Bowel Anxiety Symptoms Problems

Written by Jim Folk
Medically reviewed by Marilyn Folk, BScN.
Last updated September 9, 2024

bowel anxiety symptoms problems

Bowel symptoms and problems, such as diarrhea, constipation, Irritable Bowel Syndrome (IBS), abdominal cramps, indigestion, loose stools, are common symptoms of anxiety.

Many anxious people experience stomach and digestive problems.

This article explains the relationship between anxiety and bowel problems and symptoms.

Anxiety Bowel Symptoms Common Descriptions

  • Diarrhea
  • Constipation
  • Irritable Bowel Syndrome
  • Indigestion
  • Loose stools
  • Intestinal pain
  • Stomach cramps
  • Loss of appetite
  • Unnatural hunger
  • Nausea
  • Peptic ulcers
  • Bowel movement problems
  • Bowel obstruction
  • Bowel pain
  • Abdominal cramps
  • Abdominal distress, pain, pressure, fullness, discomfort
  • Abdominal fullness
  • Abdominal radiating pains
  • Abdominal shooting pains
  • Butterflies in the stomach
  • Gas cramps
  • Gastrointestinal problems, symptoms
  • Gastrointestinal upset
  • Gut-Brain connection
  • Intestinal clamping
  • Intestinal cramping
  • Intestinal fullness and pressure
  • Intestinal rumbling, growling, gurgling, and other sounds and feelings
  • Slow transit time
  • Warm sensation in the stomach

This symptom can affect one area of the digestive tract only, can shift and affect another area or areas, can migrate and affect many areas, and can affect all areas just once or over and over again.

Anxiety Bowel symptoms can:

  • Occur occasionally, frequently, or persistently.
  • Precede, accompany, or follow an escalation of other anxiety symptoms or occur by itself.
  • Precede, accompany, or follow a period of nervousness, anxiety, fear, and stress, or occur "out of the blue" for no reason.
  • Range in intensity from mild, to moderate, to severe.
  • Come in waves where it’s strong one moment and eases off the next.
  • Occur for a while, subside, and then return for no reason.
  • Change from day to day, moment to moment, or remain as a constant background during your struggle with anxiety disorder.

This symptom can seem more noticeable when undistracted, resting, trying to sleep, or waking up.

All the above combinations and variations are common.

To see if anxiety might be playing a role in your symptoms, rate your level of anxiety using our free one-minute instant results Anxiety Test, Anxiety Disorder Test, or Hyperstimulation Test.

The higher the rating, the more likely anxiety could be contributing to or causing your anxiety symptoms, including feeling like impending doom symptoms.

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Can anxiety cause gastrointestinal problems like bowel symptoms?

Medical Advisory

Talk to your doctor about all new, changing, persistent, and returning symptoms as some medical conditions and medications can cause anxiety-like symptoms.

Additional Medical Advisory Information.

Yes, anxiety can cause many gastrointestinal problems, such as the bowel problems and symptoms we mentioned.

Here are a few of the most common reasons why:

1. The stress response

Anxious behavior activates the stress response, which causes many body-wide changes that give the body an emergency “boost” of energy and resources when danger is detected. This survival reaction is often referred to as the fight or flight response.[1][2]gut-brain axis

Visit our “Stress Response” article for more information about the stress response and the many changes it causes.

This connection is often referred to as the gut-brain axis.

The gut-brain axis is a bidirectional link between the central nervous system (CNS) and the enteric nervous system (ENS), which acts as the gut’s nervous system.

The ENS is embedded in the lining of the gastrointestinal system, which helps regulate gastrointestinal (GI) tract processing.

The gut-brain axis works in both directions, with the brain affecting the gut and the gut affecting our thoughts and emotions.

Some of these emergency changes include:

  • Shunts blood away from the stomach and digestive system to other parts of the body more vital for fighting or fleeing.
  • The stomach and upper digestive tract stop producing digestive enzymes.
  • The lower digestive tract tries to eliminate waste as quickly as possible.
  • Stomach muscles tighten.
  • Saliva production is suppressed.

Any one or combination of these changes can cause digestive and bowel problems.

Many anxious people experience digestive and bowel symptoms due to their anxiety.

2. Hyperstimulation

When stress responses occur infrequently, the body can recover relatively quickly from the physiological, psychological, and emotional changes the stress response brings about.

When stress responses occur too frequently, however, such as from overly apprehensive behavior, the body can’t complete its recovery. Incomplete recovery can cause the body to remain in a state of semi stress response readiness, which we call “stress-response hyperstimulation” since stress hormones are stimulants.

Hyperstimulation is also often referred to as “hyperarousal,” “HPA axis dysfunction,” or “nervous system dysregulation.”[3][4]

Visit our “Stress-response Hyperstimulation” article for more information about how hyperstimulation can affect the body.

Hyperstimulation can cause the changes of an active stress response even though a stress response hasn’t been activated. Consequently, the above emergency response changes can become chronic, which can cause chronic bowel problems and symptoms.

Chronic digestive problems are common indications of hyperstimulation.

Moreover, chronic digestive problems can alter the gut flora, which can also cause many digestive and intestinal symptoms, including any and all of the symptoms we mentioned above.

3. Other factors

There are other factors related to anxiety that can cause and contribute to bowel anxiety symptoms, including:

Select the relevant link for more information.

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How to stop anxiety gastrointestinal problems

When bowel problems and symptoms are caused by other factors, addressing the cause should alleviate the problems and symptoms.

When bowel anxiety problems and symptoms are caused by apprehensive behavior and the accompanying stress response changes, as the anxious and stress response changes come to an end, this anxiety symptom should subside.

Keep in mind, it can take up to 20 minutes or more for the body to recover from a major stress response. This is normal and shouldn’t be a cause for concern.

When this bowel problems and symptoms are caused by hyperstimulation, such as from overly apprehensive behavior, it can take much longer for the body to recover, and to the point where this anxiety symptom subsides.

Furthermore, it’s common for hyperstimulation to cause multiple types of digestive problems, such as irritation, inflammation, leaky gut, and out of balance digestive flora, to name a few.

It’s also common for hyperstimulation to cause persistent digestive problems and symptoms, such as those mentioned above, even long after hyperstimulation has been eliminated. Once the digestive problems get rolling, they can become compounded, and then stubborn to resolve.

Reducing stress, increasing rest, getting regular good sleep, regular deep relaxation, regular mild to moderate exercise, eating a healthy diet, and containing anxious behavior can help reduce and eventually eliminate hyperstimulation and its symptoms, including bowel anxiety symptoms.

As the body recovers from hyperstimulation, symptoms of hyperstimulation subside, including bowel symptoms.

Acceptance

Bowel problems and symptoms are common indications of anxiety and hyperstimulation. Instead of worrying about them, or worse resisting and fighting them, passively accepting this symptom in the short-term can reduce its impact in time.

Since worrying and distressing about anxiety symptoms is anxious behavior, which creates anxiety and its symptoms, these type of behaviors can prolong anxiety symptoms rather than eliminate them.

If you’d like more information about how to eliminate anxiety symptoms, including stomach and bowel anxiety symptoms, the Recovery Support area of our website has a great deal of in-depth self-help information.

We explain important recovery concepts, such as containment, passive acceptance, the challenges of eliminating hyperstimulation and its symptoms, how to extinguish fears, how to overcome stubborn symptoms and fears, how to overcome panic disorder, how to overcome a fear of anxiety, how to deal with anxiety sleep-related problems, and a host of other important anxiety disorder recovery tips and strategies.

Recovery Support

The Recovery Support area of our website contains thousands of pages of important self-help information to help individuals overcome anxiety disorder, hyperstimulation, and symptoms.

Due to the vast amount of information, including a private Discussion Forum, many of our Recovery Support members consider it their online recovery support group.

Therapy

The number one reason why anxiety disorder and its symptoms persist is unidentified and unaddressed underlying factors that cause issues with anxiety.

Dealing with your underlying factors, which we call Level Two recovery, is the most important work overall if you want to gain lasting success over anxiety disorder.

If you are having difficulty containing, eliminating your symptoms, overcoming your anxiety issues, overcoming a fear of anxiety and its strong feelings, or have what seems like out-of-control worry, consider connecting with one of our recommended anxiety disorder therapists.

All of our recommended therapists have personally had anxiety disorder and have overcome it. Their personal experience with anxiety disorder combined with their Masters Degree level and above professional training makes them a good choice when wanting to achieve lasting success over anxiety disorder, its symptoms, and worry.

Working with a therapist is the most effective way to overcome anxiety disorder.[5][6][7]

You can check our recommended therapist availabilities and make an appointment using the links below:

Additional comments:

Anxiety- and stress-related digestive problems are often caused by the underproduction of gastric acid rather than its overproduction.

If you are experiencing stomach and digestive problems, you might find it helpful to work with a Nutritional Science Practitioner, such as Liliana Tosic. She can help you get a proper diagnosis, and then, help you get your stomach and digestive system back on track.

Sometimes nutritional factors can be at play once the stomach and digestive system have become irritated. A professional can help you work through your stomach and digestive issues so that your digestive system has a better chance of returning to normal functioning sooner rather than later.

I wish that option were available to me during my recovery. I’m sure it would have made a difference in the elimination of my stomach and digestive system problems, which I suffered with greatly during my struggle with anxiety disorder.

Many of those who have worked with Liliana Tosic have commented on how helpful she was to their stomach and digestive system recovery.


Related Symptoms And Articles:

Prevalence

In an online poll we conducted, just over 83 percent of respondents said they had digestive symptoms because of their anxiety.

The combination of good self-help information and working with an experienced anxiety disorder therapist, coach, or counselor is the most effective way to address anxiety and its many symptoms. Until the core causes of anxiety are addressed – which we call the underlying factors of anxiety – a struggle with anxiety unwellness can return again and again. Dealing with the underlying factors of anxiety is the best way to address problematic anxiety.

Additional Resources

Return to our anxiety disorders signs and symptoms page.

anxietycentre.com: Information, support, and therapy for anxiety disorder and its symptoms, including Bowel Anxiety Symptoms Problems.

References

1. Chu, Brianna, et al. “Physiology, Stress Reaction.” StatPearls, 7 May 2024.

2. Godoy, Livea, et al. "A Comprehensive Overview on Stress Neurobiology: Basic Concepts and Clinical Implications." Frontiers In Behavioral Neuroscience, 3, July 2018.

3. Elbers, Jorina, et al. "Wired for Threat: Clinical Features of Nervous System Dysregulation in 80 Children." Pediatric Neurology, Dec 2018.

4. Yaribeygi, Habib, et al. “The Impact of Stress on Body Function: A Review.” EXCLI Journal, Leibniz Research Centre for Working Environment and Human Factors, 2017.

5. Hofmann, Stefan G., et al. “The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-Analyses.” Cognitive Therapy and Research, U.S. National Library of Medicine, 1 Oct. 2012.

6. Leichsenring, Falk. “Is Cognitive Behavioral Therapy the Gold Standard for Psychotherapy?” JAMA, American Medical Association, 10 Oct. 2017.

7. DISCLAIMER: Because each body is somewhat chemically unique, and because each person will have a unique mix of symptoms and underlying factors, recovery results may vary. Variances can occur for many reasons, including due to the severity of the condition, the ability of the person to apply the recovery concepts, and the commitment to making behavioral change.