Introduction: The frequency of gastrointestinal manifestations in patients suffering with mood disorders, particularly bipolar disorders, pose specific physiopathological, etiological and therapeutic questions. We propose to address this issue through this clinical case. Clinical Case: We report here the case of a female patient 29-year-old, followed in psychiatry since 2014 for bipolar disorder type I and presenting an irritable colon syndrome, a biliary cyst, gastric diverticula and a chronic constipation. Discussion: Several hypotheses on the links between affectivity and gastrointestinal functioning are discussed in the light of the literature, explaining the role of the brain-gut axis as well as the involvement of the receptological profile of neuroleptics and also the role of the iatrogenicity of psychotropic drugs. Conclusion: There are definite links between affectivity and gastrointestinal manifestations. A better understanding of these links could enlighten us on the etiopathogeny of mood disorders, especially bipolar disorders, in order to guarantee a better management of psychiatric pathology as well as gastrointestinal manifestations.
Introduction Psychosomatic illnesses correspond to physical symptoms (with or without objectivable organic lesions), that psychological factors such as stress and personality type, would have a potential effect on their appearance, evolution and / or worsening. These psychosomatic conditions are quite common but difficult to diagnose. Doctors from different specialties are consulted by the patients and multiple examinations and investigations are run by specialists in order to get to the final diagnosis. These psychosomatic conditions may appear under different types of illnesses : respiratory (asthma), dermatological (psoriasis, eczema), digestive (gastric ulcer, ulcerative colitis, Crohn’s disease), cardiovascular (arterial hypertension, infarction), neurological (migraine)… Objectives Study management modalities of psychosomatic disorders through cases followed in consultation at the university psychiatric hospital Ar-razi of Salé in Morocco Methods through cases followed in consultation at the university psychiatric hospital Ar-razi of Salé in Morocco Results From the results observed in the patients recruited in this study, we retain the need for a bio-psycho-social approach, through a global approach of the patient in all its dimensions, not only biological, but also psychological and social ; we also retain the essential role of the psychiatrist in the management of these psychosomatic disorders, both in preventive and curative terms, by allowing a better understanding of the interactions between physical and mental health. Conclusions psychosomatic conditions are quite common but difficult to diagnose and the need for a bio-psycho-social approach, through a global approach of the patient in all its dimensions, not only biological, but also psychological and social is crucial. Disclosure No significant relationships.
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