viernes, 9 de octubre de 2020

The Sensitive Gut - Harvard Health

The Sensitive Gut - Harvard Health

HEALTHbeat

Harvard Medical School

The impact of stress on your gut

Given how closely the gut and brain interact, it might seem obvious that the pair often influence each other. Some people feel nauseated before giving a presentation; others feel intestinal pain during times of stress. In any case, emotional and psychosocial factors play a role in functional gastrointestinal disorders.
Get your copy of The Sensitive Gut
 
The Sensitive Gut
When your digestive system is running smoothly, you tend not to think about it. Once trouble begins, your gut — like a squeaky wheel — suddenly demands your attention. This Special Health Report, The Sensitive Gut, covers the major sources of gastrointestinal distress: irritable bowel syndrome, gastric reflux, upset stomach, constipation, diarrhea, and excess gas. It also includes a special Bonus Section describing how emotional stress and anxiety can cause gastrointestinal distress.

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Treating the whole body

Stress-related symptoms felt in the gastrointestinal tract vary greatly from one person to the next, and treatment can vary as well. For example, one person with gastroesophageal reflux disease might have an occasional, mild burning sensation in the chest, while another experiences excruciating discomfort night after night. As the severity of symptoms varies, so should the therapies, medications, self-help strategies, or even surgeries used to relieve them.
Many people have mild symptoms that respond quickly to changes in diet or medications. If your symptoms do not improve, your clinician may ask you more questions about your medical history and perform some diagnostic tests to rule out an underlying cause. For some people, symptoms improve as soon as a serious diagnosis, like cancer, has been ruled out. Your doctor may also recommend symptom-specific medications.
But sometimes these treatments are not enough. As symptoms become more severe, so does the likelihood that you are experiencing some sort of psychological distress.
Often, people with moderate to severe symptoms, particularly those whose symptoms arise from stressful circumstances, can benefit from mind directed therapies, such as cognitive behavioral therapy and relaxation techniques. Some people are reluctant to accept the role of psycho-social factors in their illness. But it's important to know that emotions cause genuine chemical and physical responses in the body that can result in pain and discomfort.
Behavioral therapy and stress reduction treatments help manage pain and improve other symptoms in ways that are different from how drugs act. The goal of all therapies is to reduce anxiety, encourage healthy behaviors, and help people cope with the pain and discomfort of their condition.
For more on the connection between brain health and gut health, read The Sensitive Gut, a Special Health Report from Harvard Medical School.
Image: skynesher/Getty Images
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Putting the kibosh on belching

Constant burping can be annoying — and embarrassing! But there are some simple steps that can help you squelch belching. The key is to reduce the amount of air you swallow.
Start by looking at some simple habits. Two of the biggest culprits behind swallowing too much air are chewing gum and smoking. Drop these habits and you'll be gulping less air — and quitting smoking has even more important health benefits! If you wear dentures, make sure they fit snugly. And avoid "high-air" foods and beverages like carbonated beverages and whipped desserts. After eating, consider taking a stroll rather than plunking down in front of the TV. Staying upright and moving helps your stomach empty and relieves bloated feelings. When it's time to go to bed, try sleeping on your stomach or right side to aid in the escape of gas and alleviate fullness.
Some people swear by eating brown rice or barley broth regularly. Papaya and pineapple are also said to help. Whatever you eat, chew foods slowly, avoid washing meals down with liquids, and try to eat smaller servings. If you find that you're swallowing a lot of air often, talk with your doctor. Sometimes this problem (aerophagia) can be related to stress or anxiety, and treating these underlying issues may help calm your digestive tract.
For more improving your gut health, read The Sensitive Gut, a Special Health Report from Harvard Medical School.

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Featured in this issue


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The Sensitive Gut

Featured content:


Inside the gut
Special section: The Stress Connection
Gastroesophageal reflux disease
Antireflux drug therapy
Functional dyspepsia
Irritable bowel syndrome
Constipation

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