A prolonged increase in temperature against the background of emotional problems has a specific medical term - thermoneurosis. Neurologists specialize in correcting symptoms and treating disorders in adults and children.
Psychogenic fever is a psychosomatic illness associated with stress. The disorder is especially common in young women. Some patients develop a high core body temperature, up to 41°C, when they are exposed to emotional stress, while others develop a low temperature level, 37–38°C, when exposed to it.
The mechanism of psychogenic fever is not fully understood. But clinical cases show that fever is relieved not by antipyretics, but by psychotropic drugs.
Kinds
Stress is the body's response to a real or perceived threat. A certain amount of increased excitement is useful for a person and forces him to act actively. Severe stress can suppress the immune system and lead to illness, including heart disease and cancer.
The term "psychosomatic disorder" is used to refer to a physical illness that is believed to be caused or aggravated by mental factors. Typically, most illnesses are psychosomatic because they have mental and physical components. According to studies, 60 to 80% of doctor visits are related to stress.
Fever is defined as any body temperature that exceeds the normal threshold. The term "temperature" changes with age. In infancy, fever can reach as low as 37.3°C. As people age, their tolerance for heat increases. Fever is a defense mechanism designed to rid the body of anything it deems potentially harmful to health.
Thermoneurosis (symptoms in adults, treatment determined by a psychotherapist) is a stress-induced fever, which is characterized by a sudden increase in temperature for no apparent reason.
The fever cannot be reduced by standard over-the-counter medications, but responds well to sedative medications intended to treat depression and anxiety.
Psychogenic fever also responds well to therapeutic modalities designed to reduce the impact of stress and create healthier coping patterns. Fever caused by psychological stress will continue as long as stress is present in a person's life.
Thermoneurosis - what is it?
Thermoneurosis is a pathological condition in which the temperature remains at 37-38 degrees for a long period of time, and other manifestations of the disease may also be observed.
Today, thermoneurosis is considered to be a type of vegetative-vascular dystonia or neuroses, the distinctive feature of which is a sharp increase in human body temperature caused by neurological disorders.
The thermoregulation center, which is located in the hypothalamus, the most important part of the brain, is responsible for maintaining temperature in the human body.
An increase or decrease in air temperature, infection in the body, hypothermia - all this causes sudden changes in body temperature, which are strictly regulated by the hypothalamus.
An increase in body temperature in the event of an infection helps the body cope with the disease as soon as possible, but with thermoneurosis this mechanism fails.
A change in the central nervous system, a spasm of blood vessels causes an increase in body temperature to 38 degrees , but this is quite enough to make a person feel unwell.
This “disease” does not have an ICD-10 code, and foreign doctors have never heard of this disease.
Stages and degrees
Doctors distinguish 2 types of thermoneurosis:
- Psychogenic fever that occurs due to stress. Characteristic of children, adolescents, and people who often suffer from high levels of anxiety.
- Neurogenic fever. Increased body temperature can be either infectious or non-infectious in neurosurgical patients.
Scientists in their studies have concluded that depression and anxiety are the direct causes of diseases such as myocardial infarction, eczema, stomach ulcers, hypertension, and psoriasis.
Symptoms
Thermoneurosis in adults can manifest itself with various symptoms and signs. The main one is a sharp increase in human body temperature. It ranges from 37 to 38.1.
Immediately after a night's sleep, the patient may experience a body temperature of 38 degrees . But throughout the day the patient's temperature remains at 37-37.5 degrees .
In addition, this condition may also cause symptoms such as:
- fainting;
- dizziness;
- headaches;
- rapid heartbeat, as well as a pulse that goes off scale;
- pale skin;
- poor concentration;
- tachycardia, bradycardia;
- irritability, anxiety, tearfulness;
- rapid fatigue;
- increased weather sensitivity. The human body reacts to even minor changes in pressure.
One of the important signals is sleep disturbance. Shallow sleep, difficulty falling asleep, frequent awakenings during the night.
There is a constant feeling of tension in the head - a consequence of the fact that at night the nervous system cannot fully recover. This condition can lead to an emotional breakdown.
The digestive system is also sensitive to psychological factors. Loss of appetite, flatulence, problems with stool, abdominal pain.
In this case, the person is not diagnosed with either an ulcer or an intestinal infection . With thermoneurosis, quite often a person complains of nausea, which may be accompanied by dry mouth.
The nervous system is connected to all internal organs.
the entire body suffers from this disease .
With thermoneurosis, a person also experiences problems with breathing, namely, the person complains of lack of air, suffocation, and heavy breathing. Breathing problems are often observed in emotionally important situations or during conflict.
Symptoms
The main symptom is an elevated temperature that persists for more than 3 days, not exceeding 37.2 - 38.0 ° C, very rarely it can rise to 40 ° C.
The main signs of thermoneurosis:
- anxiety, restlessness;
- asthenia;
- joint and muscle pain without signs of arthritis;
- internal tension;
- mental conflicts with others;
- cool and pale facial skin;
- frequent inflammatory infections such as pharyngitis, tonsillitis, cystitis, herpes.
Sometimes the disorder is accompanied by headaches and vomiting. Most of these symptoms are also present in children. If they recur periodically, the children are registered with a neurologist. In adolescents, the disorder is associated with puberty, hormonal changes, and stressful situations that are common at their age.
Causes and symptoms of thermoneurosis, features of its course in children and adolescents
- 1 Reasons
- 2 Symptoms
- 3 Children
- 4 Treatment
Thermoneurosis is a certain spasm inside the vessels that are located in the upper part of the skin.
Such a spasm quickly provokes a violation of thermal regulation.
It is also directly related to various problems in the autonomic system, which is located in the subcortical part of the brain, which is completely responsible for temperature regulation in the human body.
This condition is very difficult to diagnose due to the fact that an increase in temperature level can signal the start of an infection or inflammation in the human body, which also often provoke a rapid increase in body temperature. This disease, different from other diseases, is one of the types of vascular dystonia.
Children
This disease in children from a young age usually occurs against the background of some disturbance in the functioning of the central nervous system (for example, it could be encephalopathy in a child, which is closely related to the negative development of pregnancy or significant difficulties during labor). Most often, such babies are immediately registered with a neurologist.
Even with the most successful therapeutic interventions, early damage to the nervous system can often leave weaker consequences - this is a minimum of brain dysfunction, which does not itself cause thermoneurosis in the child.
It goes without saying that in this situation it is necessary to carry out follow-up observation, as well as treatment by a neurologist, depending on the degree of reduction in the symptoms of MMD, the disease will also begin to recede.
In children of preschool age, the disease can manifest itself for a variety of psychological reasons.
The human autonomic system is responsible for those functions that a person is simply not able to control consciously (breathing, heartbeat).
Their regulation can be upset under stress (for example, the loss of a loved one, moving, quarrels with friends). The child is examined by a neurologist (or better yet, a vegetarian doctor, if there is such a doctor at the local clinic).
During puberty, adolescents are often overly excitable, have poor self-control, are sensitive to the world around them, and have instability of emotions. This state of nerves is often quite sufficient for the formation of neuroses.
Thermoneurosis is no exception. More often it can appear during stress at school or in a teenager’s personal relationships, due to anxiety before an important event. Treatment methods in such a situation will be the same as for an adult, however, the participation of a psychotherapist for a teenager will become much more important, because such a doctor will help him learn to deal with this condition.
Reasons for appearance
Thermoneurosis (symptoms in adults, treatment is largely similar to vegetative-vascular dystonia) is a fever that has neurogenic properties.
The disorder occurs in certain groups of people:
- Women during menopause. At this time, the hormonal system is reconfigured, which causes disruption in the functioning of the autonomic nervous system.
- People doing strength exercises. Excessive amounts of lactic acid, which is produced under the influence of physical overload, disrupts the metabolic process in tissues. If there are problems with autonomic regulation, then intense training can cause an increase in body temperature.
- Impressionable, emotionally vulnerable children and adults. Inclusion in the educational process, classes at school after long holidays, an unhealthy environment at work - this is stress, due to which the autonomic nervous system fails.
Thermoneurosis in adults and adolescents
Thermoneurosis is a violation of thermoregulation in the human body that occurs due to changes in the transmission of nerve impulses in the autonomic system.
Often this condition is a variant or form of vegetative-vascular dystonia (especially in adolescents). Thermoneurosis in adults and adolescents is a problem that can equally be encountered by people with different types of autonomic nervous system.
Fever in some diseases is a completely common and understandable symptom.
But when the thermometer has been showing either 37 or 37.5 degrees for several days now, and no other symptoms are observed, you can’t help but wonder if everything is okay with the body.
If you constantly have a low-grade fever, you don’t know whether to start treating a disease caused by seasonal circulating viruses or look for symptoms of another pathology. It is necessary to know the main distinguishing features of thermoneurosis with signs of secondary low-grade fever and be able to distinguish it from other infectious diseases that provoke a similar immune response.
In this article, you will learn how the aspirin test is performed and what it shows an experienced doctor. Also presented below are other types of differential diagnosis of a long-term increase in body temperature without other visible signs of somatic diseases.
What kind of pathology is this?
Thermoneurosis is a disease that is a condition in which low-grade fever is elevated for several days, and there are no other obvious signs of the disease. This occurs as a result of spasm of skin blood vessels, which, in turn, is a consequence of a malfunction of the autonomic nervous system. It is she who controls thermoregulation in the body.
It is important to understand that every person has special centers in the cerebral structures of the brain that are responsible for thermoregulation. They ensure timely equalization of body temperature in a number of situations:
- when a person finds himself in conditions of low ambient temperature;
- when you are in the steam room of a sauna or bath;
- with a sharp change in climatic conditions;
- when an infection occurs and a primary immune response occurs in the form of hyperthermia.
Disruption of the process of nerve impulse transmission can be observed in a number of pathological processes. In adolescents, disturbances in body thermoregulation with the development of thermoneurosis are most often associated with changes in hormonal levels.
After puberty, the situation returns to normal. But it is important to undergo an examination by an endocrinologist.
In adolescents, thermoneurosis often develops against the background of iodine deficiency and the resulting insufficiency of the thyroid gland.
Diagnosing thermoneurosis is quite difficult, since doctors often associate an increase in temperature with the onset of a viral infection or many other diseases. At the same time, thermoneurosis is a form of vegetative-vascular dystonia. It is worth excluding hyperthermic syndrome in children at an early age.
Thermoneurosis may be a form of vegetative-vascular dystonia
Signs
It is quite difficult to recognize the first signs of thermoneurosis in adults. Typically, this condition is characterized by a constant elevated subfebrile temperature, which stubbornly remains at 37-37.5 degrees. In addition to this main symptom, the presence of a problem is indicated by a constant feeling of weakness; a person quickly gets tired even from light and short work, and weather dependence develops.
Typical symptoms of thermoneurosis in adolescents are more pronounced and include the following manifestations:
- increase in body temperature in the evenings at a strictly defined time;
- in the morning, immediately after waking up, the child has an absolutely normal body temperature and there are no signs of a cold;
- after breakfast you may experience increased sweating;
- slight dizziness and muscle weakness occur with any physical activity;
- a teenager strives to spend more time sitting or lying down;
- There are complaints of headaches, absent-mindedness, lack of mental and physical performance.
When such signs appear in adolescents, it is important to visit an endocrinologist in a timely manner, do a series of special tests and identify the cause of the ailment. After this, the doctor will be able to prescribe adequate corrective treatment.
When symptoms of thermoneurosis appear in adults, it is necessary to exclude first of all the latent form of pneumonia, cirrhosis of the liver, glomerulonephritis, tuberculosis and oncology. These diseases in the early stages rarely give a clear clinical picture.
Typically, elevated temperature occurs more often in the morning, and the patient’s performance decreases significantly. Also, a person often feels pain in the muscles, head, malaise, body aches, chills, and his skin becomes pale.
Low-grade fever is a clear sign of thermoneurosis in adolescents and adults
A complete loss of strength is accompanied by uneven heartbeats.
Episodic tachyarrhythmia can be provoked by a violation of autonomic nervous functions. But an ECG examination is still required to exclude myocardial pathologies.
And if the disease is severe and the patient does not receive proper treatment, frequent fainting is possible.
A characteristic symptom of thermoneurosis is an increase in temperature after worries, stress or hard work.
Reasons for the development of pathology
The main cause of thermoneurosis is viral infections that were previously suffered. As a rule, when all the symptoms of the disease go away, the fever remains. This is what should make you wary.
Regular stress, anxiety, and overwork can contribute to the development of this disease. Head injuries or various other injuries can also cause the development of pathology.
In addition, problems and scandals in the family, conflicts at work, failures in studies, heavy mental or physical stress can also lead to thermoneurosis.
Sometimes the disease provokes a hormonal imbalance in the body, which more often happens to women. In any case, if such a temperature persists for several days for no apparent reason, this is a reason to consult a neurologist.
Other negative impact factors include:
- malfunction of the thyroid gland;
- damage to the intervertebral discs in the spine;
- tumors and cysts of cerebral structures;
- cerebral aneurysms;
- infringement of the vagus nerve;
- changes in the hypothalamus and pituitary gland;
- hormonal pathologies;
- obesity and wasting;
- a sharp change in the climatic conditions of one’s residence.
As mentioned above, it is worth excluding dangerous infections, hidden inflammatory processes and the development of oncological tumors.
Diagnostics and aspirin test
To make this diagnosis, a simple increase in temperature and malaise is not enough. First of all, the doctor must completely exclude the possibility of infectious and viral diseases. You need to be absolutely sure that it is not a cold or flu in order to treat thermoneurosis, since in these cases completely different medications are used.
The doctor usually prescribes an encephalogram, ultrasound, and a specific aspirin test, during which the patient must drink half an aspirin tablet.
If he really has thermoneurosis, then after half an hour the temperature will not drop.
An aspirin test for thermoneurosis does not guarantee diagnostic accuracy, since for a number of infectious diseases this drug also does not lead to the desired decrease in body temperature.
The temperature can also increase in the presence of various somatic abnormalities and pathologies, so they need to be excluded for an accurate diagnosis.
Fluorography, EGC, a general detailed analysis of blood and urine, and a biochemical blood test are required.
Treatment at home
For therapeutic purposes, they use sedatives and sedatives, multivitamins, and maintain a work and rest schedule. It is necessary to remove the cause of the disease, exercise, rest more, and you can take baths with soothing essential oils. Consulting a psychologist helps a lot in such situations.
Complete treatment of thermoneurosis at home is impossible without normalizing the functioning of the autonomic nervous system.
To quickly obtain the effect, Motherwort or Corvalol tablets are prescribed - they relieve the attack within 20 minutes.
For long-term results, the use of the drug “Eglonil” is indicated, 2 tablets 2 times a day for 14 days. This medicine gently and effectively normalizes the functioning of the autonomic nervous system.
In addition, the patient must:
- normalize your daily routine, distribute periods of stress, work and rest so that they constantly alternate;
- review your diet and diet, eliminating spicy and salty, fried and sweet foods, replacing them with fresh vegetables and fruits, juices and freshly prepared hot dishes;
- include mandatory outdoor physical activity in your daily routine (walking in the park in the afternoon helps).
Some manual therapy techniques are effective for thermoneurosis. So, after a course of acupuncture in combination with massage of the collar area, manifestations of thermoneurosis disappear without a trace.
Thermal neurosis should not be underestimated, as this disease can cause other serious health problems.
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Diagnostics
Treatment of thermoneurosis should be carried out only after all other, especially infectious, symptoms have been clarified and the source of stress has been identified. Since this is a very rare occurrence in both adults and children, the diagnosis should be made with greater caution.
There is still little evidence that children can develop fevers from stress. This is theoretically possible, but it must be preceded by prolonged and intense stress, which children then transfer to the physical level.
The doctor comes to the final medical conclusion in stages:
- At stage 1, infection is excluded. Patients often complain of a slow increase in temperature after suffering from colds. Possible complications, residual effects, hidden infections - all this affects the increase in body temperature. To exclude signs of disease, laboratory tests are carried out:
- general clinical blood test, cost of the study is 250–270 rubles;
- biochemical blood test, cost from 600 rubles;
- diagnostics of helminthiases, research price 90–150 rubles;
- aspirin test (taking the medicine reduces the temperature only if there is a focus of inflammation in the body), the test is also carried out for children over 12 years old;
- fluorography (if necessary, the cost of the procedure is from 90 rubles).
- At stage 2, the problem of diseases of internal organs is eliminated. Excessive production of thyroid hormones in hyperthyroidism is initially manifested by an increase in temperature. The same is typical for diabetes mellitus and malignant tumors, including in the brain area. A malfunction in the hypothalamus, which controls the thermoregulation control centers and the autonomic nervous system, also affects the rise in temperature. Many people have problems in this area from birth, and during periods of stress various disorders can arise here. It is important to detect all these reasons in time by visiting an endocrinologist, surgeon, or cardiologist.
- At stage 3, a neurological examination is performed. If the doctor does not find significant violations, then we can talk about thermoneurosis. Patients are encouraged to have their autonomic nervous system examined. This can be done with:
- electroencephalograms, cost from 3 thousand rubles;
- Ultrasound of the brain, examination price is 2 thousand rubles.
Thermoneurosis (symptoms in adults, treatment depends on correct diagnosis) is confirmed if other causes of the disease are not identified after instrumental and laboratory tests.
Diagnosis and treatment of thermoneurosis
A rise in temperature can be caused by various diseases. Therefore, before making a diagnosis of thermoneurosis, it is necessary to exclude viral and infectious pathologies, as well as the presence of pregnancy, diseases of the thyroid gland and oral cavity, the presence of neoplasms, etc. Thermoneurosis in children is diagnosed after an additional examination by an immunologist.
To diagnose the disease, an aspirin test is done. While taking acetylsalicylic acid, the temperature decreases if it is caused by viral or infectious diseases. If there is no reduction, then there is a high probability of thermoneurosis.
Additional diagnostic methods include:
- ultrasound examination;
- clinical blood and urine tests;
- examination by narrow specialists;
- electrocardiogram;
- encephalogram.
Drug treatment of thermoneurosis
For drug treatment, 3 types of drugs are used: sedatives, nootropics and vitamin complexes.
Taking sedatives normalizes sleep and relieves increased anxiety and feelings of fear. Most often, doctors prescribe drugs based on herbal components, such as hawthorn, motherwort, valerian extract, etc. These are the most effective and safe means that have a gentle effect on the body. Improvement is observed after 3-4 weeks.
Nootropic drugs are aimed at improving cerebral circulation. Such drugs include Glycine, Cortexin, Nootropil, etc. Dietary supplements and vitamins are general strengthening, enhance immunity, and improve the functioning of the central nervous system. They are especially necessary in the treatment of post-infectious thermoneurosis.
When treating a child, it is important to maintain a sleep-wake schedule, frequent walks in the fresh air, and hardening activities.
Treatment of thermoneurosis with folk remedies
In addition to medications, there are folk methods of combating autonomic neurosis:
- Herbal mixtures based on plantain leaves, nettles, horsetail and lingonberry leaves. An infusion is prepared from these herbs, which must be consumed daily, 100 ml until the condition normalizes.
- Infusions of mint, sweet clover, violet and licorice. The plants are infused for 6-7 hours, and the resulting liquid is consumed before meals.
- Therapeutic baths with decoctions of juniper and rose hips. You can add a decoction of lemon balm, wormwood and pine buds. Therapeutic baths should not be taken daily, the frequency should not exceed 3 times a week.
When to see a doctor
If you have a fever that lasts for several days, you should definitely visit a doctor.
If it is persistent, accompanied by corresponding symptoms, or if a person has chronic diseases or a weakened immune system, then delaying a visit to the doctor can lead to serious complications and irreversible consequences.
Thermoneurosis. Unexplained increase in body temperature
The term thermoneurosis in medicine refers to a slight increase in body temperature in the absence of an inflammatory process or infection.
A temperature of 37 or a little more can last from several hours to several weeks.
Doctors consider this condition to be a type of vegetative-vascular dystonia due to the fact that the center of human thermoregulation is located in the brain. Antipyretic drugs are not effective enough when thermoneurosis is present.
Causes of thermoneurosis
Thermal neurosis, which occurs due to various reasons, usually has similar symptoms. With it, increased body temperature is observed against the background of hormonal changes, prolonged overwork and severe stress. Of the diseases that can cause thermoneurosis, the following are the main ones:
In adolescence, during pregnancy and menopause, a temperature of 37 is often observed. Such thermoneurosis from hormonal changes appears in the majority.
In children, elevated temperature is often associated with a psycho-emotional state and occurs during adaptation to kindergarten or school, as well as problems of acceptance in a group of peers.
In all cases, there is a disruption in the functioning of the thermoregulation center in the brain, resulting in a temperature of 37, which is not normalized by antipyretics.
Manifestations of disturbances in thermoneurosis
Often, except for a rise in temperature, the disorder does not manifest itself in anything and remains unnoticed by the patient for a long time.
As a result, health begins to deteriorate, since the elevated temperature, which lasts for a long time, gradually destroys the body and weakens it.
Also, malfunctions in the functioning of the thermoregulation center can provoke other neurological symptoms, disrupting the functioning of other organs and systems. Thermoneurosis symptoms are similar to the manifestations of many pathologies:
- drowsiness;
- chronic fatigue;
- spasmodic headaches;
- sleep disorders;
- digestive problems;
- increased heart rate;
- nervousness;
- tearfulness.
Thermoneurosis from overwork is usually accompanied by severe apathy, which is associated with the protective function of the body, which, in an effort to reduce the load, abruptly switches to energy saving mode. At the same time, the temperature of 37 makes the pain in the head and neck area almost constant.
Diagnosis of the condition
Thermoneurosis is difficult to diagnose due to the similarity of its manifestations with many pathologies. Therefore, to determine the disorder, it is necessary to undergo an initial medical examination by a therapist and take blood and urine tests to identify inflammatory processes, which often cause a temperature of 37.
If they are not detected, the patient is examined by a neurologist. After examination, the specialist, if necessary, refers the patient to an endocrinologist. To exclude elevated temperature due to infection, an aspirin test is performed, during which antipyretic drugs are taken.
If they are not effective, then this means that the temperature of 37 arose from disorders of a vegetative-vascular nature.
Treatment of the disorder
Identified thermoneurosis requires treatment. A disorder in which the temperature stays above 37 for a long time should not be ignored, since a low and sometimes high temperature leads to a weakening of the body. Thermoneurosis treatment involves medication. A change in the rhythm of life is also necessary.
- Elimination of the influence of the irritant factor. Such protection from elevated temperature is primarily required if thermoneurosis occurs due to psychological and neurological influences. The day is organized so that there is time for rest and being in the fresh air.
- Sedatives. They are prescribed when a temperature of 37 is observed with severe nervous tension and excitement. Most often, the need for such treatment occurs during adolescence and menopause.
- Massage course. If necessary, it is necessary to eliminate muscle strain, due to which the temperature of 37 can remain for a long time. Occasionally in this state there is a high temperature.
Thermoneurosis often requires complex treatment, using all of the above methods. When the temperature persists for 37 weeks or longer, and no illness is detected during the examination, the patient must first be provided with rest.
Complications and prevention
Thermoneurosis, which is not treated, is dangerous for the development of complications. The main ones are:
- insomnia;
- loss of performance;
- the formation of benign tumors prone to degeneration;
- gastrointestinal pathologies.
To avoid an increased temperature of a neurological nature, the following preventive measures are needed: providing yourself with sufficient rest, relaxing baths, and sleeping at least 8 hours a day. Walking in the fresh air is mandatory.
Thermoneurosis is not as harmless a condition as it might seem at first glance. When a person cannot understand why a temperature of 37, and sometimes even higher, persists for no apparent reason and antipyretics do not help, it is imperative to seek medical help. It is quite difficult to cope with the problem on your own.
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Prevention
Few doctors will tell you how to prevent somatic disorders.
To increase stress resistance, you should remember:
- When a person manages to cope with thermoneurosis, it is important to prevent its recurrence.
- Follow a diet, work and rest schedule.
- If possible, attend psychological trainings.
- It is useful to take supplements containing magnesium, since its deficiency negatively affects the hypothalamus, causing the autonomic nervous system to suffer.
- You should learn to recognize the state of stress and how it affects the body and mind.
- Regularly practice stress management through relaxation techniques.
Treatment
Currently, there are no specific methods for treating thermoneurosis. This is due to the impossibility of establishing its exact causes. The prescribed treatment is complex and includes the use of medications, psychotherapy, and physical therapy.
Treatment of thermoneurosis with drugs is based on the use of nootropic, sedatives, vitamins:
- The effect of sedative medications is aimed at relieving anxiety, restoring a calm attitude towards provoking factors, and treating insomnia. Use tincture of valerian, hawthorn, Persen. They are prescribed for a period of up to one and a half months.
- Drug treatment includes nootropic medications. They are aimed at improving blood supply to the brain. Glycine, Piracetam, Cortexin, Actovegin are used.
- To reduce the manifestation of depression, depressed state, and normalize the autonomic nervous system, Egnolil is used.
- Vitamins. Complexes with vitamins B, C, PP, and folic acid are recommended.
In addition to drug therapy, acupuncture and massage are prescribed, and spa treatment may be indicated.
An important element of treatment is psychotherapy. It is aimed at establishing the causes of the disorder, working through them, and helping the patient find ways to cope with situations that worry him and stress. In some cases, hypnosis is used. When solving problems related to the family, family psychotherapy is recommended.
Treatment methods
Psychotherapy, or talk therapy, may be helpful for somatic disorders. Sometimes doctors prescribe additional medications, especially if a person experiences feelings of deep depression.
Medications
Antidepressants or anxiolytics help in treatment. They normalize brain function and relieve anxiety. The advantages of such drugs include the fact that they are not addictive, but their onset of action is delayed to 2-4 weeks. Therefore, patients should be patient during treatment.
Tranquilizers can also be prescribed, but only for 1-2 weeks. They are prescribed for acute crises, to relieve anxiety, and improve sleep.
The doctor may prescribe a combination of drugs depending on the patient’s age, intensity of the disease, duration and responsiveness of the body to treatment.
Group of drugs | Name | Why are they prescribed? | Cost in rub. |
Tricyclic antidepressants | Amitriptyline | The antidepressant effect develops within 2–4 weeks after the start of use. prescribed for the treatment of depression and to relieve headaches. | 55 |
Clomipramine | The antidepressant effect develops in the first week of treatment. The drug has antihistamine, anticholinergic and adrenergic blocking activity. Prescribed for depressive conditions of various origins. | 250 | |
Serotonin and norepinephrine reuptake inhibitors | Fluoxetine | Treatment of depressive states of varying severity, obsessive states. | 55 |
Citalopram | Depression of varying severity, panic disorders. | 200 | |
Cipramil | A psychotropic drug is used for panic disorders and depression of various etiologies. | 1 thousand 300 | |
Herbal medicines | St. John's wort, extract | Sedative with antidepressant effect. | 60 |
Doppelhertz neurotonic | St. John's wort based sedative. Positively affects the autonomic nervous system. | 450 | |
Over-the-counter herbal products | Novo-passit | The sedative is intended for mild forms of insomnia, a state of constant mental stress. | 180 |
Dormiplant | A preparation based on lemon balm and valerian promotes a good night's sleep and relieves increased nervous excitability. | 450 | |
Adonis Brom | A drug based on adonis, normalizes heart rate, and is intended for the prevention of diseases of the nervous system. | 150 |
The result of therapy depends on the patient’s persistence and his ability to complete the treatment. Many drugs provide quick relief, and people feel like they are feeling better, but this is a deceptive feeling, and it is at this moment that a relapse can occur.
Therefore, in addition to medications, a large role is played by the assistance of a psychotherapist. The psychologist’s task is to ensure that a person does not come to him again with this problem.
Antidepressants have many side effects, and each person reacts to them differently. Side effects can be corrected by changing physical activity and diet. All the drugs described above are prescribed strictly as prescribed by the doctor, who also determines the dosage.
In addition to medications, patients are prescribed vitamin complexes that have a positive effect on the nervous system. Complexes with motherwort, folic acid, and magnesium will help you forget about the growing feeling of anxiety, establish proper sleep, improve attention and performance.
The best vitamin complexes:
- Motherwort Forte with magnesium and vitamin B6.
- Magnesium B6.
- Antistress Doppelhertz.
- Anti-stress enhanced formula.
- Magnelis Express Calm.
Traditional methods
In addition to prescription medications, there are herbal remedies that may help. Before use, you should make sure that they can be taken together with the prescribed dosage forms, because many herbs are antagonists of psychotropic drugs.
Numerous studies have shown that valerian helps you fall asleep faster and get deep sleep. It acts as a sedative, calming the nervous system and brain.
How to make valerian tea:
- Take dry root, 2-3 g, add hot water, 250 g, let it brew.
- After 10–15 minutes. tea can be taken.
- You should drink it 3 times a day, 120–200 mg with meals, the last dose should be taken before bed. Taking large doses during the day may cause drowsiness.
- Research shows that valerian is most effective when taken regularly for 2 weeks.
Chamomile tea is known for its relaxing properties. It causes the release of hormones such as serotonin and melatonin, which fight stress. Chamomile has anti-inflammatory properties, hence, relieves tension headaches and migraines. Chamomile tea can also help improve nighttime sleep.
Cooking method:
- 1 tbsp. l. fresh chamomile flowers pour 250 ml of hot water;
- Additionally, you can add mint leaves and chopped green apple;
- Infuse the tea for 5-6 minutes, and then drink 1-2 times during the day and before bed.
Lemon balm perfectly calms the nervous system, relieves anxiety and stress. Peppermint tea can be combined with valerian, catnip, and lavender.
Melissa tincture:
- To make the tincture, you will need a 1 liter canning jar, mint, 250 g of vodka and 1 tbsp. water.
- Sterilize the jar and fill it halfway with lemon balm.
- Pour vodka or 70% alcohol so that the liquid covers the grass.
- Then add 1 tbsp. water, shake everything well.
- Leave in a warm place for 4 weeks. Shake every day.
- If after a few days the grass is not completely submerged under the liquid, you should add a little water. The herb should remain completely submerged in liquid for 4 weeks.
- After 4 weeks, strain the tincture and pour into a dark glass bottle.
- Take 20 drops of tincture, adding it to juice, warm water or tea, 3-4 times a day. After a 2-week course, you should take a break for 2 weeks and then resume taking it.
Vegetarian juice made from natural fresh vegetables such as celery, cabbage and spinach will enrich the body with calcium, magnesium, and lower blood pressure. 1 cup of juice contains 100% of the daily value of vitamin C, which helps control the body's response to stress.
Other methods
Along with medications, massage and yoga classes are provided. They help to relax, bring the soul and body to a state of peace.
The following techniques help a lot:
- Yoga , a mind-body practice, is considered one of many types of complementary and integrative approaches to health. Yoga combines physical and mental disciplines that can help achieve peace of mind, relaxation, and stress and anxiety. Simple breathing exercises and asanas can be practiced daily.
- Hypnosis, also called hypnotherapy or hypnotic suggestion, is a trance-like state that increases concentration. Hypnosis is usually done with the help of a therapist using verbal repetition and mental imagery. Migraines, asthma, and gastrointestinal disorders seen in psychosomatic disorders are often treated with hypnosis.
- Cognitive Behavioral Therapy (CBT) is a form of psychological treatment that is effective for a range of problems, including depression, anxiety disorders, and problems with alcohol and drug use.
CBT treatment involves efforts to change the patient's behavioral patterns and emphasizes helping people learn to be their own therapists. Through exercises during the session, the therapist helps patients develop coping skills through which they learn to change their own thinking, problematic emotions and behavior.
How to recognize the symptoms of thermoneurosis in children?
If your child has a cough, runny nose and a red throat, a fever may not seem strange . But if it occurs suddenly, it is very alarming for parents.
As a rule, in such cases, most of them try to treat children themselves, using antiviral drugs. But influenza and acute respiratory infections are not always the cause of fever .
How to survive crises in children one and a half, 3 years old and older? Find out about this from our article.
What it is?
This is a condition that has no additional symptoms other than increased body temperature and has code R50 according to ICD 10.
Thermoneurosis is classified as a fever of unknown origin.
And this is completely justified, since there are no specific reasons for this phenomenon. But there are many factors that can lead to this condition. Most often it affects children and the elderly.
Thermoneurosis occurs due to vasospasm in the upper layers of the skin. This is what provokes changes in low-grade fever towards higher levels.
As you know, during stress, adrenaline is released, which leads to vasospasm. Moreover, this condition can be provoked not only by emotional stress .
Stressful situations happen every day. With systematic contact with stress-provoking factors, neurotic pathologies develop.
As a rule, the temperature does not rise above 37.5 °C. Uncontrolled use of antipyretic drugs can aggravate the condition. It is for this reason that hyperthermia without accompanying symptoms, especially in children, should not be treated independently.
Causes in children and adolescents
Thermoneurosis in children can occur after a variety of viral diseases, psycho-emotional shocks, stressful situations, or against the background of excessive physical and mental stress.
Often, pathology manifests itself when changing place of residence, family environment and other external changes that can cause discomfort.
Also, the triggering mechanism for thermoneurosis can be traumatic brain injury, brain damage and other physiological factors. In turn, the state of thermoneurosis can be accompanied by pathologies of the endocrine system, which cause hormonal imbalance.
In infants, thermoneurosis develops for the following reasons:
- difficult pregnancy or pathological childbirth;
- birth injuries;
- congenital defects of the central nervous system;
- genetic pathologies;
- abrupt cessation of breastfeeding, and others.
School-age children often suffer from increased mental stress that arises during the learning process.
Problems in the team, conflicts with peers and increased demands from parents often lead to stressful situations.
The combination of the above factors provides the prerequisites for the development of thermoneurosis and other serious pathological conditions.
In adolescents 10 years of age and older, an increase in body temperature may be associated with hormonal changes.
Being on the border between childhood and adulthood, children of this age are extremely sensitive to any stressful situations.
Practice shows that it is teenagers who most often suffer from thermoneurosis.
Therefore, you should not once again reproach your child for simply not wanting to attend school. Perhaps a few days of rest will help solve this problem without making the condition worse.
Symptoms and signs
Thermoneurosis is characterized by a large number of peculiar symptoms. The main symptom of this pathological condition is increased body temperature.
It can fluctuate from 37 to 37.8 degrees, periodically alternating with normal values. A characteristic feature is its maximum rise to 38 °C in the morning.
In addition to the increase in temperature, characteristic manifestations may be the following:
- increased heart rate and increased heart rate;
- pain in muscles and joints;
- loss of consciousness;
- headache;
- fainting.
Children suffering from thermoneurosis are characterized by pale skin.
In addition, excessive fatigue .
Symptoms may increase with changing weather conditions. The body reacts especially sensitively to changes in atmospheric pressure.
Psychotherapy
In practice, in the treatment of thermoneuroses, maximum results are achieved in a combination of cognitive behavioral therapy with Gestalt.
The first method is aimed at creating a different worldview and correcting behavior, the second method is to teach the child to cope with psycho-emotional experiences .
Psychotherapy is simply necessary for recurring thermoneuroses. In a single case, as a rule, it is rarely used.
Medication
Drug treatment includes complex or separate administration of sedatives, most often herbal preparations .
Be sure to take vitamin complexes , including folic acid and B6, especially in the off-season.
In particularly difficult cases, nootropics .
Physiotherapy
Shows good treatment results for such pathologies, especially in children. In a large number of cases, the use of physiotherapeutic methods helps to avoid the use of medications.
The following procedures may be prescribed:
- electrosleep;
- physiotherapy;
- relaxing baths;
- acupuncture;
- reflexology and others.
A particularly important role is played by maintaining a daily routine, sleep and rest, healthy eating, physical activity, and spending time in the fresh air.
Doctor Komarovsky's opinion
Elevated body temperature is accompanied by many very unpleasant symptoms .
These are weakness, drowsiness, pain in joints and muscles.
Prolonged hyperthermia in children can lead to developmental delays and disruption of the body .
“Temperature and Nothing More” is the name of the episode of the pediatrician Komarovsky’s program, which touches on the topic of thermoneurosis. The doctor recommends not treating the “fever” itself, as some parents like to do, but rather eliminating the causes .
They can be quite serious and even threaten the life of a child. Therefore, in this case, a high-quality examination is simply necessary.
Possible complications
Thermoneurosis (symptoms in adults, treatment depends on the severity of the psychosomatic disorder) is a disease that interferes with a full life. It can make it difficult to complete work or school responsibilities, daily tasks, reduce concentration, and make it difficult to maintain personal relationships.
Without treatment, depression can lead to health problems and create emotional and behavioral difficulties that affect all areas of life.
Complications include:
- Excessive weight gain or loss of appetite.
- Physical illnesses.
- Addiction to alcohol or substance abuse.
- Development of social anxiety, panic or phobias.
- Conflicts with family.
- Problems at work or school.
- Social isolation.
- Increasing suicidal symptoms.
- State of auto-aggression.
An anxiety disorder increases the risk of developing certain diseases. Chronic stress, which is associated with anxiety, can compromise the immune system, making a person more susceptible to infections, viral and bacterial diseases.
Stress management is likely to be an ongoing challenge, and symptoms may worsen during periods of acute stress. But with a combination of medication and psychotherapy, most adults with the anxiety disorder thermoneurosis can control their symptoms and live normal, comfortable lives.
Causes
Currently, there are no precisely defined reasons why thermoneurosis occurs. Researchers agree that the disorder appears in the presence of provoking factors in the form of stress, psycho-emotional stress in vulnerable people, or certain pathologies affecting the hypothalamus. In some cases, they talk about the influence of heredity.
Maintaining normal body temperature is regulated by a special thermoregulation center located in the hypothalamus. It is he who, receiving impulses about the presence of infection, starts processes associated with an increase in temperature.
However, in some cases, the normal process fails, which leads to hyperthermia, which has no objective basis. This happens with diseases of the endocrine system, hormonal imbalances, malignant neoplasms, pinched nerves, traumatic brain injuries, and osteochondrosis.
However, even in the absence of these diseases, an increase in temperature is possible. It grows in situations of strong psycho-emotional stress, depression, severe fatigue, expectation of failure, fear, high mental stress, exhaustion. Some experts associate it with previous inflammatory diseases of the brain and its membranes.
In babies, the disorder is usually associated with hypoxia in utero development and at birth, maternal diseases, congenital pathologies of the nervous system, and birth injuries. Children react with neurosis to weaning, moving, entering school, the first days in kindergarten, bullying by peers, and parental divorce.
Factors contributing to the development of thermoneurosis include specific features of the mental and emotional sphere. It is characterized by a negative attitude towards the world around us, a tendency to depression, strong emotional experiences, belittling of one’s abilities and achievements, and lack of self-confidence.
An important factor is considered to be social - if there is a person in the family who is susceptible to various types of neuroses, it is likely that a child raised in such conditions will have thermoneurosis.
The third important point that receives increased attention is the lack of serotonin, a violation of its absorption and metabolism.
Consequences of the problem
Thermoneurosis, which lasts for a long time, affects human health. And it doesn’t matter whether the body is a child’s or an adult’s. Children, as a rule, become irritable against its background. And adults become exhausted faster. Naturally, all this affects performance, because there is constantly not enough strength. At a constantly elevated temperature, the body requires more strength to concentrate attention and memory.
There are even more serious situations when symptoms such as fainting, arrhythmias, headaches, and sometimes insomnia appear. But still, for the most part, thermoneurosis is asymptomatic, accompanied only by fever and irritability. Against this background, the quality of life significantly decreases.
Health care
Most often, with thermoneurosis, body temperature decreases independently when external or internal factors change. For example, if the circumstances that caused stress have changed, then the temperature may return to normal without treatment. Therefore, if the disease is caused by stress, all that is required is rest and relaxation.
However, there are also more serious causes, such as head injuries and certain brain diseases. In this case, the elevated body temperature can last for several months. In this case, pharmaceutical drugs are ineffective.
Long-term treatment will be required, which for thermoneurosis includes:
- acupuncture course;
- reflexology;
- herbal based sedatives;
- meditation and other relaxation methods;
- taking homeopathic medicines;
- normalization of nutrition;
- physical activity and hardening.
Also, in some cases, the specialist prescribes a course of psychotherapy.
It is effective to take sedatives that strengthen the nervous system. These can be pharmaceutical preparations, herbal preparations, essential oils or soothing baths. To maintain a healthy nervous system, it is recommended to take a vitamin-mineral complex containing magnesium and B vitamins during an exacerbation.
Also during this period, you should drink a course of herbal infusions with valerian, lemon balm, motherwort, chamomile and other herbs that help strengthen the nervous system. Don't forget about strengthening your immune system. This will avoid infections that can cause the disease.
Symptoms of the disease
Thermoneurosis is a fairly common disease. Many people can remember how they felt dizzy and dizzy, their whole body ached, or suddenly felt weak before any significant event, an important meeting, a speech, or after worries or quarrels.
As a rule, adults rarely pay attention to such ailments, preferring to take an antipyretic or painkiller pill and “writing off” their condition as a cold, an exacerbation of some disease or an acute respiratory viral infection. After all, the main symptoms of vegetative neurosis: low-grade fever, weakness, aches throughout the body, headache, are quite common and accompany almost any inflammatory disease.
A completely different situation arises when an unexplained increase in temperature occurs in children. If a preschool child or a junior schoolchild suffers from this, they begin to hastily examine him, look for a disease, or even treat him for something; high school students and teenagers may be suspected of pretense, manipulation, and attempts to deceive their parents, because an increase in body temperature, as a rule, occurs before tests, annual exams and other similar incidents.
In both cases, children are left without qualified medical care, which can cause the development of more serious neurological or vascular pathologies.
Possible complications and consequences of thermoneurosis
It is important to establish a diagnosis in a timely manner, since the lack of adequate treatment can aggravate the patient’s condition. If the pathology occurs against the background of prolonged stress, then the accompanying headache, fever, feeling of weakness and aches will lead to a worsening of the condition and additional stress.
Thermoneurosis caused by brain diseases contributes to a decrease in immunity, which aggravates the primary pathology. To avoid such consequences, it is necessary to strengthen the nervous system, lead a healthy lifestyle and normalize sleep patterns.