Anni Summers RD

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The IBS and Stress Connection: Understanding How Stress Influences Irritable Bowel Syndrome

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Introduction to the Complex Relationship Between IBS and Stress

Stress impacts the body beyond just the mind; it can unleash chaos throughout the body, notably in the digestive system. The relationship between stress and Irritable Bowel Syndrome (IBS) is paramount, as stress often serves as a trigger for the uncomfortable and sometimes debilitating symptoms of IBS, highlighting the critical nature of understanding and managing the IBS-stress connection.

The Role of Stress in IBS Symptoms

IBS, a disorder characterised by symptoms like abdominal pain, bloating, and changes in bowel habits, has complex origins, including miscommunications between the gut and brain and heightened gut nerve sensitivity. Crucially, stress-related triggers play a significant role in exacerbating IBS symptoms, underlining the connection between mental well-being and digestive health. 

The Biological Basis of Stress-Induced IBS

Stress Hormones and Their Impact on Gut Health

Can stress cause IBS? The answer lies in how our bodies react to stress through hormones. Stress triggers a series of hormone releases, notably cortisol, known as the stress hormone. This prepares us for “fight or flight” situations. However, these hormonal changes can upset our digestion, potentially triggering IBS symptoms.  

Cortisol and other stress hormones can also weaken your gut’s protective barriers. This makes your digestive system more prone to inflammation and can alter gut motility. This suggests that stress is not just as a psychological challenge but a physical one that can trigger IBS. 

Mind-Gut Connection: How Your Thoughts Affect Digestion

Can IBS be triggered by stress?” Understanding how stress triggers IBS involves delving into the gut-brain axis. The gut is often referred to as the ‘second brain’, housing an extensive network of neurons. The vagus nerve, which connects your brain to your gut, plays a crucial role in this interaction, influencing gut sensitivity, motility (how fast food moves through your gut), and inflammation; And your gut bacteria can even influence your mood and reactivity to stress via the vagus nerve! This demonstrates the profound link between stress and IBS symptoms. 

Gut-Brain Axis for IBS and Stress

Personal Accounts of Stress-Induced IBS Flares

Does stress make IBS worse? In my clinical experience, many individuals have observed a direct correlation between their stress levels and IBS symptoms, in that when stress increases, IBS symptoms worsen. This reinforces the importance of addressing both for effective long-term management. 

Identifying Stress-Related IBS Triggers

Common Stressors for IBS Sufferers

Recognising stress triggers linked to IBS is key. Stress, whether from a busy schedule or arguments with loved ones, can significantly impact your well-being and worsen IBS symptoms. No matter where it comes from, stress can make IBS worse. Recognising and understanding your personal stress triggers is a vital step in navigating the path towards symptom management and overall health improvement. 

The Role of Anxiety and Depression in IBS Symptoms

There’s a strong link between IBS, anxiety and depression, and the symptoms of IBS can cause significant distress. Anxiety and depression can affect how sensitive your gut is and how fast food moves through it, similar to IBS itself. Anxiety and depression are not just companions of IBS but potential stress-related IBS triggers. This underlines the need to treat not only IBS but the whole person to manage symptoms effectively. 

Tracking Your IBS and Stress Levels with a Food and Mood Diary

Keeping a daily diary of your stress levels and any IBS symptoms can be really useful. By regularly tracking this information, you can spot patterns and triggers that might worsen your IBS. This insight helps you pinpoint what triggers your IBS symptoms to flare-up, be it certain foods, situations, or emotions. Knowing how stress links to your IBS allows you to better manage your condition. 

Managing Stress to Alleviate IBS

Exercise and Physical Activity: Moving Your Way to a Calmer Gut

Exercise can greatly benefit those with IBS in several ways. It can ease bloating, help with gut motility, lower stress and anxiety, and even boost the variety of good bacteria in your gut. Starting to exercise more, especially if you’re not very active right now, can make a big difference. Gentle activities, like yoga, calm your nervous system and trigger the relaxation response, showing just how effective exercise can be for managing both conditions. 

Mindfulness and Meditation: Easing Your Mind to Ease Your Gut

Adopting mindfulness and meditation practices can promote a calm connection between your mind and gut, lowering stress and its effects on your digestive system. Mindfulness and meditation have been shown to reduce stress and improve quality of life as well as potentially reduce pain in those with IBS. By integrating these practices into your life, you can take significant strides towards managing the stress that impacts your IBS, promoting a healthier and more harmonious mind-gut connection. 

Gut-Directed Psychotherapies: CBT and Hypnotherapy

Treatments like gut-directed cognitive behavioural therapy (CBT) and gut-directed hypnotherapy can improve irritable bowel syndrome and stress. They work by enhancing the communication between your gut and brain and reducing gut sensitivity. While these therapies do cost money, there are various ways to access them. Both therapies have been shown to work effectively whether delivered in-person, online, or through a smartphone app.

Other Stress Management Techniques for IBS

Simple self-help methods like deep breathing (‘belly breathing’) and progressive muscle relaxation, which are easy to learn and do at home, are proving to be good at lowering stress, and in turn soothing IBS symptoms. This means that with the right tools and techniques, it’s possible to manage both conditions. Adding these practices into your daily routine can be a positive step towards managing your IBS and enhancing your overall health and well-being.

IBS and Stress Management Techniques

Dietary Considerations

Foods That May Worsen Stress and IBS

Certain foods can impact stress and make IBS symptoms worse, such as caffeine and high-fat foods. Caffeine stimulates both your nervous and digestive systems, which can increase stress and gut motility, make food pass through your digestive system more quickly. High-fat foods, on the other hand, trigger the gastrocolic reflex, causing your gut to contract more and push food through faster, often leading to pain and raised anxiety and stress levels. 

Feeding your Gut to Combat Stress and Ease IBS

Staying hydrated is key for your brain and gut to function properly. Not drinking enough can lead to stress, lack of focus, and mood swings, as well as contribute to constipation. Fibre is also essential; it feeds your gut bacteria, which in turn produce substances like short-chain fatty acids. These help reduce inflammation and maintain a healthy gut lining, and might even improve your mood and brain health. 

Probiotics, Irritable Bowel Syndrome and Stress

Probiotics, both in supplement form and present in live fermented foods, can help ease IBS symptoms. They increase the diversity of the gut microbiome, improve gut motility, and produce short-chain fatty acids that support the lining of the gut. What’s more, probiotics can directly communicate with your brain through the gut-brain axis. This communication between your gut and brain can influence how you feel and handle stress. It’s important to note that individual responses vary, highlighting the need for tailored treatment plans, particularly for those dealing with stress-related IBS symptoms. 

Mindful Eating

To lessen IBS symptoms triggered by stress, try mindful eating. This involves eating slowly and with focus, paying attention to how food tastes and how you feel, which helps you enjoy your meals more and understand your body’s needs. This can improve both digestion and the gut-brain connection, as well as reduce stress-related gastrointestinal symptoms. 

IBS and Stress Mindful Eating

Practical Lifestyle Changes to Support Your Mind and Gut

The Importance of Sleep in Managing IBS and Stress

Good sleep is essential for mental and gut health. Getting enough restful sleep greatly reduces stress and its negative effects on the gut. This is especially important for people dealing with stress-related IBS symptoms.

Balancing Work and Life to Reduce Stress Levels

Finding a realistic work-life balance is very important. Putting a disproportionate effort into any area of life can lead to stress, which can make IBS symptoms worse.  

Creating an Optimal Environment to Counter Stress and IBS

Creating a peaceful home environment and engaging in hobbies you love can significantly reduce stress. Lower stress levels are crucial for managing IBS symptoms linked to stress. By focusing on making your home a calm space and spending time on activities you enjoy, you can actively work on managing stress-related IBS symptoms. 

Seeking Professional Help

When to See a Doctor

Knowing when to seek expert advice is essential. If IBS symptoms are ongoing or intense, or you notice any other change in your symptoms, visit your doctor for advice. it’s important to get a healthcare provider’s perspective, especially when you are also experiencing stress alongside IBS. 

When to See a Dietitian

A gut health specialist dietitian can support your journey with stress-related IBS by guiding you towards beneficial foods and suggesting lifestyle adjustments, along with stress management strategies. Their personalised advice is designed to enhance gut health and overall wellbeing. 

Conclusion: Simplifying the IBS-Stress Journey

Understanding the link between stress and irritable bowel syndrome (IBS) opens the door to more effective management of these conditions. Here are the essentials for navigating this path: 

Mind-Gut Connection: Emphasising the relationship between mental wellbeing and gut health is key. Simple strategies to calm the mind can also ease the gut. 

Tailored Approaches: Individual experiences vary widely, necessitating personalised plans. Incorporating suitable stress-reduction techniques, dietary changes, and exercise can make a significant difference. 

Support and Guidance: A combination of professional advice, supportive networks, and personal strategies is essential for managing symptoms effectively. 

Learning and Adaptation: Staying informed about IBS and stress, recognising personal triggers, and understanding bodily cues are crucial for long-term management. 

While the journey with IBS influenced by stress can be challenging, adopting a holistic and informed approach offers a pathway to relief. Embracing both physical and psychological strategies, with support from healthcare professionals, allows for a balanced approach to managing these intertwined conditions. 

Anni Summers, Registered Gut Health Dietitian, is available to provide personalised 1-2-1 support, helping you reach your dietary and gut health goals. Alternatively, schedule a Discovery Call to learn more.

Want to know more about IBS? Find more on our dedicated IBS page.

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Further Information

Websites and Apps

NHS: 10 stress busters  

NHS: Breathing exercises for stress 

Headspace (paid app) 

Calm (paid app – some free content) 

Nerva Gut-based Hypnotherapy (paid course) 

Sources

Baboș, C. I., Leucuța, D. C., & Dumitrașcu, D. L. (2022). Meditation and Irritable Bowel Syndrome, a Systematic Review and Meta-Analysis. Journal of clinical medicine, 11(21), 6516. https://doi.org/10.3390/jcm11216516 

Berding, K., Bastiaanssen, T.F.S., Moloney, G.M. et al. (2023). Feed your microbes to deal with stress: a psychobiotic diet impacts microbial stability and perceived stress in a healthy adult population. Molecular Psychiatry 28, 601–610. https://doi.org/10.1038/s41380-022-01817-y 

Black CJ, Thakur ER, Houghton LA, et al. (2020). Efficacy of psychological therapies for irritable bowel syndrome: systematic review and network meta-analysis. Gut 69:1441-1451 https://doi.org/10.1136/gutjnl-2020-321191  

Fadgyas-Stanculete, M., Buga, AM., Popa-Wagner, A. et al. (2014). The relationship between irritable bowel syndrome and psychiatric disorders: from molecular changes to clinical manifestations. Journal of Molecular Psychiatry 2, 4. https://doi.org/10.1186/2049-9256-2-4  

Lacy, B. E., Chey, W. D., & Lembo, A. J. (2015). New and Emerging Treatment Options for Irritable Bowel Syndrome. Gastroenterology & hepatology, 11(4 Suppl 2), 1–19. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4612133/  

Madison, A., & Kiecolt-Glaser, J. K. (2019). Stress, depression, diet, and the gut microbiota: human–bacteria interactions at the core of psychoneuroimmunology and nutrition. Current opinion in behavioral sciences, 28, 105-110. https://doi.org/10.1016/j.cobeha.2019.01.011  

Mayer E. A. (2000). The neurobiology of stress and gastrointestinal disease. Gut, 47(6), 861–869. https://doi.org/10.1136/gut.47.6.861  

Naliboff, B. D., Smith, S. R., Serpa, J. G., Laird, K. T., Stains, J., Connolly, L. S., Labus, J. S., & Tillisch, K. (2020). Mindfulness-based stress reduction improves irritable bowel syndrome (IBS) symptoms via specific aspects of mindfulness. Neurogastroenterology and motility, 32(9), e13828. https://doi.org/10.1111/nmo.13828  

Patel, A., Hasak, S., Cassell, B., Ciorba, M. A., Vivio, E. E., Kumar, M., Gyawali, C. P., & Sayuk, G. S. (2016). Effects of disturbed sleep on gastrointestinal and somatic pain symptoms in irritable bowel syndrome. Alimentary pharmacology & therapeutics, 44(3), 246–258. https://doi.org/10.1111/apt.13677  

Pellissier, S., & Bonaz, B. (2017). The Place of Stress and Emotions in the Irritable Bowel Syndrome. Vitamins and hormones, 103, 327–354. https://doi.org/10.1016/bs.vh.2016.09.005  

Salvioli B, Pellegatta G, Malacarne M, et al. Autonomic nervous system dysregulation in irritable bowel syndrome. Neurogastroenterology & Motility 2015;27:423–30. https://doi.org/10.1111/nmo.12512  

Schumann, D., Langhorst, J., Dobos, G., & Cramer, H. (2018). Randomised clinical trial: yoga vs a low-FODMAP diet in patients with irritable bowel syndrome. Alimentary pharmacology & therapeutics, 47(2), 203–211. https://doi.org/10.1111/apt.14400 

Shah, K., Ramos-Garcia, M., Bhavsar, J., & Lehrer, P. (2020). Mind-body treatments of irritable bowel syndrome symptoms: An updated meta-analysis. Behaviour research and therapy, 128, 103462. https://doi.org/10.1016/j.brat.2019.103462 

Surdea-Blaga, T., Baban, A., Nedelcu, L., & Dumitrascu, D. L. (2016). Psychological Interventions for Irritable Bowel Syndrome. Journal of gastrointestinal and liver diseases : JGLD, 25(3), 359–366. https://doi.org/10.15403/jgld.2014.1121.253.ibs  

Vasant, D. H., Paine, P. A., Black, C. J., Houghton, L. A., Everitt, H. A., Corsetti, M., Agrawal, A., Aziz, I., Farmer, A. D., Eugenicos, M. P., Moss-Morris, R., Yiannakou, Y., & Ford, A. C. (2021). British Society of Gastroenterology guidelines on the management of irritable bowel syndrome. Gut, 70(7), 1214–1240. https://doi.org/10.1136/gutjnl-2021-324598  

Whitehead, W. E., Palsson, O., & Jones, K. R. (2002). Systematic review of the comorbidity of irritable bowel syndrome with other disorders: what are the causes and implications?. Gastroenterology, 122(4), 1140–1156. https://doi.org/10.1053/gast.2002.32392  

Article Disclaimer:

The content of this article is for general information and educational purposes only. It neither provides any medical or nutritional advice, nor intends to substitute professional medical opinion on the treatment, diagnosis, prevention or alleviation of any disease, disorder, or disability. Always consult with your Doctor or qualified Healthcare Professional about your health condition. For further information, please refer to my Disclaimer.

Anni Summers - Gut Health Specialist

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