Stress-Induced Stomach Pain: Is It Normal? - Gastroenterology and Hepatology

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Abdominal pain occurs during times of stress?


Hello doctor, I am someone who gets nervous quite easily.
Whenever I feel a lot of pressure and tension, I experience stomach pain and the urge to have a bowel movement, but it lasts for a short duration (no longer than five minutes).
After the pain subsides, I still have intermittent stomach aches that last for a second or two a few times, and then it goes away.
I would like to know if this is normal.

Mr. Zhu, 20~29 year old female. Ask Date: 2023/02/12

Dr. Chen Shidian reply Gastroenterology and Hepatology


It may be general irritable bowel syndrome; monitor diet and stress, and observe further.

Reply Date: 2023/02/12

More Info


Stress-induced stomach pain is a common phenomenon that many people experience, especially during periods of heightened anxiety or pressure. Your description of feeling intense stomach pain and the urge to have a bowel movement when under stress is not unusual. This response can be attributed to the body's natural reaction to stress, which involves a complex interplay of the nervous system, hormones, and the gastrointestinal (GI) tract.

When you experience stress, your body activates the "fight or flight" response, which is controlled by the sympathetic nervous system. This response triggers the release of stress hormones such as cortisol and adrenaline. These hormones can affect various bodily functions, including digestion. The gastrointestinal system is particularly sensitive to stress, and as a result, you may experience symptoms such as stomach pain, cramping, diarrhea, or constipation.

The pain you describe, which lasts for a short duration and is followed by intermittent discomfort, can be considered a normal reaction to stress. The brief episodes of pain may be due to muscle tension in the abdominal area or changes in gut motility caused by stress. When you are anxious, your body may divert blood flow away from the digestive system, leading to discomfort. Additionally, the gut-brain connection is well-documented; the brain communicates with the gut, and emotional stress can lead to physical symptoms in the digestive tract.

It's important to note that while stress can lead to these symptoms, it is essential to rule out any underlying medical conditions. If you have not already done so, consider consulting with a healthcare professional to discuss your symptoms in detail. They may recommend diagnostic tests or evaluations to ensure that there are no other contributing factors to your discomfort.

In terms of management, there are several strategies you can employ to help alleviate stress-related stomach pain:
1. Stress Management Techniques: Incorporate relaxation techniques such as deep breathing exercises, meditation, yoga, or mindfulness practices into your daily routine. These methods can help reduce overall stress levels and improve your body's response to stress.

2. Regular Exercise: Physical activity is a powerful stress reliever. Engaging in regular exercise can help improve your mood, reduce anxiety, and promote healthy digestion.

3. Healthy Eating Habits: Pay attention to your diet. Eating smaller, more frequent meals and avoiding trigger foods (such as caffeine, spicy foods, or high-fat meals) can help minimize digestive discomfort.

4. Adequate Sleep: Ensure you are getting enough restful sleep. Sleep deprivation can exacerbate stress and negatively impact your overall health.

5. Professional Support: If your symptoms persist or worsen, consider seeking help from a mental health professional. Therapy can provide you with tools to manage anxiety and stress more effectively.

In conclusion, while experiencing stomach pain in response to stress is common and can be considered normal, it is crucial to monitor your symptoms and seek medical advice if they become frequent or severe. Understanding the connection between stress and physical symptoms can empower you to take proactive steps in managing your health and well-being.

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