Do you believe that "thinking" really has physical problems? Talking about psychosomatic diseases

Do you know that?/You know what? Do you know that?/You know what? Mental illness will turn into various discomforts of your body, and even cause physical illness.

If you can agree with me, you can continue reading. If you think, "This is great, can you think of anything wrong?" ? Then you don't have to look.

In fact, this psychological problem is not invented, but has a biological basis.

I think everyone has the following experience:

For example, I have to enter the examination room before the exam, and suddenly I have a stomachache and want to go to the toilet; Or the podium is coming on stage, and I want to go on stage, so I want to pee.

When people are nervous, they may want to go to the toilet, which is a symptom that psychological pressure turns into body.

As doctors, we will see more scenes:

For example, some patients want to find out the cause of a physical symptom, go to major hospitals and visit famous doctors all over the country. When he came to see me, his laboratory papers were often two to three centimeters thick, and it would take a lot of time to read them all.

However, all laboratory tests, examinations and imaging data, whether CT or MRI, are negative.

That is to say, there is no organic problem.

But why did he go to the doctor repeatedly for so long? Because he can't stand you telling him that it may be a functional disease, and there is no organic problem.

Of course, this functional problem is also a disease. Technically speaking, it is the "somatization" of mental illness, or expressing mental illness or stress with the symptoms of physical disorder, which is called "somatoform disorder".

Unfortunately, many people have a strong sense of shame, that is to say, if this problem is not a physical problem, but a mental state problem, they will not be able to stand it and think, "Are you saying that I am mentally ill? I can't admit this question, I can't admit this title. "

Therefore, they will find your explanation unacceptable and continue to travel between major hospitals and departments, which will delay their illness more and more.

So is such a person sick after all? Does it hurt?

They have diseases, they have intense pain, even more serious than organic diseases.

As China people, we often have obstacles in expressing our feelings and can't express them well. For example, it is difficult to say "I love you" to my mother.

So many things are suppressed in our hearts, which is the so-called "alexithymia", and this "alexithymia" makes many of our psychological problems lurk in it.

◆ After a long time, emotions still exist. At this time, the body began to "speak", instead of emotions as a kind of catharsis, showing various symptoms, which were often not accepted and understood by people, or the medicine could not find the reason, which caused the patient to be very painful. Therefore, a key point is "symptoms that cannot be explained by medicine".

If you see these situations, or you have such problems, you should consider whether psychological problems lead to physical obstacles.

▲ The most common symptom of somatoform disorder is chest tightness.

I once met a white-collar worker. If he stays in the conference room for more than 20 minutes, he must find a way out. He said, "I want to open the window to get some air, otherwise it will suffocate!" " Or take the opportunity to get some air in the bathroom. He thinks there is not enough oxygen in this room, but not everyone does. He is the only one who feels this way, so he feels very painful.

But is oxygen really not enough?

We don't live in a place where the air is thin, the oxygen is abundant, and the room can't be sealed. But he doesn't feel enough, so he has to breathe, which will affect his work, study and life.

And when he sleeps at night, no matter how cold it is, he will leave a crack in the window. He felt that if no seams were left, there would be insufficient oxygen, and he would feel chest tightness and wake up in the middle of the night. But people with common sense know that this is definitely not the case.

Later, after our patient explanation, he finally accepted it because of the pressure of work, which led to some anxiety. After medication and psychological counseling, his anxiety was relieved and his chest tightness disappeared.

▲ There is another situation that is more serious than chest tightness, and that is chest pain.

We often encounter that both young women and middle-aged and elderly women will feel chest pain.

We know that chest pain will point to the disease of myocardial infarction, but this kind of chest pain is different from myocardial infarction. Often have to do many times, such as electrocardiogram, non-invasive coronary CTA, and even coronary angiography, all need to go to the operating table, but nothing can be found, but it is painful.

Moreover, chest pain has nothing to do with exercise. The more dead of night, the more painful it is, and sometimes it hurts when touched.

Hearing this, you might as well press the chest wall. When you press it, you will find that the patient shrinks immediately. It turns out that his chest wall is tender.

Chest wall tenderness often occurs on the left edge of the sternum, that is, the bone on the left side of the chest. There are many ribs in the chest connected with the sternum. From the top, the second connection point, the third connection point and even the fourth connection point are particularly painful.

? The disease has spread to every family and has various names.

◆ Internal medicine is called "Tietze syndrome", which is a kind of aseptic cartilage inflammation;

◆ Orthopedics is called "costal chondritis" and rheumatism is called "fibromyalgia syndrome";

In psychiatry, it is the "physical disorder" caused by mental illness.

Because when you think of chest pain, you will think of doing ECG and doing various tests, but you don't want to press it. If you click it, it is called pain, but it is actually local inflammation.

Someone asked, "I didn't collide, I didn't exercise, I didn't exercise." Why does it hurt? "

This is because the negative energy in your heart is too big, concentrated here.

Left chest pain is easy to cause fear, because left chest pain is most likely related to myocardial infarction, which represents death, and everyone is afraid of death. Of course, this is a relatively simple explanation.

We often encounter many such problems, and often prompt: Have you been unwell recently? Haven't you slept well recently? Have you been a little anxious or in a bad mood recently?

We explore the mystery of people's hearts from the perspective of body "speaking", which gives us a signal to pay attention to their emotions. When we talk to him about emotions again at this time, he will tell you that they are really anxious, so these anxiety and depression situations will be excavated by you.