How to Treat Gastric Neurosis Caused by Nervous System Dysfunction

Gastric neurosis, often linked to nervous system imbalances, is a functional gastrointestinal disorder that manifests through chronic stomach discomfort without any identifiable organic cause. This condition is frequently exacerbated by stress, anxiety, and irregular lifestyle habits. Effective management requires a comprehensive approach that combines medication, psychological support, and lifestyle modifications.

Lifestyle Adjustments for Better Digestive and Mental Health

One of the most important steps in managing gastric neurosis is adopting a healthier daily routine. Patients are strongly encouraged to maintain regular sleep patterns, avoid late nights, and establish a consistent wake-up time. Disruptions in circadian rhythm can worsen both digestive and emotional symptoms.

Engaging in regular outdoor activities such as walking, light jogging, or cycling can significantly improve mood and digestion. Exposure to natural light helps regulate melatonin and serotonin levels, which play key roles in both sleep quality and emotional stability. Additionally, participating in social events, joining community groups, or pursuing hobbies can reduce feelings of isolation and distract from physical discomfort.

Medications to Support Gastric Function

To address the physical symptoms of gastric neurosis, several medications can be used under medical supervision. Domperidone (10 mg taken three times daily) is commonly prescribed to enhance gastric motility. By stimulating contractions in the upper digestive tract, it helps relieve bloating, nausea, and delayed stomach emptying.

In cases where acid reflux or gastric mucosal irritation is present, pantoprazole enteric-coated tablets (40 mg twice daily) can be effective. This proton pump inhibitor reduces stomach acid production, allowing the lining of the stomach to heal and preventing further irritation.

Neurological and Psychological Support

Since gastric neurosis is closely tied to nervous system dysfunction, regulating neural activity is crucial. Cyclohexylthiamine, commonly known as oryzanol or gamma-oryzanol (10 mg three times a day), may help stabilize autonomic nerve function and reduce symptoms like palpitations, dizziness, and indigestion associated with nervous imbalance.

For patients experiencing significant anxiety or depressive symptoms, targeted psychiatric medications may be necessary. Buspirone, an anxiolytic with minimal sedative effects, can help manage chronic worry without dependency risks. Selective serotonin reuptake inhibitors (SSRIs) like sertraline are effective in treating underlying depression and improving long-term outcomes. In more complex cases, atypical antipsychotics such as olanzapine might be considered under strict clinical supervision to regulate severe mood disturbances.

The Importance of Professional Psychological Evaluation

Given the strong mind-gut connection, patients should consider visiting a neuropsychiatric or psychosomatic medicine clinic for a thorough evaluation. Cognitive behavioral therapy (CBT), mindfulness-based stress reduction (MBSR), and biofeedback techniques have shown promising results in reducing symptom severity and improving quality of life.

A multidisciplinary approach involving gastroenterologists, neurologists, and mental health professionals ensures a holistic treatment plan tailored to the individual. With proper care, most patients experience significant improvement over time, regaining control over both their digestive health and emotional well-being.