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Prevention
By Mayo Clinic staffAnyone can 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 can help you learn to reduce stress by looking at how you respond to events and then working with you to modify or change that 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 eyes 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.
- Other techniques. Set aside at least 20 minutes a day for any activity you find relaxing — listening to music, reading, playing computer games or just soaking in a warm bath.
- Irritable bowel syndrome. The National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/ibs/. Accessed June 2, 2009.
- Talley NJ. Irritable bowel syndrome. In: Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2006. http://www.mdconsult.com/das/book/body/141404551-3/848454280/1389/868.html#4-u1.0-B1-4160-0245-6..50120-7_5467. Accessed June 2, 2009.
- Irritable bowel syndrome (IBS). The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec02/ch021666/ch021666a.html. Accessed June 2, 2009.
- Wald A. Treatment of irritable bowel syndrome. http://www.uptodate.com/home/index.html. Accessed June 2, 2009.
- Kligler B, et al. Probiotics. American Family Physician. 2008;78:1073.
- Chun AB, et al. Clinical manifestations and diagnosis of irritable bowel syndrome. http://www.uptodate.com/home/index.html. Accessed June 2, 2009.
- Saito YA. Genes and irritable bowel syndrome: Is there a link? Current Gastroenterology Reports. 2008;10:355.
- Picco MF (expert opinion). Mayo Clinic, Rochester, Minn. June 6, 2009.
