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When should I talk with my doctor about my anxiety and IBS?

ANSWER

If you’re still tense and anxious, talk with your doctor. Make sure you're getting the right medical treatment for your constipation or diarrhea. Then discuss whether talk therapy might help.

People with irritable bowel syndrome should really start with their primary care physician, and work with that person. Psychological care should only become an option if medical treatments fail. Experts say that two-thirds of people with IBS get better with changes in diet and medication. The other third, people with more severe symptoms, might benefit from psychological help.

SOURCES: 

Philip Schoenfeld, MD, MSEd, MSc, co-author of American College of Gastroenterology's "Evidence-Based Position Statement on the Management of Irritable Bowel Syndrome in North America." 

Janine Blackman, MD, PhD, former medical director of the University of Maryland Center for Integrative Medicine, adjunct professor of medicine at Georgetown University Medical Center, founder of RiverSoul Wellness in Bethesda, MD.

Jonathan Gilbert, who has a diplomate in herbology and acupuncture from the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM). 

The National Center for Complementary and Alternative Medicine: "Acupuncture." 

Mayo Clinic: "Irritable Bowel Syndrome." 

WebMD Feature: "Natural Alternatives for IBS." 

University of California at Berkeley Wellness Letter. 

Medscape: "Probiotics Significantly Reduce Symptoms of IBS, Ulcerative Colitis" and "Highlights from Digestive Disease Week: An Expert Interview with Lawrence R. Schiller, MD."

Reviewed by Jaydeep Bhat on February 14, 2019

SOURCES: 

Philip Schoenfeld, MD, MSEd, MSc, co-author of American College of Gastroenterology's "Evidence-Based Position Statement on the Management of Irritable Bowel Syndrome in North America." 

Janine Blackman, MD, PhD, former medical director of the University of Maryland Center for Integrative Medicine, adjunct professor of medicine at Georgetown University Medical Center, founder of RiverSoul Wellness in Bethesda, MD.

Jonathan Gilbert, who has a diplomate in herbology and acupuncture from the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM). 

The National Center for Complementary and Alternative Medicine: "Acupuncture." 

Mayo Clinic: "Irritable Bowel Syndrome." 

WebMD Feature: "Natural Alternatives for IBS." 

University of California at Berkeley Wellness Letter. 

Medscape: "Probiotics Significantly Reduce Symptoms of IBS, Ulcerative Colitis" and "Highlights from Digestive Disease Week: An Expert Interview with Lawrence R. Schiller, MD."

Reviewed by Jaydeep Bhat on February 14, 2019

NEXT QUESTION:

Does therapy help irritable bowel syndrome (IBS) symptoms?

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