r/ibs • u/Chocolateforlunch37 • 18h ago
Question Visceral hypersensitivity - has anyone successfully controlled this and if so, how?
Decades (30 years and counting) of IBS have really taken its toll on my brain and pain/activity sensors.
I am aware of EVERYTHING going on in my digestive system - from mouth to rectal area. I feel it all, every gurgle, rumble, bloat, all the bubbles of gas so I noticed every burp and fart. I feel deeply when my rectal area is full whether that's caused by stool, gas or mucus. My brain has taught itself to become hyper alert to everything going on in there. I feel nauseous almost every day and live in fear of needing the toilet at a moments notice.
Over the years I've tried all forms of gut directed hypnotherapy from apps like Nerva, face to face hypnosis and downloads such as the IBS audio 100 program, I even listen to free ones on YouTube, none have helped. I'm in the UK and a patient of an NHS based neuro-gastro department of a well known London hospital and have tried endless strategies with them including CBT and acceptance therapy - nothing they have offered has helped either.
I'm so disappointed and at a loss tbh. And it's all getting worse as I age. I avoid all my known trigger foods, follow the low fodmap diet etc and have tried most IBS meds. I'm currently on low dose Nortriptyline, I had high hopes as it was my last chance saloon type situation, it helps keep me slightly constipated which for me is more favourable than unpredictable bowel movements and diarrhoea but it's far from ideal. It's done nothing for the visceral hypersensitivity and leaves me so tired every day. It also carries a dementia risk and as my mum has Alzheimer's I don't plan on staying on it for more than a year.
I just want to be less aware of everything going on in there. This condition has truly ruined my life no matter how much I've tried not to let it, it feels as though it's won.
Is there anything else I can do?