COVID-19 can cause disorders of gut-brain interaction, including post-infection IBS, researchers say.
, and abdominal pain. Of those with abdominal pain, 39% had symptoms that met Rome IV criteria for irritable bowel syndrome.
People who have gastrointestinal symptoms after their initial SARS-CoV-2 infection are more likely to have them with long COVID. Psychiatric diagnoses, hospitalization, and the loss of smell and taste are predictors of gastrointestinal symptoms. Infectious gastroenteritis can increase the risk for disorders of gut-brain interaction, especially postinfection IBS, Chan and Grover write.
COVID-19 likely causes gastrointestinal symptoms through multiple mechanisms. It may suppress angiotensin-converting enzyme 2, which protects intestinal cells. It can alter the microbiome. It can cause or worsen weight gain and diabetes. It may disrupt the immune system and trigger an autoimmune reaction.
Beyond adequate sleep and exercise, these may include high-fiber, low FODMAP , gluten-free, low-carbohydrate, or elimination diets.
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