In some cases IBS symptoms are connected with pathological dynamics of personal features which are known as hypochondriac development. It is characterized by premorbid personal features such as rigidity, scrupulousness, excessive inclination for order, anxiety in case of changes in traditional way of life, sticking on troubles.
In such a way, manifestation of irritable bowel syndrome is connected with psychotraumatic situation. However when the situation is settled IBS symptoms don’t disappear or abate. On the contrary, manifestation of irritable bowel syndrome remains steadily over several years. It all tells on patient’s consciousness and his look on the disease. As a result, the patient becomes hypochondriac.
Abdominal pains that are strong, long lasting and have strict localization are exacerbated periodically in connection with psychotraumatic influences. Consequently, patients focus themselves on their pains and quite often become phobic about their health problems.
Such hypochondriac patients often study corresponding popular scientific literature carefully and practice non-medical ways of treatment. They try to diet and gradually exclude more and more products from their daily ration. And if at the initial stages of the disease the diet is composed in accordance with recommendations of the doctor, in the course of time the chose of foods becomes more independent but less and less rational. This choice is based mainly on scanty information from some medical encyclopedias and the nature of pains and physical discomfort after consuming various products. Such patients refuse to follow doctor’s advice and change their diet saying that even a slight deviation from current nutritional behaviour will definitely lead to exacerbation of abdominal pains, swelling, meteorism, negative change in stool pattern. Similar selectivity is observed in case of medications. Thus, hypochondriac behaviour causes additional problems in treatment of irritable bowel syndrome.