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Diagnosis & Management of Gastrointestinal Manifestations of Psyconeurological Disorders

 

Pathophysiology of the dysfunctions leading to symptoms or to non-symptomatic gastrointestinal alterations may be similar, or may vary substantially, in the different psychoneurological disorders and, not infrequently, in patients with different degree/expression of the same disorder.

Thus proper management of the patients is based on the diagnostic work-up of the individual patient aimed to establish:

a) the nature of psychic or neurological disorder,
b) the pathophysiologic mechanism(s) of the GI dysfunction(s).

DYSPHAGIA

NAUSEA/VOMITING, POSTPRANDIAL FULLNESS/EARLY SATIETY

ANOREXIA NERVOSA, BULIMIA

CONSTIPATION

FECAL INCONTINENCE

DIARRHEA

CHRONIC VISCERAL PAIN AND DISCOMFORTS