Q Whenever I'm under heavy work stress, my stomach reacts first. How should I manage this?
A A stress reaction appearing immediately in the gut is a signal that the gut-brain axis is sensitively connected. Cognitive behavioral therapy (CBT), relaxation techniques, and regular exercise are management methods recommended even in international guidelines, and reducing psychological burden directly reduces digestive symptoms.
Detailed Answer
When the stress-abdominal pain connection repeats, it hardens like a conditioned reflex, so symptoms can arise from merely anticipating stress. Cognitive behavioral therapy (CBT) is effective in becoming aware of and breaking this pattern, and it receives a moderate or higher recommendation grade in irritable bowel syndrome guidelines. Brief deep breathing and progressive muscle relaxation also help with immediate tension relief.
Korean Medicine Clinic Perspective
In Korean medicine, this is seen as liver qi stagnation (肝氣鬱結), and prescriptions release the liver's coursing function to reduce the effect of stress on the gastrointestinal tract. Acupuncture also acts directly on restoring autonomic nervous balance.
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