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Raina wakes up one night with a terrible upset stomach. Her mom has one, too, so it's probably just a bug. Raina eventually returns to school, where she's dealing with the usual highs and lows: friends, not-friends, and classmates who think the school year is just one long gross-out session. It soon becomes clear that Raina's tummy trouble isn't going away... and it coincides with her worries about food, school, and changing friendships. What's going on?

Raina Telgemeier once again brings us a thoughtful, charming, and funny true story about growing up and gathering the courage to face—and conquer—her fears.

144 pages

First published September 17, 2019

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Raina Telgemeier

52 books15.8k followers

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5 stars
31,940 (53%)
4 stars
17,526 (29%)
3 stars
8,026 (13%)
2 stars
1,685 (2%)
1 star
625 (1%)
Displaying 1 - 30 of 4,792 reviews
Profile Image for Carmen.
2,070 reviews2,325 followers
October 4, 2019
Middle-grade book. Raina starts fifth grade. I liked this book, but it doesn't really have much of a plot. Raina starts to struggle with anxiety, panic attacks, having a very sensitive stomach, and dealing with a mean girl at school.

She ends up in therapy, which the book sweetly makes clear is not a big deal or something to be ashamed of.

There's not a cohesive storyline, and that probably won't bother most people, but for me it makes a book less enjoyable.

As usual, Telgemeier makes books with wonderful illustrations that involve realistic kids going through realistic problems (ha ha ha, maybe with the exception of Ghosts). The only reason I struggled with it is because it's not really about anything nor does it have the typical hallmarks of plot.

I'd liken it to something like Are You There God? It's Me, Margaret but with less of a cohesive, structured storyline. If you like Telgemeier's other books you will probably enjoy this.



NAMES IN THIS BOOK
Profile Image for Calista.
4,771 reviews31.3k followers
October 2, 2019
I love Raina's books and this is another entry in the Smile series. Raina has a special gift for graphic novels. It is also the first story I have seen for younger kids bout IBS.

I tell you, Raina dealt with some tough stuff. She had some severe dental work to contend with and she has had to figure out how to live with IBS. She also shares them so beautifully with us.

My niece is going to read this next now that I'm done. She loves the other 2 smile books. She can have stomach issues, so I hope this can show her it's nothing to be worried about.

I love the comic feel of the story and all the color. These are great middle grade books. Raina is queen of this age range. Enjoy.
Profile Image for Dave Schaafsma.
Author 6 books31.9k followers
August 30, 2020
"For anyone who is afraid."

Eisner 2020 winner Raina Telgemeier, Guts (Scholastic Graphix)!!!

Yet another graphic novel for older children/middle grades by rock star graphic novelist Raina Telgemeier, and this one is maybe her most serious and personal, dealing with her lifelong (and continuing!) anxiety, phobias and panic attacks connected to her digestive system. A doctor diagnosed her as having irritable bowel syndrome, so she has some real sensitivities but they are exacerbated by stress.

Though it is intended to connect to others who have similar problems, this book made me uncomfortable and a little anxious throughout, since for many early years of my life I had stomach issues related in part to anxiety, partly genetic. For years in my twenties I suffered from colitis as did several other family members. I also had panic attacks for about one year of my life in my late thirties when I was in grad school. Just that year, thank goodness.

And now I am teaching a course on the teaching of writing, in the middle of a unit on writing visual essays, inviting them to write on any topic they want and more than a third of the class is writing about mental health issues, anxiety, depression. I am seeing a kind of epidemic of anxiety/stress/depression and so on in classrooms everywhere, which means life everywhere, way worse than when I began teaching decades ago.

Here's an article on Raina and the crisis in anxiety in kids:

https://www.nytimes.com/2019/09/17/bo...
Profile Image for Truebluedah ♪.
163 reviews21 followers
September 22, 2019
Goodreads: Raina Telgemeier is releasing a new book!

Me:



9/3/19: Y’all, after attending Raina’s Presentation at the NBF, I got a sneak peek. It looks very good and extremely relatable. I’ve request it already and I’m so excited!
Two weeks left! :D

9/17/19:
I finally read it.

Here’s my review..
Let’s all rise for our national anxiety anthem.

https://www.youtube.com/watch?v=sO4nm...

You may be seated.


This book was emotional. This book was painfully relatable. This book gave me a stomach ache. And I am ok with that.

To say that this book is relatable would be an understatement.
In fact, I’m probably gonna bring this book to therapy so I can explain my thoughts without having to come up with the idea myself.. thanks, Raina! 💙

It’s so painful to have to hold in the anxiety and terror that is ibs.
I don’t have ibs but I do have constant anxious stomach, was almost diagnosed with ibs before I was diagnosed with lactose intolerance and anxiety. In summer of 2018, I began to suffer form horrible upset stomachs. These terrified me more than anything else ever had. It got to the point where I was scared to eat most days and
**TRIGGER WARNING**
I ended up in the hospital for a suicide attempt because that’s how bad it got. Unbeknownst to me, I was lactose intolerant. So I kept eating dairy, getting upset stomachs, and getting bad anxiety.

Eventually though, I made a full mental recovery. Now I just live my life doing my best to survive through the anxiety that does still exist in my brain.
So yeah, that’s my story.
Raina’s story was very inspiring and it’s so cool to see her be so brave to share this part of her life.
❤️

Overall, this book was inspiring, relatable and a book everyone should read.
🥑🥑🥑🥑🥑
Profile Image for Tova.
635 reviews
Shelved as 'dnf'
November 6, 2019
I'm "DNFing" this book because I read a sample, and as much this sounds like it would be hella relatable, I honestly think it would be incredibly triggering, and I don't need that in my life. I have severe emetophobia, and chronic stomach pain, and I don't need more anxiety. Perhaps at some point, I will actually read it, but not right now.
---
Do you ever feel like someone is writing about your life? As someone with chronic stomach pain, this sounds painfully relatable.
Profile Image for Jessica.
Author 24 books5,803 followers
October 14, 2019
The #1 Bestselling Book in America the week it debuted hardly needs my endorsement, but Imma give it to you anyway: Read Raina's books. Guts, like Smile and Sisters, was a damn delight. I love the way she draws, I love the frank and funny way she tells the story of her childhood. Smile focused on the drama when she smashed her front teeth, but also dipped into the rest of what was happening in her life. Sisters was the tale of a road trip, but also about her life and her relationship with her sister, and now we have Guts, a book that I wish that I, personally, had had as a kid. Not only do I have IBS, and have had stomach aches and "nervous stomach" since childhood, but while I don't have anxiety, I do have depression, and I wish I had had books like this as a kid to show me that I was not alone, not a freak, and not about to die! Raina's the 21st century Judy Blume, explaining Life to kids, just with less talk about giant maxi pads or bras.
Profile Image for Scott Rhee.
2,062 reviews108 followers
July 1, 2024
It warms my heart to see my 9-year-old daughter have certain books that she loves and carries around with her always. I used to do that with certain books—-“Tales of a Fourth Grade Nothing” by Judy Blume and “The Mouse and the Motorcycle” by Beverly Cleary were probably my top two.

Her favorite author is Raina Telgemeier, who—if you don’t know already—-is the queen of middle school age graphic novels. Seriously, she’s ridiculously popular among the age groups of six to thirteen, and several of her books have won the prestigious Will Eisner Award in that age group. (The Eisner Award is basically the Oscar for the comic book/graphic novel industry.)

“Guts” is about a young girl named Raina who is afflicted with stomach pains and a constant fear of throwing up. (It’s a real phobia, by the way, called emetophobia.) Raina reluctantly goes to talk therapy after numerous doctors run tests and find that there is nothing physically wrong with her. The therapist helps her to realize that her problems with her stomach are caused by severe stress brought on by fears of doing well in school, puberty, and trying new foods. Every new stress, like her best friend moving away, seems to add to her problem. The therapist offers some useful methods, like mindfulness and relaxation techniques, to help her deal with them.

Apparently each of Raina’s books are semi-autobiographical, recounting incidents or issues that she dealt with in her own childhood. They are very funny but also deftly handle touchy subjects that one may not find in typical graphic novels for kids. “Guts” is a great book for kids who are dealing with an unusual amount of stress and fear or not knowing how to deal with it in a healthy way.

It’s kind of sad that kids today are dealing with an unusual amount of stress, but it’s honestly not surprising, what with lockdown drills and more homework and social media and what’s going on in the world. Books like “Guts” offer over-worried kids a kind of literary hug and a message of “It’s going to be okay.”
Profile Image for Karissa.
221 reviews27 followers
June 12, 2019
Thank you to Scholastic for the Advanced Reading Copy. This review contains spoilers, and is written from the perspective of a children's librarian.

It's been 5 years since Sisters, the sequel to Smile, was published. From my experience working in libraries, interest in the series has only increased over time. When I visit grades 4 - 6 and ask if anyone has read the Smile series, almost every hand goes up - boys included! For that reason alone, the 3rd book in the series is a must purchase for public and school libraries.

Beyond that, Guts is phenomenal. The best book in the series thus far. The pacing, dialogue, humor, and subject matter shows that Raina Telegemeier is truly a master graphic novelist at the top of her game.

As with Smile and Sisters, Guts is based on elements of Raina's middle grade life. Where Smile is about Raina's insecurities about her braces, and Sisters is about her difficult relationship with her sister, Guts is about her anxiety. At first Raina develops a phobia of throwing up. She experiences a panic attack at the thought of getting sick. While the feeling is difficult to explain in words, Raina does an apt job communicating the feeling through images of the character falling through the bathroom floor while struggling to stay above. Her anxieties expand to include social situations and eating. Eventually her parents have her see a therapist. I found the therapy scenes to be especially well done and realistic. Raina is anxious about therapy, but her therapist is patient and understanding, often encouraging her to just "try," even when the words don't come easily. In the end Raina receives a diagnosis related to her upset stomach, and learns coping mechanisms for her anxiety.

The book also depicts a tense friendship between Raina and another girl in her class. Both girls feel that the other is unfairly unkind to them, but are able to open up and realize that they aren't so different after all.

Readers of all ages will take away real mindfulness practices such as grounding and deep breathing. The book will help destigmatize mental health issues and going to therapy. I appreciate Raina telling her story with such honesty and using her platform to help children understand how to get help.

This book is easily readable in one sitting, and I can imagine many children will do just that.
Profile Image for Schizanthus Nerd.
1,308 reviews274 followers
January 10, 2020
While I love the artwork in Raina’s graphic novels this is the first of her Smile series that I’ve actually finished reading. Given how popular her graphic novels are I think my not falling in love with them is probably an ‘it’s me, not you’ thing.

Even though I don’t have emetophobia I’m so glad I didn’t read this graphic novel while I was eating, as it definitely depicts a significant amount of vomiting, fear of vomiting and other stomach upsets.

(Not a spoiler but this image could trigger people with emetophobia)

While I’m not keen to reread this graphic novel I did really love the illustrations. I also learned something new: if you drink water after eating artichokes it takes sweet. I found that tidbit really interesting, but I wasn’t quite as smiley when I found out it also works if you reverse the process.
description
I loved the message that it’s perfectly okay to need therapy and I thought anxiety was portrayed realistically.
description
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While there are plenty of relatable moments for readers with anxiety, I’m not sure how well people with emetophobia would manage while reading this graphic novel.

I’m rounding up from 3.5 stars.
Profile Image for Sophia Triad.
2,240 reviews3,658 followers
August 31, 2020
This book is awesome for a lazy Sunday afternoon snuggling under blankets.
Raina has tummy problems.
One after the other, her thoughts revolve around food, what her family eats, school, what if she embarrass herself at school, what if her friends don't want her anymore.
Slowly she becomes more confident about herself.
November 21, 2019
Raina Telgemeier is an A+ writer.

Her books are aimed towards middle-grade, but I think that everyone can get something from her stuff.

It was fun to read this because it really gave some new info about Smile and Raina's relationship with her friends.

As always, the artwork was out of this world.

So well-written. A lot of kids (and teens, and adults) will find this painfully relatable.

5/5 stars.
Profile Image for Sara the Librarian.
808 reviews686 followers
November 6, 2019
If you follow my reviews at all you know by now that I'm a HUGE fan of almost anything that makes the effort, especially for young readers, to normalize things that have historically been hidden or discussed in hushed tones or labeled "not something we talk about." I think we need to begin stepping away from keeping things like mental health issues and addiction anonymous and the sooner we can do it with our kids the better off we're all going to be.

I, and god knows how many other people, struggled for years and years with crippling anxiety and depression. It affected, quite literally, every single part of my life. I didn't even know how bad it was until it started getting better. And without a doubt two of the biggest roadblocks in my recovery were feeling like this was something "wrong" about myself that I needed to hide and a firm belief that I should be able to get things under control myself. Which ironically made everything infinitely worse.

So thank Christ for books like this is what I'm saying!

This fantastic, semi-autobiographical graphic novel should be mandatory reading for practically every kid in the world which is basically true of all Raina's wonderful books but this one is especially important. Because it puts anxiety in a place that any kid can relate to.

Firmly in the bathroom.

Grade school aged Raina wakes up one night with a stomachache. At first it seems like just the same run of the mill flu everyone in school has but it starts Raina's brain tumbling into total chaos. What if she throws up in school? Should she eat that chip her friend is offering her? Did they wash their hands? What if that food makes her sick? What if someone else throws up?

Before long she's developed a phobia about food and throwing up to the point where she's missing school and literally making herself sick. Fortunately her parents get her to an understanding therapist who helps Raina start to get a handle on the actual things in her life that are causing her stress and anxiety and giving her a safe place to talk about them.

While its a very common manifestation of anxiety Raina's chosen like the perfect way to show younger readers what anxiety actually looks like. She even sets the story up with a reminder of how funny kids find bathroom stuff. The entire intro is devoted to Raina and her friends delighting in all things disgusting; farts, and scabs, and vomit. It makes it all the sadder when Raina loses that sort of innocent fascination and sense of icky fun and has it replaced instead with fear.

Raina also wisely stays away from portraying herself as a perfect, put upon victim. She's mouthy and obnoxious and kinda mean sometimes because dealing with mental health issues doesn't preclude you from being a jerk.

I also like that's there's no simple fix here. She doesn't figure it all out or immediately get a handle on stuff. Self care and dealing with mental health are long term, often life term commitments. Taking care of yourself is hard work!

Most importantly the book is incredibly optimistic and positive about dealing with anxiety something that, in my opinion, is possibly the most important thing to be telling young kids dealing with it. It encourages its readers to turn to the people who care about them for help and not to feel ashamed of what they're going through.

There's a wonderful moment at the end of the book where Raina, now more comfortable with her issues, admits to what she's been struggling with at a sleepover with her girlfriends. To her surprise, one by one, they all reveal some of their own "secrets" and with a mix of shock and happiness Raina actually sees for herself that she's far from the only person dealing with something that scares or upsets her.

There's going to be many times in a child's life when they'll need reminding that they're not alone in the daily struggle of just being alive. This is a great book to hand them when that happens.
Profile Image for Manybooks.
3,454 reviews104 followers
October 1, 2020
Albeit that I have once again and certainly noticed author and illustrator Raina Telgemeier’s childhood very much reflected in my own past and innermost soul, I also do have to admit that Guts has in fact been so extremely close to my own personal experiences with both anxiety and IBS (Irritable Bowel Syndrome) that much of Telgemeier’s text (as well as of course her accompanying artwork) have felt rather personally uncomfortable and thus also not always all that enjoyable and pleasant a reading experience (and this in particular since I also was and remain rather envious of the fact that Raina’s parents obviously repeatedly took her to both the doctor and then to therapy, whilst my parents tended to usually just scoff at my anxieties and tell me to suck things up and not to make such a fuss).

Still Guts does indeed and thankfully present an important message that school, that childhood can be horribly stressful and that we should also not be so closed and secretive about telling our friends and our families about our problems, that the stigma of having to go to therapy, that having anxiety and a sensitive stomach should not really ever be such a big and huge deal (and which I do think Raina Telgemeier successfully shows with Guts, especially since this is her own story, her own childhood issues with IBS and general anxiety, although truth be told, I actually have found the author’s note even better than the main textual and illustrative body of Guts). Four stars for what Guts has achieved (for showing Raina Telgemeier’s anxiety and stomach issues clearly and with a strong lesson that anxiety, medical issues etc. should not face so much scrutiny, secrecy and stigma) but I am going to lower my rating to three stars because to and for me, in particular how Michelle and Raina end up burying their hatchet and become if not friends then at least no longer enemies has felt more than a bit rushed and should have (in my humble opinion) been given a considerably longer textual treatment.
Profile Image for Jen (Finally changed her GR pic).
3,047 reviews27 followers
June 1, 2019
Absolutely amazing and brave of Raina to share her story to help others who might be going through the same thing. Highly recommended for children who are anxious and nervous. They may benefit from this book. 5 stars, all the way!
Profile Image for Scottsdale Public Library.
3,412 reviews326 followers
Read
May 10, 2022
In Guts, part of the graphic novel memoir series by Raina Telgemeier, the focus is on Raina's struggle with food and emetophobia (fear of vomiting or feeling / getting sick). It is a topic that is not commonly discussed in a format for young readers - and I appreciated Telgemeier's candor. Highly recommend to readers of all ages; Guts could be especially helpful for kids struggling with anxiety and 'gut' issues - and their parents, caretakers, families, and teachers. (Guts is the 3rd book in the Smile series, but chronologically is first and could be considered a 'prequel' to Smile. It can be read out of order or as a stand-alone book.)

--Diana F.
Profile Image for laurel [the suspected bibliophile].
1,731 reviews645 followers
November 12, 2019
Raina enters fifth grade—and starts to get weird stomachaches. Nothing is wrong, but she feels awful!

I really enjoyed this graphic novel, which aptly talks about anxiety and all of the wealth of health issues that having a lot of stress and anxiety can produce on your body—and how your mind can latch onto things and run with it, particularly in the tumultuous time that is fifth grade and puberty.

Raina is an incredibly relatable protagonist, with fears of not fitting in, of over-reacting, of being bullied but being disciplined for reacting to the bully, of her stomach and of vomiting. She doesn't overcome them, but she does learn tools to help her navigate her body and her world (and to mitigate spirals) with therapy and supportive parents.

Definitely a must-read for children who are worried about worrying—and about their changing friend groups.
Profile Image for Jen Cline.
36 reviews12 followers
June 1, 2019
Read in one sitting. Raina can do no wrong. I personally feel this is her best yet.
Profile Image for Prabhjot Kaur.
1,063 reviews199 followers
January 22, 2022
Raina is ten years old. After contracting a stomach bug and throwing up all night along with her mother, Raina becomes wary of artichokes as that's the last food she ate before throwing up. She is shy and becomes scared when she has to give a presentation in front of the whole class. That fear makes her stomach hurt and she becomes even more scared of all the foods she's eating or the people around her are eating.

Any time Raina is in an awkward or stressful situation, her stomach hurts and she wants to puke and she's scared of puking, and in order to not puke, she stops eating. Her parents take her to a therapist and slowly she learns to navigate her fears and take control. She also finds out that she has IBS (Irritable bowel syndrome) and she starts to share her fears with her friends. When she learns that her friends also have fears, Raina becomes at ease.

Wow! this was such a simple but highly important concept that is handled rather well by Raina Telgemeier. The story is simple yet effective and the illustrations whilst graphic work really well. I think this is a perfect way to teach young kids about IBS and anxiety and that they aren't alone. What's even better is that it is inspired by the writer's own life struggles and experiences. Educative and cute. I also liked the author's note at the back.

4 stars
Profile Image for Elizabeth A.
1,981 reviews111 followers
October 13, 2019
This graphic memoir is targeted for middle grade/ young adult readers and explores the author's issues with anxiety, panic attacks, and phobias. I appreciate that mental health has started to come out of the closet, and that people are more comfortable talking about it. There is much work to be done here on a variety of fronts, but talking about ways to address and help kids deal with some of these issues head on can only be a good thing. As always the art is cute and colorful, and in this installment the author does a deeper, more personal dive into these topics, without dumbing things down for kids. This is my fave of her works.
Profile Image for Sanjana.
127 reviews38 followers
October 14, 2020
Why didn't we have such cute graphic novels with warmly real stories to read when we were little? Or maybe we did & I just never got to read them.

I literally stole this copy from my little cousin, finished it in less than 2/3 hours, so she never found out it was missing & the book was back in her rack. (She hadn't read it yet, so she wasn't letting me borrow it).

This book is about a young Raina and her phobia with certain kinds of food and throwing up.
Although it wasn't relatable for me because I have never had strong aversion towards some food, that doesn't make the book any less honest or real.

It's funny, fantastically drawn and great for a quick read!

Profile Image for Amin.
Author 14 books205 followers
May 17, 2021
این کتاب رو برای یکی از بچه‌های فامیل خریده بودم، چون خیلی از همه‌چی می‌ترسید. قبل از هدیه دادنش، تصمیم گرفتم خودم بخونم. لذت بردم. واقعاً کتاب خوبی بود. مسائل خیلی خوبی توی کتاب مطرح می‌شه، طنز ظریف خوبی داره و چون نویسنده تجربه‌ی شخصیش رو نوشته، کاملاً باورپذیره. این نظر منِ بزرگسال بود. اما برای اینکه بدونین کتاب توی هدفش کاملاً موفق بوده، همین رو بگم که بعد از اینکه اون کودک کتاب رو خوند، ازش پرسیدم چطور بود و گفت: «حس می‌کنم دیگه کمتر می‌ترسم.»
Profile Image for annelitterarum.
316 reviews1,583 followers
October 2, 2021
Les romans graphiques de Raina Telgemeier sont toujours tellement frais!!! Ça aborde l’anxiété avec Courage et je ne pourrais pas plus aimer me replonger dans les illustrations de celle qui a bercé mon enfance
Profile Image for Uzma Ali.
126 reviews1,727 followers
August 15, 2021
Yeah, another Raina Telgemeier graphic novel. 5 stars for the nostalgia. Will not accept anyone saying that it is lower than a 5 stars. These books are my comfort books.
Profile Image for Rod Brown.
6,383 reviews235 followers
September 22, 2019
Telgemeier shares her struggles with anxieties and phobias and their effect on her digestive system. The book contains a great message for kids even if it isn't Telgemeier's most captivating work.

I admit I may be holding this book at a little distance as I have people in my life who struggle with similar problems.
Profile Image for Jessica.
587 reviews47 followers
February 1, 2021
My oldest kid (male, 9) has read this repeatedly and casually told me last night that he'd like to go to therapy because it sounds interesting, so I am extremely grateful for this book.
79 reviews2 followers
January 1, 2020
I bought this for my daughter who stresses about her tummy - after she read it, she hugged me and cried and said that she didn’t know anyone else felt like she did.
Profile Image for Crowinator.
844 reviews375 followers
September 24, 2019
I loved this book and could have really used it when I was a kid. I was this kid, only I didn't tell anyone about my anxiety, nausea, and emetophobia, and I had no idea therapy existed for such problems. I manage well now, but even when I was a college student, I made sure to sit in the aisle seat in case I had to run out unexpectedly, at movies, at restaurants, at class; I avoided airplanes and buses where I would be trapped without an escape if I was sick; and I never talked about it to anybody. Ever. Because I thought it was just me being high-strung.

Anyway, aside from validating my childhood experience, this book is also typical Telgemeier: funny, authentic, reassuring, and all-around perfectly pitched for the middle school crowd (as well as the lingering middle-school kid lurking in all of us Olds). The artwork and character designs are so expressive, she can covey so much without words. This might be my favorite one.
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