Can psychological problems lead to gastrointestinal problems

Psychological problems may lead to gastrointestinal dysfunction, commonly seen in mental and psychological disorders such as anxiety and depression. Gastrointestinal dysfunction may be related to autonomic nervous system dysfunction, abnormal secretion of stress hormones, increased visceral sensitivity, dysfunction of the brain gut axis, imbalance of gut microbiota, and other factors. It usually manifests as symptoms such as abdominal distension, abdominal pain, diarrhea, or constipation. It is recommended to seek medical attention promptly and undergo psychological intervention and gastrointestinal targeted treatment under the guidance of a doctor.

1. Autonomic nervous system dysfunction

Long term psychological stress may interfere with the balance of the autonomic nervous system, leading to excessive excitation of the sympathetic nervous system, inhibition of gastrointestinal motility, and secretion of digestive fluids. This situation is common in people with high work pressure and may be accompanied by symptoms such as palpitations and excessive sweating. Doctors may recommend using Guweisu tablets to regulate autonomic nervous system function, combined with psychotherapy to alleviate symptoms.

2. Abnormal stress hormones

Anxiety and depression can lead to excessive secretion of cortisol from the adrenal gland, which may damage the gastrointestinal mucosal barrier and induce functional dyspepsia. Typical manifestations include postprandial fullness and early satiety. Commonly used compound digestive enzyme capsules in clinical practice improve digestive function, and in severe cases, Flupentixiton and Meritocine tablets need to be used to regulate emotions.

3. Patients with visceral hypersensitivity

psychological disorders often experience visceral hypersensitivity, and normal intestinal peristalsis is misdiagnosed as painful stimulation. This condition is closely related to irritable bowel syndrome, with symptoms including changes in bowel habits and abdominal discomfort. Treatment can use Trimebutine Maleate tablets to regulate intestinal motility, combined with cognitive-behavioral therapy to reduce sensitivity.

4. Dysfunction of the brain gut axis

The brain and gut communicate bidirectionally through the vagus nerve and neurotransmitters, and psychological abnormalities may alter the levels of neurotransmitters such as serotonin, leading to disorders of the enteric nervous system. The patient may experience alternating diarrhea and constipation. The use of Bifidobacterium triple active powder to regulate the microbiota, combined with paroxetine tablets, has a better effect on improving mood.

5. Imbalance of gut microbiota

Continuous emotional stress may reduce the number of beneficial bacteria in the gut, leading to excessive proliferation of pathogenic bacteria and the production of endotoxins, which affect the central nervous system through the vagus nerve. These patients often have symptoms such as increased intestinal gas production and poor bowel movements. It is recommended to use Bacillus subtilis bifidobacteria granules to regulate the microbiota, and if necessary, anti anxiety treatment should be performed. Maintaining a regular schedule and balanced diet can help improve psychological gastrointestinal problems. It is recommended to consume more than 30 grams of dietary fiber per day and supplement fermented foods containing probiotics such as yogurt in moderation. Engaging in 3-5 aerobic exercises per week can promote the secretion of endorphins in the brain, and practicing abdominal breathing before bedtime can alleviate autonomic nervous tension. If the symptoms persist for more than 2 weeks or if there are warning symptoms such as weight loss or rectal bleeding, it is necessary to immediately seek medical attention from a gastroenterologist or psychologist.

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