Symptomatology Correlations Between the Diaphragm and Irritable Bowel Syndrome

Bordoni, Bruno; Bruno, Marco

doi:10.7759/cureus.3036

Cited by 7 publications

(6 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, IBS therapies such as relaxation techniques, cognitive restructuring, emotion-focused coping strategies, yoga, and mindfulness all involve diaphragmatic breathing. However, current data on therapeutic diaphragmatic breathing is lacking (Bordoni & Morabito, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Some patients believed in diaphragmatic breathing to reduce abdominal complaints. There is reason to believe that enhanced breathing may improve vagal and sympathetic functions (Bordoni & Morabito, 2018). Moreover, IBS therapies such as relaxation techniques, cognitive restructuring, emotion-focused coping strategies, yoga, and mindfulness all involve diaphragmatic breathing.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Experiences of Female IBS Patients Concerning Physical Activity as Treatment Modality: A Qualitative Study

2022

View full text Add to dashboard Cite

The purpose of this study is to investigate the patient’s perspective on physical activity as treatment modality for irritable bowel syndrome (IBS). An interpretive phenomenological analysis (IPA) approach was used to examine the experiences of IBS patients with physical activity, through in-depth interviews with 11 female IBS patients. Experiences with physical activity varied substantially among patients. Patients attributed negative experiences with physical activity to embarrassment, anxiety, inability, and symptom deterioration. Positive experiences with physical activity were attributed to symptom relief and improvements in overall health. Accordingly, patients discussed how they considered the application of physical activity in respect of IBS. Disease activity and the timing, type, and intensity of physical activities all could alter a patient’s response to physical activity. Physical activity seems to relieve complaints in most scenarios; however, a personal approach is required to tailor physical activity to the needs of each patient.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Experiences of Female IBS Patients Concerning Physical Activity as Treatment Modality: A Qualitative Study

2022

View full text Add to dashboard Cite

show abstract

“…Such exercises have also been shown to lead to improvements in anxiety and depression for groups with lower back pain and IBS. 56 Pelvic muscle relaxation and “reprogramming” the pelvic floor using physiotherapy techniques is effective for chronic pelvic pain. 57 However, it is yet to be established whether muscle-based relaxation or other forms of relaxation are effective for women with PPP when administered by mental health clinicians.…”

Section: Discussionmentioning

confidence: 99%

Psychological Interventions for Women with Persistent Pelvic Pain: A Survey of Mental Health Clinicians

Brooks¹,

Sharp²,

Evans

et al. 2021

JMDH

View full text Add to dashboard Cite

Objective: To establish which psychological therapies mental health professionals use with reference to the treatment of women with persistent pelvic pain conditions. This research investigates overall therapies and specific techniques that clinicians believe are the most effective with this patient group, and the challenges mental health clinicians face in administering interventions. The study aims to suggest improvements to clinical practice and establish directions for targeted future research. Design: Cross-sectional survey design. Methods: An online survey was developed to ask mental health clinicians questions regarding the therapies and techniques they use with women experiencing persistent pelvic pain, their perspective on their practice in this area. The survey was advertised on relevant social media and professional websites. Survey results were tabled, and chi-square statistical analyses were undertaken to examine differences in therapy use according to country and profession. Results: Mental health clinicians predominantly utilized cognitive behavioral therapy, acceptance and commitment therapy and associated techniques for women with persistent pelvic pain conditions. The results of the chi-square analyses showed that psychologists were more likely to use cognitive behavioral therapy or acceptance and commitment therapy, than counsellors who preferred counselling interventions. Chi-square analyses showed that Australian clinicians used acceptance and commitment therapy with a higher frequency than mental health clinicians in other countries. Clinicians provided multiple insights into their experiences working with women affected by persistent pelvic pain and their opinions as to valuable future research directions. Conclusion:Cognitive behavioral therapy, acceptance and commitment therapy, and mindfulness therapies were most commonly used by mental health clinicians working with women with persistent pelvic pain conditions, despite severely limited evidence for the use of these psychological interventions in this client group.

show abstract

“…Building on the role of the diaphragm in viscerosomatic components of bloating, interest in its role and vagal/breathing modulation for other symptoms is emerging. 129 Another interesting avenue being pursued is that of autonomic endophenotypes, where a lower resting baroreceptor sensitivity to activations was associated with a significant decrease in IBS pain severity in response to yoga (27 patients). 130 The evidence base is currently therefore intriguing but very preliminary (Table 1) in this latest emerging area of possible future approaches to IBS pain.…”

Section: Novel and Emerg Ing Ibs Pain Manag Ement Approache Smentioning

confidence: 99%

Review article: current and future treatment approaches for pain in IBS

Paine

2021

Aliment Pharmacol Ther

View full text Add to dashboard Cite

SummaryBackgroundAbdominal pain is a core symptom of IBS and a primary driver of care seeking. Visceral hypersensitivity is a key pathophysiological mechanism and therapeutic target for pain in IBS, with components of peripheral and central sensitisation and psychological factors.AimTo review current and future treatment approaches specifically for the pain component of IBS.MethodsPubmed search terms included combinations of irritable bowel, pain, visceral hypersensitivity, novel, new, emerging, future and advances.ResultsEstablished non‐pharmacological treatments for IBS pain include the low FODMAP diet, probiotics and psychological interventions, especially hypnotherapy. Tricyclics remain the best evidenced pharmacological approach with GCC agonists, tenapanor, lubiprostone, eluxadoline and 5HT3 antagonists second line according to patient characteristics and availability. Less well‐evidenced current options include anti‐spasmodics, peppermint oil, SSRIs, SNRIs, alpha 2 delta ligands, melatonin and histamine antagonists. Patients are vulnerable to iatrogenesis and harmful approaches to be avoided include opioids and unwarranted surgical interventions. For severe pain, the concept of augmentation with combined gut‐brain neuromodulators and psychotherapy in a multi‐disciplinary setting is considered. A plethora of molecular targets and ligands are emerging from pre‐clinical studies, together with early clinical evidence for a range of pharmacological, dietary, neurostimulation and novel psychological treatment delivery methods which are reviewed. The history of such emerging approaches, however, merits both caution and optimism in equal measure.ConclusionsDespite good in‐roads and emerging options, the management of abdominal pain remains one of the biggest challenges and research priorities for patients with IBS.

show abstract

Symptomatology Correlations Between the Diaphragm and Irritable Bowel Syndrome

Cited by 7 publications

References 43 publications

The Experiences of Female IBS Patients Concerning Physical Activity as Treatment Modality: A Qualitative Study

The Experiences of Female IBS Patients Concerning Physical Activity as Treatment Modality: A Qualitative Study

Psychological Interventions for Women with Persistent Pelvic Pain: A Survey of Mental Health Clinicians

Review article: current and future treatment approaches for pain in IBS

Contact Info

Product

Resources

About