Have you ever had such an experience?
At such critical moments, such as:
I'm about to enter the exam room;
The next interview is you;
There are still 10 minutes left to speak on stage...
At this time, the stomach began to turn over the river and the sea, and I could only run the toilet one trip at a time, pulling until the legs were soft.
(Source: giphy)
You may ask: Why is it diarrhea at a critical time every time? Is it sick?
I'll give you an analysis today. Figure it out, maybe you won't have diarrhea.
If diarrhea happens to occur frequently because of special moments, it is most likely diarrhea caused by nervousness, strictly speaking, it is not a disease.
(Source: soogif)
The food we eat, digested by the stomach and absorbed by the small intestine, gradually becomes a solid poop in the "colon" and is finally excreted by the rectum and anus.
But as soon as some people receive stimuli from the outside and feel nervous and stressed, the brain is a little dysfunctional.
Stress and stress activate neurons containing CRF (adrenocorticotropic hormone-releasing factor)[1].
They cause your colon to move faster and travel times faster through the parasympathetic nervous system [2].
In this way, the time spent in the colon is shortened, the water is not fully absorbed, and before it can be formed, it is sent out in advance.
Occasional nervous diarrhea is not a big deal. You can try to find a way to reduce stress that suits you to improve, such as chatting with friends, self-suggestion, deep breathing, etc., most of which can be alleviated.
However, if diarrhea is frequent and there is a feeling of abdominal pain before defecation, the abdominal pain will be slightly relieved after defecation, then you are likely to have diarrhea-type irritable bowel syndrome.
Diarrhea-type irritable bowel syndrome is one of the irritable bowel syndromes, and you can first roughly determine whether you are irritable bowel syndrome.
According to the latest diagnostic criteria [3], recurrent episodes of abdominal pain, with an average onset of at least 1 day/week in the last 3 months, with 2 or more of the following can be diagnosed as "irritable bowel syndrome":
Associated with bowel movements;
accompanied by changes in the frequency of bowel movements;
accompanied by changes in the shape or appearance of the stool;
(The symptom has been present for at least 6 months, and the above diagnostic criteria have been met in the past 3 months)
If you have more bowel movements and stools are difficult to form, most of them are "diarrhea-type irritable bowel syndrome."
What is "diarrheal irritable bowel syndrome"?
Its mechanism has not been fully studied, and it is currently believed that many factors are combined to cause abnormal intestinal-brain interaction [4].
"Abnormal intestinal-brain interaction" sounds a bit advanced and difficult to understand?
Simply put, it is mental stress, abnormal intestinal motility, high sensitivity of internal organs and other factors, so that your brain and intestines can not work well together, so you can not move diarrhea.
Moreover, no matter how much you subjectively want to control, you can't control it, and many times you can't pull out much stool, more mucus...
Although it is not life-threatening, it will seriously affect the quality of life and mood.
According to a global survey, there are not many people who suffer from this "embarrassing disease", accounting for 1.2% [5], of which women have a higher prevalence than men, and young and middle-aged people are more common [4].
Diarrhea-type irritable bowel syndrome is a chronic condition, and current treatment focuses on improving symptoms and improving quality of life [4].
If the situation is serious and has affected your life, please be sure to seek help from a doctor.
In general, your doctor may recommend that you take antidiarrheal, antispasmodic and pain-relieving medications, or receive psychotherapy.
In addition, it may be necessary to adjust the mental state and dietary lifestyle.
Some patients with irritable bowel syndrome may have the disease associated with eating intolerant foods (mainly carbohydrates, such as rice, yam, etc.) [6].
Such patients usually pay attention to recording their diet, and if there is a disease, avoid ingesting these sensitive foods as much as possible.
In addition, exercise can also be useful. Studies have shown that exercise 3 to 5 times a week (running, cycling, yoga, walking, etc.) can also significantly reduce the symptoms of irritable bowel syndrome [4].
People can't escape the five words of "eating, drinking, and sleeping" in this life, which is uncomfortable, don't bear to torture yourself
May everyone sleep well, eat well, drink well, and pull well.
bibliography
[1] Browning KN, Travagli RA. Central nervous system control of gastrointestinal motility and secretion and modulation of gastrointestinal functions. Compr Physiol. 2014;4(4):1339-1368.
Chang Min, Fang Xiucai. Adrenocorticotropic hormone-releasing factor and irritable bowel syndrome[J]. Journal of Basic Medicine and Clinical Medicine, 2011(12):1396-1399.
[3]https://theromefoundation.org/rome-iv/rome-iv-criteria/
[4] Gastrointestinal Functional Diseases Collaborative Group of Gastroenterology Branch of Chinese Medical Association, Gastrointestinal Dynamics Group of Gastroenterology Branch of Chinese Medical Association. Expert consensus opinion on irritable bowel syndrome in China in 2020[J]. Chinese Journal of Digestion, 2021, 40(12):16.
[5] Sperber AD, Bangdiwala SI, Drossman DA, et al. Worldwide Prevalence and Burden of Functional Gastrointestinal Disorders, Results of Rome Foundation Global Study. Gastroenterology. 2021;160(1):99-114.e3.
Wang Chen, Wang Jian'an. Internal Medicine. 3rd Edition[M]. People's Medical Publishing House, 2015.
Editors: Zhao Yanan, Emgrand, Zhang Liang
Typesetting: Han Ningning | Proofreader: Wu Yihe
Operations: Li Yongmin | Coordinator: Wu Wei