Applied Psychophysiology and Biofeedback

, Volume 29, Issue 1, pp 19–33 | Cite as

Yogic Versus Conventional Treatment in Diarrhea-Predominant Irritable Bowel Syndrome: A Randomized Control Study

  • Indu Taneja
  • K. K. DeepakEmail author
  • G. Poojary
  • I. N. Acharya
  • R. M. Pandey
  • M. P. Sharma


This study was conducted to evaluate the comparative effect of yogic and conventional treatment in diarrhea-predominant irritable bowel syndrome (IBS) in a randomized control design. The patients were 22 males, aged 20–50 years, with confirmed diagnosis of diarrhea-predominant IBS. The conventional group (n=12, 1 dropout) was given symptomatic treatment with loperamide 2–6 mg/day for 2 months, and the yogic intervention group (n=9) consisted of a set of 12 asanas (yogic poses, i.e., Vajrasana, Shashankasana, Ushtrasana, Marjariasana, Padhastasana, Dhanurasana, Trikonasana in two variations, Pawanmuktasana, and Paschimottanasana) along with Surya Nadi pranayama (right-nostril breathing) two times a day for 2 months. All participants were tested at three regular intervals, at the start of study—0 month, 1 month, and 2 months of receiving the intervention—and were investigated for bowel symptoms, autonomic symptoms, autonomic reactivity (battery of five standard tests), surface electrogastrography, anxiety profile by Spielberger's Self Evaluation Questionnaire, which evaluated trait and state anxiety. Two months of both conventional and yogic intervention showed a significant decrease of bowel symptoms and state anxiety. This was accompanied by an increase in electrophysiologically recorded gastric activity in the conventional intervention group and enhanced parasympathetic reactivity, as measured by heart rate parameters, in yogic intervention group. The study indicates a beneficial effect of yogic intervention over conventional treatment in diarrhea-predominant IBS.

diarrhea-predominant irritable bowel syndrome yogic intervention autonomic functions bowel symptoms electrogastrography 


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  1. Adeyemi, E. O. A. (1999). Autonomic dysfunction in patients with IBS by means of HRV studies. American Journal of Gastroenterology, 94, 816-822.Google Scholar
  2. Aggarwal, A., Cutts, T. F., Abel, T. L., Cardoso, S., Familioni, B., Bremer, J., et al. (1994). Predominant symptoms in irritable bowel syndrome correlate with specific autonomic nervous system abnormalities. Gastroenterology, 106, 945-950.Google Scholar
  3. Bhole, M. V. (1983). Gastric tone as influenced by mental states and meditation. Yoga Mimansa, XX11 (1/2), 54-58.Google Scholar
  4. Chen, J. D. Z., & McCallum, R. W. (1993). Clinical applications of electrogastrography. American Journal of Gastroenterology, 1324-1336.Google Scholar
  5. Deepak, K. K., Godbole, S. A., Kochhar, K. P., Shah, P., & Kochupillai, N. (1996). Autonomic dysfunction and peripheral vasodilatory response in diabetes. Indian Journal of Physiology and Pharmacology, 40, 325-329.Google Scholar
  6. Dossey, B. M., Keegan, L., Kalkiemer, L. G., & G.-Uzzetta, C. E. (Eds). (1989). Psychophysiology of bodymind healing. In Holistic health promotion: A guide to practice (pp. 53-67). MD: Aspen.Google Scholar
  7. Drossman, D. A., Whitehead, W. E., & Camillery, M. (1997). Irritable bowel syndrome: A technical review for Practice Guideline Development. Gastroenterology, 112, 2120-2137.Google Scholar
  8. Ewing, D. J. (1992). Analyses of heart rate variability and other non-invasive tests with special reference to diabetes mellitus. In R. Bannister, & C. J. Mathias (Eds.), Autonomic failure: A textbook of clinical disorders of autonomic nervous system (pp. 312-313). London: Oxford University Press.Google Scholar
  9. Guthrie, E., Creed, F., Dawson, D., & Tomensen, B. (1991). A controlled trial of psychosocial treatment for irritable bowel syndrome. Gastroenterology, 100, 450-457.Google Scholar
  10. Iyengar, B. K. S. (1968). Light on yoga. London: Unwin Hyman.Google Scholar
  11. Jebbink, H. J., Van. Berge., Hengeouwen, G. P., Bruijs, P. P. M., Akkermans, L. M. A., & Smout, A. J. P. M. (1995). Gastric myoelectrical activity and gastrointestinal motility in patients with functional dyspepsia. European Journal of Clinical Investigation, 25, 429-437.Google Scholar
  12. Joseph, S., Sridharan, K., Patil, S. K. B., Kumaria, M. L., Selvamurthy, W., Joseph, N. T., et al. (1981). Study have some physiological and biochemical parameters in subjects undergoing yogic training. Indian Journal of Medical Research, 74, 120-124.Google Scholar
  13. Kamm, M. A. (2000). Why the enteric nervous system is important to clinicians. Gut, 47, iv8-iv9.Google Scholar
  14. Lee, C. T, Chuang, T. Y., Lu, C. T., Chen, C. Y., Chan, F. Y., & Lee, S. D. (1998). Abnormal vagal cholinergic and psychological behavior in irritable bowel syndrome: A hospital based oriental study. Digestive Disease Sciences, 43, 1794-1799.Google Scholar
  15. Nagendra, H. R. (1997). Pranamaya body: Structure and balance. In Pranayama: The art and science. Bangalore, India: Vivekananda Kendra Yoga Prakashana.Google Scholar
  16. Punyabati, O., Deepak, K. K., Sharma, M. P., & Dwivedi, S. N. (2000). Autonomic nervous system reactivity in irritable bowel syndrome. Indian Journal of Gastroenterology, 19, 122-125.Google Scholar
  17. Ray, U. S., Hegde, K. S., & Selvamurthy, W. (1986). Effect of yogic asanas and physical exercises on body flexibility in middle-aged men. Indian Journal of Medical Research, 83, 343-348.Google Scholar
  18. Reddy, M. V. (1992). Yogic practices. Secunderabad, India: Vemana Yoga Research Institute.Google Scholar
  19. Richelson, E. (1982). Pharmacology of antidepressants in use in the United States. Journal of Clinical Psychiatry, 43, 4-11.Google Scholar
  20. Satyananda Saraswati. (1989). In Asanas, Pranayama, Mudra, Bandha (7th ed.). Monghyr, Bihar, India: Bihar School of Yoga.Google Scholar
  21. Selvamurthy, W. (1994). Yoga and stress management: Physiological perspective. Indian Journal of Physiology and Pharmacology, 38, 46-47.Google Scholar
  22. Shaw, G., Srivastava, E. D., & Sadlier, M. (1991). Stress management for irritable bowel syndrome: A controlled trial. Digestion, 50, 36-42.Google Scholar
  23. Smart, H. L., Mayberry, J. F., & Atkinson, M. (1986, July). Alternative medical consultations and remedies in patients with irritable bowel syndrome before and after treatment. Gut, 27, 826-828.Google Scholar
  24. Smith, R. C., Greenbaum, D. S., Vancouver, J. B., Henry, R. C., Reinhart, M. A., Greenbaum, R. B., et al. (1990). Psychosocial factors are associated with health care seeking rather than diagnosis in irritable bowel syndrome. Gastroenterology, 98, 293-301.Google Scholar
  25. Spielberger, C. D., Gorusch, R. L., & Lushene, R. E. (1970). STAI manual for state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
  26. Talley, N. J., Boyce, P. M., & Jones, M. (1997). Predictors of health care seeking for irritable bowel syndrome: A population based study. Gut, 47, 394-398.Google Scholar
  27. Talley, N. J., Phillips, S. F., Wiltgen, C. M., Zinsmiester, A. R., & Melton, L. J. (1990). Assessment of functional gastrointestinal disease: The bowel disease questionnaire. Mayo Clinical Proceedings, 65, 1456-1479.Google Scholar
  28. Telles, S., Nagarathna, R., & Nagendra, H. R. (1994, April). Breathing through a particular nostril can alter metabolism and autonomic activities. Indian Journal of Physiology and Pharmacology, 38 (2), 133-137.Google Scholar
  29. Telles, S., Nagarathna, R., & Nagendra, H. R. (1996, Winter). Physiological measures of right nostril breathing. Journal of Alternative Complementary Medicine, 2, 479-484.Google Scholar
  30. Tougas, G. (2000). The autonomic nervous system in functional bowel diseases. Gut 47, iv78-iv78.Google Scholar
  31. Udupa, K. N. (1978). Disorders of stress and their management by Yoga. PhD Thesis, Banaras Hindu University, Varanasi, India.Google Scholar
  32. Whitehead, W. E. (1988). Symptoms of psychological distress associated with irritable bowel syndrome. Gastroenterology, 95, 709-714.Google Scholar
  33. Whitehead, W. E., Engel, B. T., & Schuster, M. M. (1980). Irritable bowel syndrome physiological and psychological differences between diarrhea-predominant irritable bowel syndrome and constipation predominant irritable bowel syndrome. Digestive Disease Sciences, 25, 404-413.Google Scholar
  34. Wu, C. L., Denq, J. C., Harper, M., Brien, P. C. O., & Low, P. A. (1998). Clinical and electrophysiological attributes as predictors of results of autonomic function tests. Clinical Autonomic Research, 8, 347-351.Google Scholar

Copyright information

© Plenum Publishing Corporation 2004

Authors and Affiliations

  • Indu Taneja
    • 1
  • K. K. Deepak
    • 1
    Email author
  • G. Poojary
    • 1
  • I. N. Acharya
    • 2
  • R. M. Pandey
    • 3
  • M. P. Sharma
    • 4
  1. 1.Department of PhysiologyAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Central Council of Research in Yoga and NaturopathyAll India Institute of Medical SciencesNew DelhiIndia
  3. 3.Department of BiostatisticsAll India Institute of Medical SciencesNew DelhiIndia
  4. 4.Department of GastroenterologyAll India Institute of Medical SciencesNew DelhiIndia

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