Briquets syndrome

Briquet's syndrome: Description, Causes and Risk Factors:A chronic but fluctuating mental disorder characterized by frequent complaints of physical illness involving multiple organ systems simultaneously.In the past, this disorder was thought to be related to emotional stress. The pain was dismissed as being "all in their head." However, patients who have a Briquet's syndrome seem to experience pain or other symptoms in a way that increases the level of pain. Pain and worry create a cycle that is hard to break.People who have a history of physical or sexual abuse are more likely to have this disorder. However, not every person with a Briquet's syndrome has a history of abuse. As researchers study the connections between the brain and body, there is more evidence that emotional well-being affects the way in which people perceive pain and other symptoms.Research suggests both genetic and environmental factors may contribute to the risk of developing this disorder, it appears to affect women at a much higher rate than men. Briquet's syndrome may originate as a reaction to depression or anxiety or as a response to severe psychosocial stress, it then persists long after the problem has resolved. It is this persistence that makes it so difficult for the patient to believe there is no medical justification for their symptoms. They then go on to seek repeated medical opinions and treatments in a vain attempt to find the answer to their illness.Briquet's syndrome is uncommon in the general population. It is thought to occur in 0.2% to 2% of females, and 0.2% of males. Research showed cultural differences in prevalence of Briquet's syndrome.Briquet's syndromeSymptoms:Symptoms may include:Shortness of breath (SOB).
  • Palpitations.
  • Chest pain.
  • Vomiting.
  • Abdominal pain.
  • Difficulty swallowing.
  • Nausea.
  • Bloating.
  • Diarrhoea.
  • Musculoskeletal.
  • Pain in the legs or arms.
  • Back pain.
  • Joint pain.
  • Headaches.
  • Dizziness.
  • Amnesia.
  • Vision changes.
  • Paralysis or muscle weakness.
  • Urogenital.
  • Pain during urination.
  • Low libido.
  • Dyspareunia.
  • Impotence.
  • Dysmenorrhea, irregular menstruation.
Diagnosis:Briquet's syndromeA thorough physical examination and diagnostic tests are performed to rule out physical causes - which tests are done is determined by the symptoms present.A psychological evaluation should also be performed to rule out related disorders:However, finding evidence of a psychiatric condition does not rule out Briquet's syndrome.It can be a clue to the diagnosis.There is considerable evidence that patients with common psychiatric conditions such as depression and anxiety disorders may present to primary care physicians with nonspecific somatic symptoms, including fatigue, aches and pains, palpitations, dizziness and nausea.Treatment:Every effort is made to establish these patients in a long-term relationship with one primary care physician. Regularly scheduled “checkups” are indicated, and a conservative diagnostic and therapeutic stance is taken. Without such a relationship, overuse of narcotics and the creation of iatrogenic illnesses are almost certain to occur.Both ongoing psychiatric consultation to the primary care physician and group therapy have each been found effective in reducing the severity of symptoms, and preliminary work also suggests that cognitive behavioral therapy (CBT) may also be effective.Should depressive symptoms be prominent, antidepressants may be helpful. Care must be taken to choose an antidepressant that has few, if any, side effects.Any potentially addicting substances are to be avoided, as they may be abused by these patients.NOTE: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.


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