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Prevention
By Mayo Clinic staffAnyone may experience digestive upset from worry or anxiety. But if you have irritable bowel syndrome, stress-related problems such as abdominal pain and diarrhea tend to occur with greater frequency and intensity. Finding ways to deal with stress may be helpful in preventing or alleviating symptoms:
- Counseling. In some cases, a psychologist or psychiatrist may help you learn to reduce stress by looking at how you respond to events and then working with you to modify or change your response.
- Biofeedback. This stress-reduction technique helps you reduce muscle tension and slow your heart rate with the feedback help of a machine. You're then taught how to produce these changes yourself. The goal is to help you enter a relaxed state so that you can cope more easily with stress.
- Progressive relaxation exercises. These help you relax muscles in your body, one by one. Start by tightening the muscles in your feet, then concentrate on slowly letting all of the tension go. Next, tighten and relax your calves. Continue until the muscles in your body, including those in your face and scalp, are relaxed.
- Deep breathing. Most adults breathe from their chests. But you become calmer when you breathe from your diaphragm, the muscle that separates your chest from your abdomen. When you inhale, allow your belly to expand. When you exhale, your belly naturally contracts. Deep breathing can also help relax your abdominal muscles, which may lead to more-normal bowel activity.
References
- Irritable bowel syndrome. The National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/ibs/ibs.pdf. Accessed June 7, 2011.
- Kahn S, et al. Diagnosis and management of IBS. Nature Reviews Gastroenterology and Hepatology. 2010;7:565.
- Frequently asked questions. International Foundation for Functional Gastrointestinal Disorders. http://www.aboutibs.org/site/about-ibs/faq. Accessed June 7, 2011.
- Irritable bowel syndrome (IBS). The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec02/ch021666/ch021666a.html. Accessed June 7, 2011.
- Wald A. Treatment of irritable bowel syndrome. http://www.uptodate.com/home/index.html. Accessed June 7, 2011.
- Wald A. Pathophysiology of irritable bowel syndrome. http://www.uptodate.com/home/index.html. Accessed June 7, 2011.
- Videlock EJ, et al. Irritable bowel syndrome: Current approach to symptoms, evaluation, and treatment. Gastroenterology Clinics of North America. 2007;36: 665.
- Camilleri M, et al. Current medical treatments of dyspepsia and irritable bowel syndrome. Gastroenterology Clinics of North America. 2010;39:481.
- Dorn SD. Systematic review: Self-management support interventions for irritable bowel syndrome. Alimentary Pharmacology and Therapeutics. 2010;32:513.
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