The long road to diagnosis, from gastroesophageal reflux disease, through Barrett's esophagus, to visceral hypersensitivity: a case report
Background: Visceral hypersensitivity syndrome is a condition involving excessive perception of mechanical stimuli in the intestines. In patients suffering from this disorder, physiological bowel function causes pain and discomfort. Case summary: The patient presented is a 26-year-old man...
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Kazimierz Wielki University
2025-01-01
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| Series: | Journal of Education, Health and Sport |
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| Online Access: | https://apcz.umk.pl/JEHS/article/view/57199 |
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| author | Małgorzata Wirkijowska Jolanta Mędyk Yauheniya Patarocha Michał Rogulski Aleksandra Ślusarska Paulina Błasiak Patryk Mikołajec Ruslan Huk Barbara Bilecka Jakub Wirkijowski |
| author_facet | Małgorzata Wirkijowska Jolanta Mędyk Yauheniya Patarocha Michał Rogulski Aleksandra Ślusarska Paulina Błasiak Patryk Mikołajec Ruslan Huk Barbara Bilecka Jakub Wirkijowski |
| author_sort | Małgorzata Wirkijowska |
| collection | DOAJ |
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Background: Visceral hypersensitivity syndrome is a condition involving excessive perception of mechanical stimuli in the intestines. In patients suffering from this disorder, physiological bowel function causes pain and discomfort.
Case summary: The patient presented is a 26-year-old man with severe gastrointestinal symptoms that were difficult to manage, such as heartburn, pressure in the esophageal region, a sensation of a gullet in the throat, food retention, and frequent belching. The man had been experiencing these symptoms intermittently for four years, during which time he had been treated without success. By way of exclusion, a diagnosis of visceral hypersensitivity was made, and a low dose of amitriptyline was administered. Psychological therapy was also recommended. This treatment brought significant improvement and resulted in the resolution of his complaints.
Conclusions: Visceral hypersensitivity is strongly associated with psychosocial factors, which should be taken into account when treating patients with gastrointestinal disorders. Low doses of amitriptyline may be an effective treatment option.
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| format | Article |
| id | doaj-art-d9a0bc78cfc5424b8cd28ba503e51a73 |
| institution | Kabale University |
| issn | 2391-8306 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj-art-d9a0bc78cfc5424b8cd28ba503e51a732025-01-09T08:16:41ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-01-017710.12775/JEHS.2025.77.57199The long road to diagnosis, from gastroesophageal reflux disease, through Barrett's esophagus, to visceral hypersensitivity: a case reportMałgorzata Wirkijowska0https://orcid.org/0009-0003-5857-965XJolanta Mędykhttps://orcid.org/0009-0008-3346-0827Yauheniya Patarocha1https://orcid.org/0009-0007-0472-9789Michał Rogulski2https://orcid.org/0009-0004-7328-5016Aleksandra Ślusarska3https://orcid.org/0009-0009-8208-1222Paulina Błasiakhttps://orcid.org/0000-0002-7967-1776Patryk Mikołajec4https://orcid.org/0009-0001-3300-0061Ruslan Huk5https://orcid.org/0009-0008-5756-9448Barbara Bilecka6https://orcid.org/0009-0009-5611-2996Jakub Wirkijowski7https://orcid.org/0009-0007-9882-9341Formmed Center for Treatment of Congenital Defects and Malformations, ul. Warszawska 197D, Babice NoweIndependent Public Health Care Center in Garwolin ul. Lubelska 50, GarwolinIndependent Public Health Care Center in Garwolin ul. Lubelska 50, GarwolinPublic Oupatient Medical Center in Strzelin, ul. Mickiewicza 20 StrzelinHospital Saint Anne in Miechow, ul. Szpitalna 3, MiechowIndependent Public Health Care Center in Garwolin ul. Lubelska 50, GarwolinJan Kochanowski University Collegium Medicum, aleja IX Wieków Kielc 19A, KielceIndependent Public Clinical Hospital of Prof. W. Orlowski, Czerniakowska 231, 00-401, Warsaw, Poland Background: Visceral hypersensitivity syndrome is a condition involving excessive perception of mechanical stimuli in the intestines. In patients suffering from this disorder, physiological bowel function causes pain and discomfort. Case summary: The patient presented is a 26-year-old man with severe gastrointestinal symptoms that were difficult to manage, such as heartburn, pressure in the esophageal region, a sensation of a gullet in the throat, food retention, and frequent belching. The man had been experiencing these symptoms intermittently for four years, during which time he had been treated without success. By way of exclusion, a diagnosis of visceral hypersensitivity was made, and a low dose of amitriptyline was administered. Psychological therapy was also recommended. This treatment brought significant improvement and resulted in the resolution of his complaints. Conclusions: Visceral hypersensitivity is strongly associated with psychosocial factors, which should be taken into account when treating patients with gastrointestinal disorders. Low doses of amitriptyline may be an effective treatment option. https://apcz.umk.pl/JEHS/article/view/57199visceral hypersensitivitycase reportgastroesophageal reflux diseaseirritable bowel syndrometherapysmall intestine bacterial overgrowth |
| spellingShingle | Małgorzata Wirkijowska Jolanta Mędyk Yauheniya Patarocha Michał Rogulski Aleksandra Ślusarska Paulina Błasiak Patryk Mikołajec Ruslan Huk Barbara Bilecka Jakub Wirkijowski The long road to diagnosis, from gastroesophageal reflux disease, through Barrett's esophagus, to visceral hypersensitivity: a case report Journal of Education, Health and Sport visceral hypersensitivity case report gastroesophageal reflux disease irritable bowel syndrome therapy small intestine bacterial overgrowth |
| title | The long road to diagnosis, from gastroesophageal reflux disease, through Barrett's esophagus, to visceral hypersensitivity: a case report |
| title_full | The long road to diagnosis, from gastroesophageal reflux disease, through Barrett's esophagus, to visceral hypersensitivity: a case report |
| title_fullStr | The long road to diagnosis, from gastroesophageal reflux disease, through Barrett's esophagus, to visceral hypersensitivity: a case report |
| title_full_unstemmed | The long road to diagnosis, from gastroesophageal reflux disease, through Barrett's esophagus, to visceral hypersensitivity: a case report |
| title_short | The long road to diagnosis, from gastroesophageal reflux disease, through Barrett's esophagus, to visceral hypersensitivity: a case report |
| title_sort | long road to diagnosis from gastroesophageal reflux disease through barrett s esophagus to visceral hypersensitivity a case report |
| topic | visceral hypersensitivity case report gastroesophageal reflux disease irritable bowel syndrome therapy small intestine bacterial overgrowth |
| url | https://apcz.umk.pl/JEHS/article/view/57199 |
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