Flupentixol/melitracen for epigastric pain syndrome in female patients with abnormal urinalysis and therapeutic insights into the brain–bladder axis

Abstract The pathogenesis of abnormal urinalysis in female epigastric pain syndrome (EPS) is unclear. This study aimed to observe the effect of flupentixol/melitracen (FM) acting in central nervous system on urinalysis in female EPS. It is confirmed that abnormal urinalysis indicators may be related...

Full description

Saved in:
Bibliographic Details
Main Authors: Fenxia Pu, Yixin Li, Yurong Liao, Xi Wang, Guizhen Yong, Guobin He
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-10749-w
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849763375084470272
author Fenxia Pu
Yixin Li
Yurong Liao
Xi Wang
Guizhen Yong
Guobin He
author_facet Fenxia Pu
Yixin Li
Yurong Liao
Xi Wang
Guizhen Yong
Guobin He
author_sort Fenxia Pu
collection DOAJ
description Abstract The pathogenesis of abnormal urinalysis in female epigastric pain syndrome (EPS) is unclear. This study aimed to observe the effect of flupentixol/melitracen (FM) acting in central nervous system on urinalysis in female EPS. It is confirmed that abnormal urinalysis indicators may be related to somatization caused by abnormal brain-bladder axis. A total of 125 female patients with EPS were randomly assigned to the test and control groups. Patients in the control group (n = 62) received omeprazole for 4 weeks. On this basis, cases in the test group (n = 63) received FM. The changes of dyspepsia symptoms, somatization symptoms and urinalysis were observed at 0 and 4 weeks. In this clinical trial, the score of DSS, somatization symptoms and urinary inflammatory indicators could improve after received FM in female EPS patients with abnormal urinalysis indicators. These results suggest that the brain-bladder axis might contribute to the pathogenesis of EPS, combined with effective anti-somatization or anti-depression treatment is necessary in some female EPS patients with abnormal urinalysis. Further studies are needed to confirm about brain-gut-bladder axis in EPS pathogenesis. Clinical Trials.gov (number: ChiCTR2400079677).
format Article
id doaj-art-fb8ea024f65b47eb893d935b65461b7a
institution DOAJ
issn 2045-2322
language English
publishDate 2025-07-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-fb8ea024f65b47eb893d935b65461b7a2025-08-20T03:05:25ZengNature PortfolioScientific Reports2045-23222025-07-0115111110.1038/s41598-025-10749-wFlupentixol/melitracen for epigastric pain syndrome in female patients with abnormal urinalysis and therapeutic insights into the brain–bladder axisFenxia Pu0Yixin Li1Yurong Liao2Xi Wang3Guizhen Yong4Guobin He5Affiliated Hospital of North Sichuan Medical CollegeAffiliated Hospital of North Sichuan Medical CollegeAffiliated Hospital of North Sichuan Medical CollegeAffiliated Hospital of North Sichuan Medical CollegeAffiliated Hospital of North Sichuan Medical CollegeAffiliated Hospital of North Sichuan Medical CollegeAbstract The pathogenesis of abnormal urinalysis in female epigastric pain syndrome (EPS) is unclear. This study aimed to observe the effect of flupentixol/melitracen (FM) acting in central nervous system on urinalysis in female EPS. It is confirmed that abnormal urinalysis indicators may be related to somatization caused by abnormal brain-bladder axis. A total of 125 female patients with EPS were randomly assigned to the test and control groups. Patients in the control group (n = 62) received omeprazole for 4 weeks. On this basis, cases in the test group (n = 63) received FM. The changes of dyspepsia symptoms, somatization symptoms and urinalysis were observed at 0 and 4 weeks. In this clinical trial, the score of DSS, somatization symptoms and urinary inflammatory indicators could improve after received FM in female EPS patients with abnormal urinalysis indicators. These results suggest that the brain-bladder axis might contribute to the pathogenesis of EPS, combined with effective anti-somatization or anti-depression treatment is necessary in some female EPS patients with abnormal urinalysis. Further studies are needed to confirm about brain-gut-bladder axis in EPS pathogenesis. Clinical Trials.gov (number: ChiCTR2400079677).https://doi.org/10.1038/s41598-025-10749-wEpigastric pain syndromeFlupentixol/melitracenThe somatization symptomsUrinalysis
spellingShingle Fenxia Pu
Yixin Li
Yurong Liao
Xi Wang
Guizhen Yong
Guobin He
Flupentixol/melitracen for epigastric pain syndrome in female patients with abnormal urinalysis and therapeutic insights into the brain–bladder axis
Scientific Reports
Epigastric pain syndrome
Flupentixol/melitracen
The somatization symptoms
Urinalysis
title Flupentixol/melitracen for epigastric pain syndrome in female patients with abnormal urinalysis and therapeutic insights into the brain–bladder axis
title_full Flupentixol/melitracen for epigastric pain syndrome in female patients with abnormal urinalysis and therapeutic insights into the brain–bladder axis
title_fullStr Flupentixol/melitracen for epigastric pain syndrome in female patients with abnormal urinalysis and therapeutic insights into the brain–bladder axis
title_full_unstemmed Flupentixol/melitracen for epigastric pain syndrome in female patients with abnormal urinalysis and therapeutic insights into the brain–bladder axis
title_short Flupentixol/melitracen for epigastric pain syndrome in female patients with abnormal urinalysis and therapeutic insights into the brain–bladder axis
title_sort flupentixol melitracen for epigastric pain syndrome in female patients with abnormal urinalysis and therapeutic insights into the brain bladder axis
topic Epigastric pain syndrome
Flupentixol/melitracen
The somatization symptoms
Urinalysis
url https://doi.org/10.1038/s41598-025-10749-w
work_keys_str_mv AT fenxiapu flupentixolmelitracenforepigastricpainsyndromeinfemalepatientswithabnormalurinalysisandtherapeuticinsightsintothebrainbladderaxis
AT yixinli flupentixolmelitracenforepigastricpainsyndromeinfemalepatientswithabnormalurinalysisandtherapeuticinsightsintothebrainbladderaxis
AT yurongliao flupentixolmelitracenforepigastricpainsyndromeinfemalepatientswithabnormalurinalysisandtherapeuticinsightsintothebrainbladderaxis
AT xiwang flupentixolmelitracenforepigastricpainsyndromeinfemalepatientswithabnormalurinalysisandtherapeuticinsightsintothebrainbladderaxis
AT guizhenyong flupentixolmelitracenforepigastricpainsyndromeinfemalepatientswithabnormalurinalysisandtherapeuticinsightsintothebrainbladderaxis
AT guobinhe flupentixolmelitracenforepigastricpainsyndromeinfemalepatientswithabnormalurinalysisandtherapeuticinsightsintothebrainbladderaxis