Conquer UC said...
I always find this "Stress = UC flare-up" to be interesting...so what do you mean by stress? i mean seriously isn't everyone exposed to stress? if so then why doesn't everyone develop IBD?
I dunno but the 'anecdotal' evidence seems quite strong; as there are many of you here saying that you flare up around stressful events. I have thought about it and i think mine behaves that way too but not consistently. I think it depends on the TYPE of stress.
I find the WORST type of stress is when i feel like im being controlled by something else and then i get angry and feel helpless. I find that the combination of these two emotions is the most destructive: anger and helplessness.
The way i deal with it now is by realizing that the most important thing is my health: nothing is worth getting worked up on. As for helplessness: well that's easy now coz i realise that i have no control over many things LOL especially after being diagnosed with this disease. I just do what i can do and if there is something i cannot do then darn it this is my capacity.
I would be interested in hearing if others went into remission after going on anti-depressants and/or anti-anxiety meds??
I think you are confound the idea of stress as a trigger for a flare or relapse vs. the idea of stress as a primary/major agent in the pathogenesis of IBD. Stress may or may not be a sufficient environmental trigger for most people to develop this autoimmune disease, but it could easily be a sufficient trigger to set off an autoimmune flare.
In this context questions like "everybody has stress so why does not everybody get IBD" comes off as missing the point on a lot of levels. For one the initial trigger does not do much without the genetic susceptibility, for two these folks are talking about
flares and not the development of the underlying autoimmune. (Granted some in this thread have asserted that stress is the underlying cause for everybody, but I just ignore that kind of blanket statement.)
I would also point out that when stress seems to bring on a flare, it is not clear what has happened on the disease level. Folks are only seeing the symptom level. Possibly very little changed with the IBD, and the stress intensified concurrent IBS. After all IBS has a much better documented link to mental health. However the IBS symptoms might diminish the effect of IBD meds, or may disrupt gut flora, which in turn could have a negative immunomodulatory effect. It is complex.
The advice to stay away form stressors and to find good coping - well thats just plain good advice. At some level it does not matter if it is IBS or IBS or both, and if it is a flare trigger or the primary cause ... etc.