There’s Far More To Treating IBS, Reflux & Other Digestive Issues Than Correcting The Gut Microbiome
The gut has been topical of late – with terms such as ‘gut microbiome’, the ‘third brain’ etc. becoming very popular. It has certainly become evident that gut function plays a huge role in both our physical and mental health, and we have seen an increase in digestive issues such as reflux, irritable bowel syndrome (IBS), Crohn’s Disease, Coeliac’s Disease etc. etc.
In treating such conditions, and indeed in exploring optimal health and well-being, we need to focus on correcting and optimising the internal environment of our digestive system. Treatments have included stool analyses, detox diets, eliminative diets such as FODMAP, paleo and gluten free programs, antibiotic treatments, prebiotic and probiotic treatments, digestive enzyme therapy etc. have become extremely useful strategies. However, very often these treatments struggle to yield significant or complete resolutions.
Given this, it is worth considering that there are other influences on digestive or gut function, other than what goes on inside the digestive system, and that ignoring these can lead to less than complete resolutions. 2 other influences that have a significant impact on gut function, and must be attended to in order to treat the gut more completely, include:
1. Our breathing via the smooth muscle that surrounds the digestive tract – the average person over-breathes, meaning they breathe twice as often as they should, and with far too much volume (because they use mouth and nose rather than nose only). This upsets the delicate biochemical balance in our respiratory system that governs how we get oxygen from the air we inhale into our cells for energy production (the mechanism of which is known as ‘The Bohr Effect’). One of the compensations that result from the upset in the respiratory system by over-breathing is for the body to constrict the smooth muscle around our breathing tubes – and we experience symptoms of breathing difficulties and asthma as a result. Yet, the rest of the tubes that service our body are also surrounded by smooth muscle and over-breathing can lead to constriction and spasm in our digestive system, which is in itself a large tube, forcing it into lock down and preventing the peristaltic action of the digestive system to work effectively, leading to digestive symptoms. This is particularly highlighted by the fact that a vast majority of digestive symptoms and ailments are exacerbated by stress, are often see associated anxiety along with them (especially IBS or reflux). When we are stressed or anxious we over-breathe or hyperventilate even more, which can really exacerbate this constriction and spasm in the digestive system.
2. How we process stress – which is regulated via our hypothalamus. Our hypothalamus, in the brain stem, regulates the automatic bodily functions (including the gut, breathing, circulation etc.), endocrine function (glands and hormones), immune function, sleep cycle, neurotransmitters, some cognitive function etc. It’s job is homeostasis, and it really is the general in regulating our body and keeping it ‘purring’ along. But a hypothalamus that is ‘angry’ or ‘overdrive’ because it is working too hard as we live in constant low level fight or flight in this modern world, can then dys-regulate the function of many o all of our automatic functions – including digestion and the gut. How we process stress in the brain is governed by the healthy working relationship between our two intelligence systems: our thinking, or rational brain, whose job it is to allow us to interface with the world we live in by analysing and interpreting information, data processing, solving problems (the world of thoughts and rational – including our story of our past, and future); and the pre-thinking, instinctive emotional brain whose role is to keep us safe, happy and comfortable by constantly scanning the environment around us (in the now) and warning us of any threat, or stress, via emotions, which serve as a call to action to deal with the threat. If these two work together we attend to emotions as they arise, our thinking brain interpreting the call to action and activating action, then we process stress effectively and we go back to being happy, safe and comfortable. However, we have created a big mismatch between the bodies we have inherited (from our hunter gatherer ancestors) and the high tech, high paced world we have created, and we are taught to ignore emotions and discomfort (therefore the call to action to deal with stress) – be tough, don’t be so sensitive/emotional/irrational, don’t be a girl/sissy, push though, tough it out, don’t show weakness etc. As such we have become top of the animal kingdom, but have forgotten how to be an animal, so we internalise stress rather that dealing with it effectively. This sends us into permanent low-level ‘fight or flight’ activation, leading to symptoms.
We must attend to more than just the inside of the gut to treat it effectively!!