Excellent point about
IBSers, and most of us with UC have it.
I think it's all of the above plus spasming where the digestive tract's normal peristalsis is erratic...making a big deal about
something....it could be as a protection to help clear something out (inflammation or the fact that one part is saying something's not normal..prepare for fight or flight). The triggers can be hormonal, stress, food, bms, inflammation, gassssssss, having a bm, after a bm...etc.
Spasming could be in one area, but it can throw the entire digestive tract out of whack causing it to react too...
Antispasmodics definitely help to calm the spasming as well as does some fibre supplements, eating, some foods, supplements..etc.
The bowel does need exercise to help keep it moving properly and can get a tad lazy when it doesn't.
When I'm stressed (subjective depending on a situation), I can feel it in my stomach/gut. I do take dicyclomine...at least one daily to help lessen the sensations and takes the focus off my gut.
I do find eating helps...go figure.
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg; Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!