Management of a Female Patient with Irritable Bowel Syndrome and Somatoform Disorder
Aim: to demonstrate the management of a patient with somatization disorder and irritable bowel syndrome.Key points. A 41-yo female patient was admitted with complains of spastic lower abdomen pain, hard stool once every 1–2 days under laxative treatment (macrogol), bloating, anxiety, waiting for con...
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| Format: | Article |
| Language: | Russian |
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Gastro LLC
2023-02-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/765 |
| _version_ | 1797245174368174080 |
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| author | E. A. Trush E. A. Poluektova A. G. Beniashvili O. S. Shifrin |
| author_facet | E. A. Trush E. A. Poluektova A. G. Beniashvili O. S. Shifrin |
| author_sort | E. A. Trush |
| collection | DOAJ |
| description | Aim: to demonstrate the management of a patient with somatization disorder and irritable bowel syndrome.Key points. A 41-yo female patient was admitted with complains of spastic lower abdomen pain, hard stool once every 1–2 days under laxative treatment (macrogol), bloating, anxiety, waiting for confirmation of a life threatening illness, internal stress, difficulty in falling asleep, shallow sleep. Has a long history of disease, characterized by the appearance of a variety of somatic symptoms (headache, tachycardia, joint pain, stool disorders, abdominal pain, etc.) during periods of emotional tension, lack of data suggesting organic disease. No abnormal changes were detected in examination at the clinic (complete blood count, serum chemistry tests, urinalysis or fecal tests, hydrogen and methane breath tests with lactulose, abdominal ultrasound, esophagogastroduodenoscopy, colonoscopy). With the prior agreement of patient, she was consulted by a psychiatrist and diagnosed with somatization disorder and mild anxiety disorder. On discharge from hospital recommended cognitive-behavioral therapy, continue taking macrogol, as well as treatment with Kolofort. After 3 months of complex treatment, there was a significant decrease in the severity of both the symptoms of irritable bowel syndrome and anxiety disorder.Conclusion. For patients whose complaints meet the diagnostic criteria for IBS, a two-stage differential diagnosis may be justified: at the first stage, differentiation of IBS and organic diseases of the gastrointestinal tract is carried out; at the second stage - IBS and somatization disorder. Kolofort can be the drug of choice both in patients with IBS and the pharmacological part of therapy in patients with somatization disorder. |
| first_indexed | 2024-03-08T09:20:43Z |
| format | Article |
| id | doaj.art-25a05dcaf45b40fbba19de83acceaa0d |
| institution | Directory Open Access Journal |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| last_indexed | 2024-04-24T19:22:43Z |
| publishDate | 2023-02-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj.art-25a05dcaf45b40fbba19de83acceaa0d2024-03-25T16:53:10ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732023-02-013259510210.22416/1382-4376-2022-32-5-95-102515Management of a Female Patient with Irritable Bowel Syndrome and Somatoform DisorderE. A. Trush0E. A. Poluektova1A. G. Beniashvili2O. S. Shifrin3Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Scientific Center of Mental Health of the Russian Academy of SciencesSechenov First Moscow State Medical University (Sechenov University)Aim: to demonstrate the management of a patient with somatization disorder and irritable bowel syndrome.Key points. A 41-yo female patient was admitted with complains of spastic lower abdomen pain, hard stool once every 1–2 days under laxative treatment (macrogol), bloating, anxiety, waiting for confirmation of a life threatening illness, internal stress, difficulty in falling asleep, shallow sleep. Has a long history of disease, characterized by the appearance of a variety of somatic symptoms (headache, tachycardia, joint pain, stool disorders, abdominal pain, etc.) during periods of emotional tension, lack of data suggesting organic disease. No abnormal changes were detected in examination at the clinic (complete blood count, serum chemistry tests, urinalysis or fecal tests, hydrogen and methane breath tests with lactulose, abdominal ultrasound, esophagogastroduodenoscopy, colonoscopy). With the prior agreement of patient, she was consulted by a psychiatrist and diagnosed with somatization disorder and mild anxiety disorder. On discharge from hospital recommended cognitive-behavioral therapy, continue taking macrogol, as well as treatment with Kolofort. After 3 months of complex treatment, there was a significant decrease in the severity of both the symptoms of irritable bowel syndrome and anxiety disorder.Conclusion. For patients whose complaints meet the diagnostic criteria for IBS, a two-stage differential diagnosis may be justified: at the first stage, differentiation of IBS and organic diseases of the gastrointestinal tract is carried out; at the second stage - IBS and somatization disorder. Kolofort can be the drug of choice both in patients with IBS and the pharmacological part of therapy in patients with somatization disorder.https://www.gastro-j.ru/jour/article/view/765functional diseases of the gastrointestinal tractirritable bowel syndromesomatization disordersomatoform disorderpsychotherapy |
| spellingShingle | E. A. Trush E. A. Poluektova A. G. Beniashvili O. S. Shifrin Management of a Female Patient with Irritable Bowel Syndrome and Somatoform Disorder Российский журнал гастроэнтерологии, гепатологии, колопроктологии functional diseases of the gastrointestinal tract irritable bowel syndrome somatization disorder somatoform disorder psychotherapy |
| title | Management of a Female Patient with Irritable Bowel Syndrome and Somatoform Disorder |
| title_full | Management of a Female Patient with Irritable Bowel Syndrome and Somatoform Disorder |
| title_fullStr | Management of a Female Patient with Irritable Bowel Syndrome and Somatoform Disorder |
| title_full_unstemmed | Management of a Female Patient with Irritable Bowel Syndrome and Somatoform Disorder |
| title_short | Management of a Female Patient with Irritable Bowel Syndrome and Somatoform Disorder |
| title_sort | management of a female patient with irritable bowel syndrome and somatoform disorder |
| topic | functional diseases of the gastrointestinal tract irritable bowel syndrome somatization disorder somatoform disorder psychotherapy |
| url | https://www.gastro-j.ru/jour/article/view/765 |
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