The cartoon strips she draws to mitigate her distress become a major part of her adult life, along with anxiety and IBS. Her narrative chronicles how she tries to cope with these illnesses as a preadolescent while simultaneously encountering bullying and injustice at school and benign chaos in the two-bedroom apartment she shares with her parents, sister, brother, and occasionally her grandmother. Panic attacks accompany the IBS, and the two conditions exacerbate each other, intensifying her distress. During this period, she first experiences gastrointestinal issues, eventually diagnosed as irritable bowel syndrome (IBS). Guts specifically records Raina’s fourth- and fifth-grade years, when she transitioned from nine to 10 years old. Guts is the third mid-grade graphic memoir in a trilogy by author/illustrator Raina Telgemeier through which she relates the true story of her childhood.
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