Eating Disorders and IBS: What’s the Connection?

Eating Disorders and IBS: What’s the Connection?

There has been a growing awareness of the relationship between eating disorders and IBS in recent years. While the two conditions may seem unrelated at first glance, a closer look reveals a connection that impacts both physical and mental health.


In this blog post, we’ll explore the complex interplay between eating disorders and IBS, exploring how they can influence each other and providing tips for how to manage these two challenging conditions.


Understanding Eating Disorders

Eating disorders are serious mental health conditions that affect millions of people worldwide. In Canada alone, almost one million people are living with a diagnosable eating disorder. Plus, millions more are struggling with their relationship with food and a preoccupation with weight.


Eating disorders don’t discriminate. They can affect people of all ages, genders, classes, races, ethnicities, and abilities. Eating disorders are not a choice. Many factors can contribute to their development, including genetics, mental health, and cultural factors related to food and what kind of body types are deemed desirable.


Common eating disorders include anorexia nervosa, bulimia nervosa, and binge-eating disorder. These eating disorders are characterized by unhealthy relationships with food, body image, and eating habits. You can’t always tell if someone has an eating disorder. Many people who have eating disorders look healthy but may in fact be very ill.


The Impact of Eating Disorders on the Gut

Studies have shown that people with eating disorders often experience gastrointestinal (GI) symptoms like bloating, constipation, and diarrhea. In fact, up to 90 percent of people with anorexia or bulimia have functional GI symptoms. These symptoms can mirror those of IBS, making it challenging to diagnose and manage both conditions at the same time.


Eating Disorders and Stomach Emptying

Studies of people with anorexia have shown that the emptying of the stomach slows down when food is chronically restricted. This is a condition called gastroparesis. This can lead to feeling full more quickly after eating, which can make it more difficult to eat enough. This then feeds into the disordered eating, as a person may further restrict food if it’s uncomfortable to eat.


Eating Disorders and the Gut Barrier

The gut has an important barrier that keeps dangerous substances and bacteria from entering the gut. Normally, it is just “leaky” enough to allow nutrients to enter. However, studies have found that extreme food restriction can make the gut leakier.


It’s thought that for people with anorexia, stress and the lack of nutrients causes the gut to become leakier, which can be detrimental to overall gut health. However, this has only been shown in animal studies, and more research needs to be done in humans.


Eating Disorders and the Gut Microbiota

Finally, research shows the chronic food restriction can have an impact on the gut microbiota. One study found that people with anorexia nervosa had increased numbers of mucous-degrading bacteria in their gut. Since these bacteria feed off the mucous layer of the gut barrier, this can lead to a leakier gut and poorer gut health.


Eating Disorders and IBS: The Connection

IBS is a chronic disorder of gut-brain interaction characterized by abdominal pain, bloating, and altered bowel habits like diarrhea and constipation. Emerging research highlights a significant overlap between eating disorders and IBS.


It appears that altered eating patterns and the stress associated with eating disorders can trigger IBS symptoms or make them worse. Conversely, the physical discomfort of IBS can contribute to the development of disordered eating habits as people avoid certain foods to try to find relief from their digestive issues.


An eating disorder commonly associated with IBS is avoidant/restrictive food intake disorder (ARFID). This eating disorder involves food restriction resulting from a fear of negative consequences associated with eating certain foods. A study found that almost 20 percent of adults at an outpatient GI clinic screened positive for ARFID. Plus, IBS patients were twice as likely as patients without IBS to screen positive for ARFID.


Coping Strategies

Infographic with coping strategies for eating disorders and ibs


Managing concurrent eating disorders and IBS requires a multidisciplinary approach. Here are some strategies to consider:


Seek Professional Help

Consult with healthcare providers, including mental health professionals, dietitians, and gastroenterologists, to create a treatment plan that is unique and tailored to you.


Address Mental Health

When treating eating disorders and IBS, treating the underlying eating disorder is crucial. Therapy and support groups can provide much-needed tools to improve body image and your relationship with food.


Manage Stress

Stress can worsen IBS symptoms, as well as trigger eating disorder behaviours. Mindfulness, relaxation techniques, and stress-reduction strategies can be helpful.


One type of relaxation technique that is effective for managing IBS is gut-directed hypnotherapy. This is a treatment that addresses the miscommunication between the brain and the gut that is common in people with IBS. In the case of one of Keren’s clients, gut-directed hypnotherapy helped them feel calmer and less anxious. This resulted in a significant improvement in their digestive symptoms.


Get Nutrition Guidance

A registered dietitian can help people with both eating disorders and IBS develop a balanced and sustainable eating plan to support gut health while fostering a healthy relationship with food.


While many people focus on restricting certain foods when they have IBS, if you’re also trying to manage an eating disorder, food restriction is likely not appropriate. In this case, working with a dietitian to develop an eating plan that nourishes you while relieving IBS symptoms is crucial.


Consider Medication if Other Strategies Are Not Successful

In some cases, medication may be needed to manage IBS symptoms or underlying mental health conditions. Needing medication does not mean you’ve “failed” to manage your condition – it just means you need another tool from the IBS and eating disorder care toolbox.


Final Thoughts

The link between eating disorders and IBS is complex and multifaceted, but understanding the connection is crucial for seeking effective treatment and management. If you or someone you know is struggling with these conditions, it’s important to seek professional help.


Keren is a registered dietitian with experience working with people who are struggling with GI symptoms. Click here to book a free 15-minute discovery call to see if you would be a good fit for working together.

Why Do I Feel Fat after Eating?

Why Do I Feel Fat after Eating?

While some of the most frustrating symptoms of IBS are physical, we don’t often talk about the mental symptoms of living with IBS. One of the biggest challenges people with IBS face is they feel fat after eating and struggle with their body image due to bloating. Bloating can cause your body to look very different from “normal,” and it can be frustrating to overcome.

Today, we’ll review some factors that affect body image and some strategies for promoting body image resilience when living with IBS. Body image resilience refers to navigating your negative feelings around “Why do I look fat after I eat” to protect your mental health and well-being. 


Why Do I Look Fat after I Eat?


Unfortunately, we live in a society that praises thinness above all else. This focus means that how we often feel centres on how we look. 


When you’re constantly bloated, this can really play with your self-esteem. While it’s normal for bodies to experience a small amount of bloating throughout the day (after all, the food has to go somewhere!), IBS takes it to an extreme.


With IBS, you can go from a fairly flat stomach to a “6 months pregnant” belly in the blink of an eye. It can be extremely jarring to see such a large change so quickly. And it doesn’t help that the bloating also causes you to feel physically unwell.


IBS Belly Bloat after Eating – Body Image Resilience


Body shame and poor body image are incredibly common in people with IBS. Learning how to practice body image resilience can be an excellent first step in moving past your focus on your body and instead focusing on your being as a whole. 


Promote positive self-talkgraphic quote "You wouldn’t bash a friend for looking bloated, so you shouldn’t bash yourself"


We all have a little voice inside our heads, which can either help or hinder us. Unfortunately, negative self-talk can often get out of hand, leading to poor body image and mental health.

Try to be mindful of how you talk to yourself. Be critical about what you’re telling yourself. One of the best pieces of advice I was ever given was to speak to myself the way I’d speak to a friend. You wouldn’t bash a friend for looking bloated, so you shouldn’t bash yourself.


The next time you notice a negative thought related to your body image like “Why Do I Look Fat after I Eat?”, try reframing it to ” “I am feeling bloated right now because it is normal to experience bloating after eating.” Remind yourself that bloating is temporary. Also, remind yourself that you deserve love, respect, and belonging, regardless of your body.


Unfollow for better mental health


Ever wondered how social media impacts body image? While social media can be a great way to feel like a part of a community and get to know other people experiencing the same struggles that you are, it can also lead to poor body image.


It may be time for a social media detox if you feel triggered by the posts you see on social media. Ask yourself whether the account you’re following uplifts or brings you down. If they bring you down, unfollow them! 


Set goals that have nothing to do with appearance


Our bodies are amazing for what they can do, and we do a disservice to ourselves by only praising them and appreciating them for their appearance.


One of the best ways to develop body image resilience is to set activity goals that have nothing to do with appearance. For some people, this may mean exercising to build strength. For others, it may mean improving endurance. It could also mean exercising for healthy aging rather than weight loss. By making the goal about something other than weight loss, you give yourself a chance to succeed in ways you could never have imagined.


Ask yourself what you truly value.


When your identity is tied up in your appearance, you lose sight of who you are. It limits what you think you can achieve and impairs your ability to work towards fulfilling your talents and potential.


As adults, our goals in life often include a goal body, and many of us can’t imagine our happiest selves without also imagining a different body. But at the end of the day, if your mission in life is to be smaller, you’ll never find true fulfillment.


Take the time to think about what you truly want from your life, appearances aside. Do you have career goals you’d like to work towards? Parenting goals? Friendship goals? Once you take appearance out of the equation, it becomes so much easier to identify what is truly important to you. 


Find a support system.


You don’t have to suffer in silence if you live with a negative body image. Try opening up to a person you trust. If you feel uncomfortable talking to a friend or family member about it, consider speaking with a registered dietitian to help you navigate your IBS triggers and minimize symptoms that may influence your mental health.


Interested in working on body image and bloating with a registered dietitian?

Book a complimentary 15-minute call with me to see whether we’re a good fit for one another.

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