World Inflammatory Bowel Disease Day 2025: Expert Explains How It Can Negatively Impact Mental Health And Vice Versa
Published 6 hours ago• 3 minute read
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Learn how gut inflammation (IBD) affects mood and vice versa, and explore holistic approaches to manage symptoms and improve well-being.
, sadness, and stress in addition to medical problems, often unaware that the two are inextricably linked.
On this observed on May 19 every year, we spoke to who explained the link between IBD and mental health.
This relationship is more than simply emotional; it is biological. The gut-brain axis is a two-way communication highway that connects your digestive system to your brain. And with IBD patients, this channel of communication is frequently on fire.
According to Johns Hopkins Medicine, IBD, which includes Crohn's disease and ulcerative colitis, is a chronic intestinal condition impacting approximately 1.6 million Americans, with most diagnoses occurring before age 35.
"Your gut contains a complex nervous system, often called the 'second brain,' which produces neurotransmitters like serotonin and dopamine that influence mood. When the gut becomes inflamed, as in IBD (which includes Crohn's disease and ulcerative colitis), the delicate equilibrium gets disrupted," explained Dr Adarsh.
A chronic inflammatory response can produce chemicals that enter the bloodstream and reach the brain, possibly contributing to depression, irritation, and cognitive fog. Over time, patients may experience not only bloating and cramping but also a general sense of uneasiness or emotional fatigue.
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A systematic 2021 review reported a pooled prevalence of anxiety symptoms at 35.1% and depression symptoms at 21.6% among IBD patients.
These are not simply emotional reactions to a distressing diagnosis; they are part of the sickness. The stress of uncertain symptoms, food restrictions, and frequent hospital visits can wear down even the strongest minds.
"Furthermore, mental health issues might cause physical flare-ups. When stressed or apprehensive, your body develops a 'fight or flight' response, exacerbating gut inflammation. It becomes a vicious cycle: gut flares affect the mind, and mental stress fuels the fire in the belly," added Dr Adarsh.
For far too long, IBD was treated primarily as a gastrointestinal issue. But as our understanding grows, it becomes evident that healing necessitates a more comprehensive approach. Medication remains the backbone of treatment, but it is insufficient.
An excellent IBD treatment plan should include:
Living with IBD requires more than just managing drug schedules. Here are some easy tactics shared by the expert that can make a significant difference:
Taking too many pain relievers or anti-anxiety medications can be more harmful than beneficial. Always consult with your doctor first.
Dr Adarsh concluded, "If you have IBD and are feeling depressed, anxious, or overwhelmed, realise that it is not 'all in your head.' The gut and brain are inextricably linked, and both require attention. Treating IBD effectively requires going beyond the intestines and supporting the entire person."
Do not wait for symptoms to go out of control. If you're experiencing repeated gastrointestinal difficulties, mood fluctuations, or unexplained exhaustion, it's time to see a specialist. With the correct team and care, it is possible to not only live with IBD but also live well.
[ This article contains information provided by an expert and is for informational purposes only. Hence, we advise you to consult your professional if you are dealing with any health issue to avoid complications.]