Is it true that stress can occur from stress?

It is widely known that all diseases from nerves, stomach ulcers are also attributed to a stressful nature. It is believed that if you are nervous, you can get such a disease. We decided to check whether stress and overwork can cause the disease.

The fact that the main reason for the occurrence of stomach ulcers is stress, media media write "Komsomolskaya Pravda" ("Ulcer: the reverse side of stress"), "Arguments and Facts" (Stomach ulcer - from stress "), publication "Pravda.ru" ("Ulcer - nerves disease"). Such information can be Meet on sites numerous clinic, and the sales venues of various dietary supplements are completely categorical in their statements: “Any psycho-emotional shock negatively affects the protective forces of the body, and the first blow takes the gastrointestinal tract.”

Patient disease of the stomach (Yabzh) is a fairly common disease. By calculations Scientists, about 4% of the world's population are already suffering from it, and in some countries, for example in the USA, up to 8%. By calculations The Russian Gastroenterological Association, from 11% to 14% of men and from 8% to 11% of women will face this pathology throughout their lives. Speaking scientific Language, Yabzh is a “chronic recurrent disease that proceeds with the alternation of periods of exacerbation and remission, the leading manifestation of which is the formation of a defect (ulcer) in the wall of the stomach and duodenum.” For the patient, this implies the following symptoms: pains of various nature in the stomach area with a predominance of “hungry” pain, heartburn, acidic belching, nausea and vomiting, and reducing body weight. The most informative diagnostic method is esophagogastroduodenoscopy, or, as it is most often called the people, a gastroscopy, which consists in examining the gastric mucosa introduced through a mouth or nose with an endoscope.

The relationship between stress and ulcerative defeat of the gastrointestinal tract suggested Hans Selye. He Passed rats of various adverse effects: injuries, exhaustion, poisoning with adrenaline, atropine, morphine and formaldehyde. Noticing ulcers on the autopsy in the stomachs of animals, in the article 1936 Selye I put forward The hypothesis of neurogenic etiology of peptic ulcer. This theory has become dominant for decades. 

However, in 1979, Australian pathologist Robin Warren Cultivated In the artificial environment and investigated the bacterium Helicobacter pylori. Together with the professor of clinical microbiology, Barry Marshall in 1983, he noted that microorganism is able to neutralize gastric acid and cause gastritis and ulcer. Scientists have nominated that it was this pathogen that is responsible for the occurrence of yabzh. However, the scientific community was not ready to abandon neurogenic theory in favor of the bacterial. Then Barry Marshall Accepted The radical solution and drank the contents of the Petri cup with the Helicobacter pylori culture, and a few days later, with the help of an endoscopic study, he demonstrated a classic clinical picture of peptic ulcer in his own stomach to doubt colleagues. The disease was cured by taking antibiotics to which the bacterium was sensitive. In 2005, Robin Warren and Barry Marshall Received The Nobel Prize in Physiology and Medicine for the discovery of the bacterial nature of the stomach ulcer.

According to the latter research, more than 50% of people in the world have this bacterium in their digestive tract. In certain countries (Ethiopia, Nigeria, Mexico, Bangladesh, Egypt, Libya) this indicator exceeds 90%. In Russia, the number of infected people is from 70% to 85%. However, the fact of infection does not mean the instant on the onset of the disease. Microorganism Maybe To exist in the gastrointestinal tract for a long time, without causing symptoms, since the mucous membrane of the stomach has sufficient protection potential in order to prevent the corroding effects of pepsin and hydrochloric acid that are part of the gastric juice. The most important provoking factor It becomes taking non -steroidal anti -inflammatory drugs (aspirin, ibuprofen, diclofenac, etc.). Also disrupt the functioning of the gastric mucosa and provoke a peptic ulcer Maybe Smoking, but the connections between the moderate use of alcohol and the occurrence of appropriation did not find scientists. Household stress, fatigue, overvoltage, burnout at work or quarrels in the family also do not belong to the provoking factors of appropriation. The third most important factor counts A genetic predisposition, and part of the genes responsible for increased risk of peptic ulcer, are also associated with the development of a large depressive disorder. This, perhaps, explains cases of coincidence of a poor emotional state and violations in the work of the digestive tract.

However, in the speech of medical workers you can Meet Such a term absent in the ICD as “stress” or “shock ulcer”. This concept means an acute ulcerative process in the stomach and/or duodenum, which occurs as a result of severe injury (serious accident, a large percentage of the body, etc.) or extensive surgical intervention. The cause of the ulcer in this case It becomes The release of substances that radically narrow the walls of blood vessels and the gastrointestinal ischemia, which, cause, in fact. This is an infrequent, but well -known to surgeons and traumatologists, a complication that occurs already in the hospital, so doctors, aware of risk, are preventing shock ulcers. It is important to note that by shock or stress in this case, it is understood not a household stress caused by conflict at work or ordinary quarrel, but a life -threatening state of the body.

Thus, the peptic ulcer of the stomach and duodenum is a disease of the bacteriological nature that occurs in people infected with certain microorganisms mainly with additional exposure to adverse factors, such as taking anti -inflammatory drugs and smoking. Quarrels, conflicts, experiences about deadlines, burnout at work and everyday stress in themselves cannot cause a stomach ulcer. However, genes responsible for a predisposition to a large depressive disorder also encode great susceptibility to Helicobacter Pylori bacteria.

Not true

What do our verdicts mean?

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