👨‍⚕️ Dr. BOSS 的聊天室｜Episode 25：腸躁症只是心理問題？

👨‍⚕️ Dr. BOSS 的聊天室｜Episode 25：腸躁症只是心理問題？ BOSS Doctor’s Chatroom｜Episode 25: Is Irritable Bowel Syndrome (IBS) Just a Psychological Issue? 副標 / Subtitle 👨‍⚕️ Dr. BOSS × 🐨 Koala | 腸道小迷思：腸躁症不只是心理問題 👨‍⚕️ Dr. BOSS × 🐨 Koala | Gut Myth: IBS Isn’t Just in Your Mind --- 🟦 對話稿 Dialogue（中英對照） Koala： BOSS醫生，我聽說腸躁症其實只是心理問題，是這樣嗎？ Doctor BOSS, I heard that IBS is just a psychological problem. Is that true? BOSS 醫生： 這是一個迷思。腸躁症（IBS）確實會受到壓力與心理因素影響，但它本身是腸道功能性疾病，涉及腸道神經、肌肉運動和腸腦軸（gut–brain axis）。 That’s a misconception. IBS can be influenced by stress and psychological factors, but it’s fundamentally a functional gastrointestinal disorder, involving gut nerves, muscular activity, and the gut–brain axis. Koala： 那症狀通常是什麼呢？ What are the usual symptoms? BOSS 醫生： 常見症狀包括腹痛、腹脹、排便習慣改變（便秘、腹瀉或交替）、放屁增多，有時也會伴隨疲倦或焦慮。 Common symptoms include abdominal pain, bloating, changes in bowel habits (constipation, diarrhea, or alternating), increased gas, and sometimes fatigue or anxiety. --- 🟦 結構篇 Structure（中英對照） BOSS 醫生： 腸躁症的成因多重： The causes of IBS are multifactorial: 1. 腸道肌肉運動異常 Abnormal Gut Motility 中文：腸道蠕動過快或過慢導致便秘或腹瀉 English: Too fast or slow intestinal movement causes constipation or diarrhea 2. 腸腦軸 Gut–Brain Axis 中文：腦部與腸道神經互相影響，壓力可加重症狀 English: Communication between brain and gut nerves, stress can worsen symptoms 3. 腸道菌群失衡 Dysbiosis 中文：腸道益生菌與壞菌比例失衡 English: Imbalance between beneficial and harmful gut bacteria 4. 心理因素 Psychological Factors 中文：焦慮、壓力和情緒波動可能觸發或加重症狀 English: Anxiety, stress, and mood swings may trigger or worsen symptoms --- 🟦 日常使用 Daily Use（中英對照） Koala： 平常可以怎麼照顧腸道，減少腸躁症困擾？ How can we take care of the gut and reduce IBS discomfort? BOSS 醫生： 透過規律飲食、管理壓力、運動與改善腸道菌群，可以有效緩解症狀。 Regular diet, stress management, exercise, and gut microbiota support can help alleviate symptoms. 舉例 Examples: 均衡膳食 Balanced diet 高纖維食物 High-fiber foods 規律運動 Regular exercise 壓力管理 Stress management 益生菌與益生元 Probiotics and prebiotics --- 🟦 小知識 Mini Note（中英對照） Koala： 所以腸躁症不是心理病，而是腸道功能性疾病？ So IBS isn’t just psychological, but a functional gut disorder? BOSS 醫生： 完全正確！腸躁症是腸道功能異常的疾病，心理因素只是加重或觸發症狀的一部分，而非主要病因。 Exactly! IBS is a functional gut disorder. Psychological factors may trigger or worsen symptoms, but they are not the primary cause.