a situation of chronic stress. Meanwhile, very many stresses provoke problems from internal organs, which are called psychosomatic disorders. In this case, the symptoms of nervous overexertion and exhaustion can be masked for cardiovascular ailments, pseudo-asthmatic conditions. From the skin, they can manifest as different neurodermatites. Finally, there may be problems from the gastrointestinal tract, that is, irritable bowel syndrome (IBS). According to statistics, this is the third of the patients who seek help from the gastroenterologist.

Complaints of these people are very extensive: this feeling of discomfort, heaviness and pain in the abdomen of various localization and intensity, diarrhea, constipation, their alternation, rumbling in the abdomen, whipping (flatulence), feeling of incomplete emptying of the intestine after defecation. In this case, unlike "real" diseases, after the most thorough examination in such patients can not be detected pathological changes, characteristic of a disease of the gastrointestinal tract, causing similar symptoms. Therefore, IBS and refer to functional disorders - primarily, the nervous system. Characteristically, most patients note themselves, and that their symptoms worsen or intensify after they are nervous.

It is also very desirable to visit a psychologist or a psychotherapist and work with him, as it has long been known: it is not so important what happens to you, and how you estimate it. The ability to respond adequately to life-threatening problems and especially their successful resolution with the help of a specialist is a sure pledge of both mental and physical health. It is not necessary to wait for the problem to "overrun" or "resolve itself it is necessary to learn muscle relaxation and other methods of self-help and self-regulation. And there is nothing to be ashamed of asking for help (as well as overestimating one's own strength and knowledge, only pounding the problem inward): a nervous the system is the same organ as the stomach or the heart, and from its correct functioning depends the functioning of the whole organism and the total state of health.

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Causes of irritable bowel syndrome, psychosomatic on nervous and post-infection after antibiotics

Posted on: 17 Dec at 1: 6

Irritable bowel syndrome is the most common pathology of the digestive tract. The chronic form of this illness occurs in about 20% of the population. This complex of symptoms affects women more often than men. The main cause of the disease is psychological.

Irritable bowel syndrome is a stable functional disorder in the digestive organs, expressed in discomfort, spasms and pain in the abdominal region. Violation is accompanied by a change in the frequency of defecation and the consistency of stool. In this case, there are no organic lesions of the intestine. IBS is not so much a disease as a functional deviation, which, as a rule, arises on the nerves, because of stress or negative emotions.

To date, precise etiologic factors have not been established that trigger the onset of irritable bowel syndrome. The conducted scientific researches have shown that the syndrome does not entail pathological changes of the intestine itself, but is accompanied only by temporary discomfort disappearing after defecation. Doctors believe that this pathology is a psychosomatic disease, that is, it arises on the nerves. Emotional stress and stress are the main causes of irritable bowel syndrome. Among the other possible causes of IBS are the following:

  • Violation of the motor function of the digestive organ: its strengthening leads to diarrhea, and a slowing to constipation;
  • Dysbacteriosis, a change in the balance between pathogenic and beneficial microflora in favor of pathogenic microorganisms, is also an important cause of IBS. Postinfection dysbacteriosis occurs, as a rule, against the background of taking antibiotics;
  • Genetic predisposition;
  • Various eating disorders: overeating, consumption of low-quality products.
  • The more causative factors involved in the development of irritable bowel syndrome, the more pronounced the symptoms of the disease.

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The cause of the postinfection syndrome of the irritable intestine lies in dysbiosis, both during the period of the disease itself and after it. It arises from the use of antibiotics. Thus, the postinfective syndrome of the irritable bowel is largely provoked by potent drugs. They destroy not only pathogenic, but also beneficial bacteria for humans. Since good microorganisms are necessary for the stable functioning of the gastrointestinal tract, as a result of their disappearance, the digestive process is disrupted.

Antibiotics are indispensable medicines used to treat many diseases, but to avoid the emergence of IBS at the same time it is necessary to use probiotics, then the medicamental cause of irritable bowel syndrome falls off. After all, probiotics contribute to the formation of good conditions for the recovery of useful microflora, and interfere with the development of irritable bowel syndrome. The cause of exacerbation of the disease is the intake of food, after which there are diarrheal phenomena:

  • Painful sensations and spasms in the abdomen, disappearing after defecation;
  • Diarrhea or constipation;
  • Increased gas formation.

Psychosomatics of irritable bowel syndrome

This direction is separate in medicine. It studies the effect of psychological factors on the occurrence and development of somatic diseases. He explores the causal relationships between the emerging pathologies and personality characteristics. Diseases, caused primarily by emotional factors, are called psychosomatic disorders. Irritable bowel syndrome is one of the examples of such diseases. Stability of the organism to adverse factors is always individual. Stressful effects result in the appearance of psychosomatic reactions in the event that the body stops responding adequately to stress.

Man, faced with problems in everyday life, in fact, all the time is in a state of tension. Stresses deplete the body, lead to various kinds of dysfunctions, as a consequence, there are changes in the work of internal organs. Psychosomatic digestion - a disease of the gastrointestinal tract, which have arisen on the nerves. The reasons for them are precisely psychological factors.

Many patients are interested in what methods of therapy are used in the case when irritable bowel syndrome appears on nervous soil. Treatment in this case is aimed at disabling the stressful regime of the body. Hypnosis and training in auto-training are the main treatment methods. We must adhere to the principles of HLS: moderate physical activity, rational nutrition, the right regime and the daily routine will be in this case excellent preventive measures.

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