In our daily lives, we face a range of situations that can impact both our physical and mental health. Stress and anxiety emerge as two of the main psychological factors that can exert a powerful influence on our overall well-being, significantly impacting digestive health.
In this context, various investigations have highlighted the relevance of syndrome of Small intestinal bacterial overgrowth (SIBO), a gastrointestinal syndrome recent that It already affects the 22% of the population.
What is SIBO?
He SIBO or bacterial overgrowth It is a condition in which there is a overgrowth of bacteria in the small intestinethe part of the digestive system responsible for absorbing nutrients from the foods we eat.
This syndrome has gained medical attention due to its complexity and its apparent relationship to stress. This gastrointestinal condition results from a bacterial imbalance in the small intestine, where colon bacteria proliferate excessively. Symptoms may include bloating, diarrhea, abdominal pain, and malabsorption of nutrients.
What is intriguing, however, is how stress could be involved in its development and worsening. As researchers delve deeper into this connection, a better understanding is sought to develop more effective diagnostic and treatment approaches, bringing relief to those affected by this complex gastrointestinal condition.
Causes of SIBO
Although it may be complex to understand, the connection between SIBO and stress is becoming increasingly evident.
According to the American Gastroenterological Society, SIBO can present several common symptomsranging from abdominal pain to bloating, gas, flatulence, or diarrhea. Cases of nausea, abdominal cramps, and constipation have also been reported. In more severe situations, SIBO can even cause deficiencies in nutrient absorption.
According to the SIBO clinical guideline, bacterial overgrowth used to be seen in people with poor bowel mobility due to gastrointestinal disorders or surgeries that affected small bowel movement.
This included people with low stomach acid, scleroderma, ulcerative colitis, Crohn's disease, chronic pancreatitis, liver disease, or celiac disease, and also to those who underwent gastric bypass for obesity. It has been found that old age and the feminine gender are associated with a higher chance of having SIBO.
Symptoms
Some common symptoms that may suggest that our intestine has an excess of bacteria are:
- Abdominal distension (bloating). One of the most common symptoms of SIBO is bloating, which is characterized by a feeling of inflammation or swelling in the abdomen area. This It occurs due to the accumulation of gases and bacteria in the small intestine.which causes increased gas production and a increased pressure in the abdomen.
- Abdominal pain due to excess gas. Bacterial overgrowth in the small intestine can lead to increased production of intestinal gas. These gases can become trapped and cause abdominal pain and discomfort. Pain can vary in intensity and location.but is often described as cramping or colic.
- Diarrhea or constipationSIBO can affect the normal process of digestion and absorption of nutrients in the small intestine. Depending on the severity and location of the bacterial overgrowth, it can cause diarrhea or constipation.Diarrhea may be watery and frequent, while constipation may make it difficult to have a bowel movement and cause hard, scanty stools.
It is important to note that these symptoms may vary from person to person and will depend on the severity of the bacterial overgrowth, as well as its location and extent in the small intestine. If these symptoms are experienced persistently or with concern, it is essential to consult a health professional for a proper diagnosis and an appropriate treatment plan.
Relationship with stress
This syndrome has captured medical attention due to its complexity and apparent relationship with stress
Stress is a the body's natural response to challenging or stressful situations. When we are under stress, our body releases certain chemicals and hormones to prepare for action, which can affect several symptoms, including the digestive one. This is where the relationship between SIBO and stress comes in.
According to a study conducted by the National Center for Biotechnology Information, chronic or prolonged stress It can alter the balance of bacteria in our gut and affect its proper function. When we are stressed for a long time, there can be changes in the way the gut moves and processes food, creating an environment conducive to small intestinal bacterial overgrowth, i.e. SIBO.
This study involving 50 peopleof which 26 were diagnosed with SIBO and 24 without SIBO, revealed the following:
- Patients with SIBO were shown to have higher levels of neuroticism and lower levels of extroversion compared to those without SIBO.
- Patients with SIBO experienced a higher level of anxiety in specific situations compared to those without SIBO.
- Patients with SIBO had higher levels of stress compared to the group that did not have SIBO.
In addition, stress also can influence our food choices and in How our body digests foodFor example, some people under stress may turn to unhealthy eating or overeating, which can also negatively impact digestive health and contribute to the development of SIBO.
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Here are some practical tips that can help us in our daily lives, according to several expert sources, they are:
- Keep your mind busy. Practicing techniques such as mindfulness, meditation or yoga can be very useful to control anxiety and feel better.
- Establish a routine. Try to keep regular schedules for being exposed to sunlight during the day and avoid excessive use of screens before bed. This helps regulate our biological clock and improve our sleep.
- Sleep well. Getting enough rest, at least 8 hours each night, is essential to take care of our mental and physical health.
If you need emotional support and stress management, online therapy can be a great option. It allows you to receive help from the comfort of your homeespecially if you live far from a therapist or have difficulty getting around. You also have more Flexibility with schedules of the sessions and gives you the opportunity to feel more relaxed by interacting with the therapist in a familiar environment.
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