Image of a woman in stomach discomfort

The Mind-Gut Connection: How Mindfulness Helps Manage Chronic Digestive Conditions

Amber Cohen, PsyD, CPsych

Written by: Amber Cohen, PsyD, CPsych

Updated: August 10th, 2026

Stress and emotions can create physical discomfort for many individuals, especially individuals with IBS and other chronic digestive conditions. This physical discomfort may be seen as nausea, gut sensitivity, stomach pain, cramping, and bloating. This is caused by the gut-brain axis, indicating that the brain and digestive system simultaneously impact each other. Research suggests this may be the reason individuals feel soreness or irritation within their digestive system during periods of stress.  

Therefore, it is important to understand and use mindfulness practices during those periods of physical discomfort. Focusing on the present time rather than anxious thoughts regarding one’s past or future provides individuals with relaxation responses. Thus, decreasing digestive discomfort, symptoms, and managing chronic digestive conditions. In addition, it may decrease psychological symptoms that come along with the gut-brain axis during stressful periods.  

Mindfulness for IBS

Irritable Bowel Syndrome (IBS) has a direct relationship with emotions and stress. An individual’s stress and emotional level can impact, as well as create symptoms of IBS. Therefore, mindfulness for IBS calms the nervous system through focusing on a person’s awareness in the present time and where they are in that exact moment, pushing the body towards the “rest and digest” state we want it to be at.  

By increasing mindfulness in individuals with IBS, it can decrease the stress they may feel in the moment, which will allow the digestive process return to its normal function to speed back up after being slowed down in order to manage the current stressor. This can decrease digestive flare-ups, nausea, cramping, stomach pain and anxious thoughts. 

A few techniques may include: 

These mindfulness techniques do not need to be intense or big. They just need to be small daily habits one can perform throughout the day to promote mindfulness along the way. Although mindfulness for IBS will not completely reduce IBS symptoms themselves, it can ease the physical discomfort and increase IBS support over time.  

Managing chronic digestive conditions 

Chronic digestive conditions may include: 

Diets, food choices, symptoms, stress, and psychological well-being are all key components to focus on when managing chronic digestive conditions. However, stress management is often overlooked. Since research shows stress increases symptoms for chronic digestive conditions because it activates the body’s “fight or flight” response, and creates imbalance to the “rest and digest” state, it is helpful to understand small habits to perform in order to reduce chronic digestive condition symptoms.  

A few habits may include: 

Each technique will feel different for every individual. Everyone’s symptoms may differ in pain and severity. Therefore, it is important to be aware of what works best for you. Additionally, it is also important to focus on diets and food choices depending on one’s chronic digestive condition. These techniques work simultaneously with managing individuals’ digestive systems and emotions, as well as stress regulation.  

Mindfulness and gut health

Through the gut-brain axis, emotional and physical signals intertwine, which may cause the intensity of one’s emotions to intensify physical pain or cause symptoms. Therefore, mindfulness and gut health can regulate one’s emotions and nervous system during stressful states, allowing better digestive processes.  

Different ways mindfulness impacts gut health include:  

Techniques that individuals may use include: 

Research suggests these small mindfulness techniques decrease physical discomfort and provide room for support regarding gut health. Although they may not be able to eliminate all physical discomfort or symptoms, it can help individuals manage gut discomfort and symptoms positively.  

Ways to reduce digestive flare-ups naturally 

The human body’s nervous system will activate under stress and often leads to physical tension, creating digestive flare-ups. These flare-ups may cause nausea, cramping, overall discomfort, heightened emotions, and changes in bowel processes. Digestive flare-ups also typically increase use in discomfort after using the bathroom or eating. Therefore, it is important to be aware of the ways to reduce digestive flare-ups in order to help reduce discomfort.  

Different ways to naturally reduce digestive flare-ups include: 

Although digestive flare-ups feel intense and one may be overwhelmed leading to not taking any action in reducing the discomfort (besides sitting or laying down), small mindfulness techniques help create changes regarding digestive tension in simple steps. These techniques may not only help provide ease regarding digestive flare-ups, but it can help to divert the individuals attention away from the pain, thus helping to regulate emotions during the flare-up.  

Overall, the nervous system and digestive system communicate with each other to provide support when needed. They also may cause discomfort to each other. Therefore, learning why mindfulness is important for gut health is important as it can help ease discomfort or shift attention away from physical irritation.  

Mindfulness techniques for IBS not only help ease symptoms, but it regulates stress and emotions, as well as digestive processes. This can be done through timed and slow-paced breathing, and light exercise, such as walking or stretching… Not only do these exercises help IBS, but it can also manage other chronic digestive conditions, such as IBD and GERD. When using small mindfulness techniques with medically approved techniques depending on the individual’s condition, as well as your healthcare professional’s feedback, it can help support and regulate emotional, as well as physical tension.  

Although mindfulness techniques support gut health, it does not eliminate all digestive symptoms and conditions. Each individual experiences emotional and stress levels differently, which will lead to digestive symptoms and conditions being experienced differently. Every mindfulness technique may have different effects on the individual, so it is important to experiment and find ones that work for you. However, using small practices helps create consistent and strong stress and physical management skills.

References  

  1. Cherpak, C. E. (2019). Mindful eating: A review of how the stress-digestion-mindfulness triad may modulate and improve gastrointestinal and digestive function. Integrative Medicine (Encinitas), 18(4), 48-53. https://pmc.ncbi.nlm.nih.gov/articles/PMC7219460
  2. Cleveland Clinic. (2023). Irritable bowel syndrome (IBS). Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/4342-irritable-bowel-syndrome-ibs
  3. Cleveland Clinic. (2023). The gut-brain connection. Cleveland Clinic. https://my.clevelandclinic.org/health/body/the-gut-brain-connection
  4. Fikree, A., & Byrne, P. (2021). Management of functional gastrointestinal disorders. Clinical Medicine, 21(1), 44-52. https://pmc.ncbi.nlm.nih.gov/articles/PMC7850201
  5. Harvard Health Publishing. (2023). The gut-brain connection. Harvard Health. https://www.health.harvard.edu/diseases-and-conditions/the-gut-brain-connection
  6. Leggett, H. (2023). Breathing anxiety away. Stanford Medicine.  https://stanmed.stanford.edu/cyclic-sighing-stress-relief
  7. Mayo Clinic Staff. (2024). Irritable bowel syndrome. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/diagnosis-treatment/drc-20360064
  8. Naliboff, B. D., Smith, S. R., Serpa, J. G., Laird, K. T., Stains, J., Connolly, L. S., Labus, J. S., & Tillisch, K. (2020). Mindfulness-based stress reduction improves irritable bowel syndrome (IBS) symptoms via specific aspects of mindfulness. Neurogastroenterology and Motility, 32(9), e13828. https://pubmed.ncbi.nlm.nih.gov/32266762
  9. National Health Service. (2025). Symptoms of IBS (irritable bowel syndrome). NHS. https://www.nhs.uk/conditions/irritable-bowel-syndrome-ibs/symptoms
  10. Tromness, Z. (2025). IBS flare-ups: why they happen and how to get relief. Canadian Digestive Health Foundation. https://cdhf.ca/en/ibs-flare-ups-why-they-happen-and-how-to-get-relief/  
  11. UChicago Medicine AdventHealth. (2024). 7 most common digestive conditions. UChicago Medicine AdventHealth. https://www.uchicagomedicineadventhealth.org/blog/7-most-common-digestive-conditions  

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