Cytokines in the bowel may reciprocate, and affect CNS function, causing symptoms, such as fatigue or depression. This is an unusual role for this neuropeptide, which also causes the release of glucocorticoids that suppress inflammation. Establishing a strong relationship with your doctor is key to this effort. Some people might place the responsibility for their health care completely in the hands of the physician, abandoning control. Others might try to grasp control by completely excluding the doctor, as well as family and friends.
Any relationship begins with honesty.
Communication can alleviate some problems immediately. For example, some people may not be taking medicine because they don't know enough about its effects. You also can take responsibility by keeping a diary of symptoms, and events and feelings that you perceive to be associated with feeling better or worse. Educating yourself about your disease may help you to alleviate stress. Even though there is no cure for IBD, materials are available to help people cope with symptoms and complications.