Posted 11/15/2009 2:10 PM (GMT -6)
mermaidmamma, get a new doctor then, that is wrong for her to say that to your daughter.
It is however important to know emotions, stress and fear and anxiety and antisipatory anxiety are all part of IBS. It is a brain gut axis disorder and both the gut and the brain are operational to cause the symptoms.
However, vomiting is a red flag, unless its from severe pain perhaps, but that needs to be looked into by a better doctor.
IF its IBS actually some of the psychological treatments are very effective for kids and adults even though its not "all in her head" the brain does play a big role on gut functioning as do emotions and and the feeling I posted above.
Just fyi on kids and pain
Miranda van Tilburg, PhD
Associate Professor of Medicine UNC Chapel Hill FGIMD
This study found that children with functional abdominal pain who used audio recordings of guided imagery at home in addition to standard medical treatment were almost three times as likely to improve their pain problem, compared to children who received standard treatment alone.
Monday, Oct. 12, 2009
CHAPEL HILL – Children with functional abdominal pain who used audio recordings of guided imagery at home in addition to standard medical treatment were almost three times as likely to improve their pain problem, compared to children who received standard treatment alone.
And those benefits were maintained six months after treatment ended, a new study by University of North Carolina at Chapel Hill and Duke University Medical Center researchers has found.
The study is published in the November 2009 issue of the journal Pediatrics . The lead author is Miranda van Tilburg, Ph.D. , assistant professor in the Division of Gastroenterology and Hepatology in the UNC School of Medicine and a member of the UNC Center for Functional GI & Motility Disorders .
“What is especially exciting about our study is that children can clearly reduce their abdominal pain a lot on their own with guidance from audio recordings, and they get much better results that way than from medical care alone,” said van Tilburg. “Such self-administered treatment is, of course, very inexpensive and can be used in addition to other treatments, which potentially opens the door for easily enhancing treatment outcomes for a lot of children suffering from frequent stomach aches.”
The study focused on functional abdominal pain, defined as persistent pain with no identifiable underlying disease that interferes with activities. It is very common, affecting up to 20 percent of children. Prior studies have found that behavioral therapy and guided imagery (a treatment method similar to self-hypnosis) are effective, when combined with regular medical care, to reduce pain and improve quality of life. But for many children behavioral therapy is not available because it is costly, takes a lot of time and requires a highly trained therapist.
For this study, 34 children ages 6 to 15 years old who had been diagnosed with functional abdominal pain by a physician were recruited to participate by pediatric gastroenterologists at UNC Hospitals and Duke University Medical Center. All received standard medical care and 19 were randomized to receive eight weeks of guided imagery treatment. A total of 29 children finished the study; 15 in the guided imagery plus medical treatment group and 14 in the medical treatment alone group.
The guided imagery sessions, developed jointly by van Tilburg, co-investigator Olafur Palsson, Psy.D. and Marsha Turner , the study coordinator, were recorded on CDs and given to children in the study to use at home.
The treatment consisted of a series of four biweekly, 20-minute sessions and shorter 10-minute daily sessions. In session one, for example, the CD directs children to imagine floating on a cloud and relaxing progressively. The session then gives them therapeutic suggestions and imagery for reducing discomfort, such as letting a special shiny object melt into their hand and then placing their hand on their belly, spreading warmth and light from the hand inside the tummy to make a protective barrier inside that prevents anything from irritating the belly.
In the group that used guided imagery, the children reported that the CDs were easy and enjoyable to use. In that group, 73.3 percent reported that their abdominal pain was reduced by half or more by the end of the treatment course. Only 26.7 percent in the standard medical care only group achieved the same level of improvement. This increased to 58.3 percent when guided imagery treatment was offered later to the standard medical care only group. In both groups combined, these benefits persisted for six months in 62.5 percent of the children.
The study concluded that guided imagery treatment plus medical care was superior to standard medical care alone for the treatment of functional abdominal pain, and that treatment effects were sustained over a long period.
UNC co-authors of the study included Denesh K. Chitkara, M.D., adjunct research professor; William E. Whitehead, Ph.D., professor and co-director of the UNC Center for Functional GI & Motility Disorders, and Nanette Blois-Martin, pediatric nurse-practitioner.
Martin Ulshen, M.D., division chief of pediatric gastroenterology, hepatology and nutrition at Duke University Medical Center, is also a co-author.
DOI 10.1542/peds.2009-0028, Van Tilburg, MAL, Chitkara DK, Palsson OS, Turner M, Martin, N, Ulshen, M, Whitehead WE (2009) Audio recorded guided imagery reduces chronic abdominal pain in children. Pediatrics, 124(5),e890-e9897. http:// www.pediatrics.org
This isn't the first study to show very positive effects. and this is pretty good in reducing the pain byy half or more.
"In the group that used guided imagery, the children reported that the CDs were easy and enjoyable to use. In that group, 73.3 percent reported that their abdominal pain was reduced by half or more by the end of the treatment course. Only 26.7 percent in the standard medical care only group achieved the same level of improvement. This increased to 58.3 percent when guided imagery treatment was offered later to the standard medical care only group. In both groups combined, these benefits persisted for six months in 62.5 percent of the children. "
I say this is important, I have had IBS since I was ten and am now 49. Back in the day they called IBS spactic colon and "implied" it was "all in the head."
Recent research has shown both the gut and the brain are operational to cause the symptoms. This confuses some people when ever someone talks about the brain and IBS, they thin k its all back to all in the head, but that is a misconception now about the condition and the bidirectional communication between the brain and the gut "brain". Stress and emotions don't cause IBS, but they can make it way worse. And certain psychological techniques can make it way better.
Gut Feelings: The Mind-Body Connection
This is worth reading also as there are specialist psychologist who work with IBSers and know about IBS and that its "Not all in the head", but the importance of the brain and our thoughts on our bodies. The gut can upset the brain and the brain can upset the gut.
ask the experts
"Many people experience distress and anxiety when their doctor makes a recommendation that they see a psychologist. This reaction often comes from the belief that a referral to a psychologist carries with it assumptions about symptoms being “all in your head” or the result of “mental illness”. These are two of the biggest misconceptions about the practice of psychology in a medical setting, and they can often stand in the way of patients achieving a meaningful
reduction in symptoms. In this column, I hope to dispel some of these misconceptions around psychology in a medical setting, and in doing so communicate a few of the benefits you might be able to achieve in working with a psychologist to address your symptoms of IBS."
First things first, your physical problems are real! If your doctor gives you a recommendation to meet with a psychologist it does not mean that the symptoms are “all in your head” or the result of “mental illness.” Your experience of IBS is likely to be debilitating to you, and it can have wide ranging effects on your loved ones, yourself and activities that you want to engage in. Psychologists and physicians work together, with the understanding that the mind and body
are connected. If you are feeling ill and having many symptoms of IBS, you may also experience an increased level of stress and discomfort. This stress and discomfort contribute to a cycle of worsening symptoms that can spiral into more severe IBS. Psychologists and physicians work together with you to interrupt that cycle and help you learn to decrease the number and severity of your symptoms."
By the way on this could be extremely helpful for you and your daughter.
If someone would have known about these things and started them on me way earlier in my life, it would have made a huge difference to my outcome.
I would see a new gastroenterologist and try to figure out what going on with her. Some of her symptoms, are at odds with an IBS diagnoses. Does the pain wake her at night? Or just trouble going to sleep because of pain.
I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.
Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.