Treatment of Upper Gastrointestinal Symptoms Using Hypnotherapy Sessions

Eligibility Criteria

• * Patients will meet criteria for at least one upper GI DGBI including functional dyspepsia, any nausea/vomiting disorder, or functional abdominal bloating. Lower GI DGBIs, such as IBS, are allowable if the primary symptom is either an upper GI symptom or bloating/distension.
• * Participants will have previously undergone test of gastric emptying of solids using the standardized Mayo Clinic scintigraphic method (4h 320kcal egg, 30% fat meal) and will have \<25% retained at 4 hours to meet inclusion criteria. Patients with current untreated H. pylori infection will be excluded.
• * Patients with known disaccharide intolerances may be included if dietary restrictions are maintained during the duration of the study.
• * Patients utilizing cannabinoid based substances may be included if no dose changes are made during the duration of the study
• * Patients will be proficient in English language for comprehension of content
• * Patients will have reliable access to digital delivery systems for content and questionnaire access via smartphone over the course of the study and follow up period.
• * Patients with known current diagnosis of small intestinal bacterial overgrowth (SIBO), gastroparesis, rumination syndrome, chronic intestinal pseudo-obstruction, advanced connective tissue diseases (e.g. scleroderma), and uncontrolled inflammatory bowel disease (IBD) will be excluded.
• * In patients with predominant bloating symptoms and constipation, those with untreated pelvic floor dysfunction will be excluded. If the predominant symptoms are nausea/vomiting or dyspepsia, or if constipation is not present, then pelvic floor dysfunction will not be exclusionary.
• * Patients who have a history of cognitive delay, traumatic brain injury with residual deficits, history of cerebral vascular accident with residual deficiencies in cognition, dementia, shall be excluded
• * Patients with significant psychiatric illness with component of psychosis (schizophrenia, bipolar disorder), as well as severe untreated major depressive disorder with suicidal ideation will be excluded
• * Patients with substance abuse disorders and drug addiction will be excluded.
• * Patients who are unlikely to comply or unlikely to benefit from psychotherapy-based interventions may be excluded at the direction of medical screening provider or principal investigator.
• * Standard inclusion criteria will include: ability to provide informed consent, absence of other diseases (structural or metabolic) which could interfere with interpretation of the study results.
• * Stable doses medications are permissible, but dosing should not be changed during study period.
• * Patients who are pregnant.