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Irritable Bowel Syndrome (IBS) and the Gut-Brain Connection

Irritable Bowel Syndrome (IBS) and the Gut–Brain Connection

Between 20% and 30% of people in the UK are thought to experience symptoms of Irritable Bowel Syndrome (IBS). Many people live with symptoms for some time before seeking help.

Because IBS symptoms can overlap with other medical conditions, it is always important to consult your GP for diagnosis before self-treating.​

What Is IBS?

IBS is diagnosed based on symptoms rather than a single test. GPs typically look for:

  • Abdominal pain at least once a week for three months

  • Changes in bowel habits

IBS is often described as:

  • IBS-C (constipation-predominant)

  • IBS-D (diarrhoea-predominant)

  • Or a mixture of both

Diagnosis usually involves ruling out other conditions through blood tests or stool tests where appropriate.

Alongside physical discomfort — which can be significant — IBS can have social and emotional effects. Many people with IBS plan their day around toilet access, avoid social events, or feel anxious about symptoms appearing unexpectedly. Over time, IBS can feel like it is dominating daily life.

The good news is that there are several ways to manage symptoms and improve quality of life.

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Common Approaches to Managing IBS

Dietary Support

  • Low FODMAP diet (structured elimination and reintroduction)

  • Identifying individual food triggers

  • Increasing soluble fibre (such as oats and certain fruits)

Lifestyle Strategies

  • Stress management techniques

  • Regular physical activity

  • Adequate sleep

Medical Treatments

  • Antispasmodics

  • Antidiarrhoeals

  • Laxatives (for constipation-predominant IBS)

Other Support

  • Probiotics (research ongoing)

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The “Second Brain” – Understanding the Gut–Brain Axis

Your gut is sometimes called the “second brain” because it contains the enteric nervous system (ENS) — a complex network of nerves that controls digestion.

The gut and brain communicate constantly via what is known as the gut–brain axis.

This two-way communication means:

  • Stress and emotions can affect digestion

  • Gut symptoms can influence mood and anxiety

  • The gut microbiome may play a role in overall wellbeing

This connection is one reason why psychological approaches can be helpful in managing IBS symptoms.

​

Gut-Directed Hypnotherapy for IBS

Gut-directed hypnotherapy is a specialised form of hypnosis designed specifically to target the gut–brain connection.

It has been developed and researched in clinical settings, including work pioneered by gastroenterology specialist Professor P J Whorwell.

During sessions, you are guided into a state of deep relaxation. In this focused state, the mind is more receptive to therapeutic suggestions and imagery designed to:

  • Reduce stress-related gut sensitivity

  • Support more regular bowel function

  • Change the way the brain interprets gut signals

  • Reduce pain perception

  • Improve overall quality of life

Research suggests that gut-directed hypnotherapy can be effective for many people with IBS, particularly when other approaches have not provided sufficient relief. It can also be used alongside dietary changes and medication.

Solution focused hypnotherapy works by supporting calmness, reducing stress responses, and helping the nervous system regulate more effectively — all of which can positively influence IBS symptoms.

​

Finding an IBS Hypnotherapist

If you are considering hypnotherapy for IBS, look for a qualified practitioner with:

  • Recognised hypnotherapy qualifications (e.g. HPD)

  • Membership of a professional body such as the National Council for Hypnotherapy

  • Experience working with IBS clients

Most importantly, you should feel comfortable with your therapist. An initial conversation can help you decide whether the approach feels right for you.

If you would like to explore how solution focused hypnotherapy in Harrogate may help with IBS, please feel free to get in touch for a confidential discussion.

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