November 29, 2005
Heather's IBS Newsletter ~ For Irritable Bowel Syndrome
Annual Holiday Sale ~ the IBS Self-Hypnosis CD and the IBS Cooking Show DVD!
Hello to everyone -
I am thrilled to have a guest columnist this week - one of the top specialists for Irritable Bowel Syndrome in the United Kingdom, Michael Mahoney! Michael has very graciously offered to write an "Ask Michael" column in place of the usual "Ask Heather". I think everyone will be taken not just with the impressive details of his practice and development of the self-hypnosis audio program for IBS, but also with his genuine kindness and empathy, which come shining through.
As a special holiday event, we have Michael's IBS Audio Program 100™ on sale for $79.95 (a $10.00 savings from the normal price of $89.95). This time of year can be one of the most stressful, and as people with IBS are painfully aware, stress is a tremendous trigger. If you've been considering self-hypnosis for IBS but have been struggling with the price, I hope this sale allows you to treat yourself to one of the best presents ever - the much-deserved gift of better health. We also have an amazing overview of the clinical studies that show how successfully hypnotherapy can treat IBS.
Finally, as a part of our special media holiday sale, the brand new IBS Cooking Show, which is full of terrific IBS cooking and grocery shopping advice, tips and tricks, is on sale for $11.95. This is 20% off the $14.95 list price (a savings of $3.00). The DVD features traditional fast and easy recipes (like Pizza Party Snack Mix and Blueberry French Toast) made IBS friendly. If you'd like to have step-by-step instructions to follow so you can easily cook safely and deliciously for IBS, then this is the perfect show for you!
Heather Van Vorous
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Orange-Glazed Chicken Breasts with Onions, Mushrooms, and CarrotsMakes 4 servings
2 tablespoons cornstarch
1/2 teaspoon white pepper
1 tablespoon paprika
3 whole organic chicken breasts, skinless and boneless, chopped into bite-size pieces
2 tablespoons canola oil
1 cup chopped onion
1/2 cup chopped carrots
1/2 cup sauteed and drained mushrooms (or 1/2 cup canned drained mushrooms)
1 tablespoon brown sugar
1/4 teaspoon ginger
1/3 cup undiluted frozen orange juice concentrate, thawed
3/4 cup water
Jasmine rice for serving
Preheat oven to 350 F. Combine cornstarch, pepper, and paprika in a plastic bag. Add chicken pieces and shake until well-coated. Reserve coating mixture. Heat oil in a large non-stick skillet over medium high heat and cook chicken until browned on all sides. Remove chicken from skillet and add to a 2 quart casserole dish. Add onions, carrots, and mushrooms to casserole dish.
Blend reserved coating mix and remaining ingredients into skillet with drippings. Cook over medium heat, stirring constantly, until smooth and bubbly. Pour sauce over chicken, cover, and bake for about 45 minutes, or until chicken is just cooked through. Serve with rice.
Are you just learning how to eat for IBS? A little intimidated at the thought of special IBS recipes? Not quite sure just what makes these recipes special in the first place? Don't worry! Come see
the IBS Diet pages, and find the answers to all your questions.
~ Heather's Tummy Fiber ~
Special Interview with Michael Mahoney
For the Dietary Management of Abdominal Pain, Diarrhea, &, Constipation
Organic Acacia ~ Pure Soluble Fiber
The prebiotic fiber that relieves both diarrhea and constipation!
"How does hypnosis help IBS, and how did you come to create a self-hypnosis program especially for IBS patients?"
When Heather and Will graciously invited me to write about my work and background for their newsletter, I was not only flattered, I wondered what readers would want to learn about me. I suspected they would wonder how on earth anyone would come about treating such a condition as Irritable Bowel Syndrome in the first place. Well, to be honest, I was asked to look into treating patients with the condition by the gastroenterologists in my medical centre here in Cheshire, England, who had given up all hope of helping them. These doctors called their IBS patients their "heart-sinks" because every treatment that could be done was done, but to little or no avail. So they came to me.
I had to learn about IBS from scratch, and did so, not only through my professional studies but by interviewing patient after patient and learning about their fears, anxieties, horrible episodes of "emergency" diarrhea, panic attacks for the loo, and public accidents of untold embarrassment. I learned about the heartache and frustration of a patient population that had little or no recourse for relief.
As a clinical hypnotherapist, I knew that other medical conditions could be treated through this modality, with results running the range of alleviation of a given condition to full recovery. But IBS was a new one, and I was determined to help these patients because their suffering was indeed affecting their quality of life.
First, let me digress a bit. Some readers, perhaps unaware of the many studies over the past 20 years using clinical hypnotherapy as medical treatment, may have visions of watches swinging and people clucking like chickens. Clinical hypnotherapy uses the person's own internal resources to bring about symptom reduction and a path towards healing. As humans, we are in and out of this state throughout the day, as it is merely a common state of concentration similar to being very focused - for example, driving home on "auto-pilot" as we sometimes do. Even while hypnotized, the patient, not the therapist, remains in full control. Hypnotherapy induces a state of relaxation while the patient is awake, and allows helpful suggestions such as those aimed at controlling health problems to be directed into the subconscious mind. It is a natural, normal state, and I have been privileged to help people with many problems through this treatment method for nearly 20 years.
In 1991, I began working with referred IBS patients at no charge, since I was learning about them and their needs. I spent nearly two years researching IBS. I developed specific IBS hypnotherapy processes for the treatment, incorporating ongoing feedback from the patients while providing my own funding for research and development. When word got out that IBS patients were actually receiving successful treatment, I had people travel long distances to obtain therapy from me; some of them were coming 100 miles or more. Many IBS patients were too sick to easily travel, however, and had a great fear of not being near the bathroom, or they were afraid of having a bowel accident on the way; for them, coming to see me posed a problem. Today, when people ask what kept me working on my IBS program, even when faced with strapped finances and professional peer review, I could only think of those first patients and their desperation. That will be remembered for the rest of my life.
Sadly, many (if not most) of the IBS sufferers I saw had to deal with doctors who did not recognize or fully appreciate the emotional impact of IBS - for IBS is far from a purely physical condition. Many readers will be all too familiar with the emotional toll IBS can take, including anxiety, weepiness, some depression, resignation, and disheartenment. I well understood the frustration, fear, and pain that the IBS patient suffers. I also know first-hand the anger that can come from being dismissed by physicians who don't feel that IBS is a "real" condition that causes real suffering, and who simply refuse to listen to those who offer new avenues of help.
Patients often reported that dismissal of their concerns served only to make both their emotional and physical symptoms even worse. IBS needs an empathetic approach. Just dealing with the symptoms of Irritable Bowel Syndrome is not enough; the individual has to learn to rebuild internal energy. After years of pain, and being told by various medical professionals that there is nothing that can be done, many sufferers feel emotionally drained.
In the IBS Audio Program introduction I explain about our 'emotional pot of energy' and our 'emotional reserves' and how these have to be attended to, in addition to the physical aspects of the condition. Without the emotional will and strength to seek and persevere in finding a solution, recovery is often difficult. This 'emotional energy' has to be recognized, replenished and managed. To move into recovery we have to work at feeling better, learn new ways of coping, and become familiar with the new positive feelings and thoughts. It is then that we are taking part in our healing.
I've also found many IBS patients have to deal not only with dismissive doctors, but with family members and those in their lives who more or less disregard their problem. They'll be accused of "faking" it, or told to just "quit obsessing about it", or given some similar off-hand cutting remark. I felt that this was another area to be addressed, so I created a recording called the "IBS Companion" that speaks of the humiliations, fears, medical evaluation embarrassments and ordeals that an IBS patient must go through, and how the family can help the patient, rather than add to their distressing situation. One of my patients, upon listening to this recording, told me that she cried, as it was the first time she felt validated as a real human being by someone who understood her condition and its impact on her world. IBS had cost her a good deal of her life, and the recording was the first time she felt real empathy.
By mid 1997, I incorporated all the new processes, information, and delivery methods I had learned for IBS hypnotherapy onto audio tapes, so patients who were housebound or far away would no longer have to travel. These recorded sessions are today known as the IBS Audio Program 100™ and are recorded onto CDs.
My work using clinical hypnotherapy for IBS has now been entered into the Guild of Health Writers Awards / Foundation of Integrated Medicine, and is considered one of "80 excellent examples of integrated medicine in the United Kingdom." As a member of the Primary Care Society for Gastroenterology (PCSG), I was invited to speak about my work in London, at the annual scientific meeting of the society, to gastro-interested medical professionals from all over the UK. I'm also a member of the International Functional Brain-Gut Research Group, and founder of the UK Register of IBS Therapists.
In March of 2003, I had the honor of being given first place in the UK's Top Hypnotherapist listing, in the 'Top Brass' section of the Business pages of the Independent. This was not only a thrill, but brought me to the realization that my work had gained recognition because it dealt with an enormous patient population that was sorely overlooked and desperately needed help. This was not so much a validation for my work as it was a validation to the sufferers like yourselves.
Many thanks to those of you who have successfully used the IBS Audio Program 100™, have shared your kind words with others, and offered your personal testimonials. And may I extend many thanks to all of you and to Heather and Will for letting me share a bit about my program and my work. I wish you all a healthy, happy holiday - many blessings and joy!
~ Michael Mahoney
Overview of Published Research To Date on Hypnosis for IBS
Gut-directed hypnosis is one of the most effective ways to help relieve all IBS symptoms! Results can last more than 5 years.
Now On Sale for the Holidays!
Fourteen peer-reviewed, double blind clinical studies on hypnotherapy for IBS are condensed in this overview. The clinical trials are drawn from Gut, Lancet, Gastroenterology, and other internationally respected medical journals. The study results are consistent and their conclusions are overwhelmingly positive. (There are no links to the full abstracts of these studies, as the overview presents them in condensed form, and the complete overview is given here).
Gut. 2003 Nov;52(11):1623-9. Long term benefits of hypnotherapy for irritable bowel syndrome. 204 patients prospectively completed questionnaires scoring symptoms, quality of life, anxiety, and depression before, immediately after, and up to six years following hypnotherapy. All subjects also subjectively assessed the effects of hypnotherapy retrospectively. 71% of patients initially responded to therapy. Of these, 81% maintained their improvement over time while the majority of the remaining 19% claimed that deterioration of symptoms had only been slight. With respect to symptom scores, all items at follow up were significantly improved on pre-hypnotherapy levels. This study demonstrates that the beneficial effects of hypnotherapy appear to last at least five years.
A 27-Sep-2005 press release featured Peter Whorwell, Professor of Medicine and Gastroenterology in the University's Medical School and Director of the South Manchester Functional Bowel Service, who has been researching the use of gut-directed hypnosis for over 20 years. Most recently, two hundred and fifty patients who have suffered from IBS for over two years were given twelve one-hour sessions, during which they were given an explanation of how the gut works and what causes their symptoms. "IBS is ideal for treatment with hypnosis, as there is no structural damage to the body," explained Professor Whorwell. "During the hypnotherapy, sufferers learn how to influence and gain control of their gut function, and then seem to be able to change the way the brain modulates their gut activity."
Former patient Sonia Pinnock said, "I suffered from IBS and was on medication for nearly 20 years, but could get little relief from my symptoms. Since visiting the clinic for 12 hypnotherapy sessions last year however they've disappeared completely - the difference it's made to my quality of life is indescribable."
Another happy patient Christine Walsh continued, "After my hysterectomy I suffered from IBS for about five years, and it totally ruined my quality of life. I couldn't plan holidays or leisure activities and at work I was often doubled-up in pain. But since having weekly hypnotherapy sessions for three months I've now been free from IBS for five and a half years - the treatment has totally changed my life."
Psychosomatic Medicine, March/April 2004.
Twenty-eight patients with irritable bowel syndrome that had not responded to other treatments were randomly assigned to receive gut-directed hypnotherapy 1 hr/week for 12 weeks or supportive therapy (control subjects). At study entry and at 3 months, the patients underwent a series of tests to determine colon function. After the treatment period, the hypnotherapy patients but not the control patients had lower responses on tests of colon sensitivity.
Gonsalkorale WM, Houghton LA, Whorwell PJ. Hypnotherapy in irritable bowel syndrome: a large-scale audit of a clinical service with examination of factors influencing responsiveness. Am J Gastroenterol 2002 Apr;97(4):954-61.
This study is notable as the largest case series of IBS patients treated with hypnosis and reported on to date. 250 unselected IBS patients were treated in a clinic in Manchester, England, using 12 sessions of hypnotherapy over a 3-month period plus home practice between sessions. Marked improvement was seen in all IBS symptoms (overall IBS severity was reduced by more than half on the average after treatment), quality of life, and anxiety and depression. All subgroups of patients appeared to do equally well except males with diarrhea, who improved far less than other patients for unknown reason.
Palsson OS, Turner MJ, Johnson DA, Burnett CK, Whitehead WE. Hypnosis treatment for severe irritable bowel syndrome: investigation of mechanism and effects on symptoms. Dig Dis Sci 2002 Nov;47(11):2605-14.
Possible physiological and psychological mechanisms of hypnosis treatment for IBS were investigated in two studies. Patients with severe IBS received seven biweekly hypnosis sessions and used hypnosis audiotapes at home. Rectal pain thresholds and smooth muscle tone were measured with a barostat before and after treatment in 18 patients (study I), and treatment changes in heart rate, blood pressure, skin conductance, finger temperature, and forehead electromyographic activity were assessed in 24 patients (study II). Somatization, anxiety, and depression were also measured. All central IBS symptoms improved substantially from treatment in both studies. Rectal pain thresholds, rectal smooth muscle tone, and autonomic functioning (except sweat gland reactivity) were unaffected by hypnosis treatment. However, somatization and psychological distress showed large decreases. In conclusion, hypnosis improves IBS symptoms through reductions in psychological distress and somatization. Improvements were unrelated to changes in the physiological parameters measured. 17 of 18 patients in study 1 and 21 of 24 patients in study 2 were judged substantially improved Improvement was well-maintained at 10-12 month follow up in study 2.
Galovski TE; Blanchard EB. Appl Psychophysiol Biofeedback, 1998 Dec, 23:4, 219-32. Eleven patients completed hypnotherapy, with improvement reported for all central IBS symptoms, as well as improvement in anxiety. Six of the patients were a waiting-control group for comparison, and did not show such improvement while waiting for treatment.
Vidakovic Vukic M. Hypnotherapy in the treatment of irritable bowel syndrome: methods and results in Amsterdam. Scand J Gastroenterol Suppl, 1999, 230:49-51. Reports results of treatment of 27 patients of gut-directed hypnotherapy tailored to each individual patient. All of the 24 who completed treatment were found to be improve.
Houghton LA, Larder S, Lee R, Gonsalcorale WM, Whelan V, Randles J, Cooper P, Cruikshanks P, Miller V, Whorwell PJ. Gut focused hypnotherapy normalises rectal hypersensitivity in patients with irritable bowel syndrome (IBS). Gastroenterology 1999; 116: A1009. Twenty-three patients each received 12 sessions of hypnotherapy. Significant improvement was seen in the severity and frequency of abdominal pain, bloating and satisfaction with bowel habit. A subset of the treated patients who were found to be unusually pain-sensitive in their intestines prior to treatment (as evidenced by balloon inflation tests) showed normalization of pain sensitivity, and this change correlated with their pain improvement following treatment. Such pain threshold change was not seen for the treated group as a whole.
Palsson, OS, Burnett CK, Meyer K, and Whitehead WE. Hypnosis treatment for irritable bowel syndrome. Effects on symptoms, pain threshold and muscle tone. Gastroenterology 1997;112:A803. Seventeen out of 18 patients with severe and treatment-refractory IBS who completed a 7-session standardized course of hypnosis treatment improved substantially. All central symptoms of IBS responded to treatment, including abdominal pain, diarrhea/constipation, and bloating. Psychological well-being also increased after treatment, with overall psychological symptoms, anxiety and somatization markedly decreased. Gut pain thresholds and smooth muscle tone, measured with a barostat and balloon inflation tests, were unchanged following treatment.
Koutsomanis D. Hypnoanalgesia in the irritable bowel syndrome. Gastroenterology 1997, 112, A764. This French study showed less analgesic medication use required and less abdominal pain experienced by a group of 12 IBS patients after a course of 6-8 analgesia-oriented hypnosis sessions followed by 4 sessions of autogenic training. Patients were evaluated at 6-month and 12-month follow-up.
Houghton LA; Heyman DJ; Whorwell PJ. Symptomatology, quality of life and economic features of irritable bowel syndrome--the effect of hypnotherapy. Aliment Pharmacol Ther, 1996 Feb, 10:1, 91-5. This study compared 25 severe IBS patients treated with hypnosis to 25 patients with similar symptom severity treated with other methods, and demonstrated that in addition to significant improvement in all central IBS symptoms, hypnotherapy recipients had fewer visits to doctors, lost less time from work than the control group and rated their quality of life more improved. Those patients who had been unable to work prior to treatment resumed employment in the hypnotherapy group but not in the control group. The study quantifies the substantial economic benefits and improvement in health-related quality of life which result from hypnotherapy for IBS on top of clinical symptom improvement.
Prior A, Colgan SM, Whorwell PJ. Changes in rectal sensitivity after hypnotherapy in patients with irritable bowel syndrome. Gut 1990;31:896. This study found IBS patients to be less sensitive to pain and other sensations induced via balloon inflation in their gut while they were under hypnosis. Sensitivity to some balloon-induced gut sensations (although not pain sensitivity) was reduced following a course of hypnosis treatment.
Harvey RF; Hinton RA; Gunary RM; Barry RE. Individual and group hypnotherapy in treatment of refractory irritable bowel syndrome. Lancet, 1989 Feb, 1:8635, 424-5. This study employed a shorter hypnosis treatment course than other studies for IBS, and the success rate was lower, most likely demonstrating that a larger number of sessions is necessary for optimal benefit. Twenty out of 33 patients with refractory irritable bowel syndrome treated with four sessions of hypnotherapy in this study improved. Improvement was maintained at a 3-month treatment. These researchers further found that hypnosis treatment for IBS in groups of up to 8 patients seems as effective as individual therapy.
Whorwell PJ; Prior A; Colgan SM. Hypnotherapy in severe irritable bowel syndrome: further experience. Gut, 1987 Apr, 28:4, 423-5. This report summed up further experience with 35 patients added to the 15 treated with hypnotherapy in the 1984 Lancet study. For the whole 50 patient group, success rate was 95% for classic IBS cases, but substantially less for IBS patients with atypical symptom picture or significant psychological problems. The report also observed that patients over age 50 seemed to have lower success rate from this treatment.
Looking for more IBS research and news? Check the IBS Research Library!
~ Heather's Tummy Tamers ~For the Dietary Management of Abdominal Pain &, Bloating
Peppermint Oil Caps with Fennel and Ginger Are Amazing!
Our Peppermint Oil Caps have the added benefits of fennel and ginger oils, and they help prevent abdominal pain, gas, and bloating!
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