Constipation, diarrhea, body aches, and constant fatigue

  Some discomfort, more women than men

  The fast pace of modern life is like a tightly wound spring. When stress is constantly present and cannot be properly relieved, it unconsciously affects the endocrine, autonomic nervous, and immune systems throughout the body, ultimately manifesting as physical discomfort-what we call psychosomatic illnesses. According to a recent report in Taiwan's *Common Health* magazine, Dr. Hsiao Mei-Chun, an attending physician in the Department of Psychiatry at Chang Gung Memorial Hospital, specifically reminds everyone that psychosomatic illnesses can occur in both men and women, but the following three are more common in women than men: irritable bowel syndrome, chronic fatigue, and muscle aches. Perhaps everyone should pause and reflect on what might be causing this.

  Frequent constipation or diarrhea is a symptom of irritable bowel syndrome (IBS). Symptoms include: abdominal discomfort for at least 12 weeks or more in the past 12 months, with recurring symptoms such as: abdominal pain or bloating that improves after using the toilet; changes in bowel movement frequency, such as constipation (more than 3 times per week) or diarrhea (more than 3 times per day); and changes in stool consistency. Hsiao Mei-chun points out that women are twice as likely as men to suffer from IBS. It commonly affects women from late adolescence to middle age, and symptoms may begin subtly in adolescence, becoming more pronounced and frequent during periods of high stress, such as school or work.

  Eating at regular times and in appropriate portions is the most basic principle for improving irritable bowel syndrome (IBS). For constipation, eat more high-fiber foods (such as green vegetables and black fungus) and yogurt. For abdominal pain or diarrhea, avoid gas-producing foods (such as beans and dairy products) and choose water-soluble foods (such as brown rice).

  Feeling constantly tired may indicate chronic fatigue syndrome. If you suspect you have chronic fatigue syndrome, you can first refer to the diagnostic criteria revised by the US Centers for Disease Control and Prevention in 1996: fatigue lasting more than 6 months and not relieved by rest; no other chronic diseases that can explain the fatigue; mild fever or chills; sore throat or a feeling of something stuck in your throat; unexplained generalized muscle weakness; fatigue lasting more than 24 hours after general activity; joint pain; and neuropsychiatric symptoms such as sleep disorders (insomnia or hypersomnia), difficulty concentrating, forgetfulness, anxiety, restlessness, and irritability.

  Studies have found that chronic fatigue syndrome is more common among office workers, with a higher incidence in women than men, particularly women aged 25-45. Family physician Ye Qiuhong stated that changing lifestyle habits and achieving a balance between stress and rest is the most fundamental and effective remedy.

  Japanese psychiatrist Takashi Hosaka emphasizes that sleep is the most effective way to reduce physical and mental fatigue. He particularly recommends taking warm baths (38-39 degrees Celsius) for 20-30 minutes at a time to improve sleep. Exercise habits are also important; modern life involves increased mental activity and less physical labor, leading to an imbalance in fatigue. It's also crucial to find emotional support, such as from family, friends, or doctors. Don't be afraid to seek help; talking about it will make you feel better and give you more strength to persevere.

  Body aches and pains may indicate fibromyalgia syndrome. Dr. Chen Chun-hung, attending physician of the Department of Immunology and Rheumatology at China Medical University Hospital, explains that fibromyalgia syndrome is diagnosed when a patient experiences chronic, systemic pain lasting for more than three months. Epidemiological studies abroad show that approximately 2-4 out of every 100 people are affected, with women being 3-7 times more likely to be affected than men. The causes are numerous, including accidental injuries, infections, inflammation, drug abuse, or other illnesses. It can also be triggered by chronic stress, irregular sleep patterns, or difficulties in family, work, or studies. The most effective approach is to regulate your lifestyle. For example, take a 10-20 minute break after working for two hours before starting the next round of work. Avoid working non-stop, as this will only increase aches and fatigue until you can no longer move.