Reactive state - what is it?

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2018-04-01 18:46:27

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Reactive condition doctors call a disorder that occurs as a response of an organism to influence of adverse factors. This term is used both in somatic medicine and in psychiatry. Unwanted conditions can cause the disruption of the internal organs (liver, pancreas), and damage to mental health. In the first case, the deviations become bodily infirmities, and the second - serious mental harm. Such diseases are usually of a temporary nature. Next will be the principal adverse reactions of organs and body systems (liver, pancreas, and the mind), as well as the causes, symptoms and treatment of these disorders.

What is reactive hepatitis

Reactive condition of the liver is in the form of hepatitis. However, in this case the pathology is caused not by the virus, and diseases of other organs. This response from the liver to the harmful effects. Reactive hepatitis is milder and has a more favorable prognosis than infectious lesions. The disease is not progressing. The symptoms are slightly expressed, and sometimes painful disorder occurs without symptoms and is detected only during a medical examination. Abnormalities in liver enzymes and bilirubin is negligible. If you treat the cause of the reactive state of the liver, all disorders are fully cropped.

Cause of reactive hepatitis

The disease is always secondary. Provoke its development are the following pathology:

  • Gastrointestinal diseases: ulcerative processes, inflammation of the pancreas, non-specific colitis;
  • Rheumatic autoimmune: systemic lupus erythematosus, scleroderma, rheumatoid arthritis, dermatomyositis, rheumatic fever, nodular periarthritis;
  • Disorders of the endocrine system: diabetes mellitus, Hypo - and hyperthyroidism;
  • Burns a large area of the body;
  • Infectious disease;
  • Malignant tumors
  • Surgical intervention;
  • Poisoning;
  • Long-term use of medication with hepatotoxic effects.

The Pathological process most often affects only parenchymal tissue and is reversible.

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Reactive hepatitis is more common in adulthood. This is because children are less likely to suffer from chronic diseases. But if the child is still experiencing this pathology, it occurs with severe symptoms. In children the cause of reactive changes of the liver are most often diseases of the digestive tract, and worm infestation.

Symptoms and treatment of reactive hepatitis

In adulthood, the reactive condition is very often asymptomatic, which complicates diagnosis. Sometimes experience the following uncomfortable symptoms:

  • Malaise;
  • Tired feeling;
  • Low-grade fever;
  • Weakness;
  • Discomfort and pain under the ribs on the right side;
  • Slightly yellowish tinge to the skin.

reactive state

The Patient does not always associate these characteristics with abnormal liver function. It is important to detect these deviations. During the medical examination may be a slight pain upon palpation. The liver is somewhat enlarged. Prescribed blood biochemistry. The results of the study determined a slight increase of bilirubin, liver enzymes, and reduced protein. It is important to separate the reactive inflammation from viral hepatitis. To do this, hold the blood for infection.

With timely treatment reactive state has a favorable outcome. All the disorders are functional in nature. For successful treatment it is necessary to find out the reason of the arisen disorders and to cure the underlying disease. Additionally prescribe medications, the patient is recommended to observe sparing diet. If an abnormal condition caused by poisoning or prolonged intake of medicines gepatotoksicnah, you need to take chelators.

This condition is not dangerous, however, to delay treatment to the doctor and self-medicate is unacceptable. Without treatment, the disorders can take a strong character and complicate the course of already existing diseases.

What is reactive pancreatitis

The Pancreas is closely associated with the digestive system. Therefore, a pathology of the digestive tract negatively affect the work of this body. Gland produces pancreatic juice, which then mixes with the bile ducts and enters the intestines. However, various diseases disrupt this process, and then there is the reactive state of the pancreas (reactive pancreatitis).

The Enzymes of pancreatic juice begin to run after receipt in the intestines. In the pancreas, they are inactive. Special liquid bowel lead these enzymes in action. This is how the process of digestion in a healthy person. But in diseases of the gastrointestinal tract may occur reflux of bowel fluid into bile ducts. In this case, the pancreatic juice becomes active, while in the pancreas, and enzymes begin to have a negative impact on this endocrine organ. Occurs inflammation pancreatitis reactive.

the reactive state of the pancreas

Cause reactive pathology of the pancreas

Precipitating factors in the development of reactive States are pancreatic disease andviolations:

  • Pathology of the stomach and intestines: gastritis, peptic ulcer disease, gastroduodenitis, infection and injury of the digestive system;
  • Liver disease: gallstones, cirrhosis, dyskinesia of the bile channels;
  • Operations on the gastrointestinal tract and gall bladder;
  • Autoimmune pathological processes;
  • Poisoning;
  • Alcohol abuse;
  • Insufficient and unbalanced diet.

In children the disease often develops as a complication of ascariasis. Under heavy infestation, the worms clog the bile ducts that leads to stagnation and inflammation of the pancreas.

Symptoms and treatment of reactive pancreatitis

The Symptoms of reactive inflammation of the pancreas usually pronounced. At the initial stage, the patient experiences the following symptoms:

  • There is severe pain in the abdomen and under the ribs, unpleasant sensations after eating.
  • There is Often vomiting, which brings relief.
  • The Patient suffer heartburn and belching.
  • In the intestine is formed an increased amount of gas is determined by bloating.
  • To have diarrhea up to several times a day.

Then comes from severe intoxication. The patient pale skin, extremities become cold, there is rapid heartbeat, blood pressure falls. The General condition is deteriorating rapidly. In severe forms of reactive pancreatitis requires immediate admission to the hospital.

acute reactive state

The Clinical picture depends on the cause of pathology. If the reactive condition has arisen due to diseases of the liver and gallbladder, patients complain of pain in the solar plexus. If the pancreatitis was triggered by lesions of the gastrointestinal tract, discomfort localized in the upper abdomen.

The Symptoms of reactive States of the pancreas, the child has its own characteristics. In addition to these manifestations, the children have high fever, tongue coating, dry mouth, diarrhoea replaced the constipation. In the blood increases the sugar level. In infancy the disease often occurs without obvious symptoms but you may notice lethargy and decreased appetite in infants.

Diagnosis of the disease is carried out using ultrasound. Thus explores not only the pancreas, but also all the organs of digestion. It is necessary to determine the cause of reactive inflammation. In addition, prescribed a urine test for pancreatic enzymes, blood count and ESR, as well as endoscopy of the duodenum.

Treatment of the underlying disease that caused reactive pancreatitis. As well as prescribe anti-inflammatory drugs, analgesics and antispasmodics. It helps to relieve pain. Necessary restricted diet spicy and fatty food.

Reactive pancreatitis has a favorable prognosis. Timely therapy leads to complete recovery. If untreated, the inflammatory process may become chronic, in addition, patients often increases the level of blood sugar.

Reactive mental disorders

In psychiatry reactive States called temporary mental disorder developing after emotional upheavals. Disorders are reversible and disappear after treatment. This pathology may arise from any person after difficult experiences, for example, the death or serious illness of a close, family breakdown and other unfortunate events. However, severe and protracted course of these disorders are seen in people suffering from psychosis or cardiovascular diseases.

forms of the reactive States

Reactive States are the body's response to trauma. We can distinguish two main subtypes of such disorders.

  • Reactive neuroses;
  • Reactive psychosis.

The Neuroses usually occur with long-term traumatic situation. Psychoses appear as a reaction to acute emotional experiences and stress.

It is Possible to allocate following forms of the reactive States of the neurotic character:

  • Neurasthenia;
  • Obsessive-compulsive disorder;
  • Hysteria.

There are also several types of reactive psychosis:

  • Depression of psychogenic etiology;
  • Paranoid personality disorder;
  • Psychogenic hallucinosis;
  • Puerilism;
  • Delusional fantasies;
  • Stupor;
  • The syndrome of "savagery";
  • The imaginary dementia.

The Symptoms of such disorders are always pronounced. The duration of flow of reactive mental disorders depends on the presence of associated vascular pathologies and personality type of the patient. From vulnerable people with fine mental organization, as well as in patients with atherosclerosis of the these disorders can last a long time.

The Symptoms of reactive mental disorders

The Clinical picture of reactive disorders are extremely diverse. The symptoms depend on the form of disorder.

Should be considered the main symptoms, observed in various forms of psychogenic neurotic States:

  1. Neurasthenia. The patient noted the mental and physical exhaustion. The patient is easily tired, feels constant fatigue, headaches, sleep greatly disturbed. Reduced working capacity. The person becomes excitable, irritable, anxious. The mood is constantly reduced.
  2. Obsessive-compulsive disorder.This is a disorder after psychological trauma occurs infrequently. The patient is constantly produces the same action, for example, counts the objects or touches them. Sometimes a person makes different movements. For the patient it assumes the character of guardian of rituals. Concerned about Intrusive thoughts, memories, fears, which arise against the will of the patient.
  3. Hysteria. There is a strong crying, shouting and motor excitation. In some cases, a person can not stand and walk when fully healthy musculoskeletal system. These phenomena are accompanied by vegetative disorders: a feeling of a lump in my throat, choking, nausea.

reactive state psychiatry

In reactive psychoses are more severe disorders.

  1. Psychogenic depression. Patients show persistent depressed mood. The severity of this symptom may range from slight depression to severe depression. Often patients blame themselves, for example, in death and illness of a loved one. Movement and facial expression dramatically inhibited.
  2. Paranoid personality disorder. On the background of the dreary mood and increased anxiety occurs delusions of persecution or external influence. Patients become fearful, anxious or aggressive. The content of delusions is usually associated with trauma.
  3. Psychogenic hallucination. The patient is experiencing auditory hallucinations. He hears voices that discuss it. In this case, patient feels extreme fear. The possible illusion, when the patient takes the surrounding objects for people. The content of hallucinations is associated with experienced stress.
  4. Puerilism. The patient copies the behavior of a small child. Patients talk childish voice, sulking, crying.
  5. Delusional fantasies. The patient periodically arise ideas of grandeur or of imaginary wealth. Unlike the paranoid delusions of these violations are not persistent and constant. One idea is quickly replaced by another. In the treatment of imagination disappear.
  6. Stupor. The patient becomes very lethargic, stops moving, eating and talking.
  7. The Syndrome of "savagery". This view of reactive States of mind is extremely rare. The patient's behavior observed features characteristic of the habits of animals. Patients mooing, barking, crawling on four limbs, become aggressive.
  8. The Imaginary dementia. There are signs of dementia. In patients with disturbed memory, they are unable to give correct answer to simple questions or perform familiar actions. However, unlike true dementia, this condition is easily cured and has good prognosis.

reactive state of mind

The Diagnosis of reactive psychosis is often difficult. It is necessary to distinguish these States from schizophrenia and bipolar disorder. A psychiatrist should interview the patient and his relatives to identify the presence of a stressful situation. Chronic mental illness is developing, regardless of the psychological trauma, and reactive disorder is always the consequence of moral upheaval.

Reactive mental disorders in childhood

Reactive condition occurs in children after suffering a fright and other traumatic factors. Most often it is observed in infancy and preschool age. There are two types of reactions to child's mind injury. The child either becomes restless (tossing, cries, shouts), or freezes in place and stops to talk. This is accompanied by disorders vegetatie: sweating, reddening skin, tremor, involuntary urination and defecation.

Then the child becomes lethargic, whiny, worried about his fears. The behavior may appear the traits peculiar to the younger children. For example, a child 5 - 6 years starts to behave like a kid 1.5 years. Reactive States of mind in children require immediate treatment. All changes are reversible.

reactive state in children

Treatment reactive mental disorders

In the treatment of neurotic disorders use sedative drugs. If symptoms are mild, you can assign an herbal remedy (Valerian, motherwort), or drug "Afobazol". In more severe disorders are shown tranquilizers. Used not only medication but also psychotherapy methods.

Treatment of reactive psychosis is more difficult. In melancholy mood with the ideas of self-blame use of antidepressants. If the patient has delusions and hallucinations psychogenic origin, use antipsychotics and sedative medications.

Forensic examination in reactive mental disorders

The forensic psychiatric evaluation of reactive States should take into account the form of the disorder. For nervousness patients usually recognized sane. They can be held responsible for the offences.

As for the reactive psychosis, it is necessary to consider the degree of their severity. Light violations people are usually aware of their actions. In case of severe delusional disorders and hallucinations, the patient can be declared insane. It is also important to remember that depressive patients with the ideas of self-blame often stipulate itself, and sometimes admit to offenses they did not commit.

Acute reactive States with delusions and hallucinations are considered as mentaldisorders that are temporary in nature. In the period of disease the person can be declared incapacitated. In this case, all civil legal acts (transactions, wills, etc.) committed during a mental disorder, are considered invalid.


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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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