anxiety trigger 'bypassing' straight to gut?

I am 53 and was diagnosed as autistic 4 months ago.  I have had mental illnesses (depression and anxiety) for a very long time, at least as far back as my teens.  I also suffer very badly with IBS, and all of these issues have become much more severe in the last few years, meaning that I have not gone out to work for about a year, and rarely leave the house anyway.

I was explaining to my current psychotherapist that a psychiatrist told me to try diazepam when I am particularly anxious, but to me it feels like often when I experience a trigger, I do not really feel that my breathing nor heart rate are increasing, though I may start sweating a bit, but what I really notice is that straight away I feel pain in my lower abdomen, leading to an episode of awful IBS (without wanting to explain it too graphically).  I feel that somehow the worry goes straight to my gut, 'bypassing' the 'normal' symptoms of anxiety involving faster breathing and heart rate.  It is as if the IBS starts very very quickly, but the lungs and heart are not really involved.

The psychotherapist has admitted that he is not an expert on autism nor IBS, but he told me that he has heard of other autistic people experiencing this 'bypass' of symptoms of anxiety.  I had never heard of this before, though I have researched the area quite a lot.  So is he correct?  Is this really a common autistic experience of an anxiety-inducing trigger?  Has anyone else felt that this happens to them?

Many thanks in advance.

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  • Hi Saturn 

    Sorry to hear that the heath issues you are experiencing are impacting your life to the the extent that you barely leave the house, that must be tough.

    I can't really help with the how and why this is happening to you, but I can tell you that I have had very similar issues with my health. Things did get worse for me during the(I hate mentioning the M word) so I'm not going to.

    Quite by chance I was put on Propranolol to treat the migraines, which had also got worse during this time.

    Anyway I'll get to the point. The Propranolol has not only worked for the migraines it has also reduced my gut related issues. 

    I hope this helps.

  • Hmm, a psychiatrist did mention me trying propranolol for anxiety, but then another one said not to because all it will do is stop the symptoms.  But now I am thinking that stopping the symptoms does not sound like such a bad thing, so I will mention it at my next appointment.  However, I have just had a quick look online and see that it is a beta blocker.  I tried another beta blocker called pregabalin, which I was told to take 3 times a day but I found that taking it even just once a day made me want to sleep all day and night.  Thanks for sharing your experience, and I am glad to hear your issues improved.

  • Hi  

    Mmm I didn't know Pregabalin was a beta blocker? I know it's a powerful medication used for pain relief and it can have strong side effects. 

    I hope you get to try propranolol and you get some relief from it. For me the side effects were minimal.

    Wishing you well.(⁠•⁠‿⁠•⁠)

  • Fingers crossed (⁠•⁠‿⁠•⁠)

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