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Nervous Stomach and Stress

A “nervous stomach” or an “anxious stomach” is a colloquial term often used to describe a variety of gastrointestinal symptoms that can be associated with emotional factors, such as stress, anxiety, or nervousness. It is not a specific medical diagnosis but rather a common way people express the connection between their mental state and gastrointestinal symptoms. Some of the symptoms include:

  1. Butterflies in the stomach
  2. Nausea
  3. Stomach cramps or pain
  4. Changes in bowel habits
  5. Bloating

In the past few years, research studies have provided a clear connection between the gut and the brain and this connection is referred to as the gut-brain axis. It is believed that the gut-brain axis is involved in nervous stomach. Biochemical signals in the gut-brain axis run in both directions and they link the brain with intestinal function. Therefore the emotions someone feels can affect them physically, and the physical functioning of the gut can affect the emotions. In addition the composition of someone’s gut microbiome seems to play a role in nervous stomach, as well (UCLA Health 2023; Mayer et al 2021).

Managing a nervous stomach typically involves a multidisciplinary approach:

  1. Persistent or severe gastrointestinal symptoms should be discussed with a healthcare professional to rule out underlying medical conditions. A doctor can provide a proper diagnosis and recommend appropriate treatment.
  2. In some cases, antidepressants or antianxiety medications may be prescribed.
  3. Some people benefit from seeing a therapist
  4. Mindfulness and deep breathing can be used to manage stress (Mayer et al 2023).

If someone is experiencing symptoms of a nervous stomach, it’s important to remember that these symptoms are often related to stress or anxiety. While some general suggestions are provided below it is crucial for individuals to consult with a healthcare professional for a thorough evaluation, guidance and personalized advice based on their specific situation.

Evidence in the literature supports that individuals with nervous stomach may benefit from the following actions:

  • Consultation with a Healthcare Professional:
    • Schedule an appointment with a healthcare provider to discuss your symptoms and rule out any underlying medical conditions.
  • Practicing Stress Reduction Techniques:
    • Incorporate stress reduction techniques into your daily routine. This may include deep breathing exercises, meditation, progressive muscle relaxation, or mindfulness.
  • Regular Exercise:
    • Engage in regular physical activity, as exercise has been shown to reduce stress and improve mood. Aim for at least 30 minutes of moderate exercise most days of the week.
  • Healthy Eating Habits:
    • Adopt a balanced and nutritious diet. Avoid excessive caffeine, alcohol, and spicy foods, as these can sometimes exacerbate digestive symptoms.
  • Regular Meals and Snacks:
    • Eat regular, well-balanced meals throughout the day. Skipping meals can sometimes contribute to digestive discomfort.
  • Adequate Hydration:
    • Stay hydrated by drinking enough water throughout the day. Dehydration can sometimes contribute to digestive issues
  • Identification of Triggers:
    • Pay attention to situations or factors that may trigger your nervous stomach symptoms. Identifying triggers can help you manage or avoid them when possible.
  • Getting Sufficient Sleep:
    • Aim for a consistent sleep schedule and prioritize getting enough restorative sleep. Lack of sleep can contribute to stress and exacerbate digestive symptoms
  • Considering Professional Support from Mental Health Professional:
    • If stress or anxiety is a significant factor, consider seeking support from a mental health professional. Cognitive-behavioral therapy (CBT) and other therapeutic approaches can be effective in managing anxiety-related gastrointestinal symptoms (Digestive Health UK, 2023).
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