Stress-related IBS

The gastrointestinal tract is exquisitely sensitive to different physical and psychological stressors. Irritable bowel syndrome (IBS) may be viewed as a disorder caused by stress-induced dysregulation of the complex interactions along the brain-gut-microbiota axis, which involves the bidirectional,...

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Main Author: K. Outhoff
Format: Article
Language:English
Published: AOSIS 2016-05-01
Series:South African Family Practice
Subjects:
Online Access:https://safpj.co.za/index.php/safpj/article/view/4504
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author K. Outhoff
author_facet K. Outhoff
author_sort K. Outhoff
collection DOAJ
description The gastrointestinal tract is exquisitely sensitive to different physical and psychological stressors. Irritable bowel syndrome (IBS) may be viewed as a disorder caused by stress-induced dysregulation of the complex interactions along the brain-gut-microbiota axis, which involves the bidirectional, self-perpetuating communication between the central and enteric nervous systems, utilising autonomic, psychoneuroendocrine, pain modulatory and immune signalling pathways. An overzealous stress response may significantly alter not only the sensitivity of the central and enteric nervous systems, but also other potentially important factors such as gut motility, intestinal mucosal permeability and barrier functioning, visceral sensitivity, mucosal blood flow, immune cell reactivity and enteric microbiota composition. Symptoms of these (mal)adaptive changes may include constipation, diarrhoea, bloating and abdominal pain, manifesting clinically as IBS. This article briefly reviews the current postulated stress-models of IBS.
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series South African Family Practice
spelling doaj-art-539401de6b3c4988bef65fb53ee8ca522025-08-20T04:03:12ZengAOSISSouth African Family Practice2078-61902078-62042016-05-0158310.4102/safp.v58i3.45043635Stress-related IBSK. Outhoff0Department of Pharmacology, Faculty of Health Sciences, University of PretoriaThe gastrointestinal tract is exquisitely sensitive to different physical and psychological stressors. Irritable bowel syndrome (IBS) may be viewed as a disorder caused by stress-induced dysregulation of the complex interactions along the brain-gut-microbiota axis, which involves the bidirectional, self-perpetuating communication between the central and enteric nervous systems, utilising autonomic, psychoneuroendocrine, pain modulatory and immune signalling pathways. An overzealous stress response may significantly alter not only the sensitivity of the central and enteric nervous systems, but also other potentially important factors such as gut motility, intestinal mucosal permeability and barrier functioning, visceral sensitivity, mucosal blood flow, immune cell reactivity and enteric microbiota composition. Symptoms of these (mal)adaptive changes may include constipation, diarrhoea, bloating and abdominal pain, manifesting clinically as IBS. This article briefly reviews the current postulated stress-models of IBS.https://safpj.co.za/index.php/safpj/article/view/4504stressallostatic loadirritable bowel syndromebrain-gut-microbiota axis
spellingShingle K. Outhoff
Stress-related IBS
South African Family Practice
stress
allostatic load
irritable bowel syndrome
brain-gut-microbiota axis
title Stress-related IBS
title_full Stress-related IBS
title_fullStr Stress-related IBS
title_full_unstemmed Stress-related IBS
title_short Stress-related IBS
title_sort stress related ibs
topic stress
allostatic load
irritable bowel syndrome
brain-gut-microbiota axis
url https://safpj.co.za/index.php/safpj/article/view/4504
work_keys_str_mv AT kouthoff stressrelatedibs