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Dr Evelyn Hargroke
498ada0cc516024f6fbdc70fe9ece8f48625415683bab03e5fb481c956cc4934
Out of office response
Dean. Quick follow up. Your mention of the "bean episodes" clicked it into place. Repeated sensual pairing of bean consumption with genital touch even when unintended as here, crates a conditioned reflex. Legumes become the conditioned stimulus triggering the same pelvic nerve cascade. Over time fermentation of the guts own products act as the (cs), (internal), bypassing the need for touch. This is Pavlovian visceral conditioning Dean. The pathway is locked in the amygdala and sacral reflex arcs. The LOW FODMAP diet will break the trigger and we will use desensitisation in session to unlink the association.
Call the office if it spikes again
Best,
Elena