Emotional Effects of Irritable Bowel Syndrome

Irritable bowel syndrome sufferers often find that they have to deal with two sets of symptoms. The physical symptoms of diarrhea, constipation and pain form the main part of IBS, but sufferers may also develop emotional problems such as mild or moderate depression and anxiety because of the strain that IBS places on their lives.
There's no doubt that IBS can have a huge impact on your mental and emotional health. One of the reasons why people assume that IBS is caused by stress is that IBS sufferers can appear so stressed and unhappy. But is this really surprising? If you had explosive diarrhea, never-ending constipation or stabbing stomach cramps you'd be a bit stressed too!
The nature of IBS symptoms can mean that they are very difficult to deal with, both practically, in terms of being afraid to go out because of fear of diarrhea, and emotionally, because of embarrassment and the sometimes unsympathetic reactions of others.
Sufferers find that their social lives quickly diminish to nothing, or that they can no longer eat the food at restaurants or dinner parties without ending up in pain. Work or school can become a chronic struggle as you drag yourself in on days when you feel ill, knowing that if you didn't you'd get fired or kicked off your course.
You may also feel that you have to pretend to be healthy most of the time in spite of how you really feel, because people get tired of hearing about your condition or begin to say things like "Well why don't you go to the doctor" or "My mum had that and ate lots of bran and now she's fine. That's what you should do."
It can be very hard to bite your tongue and stop yourself answering back. "Oh, go to the DOCTOR, I see, that's where I've going wrong all this time, I thought you had to go to the hardware store. I shall now be cured."
What is important to remember is that anyone who is battling with IBS is going through a very difficult time, and deserves some genuine support, as does anyone with a chronic, long-term condition.
Hopefully, if you explain your condition to family and friends, support will be forthcoming, but if not you should ask yourself how much misunderstanding you are willing to put up with, and whether it is hazardous to your health.
This is what Heather Van Vorous says in The First Year - IBS:"You may even have friends or family dismiss your problem as 'all in your head.' It's up to you to educate these people, and then dump them if they persist in their ignorance at the expense of your health."
If they are truly your friends then they will want to learn about the condition and be ready to accept that their views are based on prejudice and assumption rather than fact.
But if they still believe that you're exaggerating then ask them to explain exactly why they believe that IBS is psychosomatic or 'all in your head', what scientific studies they are basing their views on, and how they explain the success of new drugs such as the selective 5-HT3 antagonist Lotronex. That should keep them quiet.
Sophie Lee has suffered from IBS for more than 15 years. She runs the IBS Tales website http://www.ibstales.com where you can read hundreds of personal stories of IBS and self-help tips.
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10 Tips for Responsible Medication Use

All medications, which include prescriptions, over-the-counter preparations, vitamin and mineral supplements, and herbal preparations, are potentially dangerous. Following some simple rules will not only reduce your chance of having a problem, but should reduce your cost as well.


Always shop around for medications ? there is a significant difference in cost from pharmacy to pharmacy. Check both online and offline sources. For example, several of my patients have realized a significant cost savings by using the Costco pharmacy as well as online Canadian pharmacies. Should you choose to use a Canadian pharmacy, please keep abreast of any laws that may affect your purchase.


Always check to see if a generic equivalent is available. Today, there are very few medications on the market where generics are not acceptable.


If you can, have your prescription filled for 90 days. It will cost less than if you bough 30 days worth over 3 months. One of the reasons is that pharmacies charge a filling fee for each prescription filled.


Will you medication allow you to take a half-tab? For example, if you are taking lisinopril 20mg, you can purchase 40mg tablets and break them in half ? a savings of 50%. Always check with your health care provider and/or pharmacist first?not all medications can be broken. Also, consider those nifty little pill cutters?they work wonderfully.


Do you really have to take all that medication in the first place? The best advice I can give you is to put everything into a bag and take it with you to your appointment. Make sure that you and your provider are on the same page when it comes to medications/supplements that you are taking. This is especially true when you are seeing more than one prescribing provider. You may have duplicates that you are unaware of. Always ask?"do I really need this"?


Keep an up-to-date list of your medications with you at all times.


It is your responsibility to learn the names of your medications and why you are taking them! Most likely, your provider does not know what you mean by the "little pink pill" or the "white capsule". There are literally dozens of each.


Check your medications before you leave the pharmacy. If something does not look right, ask about it right then. DO NOT take something you are unfamiliar with.


Follow label directions. If you are taking something for osteoporosis, chances are you were told to take it with a full glass of water, sitting upright while avoiding any other food or fluids for 30 minutes. They were not making it up! This goes for the labels on over-the-counter preparations. This is one time that "if a little is good, a lot must be better" can be a dangerous thought.


Another very important tip. If at all possible, it is in your best interest to have a primary care provider. Ideally, he or she will coordinate your care with specialists, and keep track of all the medications you are on. If you have a complete profile on record, then between your one primary provider, and your one pharmacist, any problems in your medications should be picked up.


This bonus tip comes from a lesson taught to me by a wonderful patient of mine?If you and your partner both take medication, do NOT mix them up. It can have serious consequences!

While proper nutrition and exercise are the mainstays of treatment for most health challenges, medication use is sometimes unavoidable. Make sure you need them; know what they are and how to take them. Follow directions, and don't share! Most of all, always seek to understand what you are taking and what it's suppose to do for you.

Your body will thank you.

For over 26 years, Barbara C. Phillips, MN, NP has been involved in health care. Now, as the founder of OlderWiserWomen, LLC, that experience and passion is focused on Women who want to experience the freedom, magic and wisdom of successful aging. She can be reached through http://www.OlderWiserWomen.com

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