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Anxiety in the body: nervous dyspepsia

        ANXIETY IN THE BODY: NERVOUS DYSPEPSIA
Discomfort in the stomach felt beneath the ribs in the upper part of the abdomen is one of the commonest signs of anxiety. The discomfort—or if it is more severe, the pain—is very similar in nature to the pain of peptic ulcer except that the pain of nervous dyspepsia tends to be associated with emotional stress whereas ulcer pain is more clearly related to food intake. A mild persistent gnawing discomfort in the upper abdomen is often a symptom of chronic anxiety. This is frequently interrupted by intervals of more acute discomfort as the sufferer is subjected to periods of greater stress. Sometimes it is expressed as a feeling of a void or emptiness in the stomach. Other people react with acute upper abdominal discomfort to any sudden anxiety. They describe it by saying, "It gets me in the stomach." It came quite suddenly, "almost as if someone kicked me there." Other people experience anxiety as a sensation of "butterflies in the stomach," or a feeling that "the stomach turns over."

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