The Gastrointestinal System and
Bodywork
Acupuncture and acupressure techniques have been shown to reduce
nausea and vomiting resulting from opioid drugs, general anesthesia, cytotoxic
drugs, and pregnancy.
Aromatherapy oils are being used for various con-ditions associated
with the GI tract,3 including con-stipation, dyspepsia (indigestion), diarrhea, nausea
and vomiting, and irritable bowel syndrome.
Massage is beneficial in helping with bowel move-ments,4-7 and people with constipation
may find mas-sage useful. Massage primarily affects the viscera through
somatovisceral reflexes. In elderly patients, massage promotes regular bowel
movements, re-duces the incidence of incontinence, and decreases the use of
enemas.8 Massage may also help relieve in-testinal colic, biliary colic,
and flatulence. By affect-ing the parasympathetic system, massage can pro-mote
secretion and digestion of food; hence, massage can be useful in programs to
retrain bowel function. Abdominal massage is sometimes performed using a tennis
ball or other rounded, heavy objects.9
Massage is of benefit in other disorders related to the
gastrointestinal system, such as anorexia and bu-limia.10,11 Reduced anxiety, improved
mood, and de-creased stress hormones are some benefits seen in this condition.
In general, the therapist should avoid massaging the abdomen if the
client complains of abdominal pain or diarrhea or if tenderness is detected.
The therapist should refer the client to a physician if she or he com-plains of
blood in the stools or vomit, difficulty swal-lowing, or other unusual symptoms
related to the gas-trointestinal system. Diarrhea of acute onset is usually a
result of infection, and the therapist should avoid treating these clients to
prevent spread of infection.
All therapists should ensure that she or he knows enough about the
specific conditions (and medica-tions being taken) that clients have been
diagnosed with to avoid perpetuating the problem.
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