Irritable bowel syndrome (IBS) is influenced by many factors—neurological, immunological, psychological, and likely others. The following offers evidence-based suggestions for an Integrative Health approach to IBS, recognizing that no one intervention is effective or curative for everyone; pharmaceuticals are no exception. Successfully treating IBS requires one to approach this complex and dynamic interplay on a case-by-case basis. A continuous therapeutic relationship is essential. Because of the lack of consistent effectiveness of pharmaceuticals, nearly 40% of those with IBS turn to other therapeutic options.¹ These are discussed below.

IBS is often associated with comorbidities, including posttraumatic stress disorder (PTSD), depression, and anxiety.² A history of sexual trauma is even more strongly associated with IBS than any mood disorder.³ IBS is also more common in those who have suffered some sort of “hit” that throws the ecosystem of their GI tract out of balance. Examples include infections (e.g., traveler’s diarrhea), medication use (antibiotics, steroids, chemotherapy), and significant emotional stressors. A clinician should address potential chronic sequelae of these “hits” to determine how best to bring this dynamic ecosystem back into balance.⁴

Research for the Circle of Health items as they relate to IBS is summarized below.