Question: Can stress cause digestive disorders?\nAnswer: Not that we know of. However, it can exacerbate existing digestive disorders.\nAnd certainly the reverse holds true as well. Digestive disorders, such as inflammatory bowel disease (IBD)\u00a0(more specifically Crohn\u2019s disease or ulcerative colitis)or pancreatitis, can have a significant impact on the mental and behavioral health of patients, in addition to symptomatic hardships brought on by the disease.\nOften times, those with digestive disorders can experience a variety of mental health issues, including:\n\nDepression\nAnxiety\nSocial isolation\nFatigue\nStress\nIncreased pain intensity and pain-related disability\nLow self-esteem\nIncreased smoking or use of alcohol\n\nThese can be induced by the unpredictability that comes along with these conditions. Digestive disorders can flare up at any time, leading to constant worry and sometimes a lower quality of life if not treated. For many digestive diseases that have no current cure, this can be especially disheartening.\nMedications that are prescribed for IBD often come with side effects that induce psychological effects as well. However, many health care systems are turning to a dual treatment approach, such as the Visceral Inflammation and Pain Center at UPMC, part of the UPMC Digestive Disorders Center, by utilizing medical and psychological therapies to supplement medical treatment of the condition and improve quality of life.\nSuch psychological therapies may include:\n\nRelaxation training and self-hypnosis\nPatient education to regain disease control\nStress management techniques\nLifestyle modifications including sleep hygiene\nMind-body therapy\nCounseling\nAntidepressants and other psychotropic medications to target mood, pain, and fatigue.\n\nThe effects of these therapies can vary depending on the patient. Some patients may not require these treatments in addition to the medical therapies they\u2019re already receiving. For others, such treatments can reduce expensive health care costs and physician visits, and are extremely encouraged. Patients on chronic narcotic medications for pain have also benefited by learning new behavioral skills and using non-opioid medications to reduce pain severity and suffering.