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Stress as factor in organic illness: peptic ulcer and blood pressure STRESS AS FACTOR IN ORGANIC ILLNESS: PEPTIC ULCER AND BLOOD PRESSURE
Peptic ulcer
«It is there, just there, under my ribs. Gnawing. Sometimes worse. Sometimes a little better. I am always aware of it. Sometimes like a knot. Then pain. Real pain, enough to double me up.
'It's an ulcer all right. I knew that before the X-rays. He's given me those new tablets. Says they are a great improvement on anything in the past.
'Things I eat make it worse. Spicey things. Anything tasty, hot things, and my whisky too. Can't go out to dinner and ask for a glass of milk. And stress makes it worse. No question about that. Stressful job. Good at it. Responsibility. Gone a long way. Now it's all threatened. More stress. I've been reading about it. The ulcer may involve a blood vessel. Then hemorrhage. I don't want that. »
The full story of peptic ulcer has not yet unfolded. An excess of acid in the stomach makes the cells lining the gastric wall more susceptible to ulceration. Greater motility of the stomach may have the same effect. Both these factors are mediated through the vagus nerve. Ulceration may start through clotting or bleeding of one of the small blood vessels in the stomach wall. Disordered enzyme activity may be the major factor.
And, of course, as we all know, stress plays its part too. If we reduce our stress we aid the healing of the ulcer.
Blood pressure
«He said my blood pressure was up. Not much, but enough. Enough to put me on some tablets. Said I should take them for the rest of my life. Don't like the idea of it. It was just for a check. Before I went to him I was feeling all right. Now I'm not so good. They seem to have made me lose my zest. It seems to me they put you on tablets too quickly. Is there some other way?))
The basic cause of high blood pressure is the contraction of the muscle in the walls of our small arteries. This narrows the opening in the arteries, and so puts up our blood pressure. This becomes aggravated by fatty deposits and calcification in the arteries. The muscles in the arteries are under nervous control from the sympathetic nervous system. Various toxins, particularly those from chronic kidney disease, add to the trouble, and may play an important part.
But in the early stages it is certainly worthwhile to see what can be done by reducing stress and its effect on the sympathetic nervous system.
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