Which disorder presents with several real symptoms that are medically unexplained and includes anxiety about health?

The disorder characterized by multiple real symptoms that cannot be fully explained by medical conditions and includes significant anxiety about health is indeed Somatization Disorder. This disorder is part of the broader category of somatic symptom and related disorders. Individuals with Somatization Disorder often have a history of seeking medical help due to various physical complaints, but extensive medical evaluations do not provide conclusive explanations for their symptoms.

People with this disorder frequently experience distressing physical symptoms such as pain, gastrointestinal issues, or neurological symptoms, which are not fully accounted for by any underlying medical condition. The anxiety they experience about having a serious illness or the severity of their symptoms plays a significant role in the disorder, often leading to excessive thoughts, feelings, or behaviors related to the symptoms.

In contrast, Body Dysmorphic Disorder primarily focuses on an excessive preoccupation with perceived flaws in physical appearance rather than multiple unexplained physical symptoms. Malingering involves the intentional production of symptoms for external gains, such as avoiding work or receiving financial benefits, while Factitious Disorder involves the deliberate falsification of symptoms or illness to assume the sick role, often without any obvious external incentives. These distinctions help clarify why Somatization Disorder is the appropriate choice in this context.