• 제목/요약/키워드: gastrointestinal disorder

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A Case Report of Panic Disorder with Functional Gastrointestinal Disturbance (기능성 위장장애를 동반한 공황장애 환자 치험 1례)

  • Ryu, Ki-Jun;Kim, Ji-Hyung;Han, Chang;Park, Jong-Hun;Kwon, Seung-Ro
    • Journal of Oriental Neuropsychiatry
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    • 제20권2호
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    • pp.187-196
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    • 2009
  • Objectives : This study was performed to report the effect of oriental treatments for panic disorder with functional gastrointestinal disturbance. Methods : In this case, a 30 year-old female patient has been suffered by panic disorder with functional gastrointestinal disturbance for 10 years. This case can be caused by KanKiUlKyul(肝氣鬱結), KanKiBeomYi(肝氣犯胃) and KanKiSeungBi(肝氣乘脾). We treated the patient with Herbal medication, Cognitive-behavioral therapy and Relaxation therapy. The effects of treatment were measured by GSRS(Gastrointestinal Symptom Rating Scale), BPI(Brief Pain Inventory) and VAS(Visual Analog Scale) Results : As a result of oriental treatments, the symptoms of Panic Disorder with Functional Gastrointestinal Disturbance was improved. Conclusions : These results suggest that oriental treatments have an effect on Panic Disorder with Functional Gastrointestinal Disturbance.

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Treatment of psoriasis who have functional gastrointestinal disorder : Two Case Reports (기능성 위장장애를 동반한 건선 환자 치험 2례)

  • Lee, Ki-Hoon;Yang, Ji-Eun;Gyu-Tae, Chang
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • 제28권4호
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    • pp.208-214
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    • 2015
  • Objectives : The purpose of this study is to present two case reports on the treatments of psoriasis who has functional gastrointestinal disorder.Methods : We administered herbal medicine to two patients who showed psoriasis with functional gastrointestinal disorder and evaluated the results by Psoriasis Area and Severity Index(PASI).Results : After the treatment two patients showed improvements in PASI. PASI of patient 1 changed from 8.8 to 0.8; patient 2 from 7.0 to 0.2Conclusions : The results suggest that herbal medicine can be an effective treatment for psoriasis who has functional gastrointestinal disorder.

Clinical Study of 1 Case Of Functional Gastrointestinal Disorder Patient with Dysphgia Treated by Bokryungyeum-tang (연하장애를 주소로 하는 기능성 식도장애 환자의 복령음 치험1례)

  • Jeong, Sun-Dae;Kim, Jin-Hee;Kim, Jeong-Hyun;Yoo, Ho-Ryong;Kim, Yoon-Sik;Seol, In-Chan;Jo, Hyun-Kyung
    • Journal of Physiology & Pathology in Korean Medicine
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    • 제26권1호
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    • pp.137-141
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    • 2012
  • Although dysphagia and globus is a common comlication in Functional gastrointestinal disorder, there are few studies or reports about its treatment in oriental medicine. This study was to report the effect of Bokryungyeum-tang in Functional gastrointestinal disorder patients with dysphagia. Functional gastrointestinal disorder patients with dysphagia hospitalized in our hospital were treated by Bokryungyeum-tang every day. three times a day for two weeks. The patient showed constant improvement during the two weeks. Not only their objective measure, but also their subjective symptoms such as chest discomfort, insomnia, and depression improved too. This suggests that Bokryungyeum-tang is quite effective when treating functional gastrointestinal disorder patients with dysphagia.

A Clinical Study of Correlation Between Frequently Occurring Headache from Gastrointestinal Disorder and Dyspepsia (소화불량증에서 호발하는 두통의 위장질환과의 상관성에 대한 임상연구)

  • Choi, Young-Gyoo;Kim, Jae-Kwan;Choi, Seo-Hyung
    • The Journal of the Society of Korean Medicine Diagnostics
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    • 제14권1호
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    • pp.36-43
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    • 2010
  • Objectives: Since we found patients with dyspepsia as their major symptom had high rate of headache, would like to find out a rational diagnosis ground by using EAV correlation between headache and gastrointestinal disorder Methods: We did survey and EAV inspection on 128 patients came by gastrointestinal disorder who quoted 4 and 5 degree for their headache symptoms) Results & Conclusion The results of this study were as follows: 1. From dyspepsia, we saw higher rate by order of epigastric discomfort, bloating, stomach trouble, bleching, etc. 2. By EAV analysis, found functional deterioration by order of stomach, nerval degeneration vessel, gall bladder/bile duct, liver. 3. By EAV analysis, functional deterioration of stomach, gall bladder/bile duct, liver represent dyspepsia and nerval degeneration vessel represent headache. We found the correlation between dyspepsia and headache by observation at a time.

Characteristics of Fatigue in Sasang Constitution by Analyzing Questionnaire and Medical Devices Data (설문지와 의료기기 자료 분석을 통한 사상체질별 피로 특성 연구)

  • Kim, Koo;Ha, Ye-Jin;Park, Soo-Jeong;Choi, Na-Rae;Lee, Young-Seop;Joo, Jong-Cheon
    • Journal of Sasang Constitutional Medicine
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    • 제25권4호
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    • pp.306-319
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    • 2013
  • Objectives The purpose of this study was to find correlations between gastrointestinal disorders, pain, sleep disorder, fatigue, and to figure out characteristics of fatigue in Sasang Constitution using medical devices data. Methods Sixty three subjects were divided into fatigue group and non-fatigue group, both groups had to undergo blood tests, questionnaire, Sasang constitutional analysis tool (SCAT), pulse wave analyzer examination, heart rate variability examination, nail fold capillary microscopic examination. Results 1) The results of questionnaire about fatigue, gastrointestinal disorder, pain, sleep disorder, quality of life had significant differences between fatigue and non-fatigue groups. 2) Soeumin had more serious gastrointestinal problem and Soyangin had more serious sleep disorder in fatigue groups than non-fatigue groups. 3) According to blood test results, there was no difference between fatigue and non-fatigue groups. 4) Elastic parameter of pulse wave analyzer and nail fold capillary microscopic examination showed significant differences between fatigue and non-fatigue groups in Soyangin. Conclusions We reach the conclusion that fatigue is usually accompanied by gastrointestinal disorder, pain, sleep disorder, deterioration in the quality of life. In Soeumin, treating gastrointestinal disorders can be helpful for treatment of fatigue. In Soyangin, improving sleep disorder may be more effective way to treat fatigue.

Response Characteristics of Perceived Stress Response Inventory in Patients with Upper Gastrointestinal Disorder (상부 위장관 장애 환자에서의 스트레스반응 지각척도의 반응특성)

  • Suh, Yong-Woo;Cho, In-Hee;Shin, Kwang-Chel;Chung, Yong-Kyoon
    • Korean Journal of Psychosomatic Medicine
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    • 제8권2호
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    • pp.172-180
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    • 2000
  • Objectives : We investigated the characteristics of perceived stress response and relationship between some variables of gastrointestinal symptoms(esp., dyspepsia) and subscales of perceived stress response inventory(PSRI) in patients with upper gastointestinal disorder when they perceived stress. Methods : 84 patients with upper gastrointestinal disorder(gastritis, gastric ulcer, duodenal ulcer etc.) and 94 normal controls completed the PSRI developed by Korean psychiatrists. The patient group performed the questionnaire including some variables of gastrointestinal symptoms. Results : Internal consistency was statistically significant in all subscales of PSRI. The patient group was significantly higher at total score of PSRI, general somatic symptom subscale score, specific somatic symptom score than control group. As the result of stepwise regression analysis for relationship between some variables of gastrointestinal symptoms ans subscales of PSRI, specific somatic symptom subsclae closely related with illness duration, past illness history and severity of symptom, and the lowered cognitive function & general negative thinking subscale related with the existence of emotional distress. Conclusion : Patients with upper gastrointestinal disorder showed stronger perceived stress response than control group and they experiences somatic symptoms related to autonomic nervous system and/or gastrointestinal symtoms rather than emotional, cognitive, behavioral symtoms when they perceived stress. They also responded to stress as they expeirenced specific somatic symtom when they had long illness duration, past illness history, and high severity of symptom and the existence of emotional distress could develop lowered congnitive function and general negative thinking.

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Two Case Reports of Anxiety Disorder Patients with Gastrointestinal Symptoms Treated with Traditional Korean Medicine (위장관 증상을 동반한 불안장애 환자의 한방 치험 2례)

  • Park, Jin-seo;Kil, Bong-hun;Kim, Dong-won;Jung, Da-hae;Jo, Hye-mi;Kim, Chang-wan;Hong, Wook-ki;Jeon, Yun-kyeong
    • The Journal of Internal Korean Medicine
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    • 제41권2호
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    • pp.177-185
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    • 2020
  • This study investigated the clinical effect of Korean medicine treatments on two patients who experienced gastrointestinal symptoms with anxiety disorder. The patients were treated with herbal medicine (Yukgunja-tang, Banhabakchulchunma-tang) and acupuncture for 11 days and 26 days, respectively. The Beck Anxiety Inventory (BAI) and Gastrointestinal Symptom Rating Scale (GSRS) scores on the day of hospital admission and after treatment were compared; both the BAI and GSRS scores decreased after treatment. Moreover, the grade of the gastrointestinal symptoms changed from severe to mild or none. Therefore, these cases are useful for describing Korean medicine treatments for anxiety disorders in patients who experience gastrointestinal symptoms. However, additional case reports and studies are be needed in the future to confirm these findings.

Maladaptive Behavior and Gastrointestinal Disorders in Children with Autism Spectrum Disorder

  • Pusponegoro, Hardiono D.;Ismael, Sofyan;Sastroasmoro, Sudigdo;Firmansyah, Agus;Vandenplas, Yvan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제18권4호
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    • pp.230-237
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    • 2015
  • Purpose: Various gastrointestinal factors may contribute to maladaptive behavior in children with autism spectrum disorders (ASD). To determine the association between maladaptive behavior in children with ASD and gastrointestinal symptoms such as severity, intestinal microbiota, inflammation, enterocyte damage, permeability and absorption of opioid peptides. Methods: This observational cross-sectional study compared children with ASD to healthy controls, aged 2-10 years. Maladaptive behavior was classified using the Approach Withdrawal Problems Composite subtest of the Pervasive Developmental Disorder Behavior Inventory. Dependent variables were gastrointestinal symptom severity index, fecal calprotectin, urinary D-lactate, urinary lactulose/mannitol excretion, urinary intestinal fatty acids binding protein (I-FABP) and urinary opioid peptide excretion. Results: We did not find a significant difference between children with ASD with severe or mild maladaptive behavior and control subjects for gastrointestinal symptoms, fecal calprotectin, urinary D-lactate, and lactulose/mannitol ratio. Urinary opioid peptide excretion was absent in all children. Children with ASD with severe maladaptive behavior showed significantly higher urinary I-FABP levels compared to those with mild maladaptive behavior (p=0.019) and controls (p=0.015). Conclusion: In our series, maladaptive behavior in ASD children was not associated with gastrointestinal symptoms, intestinal inflammation (no difference in calprotectin), microbiota (no difference in urinary D-lactate) and intestinal permeability (no difference in lactulose/manitol ratio). ASD children with severe maladaptive behavior have significantly more enterocyte damage (increased urinary I-FABP) than ASD children with mild maladaptive behavior and normal children.

Autism Spectrum Disorder and Eating Problems: The Imbalance of Gut Microbiota and the Gut-Brain Axis Hypothesis

  • Jiyoung Kim
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제35권1호
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    • pp.51-56
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    • 2024
  • This review explores the complexities of autism spectrum disorder (ASD), primarily focusing on the significant eating challenges faced by children and adolescents with this neurodevelopmental condition. It is common for individuals with ASD to exhibit heightened sensitivity to various sensory aspects of food such as taste, texture, smell, and visual appeal, leading to restricted and less diverse diets. These dietary limitations are believed to contribute to an imbalance in the gut microbiota. This review elaborates on how these eating problems, coupled with the distinctive characteristics of ASD, might be influenced by and, in turn, influence the gut-brain axis, a bidirectional communication system between the gastrointestinal tract and the brain. This discussion aims to shed light on the multifaceted interactions and potential implications of diet, gut health, and neurological development and function in children and adolescents with ASD.

Nutritional Advice in Patients with Functional Gastrointestinal Disorders (기능성 위장관 질환 환자의 진료실에서의 영양 상담)

  • Kang, Sung Kil
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제11권sup1호
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    • pp.136-142
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    • 2008
  • In patients with functional gastrointestinal disorders, dietary factors have an important effect on the development or worsening of gastrointestinal symptoms. Therefore, nutritional advice is often needed for the treatment of these patients. Although no firm conclusions can be drawn from current studies, the use of low-fat diets can be recommended in patients with functional dyspepsia. Constipation can be treated with a high-fiber diet. There are few studies in irritable bowel syndrome patients with diarrhea. The diet recommendations must be applied to each patient depending on symptoms.

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