Astheno-vegetative syndrome: ICD code 10, treatment of children and adults: how you can help, medications, symptoms

You have come for important information and now let's talk about Disorders of the Autonomic Nervous System (G90). Maybe in your case it was different, but we’ll tell you how it usually happens. Attention, before prescribing diagnoses or medications/treatment for yourself, you should always consult with professional specialists in your field and not self-medicate. Of course, you can quickly find the answer to the simplest questions and diagnose yourself at home. Write your wishes in the comments, together we will improve and supplement the quality of the material provided.

Neurogenic orthostatic hypotension [Shai-Drager]

Excludes: orthostatic hypotension NOS (I95.1)

Sudeck atrophy

Sympathetic reflex dystrophy

Causes of the disease

The causes of the appearance and development of the syndrome include a fairly large group of factors. Sometimes determining why a disease occurs is quite difficult. To do this you need to find a truly qualified specialist.

The most common causes of asthenic syndrome include:

Frequent stress. Strong experiences and tragic events can lead to overstrain and exhaustion of the nervous system, and, consequently, to the occurrence of asthenia.
Infectious diseases. Any infection that occurs along with fever and intoxication of the body causes the death of nerve cells and the appearance of asthenic syndrome.
Brain injuries. Even minor bruises often lead to disruption of the functioning of the entire brain. Injuries become especially dangerous in childhood, when the bones of the body are still weak and fragile, and the brain is actively increasing in size. It is because of this that you should never shake or toss a newborn baby.
Regular overstrain of the nervous system. Lack of rest and a corresponding deterioration in well-being now occurs in every second person on Earth. Recently, even children have begun to face this problem.
Vitamin deficiency. The decline in the amount of minerals and vitamins in the body leads to exhaustion and weakening of the nervous system.
Intoxication. Smoking, alcohol abuse and drug use poison brain tissue, causing the death of a huge number of nerve cells.
Diseases of the endocrine system. Disturbances in the functioning of the pancreas, thyroid and gonads often lead to cell death and the development of asthenia.
Personal characteristics of a person. Quite often, asthenoneurosis occurs in those people who underestimate themselves as individuals. Patients also become prone to excessive dramatization and suffer from increased impressionability.
Social factors. Every person sooner or later experiences difficulties at work, in school or in his personal life. All these cases also have a negative impact on the functioning of the autonomic nervous system.

In children, astheno-neurotic syndrome can occur due to:

Fetal hypoxia;
Infections during the intrauterine development of a child;
Injuries received during childbirth;
Various defects of the nervous system;
Bad habits of the mother during pregnancy.

Etiology

The occurrence of pathology can be due to many reasons. As a rule, the disease develops in individuals with a hereditary predisposition.

In addition, the following conditions may be the causes of suprasegmental autonomic dysfunction:

Prolonged stay in a state of maternal stress during pregnancy.
Different rates of physical and psychological development in a child.
Diseases of the endocrine system.
Chronic pathologies.
High intensity physical activity.
Improperly organized daily routine.
A lifestyle that does not involve physical activity.
Overwork.
Unbalanced diet.
Obesity.
Weakening the body's defenses.
Hormonal imbalance (especially in women during pregnancy and menopause).
Osteochondrosis.
Tobacco smoking.
Excessive consumption of alcoholic beverages.

In addition, the risk group includes people who often suffer from infectious diseases.

It is important to understand that dysfunction of the suprasegmental part of the autonomic nervous system is an extremely dangerous pathology. The coherence of the internal organs is disrupted, due to which a person may be bothered by the symptoms of diseases that he actually does not have. In this case, the most important thing is not only timely, but also competent diagnosis.

In the International Classification of Diseases (ICD-10), suprasegmental autonomic dysfunction is coded G90.

Symptoms of asthenoneurosis

Typically, patients do not attach much importance to the first signs of the syndrome, as they attribute them to fatigue. People turn to a doctor for help when it becomes impossible to cope with accumulated problems on their own. Most often, the diagnosis is made if there are no somatic or neurological disorders.

The first symptoms of asthenic syndrome include:

Apathy and causeless irritability;
Regular fatigue;
Decreased immunity, which leads to the occurrence of infectious and colds.

In children, severe asthenoneurosis manifests itself differently than in adults. The child is observed:

Sudden mood changes;
Lack of appetite and complete refusal to eat;
Uncontrollable attacks of aggression;
Frequent crying and moodiness;
Taking out anger on toys and favorite things;
Continuous fatigue;
Regular pain in different areas of the head;
Decreased academic performance at school;
Difficulty communicating with other children.

Treatment of the syndrome in children

Treatment of asthenic syndrome in children is slightly different from treatment of the disease in adults. To help your child you should:

Introduce into his diet as much as possible the right healthy food, useful with vitamins and various microelements;
Eliminate drinks that contain caffeine from your diet;
Ventilate the baby’s room several times a day;
In the evening you need to spend time in the fresh air, it is especially useful to walk just before bed;
Ensure full, healthy sleep both during the day and at night;
Avoid watching TV and playing on the computer during an exacerbation of the disease.

Astheno-neurotic syndrome: causes, symptoms, diagnosis, treatment

Astheno-neurotic syndrome is a type of neurosis that can occur in both adults and children. Asthenoneurosis leads to people becoming nervous and constantly experiencing increased fatigue. The disease is often called asthenia, neuropsychic weakness, chronic fatigue syndrome, asthenoneurosis or asthenic syndrome.

The disease usually arises and develops due to abnormalities in the activity of the entire autonomic nervous system. A person with asthenic syndrome constantly needs support and protection.

The number of patients with asthenia increases several times every year. The sharp increase in the growth of cases is associated with an accelerated pace of life, poor ecology, regular stress and depression. Astheno-neurotic syndrome often worries vulnerable children who take everything “to heart,” actively react to any stimuli and get upset even because of small failures.

Asthenoneurosis can be confused with fatigue, which occurs with increased mental or physical stress. According to the ICD, 10 patients are diagnosed with code F48.0, which stands for other neurotic disorders.

Consequences and complications of the disease

Most often, asthenoneuratic syndrome occurs in a chronic form. But if at least minimal treatment of the pathology is absent, serious complications can arise:

Stroke;
Heart attack;
Stomach ulcer and exacerbation of gastrointestinal diseases;
Hormonal imbalances.

Also, in the absence of adequate therapy, depression may occur, which sometimes even leads to suicide. In the initial stages of the disease, a person is still able to help himself.

Complications of asthenia in children can lead to malfunctions of the thyroid gland, and, consequently, to disorders in the reproductive system. In adults, problems with reproductive function may occur.

Diagnostics

That is why it is not difficult to start treating asthenic syndrome as early as possible.

The main thing is to determine the real cause of the disease, since it is its elimination that guarantees successful treatment and complete recovery of the patient.

Treatment of asthenoneurosis

Therapy for the syndrome should be comprehensive and include several areas:

Taking medications. Usually, during the first stage of development of the syndrome, one can limit oneself to the use of herbal tea, vitamin complexes and the use of traditional medicine. If a person’s health worsens, the doctor prescribes various sedatives, and sometimes antidepressants.
Psychological help. In the early stages, the disease can be cured even at home: aromatherapy, relaxing baths and walks in the fresh air.
Healthy lifestyle. Proper nutrition, exercise and a clear daily routine will help cope with any disease, including asthenoneurosis.

Drug treatment

Drug therapy involves taking the following drugs:

Sedatives: “Sedasen”, “Persen”, as well as tinctures of motherwort, hawthorn and valerian. The course of treatment must be at least two weeks.
Antidepressants with the least number of side effects: Novo-Passit, Azafen, Doxepin, Sertraline.
Antiasthenic agents: Enerion and Adamantylphenylamine.
Nootropics: “Phenibut”, “Cortexin”, “Nooclerin”.
Adaptogens: “Chinese lemongrass”, “Eleutherococcus tincture”.
Vitamin complexes: “Neuromultivit”.

Physiotherapeutic procedures are also usually prescribed along with drug treatment: therapeutic massage, aromatherapy, electrosleep and reflexology.

Psychotherapy

Therapy for asthenic syndrome is impossible to imagine without the help of a psychologist. The patient should definitely visit a specialist to clarify the diagnosis and prescribe appropriate treatment.

Typically, a psychotherapist advises a patient to take a break from his own illness and take up a hobby, for example, collecting coins, crocheting or painting.

Also, art therapy or sand therapy has been helping patients cope with asthenoneurosis for many years.

You should not neglect breathing exercises, as it helps not only to relax the whole body, but also to recharge yourself in a good mood.

The following recommendations will help you cope with the disease:

First of all, you need to get rid of all bad habits;
You should do strength exercises and expose your body to cardio exercises every day;
Work should always be alternated with rest; you should not overexert yourself;
It is worth adding more meat, soy, beans and bananas to your usual diet;
It is mandatory to take vitamin complexes;
And the most important thing is to maintain a great mood throughout the day.

Traditional therapy

First of all, we should not forget that treating asthenia only with traditional methods is extremely undesirable, since a positive effect can only be obtained with complex therapy. But as an additional effect, doctors recommend the following recipes:

Mint leaves, trefoil roots and valerian in equal proportions, approximately 2 tbsp. l., you need to finely chop and mix. Afterwards, add 2 tsp to a glass of boiling water. collect, leave for an hour in a warm place, then strain. Every day you should drink half a glass in the morning and evening. The course of treatment is a month.
2 tbsp. l. motherwort should be poured with a glass of boiling water and placed in a water bath for 20-30 minutes, without bringing to a boil. Then you should add boiled water to the volume that was in the bowl at first. Take the decoction 3 times a day before meals, 1⁄3 of a glass.
Valerian and motherwort can also be taken in tablet form. The attending physician must determine the required dosage. To prepare an infusion of valerian officinalis, add a tablespoon of the herb to hot boiled water and leave for 20 minutes. Take a quarter of a glass three times a day and before bedtime.
Chamomile, St. John's wort and hawthorn must be mixed 1 tbsp. l. and pour a glass of boiling water. The infusion should stand for 30-40 minutes. It is recommended to take the medicine before going to bed.
Combining St. John's wort with dried linden blossom will also help cope with chronic fatigue. You need to mix 1 tbsp. l. components and leave the infusion for 20 minutes. The drink should be taken on an empty stomach in the morning and in the evening before bed, 50 ml. Sometimes an alcohol tincture is prepared from herbs, which must be taken 2-3 drops before meals.
To improve your mood and stimulate the nervous system, you can take a course of treatment with Schisandra chinensis or Eleutherococcus, which are sold at any pharmacy. The products have a beneficial effect on the entire body, help boost immunity, recharge with energy and a positive mood. Tinctures will also help cope with apathy, hysteria, hypotension and headaches due to asthenic syndrome.

Diet for neuro-asthenic syndrome

It is necessary to exclude fatty meat, any fried foods and hot seasonings from the patient’s usual diet. You should limit your consumption of coffee and tea; you can replace them with infusion of hawthorn or rose hips.

It is recommended to eat as many fruits and vegetables as possible. Vegetable oil, black bread and fatty fish will also help improve your well-being.

And in order to cheer up, experts recommend eating a slice of dark chocolate a day and under no circumstances consuming baked goods.

Treatment of the syndrome in children

Treatment of asthenic syndrome in children is slightly different from treatment of the disease in adults. To help your child you should:

Introduce into his diet as much as possible the right healthy food, useful with vitamins and various microelements;
Eliminate drinks that contain caffeine from your diet;
Ventilate the baby’s room several times a day;
In the evening you need to spend time in the fresh air, it is especially useful to walk just before bed;
Ensure full, healthy sleep both during the day and at night;
Avoid watching TV and playing on the computer during an exacerbation of the disease.

Prevention of the syndrome

To prevent the disease, the same drugs that are necessary to treat the syndrome are suitable. Experts advise introducing a daily routine, most of which should be rest.

You should switch to a healthy diet filled with vitamins and beneficial microelements. In this case, it is necessary to limit the consumption of fats and carbohydrates.

Physical exercise and walks in the fresh air will also help distract from the symptoms of “chronic fatigue” and improve a person’s overall well-being.

Forecast

Asthenoneurosis is not a serious disease if treated promptly. People with asthenia need to be registered with a neurologist, follow all his recommendations and take the necessary medications.

A healthy active lifestyle, good mood and a positive outlook on the world also play a decisive role in the treatment of the syndrome.

The main thing is not to start the course of the disease, which can lead to memory deterioration, decreased concentration and the development of depression or neurasthenia.

: lecture on asthenic neurosis

Source: https://sindrom.info/asteno-nevroticheskij/

What is astheno-vegetative syndrome?

Astheno-vegetative syndrome manifests itself as chronic weakness and a number of other symptoms

Astheno-vegetative syndrome is usually called a disorder of the visceral nervous system. Due to this disease, there is a disruption in the transmission of nerve signals. Adults and children of different ages can encounter it. Most often, pathology worries adolescents during puberty.

The International Classification of Diseases contains information about disruption of the autonomic, that is, autonomic nervous system. In ICD-10, the syndrome is coded G90. Below it are listed unspecified ANS disorders.

The disease is usually classified according to severity. At an early stage, the pathology is accompanied by a feeling of weakness and exhaustion. In severe cases, the disorder leads to dangerous neurological abnormalities that greatly affect the patient's life.

It is worth noting that ABC may make it impossible to complete military service. The army and similar pathologies are incompatible. But there are exceptions. In any case, each conscript with such a diagnosis is considered by the selection committee on an individual basis.

Reasons for violation

Astheno-vegetative syndrome in adults and children can be caused by various reasons that negatively affect the functioning of the human body. These include the following unfavorable factors:

Chronic lack of sleep.
Experiencing stressful situations.
Bad habits that a person has been addicted to for many years.
Severe mental or physical fatigue.
Lack of sleep and rest.
Acute and chronic pathologies that disrupt the functioning of internal organs.
Psychological trauma.
Maintaining a sedentary lifestyle.
Unhealthy eating.

All these factors contribute to the development of nonspecific symptoms, which are commonly defined as ABC.

Symptoms in children and adults

Darkening of the eyes may indicate the development of the disease

Astheno-vegetative syndrome can affect both adults and children. The child’s body tolerates this condition less well, so attempts should be made to stop the disease at the first signs of its appearance.

The following are the signs that occur in people with such an astheno-vegetative disease. Pathology is indicated by symptoms:

Increased heart rate even with light exertion.
Excessive sweating.
Chronic weakness.
Dull headaches.
Disruption of the gastrointestinal tract.
Darkening in the eyes.

People with the syndrome have constantly cold hands and feet. In a stuffy room, they may faint, which is also a characteristic condition for astheno-vegetative syndrome. This occurs in adults and children.

In adolescents, the disorder may change their character for the worse. For this reason, the picture of the disease worsens significantly.

The course of a painful condition in a child or adolescent can be determined by the following signs:

Lack of air in moments of rage.
Unreasonable irritation followed by laughter.
Lack of interest in anything.
Absent-mindedness and poor memory.
Closedness.

The disorder can develop with VSD (a designation for vegetative dystonia). Neurotic syndrome is often accompanied by symptoms that indicate physical illness. These include complaints of pain in the head and heart area, insomnia, and delayed reaction.

The symptoms of astheno-vegetative syndrome tend to manifest themselves gradually. Therefore, most patients consult a doctor when the disease becomes complicated.

Why is ABC dangerous?

ABC can lead to complications that manifest themselves in various diseases. Patients who do not begin treatment for astheno-vegetative syndrome come to this outcome.

The lack of timely diagnosis and therapy results in speech impairment and malfunction of the blood vessels in the brain. Other diseases of the central nervous system and internal organs, which can ultimately lead to the death of the patient, are also not excluded.

ABC treatment

A neurologist prescribes treatment for a patient who has identified dysfunctions in the functioning of the ANS. He specializes in neuropsychiatric pathologies. In case of dysfunction of the ANS, which is accompanied by characteristic disorders, complex therapy is selected. Thanks to it, the vegetative system is restored, that is, its functioning returns to normal.

If the syndrome has been identified in a child, he is taken to a pediatrician. After this, the patient is referred to a psychiatrist or neurologist.

In the absence of acquired or congenital diseases of the nervous system, patients can limit themselves to non-drug treatment. In this condition, a person is prescribed:

Diet food. The patient must carefully control what enters his body. With the syndrome, it is forbidden to consume food and drinks that are harmful and do not provide any benefit. It is best to fill your daily diet with cereals, dried fruits, chicken eggs, whole grain bread, fruits, vegetables, dairy products and nuts. These products contain a lot of valuable vitamins and microelements that improve the functioning of the body.
Phytotherapy. It is actively used in the treatment of ABC in children. This treatment method allows you to avoid taking antidepressants, which can negatively affect the body of both children and adults. To cope with the disease, it is recommended to take a decoction of motherwort, mint or valerian root before bed. You can add a portion of natural honey to herbal tea if you are not allergic to this product;
Aromatherapy. Another effective way to treat astheno-vegetative syndrome. Doctors recommend adding a couple of drops of aromatic oil to the water while taking a bath. A product based on bergamot, jasmine, sandalwood or sage is best.

If the disease is of moderate severity, the patient will require more serious therapy. He will benefit from sessions of electrophoresis and massage. Also, do not give up physical therapy. Do not overexert yourself during physical activity. Loads should be moderate.

If the disease is severe, then a person with ABC will have to agree to drug therapy. The methods listed above will not help him achieve recovery.

For astheno-vegetative syndrome, different groups of drugs are prescribed:

Vitamin and mineral complexes with calcium and magnesium.
Sedatives and tranquilizers (Novopassit, Azafen).
Means for restoring the functioning of the cardiovascular system (Andipal, Adelfan).
Medicines to improve the functioning of the digestive tract (Mezim, Festal).

The course of drug therapy may also include other drugs. They become necessary in the event of the development of additional diseases that affect the general health of the patient.

When choosing a treatment method, the doctor must take into account the patient’s age and the degree of neglect of his disease. The neurologist confirms the correctness of the treatment regimen only after the patient undergoes a full examination of the whole body in the clinic.

To avoid long-term treatment and the development of complications of astheno-vegetative syndrome, you must be attentive to your own body and, at the slightest suspicion of a disorder, contact a qualified doctor.

Source: https://mozg.expert/sindromy/asteno-vegetativnyy-sindrom/

Diagnostics

Diagnosis of the disease, first of all, involves an oral interview with the patient. The doctor must find out everything that worries the patient. Usually the clinical picture of the disease becomes clear in its first stages. That is why it is not difficult to start treating asthenic syndrome as early as possible. The main thing is to determine the real cause of the disease, since it is its elimination that guarantees successful treatment and complete recovery of the patient.

Asthenoneurosis can be confused with fatigue, which occurs with increased mental or physical stress. According to the ICD, 10 patients are diagnosed with code F48.0, which stands for other neurotic disorders.

How codes are set for children with VSD

Identification of disease codes according to the ICD in children is no different from encoding diagnoses in adult patients. The development of dystonia in a child may be associated with:

somatic;
infectious diseases.

In this case, VSD is a secondary pathology, so the alphanumeric designation of the primary disease is indicated first. Dystonia developing in a child is coded by a pediatric neurologist.

The International Classification of Diseases is a document approved by the World Health Organization. According to generally accepted regulations, certified doctors treating private and public medical institutions are required to use the specified disease encryption standards in their practice.

The use of ICD codes is important not only for studying the characteristics of pathologies and determining the frequency of their detection. Thanks to universal disease coding, patients do not have to worry about how they will communicate their diagnosis to doctors who do not speak their language.

Treatment options

The main thing is timely detection of symptoms and manifestations and their elimination.

If you suspect astheno-vegetative syndrome in childhood, you must show the child to a pediatrician.

If this disease manifests itself in an adult, you should immediately contact a psychiatrist or neurologist.

In the early stages, treatment of this disease is carried out with mildly acting drugs or systematic use of antidepressants.

In the absence of serious acquired or congenital neurological diseases, non-drug therapy is carried out:

Prescribing a strict diet or using a balanced diet. You need to saturate your diet with a sufficient amount of potassium and magnesium, which are found in dried fruits and most cereals, and B vitamins. You should avoid drinking strong coffee or black tea. If you have difficulty waking up, you need to brew tea from ginseng root or add a couple of drops of eleutherococcus to green tea.
Potent drugs are prescribed for severe stages, and for early manifestations, doctors prescribe a course of nootropic drugs, for example, glycine. To eliminate minor nervous manifestations that are observed with vegetative disorders, it is enough to use herbal decoctions that have a sedative effect: valerian root, motherwort or mint.
To achieve a calming effect, you can perform aroma therapy, which consists of taking a warm bath with the addition of various essential oils.

Astheno-vegetative syndrome cannot be relieved by all these methods, but its manifestations are eliminated using methods of complex symptomatic therapy using:

Massage;
Electrophoresis;
Preparations that contain a loading dose of potassium, magnesium and B vitamins;
Normalized physical activity;
The use of drugs that are prescribed individually depending on the symptoms that appear. For example, medications that improve brain activity, stomach or liver activity.

Asthenovegetative syndrome: treatment

In the early stages, asthenovegetative syndrome does not require drug treatment. In the treatment of the syndrome, in the later stages, strong drugs and antidepressants are used. Non-drug therapy is used in the absence of serious congenital pathology. It includes, first of all, control of the diet: junk food and invigorating, carbonated drinks are excluded, foods rich in potassium are introduced.

In parallel with dietary nutrition, nootropic drugs of plant origin are prescribed. For mild illnesses, baths with the addition of soothing essential oils are most effective.

To treat moderate forms of the disease, complex therapy is carried out:

a general massage is prescribed;
electrophoresis;
vitamin therapy is carried out;
physiotherapy;
symptomatic therapy.

Complex treatment allows you to improve the functioning of internal organs and the brain, and avoid depressive disorders.

When severe forms are detected, specialists from the Center for Functional Disorders at the Yusupov Hospital carry out medicinal correction of the patient’s health status. The choice of drug directly depends on the age of the patient and his general condition of the body. Antidepressants are prescribed - neuroleptics, antipsychotics. The treatment plan is drawn up individually for each patient. Thanks to timely treatment, there is a chance to reduce the development of the disease to a minimum.

Yusupov Hospital is a multidisciplinary treatment center where each patient is guaranteed comprehensive and highly qualified treatment of any pathological diseases of the human body. For more detailed information, make an appointment by phone.

Author

Liliya Rashitovna Garayeva

Obstetrician-oncogynecologist, candidate of medical sciences, doctor of the highest category

Stages of ANS

Doctors usually divide the course of the disease into several stages.

Hypersthenic. It is difficult to notice, because all people have difficult days when they are capable of lashing out at loved ones or being rude to someone. The person experiences mood swings, is easily upset or angry, and has difficulty controlling their emotions. Sleep disturbances, insomnia and general symptoms of chronic fatigue - poor performance and inability to concentrate - are often present.
Irritable weakness. Accumulated fatigue affects your physical condition. Work causes impotence and apathy, and rest no longer helps. Depressive thoughts appear, and the symptoms are very similar to its development.
Hyposthenic neurasthenia. An overtired body sets itself up for rest, so a person is not able to work. This condition may well lead to cyclothymia, a disorder in which the patient will constantly move from depression to agitation. In such a state it is impossible to live a normal life and build relationships with people.

Etiology of the disease

This disease makes itself felt in adolescence; during this period, hormonal changes in the body lead to its depletion or are accompanied by the presence and progression of pathologies that could have arisen in the initial period of development:

Physical or psychological trauma that was accompanied by constant stress or emotional overload;
Disturbances in the functioning of the endocrine system, as a consequence of a previous infectious disease;
Weakening of the liver and kidneys, decreased immunity due to long-term use of antibiotics;

Indirect reasons for the occurrence of the syndrome can be an unbalanced diet:

Due to abnormal intake of vitamins or minerals into the body, which normalize the rapid development of organs;
Metabolic disorder, which manifests itself in the inability to digest healthy foods;
Abuse of food that helps deteriorate the intestinal microflora and the functioning of the digestive tract: sweet carbonated drinks, fast food.

At an early age, the cause for the onset and progression of the syndrome can be the manifestation of disturbances in biorhythms, heavy mental work and lack of physical activity - physical inactivity.

Asthenovegetative syndrome can develop for reasons similar to any disorder of the autonomic nervous system. This set of reasons may include a long course of infectious diseases, malnutrition, hypoxia, various unfavorable environmental factors, such as stress factors, a difficult situation in the family or conditions outside it. It is worth noting that the disease manifests itself with approximately the same frequency regardless of the patient’s gender and age.

Often, in such cases, the clinical manifestations of the syndrome may indicate the early stages of complex psychopathological conditions.

It is worth noting that modern living conditions have made this disease somewhat “younger”. In recent years, cases of manifestations of the first symptoms of the syndrome in children of middle and primary school age have been increasingly recorded. As a rule, such manifestations disappear after a long rest and a change of environment, however, with longer exposure to risk factors, the disease completely adapts and progresses.

The most common causes of ABC are:

Excessive brain activity, which is especially common in school-age children who spend too much time on schoolwork and homework.
Long-term infectious diseases.
Traumatic brain injuries.
Psychological stress of moderate to severe severity.
Physical working conditions are too difficult.
Chronic lack of sleep. This reason is most often seen among women.
Sudden and frequent changes in work rhythm - changes in schedules, lack of vacation, and so on.
Changing time zones with a difference of several hours. In this case, asthenovegetative syndrome often occurs in combination with culture shock.
Other causes that affect the central nervous system by altering homeostasis.

Asthenovegetative syndrome: symptoms

The clinical picture of asthenovegetative syndrome is characterized by gradual (stepwise) development. In approximately 5-7% of cases, clear signs of the disease may be observed.

The following symptoms are characteristic of asthenovegetative syndrome:

decreased performance;
absent-mindedness;
memory losses;
genital dysfunction;
difficulty in formulating thoughts;
tension, anxiety, irritability;
fast fatiguability.

Patients lose interest in their favorite activities. The patient gradually begins to forget important and necessary information, often used in work. School-age children's performance declines and apathy appears. It becomes more and more difficult for people with similar functional disorders of the autonomic system to formulate thoughts. Attempts to concentrate on a specific object are unsuccessful; they only bring greater fatigue and dissatisfaction with oneself.

In combination with asthenovegetative syndrome, a hypochondriacal disorder appears, manifested by constant worry about one’s health.

The following symptoms of the disease are typical for patients of any age and gender:

chronic weakness;
tachycardia;
dyspnea;
frequent fainting;
presence of cold extremities;
the appearance of pressing headaches;
functional digestive disorders;
profuse sweating.

Later, tinnitus occurs, urination problems occur, appetite decreases, and then disappears. Regarding dysfunctions of the genital organs, such disorders manifest themselves to varying degrees. Some patients may experience a complete absence of sexual arousal due to erectile dysfunction, or, conversely, constant sexual arousal. At the very last stages of the development of the disease, sleep disorders appear - insomnia and night headaches appear that are not relieved by painkillers.

Causes of the disease

Asthenia (from the Greek asthenia - “powerlessness”) is a general pathological reaction of the body to any irritant that threatens a decrease in energy resources. According to ICD-10, this condition is coded R53.53

The pathology most often develops in women of young, working age, but can also occur in men, children, and the elderly (senile type of asthenia).

The etiology of the syndrome is very wide. This condition may occur for the following reasons:

Mental and psychophysiological problems. Asthenic syndrome can be triggered by overload and exhaustion of the nervous system: triggers are stress, intensive preparation for exams, competitions, hard work that requires constant concentration, unresolved psychological conflicts.
Brain lesions of organic origin: head injury, contusions, concussions, tumors and cysts.
Vascular cerebral changes. Strokes, heart attacks and other vascular accidents, age-related compactions, atherosclerosis, encephalopathy.
Intoxication of the body with psychoactive substances, alcohol.
Somatic diseases. Chronic diseases (gastric and duodenal ulcers, bronchial asthma, diabetes, arterial hypertension) and long-term, persistent infections, oncological pathology, blood and connective tissue diseases.

The causes of the disease in childhood are often acute respiratory diseases, which occur frequently and in severe form, as well as suppressed, unexpressed emotions of anger, resentment, fear, and traumatic situations in the family.

The above conditions or their combination are triggers that trigger complex neuropsychological processes leading to the development of asthenic syndrome.

What is psychovegetative syndrome?

Psychovegetative syndrome or vegetative dystonia is a pathology that is accompanied by a violation of the autonomic functions of the body.

The disease is presented in the international classification of diseases. He is assigned a code according to ICD 10 - F45.3.

Reasons for violation

Neurosis is the main factor causing psychovegetative syndrome

Psychovegetative disorders are associated with the appearance of malfunctions in the functioning of different parts of the body. They often arise against the background of a discrepancy between a person’s physical development and the function of his endocrine system.

Most often, the pathology occurs in older children and adolescents. Rarely, the disease is diagnosed in men and women who have reached the age of forty.

The pathological process can be provoked by the influence of genetic factors and constitutional features of the structure of the human body. The influence of a disorder of the nervous system, which is organic in nature, cannot be ruled out. The syndrome is also caused by mental and somatic disorders.

Clinical signs of psychovegetative syndrome appear due to hormonal changes in the body. This factor explains the development of the disease in children and adolescents. Psychophysiological changes have no less influence on the development of pathology. Acute and chronic stress contribute to the deterioration of the general health of a person who is at risk.

The main factors causing the syndrome include the following diseases:

Pathologies of the nervous system;
Occupational diseases;
Neuroses;
Mental disorders;
Psychosomatic disorders.

Any of these factors, if left without medical attention, will one day lead to the development of psychovegetative syndrome. The occurrence of complications that aggravate the course of the underlying disease cannot be ruled out.

Autonomic dystonia may well be caused by organic brain lesions. In this process, dysfunction of the peripheral nervous system is not the least important. Endocrine changes in the body top the list of main reasons that lead to the development of the syndrome. Therefore, adolescents and women going through menopause are at risk.

Doctors classify vegetative dystonia of a psychophysiological nature into a separate category. It is caused by frequent stress, excessive physical strain, neurotic disorders and overwork. These factors must affect the human body over a long period of time to lead to the syndrome.

Symptoms

Against the background of a general deterioration in well-being, which causes disruption of the body’s functioning due to autonomic dysfunction, patients experience specific symptoms. They enable doctors to suspect the course of this disease in a person.

As a rule, patients come to see a doctor with complaints of vegetative symptoms that do not allow one to determine a specific disease.

A person with such a diagnosis is disturbed by painful signs that usually appear in the presence of dysfunction of internal organs and systems. We are talking about the following symptoms of illness:

Heart and blood vessels - tachycardia, rapid heartbeat, pain in the chest, increased or decreased blood pressure, lightheadedness and hot or cold flashes;
Respiratory organs – the appearance of a feeling of a lump in the throat, lack of air, uneven breathing and shortness of breath;
Nervous system – headaches, dizziness, trembling, tension in muscle tissue, sleep problems, paresthesia, chills and tremors;
Digestive tract - dyspepsia, nausea, dry mouth, constipation, diarrhea, flatulence and problems with appetite;
Genitourinary system – decreased libido, impotence, frequent urge to urinate.

With cerebrovascular and other disorders, general symptoms also occur that indicate a deteriorating state of health. Patients experience problems such as body weakness, motor restlessness, fidgetiness, muscle stiffness, inability to concentrate, memory loss and irritability. These are exactly the manifestations of vegetative dystonia. The symptoms of this syndrome are varied. Each patient has an individual range of painful symptoms with varying intensities.

Complications and consequences

Ignoring treatment of psychovegetative syndrome results in the development of frequent headaches

Experts have conducted a lot of research, trying to find out the causes of psychovegetative syndrome and the complications that it can cause. They concluded that ignoring treatment leads to the development of psychological and neurological disorders. The occurrence of cardiac problems cannot be ruled out.

The consequences of the syndrome, like vegetative-vascular dystonia (VSD), pose a threat to human health. Patients with psychovegetative syndrome are at risk of encountering the following complications:

Decrease in the level of work of the heart muscle, the appearance of interruptions;
Malfunctions of the urethra and frequent urge to go to the toilet;
The appearance of symptoms of low or high blood pressure;
Impaired function of the vascular system;
Metabolic disturbances and a sharp decrease in body weight;
The emergence of dependence on weather conditions;
Disruption of the digestive system.

Complications of vegetative dystonia make its main symptoms, which made themselves felt at an early stage in the development of the disease process, more pronounced.

If the patient does not begin treatment for the disease, his condition will continue to worsen. Ignoring the problem results in the development of frequent headaches, anxiety attacks, neuroses, depression and increased psychological vulnerability. Because of the syndrome, a person becomes more irritable and apathetic.

Development mechanism

Normally, the body of a healthy person responds to any stimulus in the form of a peak reaction, which has a certain period of decay. The more powerful the stimulus, the larger the peak and the longer the decay period. From such peaks and periods, the “working background” and normal performance are formed.

What happens when the body experiences an asthenic state?

Even the smallest stimulus produces a maximum peak, after which the recovery period is disrupted. This occurs due to the fact that the patient’s nervous system is exhausted and weakened under the influence of certain causative factors.

Such an excessive response to any trigger leads to the fact that the nervous system is in constant, chronic tension, the body does not relax, and there is no adequate recovery period.

The asthenic state includes increased excitability, and at the same time, excessive exhaustion of nervous processes with a corresponding clinical picture.

Asthenic syndrome has a high prevalence among the population, comparable to depressive disorders. When initially visiting a doctor, more than 70% of patients present complaints related to certain manifestations of asthenia.

Among people whose professional activities are associated with irregular work schedules and night shifts, symptoms of this condition occur to one degree or another in 90% of cases.

Asthenia worsens the quality of life of patients, and severe forms of the disorder can completely deprive patients of their ability to work.

Research into the causes of the pathology, the mechanism of its development, diagnostic and treatment measures continues today, although scientists and doctors around the world have already made great strides in understanding why this syndrome occurs.

Astheno-vegetative syndrome in children and adults? Symptoms and treatment of the disease

Vegetative syndrome is a consequence of an imbalance of the autonomic system, one of the main regulators of the activity of all organs and systems of the body. The syndrome is not an independent disease, it is a complex of symptoms, each of which may indicate a separate disease.

The problem is that some organs and systems in the human body begin to overreact even to minor stimuli.

Causes of dysfunction:

overload of the body with mental or physical stress;
stress and psychological turmoil;
constant difficult emotional background in the family or at work;
sleep deficiency;
frequent changes in climate and time zones;
lack of work and rest schedule;
physical inactivity.

Single stresses and overloads do not cause significant harm to the body, but if such shocks enter the system, the body begins to malfunction.

People suffering from endocrine, neurological, infectious and cardiovascular diseases are at a particularly high risk of the occurrence and development of dysfunction.

Most often, people weakened by chronic diseases suffer from autonomic disorders. Sometimes a hereditary factor and a lack of vitamins and minerals in the body play a role.

To determine the clinical picture, the patient is asked about his lifestyle, psychological state and mood, the presence of local symptoms is recorded (frequency, nature, localization of pain, sweating, tremors, etc.

), identify signs of general pathological processes, and, if necessary, prescribe laboratory and instrumental examinations.

The patient may experience causeless phobias, depression, suffer from insomnia, mood swings, irritability, memory impairment, and dizziness.

Signs and symptoms

The symptoms of astheno-vegetative syndrome are numerous and vary for each person. They are caused by ineffective or unbalanced efferent signals sent through both systems. Basic:

Anhidrosis;
Anxiety;
Blurred or double vision;
Bowel incontinence;
Constipation;
Dizziness;
Difficulty swallowing;
Exercise intolerance;
Chronic fatigue;
Insomnia;
Low blood pressure;
Orthostatic hypotension;
Fainting;
Tachycardia;
Tunnel vision;
Urinary incontinence or retention;
Weakness.

Causes

Astheno-vegetative syndrome may be associated with hereditary or degenerative neurological diseases (primary). Sometimes occurs due to damage to the ANS from an acquired disorder (secondary). The most common reasons:

Alcoholism;
Amyloidosis;
Autoimmune diseases such as Sjögren's syndrome, systemic lupus erythematosus;
Craniocervical instability;
Diabetes;
Eaton-Lambert, Ehlers-Danlos, Guillain-Barré syndromes;
HIV AIDS;
Lyme disease;
Multiple sclerosis;
Paraneoplastic syndrome;
Parkinson's disease;
Spinal cord injury;
Surgery or injury involving nerves;
Toxicity (vincristine).

If asthenovegetative syndrome is present along with fibromyalgia, chronic fatigue, irritable bowel syndrome, interstitial cystitis, there is an increased likelihood that it is the underlying pathogenesis.

Find out more Bloating: causes of abdominal syndrome

Anxiety can sometimes manifest itself physically as symptoms that resemble the disorder. A thorough diagnosis is necessary to exclude physiological causes.

In cases where appropriate tests are performed and the findings do not correspond to any known disorder, a primary anxiety disorder should be considered. For such patients, the Anxiety Sensitivity Index has better predictability.

Forms of the disease

Depending on what reason underlies the pathology, varieties of asthenic syndrome are distinguished, each of which has its own specific features of the clinical picture. The main forms of the syndrome are:

Psychogenic. Occurs if the disease is based on traumatic situations (conflicts, stress). Neuro-emotional tension that is inadequate to the traumatic situation arises and depletes the patient’s body.
Vascular . Often develops in older people due to vascular changes in the brain. Distinctive clinical symptoms are tearfulness, forgetfulness, absent-mindedness, and excessive sentimentality. Tears in this case are the maximum manifestation of emotional involvement; they appear during any minor events, “trifling” reasons for a healthy person.
Traumatic. Occurs as a result of previous injuries: head injury, concussion. It is characterized by the fact that a person reacts to a minor stimulus with an excessive aggressive reaction: verbal or even physical. After an outburst of aggression, the patient feels an extreme degree of physical and psycho-emotional exhaustion and loss of strength.

In practice, erased or combined forms with a mixed, variable clinical picture are often encountered.

There is another classification of asthenia, according to which it occurs:

Primary. This is an independent disease caused by psychogenic and constitutional characteristics. Patients, as a rule, have a thin physique, tall stature, and do not tolerate physical, emotional stress, or stressful situations well.
Secondary. Symptoms of the disease arise against the background of somatic, infectious diseases, and previous injuries. Clinical signs of asthenia may be a consequence of the use of medications (antidepressants, sleeping pills, diuretics), alcohol intoxication, or occupational hazards.

The above conditions or their combination are triggers that trigger complex neuropsychological processes leading to the development of asthenic syndrome.

RVNS classification

The main classification is based on the division of the condition into segmental and suprasegmental disorders. The first are represented by a syndrome of progressive autonomic failure, which is associated with disruption of visceral fibers. Segmental disorders also include autonomic vascular-trophic disorders.

Suprasegmental disorders include various variants of psychovegetative syndrome. There is another classification, which is based on the primacy and secondary nature of disorders of the autonomic nervous system. If RVNS occurs against the background of various diseases, then it is considered secondary. Depending on the predominance of the part of the nervous system, RVNS is classified into hypertonic, hypotonic and mixed types.

Classification

This pathology is classified according to many criteria.

Based on its origin, it is divided into:

Organic. As a rule, this is the result of brain diseases, vascular disorders, and neurological diseases. These include traumatic brain injuries, brain tumors and abscesses, vascular disorders, demyelinating conditions, and degenerative processes. Observed in 40% of cases.
Functional. It is diagnosed in 60% and is considered a reversible and temporary condition. Essentially, this is the human body’s reaction to stressful situations (asthenia of psychogenic origin), too much stress or a previous illness.

Downstream to:

Spicy. More often it has a functional origin, and develops against the background of prolonged stress or illnesses that occur in an acute form.
Chronic. In this case, the course of the disease is long, and the causes are most often organic. It also includes chronic fatigue syndrome.

According to symptoms:

Hypersthenic. There is increased excitability, as a result of which the person sleeps poorly, cannot tolerate bright lighting and loud noise. Irritability and short temper are often observed.
Hyposthenic. Decreased susceptibility to external factors, lethargy, apathy. Irritable weakness.

Due to the occurrence of:

post-traumatic;
post-infectious;
postpartum;
somatogenic.

Etiology of the phenomenon

In half of patients with asthenia syndrome, the disease is caused by the presence of diseases of internal systems and organs. Most often, asthenia is detected:

in hypertensive patients;
in patients with ischemic disease;
after a heart attack;
with carditis;
for arrhythmia.

In addition, the following diseases and factors can provoke the disease:

avitaminosis;
too much energy consumption;
improper metabolism;
diseases of the gastrointestinal tract;
ailments of the genitourinary system;
malfunctions of the thyroid gland and other endocrine disorders;
the period after the birth of a child;
hormonal imbalance;
allergies;
oncology;
hepatitis;
autoimmune diseases;
systemic pathologies;
VSD;
withdrawal syndrome (giving up cigarettes and alcohol);
great physical activity;
prolonged stress;
atherosclerosis.

There are a lot of factors that can lead to the development of asthenia, which is why it is widespread.

Symptoms

Manifestations of pathology include the following:

Extreme fatigue. Concentration is impaired, thoughts are poorly formulated, memory often suffers, and lethargy appears.
Psycho-emotional disorders. Hot temper, pickiness, anxiety. There are sudden changes in mood - from complete depression to excessive excitement. If treatment is not carried out in a timely manner, a depressive state may develop.
Autonomic disorders. Decreased appetite, surges in blood pressure, constipation, headaches. Patients complain that they are either hot or cold. In women, the menstrual cycle is disrupted, and the signs of premenstrual syndrome intensify.
Sleep disorders. With the hyposthenic form, a person is constantly drawn to sleep; with the hypersthenic form, insomnia is observed, and as a result, lack of sleep.

urine and blood tests (general, biochemical, hormones, liver tests),
PCR;
ECG;
Ultrasound of the pelvic organs, abdominal region, heart, cerebral vessels;
chest x-ray;
CT, MRI;
coprogram;
FGDS;
consultation of narrow socialists at the discretion of the doctor.

Drugs

Conservative treatment involves the use of drugs from the following groups:

General strengthening vitamin and mineral complexes (“Berocca Ca + Mg”).
Sedatives and tranquilizers (Persen, Novopassit, Adaptol, Azafen, Amitriptyline).
Drugs for normalizing the activity of the cardiovascular system (Adelfan, Anaprilin, Andipal).
Medicines for the treatment of digestive disorders.

Symptomatic therapy involves the use of drugs that act on a specific manifestation of the syndrome.

Reasons for the development of astheno-vegetative syndrome

The human nervous system is divided into central and peripheral. The latter, in turn, is differentiated into somatic, under conscious control, and vegetative, beyond the control of will, feelings and consciousness.

Autonomic, autonomous or ganglion (these synonyms are equivalent) structures regulate the activity of blood and lymphatic vessels, the functioning of organs, exocrine and internal secretion glands. They are responsible for the constancy of the internal environment of the body (homeostasis), as well as for the response to stress.

The activity of the ANS is carried out by the opposing sympathetic and parasympathetic systems. The first responds to stressful situations: it sharpens the functioning of the senses, increases blood pressure and heart rate, and affects breathing processes. The second is responsible for relaxation: it dilates blood vessels, reduces the heart rate, and constricts the pupil.

If disruptions occur in the functioning of autonomous structures, dysfunction can occur in various organ systems.

Folk remedies

Traditional medicine in combination with medication and physiotherapeutic treatment gives good results in the treatment of the syndrome.

Decoctions of lemon balm and mint herbs are used as sedatives. To normalize the activity of the digestive tract, chamomile, calamus, and corn silk are used. In the treatment of vascular manifestations, garlic, onions, coltsfoot, and dandelion root are effective.

Treatment methods

Treatment for astheno-vegetative syndrome should be systemic. If the disease is diagnosed in time, it responds well to treatment.

Treatment of pathology is pathogenetic and symptomatic, implemented through the use of drug therapy, physiotherapeutic procedures, lifestyle correction, and the use of traditional medicine. An important role is played by establishing sleep and wakefulness patterns and adjusting the diet.

Massage, balneotherapy, and electrosleep effectively relieve the vegetative manifestations of the syndrome and improve the patient’s psycho-emotional state.

Traditional medicine in combination with medication and physiotherapeutic treatment gives good results in the treatment of the syndrome.

Let's work together to make the unique material even better, and after reading it, we ask you to repost it on a social network convenient for you. net.