Knowledge Center

What is the Connection Between Gut Health and Mental Health?

jaslok hospital

Gastroenterology

| 24 June 2025

 

Here’s How Gut Health and Mental Health Are Linked

There is a serious correlation between the gut and the brain; gut health and anxiety can cause stomach issues and vice versa. Have you ever encountered something "gut-wrenching"? Are there circumstances that cause you to "feel nauseous"? Have you ever had stomach "butterflies"? There's a reason we employ these idioms. Emotions can affect the digestive system. Feelings such as anger, worry, grief, and elation, among others, can set off sensations in the gut.

The stomach and intestines are directly impacted by the brain. For example, just thinking about eating might cause the stomach's contents to flow out before the food actually does. This relationship is reciprocal. Both a disturbed brain and a troubled intestine can communicate with one another through signals. As a result, worry, stress, or gut health and depression can either induce or result from a person's stomach or intestinal problems. This is due to the close connection that exists between the brain and the gastrointestinal (GI) system.

 

Why Gut is Considered As Second Brain?

The gut and the brain communicate with each other in two ways, which is known as the gut-brain connection. 

Your body creates stomach juices when you think about eating, and it may also cause stomach cramps when you're anxious. It's a complicated network of nerve cells, chemicals, and microorganisms.

The enteric nervous system (ENS) in your gut and your brain's central nervous system (CNS) are connected through the gut-brain connection. Often called the "second brain," the ENS is crucial to both the functioning of your digestive system and your mental state. 

Your gut and brain are connected by both chemical and physical pathways, which include: 

 

1. The Vagus Nerve

  • The vagus nerve is a major nerve that connects your gut to your brain by going from your brain to your colon. 

  • Studies conducted on humans and animals have revealed that the vagus nerve is essential for transmitting signals from the gut to the brain. 

  • Studies on animals also imply that the gut microbiota, which generates chemicals that might affect mood, is involved in this. 

  • According to a study, giving probiotics, or "good" gut flora, to mice resulted in lower blood levels of stress chemicals. However, this ceased to occur after the vagus nerve was severed.

 

2. Neurotransmitters And The Gut Microbiome

  • Chemical messengers called neurotransmitters are engaged in many different bodily processes. They constitute an additional aspect of the gut-brain axis and are produced by both the brain and the stomach. 

  • Certain neurotransmitters are produced in response to changes in your gut microbiota. These include neurotransmitters like serotonin and gamma-aminobutyric acid (GABA), both of which are critical for mental health. 

  • Studies have demonstrated that your microbiome plays a role in regulating the production of serotonin, which is primarily produced in your gut.

  • Serotonin is involved in several functions in the gut, such as digestion. Nevertheless, serotonin's effects on your gut may also send signals to your brain, influencing the synthesis of neurotransmitters there. Sleep and mood are influenced by serotonin in the brain.

  • Additionally, the neurotransmitter GABA, which lessens stress, gut health and anxiety, and fear, is produced by your gut bacteria. Probiotics that promote the "good" gut bacteria have been demonstrated in several animal experiments to improve GABA synthesis.

 

3. The Gut Microbiome And The Immune System

  • The defense mechanism of your body against illness is the immune system. It is a network of organs, chemicals, and cells that cooperate to combat dangerous viruses, fungi, and bacteria. 

  • It is also an essential part of the gut-brain axis. Your gut microbiota has a direct impact on gut health, mental well-being, and the immune system, just as your immune system can influence the health of your gut.

  • The truth is, your stomach contains a significant amount of your immune system.

  • The importance of the gut microbiome for immune health has been demonstrated by research, which also shows that gut bacteria can affect immune cells in the brain and in the gut. 

  • The amount of proteins known as cytokines can be influenced by the bacteria in your stomach, according to scientists. These proteins can have an impact on brain function and are necessary for your body to respond to inflammation.

 

How Are Gut Health and Mental Health Connected?

Chronic gastrointestinal disorders like IBS are frequently linked to mental health issues like anxiety. According to recent studies, gut health and anxiety, and depressive symptoms may be influenced by the bacteria in your stomach.

Certain gut microorganisms have been found by scientists to be associated with mental health issues. 

According to one study, those who suffer from gut health and depression have lower gut microbial populations of two species: Dialister and Coprococcus. When researchers asked study participants about their quality of life, those who had higher concentrations of these microorganisms responded with higher scores. 

When examining the use of fecal microbiota transplants (FMT) as an experimental treatment for mental health disorders, scientists have also observed some promising outcomes.

In FMT, researchers transplant bacteria from one person's gut microbiome into the gut of another using stool samples. 

Numerous research investigations have demonstrated that FMT from donors without psychiatric disorders alleviated symptoms in individuals with anxiety, gut health and depression; nevertheless, symptoms frequently persisted several months after the treatment was completed.

 

What Is The Role Of Digestion In Mental Health?

  • The gut-brain axis, a communication network that connects the digestive system and the brain and affects mood and cognitive abilities, depends heavily on digestion.

  • Important neurotransmitters for mood, sleep, and mental health are produced in the gut, including dopamine and serotonin.

  • A balanced immune response is supported by a healthy digestive system, which lowers inflammation, which can have a detrimental effect on mental health.

  • Appropriate digestion promotes a diverse gut flora, which is linked to better mental health outcomes, such as lowered anxiety and sadness.

  • Nutrients that are critical for brain function and emotional stability, such omega-3 fatty acids and B vitamins, are absorbed when digestion is done effectively.

  • The body's reaction to stress is influenced by digestive health, and poor digestion can make stress and anxiety worse.

  • Anxiety and sadness are among the mental health conditions that are associated with elevated inflammatory levels in the body, which can be controlled by proper digestion.

 

Which Mental Health Disorders Are Linked To The Gut Microbiome? 8 Such Mental Health Problems

Mental and gastrointestinal health may suffer significantly from an imbalance of microorganisms in the microbiome. Actually, studies have shown that gut health and anxiety, sadness are more common in those with specific digestive diseases.

"There is a higher chance of mental health issues in people with digestive disorders like ulcerative colitis, Crohn's disease, and inflammatory bowel disease (IBD)," claims Nazarenko. The diagnoses of IBD are not the only reason for these comorbidities, or co-occurring disorders, of anxiety, gut health and depression. The fact that they can worsen the situation is because they may be independent indicators of how severe the digestive problems will be.

A number of mental illnesses, including anxiety and depression, have also been connected to imbalances and alterations in the microbiome and digestive issues:

  1. Depression: Research has indicated that dysbiosis of the gut microbiota may influence neurotransmitter levels and inflammation, which may lead to the emergence of depressed symptoms.

  2. Anxiety: Changes in gut flora have been connected to gut health and anxiety disorders; specific strains may either exacerbate or mitigate the symptoms of anxiety.

  3. Autism Spectrum Disorders (Asd): Unbalances in the gut microbiome may contribute to the behavioral symptoms of autism spectrum disorders (ASD), maybe through the gut-brain axis.

  4. Schizophrenia: Recent research points to a link between gut microbiota and schizophrenia, suggesting that microbial dysbiosis may affect behavior and brain function.

  5. Bipolar Disorder: Bipolar disorder has been linked to the composition of the gut microbiome, which may have effects of gut microbiota and mood regulation, cognitive function.

  6. Post-Traumatic Stress Disorder (Ptsd): By regulating stress reactions and inflammation, modifications in the gut microbiota may influence the onset and intensity of PTSD.

  7. Attention-Deficit/Hyperactivity Disorder (Adhd): According to certain research, gut bacterial imbalances may have an impact on attention and hyperactivity and be associated with symptoms of attention-deficit/hyperactivity disorder (ADHD).

  8. Obsessive-Compulsive Disorder (Ocd): The gut microbiome may have an impact on obsessive-compulsive disorder (OCD), with certain bacterial strains possibly impacting compulsive and obsessive behaviors.

 

How to Improve Your Gut Health and Mental Health?

Here are some practical tips to help you heal the gut and heal the brain:

  • Put probiotics, prebiotics, and foods high in fiber on your priority list to support your gut microbiome.

  • Water consumption is important for healthy digestion and general well-being.

  • Take up yoga, mindfulness, or meditation to lessen stress and its negative effects on gut health and mental health.

  • Take up exercise to strengthen your intestines and elevate your mood.

  • Make sure you get regular, high-quality sleep to support mental and digestive wellness.

  • Cut back on processed meals, sugar, and artificial sweeteners to avoid damaging your gut flora.

  • The balance of the gut microbiome can be upset by overusing antibiotics.

  • Sustain wholesome interactions to promote mental health.

  • Omega-3 fatty acids and probiotics help improve gut health and mental health.

  • Listen to your intuition and get help from a professional if problems persist.

Maintaining a balanced and healthy gut microbiome is crucial, as evidenced by the complex relationship between gut health and mental health. The gut and brain communicate back and forth, impact of gut health on mental well-being gut microbiota and mood, thought processes, and mental health in general. This is highlighted by recent study. People can improve their gut health and, consequently, their mental health by eating a diet high in fiber, probiotics, and other nutrients, as well as by controlling their stress levels and abstaining from dangerous substances. Knowing this relationship enables us to approach wellness holistically, fostering gut health and mental health.