psych aspects of IBD

Question 1

3 functional gastrointestinal disorders

Answer 1

1. IBS
2. FD- functional dyspepsia - upper abd pain
3. GERD - gastro espohogeal reflux

Question 2

Etiology of FGID

Answer 2

brain -gut axis - cognitive and emotional centers are linked to the enteric nervous system

Question 3

DSM 5 somatic symptom and related disorders

Answer 3

conversion disorder 
somatic symptom disorder
factitious disorder
illness anxiety disorder 
psychological factors affecting other medical conditions

Question 4

course of illness is chronic and debilitating

• excessive thoughts, feelings or behaviors related to somatic symptoms
• avoid medical workups

Answer 4

somatic symptom disorder

Question 5

• preoccupied with having or acquiring an illness
• easily alarmed about health issues
• minimal or no somatic symptoms

Answer 5

illness anxiety disorder

Question 6

one or more symptoms of altered motor or sensory symptoms
-could present at weakness or paralyisis
- seizures
caused by unconscious intrapsychic conflict and conversion or anxiety into physical symptoms

Answer 6

conversion disorder

ex : wife has murderous ideas against husband and becomes paralyzed thus cant kill him

Question 7

falsification of physical or psychological signs or symptoms or induction of injuries.

• present even in the absence of rewards
• deceptive behavior and the patient is willfully making the symptoms

Answer 7

factitious Disorder

vs . malingering ( lawsuit or some type of gain from lying)