Anxiety in the body: nervous diarrhoea

ANXIETY IN THE BODY: NERVOUS DIARRHOEA
The self-regulating mechanisms of the body may come into action in an attempt to restore equilibrium from the overactivity of that part of the nervous system which prepares the body for action. In these circumstances it is quite common for the self-regulating mechanisms to overcompensate as it were. When this happens there is increased mobility of the bowel, and diarrhoea results instead of constipation.
A woman of thirty-four years had always been somewhat tense and was inclined to be rather fussy and perfectionistic. Although not unintelligent, she had always had difficulty in coping with things which better-endowed people would have been able to take in their stride. As a result she was very dependent on her husband, who was kind and considerate. On a number of occasions when under additional stress, she had suffered from bouts of severe diarrhoea. She was very anxious to have a family, but on each occasion on which she had become pregnant she had had a miscarriage. Over the years she had had a great deal of psychiatric
treatment— psychotherapy, all manner of drags, and electric shock treatment.
When she came to me, nothing would stop her diarrhoea, which had started some three months after her last miscarriage. She did the relaxing mental exercises. The diarrhoea soon stopped. She has become easier in herself, and better able to cope with things, but still remains the rather ineffectual woman that she is.
Jokes about loss of control due to nervous diarrhoea are so common that all must be familiar with this symptom of acute anxiety. It is common enough in less acute form with soldiers when they are about to enter the battle area, or even with students when confronted with an important examination. Anxiety is also a significant factor in the chronic forms of diarrhoea known as ulcerative colitis.

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