###Human: Can stress cause bowel disturbances? ###Assistant: Hi. The paraaortic lymph nodes mentioned in the report (attachment removed to protect patient identity) is almost in normal limit. The enlargement will become significant only if you have pain in the abdomen or fever or weight loss. There could be many causes for bowel disturbance example: IBS (irritable bowel syndrome), IBD (inflammatory bowel disease) or reflux of the gastric content that would also cause burning of the chest. In your case, it appears to be benign. We need more information about your bowel habits such as whether you have constipation or not. Stress is a very important cause of bowel disturbance, one should alleviate all kind of stress to get rid of these problems. Treatment plan as advised previously. Preventive measures as advised previously.