Stress:

• Stress is known to affect the course of gastrointestinal disorders by exacerbating symptoms, suggesting that there may be a stress-symptom association with the disorders.

• Stress affects gastrointestinal motility (speed with which food/waste is processed) and it influences the endocrine and immune systems which are mediators of the inflammatory process.

• Symptoms of stress can be any of those often associated with anxiety or depression.

Tips for reducing stress:

• Ensure that you engage in activities that allow you to relax. For example making time to meditate, go for a walk, engage in slow monitored breathing, or progressive muscle relaxation, etc.

• Stop 'wishing' the situation will change - act in a proactive way.

• Stop criticizing what happens as a consequence of gut related problems and concentrate on 'how' to solve the problems.

• Spend more time with family and friends.

• Identify a set of simple activities you can do that will reinforce positive feelings. Set time aside to read a book, magazine, newspaper, etc.

• Set realistic goals for yourself. Once a goal is achieved, develop a new one.

• Talk to someone when you need advice or help.