painful cramps, bloating, and constipation alternating with diarrhea. If you have “functional” IBS, you may feel that “dysfunctional” is a much more apt term.
The influence of the mind on the gut goes beyond functional diseases, however. For instance, if you have Crohn’s disease or ulcerative colitis — two conditions with clearly physical origins — you may have noticed that you often suffer flareups during times of emotional stress. Yes, what you put into your body can affect your digestive system, but your mind also plays an important role. In one survey, 68 percent of people with basically healthy digestive systems said stress gives them stomachaches.
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Setting your mind on relief
So what can you do if your mind and your digestive system aren’t getting along? One thing you shouldn’t do is suffer silently. Ask your doctor if you would be a good candidate for cognitive behavioral therapy, interpersonal therapy, relaxation therapy, or another form of counseling. In several studies, these treatments have been shown to give IBS patients more relief than standard medical therapies. You might even consider hypnosis or self-hypnosis.
Hypnosis is a popular — and apparently effective — treatment for IBS in Europe, Whitehead says. Preliminary studies suggest it may also help ease functional indigestion.
There’s another reason to go to the doctor: Simply hearing you’re not crazy or gravely ill may be a great source of comfort. “Reassurance from a physician is probably the most effective treatment [for IBS],” Mayer says.
Meanwhile, do what you can to avoid stress and work closely with your doctor. With a little luck, your gut feelings will be much more pleasant.