Increased somatic complaints

Introduction Patients cannot express their emotions verbally, so they may use physical symptoms or physical complaints to express them. Some patients may also use physical complaints to deal with stress. Physical symptoms may also be a way to alleviate psychological conflicts. The clinical manifestations are multiple, recurring, and frequently changing symptoms of physical discomfort, which can involve any part or organ of the body. Various medical examinations cannot confirm that any organic disease is sufficient to explain the physical symptoms. Symptoms often lead to repeated medical attention and obvious social dysfunction, often accompanied by significant anxiety and depression.

Cause

The increase in physical complaints is related to the following factors: living alone, accepting less environmental stimuli, depression and anxiety. In addition, the personality threshold, the neurological allergy and the introversion personality have lower body somatosensory thresholds, which are also related to the occurrence of somatization disorders.

an examination

Related inspection

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A variety of physical symptoms as a common feature of these diseases, although different clinical types have their corresponding outstanding performance, but medical evidence can not find evidence of organic lesions, or although there are physical symptoms, but with the persistence of symptoms It is very disproportionate to the severity. Patients are deeply concerned and suffering from their physical illnesses, and social functions are often compromised. There is evidence that the occurrence, persistence and aggravation of physical symptoms are closely related to psychological factors. The corresponding diagnosis can be considered for a duration of more than half a year. The summary is as follows:

1. There are many physical symptoms that cannot be explained by medicine, or these discomfort experiences are much more serious than the pathological changes that exist (which must be determined by their own medical history and physical examination).

2. Excessive care for physical illnesses.

3. All kinds of medical examinations are negative, and there is no clinically positive evidence corresponding to the physical symptoms of the patient's pain.

Differential diagnosis

Somatization Disorder: Patients have multiple, repeated, and frequently changing somatic symptoms for many years. In some cases patients are completely immersed in the experience of physical symptoms, and they are reluctant to link the disease to psychological factors. A physical (physical) complaint can arise because of specific and repeated concerns about one's health.

Migraine group mental disorder: mainly manifested as depression, anxiety, fear, hostility, accompanied by increased physical complaints and interpersonal tension; hemodynamic changes manifested as increased intracranial arterial blood flow velocity. Mental disorders are associated with increased blood flow. Stroke and psychological disorders have many clinical manifestations, among which emotional disorders such as emotional and affective disorders, behavioral disorders, and increased physical complaints are the most prominent.

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