Are they allowed into the army with NCD - neurocirculatory dystonia?

Attempts to search for information in the Medical Schedule regarding NDC will definitely not be successful.

The fact is that instead of designating neurocircular dystonia, this document uses a different formulation of this diagnosis. Information about this disease can be found in the section with neurocircular asthenia. It is worth considering a very important point.

In order to confirm the presence of a disease, to be exempt from the army for neurocirculatory dystonia, or to receive a deferment, it is necessary that the disease in the extract from medical specialists from an independent institution must be exactly the same wording as it is stated in the Schedule of the disease. Without this condition, most likely the military commissariat will not consider the grounds sufficient for issuing a military ID.

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Are they recruited into the army with NDC?

If we talk about the question of whether people are recruited into the army with NDC, the answer will be quite ambiguous. In theory, for this disease you can get a military ID with an exemption from military service.

However, achieving freedom with neurocircular dystonia is not as simple as it seems at first glance. The difficulty lies in the fact that such a disease is of a complex type.

This means that several medical specialists are involved in diagnosing and treating neurocircular dystonia. To obtain a military ID, you will have to see a neurologist, an ophthalmologist, a cardiologist and a psychiatrist.

During the examination, it is necessary to pass a number of tests and undergo research. And the most important point is that during an additional medical examination it is necessary to obtain a diagnosis in the doctor’s statement with the exact wording “neurocirculatory asthenia”.

The accuracy of the wording must concern all dysfunctions and symptoms of diseases - it must coincide with the designations in the Schedule of Diseases. The illness list is a special documentation.

This list contains all the diseases and pathologies that can change the opinion of military commissariat specialists in the process of establishing a fitness category. To find the requirements for obtaining a military ID for neurocirculatory asthenia, use article 47.

— Alina Petrova, director of Povestok.Net

The question arises - how to get rid of the army with neurocirculatory dystonia? According to section “A” in the Schedule of Diseases, the following are not sent to service:

  • conscripts in whom hypertensive reactions and blood pressure lability are confirmed. At the same time, it is necessary to confirm the fact of regular visits to the treating specialist with this problem, stable and pronounced dysfunctions of the autonomic-vascular system. Treatment should last at least six months and not bring results;
  • conscripts with low blood pressure. A prerequisite is repeatedly recorded blood pressure of less than 100/60 mm Hg. Art. In this case, it is necessary to provide confirmation in the form of conclusions from the attending physician, the fact of contacting a medical specialist, pronounced vegetative-vascular disorders, cardiac arrhythmias that do not respond to treatment;
  • young people with persistent cardialgia. A mandatory requirement is severe disorders of the autonomic-vascular system. Such dysfunctions include crises and persistent heart rhythm disturbances. The fact of treatment in a hospital that did not bring results must be recorded.

How is the medical examination carried out?

To obtain exemption from the army, you need to collect your entire medical history.

Important: all periods of exacerbation must be noted in the outpatient chart.

First of all, it is necessary to diagnose the disease at the first signs of disturbances (headache, increased blood pressure) in order to determine an accurate diagnosis.

To do this, you should contact a cardiologist, endocrinologist and neurologist and undergo an initial examination.

Subspecialists give directions for additional research:

  1. Cardiogram of the heart, ECG with stress (registration of arrhythmia and other disorders).
  2. Complete blood count and blood test for hormones.
  3. Chest X-ray.
  4. Daily blood pressure monitoring (ABPM).
  5. Ultrasound of the thyroid gland and the entire abdominal cavity.
  6. Ultrasound of the heart and valves (ECHOCG).
  7. MRI of cerebral vessels.
  8. Orthostatic test (Tilt test, study of autonomic nervous system disorders).

It is important to undergo hospital treatment and obtain a cardiologist's opinion.

During initial military registration or directly during a medical examination, if the condition is unclear (complaints of increased heart rate, lack of air, irritability and loss of sleep), the conscript must be sent for additional examination.

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You just need to contact the phone numbers listed on the website. Managers will provide detailed advice regarding the army and NDC. Consultations of our specialists are provided free of charge.

Our lawyers will help you figure out how to prepare for conscription events. We are ready to organize an independent examination for you at the clinic.

This way you can increase the chances of receiving a non-conscription category of fitness - often even the patients themselves do not know that they have a particular disease that is included in the list of contraindications for military service.

If desired, we will help you appeal the decision of the military commissariat in court or to a higher authority. By working together with our legal experts, a legal way will definitely be found to obtain a military ID for health reasons.

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Autonomic dysfunction and pregnancy

Although pregnancy is a physiological condition, it is then that vegetative-vascular dystonia can manifest itself, occurring latently (hiddenly), because during pregnancy the body is rebuilt and prepares for the birth of a new life. Hormonal levels, the regulator of all pregnancy processes, undergo significant changes. The internal organs are “packed” differently, making room for the ever-expanding uterus. And all this is under the control of the autonomic nervous system, which could not always cope without such a load, but here...

Women suffering from NCD may find out they are pregnant even before the test, because the first sign may be fainting. Vegetative-vascular dysfunction during pregnancy has a more pronounced clinical picture, so pregnancy is more difficult.

Reaction to everything that is “wrong”, tears for every reason, pain in the heart and hysterics, decreased blood pressure, and it’s better not to get into transport... Pregnant women often experience a feeling of lack of air and stuffiness, and those with vegetative-vascular dysfunction even know “ the smell of a fresh breeze."

But everything may not be so bad and you shouldn’t be upset. There have been many cases of disappearance of manifestations of NCD after childbirth. What is the reason for this - either “restoring order” in a woman’s body, or a responsible occupation associated with caring for a baby - is unknown. But patients themselves often note that if they are distracted by important matters, the vegetative-vascular complex recedes.

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NCD of hypertensive or combined type

It is worth considering in more detail each classification of the conscript's NDC. Need clarification right away. Depending on the region where the conscript undergoes a medical examination, the requirements may differ slightly.

For example, in St. Petersburg and the capital, young people have practically no chance of being freed from the army if they have this disease. Experts explain this by the fact that young people aged 18-16 extremely rarely suffer from such serious disorders, a list of which is provided in the Schedule of Diseases.

— Alina Petrova, director of Povestok.Net

In most cases, conscripts must undergo a medical examination taking into account Article 47, paragraph B. This section contains information about neurocirculatory dystonia, the disorders of which are less pronounced than in the previous version.

However, this paragraph does not provide for the issuance of a military ID to a conscript. Young people are assigned a fitness category and sent to serve.

Why does this happen?

The autonomic nervous system permeates the entire human body and is responsible for the innervation of internal organs and systems of lymph and blood circulation, digestion, respiration, excretion, hormonal regulation, as well as tissues of the brain and spinal cord. In addition, the autonomic nervous system maintains the constancy of the internal environment and ensures the body’s adaptation to external conditions.

The operation of all systems is ensured by the equilibrium behavior of its two departments: sympathetic and parasympathetic. When the function of one department predominates over another, changes appear in the functioning of individual systems and organs. With this phenomenon, the adaptive abilities of the body naturally decrease.

Interestingly, damage to certain organs and disruption of the endocrine system can themselves lead to an imbalance in the autonomic nervous system. Neurocirculatory dystonia is the result of an imbalance in the autonomic nervous system , therefore the form of NCD depends on the predominance of a particular part of the ANS (sympathetic or parasympathetic).

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Can they be drafted into the army with hypotonic type NCD?

If we consider a disease associated with low blood pressure, then in this case the chances of getting a military ID with neurocirculatory dystonia are slightly higher. However, even in this case, military commissariats check conscripts very carefully.

As a result, only those guys whose illness is accompanied by serious disorders can count on release. Among them:

  • anxiety, problems with heart rhythm, too pale skin, chills or shortness of breath, fever;
  • severe fatigue, problems with coordination, persistently poor mood and attention, problems with sleep;
  • headaches, temporary changes in vision;
  • dizziness, loss of consciousness (each fact of fainting must be documented by an independent government medical institution.

Remember that all violations and conditions for obtaining a military ID must be documented by specialists from the local clinic. As for the diagnosis itself, it can be established directly by a neurologist during the process of passing a medical commission.

In this regard, obtaining a military ID at the NDC is quite difficult. But with proper preparation, it is possible to obtain an exemption for health reasons.

Which doctor should I contact?

Despite the fact that this disease does not pose a direct threat to life, it significantly worsens its quality. Therefore, if the symptoms described above are familiar to you, do not delay going to the hospital. Diagnosing the problem can be difficult due to the fact that its symptoms of neurocirculatory dystonia are also inherent in many other diseases.

Start by visiting a cardiologist. If he suspects dystonia of the neurocirculatory type, he will additionally refer you for a consultation with a neurologist and endocrinologist. After diagnosis, an experienced doctor will prescribe a complex of treatment, after which neurocirculatory dystonia goes away completely or goes into long-term remission.

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Treatment prescribed by a doctor

It is highly advisable to carry out drug treatment for vegetative-vascular disorders with general health measures and physiotherapy. Therapeutic massage, electrophoresis with sedatives on the collar area, electrosleep and a circular shower will help strengthen the nervous system and give the positive emotions that patients with vegetative-vascular dystonia so need.

What a wonderful procedure - acupuncture. Using it, you can stop taking medications for a long time and feel great only thanks to the annual repetition of acupuncture. Thin gold or platinum needles placed in the neuromuscular bundles will lead to long-term and stable remission, and the disease will recede...

Vitamin therapy and an antioxidant complex (Doctor Theiss, Gerovital, etc.) will be an excellent addition to general strengthening measures.

Medicines for the treatment of neurocirculatory dystonia are taken on the recommendation of a doctor and prescribed by him. No advice from friends or the Internet is inappropriate here, since drug treatment is prescribed taking into account blood pressure, the presence of cardialgia and the state of the heart rhythm. It is clear that what will help a patient with high blood pressure can have a detrimental effect on the condition of a person with low blood pressure, so it is unlikely that egilok (a beta-blocker) will be indicated for the hypotensive type. Drugs that regulate heart rate are serious and require special care, so “amateur” in such cases is useless.

Often, patients with autonomic disorders are prescribed drugs from the group of tranquilizers - adaptol, afobazole, grandaxin. The herbal preparation Gelarium, which has antidepressant properties, has a remarkable effect. To relieve spasms, bellataminal is often prescribed, which also gives a sedative effect.

Hawthorn, valerian, motherwort – alcoholic infusions of these plants are very familiar to patients with neurocirculatory dystonia; they are constantly stored in the home medicine cabinet and serve as an “ambulance”.

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How can traditional medicine help?

The variety of recipes for treating neurocirculatory dystonia with folk remedies is even more striking than the variety of clinical manifestations. The contrasting souls, breathing exercises of Tibetan monks and the Austrian healer Rudolf Breuss are undoubtedly wonderful, but for some reason people prefer the Russian “creation”. A popular drink made from the church “Cahors” and a mixture of garlic, lemon, beet, carrot and radish juices, flavored with natural honey, is passed down “from mouth to mouth and from generation to generation.”

However, to treat VSD with folk remedies, one should not forget about pressure, so traditional healers also recommend different treatments. For example, for high blood pressure, people use infusions of mint and white birch leaves, calendula flowers and dill seeds. Alcohol infusions of magnolia and mistletoe are good for reducing blood pressure.

Strong tea and coffee are not recommended for the hypertensive type of NCD, but in the morning you can drink amazing tea prepared at home:

  • Dry blueberries, chokeberries, currants and barberries are taken in equal parts, ground, mixed and consumed, poured with boiling water.

With normal blood pressure levels and a downward trend, prepare infusions of elecampane and immortelle, drink freshly squeezed juices of carrots and rose hips. They say it helps a lot.

Of course, valerian root (you can take it internally, you can take baths), hawthorn, hot milk with honey at night - everyone knows. Such folk remedies are, perhaps, in every home, even where vegetative-vascular disorders are not found.

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