Can gastric neurosis heal itself? How to treat it?

Patients with gastric neurosis will experience symptoms of constipation and diarrhea, and they still need to be actively treated. The most important thing is to have a regular life, exercise more, and eat a diet that is easily digestible. If necessary, they can cooperate with drug treatment.

1. General treatment

Unless the patient's general condition is very poor, there is no need to rest in bed and he or she can participate in appropriate labor and work. Patients should lead a regular life and regularly participate in appropriate cultural and recreational activities. For patients who have less daily physical activity, physical exercise should be emphasized to enhance physical fitness and accelerate the recovery of nerve function. The diet should consist of foods with little residue and that are easily digestible, and avoid spicy foods and strong condiments. People with anorexia nervosa should be hospitalized and gradually taught to develop normal eating habits. Patients with severe malnutrition, decreased digestion and absorption function, and diarrhea caused by nasogastric tube feeding need intravenous nutrition solution. For patients with irritable bowel syndrome characterized by constipation, eating more fiber vegetables often has a therapeutic effect.

2. Drug treatment

1. Regulate nerve function and improve sleep. Depending on the condition of the disease, the following drugs and methods can be used.

Sedatives can be chlordiazepoxide, diazepam, chlorpromazine, phenobarbital, meprobamate or oryzanol.

Patients with depression may be treated with antidepressants, such as amitriptyline, starting at 25 mg three times a day, with a maximum daily dose of 150 mg.

(ii) Antispasmodic and analgesic anticholesterol drugs can relax smooth muscles and have antispasmodic and analgesic effects; such as belladonna preparations, atropine, propantheline, etc. In addition, you can try dicyclomine hydrochloride 20 mg, taken 1 hour before meals and before bedtime.

(III) Neurogenic vomiting can be treated with 10-20 mg of vitamin B6, three times a day, or 100 mg added to 40 ml of 50% glucose and injected intravenously. If vomiting is severe, give medullary anesthetic, promethazine, morphine, etc. as appropriate. For patients with more serious conditions, nasogastric feeding can be used, that is, a nasogastric feeding tube is placed in the duodenum, and high-nutrition fluid such as milk is continuously dripped for 3 to 7 days. After that, the nasogastric feeding tube can be suspended and oral feeding can be used instead. If vomiting still occurs, nasogastric feeding treatment can be continued.

4. Gastrointestinal neurosis

1. Constipation can be treated with lubricants such as paraffin oil, magnesium oxide, antalol and plant mucus substances.

2. For diarrhea, you can take 1-2 tablets of compound phenoxylate, 2-3 tablets per day, or 100-200 ml of 0.25% novocaine enema, once a day. Take 1 tablet of Imodium, 2-3 times a day.

3. Treatment with Traditional Chinese Medicine

Traditional Chinese medicine is used for treatment based on syndrome differentiation. Neurogenic vomiting can be treated with modified Xiaobanxia Jia Fuling Decoction. For neurogenic belching, use modified Xuanfu Daizhe Decoction. Emotional diarrhea can be treated with antidiarrheal prescriptions or Fu Zi Li Zhong Tang combined with Si Shen Wan with modifications. Other treatments include acupuncture, physical therapy, etc.