The Unexpected Connection Between Stress and Bloating
After a meal that is particularly rich, we all feel bloated. A third of Americans experience chronic bloating, and that is not just for occasional bloating. [1]. So what’s behind this symptom when it’s more frequent?
These are the Key Takeaways
- Stress can cause bloating and increase inflammation, as well as imbalances of gut bacteria.
- Irritable Bowel Syndrome (IBS) symptoms include bloating, abdominal distention and bloating. They are strongly related to stress levels.
- Chronic bloating can be caused by non-gut issues like pelvic floor dysfunction.
- You can easily treat bloating and other GI symptoms with lifestyle and dietary modifications, probiotics and physical therapy.
If you’ve been going through a lot more stress than usual lately, you may have noticed a worsening in your symptoms. And you wouldn’t be wrong, as the research shows that increased stress can worsen bloating and stomach distention.
There is a strong link between stress and IBS symptoms, such as bloating. This could be due to stress altering the gut microbiota leading to dysbiosis/bacterial overgrowth. These changes in gut flora can lead to increased gas production and inflammation within the GI tract. Bloating is a common symptom of inflammation.
Stomach bloating can be reduced by changing one’s diet, lifestyle and following supplemental recommendations. This article will explain the causes of stomach bloating, as well as provide step-by-step guidance to help you manage this unpleasant symptom.
Can Stress Cause Bloating?
Stress can cause disruptions in the normal microbiome of your gut, leading to intestinal dysbiosis or bacterial overgrowth. Bloating and other digestive symptoms can result from these changes. This may be due in part to excess gas production that may cause the sensation of bloating and physical distention, though the exact mechanism hasn’t been confirmed by research.
It is also possible that stress can cause a greater perception of bloating. However, the reason for this is still not clear. [2]. Inflammation in the digestive tract is a common cause of stress, leading to more distress and bloating.
What is Bloating?
Bloating can be described as the subjective sensation of gas or pressure in the abdomen. It’s important to note that this is different from distention, which refers to the physical expansion of the abdomen [1]. But, many people experience both bloating and abdominal distention. [1].
Bloating could be a symptom in itself without any other signs or symptoms. It can also be accompanied by other GI disorders such as:
- Irritable bowel syndrome (IBS) [1]
- Inflammatory bowel disease (IBD). [3]
- Small intestinal bacterial overgrowth (SIBO). [1, 2, 4, 5]
- Chronic constipation [1]
- Indigestion and dyspepsia [1]
- Exocrine pancreatic Insufficiency (EPI). [1, 2, 6, 7]
- Gastroparesis [1, 2]
- Gallbladder dysfunction [8]
- Stomach ulcers [9]
- Chronic overeating [5]
Flatulence, bloating, belching, distention, and occasional bloating are all normal aspects of digestive physiology. These symptoms typically aren’t considered a problem until they begin to cause pain and/or disrupt your daily life.
Let’s take a look at some cases where this can occur.
Stress and Irritable Bowel Syndrome (IBS)
IBS is a common digestive disorder that causes bloating, abdominal distention, and other symptoms. One study found that all patients with diagnosed IBS, regardless of the subtype, experience more sensations of bloating than healthy controls. Nearly half of IBS patients also experienced abdominal distention. [10].
Research has shown that IBS symptoms can be linked to stress. Chronic stress is often associated with IBS symptoms such as:
- Gas, bloating and abdominal distention
- Constipation
- Diarrhea
- Stomach pain
- Cramping
IBS sufferers tend to be more susceptible to mental health disorders. Studies show that IBS sufferers experience higher levels anxiety, depression, and distress compared with the general population. [11]. Additionally, people with IBS tend to have higher levels of stress and a lower quality of life [12]. Functional medicine is a treatment that can treat IBS. It offers some relief from IBS-related mood disturbances.
While we’re unsure of the exact mechanism by which stress increases symptoms of IBS, studies show that stressors alter the microbial balance and production of gut flora metabolites. The gut-brain link explains how this alteration in microbiome causes physiological changes to the brain. [13].
When the brain creates a stress response, chemical messengers—like stress hormones and neurotransmitters—travel down the gut-brain axis and can cause hypersensitivity in the gut. Research has shown that IBS patients may actually have less gas production than those in healthy populations. It’s likely a hypersensitivity reaction in the enteric nervous system that leads to increased sensations of bloating [14].
Regardless of the exact mechanism, there appears to be a strong correlation between IBS symptoms and stress.
Bloating Additional GI Conditions
Because of the communication between the digestive system and the brain, stress likely increases symptoms of bloating and abdominal distention in other functional GI disorders.
For example, as stress can cause dysbiosis in the digestive tract, it’s likely a major contributing factor in the development of small intestinal bacterial overgrowth (SIBO). Chronic stress can also cause bloating in exocrine pancreatic dysfunction and histamine intolerance, which are both common conditions. [15, 16].
Food intolerances and allergies commonly present with bloating and are another example of how stress affects the GI tract [17, 18]. A misguided immune response in the stomach can lead to sensitivities, such as wheat intolerance or gluten intolerance. These sensitivities can also be caused by stress, which causes inflammation and an abnormal immune reaction in the digestive system.
Bloating may also be caused by other factors
Abdominal bloating and distention can also be a sign of other chronic health conditions. This can be due to underlying conditions such as:
- Some medications
- Hypothyroidism [1, 2]
- Obesity [1]
- Type-2 diabetes [2]
- Autoimmunity [2, 19, 20]
- Ovarian cysts and menstruation [21, 22, 23]
Stress can trigger musculoskeletal conditions, such as bloating or abdominal distention. Here are two examples.
Abdominal Muscle Dysfunction
The nervous system can create an abnormal sensation of bloating by creating abnormal contractions in the belly and diaphragm muscles after eating. This is an abnormality “viscerosomatic reflex” Bad posture and distention of abdominal muscles can cause bloating sensations and poor posture. [24].
Bloating perceptions may be reduced by exercises that train the muscles to contract normally after eating. [24].
Pelvic Floor Dysfunction
Stressful situations can cause our muscles and pelvic floor to contract more. These muscles control the function of our bladder, bowel, as well as sexual function. They can become tight and cause high-tone pelvic dysfunction. [25].
However, it is possible for the opposite to happen when the muscles of the pelvic floor become too relaxed. This can make it difficult to maintain regular bowel movements. These can result in a range of symptoms including bloating, increased tone, and over-relaxation. [25].
It’s believed that people with pelvic floor dysfunction likely have disordered gut-brain connections [26]. Biofeedback can be described as a mind/body therapy that helps your body relax and restores the gut-brain axis. Biofeedback was found to reduce bloating in women with pelvic floor dysfunction. [26].
This positive response reinforces the idea that brain and digestive tract are interconnected. Stress appears to increase the risk of bloating because it affects multiple body systems including the digestive, nervous and musculoskeletal.
Your 5-Step Guide to Reducing Stress-Induced Bloating
While much of the following research on relieving stress and GI symptoms was performed on those with IBS, we’ve found the below therapies to be helpful for people with other conditions that result in bloating and abdominal distention.
Step 1: Lifestyle Changes
Stress management: You can reduce stress levels by using stress-reduction techniques “fight or flight response” It is a natural process that occurs during stressful times and can improve your gut health. Meditation, biofeedback, cognitive behavioral therapy (CBT), and biofeedback all help to reduce stress and alleviate stress-induced bloating [27, 28, 29].
Mindfulness-based stress reduction (MBSR) is a meditation that has shown promise in reducing bloating, and overall stress levels. Results may last for as long as six months following MBSR therapy. [30, 31, 32].
Also, gut-directed Hypnotherapy could significantly reduce the symptoms of anxiety, depression, and bloating. These effects could be observed in as little as six sessions [33, 34, 35].
Exercise is great for stress relief, GI issues, and overall well-being. To achieve the best results, you should aim to do moderate activity for at least two to three hours each week. [36]. Activities like:
- Quick walking
- Flat surface for biking
- Water aerobics
- Basketball, volleyball, and many other sports
Yoga can also be used to reduce bloating. It is also well-known for its ability to lower stress levels and anxiety. [37].
Step 2: Change Your Diet
Start with these suggestions elimination diet To heal your gut and reduce inflammation. Also, to identify which foods may be triggering your symptoms.
It is a good place to begin: Paleo diet framework. Paleo is a high-protein, high–fat and low-carbohydrate diet. It can reduce inflammation in the intestinal tract, and may be helpful in eliminating digestive symptoms like distention and bloating. It is a balanced diet that does not restrict any of the common triggers.
You can eliminate common triggers by following the Paleo diet.
- Sugar
- Processed foods
- Other grains and foods that are gluten-free
- Dairy
If, after trying it for two to three weeks, the Paleo diet doesn’t work for you, try switching to a low FODMAP diet. Clinical trials have shown that the Paleo diet is effective. low FODMAP diet It is extremely effective in reducing gas, abdominal pain, and bloating. [38, 39, 40, 41, 42].
You can try the low FODMAP diet for 2 to 3 weeks to see if your symptoms improve. If your symptoms improve, you may not need to keep following a strict low FODMAP diet. This is because 84 percent participants in a study experienced relief from their digestive problems even after reintroducing FODMAP foods. [43]. Long-term FODMAP food restriction can actually make symptoms worse, because it reduces healthy intestinal flora. [44].
It is important to note that everyone’s food triggers may be different and it may take some experimentation to figure out what may be causing your bloating and other GI symptoms.
Once you have eliminated any triggers from your diet you can add foods back in one at a moment. You can try a new food every 2 to 3 days and see if there is any bloating. This will help you identify your gut triggers and not be too restrictive.
Step 3: Introduce Probiotics
Probiotics have high effectiveness At reducing symptoms related to GI disorders such as bloating or abdominal distention [45, 46, 47, 48]. Probiotics are able to help reduce stress-related dysbiosis, and help restore normal gut flora.
Probiotics are a great option for patients suffering from IBS. They can reduce the pain in the abdomen and help with constipation. [48, 49, 50, 51].
It’s important to note that prebiotics, food-based supplements that promote the growth of beneficial gut bacteria, may not offer the same benefits [52].
Step 4: Targeted Supplement and Dietary Treatments
If your bloating and/or stomach distention isn’t solved by dietary and lifestyle changes alone, it may be time for a more targeted approach.
- Supplements: Research suggests that digestive enzymes can help reduce symptoms of bloating, abdominal pain, and flatulence [53, 54]. One enzyme in particular, ɑ-galactosidase, may be beneficial in alleviating colic in children and is considered to be safe [55].
- Intermittent Fasting: One study demonstrated that intermittent fasting can reduce bloating, stomach pain, nausea, diarrhea, and anxiety in IBS sufferers. [56]. Intermittent Fasting is when you stop eating for a specific period of time each morning. Many people start with a 16-hour fasting window, but there are many variations, and you should always do what’s best for you.
- Elemental Diet: Don’t worry if fasting isn’t appropriate for you, as an elemental diet can effectively resolve stubborn IBS-related symptoms, like gas and bloating, in just two to three weeks [57]. The elemental diet has been designed to be easy to digest. It reduces inflammation in your GI tract and improves nutrient absorption. The elemental diet can be combined with other diets or taken as a standalone.
- Medications: Rifaxamin is a popular antibiotic that’s used to treat dysbiosis and infections in the GI tract. It’s considered safe by health care practitioners, as it’s not absorbed into the bloodstream, lessening its side effects. Rifaxamin is very effective in reducing IBS symptoms, especially bloating. It may take up to two weeks for significant results. [58]. Rifaxamin may provide long-term relief for bloating even after the course of antibiotics. [59].
Step 5: Physical Therapy
If you have bloating due to pelvic floor dysfunction, a physical therapist who is trained in pelvic flooring therapy may be able to help. Manual physical therapy can be used to effectively remove adhesions (scar tissues) that constrict the organs, causing abdominal distension and bloating sensations. [60].
As mentioned previously, pelvic floor Biofeedback can help reduce bloating, constipation and overall well-being. [26].
Summary: Can Stress Cause Bloating?
Research supports that stress is a likely cause of bloating in both GI disorders and non-gut-related conditions. The gut-brain connection is a strong channel of communication between the brain, digestive tract and brain. Stress can increase inflammation and dysbiosis.
There are steps you can take to reduce bloating or abdominal distention.
Bloating can be improved by reducing stress, eating right, taking probiotics, using supplements and physical therapy. You can find more information on how to identify and treat chronic bloating as well as improve your digestive health. Contact us today.
Republished from DrRuscio.com.
◇ References:
- Management of chronic abdominal ditension and bloating. Clin Gastroenterol Hepatol. 2021 Feb;19(2):219-231.e1. DOI: 10.1016/j.cgh.2020.03.056. PMID: 32246999.
- Mari A, Abu Backer F, Mahamid M, Amara H, Carter D, Boltin D, et al. Clinical management of abdominal distension and bloating. Adv Ther. 2019 May;36(5):1075–84. DOI: 10.1007/s12325-019-00924-7. PMID: 30879252. PMCID: PMC6824367.
- Nemeth V, Pfleghaar N. Diarrhea. In: StatPearls. Treasure Island (FL), StatPearls Publishing; 2021. PMID: 28846339.
- Ghoshal UC. Antibiotic treatment of small intestinal bacterial growth: Is it better to have a combination than one? United European Gastroenterol J. 2021 Jul;9(6):643–4. DOI: 10.1002/ueg2.12075. PMID: 33951351. PMCID: PMC8280792.
- Zhang L, Sizar OH, Higginbotham K. Meteorism. In: StatPearls. Treasure Island (FL), StatPearls Publishing; 2021. PMID: 28613601.
- Leeds JS, Hopper AD, Sidhu R, Simmonette A, Azadbakht N, Hoggard N, et al. Patients with irritable bowel syndrome might have exocrine insufficiency. Clin Gastroenterol Hepatol. 2010 May;8(5):433–8. DOI: 10.1016/j.cgh.2009.09.032. PMID: 19835990.
- Othman MO. Harb D. Barkin J. An introduction and practical approach to exocrine Pancreatic Insufficiency for the Practitioner. Int J Clin Pract. 2018 February 5;72(2). DOI: 10.1111/ijcp.13066. PMID: 29405509. PMCID: PMC5873407.
- Jones MW, Genova R, O’Rourke MC. Cholecystitis Acute. In: StatPearls. Treasure Island (FL), StatPearls Publishing; 2021. PMID: 29083809.
- Malik TF. Gnanapandithan K. Singh K. Symptoms of Peptic Ulcer Disease. In: StatPearls. Treasure Island (FL), StatPearls Publishing; 2021. PMID: 30521213.
- Houghton LA. Lea R. Agrawal A. Reilly B. Whorwell PJ. Relationship between abdominal bloating, distention in the irritable bowel disorder and effects of bowel habits Gastroenterology. 2006 Oct;131(4):1003–10. DOI: 10.1053/j.gastro.2006.07.015. PMID: 17030170.
- Roohafza H., Bidaki EZ. Hasanzadeh–Keshteli A., Daghaghzade H., Afshar H., Adibi P. Anxiety and distress among irritable bowel Syndrome and its subtypes: An epidemiological population-based study. Adv Biomed Res. 2016 Nov 28;5:183. DOI: 10.4103/2277-9175.190938. PMID: 28028523. PMCID: PMC5156966.
- Chen H-H, Hung C-H, Kao A-W, Hsieh H-F. Female University Students in Taiwan: Exploring the Quality of Life, Stress, Risk Factors, and Irritable Bowel Syndrome. Int J Environ Res Public Health. 2021 Apr 7th, 18(8). DOI: 10.3390/ijerph18083888. PMID: 33917268. PMCID: PMC8068066.
- Foster JA, Rinaman L, Cryan JF. The regulation of stress and the gut-brain connection: Stress and the microbiome. Neurobiol Stress. 2017 Dec;7:124–36. DOI: 10.1016/j.ynstr.2017.03.001. PMID: 29276734. PMCID: PMC5736941.
- Major G, Pritchard S, Murray K, Alappadan JP, Hoad CL, Marciani L, et al. Colon hypersensitivity to distension is more than excess gas production. It causes carbohydrate-related symptoms in individuals with Irritable Bowel Syndrome. Gastroenterology. 2017 Jan;152(1):124-133.e2. DOI: 10.1053/j.gastro.2016.09.062. PMID: 27746233.
- Amieva-Balmori M, Coss-Adame E, Rao NS, Dávalos-Pantoja BM, Rao SSC. Diagnostic utility of carbohydrate breath test for SIBO, fructose or lactose intolerance. Dig Dis Sci. 2020 May;65(5):1405–13. DOI: 10.1007/s10620-019-05889-9. PMID: 31617133.
- Schnedl WW, Lackner S. Enko DD, Schenk MM, Holasek SJ. Mangge HC. Evaluation of symptoms in histamine intolerance. Intest Res. 2019 Jul;17(3):427–33. DOI: 10.5217/ir.2018.00152. PMID: 30836736. PMCID: PMC6667364.
- Zopf Y. Gluten, FODMAPS-Sense of a Restrictions/When is Restriction Necessary Nutrients. 2019 Aug 20th, 11(8). DOI: 10.3390/nu11081957. PMID: 31434299. PMCID: PMC6723650.
- Croall ID. Hoggard NS. Hadjivassiliou MJ. Sanders DS. Brain fog and noncoeliac gluten sensitivity: Pilot study with brain MRI proof of concept. PLoS ONE. 2020 Aug 28th;15(8):e0238283. DOI: 10.1371/journal.pone.0238283. PMID: 32857796. PMCID: PMC7454984.
- Annibale B. Esposito G., Lahner E. Clinical overview of atrophic Gastritis. Expert Rev Gastroenterol Hepatol. 2020 Feb;14(2):93–102. DOI: 10.1080/17474124.2020.1718491. PMID: 31951768.
- Carabotti M, Lahner E, Esposito G, Sacchi MC, Severi C, Annibale B. An investigation of the upper gastrointestinal symptoms associated with autoimmune gastritis. Medicine (Baltimore). 2017 Jan;96(1):e5784. DOI: 10.1097/MD.0000000000005784. PMID: 28072728. PMCID: PMC5228688.
- Meleine M., Matricon. Gender-related differences of irritable bowel syndrome: Potential mechanisms for sex hormones. World J Gastroenterol. 2014 Jun 14;20(22):6725–43. DOI: 10.3748/wjg.v20.i22.6725. PMID: 24944465. PMCID: PMC4051914.
- Southwell BR. Treatment of childhood constipation: A synthesis from systematic reviews and metaanalyses. Expert Rev Gastroenterol Hepatol. 2020 Mar;14(3):163–74. DOI: 10.1080/17474124.2020.1733974. PMID: 32098515.
- Ovarian cysts: Overview – InformedHealth.org – NCBI Bookshelf [Internet]. 2019. Available starting at: https://www.ncbi.nlm.nih.gov/books/NBK539572/
- Livovsky DJ, Barber E, Barba C, Barba A, Accarino A and Azpiroz FM. The sensations that are induced by meal consumption can be influenced by the abdominothoracic tone. Nutrients. 2021 Feb 18;13(2). DOI: 10.3390/nu13020658. PMID: 33670508. PMCID: PMC7922384.
- Grimes WR, Stratton MM. Pelvic floor dysfunction. In: StatPearls. Treasure Island (FL); StatPearls Publishing, 2021. PMID: 32644672.
- Iovino P, Neri MC, D’Alba L, Santonicola A, Chiarioni G. Pelvic floor biofeedback is an effective treatment for severe bloating in disorders of gut-brain interaction with outlet dysfunction. Neurogastroenterol Motil. 2021 Sep 16 ;e14264. DOI: 10.1111/nmo.14264. PMID: 34532928.
- Ford AC. Lacy BE. Harris LA. Quigley EMM. Moayyedi P. Antidepressants and Psychological Treatments in Irritable Bowel Syndrome. A Systematic Review and Meta-Analysis. Am J Gastroenterol. 2019 Jan;114(1):21–39. DOI: 10.1038/s41395-018-0222-5. PMID: 30177784.
- Black CJ, Thakur ER, Houghton LA, Quigley EMM, Moayyedi P, Ford AC. A systematic review and meta-analysis of network data on the efficacy of psychological therapies to treat irritable bowel syndrome. Gut. 2020 Aug;69(8):1441–51. DOI: 10.1136/gutjnl-2020-321191. PMID: 32276950.
- Lackner JM, Jaccard J, Keefer L, Brenner DM, Firth RS, Gudleski GD, et al. Cognitive behavior therapy for refractory Irritable Bowel Syndrome (CBT) improves gastrointestinal symptoms. Gastroenterology. 2018 Jul;155(1):47–57. DOI: 10.1053/j.gastro.2018.03.063. PMID: 29702118. PMCID: PMC6035059.
- Thakur ER, Shapiro J, Chan J, Lumley MA, Cully JA, Bradford A, et al. Although promising, a systematic review of the effectiveness and safety of psychological treatments for IBS in gastroenterology settings was not done. Dig Dis Sci. 2018 Sep;63(9):2189–201. DOI: 10.1007/s10620-018-5095-3. PMID: 29744772.
- Zernicke KA, Campbell TS, Blustein PK, Fung TS, Johnson JA, Bacon SL, et al. A randomized controlled trial of mindfulness-based stress reduction in the treatment for irritable bowel syndrome symptoms. Int J Behav Med. 2013 Sep;20(3):385–96. DOI: 10.1007/s12529-012-9241-6. PMID: 22618308.
- Naliboff BD and Smith SR, Serpa JG. Serpa JG. Laird KT. Stains J. Connolly LS. et al. Mindfulness-based stress relief improves symptoms of IBS through specific aspects. Neurogastroenterol Motil. 2020 Sep;32(9):e13828. DOI: 10.1111/nmo.13828. PMID: 32266762.
- Ford AC, Quigley EMM, Lacy BE, Lembo AJ, Saito YA, Schiller LR, et al. Systematic review and meta-analysis of the antidepressants and psychological therapies in irritable stool syndrome. Am J Gastroenterol. 2014 Sep;109(9):1350–65; quiz 1366. DOI: 10.1038/ajg.2014.148. PMID: 24935275.
- Hasan SS., Whorwell PJ. Miller V. Morris J. Vasant DH. Randomized trial of Gut-focused hypnotherapy for Irritable Stomach Syndrome: Six Sessions versus 12 Sessions Gastroenterology. 2021 Jun;160(7):2605-2607.e3. DOI: 10.1053/j.gastro.2021.02.058. PMID: 33662389. PMCID: PMC8202328.
- Flik CE, Laan W, Zuithoff NPA, van Rood YR, Smout AJPM, Weusten BLAM, et al. IMAGINE: A multicentre randomised controlled trial evaluating the effectiveness of individual and group Hypnotherapy in Irritable Bowel Syndrome (IMAGINE). Lancet Gastroenterol Hepatol. 2019 Jan;4(1):20–31. DOI: 10.1016/S2468-1253(18)30310-8. PMID: 30473202.
- Hosseini-Asl MK, Taherifard E, Mousavi MR. The effect of a short-term physical activity after meals on gastrointestinal symptoms in individuals with functional abdominal bloating: a randomized clinical trial. Gastroenterol Hepatol Bed Bench. 2021;14(1):59–66. PMID: 33868611. PMCID: PMC8035544.
- Schumann D, Anheyer D, Lauche R, Dobos G, Langhorst J, Cramer H. Effect of yoga in the therapy of irritable bowel syndrome: a systematic review. Clin Gastroenterol Hepatol. 2016 Dec;14(12):1720–31. DOI: 10.1016/j.cgh.2016.04.026. PMID: 27112106.
- Gibson PR, Shepherd SJ. FODMAP: Evidence-based diet management for functional gastrointestinal symptoms. J Gastroenterol Hepatol. 2010 Feb;25(2):252–8. DOI: 10.1111/j.1440-1746.2009.06149.x. PMID: 20136989.
- Altobelli E, Del Negro V, Angeletti PM, Latella G. Low-FODMAP Diet Improves Irritable Bowel Syndrome Symptoms: A Meta-Analysis. Nutrients. 2017 Aug 26;9(9). DOI: 10.3390/nu9090940. PMID: 28846594. PMCID: PMC5622700.
- Varjú P, Farkas N, Hegyi P, Garami A, Szabó I, Illés A, et al. The FODMAP diet, which is low in fermentable oligosaccharides (disaccharides), monosaccharides (monosaccharides) and polyols, improves IBS symptoms in adults with IBS: A meta-analysis clinical study. PLoS ONE. 2017 Aug 14th, 12(8):e0182942. DOI: 10.1371/journal.pone.0182942. PMID: 28806407. PMCID: PMC5555627.
- Dumitrascu DL, Baban A, Bancila I, Barboi O, Bataga S, Chira A, et al. Romanian guidelines on nonpharmacological IBS treatment. J Gastrointestin Liver Dis. 2021 Jun 18;30(2):291–306. DOI: 10.15403/jgld-3581. PMID: 33951120.
- Gibson PR, Shepherd SJ. Functional gastrointestinal symptoms can be managed with food choice. Am J Gastroenterol. 2012 May;107(5):657–66; quiz 667. DOI: 10.1038/ajg.2012.49. PMID: 22488077.
- Maagaard L, Ankersen DV, Végh Z, Burisch J, Jensen L, Pedersen N, et al. Patients with functional bowel symptoms who were treated with a low FODMAP diet are followed up. World J Gastroenterol. 2016 Apr 21;22(15):4009–19. DOI: 10.3748/wjg.v22.i15.4009. PMID: 27099444. PMCID: PMC4823251.
- Hills RD. Pontefract BA. Mishcon HR. Black CA. Sutton SC. Theberge CR. Your gut microbiome: important implications for diet and diseases. Nutrients. 2019 Jul 16;11(7). DOI: 10.3390/nu11071613. PMID: 31315227. PMCID: PMC6682904.
- Ford AC, Quigley EMM, Lacy BE, Lembo AJ, Saito YA, Schiller LR, et al. Systematic review and meta-analysis of the efficacy and safety of probiotics, prebiotics and synbiotics in chronic idiopathic constipation and irritable bowel disorder: Am J Gastroenterol. 2014 Oct;109(10):1547–61; quiz 1546, 1562. DOI: 10.1038/ajg.2014.202. PMID: 25070051.
- Yuan F., Ni H., Asche CV. Kim M., Walayat S., Ren J. Efficacy and safety of Bifidobacterium infidis 35624 for patients with IBS: A meta-analysis. Curr Med Res Opin. 2017 Jul;33(7):1191–7. DOI: 10.1080/03007995.2017.1292230. PMID: 28166427.
- Tiequn B, Guanqun C, Shuo Z. Meta-analysis of therapeutic effects of Lactobacillus for treating IBS: Intern Med. 2015;54(3):243–9. DOI: 10.2169/internalmedicine.54.2710. PMID: 25748731.
- McFarland LV, Dublin S. Metaanalysis of probiotics in the treatment of IBS. World J Gastroenterol. 2008 May 7;14(17):2650–61. DOI: 10.3748/wjg.14.2650. PMID: 18461650. PMCID: PMC2709042.
- Rogha M, Esfahani MZ, Zargarzadeh AH. A placebo-controlled, randomised trial to assess the effectiveness of a synbiotic containing Bacillus Coagulans as a treatment for irritable stool syndrome. Gastroenterol Hepatol Bed Bench. 2014;7(3):156–63. PMID: 25120896. PMCID: PMC4129566.
- Ibarra A. Latreille Barbier M. Donazzolo Z, PelletierX. Ouwehand AC. Effects of Bifidobacterium animals subsp. 28-day Supplementation with lactis HN019 to improve colonic transit and other symptoms in adults suffering from functional constipation. A double-blind study that was placebo-controlled and dose-ranging. Gut Microbes. 2018 Feb 8;9(3):236–51. DOI: 10.1080/19490976.2017.1412908. PMID: 29227175. PMCID: PMC6219592.
- Martoni CJ, Srivastava S, Leyer GJ. Randomized controlled trial to assess if lactobacillus acidophilus DDS-1 or Bifidobacterium latis UABla-12 improve abdominal pain severity and symptoms in Irritable Bowel Syndrome. Nutrients. 2020 Jan 30th;12(2). DOI: 10.3390/nu12020363. PMID: 32019158. PMCID: PMC7071206.
- Wilson B., Rossi M., Dimidi E., Whelan. Prebiotics in Irritable Bowel Syndrome and Other Functional Bowel Disorders in Adults: A systematic review of randomized controlled trials and meta-analysis. Am J Clin Nutr. 2019 Apr 1;109(4):1098–111. DOI: 10.1093/ajcn/nqy376. PMID: 30949662.
- Spagnuolo R, Cosco C, Mancina RM, Ruggiero G, Garieri P, Cosco V, et al. Inositol, beta-glucan and digestive enzymes improve the quality of life for patients suffering from irritable bowel disorder and inflammatory intestinal disease. Eur Rev Med Pharmacol Sci. 2017 Jun;21(2 Suppl):102–7. PMID: 28724171.
- Ciacci C, Franceschi F, Purchiaroni F, Capone P, Buccelletti F, Iacomini P, et al. IBS symptoms: Effect of beta-glucan and inositol on GI symptoms Eur Rev Med Pharmacol Sci. 2011 Jun;15(6):637–43. PMID: 21796867.
- Di Nardo G, Oliva S, Ferrari F, Mallardo S, Barbara G, Cremon C, et al. Efficacy and tolerability of α-galactosidase in treating gas-related symptoms in children: a randomized, double-blind, placebo controlled trial. BMC Gastroenterol. 2013 Sep 24th, 13:142. DOI: 10.1186/1471-230X-13-142. PMID: 24063420. PMCID: PMC3849317.
- Kanazawa M., Fukudo SM. The effects of fasting on the irritable bowel disorder. Int J Behav Med. 2006;13(3):214–20. DOI: 10.1207/s15327558ijbm1303_4. PMID: 17078771.
- Pimentel, Constantino T. Kong Y. Bajwa, Rezaei M. Rezaei S. A 14-day elemental food plan is highly effective in normalizing lactulose test results. Dig Dis Sci. 2004 Jan;49(1):73–7. DOI: 10.1023/b:ddas.0000011605.43979.e1. PMID: 14992438.
- Pimentel M, Lembo A, Chey WD, Zakko S, Ringel Y, Yu J, et al. Rifaximin therapy without constipation for patients suffering from irritable bowel syndrome. N Engl J Med. 2011 Jan 6;364(1):22–32. DOI: 10.1056/NEJMoa1004409. PMID: 21208106.
- Lembo A, Zakko SF, Ferreira NL, Ringel Y., Bortey E, Courtney K, et al. T1390 Rifaximin Treatment for Diarrhea Associated Irritable Bowel Syndrome. A Short Term Treatment that Leads to Long Term Sustained Treatment. Gastroenterology. 2008 Apr;134(4):A-545. DOI: 10.1016/S0016-5085(08)62544-5.
- Rice AD, Patterson K, Reed ED, Wurn BF, Robles K, Klingenberg B, et al. Controlled study: Physiotherapy improves quality of life and reduces recurrent bowel obstructions World J Gastroenterol. 2018 May 21;24(19):2108–19. DOI: 10.3748/wjg.v24.i19.2108. PMID: 29785079. PMCID: PMC5960816.
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