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But that's not all it takes, and Dr. Rosen says anxiety and stress management is a huge part of IBS treatment. "Whether it's needing management of anxiety with a therapist or exercise, it helps a lot," she says. "Exercise helps with your overall mood and energy, which, in turn, can alleviate IBS symptoms. " Some IBS patients get stressed about having IBS, which causes a vicious cycle of symptoms. "Patients can spend all day wondering where the next bathroom is, or patients have trouble using the bathroom outside of their home, which can be anxiety-provoking, so it can feed on itself," she says.

Anxiety and depression can worsen symptoms to a degree, so gastroenterologists will sometimes work with psychiatrists to prescribe an antidepressant, Dr.

Rosen says.

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