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Stress and intestinal problems: Understanding the impact of stress on the gut

by Guilherme Sauniti
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Did you know that stress can be responsible for intestinal problems? In this article, we will better understand the impact of stress on the intestine and how it may be affecting your digestive health. Stress is a constant in modern life, affecting health in complex and multifaceted ways.

We will examine how stress can trigger a series of intestinal problems and imbalances, highlighting the importance of understanding this connection to improve digestive health and overall well-being.

Introduction to stress and its impact on the intestine

Stress is an omnipresent reality in our modern lives, affecting our health in complex and diverse ways. 

However, its impact on our digestive system, especially on the intestine, is often underestimated. 

To comprehensively understand the intricate relationship between stress and intestinal health, it is necessary to delve into the complexities of this bond and explore its profound implications.

To properly understand this connection, it is essential to first recognize the communication network between the gut and the brain, often referred to as the “gut-brain axis”. 

This complex system allows the emotional and mental state to directly influence gut health and vice versa. 

When a person is under stress, the body often responds with a series of physical and chemical reactions that directly impact the gut, which can lead to symptoms such as abdominal pain, bloating, diarrhea or constipation, all widely related to stress.

In addition, chronic intestinal problems, such as irritable bowel syndrome (IBS), often have stress as a triggering or aggravating factor. 

Understanding how stress can contribute to these conditions is necessary to effectively address intestinal problems and seek to improve quality of life.

In the next topics of this article, we will continue to explore common digestive conditions associated with stress, with practical tips for controlling it for better gut health.

The gut-brain connection

The complex relationship between the gut and the brain is a fascinating area of study that has been gaining increasing attention in the medical and scientific community. 

Known as the “gut-brain axis”, as we have already mentioned, this connection is essential to understand how our emotions, thoughts, and digestive health are intrinsically linked.

The gut is often referred to as the “second brain” due to its complex network of neurons that make up the enteric nervous system. 

This system plays an important role in regulating the gastrointestinal tract and is capable of operating independently of the central nervous system. 

However, it also actively communicates with the brain, sending signals that influence our emotional and mental state.

When we are under stress, anxiety, or other intense emotions, the gut often responds visibly and there can be significant changes in bowel habits. 

More than that, being in a frequently stressed condition can affect the gut microbiota, altering the composition of microorganisms that play an essential role in digestion and overall health.

Understanding this connection is an essential part, not only to recognize the influence of stress on our gut health, but also to develop effective strategies that benefit both the body and the mind. 

Common intestinal problems caused by stress

Stress is an inevitable part of life, but what may not be so well known is the impact it can have on the digestive system. 

Our intestines are sensitive to changes in our emotional and mental states, and this connection can result in a variety of common intestinal problems.

One of the problems most widely associated with stress is irritable bowel syndrome (IBS), as we have already mentioned. This is a chronic condition that affects millions of people worldwide. 

The symptoms of this condition include abdominal pain, bloating, constipation, diarrhea, and frequent changes in bowel habits. 

Stressful situations can act as a trigger to trigger or worsen these symptoms, making their management a vital part of IBS treatment.

Besides that, stress can cause or aggravate other conditions, such as gastroesophageal reflux disease (GERD) and ulcers. 

In excessive occurrences, tension scenarios lead to an increase in stomach acid production, which in turn can lead to acid reflux and irritation of the stomach lining, contributing to gastric ulcers.

Other common intestinal problems related to stress include constipation, diarrhea, irritable colon, and functional gastrointestinal disorders.

Understanding these problems and how stress may be related to them is the first step to dealing more effectively with physical conditions. 

Tips for managing stress to improve gut health

One of the most effective approaches to managing stress is the practice of relaxation techniques, such as meditation and deep breathing. 

Regular meditation can help calm the mind, reduce the stress response, and improve overall body health, including the digestive system. 

Deep breathing, in turn, can be done at any time and anywhere, providing immediate relief.

Regular exercise also plays a key role. Physical activity releases endorphins, known as “happiness hormones” due to their positive effect on mood. 

In addition, exercise can promote healthy bowel transit, reducing the risk of constipation.

Diet, in turn, is a key factor in gut health. 

Opting for a balanced diet rich in fiber, fruits, vegetables, and probiotics can help promote a healthy gut microbiota, which in turn can reduce the body’s response to stress levels. 

Avoiding processed foods and foods high in simple sugars is important, as these foods can aggravate intestinal symptoms that may have any correlation with nervousness, general anxiety.

It is important to also establish a regular and quality sleep routine. 

Sleep deprivation can increase sensitivity to stress and impair digestive health, so ensuring adequate sleep is essential for emotional balance and the functioning of the digestive system.

Last but not least, seeking social support and sharing concerns and emotions with friends, family, or a mental health professional can be key in managing stress. 

Having a solid support system can help reduce feelings of isolation and deal with stress more effectively.

By adopting these measures, you can reduce the negative impact of stress on your digestive system and promote a healthier and balanced life.

When to seek professional help for stress-related intestinal problems?

Seeking professional help for stress-related intestinal problems is necessary when symptoms become persistent, severe, or significantly impact quality of life. 

If you already have a history of gastrointestinal problems, such as inflammatory bowel diseases (IBD) or celiac disease, and notice that stress is aggravating these conditions, it is also important to consult a gastroenterologist for proper follow-up.

Remember that seeking professional help should not be delayed if you believe your intestinal problems are related to stressful routines. 

Health professionals, such as gastroenterologists, can offer accurate diagnosis and develop an appropriate treatment plan to improve your digestive health and well-being.

In summary, stress and its effects on the gut are a fundamental connection to be considered to maintain adequate gut health and well-being. 

It can trigger intestinal problems, but with proper management strategies, it is possible to improve our digestive health. Seeking professional help when necessary to ensure gut health and well-being is key to promoting a healthy and balanced life.

Stock image by stockking on Freepik

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Doutor em Gastroenterologia pela FM-USP.
Especialista em Cirurgia do Aparelho Digestivo (HCFMUSP), Endoscopia Digestiva (SOBED) e Gastroenterologia (FBG).
Professor do curso de Medicina da Fundação Educacional do Município de Assis - FEMA.
Médico da clínica Gastrosaúde de Marília.


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