The Abdominal Distention to be Considered from a Psychosomatic Point of View : Neurotic abdominal distension

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  • 心身医学的に考慮を要する腹部膨満 : とくに神経性腹部膨満症について
  • シンシン イガクテキ ニ コウリョ オ ヨウスル フクブ ボウマン トクニ シ

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Abstract

There are two types of the abdominal distension to be considered from a psychosomatic point of view.One is so-called the gastrointestinal truct gasceous syndrome in which gas is filled in the stomach or intestine when the individual is under psydhological of mental stress, and the other type is a neurotic abdominal distension.In the latter case, abdominal distension is not caused by gas in the gastrointestinal truct, nor ascites, tumor, fat of the abdominal wall and nor pregnancy.The exacerbations and remissions of these symptoms are considered to be related to psychosomatic factors.We call this type of abdominal distension the neurosic abdominal distension. We experienced 57 cases of neurotic abdominal distension (44 females, 13 males), which were grouped into the following three classes.1) An abdomen suddenly distends ahead but this distention does not continue in existense.There were 11 cases (19%) of the 57 patients in this group.2) The abdominal distension continues long in existense and the degree of this symptom is affected by the psychosomatic factors. There were 30 cases (53%) of the 57 caess in this group.3) The abdominal distension is accompanied by the tension of the abdominal wall and continues long in existense. There were 16 cases (28%) of the 57 patiennts in this group.If doctors don't know the neurotic abdominal distension, they may pass these cases unnoticed as mysterious diseases.The cases of abdominal distension are frequently observed in middle age female patients and therefore when doctors examine the patients of abdominal distension, we suggest that they take into consideration of the neurotic abdominal distension.

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