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7 Natural Ways to Manage Ulcerative Colitis Stress

by Dr. Jennifer Chen

Life with ulcerative colitis (UC) can be stressful as of the condition’s unpredictable symptoms and the disruption they can cause, among other issues. And stress from any source can influence the course of UC by triggering symptoms and flares. Some research suggests that stress may even trigger the onset of the condition in certain people.

The nervous system and the gut influence each other, says Stephen E. Lupe, PsyD, a gastrointestinal psychologist and the director of behavioral medicine in the department of gastroenterology, hepatology, and nutrition at Cleveland Clinic in Ohio. The gut sends out messages that the brain interprets, but sometimes, the nervous system starts to become abnormally hypersensitive to those signals, he says. “If someone’s experiencing a lot of symptoms … [it] causes a stress reaction, which then makes the symptoms worse,” he says.

Although a busy schedule can put self-care activities on the back burner, prioritizing stress management is especially important if you have UC, says Lupe. Stress-reduction techniques engage the calming parasympathetic – or “rest and digest” – part of the autonomic nervous system (ANS). “This generally helps with GI functioning and how our [ANS] interprets the sensations that come up from the gut. We see a decreased pain response, a decrease in inflammatory hormones being released, and decreased dysfunction in the body.”

Here are some natural ways to manage UC-related stress that you might want to try.

1. hypnotherapy

Gut-directed hypnotherapy has been in the news recently as a potential complementary treatment for IBD – and small, preliminary studies suggest that it may alleviate inflammation and“`html

1. Diet Changes

What you eat can have a big impact on UC symptoms and stress levels.Some foods can trigger inflammation in the gut, while others can definitely help to soothe it. A diet high in processed foods, sugar, and unhealthy fats can worsen inflammation and contribute to stress, while a diet rich in fruits, vegetables, and lean protein can have the opposite effect.

Specifically,some people with UC find that certain foods trigger their symptoms. Common culprits include dairy,gluten,spicy foods,and caffeine. Keeping a food diary can definitely help you identify your personal trigger foods and avoid them.

the low-FODMAP diet, which restricts certain types of carbohydrates, has also been shown to be helpful for some people with UC.This diet can reduce gas, bloating, and abdominal pain.

2. Exercise

Regular physical activity is a powerful stress reliever and can also help to improve UC symptoms. Exercise releases endorphins, which have mood-boosting effects. It can also help to reduce inflammation and improve gut motility.

You don’t need to run a marathon to reap the benefits of exercise. Even moderate activity, such as walking, swimming, or yoga, can be helpful. Aim for at least 30 minutes of moderate-intensity exercise most days of the week.

However, it’s important to listen to your body and avoid overexertion, especially during a flare-up. High-intensity exercise can sometimes worsen UC symptoms.

It’s also worth noting that the gut microbiome can influence your mood and stress levels, and exercise can positively impact the composition of your gut bacteria. The gut-brain connection is complex,and what affects one can often affect the other,meaning that a physical response that can be partially responsible for triggering symptoms,he says.

3. Acupuncture

A form of traditional Chinese medicine, acupuncture is the practice of inserting tiny needles into specific points on the body to promote the flow and balance of energy. Research has found that acupuncture may be effective at treating several types of chronic pain.

Study findings also suggest that the technique may reduce inflammation and the pain related to it, but high-quality trials are needed to better understand how this works.

Acupuncture might also relieve the symptoms of IBD, which could, in turn, ease your stress levels and disrupt the feedback loop between the two. One research review of four randomized controlled trials that enrolled a total of 228 people with IBD found that acupuncture significantly improved symptoms and also reduced the levels of certain inflammatory markers in the blood. Researchers noted that larger, better-designed studies are needed to confirm these findings, however.

  • Identify Trigger Foods: Keeping a food diary can help pinpoint foods that worsen your symptoms. Common culprits include dairy, spicy foods, and high-fat items.
  • Focus on Easily Digested Foods: Opt for foods like lean proteins, cooked vegetables, and refined grains during flares.
  • Stay Hydrated: Drink plenty of water throughout the day,especially if you experience diarrhea.

2. Stress Management

Chronic stress can exacerbate UC symptoms. Finding healthy ways to manage stress is essential.

Consider techniques like meditation, yoga, or spending time in nature. Even short periods of relaxation can make a difference.

3. Regular Exercise

Exercise boosts immune function, which is particularly important for people with UC, as the immune system plays a key role in inflammation. Research suggests exercise can reduce flares and fatigue.

while moderate-intensity activity generally has positive effects, high-intensity or lengthy workouts may trigger symptoms. Start slowly and listen to your body.

4. Prioritize Sleep

Adequate sleep is vital for overall health and can help regulate the immune system. Aim for 7-9 hours of quality sleep each night.

5. Support Groups

Connecting with others who understand what you’re going through can provide emotional support and practical advice. Organizations like the Crohn’s & Colitis Foundation offer support groups and resources. Learn more here.

6. Deep Breathing

Deep belly breathing is a simple yet effective way to ease stress and lower your heart rate and blood pressure. This type of breathing improves digestion by engaging the parasympathetic nervous system and can reduce bathroom urgency and cramping.

Deep breathing also gently massages the internal organs, including the gastrointestinal tract, possibly alleviating pain.

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