Abstract | Functional dyspepsia (FD) and irritable bowel syndrome (IBS)are typical functional intestinal disorders. Despite chronic abdominal complaints (pain, constipation, diarrhea etc.), localized organic disease providing a plausible cause (gastric ulcers, cancer etc.) are generic pathological terms for invisible systemic illnesses, like metabolic diseases [Remark 2]. These are rare or fatal illnesses, but are debilitating illnesses that affect people's quality of life (QOL). Several uncertainties exist regarding the onset of symptoms (pathology), but physical and psychological abnormalities are involved in digestive tract functions (exercise and perception). A connection can be seen between the brain and the stomach in both directions (brain-intestine correlation). Symptoms worsen with stress, and this can lead to a vicious cycle if this turns to constant worrying and uncertainty. Gastric illnesses are known to coexist with mental diseases such as panic attacks and depression. IBS is a disease often found in childhood and adolescence, and its coexistence with panic attacks is drawing attention. It is important to look at early developmental history, psychosocial factors, physiological functions of the digestive tract, health, behavior, cognition and other factors from a multi-axial, multi-factorial, temporal point of view. This could be summarized as a psychosomatic point of view, when considering the symptoms of functional gastrointestinal disorders. In lectures, speakers talk about: 1) the status of functional gastrointestinal disorders in psychosomatic medicine, 2) the clinical pathology of functional gastrointestinal disorders that we can learn from case examples, 3) clinicians (Department of Gastroenterology, Psychosomatic Medicine), researchers, educators and clinical psychotherapists solving the mysteries of functional gastrointestinal disorders in physiological psychology in an enjoyable way together with patients. |
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