Can Stress Cause Stomach Pain?


Stress and stomach pain often go hand in hand, forming a perplexing relationship that has intrigued researchers and medical professionals. When stress takes its toll on our mental and emotional health, it can manifest physically, particularly in the form of stomach pain. Understanding the connection between stress and stomach discomfort is crucial. Because it allows us to recognize the impact of stress on our bodies. By delving into the intricate concept of the mind-gut connection, we can shed light on the importance of managing stress for optimal health.

Understanding the Connection between Stress and Stomach Pain

Stress-related stomach pain is a natural physiological reaction designed to protect us in times of perceived danger or threat. When faced with stressors, the body releases stress hormones like cortisol and adrenaline. These hormones activate various bodily systems, including the digestive system.

Stress can disrupt the normal functioning of the stomach and digestive system in several ways. First, it can lead to increased muscle tension, causing cramping and spasms in the gastrointestinal tract. This can result in anxiety stomach pain, bloating, and discomfort. Additionally, stress can affect the production and balance of digestive enzymes, leading to improper digestion and nutrient absorption.

Furthermore, stress can alter the composition of the gut microbiota, the trillions of bacteria residing in our intestines. This imbalance in the microbiome has been associated with digestive disorders and abdominal pain. The communication between the brain and the gut, known as the gut-brain axis, plays a vital role in this connection, as stress signals can influence gut motility, sensitivity, and inflammation.

What are the symptoms of stress-induced or anxiety-related stomach pain?

Indigestion? Stomach cramps? Stress-induced stomach pain can present itself in various ways, with symptoms that are often similar to those of other gastrointestinal disorders. Recognizing these symptoms can help differentiate stress-induced stomach pain from other underlying health conditions. Typical symptoms of stress-induced stomach pain include:

  • Abdominal discomfort: This may range from a dull ache to sharp, cramp-like pains in the abdominal muscles.
  • Bloating and gas: Many individuals experience bloating, excess gas, and a feeling of fullness in the abdomen.
  • Changes in bowel habits: Stress can lead to alterations in bowel movements, causing diarrhea or constipation.
  • Nausea and vomiting: Some people may experience feelings of queasiness, along with occasional episodes of vomiting.
  • Loss of appetite: Stress can suppress appetite, leading to a decreased desire to eat.

Diagnosing stress-induced stomach pain involves a comprehensive evaluation of the patient’s medical history, symptoms, and physical examination. Physicians may conduct tests such as blood work, stool analysis, and imaging studies to rule out other gastrointestinal conditions.

Distinguishing stress-induced stomach pain from other gastrointestinal issues can be challenging. However, the presence of a consistent correlation between stressors and symptom onset, along with the absence of significant findings in diagnostic tests, can provide clues to its stress-related nature.

Can a dysregulated nervous system cause an upset stomach?

The nervous system plays a critical role in the development of stress-induced stomach pain. Two key components are involved in this process: the enteric nervous system and the sympathetic nervous system.

The enteric nervous system (ENS), often referred to as the “second brain,” is a complex network of neurons that resides within the gastrointestinal tract. It operates independently but also communicates with the central nervous system. The ENS is responsible for regulating various digestive processes, including gut motility, secretion, and absorption of nutrients.

The sympathetic nervous system is one of the three divisions of the autonomic nervous system, and it acts as the body’s stress response system. When confronted with stressors, such as emotional or psychological challenges, the sympathetic nervous system is activated, leading to the release of stress hormones, like adrenaline and cortisol. These hormones prepare the body for immediate action. They direct resources away from less critical functions, such as digestion, and toward more essential functions like increased heart rate and heightened alertness.

In the context of stress-induced stomach pain, the activation of the sympathetic nervous system can have several effects on the gastrointestinal tract. Firstly, it leads to increased muscle tension in the digestive system. This causes cramping and spasms in the stomach and intestines, resulting in discomfort and pain. Secondly, the stress hormones can disrupt the balance of digestive enzymes, potentially leading to improper digestion and nutrient absorption.

Moreover, the enteric nervous system and the brain are interconnected through the gut-brain axis. Stress signals from the brain can influence the enteric nervous system, impacting gut motility, sensitivity, and inflammation. This bidirectional communication between the brain and the gut contributes to the link between stress and stomach pain.

dysregulated nervous system, under chronic stress, can exacerbate stomach pain. Prolonged activation of the stress response in the stomach can result in increased muscle tension in the gastrointestinal tract. This can lead to spasms and discomfort. The release of stress hormones can also impact the production of digestive enzymes and disrupt the balance of the gut microbiota, further contributing to stomach pain.

How to get rid of stress-induced stomach pain for good

Stress-induced stomach pain along with IBS symptoms can be managed effectively. With the right approach, it is possible to alleviate intestinal pain and even prevent its recurrence. Here are some strategies to consider:

  • Nervous system regulation: By practicing techniques to regulate the nervous system, you can regulate your body’s stress response, improve gut health, and aid digestion. These techniques include somatic practices, deep breathing techniques, building a “sensory diet” that promotes regulation, and more.
  • Exercise: Engaging in regular physical activity is known to be beneficial for both mental and physical well-being. Exercise helps reduce stress levels by promoting the release of endorphins, the body’s natural mood boosters. It also aids in regulating the digestive system and improving gut motility. Aim for at least 30 minutes of moderate-intensity exercise, such as brisk walking or jogging, a few days of the week.
  • Diet modifications: Pay attention to your diet as certain foods can exacerbate stress-induced stomach pain. Opt for a well-balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Avoid or limit the consumption of foods that are known to trigger digestive issues, such as spicy foods, fatty foods, ultra processed foods, caffeine, and alcohol. Additionally, staying adequately hydrated by drinking plenty of water throughout the day can support healthy digestion.
  • Stress management techniques: Incorporate stress management techniques into your daily routine to minimize the impact of stress on your body. Finding healthy outlets to cope with stress can significantly reduce the likelihood of stress-induced stomach problems or pain.

Remember, everyone’s response to stress is unique, so it may take some trial and error to discover which strategies work best for you. It is important to listen to your body, be patient with yourself, and seek professional help if needed. With a holistic approach that addresses both the mind and body, you can effectively both manage stress and overcome anxiety related stomach issues for good.

Let us help!

Building a thriving, flexible nervous system can be instrumental in improving digestive problems. If you’re ready to find relief from stress-related tummy troubles, consider exploring how The Nervous System Solution can support your journey toward a healthier you.


In conclusion, the link between stress and stomach pain is undeniable, as stress can manifest physically in the form of gastrointestinal discomfort. The brain-gut connection plays a vital role in this relationship, with stress triggering physiological responses. This can disrupt the normal functioning of the digestive system. Symptoms of stress-induced stomach pain can be similar to those of other gastrointestinal disorders, making it essential to differentiate and diagnose accurately.

Understanding the role of the nervous system in stress-induced stomach pain is crucial. As chronic stress can dysregulate this system and exacerbate gastrointestinal symptoms. However, with the right approach, stress-induced stomach pain can be managed effectively. Techniques to regulate the nervous system, regular exercise, mindful dietary choices, and stress management strategies can all contribute to alleviating stomach pain. Remember to be gentle with yourself and explore various techniques to find what works best for you!

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Dr. Linnea Passaler

Dr. Linnea Passaler

Dr. Linnea Passaler has dedicated 20+ years to serving patients, first to a small number of individuals as a successful surgeon and then to thousands of people worldwide as the CEO of a digital health startup. After overcoming her own struggles with a dysregulated nervous system, she created Heal Your Nervous System (HYNS) to empower others in their healing journey. Her combination of neuroscience and somatic work helps those struggling with overwhelm, trauma, burnout, and anxiety to heal their dysregulated nervous systems and thrive.