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Nervous Stomach? Here's How Stress Affects Your Gut


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Nervous stomach? Here's how stress affects your gut


Nervous stomach? Here's how stress affects your gut

Stress has a sneaky way of messing with your stomach. From nervous poops to anxiety diarrhea to feeling nausea when things are uneasy, we've all experienced a nervous stomach at some point. Sometimes stress can make you lose your appetite (or do the opposite and make you crave junk). No matter what the specific experience, the tie between your gut and stress is undeniable. But is there any science behind it?

According to Dr. Marvin Singh, a gastroenterologist, the answer is yes -- stress directly affects the gut in several ways. Keep reading to find out exactly how stress can take a toll on your gut health. 

Stress can change your gut microbiome 

A well-balanced gut microbiome, consisting of plenty of "good" bacteria and other microorganisms, is one of the most important factors when it comes to gut health. Good gut bacteria are key to a healthy gut, and too much bad bacteria can lead to ill effects. "Stress very directly impacts gut health because it impacts the trillions of microbes that live within our digestive tracts, collectively known as the gut microbiome," says Singh. 

According to Singh, stress changes the way the gut functions, which affects the bacteria balance. Your gut microbiome can also impact your mental health through the gut-brain axis. "The composition of the gut microbiome may shift [due to chronic stress] and that could cause alterations in our mood and impact our health in other ways as well," he explains. 

Everyone experiences stress from time to time, but when it becomes chronic it's more likely to affect your gut health.

Stress may even have an effect on a person's gut microbiome before birth. A 2020 study found that pregnant women who experienced high levels of stress during pregnancy had babies with less good bacteria, leading researchers to believe that the mother's stress could be linked to the health of the baby's gut microbiome. 

Read more: From taboo to trending: Why people are talking about IBS

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Stress can throw off the healthy balance of bacteria found in your gut.

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Stress hormones can make bad bacteria even worse 

Too much bad bacteria in the gut is, well, bad. According to Singh, stress can actually enhance bad bacteria -- meaning that the bacteria could cause even more harm to the gut than if you weren't experiencing stress.

 "Hormones and chemicals like catecholamines and serotonin are what we call quorum-sensing molecules. This means that when they are released by the gut, into the bowel, they can modify how pathogenic some bacteria might be. So basically, stress hormones and chemicals can make certain bacteria more pathogenic," explains Singh.

Stress messes with your digestive system 

Stress can wreak havoc on your stomach, often at the most inconvenient times like before a big meeting or when you're working overtime. This happens because stress changes the way your digestive tract functions. "If you are chronically stressed you might see the impacts of this alteration in the symptoms you have. Some common conditions that some might have due to altered motility include constipation, diarrhea, small intestinal bacterial overgrowth (SIBO), delayed gastric emptying, irritable bowel syndrome, and acid reflux," says Singh. 

If you experience stress-related or stress-induced stomach problems, talk to your doctor about the best treatment options. You can also consider addressing the stomach issues by working on your stress levels. Try stress management techniques that work for you like meditation, for example, or consider talking to a therapist for extra support. Even just incorporating more time to relax and have fun might make more of a difference with your stomach issues than you'd expect. 

The information contained in this article is for educational and informational purposes only and is not intended as health or medical advice. Always consult a physician or other qualified health provider regarding any questions you may have about a medical condition or health objectives.


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Perinatal Depression: What It Is And How To Cope


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Perinatal Depression: What It Is and How to Cope


Perinatal Depression: What It Is and How to Cope

Britney Spears announced she's expecting a baby on Instagram this week and also revealed that she had perinatal depression when she was pregnant previously.

"I have to say it is absolutely horrible," Spears wrote. "Women didn't talk about it back then." 

Perinatal depression is a mood disorder that can start during pregnancy or after childbirth, while postpartum depression specifically describes depression someone develops after giving birth. While the direct causes of the disorders vary, the anxiety, sadness, apathy and other emotions many new or soon-to-be parents feel can be difficult to describe to loved ones or bring up at a doctor's appointment. 

Despite this, it's a common medical experience during pregnancy or the postpartum period. According to the American College of Obstetricians and Gynecologists, one in seven women will experience perinatal depression. 

Julianne Zweifel is a clinical psychologist and adjunct professor at UW Health in Madison, Wisconsin who works with people who have postpartum mood dysregulation, which can vary from postpartum "baby blues" to postpartum depression. In a September interview with CNET, she said the pressure to feel a certain way can lead new parents to feel inadequate when they don't feel what they perceive to be the "right" feelings.

"I like to describe it as [being] analogous to having only seen black-and-white photos all your life, and suddenly [you] see color photos," Zweifel said about new parents' expectations. "Like, 'wow, I didn't even recognize this dimension existed.'" 

The hormonal surges and lifestyle changes pregnancy and new parenthood bring can have dramatic effects on someone's mental health. If you're feeling society's expectation of how pregnant people and new parents should feel doesn't reflect your experience, here's what to know about perinatal and postpartum depression.

Depression during pregnancy 

During pregnancy, your body goes through huge changes as it accommodates a new body and prepares for the marathon of childbirth (and parenthood). On top of the physical and hormonal changes, pregnancy can put strain on relationships and cause financial stress. But like depression in people who aren't pregnant, it may also have genetic causes. 

According to the Cleveland Clinic, you're more at risk of experiencing depression during your pregnancy if: 

  • You have a history of depression or premenstrual dysphoric disorder (PMDD, or severe PMS that disrupts daily life).
  • You became pregnant at a younger age (risk decreases as age increases). 
  • You live alone or have limited social support.
  • You're experiencing marital problems.
  • You have mixed feelings about your pregnancy.

The pandemic may also have increased the rate of anxiety or depression during pregnancy.

While depression can strike at any time in life, many people experience anxiety or depression for the first time while they're pregnant. Because depression can affect the health of the pregnant person and growing fetus, it's important to see your doctor or a mental health professional if you're experiencing symptoms of depression for at least two weeks, the ACOG says. Symptoms include, but aren't limited to: 

  • Depressed mood most of the day, for most days. 
  • Feeling guilty, hopeless or worthless. 
  • Loss of interest in work or activities. 
  • Sleep problems (sleeping too much or having problems going to sleep).
  • Big changes in appetite (losing appetite, or eating much more than normal).
  • Having trouble concentrating or making decisions. 
  • Thinking about death or suicide.

Treatment for depression during pregnancy may be similar to treatment for people who aren't pregnant, including talk therapy or medication, according to the ACOG. 

Resources and an expert hotline to call for people experiencing depression during pregnancy and the postpartum period can be found at Postpartum Support International. An analysis of anxiety and depression in pregnant people during the pandemic found that increased social support and physical activity reduced the likelihood of developing either disorder during pregnancy.

Postpartum blues vs. postpartum depression

Zweifel said as many as 65% to 70% of people will experience postpartum "baby blues," or mood swings that begin roughly within a week of delivery. "Once you start using numbers like that, that means that's the normal response," she said. But baby blues will resolve on its own, usually getting better in about seven to 10 days. If feelings of classic depression persist without showing signs of getting better after about two weeks, Zweifel said, it's likely postpartum depression.

Symptoms of postpartum depression can be more intense and last longer than baby blues, and can potentially interfere with your ability to care for your baby or handle daily tasks, according to the Mayo Clinic. PPD can manifest differently and may include typical symptoms of depression, such as severe mood swings, feelings of worthlessness and a withdrawal from family and friends, but may also include feelings specific to your role as a parent, including feelings that you're not a good parent or thoughts and fears that you'll harm your child, per the Clinic. 

Zweifel wants to clear up the misconceptions about PPD and the idea that it makes people harm their child. 

"Somehow, our society has assumed that's a part of the scenario, and I feel like that's part of the problem," she said. There is a big difference, she said, between fearing that you'll "lose control" and hurt your child, or having intrusive thoughts of you dropping them, than of actually harming your child. "The intent is different there," Zweifel said. 

Postpartum psychosis is a very rare condition which can result in the afflicted person attempting to harm themselves or their baby. According to the Mayo Clinic, some of the signs of postpartum psychosis include confusion, paranoia, excessive energy and agitation, hallucinations and delusions. 

Read more: 13 Suicide and Crisis Intervention Hotlines to Call or Text When You Need Help

A woman holds a crying baby

Having a baby with colic, frequent and intense crying in a healthy infant, can increase the risk of postpartum depression in new parents, per the Mayo Clinic. 

damircudic/Getty

Postpartum depression causes

Many factors can contribute to depression after childbirth, including social factors like not having a support system, societal pressure to feel a certain way and the way a person's body reacts to hormonal changes.

Hormones

Estrogen and progesterone levels skyrocket during pregnancy and then very quickly after birth, they start to drop. This huge dip in hormones is what causes many people to experience strong emotions following birth. 

Research suggests that there's not different hormone levels or amounts in people who experience PPD compared to people who don't, Zweifel said. But there might be a difference in how their brain responds to changes in estrogen. Zweifel called the varying chemical effect of estrogen as a "prominent working theory," but it helps explain why oftentimes the people who experience severe mood changes in connection with their menstrual cycle may also be more likely to experience PPD or have more mood-related symptoms during menopause. 

"That subset is experiencing the same changes and same patterns," Zweifel said. "But the receptor sites in their brain, essentially, sort of respond differently. They're extra sensitive."

Outside factors

Zweifel said a lot of people experiencing symptoms of depression who come into her office feel better almost immediately after she dispels myths about what makes someone an inferior parent -- missing the "golden hour" of contact with a newborn for medical reasons, for example, or choosing to formula feed instead of breastfeed. Another record she has to set straight is the idea that all parents have an immediate bond with their infant, and if they don't, it means there's something wrong with them. 

"Bonding with an infant takes time, and our society does a terrible job of being honest with women about this," Zweifel said. She likes to instill the idea of a "fourth trimester," because there's still so much developing happening on the baby's end in the first few weeks of life that makes the parent-child relationship very straining on the parent, often leaving them "starved for validation" because the baby isn't able to acknowledge the parent, or even able to focus their eyes yet. 

In addition to unrealistic expectations of what it means to be a parent, Zweifel said other factors like being the only parent who gets up when the baby cries can exacerbate PPD, or having a child with acid reflux or other medical conditions that require extra care. 

Other risk factors, per the CDC, include being a parent to multiples (twins, triplets or more), being a teen parent, having a family or personal history of depression, having a preterm or complicated birth, experiencing difficulty getting pregnant and other stressful events surrounding pregnancy. 

A man holds up a baby

Noncarrying parents can also develop postpartum depression.

Getty Images

PPD is also not a limited experience to the person giving birth. Although the other parent won't be experiencing the hormonal changes that can cause symptoms of depression, similar lifestyle changes, added stress, lack of sleep and societal pressure remain. A 2014 study published in the journal Pediatrics found that depression among new dads increased an average of 68% the first year of their child's life.

If your mental health is a concern to you, reach out for help. If you're interested in seeking treatment with medicine, Zweifel recommends finding a psychiatrist or another professional who works specifically with people on postpartum mood dysregulation.

The information contained in this article is for educational and informational purposes only and is not intended as health or medical advice. Always consult a physician or other qualified health provider regarding any questions you may have about a medical condition or health objectives.


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Former TikTok Moderators Sue Over Work-Related Trauma


Former TikTok Moderators Sue Over Work-Related Trauma


Former TikTok Moderators Sue Over Work-Related Trauma

Two former TikTok moderators are suing the social video app and its parent company, alleging that not enough was done to protect them from suffering emotional trauma as a result of viewing the graphic content they were hired to police.

In the federal lawsuit, filed Thursday and reported earlier by NPR, Ashley Velez and Reece Young, who both did moderation work for TikTok through third-party companies, say they spent 12-hour workdays reviewing "disgusting and offensive content" that left them emotionally scarred.

Some of the worst videos showed animal cruelty, child abuse, disturbing pornography and even killings, the lawsuit says.

Millions of videos are uploaded daily to the Chinese-owned app, which has more than 1 billion monthly active users. About 10,000 moderators like Velez and Young police its content to keep it free of the kind of imagery the lawsuit describes.

The suit alleges that TikTok and its owner, ByteDance, violated California labor law because they didn't provide adequate mental health treatment to help moderators deal with the anxiety, depression and post-traumatic stress that can be caused by such imagery. 

Both plaintiffs were contractors who worked for separate firms, but they allege in the suit that TikTok and ByteDance controlled their day-to-day work by directly tying their pay to how well they moderated content and by pushing them to hit tough quotas. The suit says they also had to sign nondisclosure agreements, preventing them from discussing what they saw with anyone.

Officials for TikTok didn't immediately respond to CNET's request for comment. They told NPR that the company "strives to promote a caring working environment for our employees and contractors."

In 2020, Facebook reached a $52 million settlement with a group of its moderators. That group filed a suit in 2018 that said the moderators had suffered similar post-traumatic stress as a result of the content they had to view.

The lawsuit against TikTok seeks damages and legal fees, as well as the establishment of a fund to pay for a medical monitoring program to manage ongoing screening, diagnosis and treatment of the two plaintiffs, as well as others who may join the lawsuit later.


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Best Budget Smartwatches Under $100


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Best Budget Smartwatches Under $100


Best Budget Smartwatches Under $100

Smartwatches are becoming more and more popular -- and for good reason. They can do numerous wonders, like keeping an eye on your overall health and well-being to taking calls on your wrist. However, well-known brands like the Apple Watch Series 7, Galaxy Watch 5Fitbit Versa 4 and Fitbit Sense 2 can get expensive. For people looking for a smartwatch that won't break the bank, we've curated a list of affordable alternatives. It's true that even the best smartwatch under $100 won't give you every feature the latest and greatest model will, but you can get a solid smartwatch with a lot of the basic tools that make these devices so convenient. 

These three watches work with all smartphones -- both iOS and Android -- and they come with great features like step, calorie, sleep and activity tracking, GPS, touchscreens, water resistance and a heart-rate monitor.

You can find my full impressions and reviews of each of these Android smartwatches in the video below, or read on for the cheat sheet.

Lexy Savvides/CNET

In addition to the basics that I listed before, this cheap smartwatch displays smart notifications from your Android device and has a sleep monitor. In fact, I found this budget smartwatch had the most accurate sleep tracking of the three watches in this comparison

Its 1.3-inch color display is decent, but doesn't get as bright as one of the other watches on this list. Plus you only get four watch faces to choose from.

The ID205L tracks eight workout types -- walking, running, cycling, climbing, yoga, treadmill cardio, hiking and stationary biking -- and can sync your fitness tracking data with Apple Health. This is the best smartwatch that tracks distance during an outdoor workout, you'll need to take your phone with you as this watch has connected GPS, rather than onboard GPS. 

The battery lasts for up to 10 days with regular use, which can be extended to 30 days if you keep it in standby mode. 

Lexy Savvides/CNET

This best budget smartwatch proves that looks can be deceiving, because the $65 price tag doesn't match its premium exterior and smart features. NDur's smartwatch has a sleek metal frame and comfortable strap, and the 1.4-inch color touchscreen was the brightest of the watches I tested for this. It's easy enough to see in direct sunlight.

It can track seven workout types: walking, running, cycling, skipping, badminton, basketball and football. It has connected GPS like the Fitbit Charge 4, meaning you'll need your phone on hand to track distance and see your workout route mapped.

Sleep tracking doesn't seem to be as accurate, however, as it thought I was sleeping while I was sitting on the couch watching TV and doing the dishes before bed. But it is the only one out of these smartwatches that monitors blood oxygen levels, or SpO2 on the spot. It can even monitor blood pressure with on-demand reading. That said, be aware that the notifications from this watch's app sensors are not medically cleared and should never be used to replace a medical device or to determine whether or not to seek treatment.

The battery lasts for around seven days of continued use.

Lexy Savvides/CNET

The priciest smartwatch on this list doesn't have as many features as its pricier sibling, the Amazfit GTS, but for it's here for good reason. Its 1.3-inch TFT touchscreen stays on at all times, similar to the Apple Watch Series 6, Galaxy Watch 3, TicWatch Pro, and Fitbit's Inspire and Sense watches, so you won't have to raise your wrist every time you want the time. The touchscreen doesn't look as premium as more expensive watches, but this watch does have a backlight.

The Bip S also has built-in GPS, so you can leave your phone behind when you're out for a run or another outdoor workout. It has the most robust exercise tracking, too, with support for 10 workout types: running, cycling, elliptical, treadmill cardio, walking, spin, weights/freestyle, yoga, indoor/outdoor swimming. It also automatically pauses your workout when it detects you haven't moved for a while. This affordable smartwatch has the biggest selection of watch faces to choose from, plus the option to customize some of the metrics displayed -- like weather, activity tracking or heart rate monitoring.

As for battery life, the company claims the Bip S can get up to 40 days of use on standby. But with regular use, including a few GPS workouts, you're more likely to get 15 days between charges.

Read our Amazfit Bip S review.

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