IBS is not just a stomach problem, this is an intestinal-brain condition: specialist

Irritable bowel syndrome (IBS), has long been rejected by many people as ‘just a stomach problem’, now recognized by experts as a complex position that is deeply affected by intestinal-brain connections. Dr. Prashant B Gandhi, Consultant-Medical Gastroenterology, Spars Hospital, RR Nagar, Bangalore, says, stress, poor diet and an unbalanced intestine microbiome can interfere with daily life in an intense manner.

In a special conversation, Dr. Gandhi explained why IBS is understood as a disorder of communication between the brain and the intestine rather than a standalone digestive issue.

Intestinal-brain axis: a two-way conversation

“There is a direct connection between our stomach and brain, called the ‘intestinal-brain axis’,” Dr. Gandhi said. “When we are under stress, an indication moves from the brain to the stomach and the intestines become sensitive. Similarly, when there is a disturbance in the stomach, the brain is also affected. That is why IBS is considered a disorder of both brain and intestines, not only the stomach.”

Medical studies returned to this, showing that vaginal nerve and neurochemical messengers allow a continuous two-way indications between the digestive system and the brain. Why is it that emotional crisis can provoke the intestines and why chronic intestine issues, in turn, can spoil anxiety or depression.

Stress as a silent aggressive

Stress, Dr. Gandhi emphasized, IBS is one of the largest amplifiers of symptoms. “Stress and anxiety IBS deteriorates. When we are under constant stress, intestinal muscles begin to contract and expand. This increases problems like abdominal pain, gas and frequent toilets travel. Therefore, it is very important to maintain good mental health.”

Experts agree globally that stress management is not optional, but IBS is central for care. Practices such as mindyfulness meditation, breathing exercise and therapy are being recommended rapidly with medication.

Diet alone is not enough

While many patients try to control IBS purely through food options, Dr. Gandhi warned against the dietary approach. “Treatment of IBS is not just fulfilled by changing the diet. The diet definitely helps like avoiding oily and spicy foods. But at the same time, reducing stress, yoga-system and maintaining mental balance is equally important. That is, that is, the treatment should be on both the stomach and brain.”

Doctors often recommend cutting a lower-p-podmap diet on fermented carbohydrates that are difficult to digest mental health through medical or relaxation practices.

Attestinal Microbiome: Hidden Player

Another unseen factor is intestine microbiome, regulating digestion, immunity, and even mood in our intestines. “There are millions of good bacteria in our stomach called ‘intestine microbiome’,” Dr. Gandhi explained. “When their balance is disturbed, such as excessive use of more junk food, excessive use of antibiotics or a poor lifestyle, then swelling, gas and intestinal pain begin to increase. It triggers symptoms of IBS.”

Emerging research suggests that probiotics and prebiotics can help restore balance, although reactions vary in individuals.

Lifestyle changes that work

When patients were asked about taking practical steps, Dr. Gandhi was clear: stability in daily habits makes the biggest difference.

“Small lifestyle changes can create a big difference for IBS patients. If they eat a balanced diet, which have adequate fiber and less oil and spices, the pressure on the intestines decreases and the digestive process remains smoothly. Along with this, there is regular exercise and light walking every day, because it is also balanced.

He said that activities like yoga and meditation not only reduce stress, but also improve the coordination between the mind and the intestines. “In addition, avoiding caffeine, alcohol and highly processed food can prevent resentment, gas and discomfort in the stomach to a great extent,” Dr. Gandhi said.

Dr. Gandhi added that adopting healthy habits can control the symptoms of IBS and patients can live their daily lives with more comfort and confidence.