Quite often, symptoms of depression occur in diseases of the stomach and intestines. The frequency of depressions is highest with so-called. functional disorders of the stomach and intestines. So, with irritable bowel syndrome, the prevalence of depression during life reaches 70%. Depression is observed in 40% of patients with acute peritonitis.
Hidden depression, according to scientists, constitutes 15% of cases of all types of depression, reveals a significant connection with impaired bowel function. A high frequency of depressive disorders has been established for other types of functional disorders of the gastrointestinal tract: functional dyspepsia, gallbladder dysfunctions. Statistical studies show that depression can be found in 45% of patients with chronic colitis, in 10% of chronic gastritis, and in 5% of patients with cholelithiasis.
A number of other diseases of the digestive system are associated with an increased frequency of depressive disorders. These include, in particular, Crohn’s disease and ulcerative colitis.
Endogenous depressions are observed in 43% of patients suffering from chronic colitis, in 12% of patients with chronic gastritis and in 7% of patients with cholelithiasis.
Depression in Oncology
“Nosogenic depression” is observed in 33% of patients with pancreatic cancer (cancer of the pancreatic head). Rectal cancer in 25% of cases is accompanied by dysthymia. In case of cancer of the stomach and intestines, such symptoms of depression as feelings of helplessness and reduced self-esteem are quite typical. Marked manifestations of depression were noted in a frontal lobe tumor, disseminated carcinomatosis.
Dysthymia is detected in 33% of patients suffering from cancer of the ENT organs.
Depression in Endocrinology and Nephrology
A number of diseases of the endocrine system may also be accompanied by depression. These are adrenal diseases: adrenal disorders (Cushing’s disease and Addison’s disease), hyper aldosteronism; gynecological diseases (dysmenorrhea, postpartum disorders), thyroid diseases (hypothyroidism and hyperthyroidism), parathyroid disorders, hypopituitarism, oncological diseases of the endocrine organs.
Relatively often, depression is observed with kidney disease, accompanied by uremia.
Depression in the clinic of infectious diseases
Depression can be a manifestation of an infectious disease. It is observed in people with tuberculosis (33% of cases), with acquired immunodeficiency syndrome (AIDS), mononucleosis (especially in adolescents), influenza (especially in its prodromal phase), viral and bacterial pneumonia (more often in the elderly), collagenosis ( rheumatism, lupus erythematosus), arteritis (temporal arteritis, Sjogren’s arteritis). Symptomatic depression develops on the background of tertiary syphilis, viral hepatitis.
With a vitamin deficiency, symptoms of depression are also recorded (B, B6, B] 2, C, folic acid). Alimentary depression can develop against the background of pellagra and pernicious anemia.