Stress and irritable bowel syndrome. MCSC Patient History

News 03/30/2023

Patient K., 39 years old, Applied to The MCSC named After A.S. Loginov to a gastroenterologist with complaints about:

• abdominal pain, decreasing after defecation;
• loose stools 8-9 times a day.

During his studies at the institute, he periodically noticed an increase in stool up to 3-4 times a day due to stress. For example, during a training session. In subsequent years, against the background of increased stress associated with frequent business trips, the condition of the man worsened – he had increased diarrhea and abdominal pain.

For a long time he was observed by doctors without feeling better. At the same time, the patient gradually developed:

• depressed mood;
• anxiety;
• carcinophobia (fear of cancer).

In our Center, he was examined – anorectal manometry. According to its results, experts have identified a low threshold for pain perception. Also, given the persistence of increased anxiety and carcinophobia, the patient is consulted by a psychiatrist.

Based on the data obtained, the diagnosis of severe irritable bowel syndrome (IBS) with the presence of a mixed anxiety-depressive disorder was established.

Doctors prescribed the man a comprehensive treatment, namely lifestyle correction, antispasmodics, antidepressants. All this made it possible to normalize the stool, get rid of pain, and reduce anxiety. The patient has returned to a normal lifestyle, continues to be monitored by a gastroenterologist and a psychiatrist at the place of residence.

Irritable bowel syndrome (IBS) is a common disease of the gastrointestinal tract. More often it develops in young people or adolescents.

The predisposing factors are stresses that disrupt the connections between the brain and the intestine, forming an increase in the sensitivity of the intestine to the usual volume of intestinal contents. This leads to an insistent desire to visit the toilet. Therefore, IBS is considered as a biopsychosocial pathology requiring the participation of not only a gastroenterologist, but also a psychiatrist.

Specialists of MCSC named after A.S. Loginov have All the conditions for optimal treatment of patients with IBS.

• Makarova A.A., Junior Researcher at the Laboratory of Functional Diagnostics of Intestinal Diseases, gastroenterologist
• Romashkina N.V., psychiatrist of the Center for Personalized Medicine

In our Center there is a check-up program for the primary diagnosis of IBS, which includes:

• Consultation of a gastroenterologist.
• Conducting anorectal manometry with the determination of visceral sensitivity of the rectum.
• Consultation of a psychiatrist.

Record by phone 8 (800) 234-24-22.

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