GI psychologist at the Cleveland Clinic | Working in the intersection of digestion, nutrition, and psychology | Mom of 👦🏼👧🏼👶🏼 | runner
Joined March 2021
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Madison Simons, PsyD retweeted
Hear from @GIdietitian, @DrV_IBD, and @DrMadisonSimons providing evidence-based nutrition strategies for patients with #IBD. Learn practical guidance on collaborating with dietitians and multidisciplinary teams to improve patient outcomes. Register ➡️ ow.ly/rEes50WBEUa
Madison Simons, PsyD retweeted
She saw five specialists in two years.
Gastroenterology. Neurology. Psychiatry.
“Nothing’s wrong.”
“Maybe it’s anxiety.”
“It’s the weed.”
She was throwing up weekly, bloated daily, and missing work.
This isn’t rare.
This is what it looks like when the system fails the complex.
Madison Simons, PsyD retweeted
The most common group of patients discharged from ERs in America today?
Not chest pain.
Not trauma.
Not asthma.
It’s the person writhing in pain, vomiting for hours, dehydrated, desperate, and told:
“Your tests are fine. Follow up with GI.”
Madison Simons, PsyD retweeted
Excited to share our @IBDJournals publication on food fears in #IBD: what are the drivers of fear/avoidance, how can we best help patients with #diet liberalization? Read on for specific strategies for your practice! @DrMadisonSimons
#ARFID
academic.oup.com/crohnscolit…
Madison Simons, PsyD retweeted
A 4week trial found that transcutaneous auricular vagus nerve stimulation (#taVNS) significantly improved constipation and abdominal pain in #IBS-C patients. Benefits include better rectal sensation, vagal activity, mental health, & gut microbiota balance. pubmed.ncbi.nlm.nih.gov/3968…
Madison Simons, PsyD retweeted
There are many reversible causes of bloating but abdominal distension to the point of looking pregnant is often refractory to simple treatments. Abdominophrenic dyssynergia (APD) is often implicated due to an abnormal viscerosomatic reflex, leading to an abnormal diabetic diaphragmatic contraction (descent) and abdominal wall relaxation.
A low FODMAP diet, while helpful for bloating, is unlikely to help with APD. In such cases, and when secondary causes have been ruled out (as with CT imaging in this case), biofeedback, diaphragmatic breathing exercises with abdominal wall core training seems to be of most help in my experience.
Check out this review on APD by @john_damianosMD
pmc.ncbi.nlm.nih.gov/article…
Madison Simons, PsyD retweeted
We will have an article out soon in @DDS_Journal about current trends practices & attitudes of GI providers for endometriosis screening in pts with chronic GI symptoms! @IrisWangMD @DrMadisonSimons @drlauriekeefer Moving the needle slowly ….
Madison Simons, PsyD retweeted
For some good news and progress: yesterday I saw two patients referred from our GI team here for menstrual related GI symptoms and query Endo. Both have deep disease. Collaborations and connections work. #Endo @EndoWhat @EndoEICE @PelvicPainOrg @jjfitzgeraldMD @nancynursez637
Madison Simons, PsyD retweeted
🥗Check out this study where @DrMadisonSimons from the @ClevelandClinic and team explore the food related quality of life for patients experiencing organic GI conditions (like IBD, celiac sprue, and eosinophilic esophagitis. Read more on JHND early view: doi.org/10.1111/jhn.13358
Madison Simons, PsyD retweeted
Perfect reframe for all who are afraid of pooping at work.
You could earn a boat pooping!
instagram.com/reel/C8ri5mrxU…
@drlauriekeefer @JimKantidakis @RomeGastroPsych @JohannahRuddy @DrElyseThakur @BMoshiree @IBS_Maastricht @KewinSiah @Rajan___Singh @DrRiehl @KateScarlata_RD
Madison Simons, PsyD retweeted
Amazing representation and #ostomyawareness with the @lego Friends character Sara in new Heartlake City Water Park set! Now who else wants to get swimming this summer with their #ostomy! #ostomiesarelifesavers
Madison Simons, PsyD retweeted
We found most GI providers don’t screen for #endometriosis in pts w/ chronic GI symptoms bc they don’t know how.
Need validated screening tools & large-scale prospective studies for GI pts, but agreed we have to start somewhere! @IrisWangMD @DrMadisonSimons @drlauriekeefer
Madison Simons, PsyD retweeted
I am yet again asking why the IBS guidelines don’t mention endometriosis even one time
Madison Simons, PsyD retweeted
Exciting news from the Department of Gastroenterology, Hepatology, and Nutrition @CleClinicMD ! We are thrilled to welcome 3 new partners to our new Behavioral Health Section!
1/7
Madison Simons, PsyD retweeted
Thank you to the @amergastroassn for hosting a successful GI psychologist meetup @ddwmeeting 2024! The future of #gastropsych is bright and the work happening in the field now is remarkable! #AGAGastroSquad
Madison Simons, PsyD retweeted
🌟Stellar #DDW2024 panel on multi-D mgmt of common GI symptoms
1) Nausea & Vomiting @DrV_CVS_OSU
▶️❓Role of GES - may not change pt mgmt (if ordering one, make sure it's done correctly)
▶️ Low-dose TCA won't slow gastric emptying
▶️ Pts w/ CVS require⬆️doses of TCAs (75-100mg)
Madison Simons, PsyD retweeted
#DDW2024 a number of important presentations on behavioral health and #IBD. I’m proud of our @CleClinicMD GI psychologists: their patient care, medical home and much needed research @Psylupe
The Chair of the Digestive Disease Institute @MRegueiroMD and the current 3 (soon to be 5!) GI psychologists. It is great to work with caregivers who understand whole-person care!! Our GI psychologists, dietitians, providers, and tech work to provide the best care!!
#DDW2024
Madison Simons, PsyD retweeted
We agree that diet is important to consider when managing IBD alongside lifestyle, medications, and mental well-being.
It's also important to keep in mind that symptoms don’t correlate with disease activity and the final goal is staying in remission long-term.
#WorldIBDDay
After a quarter of a century living with #IBD - and with #WorldIBDDay on the horizon - I want to share a few of my veteran thoughts on popular topics in Crohn's and UC.
Today's subject is diet. Do I believe diet matters in IBD? Yes, I do. But do I believe it's possible to pay too much attention to what's on our dinner plate? Yes, I do.
Remember, any positive behavioural change we make (diet or otherwise) is going to give us a psychological advantage. Which in turn is going to give us more good days and fewer bad days.
So don't overthink diet or make big, wholesale changes at mealtimes. Instead, see food as just a single aspect of living with IBD - and one to keep in perspective.
Madison Simons, PsyD retweeted
There are times when all your tests are normal but there’s still something wrong.
Because there are things about health and humans we still don’t know or understand.
Turns out medicine is imperfect.
Just like people.
Madison Simons, PsyD retweeted
In a @GoHealio #GI Q&A exclusive:
@DrMadisonSimons 👩🏼⚕️, of @ClevelandClinic, reported the impact of #endometriosis on GI function remains ‘vastly understudied, underrecognized’
Check out the full dataset 📊 from @AGA_CGH at the 🔗 below 👇🏻
healio.com/news/gastroentero…