14/06/2026
Anyone remember this classic Peanuts strip?
I recently shared it with a patient recovering from a chronic gastrointestinal condition who had become highly sensitive to every gurgle, rumble, and sensation in their abdomen. After a long history of pain and discomfort, even normal digestive activity can trigger a threat response, leading to hypervigilance.
In many chronic conditions, the issue becomes one of “volume control.” Healthy digestion is not completely silent, but most of the time we simply don’t notice it because it remains in the background of awareness. Once attention becomes fixed on bodily sensations, however, normal digestive activity can begin to feel abnormal, concerning, or intrusive.
This is particularly relevant in disorders of gut-brain interaction such as IBS, where hyperawareness of visceral sensations can amplify symptoms and contribute to a self-reinforcing cycle of anxiety and discomfort.
Paying attention to your body is important, but so is knowing when to shift your attention elsewhere. Meaningful work, social connection, exercise, creative pursuits, time in nature, and other immersive activities can help turn down the volume. As attention broadens, many of these sensations often become less noticeable and less distressing.
Sometimes the path forward is not listening more closely to every sensation, but learning when it is safe to stop listening quite so hard. So many things are like this in life!