Treatment of neurosis of the stomach
Last reviewed: 23.04.2024
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Priority therapeutic factor in providing medical care to patients with gastro neurosis is psychotherapy, which corresponds to the general principles of treatment of neurotic disorders. Basically - it is personally oriented classes, individual and group. The goal is to achieve the patient's awareness of the psychological conflict that caused him a dyspeptic symptom complex, and also to rebuild the personal relationships that triggered the development of the neurosis, and to reorient the patient's attention from the symptoms of the diseases of the gastrointestinal tract to resolve the psychological conflict in the first place with himself.
Gastroenterological medicinal preparations are used in a complex of therapeutic measures. Their application has a dual purpose - biological (elimination of spastic phenomena - antispasmodics, normalization of littering, metabolic processes - enzymes, antacids, protection of the mucous membrane of the stomach and intestines to preserve its structure and normalize the work - gastroprotectors); and also - psychotherapeutic (the patient should be sure that he is being treated, especially at the initial stages of treatment).
In the early stages of the disease, usually this is also enough, in more advanced cases, the treatment regimen includes psychopharmacology (antidepressants and tranquilizers).
Effective in the treatment of gastronews have shown themselves drugs based on the sodium salt of tianeptine, for example, Coaxil, belonging to atypical tricyclic antidepressants energizing action. The active ingredient of the drug is neither soothing nor exciting, but is located in the gap between them. It stimulates the reuptake of serotonin by brain cells and the hippocampus involved in the regulation of emotional responses. Promotes the activation of the pyramidal neurons of the hippocampus, normalizes their functions. The patient improves his mood, normalizes his behavior, disappears physical complaints, anxiety and anxiety, increases the overall tone of the body. Assign, as a rule, two-time or triple reception of one tablet (12.5 mg). This antidepressant does not affect the work of the heart, sleep and memory, does not weaken attention. Dosing it is only necessary for the doctor's prescription, as this is a narcotic and can be addictive, withdrawal syndrome and other undesirable consequences.
Anti-ulcer gastroprotective agent De-Nol on the basis of bismuth subcitrate can also be included in the drug regimen for treatment of stomach neurosis. Its ability to form a protective mucous-bicarbonate layer on the surface of the mucous membrane of the stomach and duodenum, improve the blood circulation in the vessels of these organs has a beneficial effect on the work of these organs and the preservation of the normal structure of their epithelium. With excruciating acidic eructations, the drug helps to reduce the production of hydrochloric acid, by reducing its production, and reducing already secreted, by combining the active ingredient with pepsin. The daily dose is four tablets taken twice in two or one in four doses. The funds containing bismuth are not recommended for more than two months. It is not taken after a meal, with antacids and is not recommended to be washed down with milk.
To eliminate neurotic spasms, antispasmodics are used. The most popular antispasmodic No-shpa is also acceptable in this case. It can be prescribed to patients with gastralegia, gastric and intestinal spasms, spastic constipation, combination with cardiological symptoms, one tablet twice or thrice a day.
For elimination of insomnia, withdrawal of irritation and emotional excitement, light sedatives are prescribed, mostly of natural origin - valerian tablets, Novopassit, Glycine, drops - valerian, motherwort, peony, Corvalol. Basically, with a mild and moderate stage of neurosis try to dispense with a mild sedation. These are the drugs of choice.
Novopassit is a multicomponent preparation containing active components of plant origin. Guaifenesin (anxiolytic from the bark of guaiac tree), extracts of mint lemon, St. John's wort, passionflower, elderberry and hawthorn flowers, as well as its leaves, valerian root soothe nerves, relieve anxiety and anxiety, eliminate gastroenterological and other organic symptoms. The drug can cause increased drowsiness, slight retardation and reduced concentration of attention.
The standard dose for irritable and excited patients suffering from hysteria, a teaspoon of drops during the morning, afternoon and evening meals. It can be taken undiluted or diluted with water. The maximum single dose - two teaspoons, with the appearance of the above-described side-effects in the morning and afternoon, take half a teaspoon, and before going to bed - a whole. When you stop worrying symptoms from the gastrointestinal tract, you can go to the preventive dose by taking one or two teaspoons of Novopassita once, before half an hour before the possible action of the stress factor.
Glycine is used for various types of neuroses, accompanied by both emotional arousal and lability. The active substance - aminoacetic acid, physiological to our body, blocks α-adrenoreceptors. Has a stabilizing effect on the nervous system. Assign a whole tablet for resorption in the morning and in the evening, with sleep disorders - only in the evening. If necessary, you can increase the frequency of reception up to three times a day, the duration of treatment with Glycine usually is one to two weeks.
With neuroses accompanied by depressive symptoms, prescribe drugs with ginseng, eleutheroc, echinacea. Treatment is always individual, taking into account accompanying pathologies, tolerability of active components. Necessarily included in the scheme vitamins - ascorbic acid, group B, regulating the work of the nervous system, vitamin-mineral complexes.
Physiotherapeutic treatment also has a positive effect on the patient's nervous system. In neurology, various types of exposure to electrical impulse currents are used - darsonvalization, electrosleep, electrophoresis, electrostimulation; hydroprocedures - Charcot's shower, hydromassage; manual and mechanical massage.
Surgical treatment of neurosis of the stomach is not performed, if neurological symptoms accompany a peptic ulcer or neoplasms that require surgical intervention, then it must be done, but organic diseases do not concern neuroses.
Folk treatment
To eliminate psychoemotional arousal, anxiety, sleep disorders, gastroenterological symptoms that arise on the nerves, the recipes of traditional healers can be effective. Moreover, they have long been used by pharmacists, on this basis, many ready-made drugs have been created that have a milder effect on the nervous system than, for example, transquilizers.
However, before taking them, it is necessary to consult with your doctor. Perhaps, sessions of psychotherapy, physiotherapy procedures and the course of infusions of herbs will be enough.
Traditional healers recommend using onions and garlic, these vegetables have a valuable composition and, among all other advantages, contribute to the stabilization of the nervous system. If you already know that gastroenterological symptoms are not caused by organic disorders, there are no contraindications to their use.
Another simple and interesting advice for removing increased excitement. Acquire the infusion of valerian in the pharmacy. When you feel irritation, excitement, a desire to cry, try to inhale the smell of tincture from the bottle of each nostril alternately. You can practice this way to fall asleep quickly. Just remember that valerian is also addictive, so practice such soothing procedures need not more than two months.
Honey also has the ability to stabilize the nervous system. To make a honey drink, you need to dissolve two tablespoons of honey in ½ liter of cooled boiled water and drink this portion during the day in three to four ways, dividing into equal parts. A week later, the improvement will be noticeable.
Treatment of herbs neuroses lead, using the roots of valerian, ivan tea, lemon balm, mint, oregano, sweet clover, chamomile. These herbs can be brewed separately, added to tea, to prepare phytomixes from them.
For example, ivan-tea has calming properties, in addition, the infusion of this herb is used in the treatment of diseases of the gastrointestinal tract. Decoction from the leaves of the willow-tea is prepared as follows: 200 ml of boiled water take a tablespoon of dry plant raw materials, boil on low heat for no more than five minutes, cool for an hour, filter and drink ½ cup before meals in the morning and in the evening. Breakfast or dinner can be in 20 minutes.
Infusion from berries of a guelder-rose: the basic ingredient in volume of five table spoons knead to a puree state, make boiling water (700ml). Leave to infuse for four hours. Thoroughly filter. Take for half an hour before each of the four meals.
We make phytomixel from five tablespoons of cumin, three tablespoons of chamomile flowers, two - crushed root of valerian. Brew a glass of boiling water a tablespoon of the mixture, after a third of an hour, filter. Infusion should be drunk once a day at night.
You can drink before bedtime infusion of mixed in equal volumes of mint leaves, herbage motherwort, Valerian roots, hop cones and hips. A tablespoon of the mixture is brewed with a glass of boiling water. An hour later, they strain and drink.
In the treatment of neuroses, aromatherapy is used. Smells help us to get rid of stress (lavender, geranium, bergamot, mimosa), calm down (chamomile, jasmine, melissa), relax (cedar, rose, sandalwood, basil).
Homeopathy
Homeopathic remedies that have a mild regulating effect can not only relieve neurosis, but normalize the nervous system and prevent the occurrence of neuroses in the future.
Patients with a clinical picture of a hysterical neurosis are prescribed Ignatia, Cocculus indicus and Platinum metallicum. Actaea Racemosa and Lachesis are usually recommended for women with menopausal neuroses, Thuja occidentalis - hypochondriacs. In the treatment of neuroses, other drugs are also used, but a practicing homeopathic practitioner should prescribe the treatment.
Pharmacy complex homeopathic preparations can be recommended as monotherapy, and also included in the treatment regimen, since they are compatible with almost all medications.
In neuroses accompanied by psychosomatic symptoms, Nervocheel is used - a complex of homeopathic dilutions of several substances of vegetable, animal and mineral origin, which has antidepressant effect, and also - arresting increased excitability and convulsive muscle contractions.
The active substances contained in the drug combination have the following properties:
- Ignatia (beans of St. Ignatius) - eliminates depression, inhibition, anxiety, instability of the psyche, convulsive contractions of the musculature;
- Psorinum-Nosode (nosode scabies) - stabilizes control over emotions, mental reactions; Supports migraine-like, stomach and other pains;
- Sepia officinalis (contents of an ink bag of cuttlefish) - normalizes the process of going to sleep and its quality, reduces the excitability of the nervous system, restores vitality;
- Kalium bromatum (potassium bromide) - improves the quality of night rest and the ability to memorize; seizes the attacks of unreasonable fear, the oppressed state of the psyche;
- Acidum phosphoricum (phosphoric acid) - restores the emotional, intellectual, neuro-psychic sphere and physical activity;
- Zincum isovalerianicum (Valerian-Zinc Salt) - Cures hypochondriac syndrome, convulsive attacks and trembling in the limbs; normalizes sleep.
Contraindicated in patients who are sensitized to the components. There are no age restrictions. Pregnant and lactating women should be administered only by medical prescription.
Sublingual tablets take at least 20 minutes before breakfast, lunch and dinner or an hour later. Dosage children 0-2 full years in a half tablet; three years and older - for the whole. Three times a day, the last time just before bedtime no more than 15-20 minutes.
Ignacy Gommakord is used for psychosomatic pathologies. The composition includes two components of the vegetable - beans of St. Ignatius (Ignatia), and the animal - Musk deer musk (Moschus), in several dilutions.
The combination of these components reduces depression, anxiety, fear, tearfulness, increases emotional and psychic stability. The patient stops neurotic spasms, pain, nervous tic and other somatic symptoms. In particular, women stop the menstrual cycle disorders of a neurotic character. The drug has a moderate sedative effect and activates metabolic processes in nerve cells.
Contraindicated in patients and children up to two years of age who are sensitized to the components. Pregnant and lactating women should be used only as prescribed by the doctor.
Drops are sublingually no less than 20 minutes before breakfast, lunch and dinner, or an hour later. You can dissolve the recommended amount of drops in a spoon of clean water and drink, delaying when taken in the oral cavity. Dosing: 2-5 full years - five to seven droplets; 6-11 full years - from seven to ten drops; from 12 years - ten drops. The standard course is a month, continuation of admission is possible only after consulting a doctor.
Valerian Heel is shown for various neuropsychic disorders. The drug does not have a direct sedative effect, but mediates the effect by connecting the limbic system of the brain, limiting the stimulus stimulus through the receptors of γ-aminobutyric acid. Pharmacological properties of the drug determine the spectrum of its action:
- Valeriana offisinalis (valerian) - has a relaxing effect for both the nervous system and vascular;
- Humulus lupulus (hops) - eliminates the increased excitability;
- Crataegus (hawthorn) - tones the heart muscle, optimizes the heart, expands the lumen of the coronary arteries, has antihypertensive action;
- Hypericum perforatum (St. John's wort) - activates metabolism in neurons, tones the cerebral vessels, stabilizes the blood flow;
- Melissa officinalis (Melissa) - increases resistance to stress factors, stops overexcusations;
- Chamomilla reсutita (chamomile pharmacy) - has a mild sedative effect, strengthens the immune system, relieves swelling and inflammation, normalizes the process of digestion;
- Acidum picrinicum (picric acid) - provides a nootropic effect;
- Avena sativa (oats common) - promotes adaptation and restoration, strengthens immunity;
- Bromides (Kalium bromatum, Ammonium bromatum, Natrium bromatum) - normalize the balance of excitation and inhibition of the nervous system, have a moderate anticonvulsant effect.
Contraindicated sensitized to the ingredients of the homeopathic complex for patients and children up to two years. Pregnant and lactating women should be used only as prescribed by the doctor. Apply the same as the previous product.
Nutrition for neurosis of the stomach
An important role in successful treatment is played by a properly organized regimen and optimal diet of the patient, which helps to eliminate dyspeptic symptoms and associated unpleasant sensations. A strict diet for neurosis of the stomach is not respected, nutrition should be full and varied, rich in proteins, vitamins and minerals. Nevertheless, some restrictions must necessarily be observed. From the diet it is necessary to exclude alcohol, fatty foods, canned food, pickles and smoked products, spicy spicy sauces and marinades. It is not necessary to lean on high-carbohydrate food, sweets, sweet fizzy drinks, strong tea, coffee. To give preference to cooking stewed, steamed, boiled dishes from vegetables, dietary meat, fish. It is necessary to include salads from fresh vegetables and fruits in the diet, it is recommended to eat cheeses, raisins, nuts, dried fruits, green vegetables, beef, turkey, herring, mackerel, cod, eggs, sour-milk products, beans, cereals.
It is recommended to take food in small portions, without hurrying up, and chew well and repeatedly chew. This will promote the full production of digestive enzymes, from well-digested food, nutrients, vitamins and trace elements, necessary for strengthening the nervous system and immunity, will be better absorbed. It is desirable to eat at the same time, at least five times a day.
Recommendations for nutrition can also be individual, depending on the symptomatology and severity of the patient's condition.