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SOMATIZATION AND SOMATOFORM DISORDERS in Nepal

SOMATIZATION AND SOMATOFORM DISORDERS

Somatoform disorder is a syndrome of prolonged physical symptoms in the absence of an identifiable organic cause with associated functional impairment in the context of an identifiable stressor.

It is extremely common for children to express their distress or unhappiness through physical symptoms, although a disorder fitting standard criteria is relatively rare.

The commonest symptoms that children complain of are shown in the most frequent are abdominal pain and headaches. Co-morbid anxiety or depressive disorders are commonplace.

Prevalence The prevalence of somatization disorder or somatic symptoms in children is unknown.

Abdominal pain accounts for 10 per cent of new appointments with paediatricians, and in very few children is gastrointestinal pathology found. In 25 per cent of children presenting with headaches, somatization is thought to be a predominant factor.

CAUSES OF SOMATOFORM DISORDER

  • Unknown
  • Tension in the family
  • Insecurity
  • Suppressed emotions
  • Parental modeling of Somatoform disorder
  • Alcohol and drug abuse or withdrawal
  • Sexual abuse

The peak age for unexplained symptoms is 8 to 12 years, and they are much more common in girls.

  • Physical symptoms commonly relating to somatization in children

Cardiovascular

  • Breathlessness
  • Chest pain

Gastrointestinal

  • Abdominal pain
  • Nausea and anorexia
  • Vomiting or regurgitation
  • Diarrhoea or frequent bowel motions

 Genitourinary

  • Dysuria
  • Frequency
  • Copious vaginal discharge
  • Odd sensations around genitalia

Neurological

  • Headaches
  • Tingling or numbness
  • Amnesia
  • Chronic fatigue

Musculoskeletal

  • Aches and pain

Management:

  • Psychoeducation
  • Family therapy
  • Individual cbt

HOMOEOPATHIC MANAGEMENT:

Arnica: This is a brilliant remedy for Somatoform disorder, when a person is subjected to physical symptoms consequential to emotional trauma. The body is tender to touch and feels extremely sensitive, sore, lame, bruised, and stiff. Patient complains of vertigo and ringing in ears.

Cimcifuga Racemosa: This remedy works on the cerebrospinal and muscular system, particularly in patients who are tense and restless with pain. Pains are muscular, crampy and like electric shocks. These patients feel unhappy, confused and dream of forthcoming evil.

Ignatia Amara: This is a foremost remedy for Hysteria, mainly in women. The patient has a tendency to clonic spasms with marked hyperesthesia of all senses. They are sensitive, easily excited and quick to perceive. They go through a rapid change of mental and physical condition opposite to each other

Kalmia Latifolia: This is a meticulous remedy for Somatoform pain disorder. The patient complains of severe shooting pain with stiffness, numbness or cold sensation in the muscles that affects a large part of a limb. Pains come suddenly, shift suddenly, get worse from motion, at night and from leaning forwards.

Phytolacca: This is another remarkable remedy for Somatoform disorder when the patient is restless with aches, discomfort and prostration. The muscles feel extremely stiff and sore with exhaustion. There is a feeling as if heart leaped into throat, with loss of voice and difficulty breathing. Patient is sensitive to electric changes and rain.

Ranunculus bulbosus: This is one more exceptional remedy when the patient complains of shocks throughout the whole body. These patients are receptive to touch, and complain of aches and muscle stiffness of the neck and back.