Thursday, February 2, 2023

Can Stress Ulcers Cause Constipation

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Excessive Stress Can Intensify Constipation

The surprising cause of stomach ulcers – Rusha Modi

The brain and gut are closely linked through branches of the nervous system. The millions of nerve cells lining the gut send information to the brain about whats going on with the microbiome and with digestion in general. For this reason, the gut is known as the second brain.

However, the signals arent only sent from the intestine to the brain. The brain also sends messages to the digestive system. For example, when we think of food, our stomachs release various substances that prepare it for digestion.

When were under a great deal of stress, our brains prepare us via the fight, flight, or freeze response. It does this by releasing cortisol and adrenaline, which directly affect the activity of the intestine and digestion. These hormones change the direction of blood flow from the intestine to other organs necessary for our survival.

Research claimsthat these chemical alterations cause digestion to slow down, thus causing constipation. Stress can also make constipation worse, by altering the gut microbiome, leading to bacterial imbalances. When harmful bacteria take over, they can cause intestinal inflammation, which slows down digestion and causes constipation.

Also, when were stressed, our muscles tense up, including those in the gut. These help move food through our systems and speed up digestion and if they dont relax or contract, theyre not doing their job properly.

What Happens During Exposure To Stress

Your body activates the fight or flight response, more formally known as the sympathetic response. Following exposure to stress, this evolutionary mechanism interprets the stimulus as a threat, something that is putting you in danger. This was useful during times of a hunter-gatherer society when large predators hunted humans.

Epinephrine is released into the blood stream from the adrenal glands and causes an array of rapid changes.

Heart rate increases to circulate blood through the body at a quicker pace, delivering oxygen to the many muscles working hard to fight off or flee the beast. The blood vessels constrict, causing the blood pressure to increase while the airways dilate to allow a greater amount of air to enter the lungs. The pupils become larger to allow more light in while the perception of pain is reduced.

While all of these changes sound extreme, they help us in the moment and are balanced by the parasympathetic response that counteracts all of these processes. The real danger is when the stress becomes chronic and the body has difficulty ‘turning off’.

Modified Rome Iii Criteria For Defining Ulcerative Colitis

  • Reduced frequency of defecation compared with patients own frequency

  • Passage of hard or dry stool

  • Straining at stool

  • Sensation of incomplete defecation

Moreover, Rome IV criteria has superseded the previous version and other more useful tools are available for the assessment of constipation. The patient assessment of constipation symptoms questionnaire is regularly used in research and may provide a better framework for a definition. It has 12 symptom components each having a score weighting from 1 to 4 that a patient has experienced within the last 2 weeks. This allows for a more detailed assessment of symptoms, particularly severity, as well as using patient-reported outcomes. Modification of this questionnaire with thresholds for symptom severity may be a more effective tool in identifying UCAC in clinical practice, research and assessing treatment response.

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Ways To Cope With Stress And Anxiety

Theres proof that keeping your stress under control can help you prevent or ease IBS symptoms. Hereâs why. Your gut has what you can call a brain of its own. Its the enteric nervous system. And its the reason you get butterflies in your stomach when youre nervous. This âsecond brainâ controls how you digest food. It also constantly talks with your actual brain. This connection may help you manage your IBS.

What you can do on your own

You can zap tension by simply doing something fun, like talk to a friend, read, listen to music, or go shopping. You might also try:

Exercise. Walking, running, swimming, and other physical activities can reduce stress and depression. They also help your bowels contract in a more normal way instead of overreacting.

Mind-body exercises. Meditation, relaxation breathing, yoga, tai chi, and qi gong can all trigger your bodys relaxation response.

Mindfulness-based stress reduction classes and meditation. You can find courses offered online and in person, often at universities. They help you learn to manage stress by changing the way you think. Or you can learn to meditate online, in a class, or from a book.

Relaxation exercises. Relaxation techniques such as deep breathing can help you restore calm. You can also learn about visualization, where you imagine a peaceful scene.

When to consider therapy

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Endoscopy For Diagnosing Or Treating Bleeding Ulcers

Gastritis

Endoscopy is important for both diagnosing and treating bleeding ulcers.

Endoscopy for Diagnosing Bleeding Ulcers and Determining Risk of Rebleeding

With endoscopy, doctors are able to detect the signs of bleeding, such as active spurting or oozing of blood from arteries. Endoscopy can also detect specific features in the ulcers, referred to as stigmata, which indicate a higher or lower risk of rebleeding.

Endoscopy as Treatment

Endoscopy is usually used to treat bleeding from visible vessels that are less than 2 mm in diameter. This approach also appears to be very effective at preventing rebleeding in patients whose ulcers are not bleeding, but who have high-risk features . Endoscopic treatment includes epinephrine injection, thermocoagulation, application of clips and banding procedures.

The following is a typical endoscopic treatment procedure:

Endoscopy is effective at controlling bleeding in most people who are good candidates for the procedure. Rebleeding occurs in about 10% to 20% of patients. If rebleeding occurs, a repeat endoscopy is effective in about 75% of patients. Those who fail to respond will need to have an angiogram with embolization or major abdominal surgery. The most serious complication from endoscopy is perforation of the stomach or intestinal wall.

Other Medical Considerations

Certain medications may be needed after endoscopy:

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What To Do If You Have Stomach Cancer Or Ulcer Symptoms

  • If you have burning pain in your upper stomach that is relieved by eating or taking antacids, call a health-care professional for an appointment. Dont assume you have an ulcer. Certain other conditions can cause similar symptoms.
  • If you vomit blood or have other signs of gastrointestinal bleeding, go to an emergency department right away. Peptic ulcers can cause massive bleeding, which requires blood transfusion or surgery.
  • Severe abdominal pain suggests perforation or tearing of an ulcer. This is an emergency that may require surgery to fix a hole in your stomach.
  • Vomiting and abdominal pain also can be a sign of an obstruction, another complication of peptic ulcers. This also may require emergency surgery.

Tips For Managing Fatigue

  • Keep a close eye on those blood testsChecking on iron levels, vitamin B12 and other chemical or nutrient deficiencies can help your treatment team to find the right mix of medication for you. Adding iron supplements or reducing the dosage of a medication can make a world of difference to energy levels for some people.
  • Focus on keeping fitWhile being careful not to overstress yourself, try gradually increasing the amount of physical activity you do. Make use of a gym membership, walk rather than catching the bus for shorter trips, or commit to a team sport. Improving your overall fitness can ensure your energy stores are higher, potentially reducing the impact of those fatigue-ridden days.
  • Assess your dietDo you have any foods that make you feel heavier, or sluggish? Complex carbohydrates such as cereals or porridge can provide you with energy over a longer time frame, while simple carbohydrates will give you a short burst of energy, often followed by a low. Consider if you are getting a good mix of fruits and vegetables, carbohydrates for energy, and rich protein.
  • Manage your workloadWherever possible, ensure your workplace, family or education provider is aware of your condition and see what flexibility is available with responsibilities, work hours and prior planning. For example, taking the afternoon off following a doctors appointment may be a welcome break to rest, recover and prepare for the next week.

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Can Stress Cause Constipation

Stress may seem to be completely unrelated to your bowel habits. Yet, in times of severe stress, changes in your bowel habits might be the first noticeable physiological symptom of stress. The short answer to the question “Can stress cause constipation?” is: yes. Read on to find out how and what you can do about it.

Bowel Movement Frequency – What Is Normal

There could be a whole class on healthy bowel movements, including optimal frequency, consistency, etc. But what you absolutely need to know is that mainstream medicine considers your bowel habits to be normal if you “go” anywhere in the wide range of three times per week to three times per day. Anything less than three times per week is considered to be constipation. However, some individuals who tend to poop three times per day may feel uncomfortable and constipated if they only poop once per day. In general, people who eat high-fiber diets tend to poop more often.

The Stress Response

Think about this extreme example: if you were out camping and in the middle of the night, a bear started tearing through your campsite, would you take the time to stop if you had to go to the bathroom while fleeing? Of course, you wouldn’t. In life-or-death situations, the last thing our body focuses on is digestion and elimination. Blood rushes from the core to the extremities to fuel fast, frightened movement.

Lifestyle Habits

An Online Counselor Can Answer The Question, “Does Stress Cause Constipation?”

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Counseling And Stress Relief

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Many people who seek care for IBS also have anxiety, panic, or depression. Stress is also an issue for people with IBS because it can make the symptoms worse. Research shows that psychological therapy can help ease IBS symptoms. Therapies that can help reduce feelings of stress and anxiety include:

  • Cognitive behavioral therapy , a short-term treatment that mixes different types of therapies and behavioral strategies. The type of CBT used to treat IBS may focus on managing life stress. Or, it may focus on changing how a person responds to anxiety about IBS symptoms.
  • Dynamic psychotherapy, an intensive, short-term form of talk therapy. It may focus on in-depth discussions about the link between symptoms and emotions. The therapy may also help people identify and resolve interpersonal conflicts.
  • Hypnotherapy, where people enter an altered state of consciousness. Visual suggestions are made to imagine pain going away, for example.

General stress relief is also important. Exercising regularly is a good way to relieve stress. It also helps the bowel function better and improves overall health. Meditation, yoga, and massage may also help.

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When Should I Call My Healthcare Provider

See your healthcare provider right away if you have any of these symptoms:

  • Vomiting blood or dark material that looks like coffee grounds
  • Extreme weakness or dizziness
  • Nausea or vomiting that doesnt get better, or gets worse
  • A sudden, severe pain that may spread to your back
  • Losing weight without even trying

Untreated peptic ulcers may cause other health problems. Sometimes they bleed. If they become too deep, they can break through your stomach.

Ulcers can also keep food from going through your stomach.

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Consequences Of Disturbed Motility And Transit On Drug Distribution

UCAC and altered motility may be part of the underlying mechanism in studies that suggest drug delivery to the diseased segment is impaired during disease activity. A study in active UC measured serum sulfapyridine levels as a proxy for adequate sulfalsalazine dosing. In patients who had satisfactory levels but ongoing endoscopically confirmed disease activity, all achieved clinical remission with the introduction of hydrophilic colloid and bran without a dosage change. The authors described these patients as constipated colitics. The findings suggest that UCAC may impair delivery of the active metabolite to the inflamed distal colon with diminished therapeutic effect.

Regional distribution of orally administered eudragit-coated resin was examined in patients with active left-sided UC and healthy controls. It found higher levels in the right side of the colon in patients with UC with significantly reduced levels in the left side of the colon that suggests impairment in drug delivery in active disease.

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What Is The Outlook

With modern medical and surgical treatment, there is just a slight increase in the risk of death in the first two years after diagnosis, compared with the general population. After this there is little difference in life expectancy from that of the general population. However, a severe flare-up of ulcerative colitis is still a potentially life-threatening illness and needs expert medical attention.

As mentioned, if you do not take medication to prevent flare-ups, about half of people with ulcerative colitis have a relapse on average once a year. This is much reduced by taking regular medication. However, even in those who take regular medication, some people have frequent flare-ups and about a quarter of people with ulcerative colitis eventually have an operation to remove their colon.

A year from diagnosis, about 9 in 10 people with ulcerative colitis are fully capable of work. So, this means that, in the majority of cases, with the help of treatment, the disease is manageable enough to maintain a near-normal life. However, the condition can cause significant employment problems for a minority.

Treatment for ulcerative colitis is an evolving field. Various new medicines are under investigation. These may change the treatment options over the next ten years or so and improve the outlook .

Can Anxiety And Stress Cause Stomach Ulcers

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The medical community continues to debate whether chronic stress and anxiety can cause stress ulceration. A gastric ulcer is not believed to be the direct consequence of mental or emotional stress. However, experts agree that emotional stress can worsen the symptoms of peptic ulcer disease.

On the other hand, it is well known that chronic stress and anxiety can lead to hormonal imbalances, which in turn can lead to increased stomach acid production and eventually cause ulcerations in the lining of the stomach and duodenum.

Also, stress and anxiety are linked to sleep difficulties. Lack of proper sleep can wear the body down and make it harder for the body to repair tissue, including repairing the gastrointestinal tract lining.

There are also some anecdotal reports of severe psychological stress triggering stress ulcers. Some studies have found that people with high-stress levels are more than twice as likely to receive treatment for H. pylori or be diagnosed with a stomach or duodenal ulcer compared to people with lower levels of perceived stress. Therefore, while there may not be a direct causative link, an association between stress and digestive health is present.

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What Are The Complications Of Peptic Ulcers

Ulcers can cause serious problems if you dont get treatment.

The most common problems include:

  • Bleeding. As an ulcer wears away the muscles of the stomach or duodenal wall, blood vessels may be hurt. This causes bleeding.
  • Hole . Sometimes an ulcer makes a hole in the wall of your stomach or duodenum. When this happens, bacteria and partly digested food can get in. This causes infection and redness or swelling .
  • Narrowing and blockage . Ulcers that are found where the duodenum joins the stomach can cause swelling and scarring. This can narrow or even block the opening to the duodenum. Food cant leave your stomach and go into your small intestine. This causes vomiting. You cant eat properly.

Ruling Out Other Disorders

Many other conditions, including gastroesophageal reflux disease and irritable bowel syndrome, cause dyspepsia.

Peptic ulcer symptoms, particularly abdominal pain and chest pain, may resemble the symptoms of other conditions, including:

Dyspepsia may also occur with gastritis, stomach cancer, or as a side effect of certain drugs, including NSAIDs, antibiotics, iron, corticosteroids, theophylline, and calcium blockers.

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The Link Between Stress And Ulcers

The Danish study followed nearly 3,400 adults for more than a decade to see how stress affected their risk of developing peptic ulcers. They found that participants who had the most stress doubled their odds of developing an ulcer. Even among those who didnt take NSAIDs and werent infected with H. pylorithe two main causes of ulcersstress increased the risk. Additional research is necessary to confirm the finding.

How stress contributes to the development of ulcers was not explored in this study, but the authors mention a few possible ways. Your bodys natural response to stress could increase the amount of acid in your stomach, which can make an existing ulcer worse. Theres also the known effect of stress on hormones. Stress affects an area of your brainthe hypothalamic-pituitary-adrenal axisthat produces glucocorticoids. Glucocorticoids are hormones involved in both inflammation and your immune system throughout your body, including your stomach.

The way you deal with stress could increase your risk of ulcers as well. People in the study who reported feeling stressed also reported an increased use of NSAIDs and a higher rate of smokingtwo practices known to contribute to ulcers.

How To Treat Constipation And Bloating

Say Goodbye To Ulcer With This Simple Trick

Constipation and bloating can feel similar in some ways, but they are in fact very different and have their own causes. Although they usually disappear with time, sufferers are understandably keen to treat them as quickly as possible. Keep reading to find out more about constipation and bloating and how to relieve yourself of them.

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