I have experienced constipation and visited the emergency room three times over the past week. I have also been diagnosed with panic disorder a few days ago?
Hello Dr.
Yeh, I am currently 16 years old and I get nervous easily (my life is not normal).
I first started feeling a bloated sensation in my abdomen and have undergone three X-rays, but the doctors said it was just constipation.
After taking medication, there hasn't been much improvement.
I then consulted Dr.
Cheng Kuo-Hua in Taipei, who is a psychiatrist, and he told me that I have panic disorder.
I don't know what to do.
Some people say I have autonomic nervous system dysregulation.
Could it be colon cancer or some other illness? I don't have abdominal pain, but I often pass gas and feel bloated.
I'm not sure which department to consult.
My mouth has also felt dry for over a week now.
bu zhidao zenme ban, 10~19 year old female. Ask Date: 2006/10/30
Dr. Ye Boshou reply Neurology
Hello: If there is abnormal bowel movement, stress is one of the causes.
First, consult a gastroenterologist to ensure that the bowel function is normal before seeing a psychiatrist or neurologist.
Reply Date: 2006/10/30
More Info
Panic disorder and gastrointestinal issues are increasingly recognized as interconnected, particularly in adolescents. Your experience of feeling anxious and having gastrointestinal symptoms is not uncommon. Many young people face similar challenges, and understanding the relationship between anxiety and digestive health can help you navigate your situation more effectively.
Panic disorder is characterized by recurrent, unexpected panic attacks, which are sudden periods of intense fear or discomfort. Symptoms can include palpitations, sweating, trembling, shortness of breath, and feelings of impending doom. These episodes can lead to a heightened state of anxiety, which may manifest physically in various ways, including gastrointestinal distress.
The gastrointestinal system is highly sensitive to stress and anxiety. When you experience panic or anxiety, your body enters a "fight or flight" mode, which can disrupt normal digestive processes. This can lead to symptoms such as bloating, gas, constipation, or diarrhea. In your case, the feeling of having something "stuck" in your abdomen and the frequent gas could be a result of this stress response affecting your gut.
It's important to note that while your symptoms can be distressing, they do not necessarily indicate a serious underlying condition like colon cancer, especially at your age. However, it is crucial to continue monitoring your symptoms and maintain open communication with your healthcare providers. If your gastrointestinal symptoms persist or worsen, further evaluation may be warranted, including tests to rule out any organic causes.
In terms of management, addressing both the psychological and gastrointestinal aspects of your condition is essential. Here are some strategies that may help:
1. Cognitive Behavioral Therapy (CBT): This form of therapy is effective for treating panic disorder. It helps you identify and challenge negative thought patterns and develop coping strategies to manage anxiety.
2. Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, and yoga can help reduce anxiety levels and improve your overall sense of well-being. These techniques can also help alleviate some gastrointestinal symptoms by promoting relaxation.
3. Dietary Adjustments: Pay attention to your diet, as certain foods can exacerbate gastrointestinal symptoms. Keeping a food diary may help you identify any triggers. Aim for a balanced diet rich in fiber, which can aid digestion and help regulate bowel movements. Staying hydrated is also crucial.
4. Regular Physical Activity: Exercise is a powerful tool for managing anxiety and improving digestive health. Aim for at least 30 minutes of moderate exercise most days of the week.
5. Medication: If your symptoms are severe, your doctor may recommend medication to help manage anxiety or gastrointestinal symptoms. It's essential to discuss any concerns about medications with your healthcare provider.
6. Regular Check-ups: Since you have already undergone X-rays and consultations, continue to follow up with your healthcare providers. If you feel that your symptoms are not improving, don't hesitate to seek a second opinion or ask for further evaluations.
7. Support Systems: Engage with friends, family, or support groups. Sharing your experiences with others who understand can provide comfort and reduce feelings of isolation.
In conclusion, while your symptoms may feel overwhelming, they are manageable with the right approach. Focus on integrating both psychological and physical health strategies into your routine. Remember, you are not alone in this, and seeking help is a positive step toward feeling better. If you have further concerns or if your symptoms change, please consult your healthcare provider for personalized advice and treatment options.
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